SARTORIUS!!!!!!!!!!!!!!! I waltzed into PT yesterday 40 minutes late and begged P to take me! He did luckily bc the tightness is making me insane. I aksed him to figure out something new, tear some tissue, break scar tissue, jump on my leg, surgically release it.......I was desperate and annoyed! After he calmed me down, he got to work. He palpated sartorius on each side and found it was more prominent on the right, more tight and more tender. Aha! So off he went to ART it and do his magic. He also continued with the PA mobs in prone with some ER followed by a serious hip flexor stretch with a dose of contract-relax. I felt amamzing when I finally had to get up and see patients. Best I have felt in a while!
Unfortunately, I worked a REALLY long day yesterday to cover someones vacation, and I am working today to cover as well, so after 8 hours straight on my feet, I was in pain and (gasp) limping a little. I am better this morning and getting ready for another long day in the office.
Interestingly, as P was working, he was feeling around my scope sites on my 'tender' area and it has become a little bit numb. Par for the course I guess. It still burns at times as well, and I keep forgetting to try the Lidocaine patches. Lets see if today I can remember!
Showing posts with label joint capsule. Show all posts
Showing posts with label joint capsule. Show all posts
Thursday, January 31, 2008
Saturday, January 19, 2008
The Importance of PT (blah blah blah)
I returned to PT, again. I am going to stop being such a hotshot and STOP dropping out. I even made another appointment for Wednesday. See, I am having some joint capsule issues, yes, after hip arthroscopy, even 9 weeks later (or am I at 10....I have lost track) you can still have these ridiculous issues. It is a joke at this point, I am fixed, yet still having issues.
My capsule is so tight, P did work hard (thanks P) and is surprised at how tight I get. The mobility within the joint is poor (not my ROM, but the joint accessory motion), I am stiff. Since we are having so much fun already, m gait becomes stiff and I begin to lose extension, again. So I walk slightly 'off', and now my back hurts AHHHHHHHHH.
Luckily, it is stiffness in my back, and luckily, the people I work with are amazing and can quickly help me. Interestingly, the pain travels along my vertebrae. Yesterday, I pointed to where it hurt and P said it was L3-4. He did a manipulation on it, and it was better. Then my thoracic spine hurt, so I recruited another PT (I was too embarrassed to tell P something else hurt) so he manipulated my T-spine. I think every vertebrae 'popped' with one quick manip! When I got home, my lumbar spine hurt again and I really needed to 'crack it'. Clearly, J is not skilled or trained in this, so I have been doing this twisty rotation thing hoping to elicit a pop, I have not been all that successful.I did go on my foam roller for a while and it helped, but I need some PT too!
Back pain is worse than hip pain bc I can find few positions that alleviate it, other than lying on my stomach with a pillow under me.
And the fun continues! When will this end?
I do plan on ice skating this week though, back pain or no back pain.I had grand plans to go rock climbing this weekend but the gym I chose is closed for a competition, so it will have to wait! But I am so excited to do it again!!
My capsule is so tight, P did work hard (thanks P) and is surprised at how tight I get. The mobility within the joint is poor (not my ROM, but the joint accessory motion), I am stiff. Since we are having so much fun already, m gait becomes stiff and I begin to lose extension, again. So I walk slightly 'off', and now my back hurts AHHHHHHHHH.
Luckily, it is stiffness in my back, and luckily, the people I work with are amazing and can quickly help me. Interestingly, the pain travels along my vertebrae. Yesterday, I pointed to where it hurt and P said it was L3-4. He did a manipulation on it, and it was better. Then my thoracic spine hurt, so I recruited another PT (I was too embarrassed to tell P something else hurt) so he manipulated my T-spine. I think every vertebrae 'popped' with one quick manip! When I got home, my lumbar spine hurt again and I really needed to 'crack it'. Clearly, J is not skilled or trained in this, so I have been doing this twisty rotation thing hoping to elicit a pop, I have not been all that successful.I did go on my foam roller for a while and it helped, but I need some PT too!
Back pain is worse than hip pain bc I can find few positions that alleviate it, other than lying on my stomach with a pillow under me.
And the fun continues! When will this end?
I do plan on ice skating this week though, back pain or no back pain.I had grand plans to go rock climbing this weekend but the gym I chose is closed for a competition, so it will have to wait! But I am so excited to do it again!!
