THR Sharon's Anniversary Waltz

Congratulations my good friend.. How time doth fly!

I am hoping it is the winter hibernating that is maybe causing the muscle to shorten a little causing the stiffness and discomfort.

Roll on the warmer weather for you - have you thought about getting some Nordic Walking poles (here she goes again, on her hobby horse, lol).

I found that I had become quite lazy, doing too much sitting at work, at home and I was getting so stiff.. So purchased a second set of poles and started NW at lunch time work days.. It has helped heaps. Just having the support, getting into a good rhythm and getting the cardio workout. I plug my music in, turn on my pedometer, which incidentally alerts me when I have reach my goal during a walk, tells me how many calories I have burnt off, what my lap speed is.. All good incentives..

Have you had your kidney function checked whilst on the Celebrex.. eGFR and Creatinine and Potassium levels.. (Another hobby horse :)

Have fun with your Grand Children and all the lovely activities you have to look forward to :)
 
Hi Sharon,

Happy Birthday to your first hip -- two years old and still working on some adaptation issues it sounds. You don't mention what your activity levels are in terms of stretching and/or exercising in addition to dancing, traveling and frolicking with the grandkids :) Maybe you are having some muscle atrophy and/or IT band issues that are creating that sensation of stiffness? I agree with the suggestions to have a PT evaluation, that's a good start. Also, if it is some adhesions or fascia related issues maybe some massage work either by the PT or by a different specialist.

I will try to channel my inner alexthecat but might mess this up some -- I believe it is that sometimes when we experience atrophy we have to work on a bit of strength building prior to returning back to work on stretching of the particular muscles that are problematic. Maybe this is the case for your leg muscles??

I do hope you'll be able to get off the Celebrex and agree with Poppet that as an NSAID you do need to have your kidney function checked and also be mindful of your stomach as NSAIDs can also have some negative impacts on that as well. You are fortunate that you gets such relief from the Celebrex as I experimented with NSAIDs after my surgery Celebrex helped tremendously with some of my pain/inflammation issues but after 7 days I got horrible stomach pains and had to stop.

Sounds like you are busily enjoying your life and that's great!!
Take care,
Cardie
 
Hi Sharon,
I'm 2 years a few days after you. Sorry about the meds you still have to take, that must be difficult. Hoping also your knees are ok. Since my one hip, both knees causing difficulties. Unfortunately, our hips have been out of sync for so long that our knees suffer also.
Take care and have a great Easter
Jyoti
 
Hi Sharon. Happy 2nd anniversary to hip 1. Sorry to hear that you are still having grumblings from your newish hardware.. Hoping the advice given by the other bonesmarties can help you get past all that and see an end to the pain and stiffness. I know you are not one to complain but sometimes it does help to mention stuff as, as you know being one of them :) , there are so many peeps with lots of great suggestions to offer.

Take care

Hope you have a fab time with your grandchildren,

Ann.x.
 
The problem with NSAIDs is that deterioration of kidney function is a silent disease, no symptoms, not known until the blood tests are done, unlike upset tummies..
 
Hi Sharon! You mentioned possible IT band symptoms in another thread, so I thought I'd waltz on over to your thread and share some thoughts.

If you lie on the unaffected side, with hip and knee flexed at 90 degrees, you should be able to touch your knee to the floor without tilting your pelvis forward. That's roughly the adduction you need for a healthy gait.

If you don't want to make time for stretching, there are a few things you can do while your doing other things. If you're sleeping with a pillow between your knees, stop that. It allows your ITB to shorten at night and walking is painful in the morning. I had a big problem with that and had to wean myself off that pillow.

Sitting with your legs crossed stretches your ITB, so you might try that once in a while. Don't sit like that all the time, but a few minutes here and there might help.

If you do a lot of sitting, try to get up and walk around every hour or two.
 
Traveling pain...yes, that describes my body for sure....two full years after the RTHR. One day it's pain in the quadriceps....front and side of thigh getting close to the knee. Another day, it's quite the little low backache. Periodically, it's right over the hip area....just where I'd picture bursitis.
(snip)
Sharon

You posted this in response to someone else. This sounds a lot like gluteus medius tendinitis to me. Your sleeping position(s) can have a big effect on how this presents, which may explain why the pain seems to move around randomly. Pain in the gluteus medius tendon would be referred to all the places you mentioned.
 
alexthecat

Very interesting. You sent me on a google hunt to get up to speed on gluteus medius tendinitis, and I must say a lot of what I read resonates with me. A while back you advised me to remove the pillow when I slept on my side, to help stretch the iliotibial band. I tried that with trepidation, but it actually helped somewhat. At least for a little while.

So tell me how my sleeping positions affect this. Usually I start on my left side, but end up on my back. Eventually I wake up, at least once, and switch to my right side. Later, I'm back on my back. ALL of these positions end up being painful sooner or later.

It is still my plan to wait until I return from my Alaska trip before I start to address this with my doctor. But I appreciate another direction to go in. It reinforces my sense that I'm going to need some more PT to get me turned back in the right direction. I have been off of all meds for about two months now, except for some travel days, and grandchildren days. Some days are downright comfortable; other days are marginal. But it's all been manageable. So whatever is going on, I am sure it can be dealt with. Thanks so much for your input.

