Showing posts with label intra articular injection. Show all posts
Showing posts with label intra articular injection. Show all posts

Monday, October 15, 2007

Objectives Vs. Subjectives

I can't believe no one 'de-lurked'. I am very disappointed. I was going to go on a blogging strike until you did, but this is killing me.
I am going out of my mind. I have been having so many doubts about whether I am making the right decision or not with revision surgery. I think L sees that I am losing it. I went out tonight, to Target (needed milk, light bulbs and undershirts), as I was leaving, she said to me: "Mommy, be careful, don't step into cars, wait for the walking man and if a car comes, stop." How adorable is that, L is only 3!

So here is my dilemma. I went through this with my first surgery as well. I always have good days and bad days. On the good days, I wonder if I am going crazy. What would calm my fears was that I had an MRI which showed pathology, it disproved my theory that I was crazy (at least in this sense) . This time, I have inconclusive scans. But, there is the cam impingement. Do you see where I am going with this? Yes, straight into the psych ward!!!

My intra-articular injection got rid of all of my pain, the psoas injection helped with some of the pain but the joint injection was a million times better. I really don't want my psoas released, and Dr. Kelly knows that (maybe bc I repeated it like a million times!). But what if I am wrong? What if he is right? But none of my imaging revealed a problem with the psoas, but then again, it didn't reveal a problem with much of anything. But he has never touched, stretched or looked at my psoas, much of our discussions have been over the phone. So really he is going on all of my subjective complaints. It is scary. So that is why I have been freaking out.

On a different note, I ordered a spinning bike. I am so excited, it should arrive tomorrow. I used to be a maniac spinner, nothing in the world gives me the same high as spinning. I don't see any reason why I can't go back to spinning, I desperately need to exercise and this is perfect for me and my lifestyle since I don't have time to go to the gym! Hopefully by tomorrow night I will be able to go for my first ride!!

Tuesday, September 4, 2007

My Schizophrenic Hip, or is it?

I have been laying low over the past few days, and left the posting to Amy (thanks again), and have been doing some self reflection and deep thinking. Ok, as much as I can with 2 rugrats tugging at each ankle, but maybe a little thinking.

See, my hip pain is intermittent, sometimes it can be fine for 2-3 days, sometimes the pain can bring me to tears, which is why I call it schizophrenic. So on the good days, I decided to let it take its course, and not have a revision, if it comes to that, but then on bad days, I want to call Dr. Kelly and beg him to do it that minute. And then one of the kids needs me, and I don't call him!!!
So you can see how this would drive one (more) insane, and then throw in the sexy shoe dilema, and you have a big problem on your hands.

By Sunday, I was not having a revision, regardless of anything. By Sunday afternoon, I had spoken to a woman at the pool who had just been resurfaced 6 weeks previously. She has had bilateral hip pain for over 10 years and has not wanted to deal with it. I spoke to her about my progress and PT, we compared notes (btw- she is soooooo happy with her resurfacing, but she was bone on bone). As we were finishing our conversation, she said if there is one piece of advice I can give you, it would be to take care of anything that needs 'taking care of'' now, rather than later. Your kids are still young, I feel like I missed out on the last 10 years of my kids lives because of this.

She left me with a lot on my mind, and I understand where she is coming from, but on the other hand, I do everything, I push through the pain when I have to, but will I always be able to? I also am not 100% sure of the results on my left side. It is great, don't get me wrong, and better than my right currently, but I need more time to see what my results will ultimately be. (I will give a good detailed update later in the week)

Whenever I start thinking, my mind goes racing at a million miles per hour, and it ended up thinking about microfracture. Would I want that on the right, since there is a focal area of bone on bone? I don't think I can handle the recovery from that, but maybe the long term benefits outweigh the 6 awful weeks? But that is so ahead of where I need to be thinking right now, but I do anyway. I need to focus on the 'now', and the next step is to call Ariana this week. I put it off today since I didn't feel like dealing with it, I will try to deal with it tomorrow!

At this point, I want a gameplan, I don't want to have to follow through with anything yet, but I want a plan, so I can plan my life and know what is in store, I don't want to be living in limbo, the way I feel I am right now.

In an unrelated topic, I am having a ridiculous allergic reaction, I am pretty sure it is not from the injection last week, but I have been so itchy, and full of hives, my skin is so sensitive that if I lightly touch it, I develop a red streak on that area. I am still in the investigation process, has anyone had a reaction like this from an injection? Or anything else?

Tuesday, August 28, 2007

The Beauty of huge Needles in Small Spaces

Yes, I had my injection today (#3 for me, I think I can start doing them myself). I had a different radiologist today than the previous times, apparently, I was supposed to have him every time, but someone (hmm, who can that be) screwed it up.

What was different this time was the doctor brought my hip through some ROM pre-injection, documented my pain levels with certain motions (hyperflexion, flexion with IR, flexion with ER), then injected, and then ranged the hip again. I went from a 7/10, 10/10, 0/10 to a 0/10 for all motions. So I got up and was pain free.

There were 3 or 4 good hours, the injection was around 10:30, 11:00, by 3:30, the anesthetic wore off and the joint felt irritated. In the past, I have had a huge flare up the night of the injection, but the radiologist told me things may be different because the hip has been operated on. He also said, before he started, that it may be a little bit more difficult and uncomfortable to inject because of scar tissue, but once he was in the joint space, he told me he felt no resistance.
So far, my pain has returned, slightly increased than pre-injection levels, I am waiting for the flare up but it doesn't seem to be happening.

In terms of the right side, it has been better since P mob'd it on Monday, s I am writing this, it just tightened up nightmarishly, I am typing on my stomach, with my body pillow folded in half under my thigh near my knee to get some hip extension and stress the anerior capsule.

Tomorrow I see Dr. Kelly. When I was in today, I was given my entire chart, photocopied. Interestingly, my first X-ray of the right hip showed a synovial herniation pit in the head neck junction, and the MRI's (both of the right) showed mild cam impingement (on a side note, the left MRI showed no cam impingement but it was found on visual inspection with the arthroscope). Clearly, this is a huge issue and I somehow have to bring it up delicately, but firmly. Any ideas?????