However, my left knee, which was the most malformed, has literally ALWAYS hurt. I can remember waking up crying from the pain in my left knee as young as 4, and my parents rubbing DMSO into it until I could sleep again.
I was a competitive fencer in high school. I could pull a size 10 off any rack and put it right on. I didn't even bother to try things on, unless I was concerned about the length. (I'm not model tall, but a bit over the average of 5'6" and 2" on a short dress can be the difference between edgy and hoochy mama).
The first time that I missed school because I couldn't handle the pain of walking was in 1990. I weighed 140 lbs. The first time I missed work because looking at the stairs in my apartment building made me cry was in 1997. I weighed 150 lbs. The first time I sold a car because it was a stick and driving it was PAINFUL was in 1996. I weighed 150 lbs. The first time I realized that my pain was affecting me EVERY DAY was in 1994. I weighed 150 lbs. After using the depo provera shot from 2001 - 2004. I gained 60 lbs, which was the first time in my life I had ever crossed 200, and I cried and cried because I was fat. I lost 30 of the extra pounds and moved into size 16 clothes, which while I was not thrilled about (because fat). I weighed 170 lbs.
I weighed 170 lbs when I got pregnant, and between baby weight and the water weight from the extreme edema, my total gain was close to 80 lbs. But I was 180 the day I left the hospital. And limping. 2 years later I weighted 210 lbs, and got pregnant again. My weight fluctuated quite a bit in round 2. But I weighed 204 lbs when I was discharged from the hospital.
I look at videos of me from Trey's toddler years, and I can see the unevenness of my gait. It wasn't long after he was born that the days I was unable to drive increased (We had a stick.) I began to have trouble with the stairs in our home. I began to avoid my regular activities. I had my first MRI, which showed decreased cartilage and wear to my patella. I had my second MRI 2 years later, which showed more damage. I got referrals for a pain clinic, told to lose weight, I took water aerobics, the kind specifically designed for arthritis and during a class in 2010 while we were kicking our legs my kneecap slipped out of place (which happens ALL THE TIME). But this was the first time I couldn't get it back into place. It was visibly dislocated, I had to go to urgent care (because of course it was Saturday). I was told to lose weight.
I've done 8 years of PT. I've taken so much ibuprofen that I am allergic to NSAIDS. I've had so many cortisone shots that cortisone no longer has any effect on my body at all. I've done all of the alternative therapies. Every supplement, injection, and treatment. I get 5 large vials of synthetic goop injected into my left knee every six months. And still, some days I cry.
The last straw: a few weeks ago, my right foot started to hurt more than my left knee. The symptoms aligned perfectly with plantar fasciitis, So off to the podiatrist I went. She agreed, and as part of the initial exam I got an xray. The results were shocking. I have bone spurs in my feet that are large enough to be endangering my Achilles tendon. My arch is collapsing. Literally collapsing. The bones in my big toe are almost malaligned enough to require surgery. I am unable to walk more than a few steps without pain. I have a handicapped parking permit, and per doctors orders I am to stay off my feet as much as possible. HAHAHAHAHAHAHA. I have to use the electric cart at the grocery store. I am not able to go places that do not offer mobility devices for rent/free. I can't do laundry. I can barely stand long enough to cook a meal. I wear a special boot for 2 hours a day to keep my fascia from bunching. I got (more) shots in my foot. And I weigh 250 lbs. The next images of my knee are likely to show significant damage to my bones, and the podiatrist holds that it would be medically irresponsible of her to perform surgery on my foot because the CAUSE of the problem is unresolved.
So to recap: I become more disabled over time. I have been called a drug seeker. I have been told that the problem (which is congenital and degenerative) is because of my weight, even though it existed prior to any weight issue by any medical or social standards. I have been subjected to monthly urine tests to receive a woefully inadequate supply of pain meds.
Fat is not the problem. It is a result. And I'm angry at an establishment that has denied me a reasonable standard of care because my body doesn't conform to an unreasonable standard of beauty.