Sharon
 
Hi Sharon,
It is amazing all the events that unfold in a years time. I am sorry about the loss of your Mother. I feel blessed that I still have my Mom and Dad, who are 85 and 86. My Mother is very frail, and I know every day I have with her is a blessing. They took me to the hospital, stayed with me and it gave me so much comfort to know that they were there.
Soon, you will have another new hip...a matched set. It sounds like you have a lot to look forward to.
Enjoy these beautiful summer days and your time with your Grandchildren.
 
Gluteal tendinitis is aggravated by things that compress that tendon. If you lie on that side, the tendon will be compressed under the weight of your body. If you lie on the other side, the tendon will be compressed by the IT band, if the top leg crosses midline. (We call the IT band "soft tissue" but it's a sheet of tough, strong gristle. It's softer than bone, but still quite unforgiving.) That's why stretching the IT band helped a little but wasn't enough.

So, your best bet is to go back to sleeping on the unaffected side, with a knee pillow, to avoid adduction of the painful leg. Icing your hip may help. Icing other places where you feel pain probably won't help.

You may benefit from stretching your inner thigh (or adductor) muscles. Tension in those muscles may cause you to adduct a little too much when walking, which can cause friction between the IT band and the gluteal tendon.

It may be that there is still some residual weakness in your gluteus medius that is causing friction between the IT band and the gluteal tendon. As you know, the best exercise for that is the side leg lift. Use a pillow to keep the top leg away from midline. Put your hand on your hip and fan your fingers over your backside. You should feel the gluteus medius engage. It's important to be sure that you are using the right muscle here.

There are other exercises, like standing on one leg or even one-legged squats. It's important to be sure that your pelvis stays level in those exercises, if you want to try them. The clamshell is not helpful in this situation, so I would avoid that.

That's probably more than you want to know. I've written a book here, but I think you can easily get on top of this. You may just want to start with the knee pillow at night and see how that goes. That may be enough to solve this for you. If not, you can think about trying some PT exercises after Alaska.
 
Wow...I read this post, Sharon. What an inspiration you are. As for loosing your mom, how wonderful that you had her for 93 years! I do, however, know from experience loosing my dad that no matter how long you have them...it's never enough! I bet she's watching over you and INSISTING that you carry on the plan to be invincible! Sounds like you are just the one to do it too! I'll be rooting for your speedy recovery from surgery #2. I'll throw in lots of prayers and even a little pixie dust! That should do it! Ha! Thank you for showing me around the site. :angel:
 
Hello BoneSmart world. I've been anticipating my Alaska trip for over 8 months, and now it's Bon Voyage time. I'm terribly excited, and so are my two implanted friends....we plan to whiz through security checks and walk the long terminals at a solid clip.

When I return, I have a check-up with my OS already scheduled, and I plan to discuss the various aches and pains that rear their head. But right now they feel like a very low-level problem. I want to keep it that way!

alexthecat I have to tell you, since I added the extra pillow back into my sleep routine, I have slept MUCH better....longer, and deeper. From here on out, the pillow stays. I won't say that it has solved the problem, but it certainly makes a difference on many days. In addition to my OS appointment, I have an appt. with my osteopathic doctor who does very subtle bio-mechanical adjustments. She will know if the glute muscles are working properly....I can't tell what I'm supposed to feel. Not to mention which I have smaller than average hands and a larger than average backside, so I don't even know if I'm checking the right place! Not to worry.....this all seems like very small potatoes in the very large roasting pan of life. One more thing.....maybe you should write a book!

I'll be back to report on my trip and make my rounds in the forums in a couple of weeks. Stay out of trouble, everyone!!

Sharon
 
You know we will want photos my good friend :) - have a wonderful time.. I am sure you already are!
 
So much to report on....and it's all good. Grab some coffee or soda or a glass of wine, and settle in, friends. I have stories to tell.

First....I had my one year check up for my second hip today. Since I've been concerned about pain that suggests both trochanteric bursitis and iliotibial band syndrome, I had a lot of questions. The session started with me reporting to the nurse, and we quickly agreed that I should have knee xrays in addition to the usual hip xrays. I've never had any major concerns about my knees until now, and so I've never had a baseline set of xrays done. Highlights of the visit:
1. My knees are OUTSTANDING SPECIMENS OF HEALTHY BONE. Not a smidgen of arthritis to be found. Everything just the way they should be. In other words, the knees are now ruled out as any source of referred pain. And there is no need to anticipate that they may give me problems in the future. I had convinced myself that my knees must be arthritic like a lot of the rest of me, so I did occasionally worry over what might be happening inside them. Nothing. Nothing is happening. Hurray!! I am ridiculously happy about this.

2. So happy that the fact that my doctor confirmed my suspicions (actually alexthecat 's suspicions) of trochanteric bursitis aggravated by the terribly tight illiotibial bands on both legs didn't bother me at all. He wrote a prescription for PT and he feels the appropriate stretches will be enormously helpful. He thinks that the bursitis will back right off once the IT band tightness is addressed.

