THR Dorothy's 2nd hip recovery, June 22, 2012

Status
Not open for further replies.
Diane, the massage tool I had looked like a big plastic jack. (Remember that toy when you were a kid?) I bought it a Wild Oats in Colorado. Then Wild Oats got eaten by Whole Foods and no longer carries a lot of my favorite foods. :tantrum:
 
Hi Dorothy

I was very interested in your surgeons comment regarding the hysterectomy and it affecting core strength.. now the pieces of the puzzle are falling into place for me..

I am in that category, in fact had ovarian cysts the size of grapefruits removed when I was 21, both ovaries, then a hysterectomy later and a hairline fracture.. So no wonder I have back issues.. but I do think it has become exccentuated since my surgery..

Thanks for that piece of the puzzle Dorothy - take care honey xx
 
Hi Poppet. Actually, it was my new PT who told me about the hysterectomy/core strength issue not my surgeon. He seems quite on the ball. I've had two visits with him so far and like him a lot. I liked the one I worked with last go round too, but that guy's focus was more on exercises, which I don't think I need at this time. I need the soft tissue problems worked out, not really more strengthening exercises. The new guy spends pretty much the whole session poking and prodding various areas that are tight and sore. The other one did very little of that kind of thing.

My new PT says the tendon and muscle of at least one hip adductor are VERY tight and inflamed, which I thought was the case. I think he is pretty amazed how it got that way from post op PT. I told him I yanked my leg hard multiple times trying to do their crazy hospital exercise regimen and it felt like my leg was being ripped off; I think he gets the picture. He feels pretty hopeful that he can work out the groin/hip adductor problem within a couple of of months (Based on his experience with other patients with injuries, his estimate is that I should feel 2/3 improvement by then). The back problems are a little more worrisome to him. He says that I should get more physician attention for the back if what he does isn't helping the back; he thinks there might be some disc and nerve impingement issues that he might not be able to fix. Again, he's pretty surprised how painful my back is. Just have to wait things out. As far as homework, I'm to use my IF machine a lot on the painful area on the back and keep doing my groin/hip adductor and hamstring stretches to whatever my tolerance is. My foam roller arrived, so I'm going to play around with that this weekend too. He warned me to go a little easy using that on the back. I guess he already sees how "go, go, go" I can be. He was poking me and said "I feel like I'm beating you up pretty bad." to which I responded--"I don't care what you do--I can handle it--just make me better!" He said I have so many tight areas and so many inflammed spots that he could go on forever, but if he were to do that, I would be hurting *very* bad afterwards, so he has to go slow with this and do small amounts each time.

All in all, I feel sore after a PT session because of all the poking and prodding, but I also feel more freed up. I think that's a good sign. Another plus--his wife is very into horses and he has a good understanding of the horse addiction we horse people suffer, lol, and physical requirements of riding and general horse/barn chores. I like that.

Stay tuned for more ...

Dorothy
 
Oh Dorothy,

Sounds like you have found a person who can really understand you and help you. Yes, take it slow, those tight muscles may take months to "free" up but it sounds like he can do it. Wonderful!
 
Fantastic Dorothy, so important that you have found a PT who listens and cares and has your best interests at heart and the bonus is it sounds like he knows what he is doing and how he is going to manage your recovery.. So important emotionally and physically :)
 
I'm not putting all my hopes on this PT, but he does have a different approach than what I've used so far ... so fingers crossed this will work.

I got my foam roller in the mail yesterday. I ordered one that is 6 inches in diameter. It seems so large. I can use it for the insides of my thighs for the adductor muscles, but I find it very awkward for the back or anywhere else. Should I have gotten a different size?

Dorothy
 
Hi Dorothy,

My foam roller is also the 6" diameter. Yes, it will seem large and also very firm since it is new... I do not use it for my back as that requires too much arching backwards over it and that's not really good for our "back issues." I only roll my legs with it. Go slowly & remember to breathe and don't do it 6 days in a row and then go to work and PT or you might cry buckets. :cry:

I always find the myofascial release work very helpful in allowing me to move better, more smoothly. It does free things up like adhesions and tangled collagen that forms in places like the incision site and damaged muscles.

When you had your second hip done did you have any length added either on purpose or incidentally, like if the natural ball and socket were very damaged and collapsed? I ask because I had about 1/2" added because of my LLD from my congenital stuff. This addition of length plus the whole new angle of the hip/socket & neck of the fake femur were all big changes to my soft tissues -- especially that adductor tendon. Could some of your struggles be related to these new adaptations in addition to the PT trauma? In time and with gentle care my adductor tendon is less sensitive and has stretched a smidgen, maybe will stretch a smidgen more in the next few years...