Thursday, January 17, 2008
I am in Adductor Hell
Poor P, he just doesn't get it. He is going to be shocked tomorrow at how things have deteriorated in the 'PT addressable area' tomorrow (as opposed to the 'surgeon addressable area'). My muscles and joint capsule are so tight, it hurts so much. I contemplated taking a Darvocet today the adductor was so bad. I ended up lying on the floor in a FABER position and having Jk sit on my knee to stretch it out. I want it to 'pop', or something, I think I am developing scar tissue in there and it is contributing to my problem. So it has been a rough day!
To top things off, I took the kids to CVS, which for some reason unbeknown to me, makes them wild. So we finally got out of there in one piece and Jk needed a diaper change. It was snowing and cold, but we had no choice. So I started doing it in the passenger seat of my car, but then realized I ran out of wipes. "Shit', I said. To which L replied 'Mommy, that is not a nice word.'
Someone actually asked me today if I can 'feel the cold' in my hips. I am not sure if any of this is weather related. I like to think it is not, since I reserve thatfor 90 year old little old ladies with arthritic hips (so I fit 50% of that description). Hmmmmmm, maybe I can!
Everyone is in bed, I am also getting ready to get in bed soon and watch Gossip Girl on Tivo.
To top things off, I took the kids to CVS, which for some reason unbeknown to me, makes them wild. So we finally got out of there in one piece and Jk needed a diaper change. It was snowing and cold, but we had no choice. So I started doing it in the passenger seat of my car, but then realized I ran out of wipes. "Shit', I said. To which L replied 'Mommy, that is not a nice word.'
Someone actually asked me today if I can 'feel the cold' in my hips. I am not sure if any of this is weather related. I like to think it is not, since I reserve thatfor 90 year old little old ladies with arthritic hips (so I fit 50% of that description). Hmmmmmm, maybe I can!
Everyone is in bed, I am also getting ready to get in bed soon and watch Gossip Girl on Tivo.
Monday, January 14, 2008
Rain, Rain Go Away
I woke up early this morning, anticipating 6 inches of snow, so I had to give myself plenty of time to dig out my car and make it to work. I woke up to rain. Yuck. But better than snow! It rained all day, it was a dreary, cold, January day in New York. The weather made my hip feel achey. Like an old lady. I could 'feel the rain'.
I was hoping for a snow day, the office would have been slow, yesterday we all took a continuing education course, so a slow day would have been great for practicing! But what I got was a rainy, achey day.
Being that I was at my office yesterday, and P was there too, I took advantage and had him mob my hip. I have been getting tight again, the same joint capsule, stiffy feeling. Not the clamping down feeling, more like tight and stiff. So he worked his magic and I was happy. I don't think that counts as 'PT', so I am putting myself back into dropout status.
My tender area near the top of my thigh, around my scope sites miraculously got better the day I picked up the Lidocaine patches. It is not 100%, but it has gotten better. I have been having some burning too, in the tender area as well as directly above my knee, where I was numb immediately post-op. I have not tried the patches yet.
To add to all of this fun, I think I am entering into a Crohn's flare-up. I have upped my meds and will self treat for the time being! I had a feeling it was coming, I have been exhausted the past few days and wasn't too sure why. Now I know!
Maybe we will have a snow day later in the week and can practice our new techniques. I finished a continuing education course yesterday and signed up for a new one in April. I think I will be going alone though. It will be difficult to go with no friends, especially since I am always embarrassed at all of my postural 'dysfunctions'! Yesterday, I was having trouble with my hand placement for a technique, so the instructor came over to help me and asked if I could pronate my wrist more, since it looked like I wasn't fully pronated....Nope...I am tight all over!!!! Oh well, I still 'got it', and now officially work for the best PT practice in my area, as voted so by the residents!!!
I was hoping for a snow day, the office would have been slow, yesterday we all took a continuing education course, so a slow day would have been great for practicing! But what I got was a rainy, achey day.
Being that I was at my office yesterday, and P was there too, I took advantage and had him mob my hip. I have been getting tight again, the same joint capsule, stiffy feeling. Not the clamping down feeling, more like tight and stiff. So he worked his magic and I was happy. I don't think that counts as 'PT', so I am putting myself back into dropout status.
My tender area near the top of my thigh, around my scope sites miraculously got better the day I picked up the Lidocaine patches. It is not 100%, but it has gotten better. I have been having some burning too, in the tender area as well as directly above my knee, where I was numb immediately post-op. I have not tried the patches yet.