3. This was interesting. When I told him that all the pain started when I tried to discontinue Celebrex back in January, he was incredulous. WHY? is what he wanted to know. Why did I discontinue Celebrex if it helps me so much? I mentioned...oh maybe the possibility of internal bleeding after long-term use was a deterrent. What about my liver, my kidneys, heart health, etc? He pooh-poohed all the risks. He considers Celebrex to be a far superior drug to all the other nsaids on the market, and says as long as I have no risk factors (prior ulcers, high blood pressure, stomach distress caused by the celebrex) not to worry about it. He applauded my determination to remain drug-free....he says he sees people all day who just want more vicodin, more narcotics. He says I probably have the cleanest liver of all his patients.

Well, I certainly hope so, and he does relieve some of my concern about still relying on Celebrex when I have to function at high level for traveling and grandchildren. But I still think no drugs are far preferable, so that's still my goal.

4. Along with all this, I did just have all my routine blood work done through my family doctor, and everything is coming back with no problems. Kidney and liver panels are fine; cholesterol is fine enough; glucose levels are fine. I'm healthy. More hurray!

So enough yammering about any pain issues I've been having. I'll start PT very soon. I'll take the silly Celebrex when I need it. Moving on....

Almost a year ago, I posted my six-year plan here. I will copy it in to update you all:

Fall 2012 Finish Paralegal program​
​
Jan - June 2013 - Begin LSAT prep course (involving 4 hours a day of study). ​
​
Summer 2013 - Take the LSAT in June. (I've already taken it once. My score will get me a 25% scholarship at the law school I hope to attend. That is a pittance. I need a much better score to get the 75% scholarship that will realistically allow me to go to law school.)​
After the LSAT, do some significant travel.....thinking of a trip to Alaska with my SO, and/or a knitting cruise somewhere really interesting.​
​
Fall 2013 - hoping to take my oldest granddaughter to Disneyworld. Hoping this will be a tradition for each granddaughter when she turns 7. By the time I've taken all of them, the oldest will be a teen, and I hope to establish a tradition of taking each of them somewhere exciting when they are teens. Hoping I am healthy and mobile enough to do this for the next umpteen years.​
​
Jan 2014 Begin law school. Will go part-time for five years, so I can still have a life. Do not ask what I will do with a law degree once I have it. The education is the whole point. Figuring out how to make it useful is the NEXT long-term plan. However, if called upon to serve my country, I am interested in being on the Supreme Court. ​

Finish paralegal program....check.
Begin LSAT prep course....check
Take the LSAT in June....check
Hope to get a better score that will get me the scholarship I need.....CHECK CHECK CHECK!!!!!!
Trip to Alaska.....check....see below
Take granddaughter to DW......in the works. Reservations and plane tickets purchased for October.
Begin law school......YES! STARTING IN JANUARY. Long-held dream WILL come to fruition!

I am beyond excited. Anyone who is reading this.....there is life after THR. It may take a while to get there....but it's there. I know many have suffered for far more years than I did, and I know many have had or are having far more difficult recoveries. Doesn't matter....keep your eyes on the prize....even if you don't get all the way to what you want, you will get closer. This isn't meant to be cheerleader philosophy; just the act of getting older is daunting even without health issues. But set a plan, have a couple back-up plans just in case, and start moving forward. Even baby steps get you somewhere. If you get knocked down, take a little while to rest and then get up and get going again.

(Why do I have so much difficulty applying my philosophy to my goal of weight loss? Hmm...it's not in my six-year plan....maybe that's the problem!!)

Moving on......

My trip to Alaska was amazing and wonderful and lived up to all my expectations. But this post is already too long...I see you sneaking out for another glass of wine..... So I will get a new post up next week to tell all about the amazing 49th state of Alaska, complete with some photos. Promise.

Sharon
 
sharonslp. Congratulations on your knees! That's great. I am awed by your six year plan. It is amazing, and that you are achieving your goals is wonderful. I like your Disney plan, and if a grandchild ever show up here may copy it! Looking forward to the Alaska report. I want to go to Denali.
 
I'm afraid I can't keep my promise to get a report and photos of my Alaska trip posted. I've been pre-occupied with an impending....and now actual....death of a close family member. How quickly everything else takes a back seat. So new promise....I'll get to it when I get to it. How's that?

Also...right back into the physical therapy routine. Leg lifts....I have not missed you. Even though you are way easier to do now than you were right after surgery, I still hate you! On the other hand, this therapy regime includes a massage component. Not long enough. Not thorough enough. But still....better than nothing.

Been down with a cold which also eclipses any other concerns. I have to say, if I had to get a cold, the timing is perfect. It waited till AFTER the LSAT, the Alaksa trip, a visit from my daughter, and a dance weekend. It came BEFORE I have to hustle to Colorado for a memorial gathering, and before a trip to Kansas to see SO's daughter and grandchildren. It is harder to do my PT exercises with a head full of congestion tough.

Sharon
 
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