Healing milestones
Healing milestones
Impatience is not your friend. Recovery starts out rapidly and slows over time but it continues not for weeks but for several years after surgery. Consider that you went from having a terminal condition to now being impatient with healing; pretty fine, no?
1. It takes about 3 weeks for the incisions to heal both those inside and outside. During this time one should be very gentle with one's self to allow for healing. Walking, resting and eating a good diet all help. You should be past that now.
2. By about 6 to 8 weeks, one should be able to return to a "lighter" version of a normal schedule. The sternum is healing and must not be traumatized by upper body activity. If an exercise hurts, you are doing damage to yourself and can prolong the healing process and even prevent the sternum from healing properly.
3. The sternum should be knit back together by about 12 weeks at which point one can begin doing some upper body exercise. You can then start building back in to a normal exercise routine.
4. After the first three months, the heart continues to heal or, if you prefer, "restructure" itself. Severe valve disease damages the heart. How much damage is specific to the individual but it happens to us all. Over time, some or all of that damage can be repaired as the heart accommodates itself to the new valve. Like many people, the walls of my left ventricle thickened and stiffened before surgery as my heart tried to compensate for the narrowing of the valve. This causes diastolic dysfunction in which the left ventricle can not relax completely and accept a full charge of fresh blood. This can leave one somewhat less able to exercise vigorously. As I approach my 3rd anniversary, however, I just had a new echo cardiogram that indicates the thickness of my left ventricle has almost returned to normal and my cardiologist assures me that this process is likely to continue for some time. Day to day, I am able to exercise more vigorously as a result of this continued healing.
I hope this helps. Recovery is a long term ongoing process. 3 weeks, 8 weeks, and 12 weeks are just the initial milestones. Your recovery will last longer which is a quite wonderful thing.
Larry