You are fortunate that your PT is trying to help with your back as well as your hip. I hope he is successful, or at least able to give you a better idea of what might be going on in there and how to address it. Is it your sacroiliac joint or up further, I'm having a blank brain moment... :umm:

Hope you have a good week and that the hurricane/ Frankenstorm doesn't get to your place!!
Take care,
Cardie
 
Hi Cardie, Thanks for the info and advice about the foam roller. I did use it for my back and I did have to arch a lot to do it. I don't think I did any damage, but I did notice it was hard on my back to struggle to get up over that big thing. How do you use it for your incision--I think that was even more difficult than the back. I flopped around a lot trying to figure that one out and I never did get it right. It works pretty well for the adductor muscles, which is my big problem.

My hip replacement was pretty straight forward. He didn't have to lengthen my leg or anything like extra. He didn't have any problems with it at all. It was typical arthritis in an otherwise structurally sound bone/joint. He reiterated that to me at my last appointment. I do believe the hip adductor is the result of the crazy post op PT. I think back and it feels like I was a different person for those first couple of days--I just did anything I was told to do and tried way too hard. I had psyched myself up for the hip replacement and was already prepared for things to be a typical-for-a-hip-replacement difficult the first few days--kind of like going to war--you know it's going to be tough and you just grit your teeth and do what you gotta' do. Unfortunately, they also encouraged me to push ... and push ... and push. I would never do that to myself now.

My back is a combo of my SI joint on the right and right sided disc stuff too. The PT seems pretty concerned about my back and keeps mentioning having the back docs take another look at it if what he's doing doesn't help. He thinks I have some nerve root impingement in the lumbar spine. I already know I have a lot of areas of degeneration and a couple of large-ish disc bulges (not actual herniations yet). Maybe they got worse with the hip surgeries and recoveries. Hard to say. I know my back bugs me pretty much all the time, especially when I'm sitting or up walking. Lying down on my back is the most comfortable position. My right side feels completely different from my left side from the low back down to my foot. I remember how I felt after having my last transforaminal epidural injection--I had been given a little Versed and 100 mg of fentanyl and it was the first time in years that my back and leg didn't hurt. I wanted to stay that way forever. But, of course, it wore off :-( The first epidural I had worked great but the subsequent ones haven't done anything.

I see a pain management/back clinic where the doctors are very good but I don't see them unless I have a procedure done. I see a nurse practitioner in between. She's OK, but she's not all that creative or helpful for anything other than medications or scheduling injections. I have an appointment there mid November. I'm going to discuss seeing one of the doctors if I'm not better by then. A woman at work has a bad neck and sees a pain management doc in NYC. She has a procedure done where the nerves in a particular area area cauterized and that gives her a lot of pain relief for about a year at a time. I'm wondering if that would be useful for my SI joint. I know the docs do a variety of procedures, but I need them to see me and to talk with them more about what my options are or whether I need to have any additional testing done. I think the SI joint causes me more pain than the disc problems. The PT is pretty amazed how messed up my back is. I guess I'm kind of used to it, as sad as that is.

I am not going to be in the direct path of the hurricane (Cardie, are you? You are in VA, but I'm not sure where.) We will get a lot of rain and wind, though. If the storm doesn't track to the west quickly after it hits land then we will get it worse than they are predicting for my area. I'm near Binghamton, NY, south central NY. Our area took a huge hit with flooding a year ago, so I'm more worried about those people than I am myself. I'm not in a flood prone area. My biggest worry will be trees coming down. EVERYONE stay safe!!

Dorothy
 
Hi Dorothy

I love reading your thread, but always in the hope that the 'next post' will say that you are out of pain... I have to agree, I think we learn to live with chronic pain, but it sure doesn't make it any easier when thee get an acute flare up.

I search for answers myself, always hoping that I will find the magical cure.. But alas no!

I do hope that you can get some relief soon. I will just keep dropping by in hope of seeing that 'next post' :)

Hugs and much love xx
 
Thanks Poppet. I'm really OK, though. And, I feel like I have some good people working with me. It may take a little time, but I'll get to the bottom of things eventually. Remember--I have a "back to horseback riding" self imposed deadline of April 15, 2013 ... I will do everything I can to make that happen. I'm a work in progress, and this is NOT as good as it gets. Better days are coming. Despite all the snags I'm having, I'm very grateful that I have two new hips. THAT is worth all the stuff I've gone through post op.