To add to all of this fun, I think I am entering into a Crohn's flare-up. I have upped my meds and will self treat for the time being! I had a feeling it was coming, I have been exhausted the past few days and wasn't too sure why. Now I know!
Maybe we will have a snow day later in the week and can practice our new techniques. I finished a continuing education course yesterday and signed up for a new one in April. I think I will be going alone though. It will be difficult to go with no friends, especially since I am always embarrassed at all of my postural 'dysfunctions'! Yesterday, I was having trouble with my hand placement for a technique, so the instructor came over to help me and asked if I could pronate my wrist more, since it looked like I wasn't fully pronated....Nope...I am tight all over!!!! Oh well, I still 'got it', and now officially work for the best PT practice in my area, as voted so by the residents!!!
Monday, August 27, 2007
I Stand Corrected
I have to sincerely apologize to psoas. It was not psychotic, angry, vengeful or problemsome. It was the actual joint capsule, it tightened up like it hated me. The is why I had stabbing pain in the hip this morning with any type of motion, and awful pain the past few days.
I woke up this morning at 5:00 to excruciating pain, probably worse than surgical pain, it hurt to move, breathe or think. Walking was the best therapy. I somehow made it out the door and to work, where I explained to P the day's situation. "I am super tight anteriorly, it feels like there is a bungee cord inside my hip that pulls me backwards when I take too big a step on the right, I woke up in 10/10 pain...please help. Oh, can you do a grade 5 mob in a FABER position."
So P checked it out and began doing some anterior mobilizations, it really hurt with each thrust forward, but it felt like productive pain, if that makes any sense at all. And slowly, the capsule loosened up. He did one grade 5 mobilization, but not in FABER, in prone (on my stomach), it was extremely painful, and I tightened up and began guarding, so he had to promise no more grade 5's!
By the time he was done, I felt great. My gait was normal and the stabbing pain was gone. Around 10:30, the tightness came back with a vengeance. But after walking around for a while, it slowly let up. Later on in the day, I felt it tighten up again, but this was so different, it quickly 'grabbed' me and tightened up, but I walked on it and it loosened up again.
When I got home, I went to the pool with L and Jk, and the constant activity was good to keep it loose.
I see a huge problem though for most people and even more so for those in PT. I come in with a different complaint almost every time I have PT, but I can easily pinpoint exactly what is bothering me and we can remedy it. I think this may be a part of why many people are having unsuccessful surgeries, the surgery is successful, but there are so many 'complications' that arise later on, and describing the location and quality of pain is very difficult. I asked P what he thought about that, and he agreed, and said we are 'lucky' bc I am going through it and it will be a huge learning experience for all of us.
I woke up this morning at 5:00 to excruciating pain, probably worse than surgical pain, it hurt to move, breathe or think. Walking was the best therapy. I somehow made it out the door and to work, where I explained to P the day's situation. "I am super tight anteriorly, it feels like there is a bungee cord inside my hip that pulls me backwards when I take too big a step on the right, I woke up in 10/10 pain...please help. Oh, can you do a grade 5 mob in a FABER position."
So P checked it out and began doing some anterior mobilizations, it really hurt with each thrust forward, but it felt like productive pain, if that makes any sense at all. And slowly, the capsule loosened up. He did one grade 5 mobilization, but not in FABER, in prone (on my stomach), it was extremely painful, and I tightened up and began guarding, so he had to promise no more grade 5's!
By the time he was done, I felt great. My gait was normal and the stabbing pain was gone. Around 10:30, the tightness came back with a vengeance. But after walking around for a while, it slowly let up. Later on in the day, I felt it tighten up again, but this was so different, it quickly 'grabbed' me and tightened up, but I walked on it and it loosened up again.
When I got home, I went to the pool with L and Jk, and the constant activity was good to keep it loose.
I see a huge problem though for most people and even more so for those in PT. I come in with a different complaint almost every time I have PT, but I can easily pinpoint exactly what is bothering me and we can remedy it. I think this may be a part of why many people are having unsuccessful surgeries, the surgery is successful, but there are so many 'complications' that arise later on, and describing the location and quality of pain is very difficult. I asked P what he thought about that, and he agreed, and said we are 'lucky' bc I am going through it and it will be a huge learning experience for all of us.
Subscribe to:
Posts (Atom)