Thanks for checking in on me :-)

Dorothy
 
And I am absolutely sure you will meet your goal Dorothy.. and what a great goal it is :)

Yes, for you, this is 'not as good as it gets' you have a wonderful team looking after you now :)
 
I have to keep reminding myself that "I WILL get better, I WILL get better ..." otherwise I think I could start to feel pretty sad. And, it has to get better for you too, Poppet. The last physical therapist said that he found it could be 18 months before people were totally healed and strengthened after a hip replacement. You may (and I may) be one of those 18 month people. Let's both pledge to keep trudging along without giving up until we've really given our bodies a chance to fully heal--backs take a hit when another part is messed up too. Our backs need time to adjust and strengthen too. :-)

Dorothy
 
How do you use it for your incision--I think that was even more difficult than the back.

Hi Dorothy,

My incision is on the front of my leg, so I mostly massage that with my fingers. I do sometimes use the foam roller to roll my quads like this guy.

[Bonesmart.org] Dorothy's 2nd hip recovery, June 22, 2012

For the buttocks/posterior incision you could do this one

[Bonesmart.org] Dorothy's 2nd hip recovery, June 22, 2012

If you can't get to the floor like this person, maybe you have a sturdy low coffee table that you could place the foam roller on and then just sit on it and roll back and forth to work your sore spots.

Be creative but do be careful of your back!! My PT thinks that I have some sciatic nerve root irritation and it presents itself as clenching of my buttock muscle on the THR side and some burning in a spot on my hamstring towards the side a bit. I've also been told that most of what I consider to be hamstring stretches are really just stretching my sciatic nerve...

I am definitely continuing to trudge along with you and Sandy, it's just that I'm 15 months out so slightly less optimistic about change coming about. My husband reminds me that at least I don't have bone on bone pain in the joint. True, but the other pains certainly don't seem to be a very pleasant trade-off...

We are all set here in the D.C. metro area for two days worth of heavy winds and heavy rains from the slow moving storm that is rolling our way. As long as we don't lose power I'll be happy because I need my sump pumps to function!!

Take care,
Cardie
 
Cardie--you are near D.C. You may get hit hard by the storm. I'll be thinking of you the next couple of days.

Thanks for the diagrams of the foam roller stuff.

Dorothy
 
Hey Dorothy, hope the roller help you, great advice from Cardie there, definitely need to take it nice and easy at first but it is quite amazing how your body seems to accept it and loosen up after a few goes..take care

Ann
 
Hi Annie, thanks for checking in and giving me advice about the foam roller. I had a PT session this morning and he was more aggressive with his trigger point/myofascial release stuff than he has been the other couple of times I've been there. I told him to do whatever he needed to do--I need to get some results. It was pretty painful, but it has to be done. He did notice that one area in the groin was looser than when he saw me Friday. Maybe my work with the roller, in addition to the specific trigger point release stuff he is doing is helping. I don't feel the difference yet, but he said I have so many areas of tightness on my whole left side front and back that are resistant to being released ... I think it's going to be a while before I feel significant results. He told me to continue the foam roller as long as it doesn't aggravate my pain. I showed up with a lot of bruises from my foam roller work ... so I he knows I may get carried away with pretty much anything he has me do outside of there. Just keep plugging along ...

Dorothy
 
Wow Dorothy, sounds like you have been a bit over enthusiastic with that foam roller :) I bet those bruises are sore. Great news about the groin loosening up though! Got everything crossed that things are now moving in the right direction for you

Take care

Ann
 
Hi Dorothy,
How has your week gone. Hoping the roller is helping and we havent' heard from you because things are going well and work is busy. Give a shout when you have a moment.
 
Hi Dorothy,

Just out of curiosity, what color is your foam roller?? I ask because I see on the broken link removed: https://www.optp.com/Foam-Roller-Therapy.aspx that my PT suggested that there are different densities to the rollers they sell. I experienced this both at the PT (they have the white roller) and then this week at the gym (I found a black roller). ZOINKS!! my roller is practically a cushion compared to the black roller... I will need to replace mine, it's time.

So, I guess what I'm getting at is that I am not surprised if you had some bruising on your new roller. You might want to go a little lighter -- fewer reps, broken blood vessels and bruises are not what you are trying to achieve. Be kind to all those soft tissues, they are trying to adapt to a big change :thumb: on both sides.

Hope your weekend is good and all the animals doing well.
Take care,
Cardie
 
Hi everyone! I woke up to some snow this morning. Where did my nice weather go?????? Oh well, it was bound to happen. Couldn't live in paradise forever. Something interesting--I had wonderful weather for both of my hip replacement recoveries. First was an unusually warm winter and early spring ... second was a gorgeous, sunny summer. I was one lucky duck to be off work at these times.

I have the black roller, and it is VERY stiff. I bought it on Amazon.com. It had good reviews and was one of the more expensive ones, so I automatically thought it would be the best one. I do like it for my hip adductor work where I can control the pressure more easily than the back and I do have bruises, but they aren't horrid and my PT doesn't think I'm doing too much with it in that area. He did advise against using it for my back because I told him it hurt quite a bit to do it. His advice about everything I do is if increases the pain, don't do it. Such simple advice that I've gotten from both outpatient PTs I've seen after the second hip. I don't know why all PTs don't subscribe to the same way of thinking????? I wouldn't be in this mess with my hip adductors and flexors if they did. I still GRRRRR about the post op hospital PT messing me up. Have to let go of that eventually ... but for now I still bi$ch a bit here and there, lol.

I'm going to look into getting a softer foam roller for my back and butt. I like the idea of a medium density one for that area--something that will gently work it but not pinch it the way my high density roller does. I should have consulted with the PT before buying the roller--I didn't know there were different densities. I felt their white ones in the office and they were much softer than mine. I think I'm going to ask if they have an old worn out one I can have or buy from them. Or, I'll go to a sporting goods store and feel before I buy. They should have them at this type of store?? I'll ask my PT.

PT is going well. It's a completely different focus than any other PT I've had. He works almost 90% of the time on myofascial release work. It's getting better. It's slow going, though. Things are just so tight and inflammed. Not the raw feeling it once had, though, so it does feel like it's getting there. I'm scheduled to have another muscle injection Nov 20th and I asked my PT if he thought I should do that, or just keep doing what he is doing. He said to have the injection if I'm not significantly better by then. It's pretty stubborn, and I should use anything I can to get rid of it. I do feel things are a bit looser, though, and I don't feel like I need the Percocet as much lately. Things are finally moving in a good direction :-) :-) It goes to show that even good PT's have differing approaches and it's important to check out a couple if one is not providing all the relief you need.

The critters are doing fine, hunkering down for the winter. I see the horses spending more time in their stalls (doors open to the pasture all the time so they can come and go as the want). They are turning into wimps. They are the equivalent to my age, and they are just like me--they don't want to be cold and uncomfortable either! lol The dogs are just as wild and crazy as ever. Cats are curling up and sleeping most of the time--I don't know how they sleep as much as they do without going into a permanent coma, lol.

Something I've noticed since I've been back to work. My perspective on work has changed so much as a result of going through his hip ordeal. I used to get very bothered by all the stupid stuff at work--I work for a governmental agency and sometimes they don't make the best decisions and it gets annoying if you let it. But, I rarely get worked up about the small stuff anymore. We had a situation of this type the other day where our work computer system went down due to some dumb programming thing, and most people were complaining about it. I found I had no interest in wasting my time and energy on that, and just did something else fun until it came back up. In the past, I would have joined in the complaining session and gotten upset ... but not now. The hip ordeal has really changed my perspective about life and what's worth my time and energy. That's the best thing that has come out of it. I can be a little "tightly wrapped" and worry ... I now pick and choose what is worth worrying about. Cool!!!!

I'm still catching up financially. I've had a huge number of bills coming due end of October and early November, and its pretty much tapped me out. I drained my savings during my additional time off work and the extra money I had to spend on PT, gas to get there, etc. after the second hip problem. I feel like calling the hospital PT staff and saying "I want reimbursement for the extra money you cost me." Oh well, have to let that go. As I said before, I still get a little "GGGRRRRRR" about that ... but it's getting better. I don't hate them as much as I did :-) That's progress.

Now, I'm going out for breakfast. I'm thinking about a grilled cheese sandwich with bacon. I know that's not traditional breakfast food, but it sounds good to me today. :-) I also have a chicken slow cooking in the crockpot and will be making a chicken and dumplings for later in the day. Great cold weather food.

Hope you all have a great day!!! I plan to.

Dorothy
 
Status
Not open for further replies.
Back
Top Bottom