On the Bench

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Almost May! (Read 356 times)

    Isn't it time for our weekly check-up? MC - how is your rear? Woodland - did your orthotics arrive? Claire - mental and physical update? I hope your running is going well enough to keep your mind clear these days! Shauna - anything new? Is this forum getting too depressing for you too? AMC - how are things going? Out of curiousity, did you have any post-sfx pain? Like "healing" pains or anything like that? My update is that there is no update. I continue to be in purgatory the fuzzy middle ground where I am fed up and frustrated and sick of dealing with my hip, continue to be limited significantly by it, yet not really "bad enough" to be able to justify going to the OR for it. My hope for the week is that by my appt next Monday there will be a clearer answer - either surgery or not. I am actually not oppossed to the surgery option (and I have even been in on several ortho cases including a knee revision!) especially if it means I can salvage my surgery rotation. Of course, I dont know how long it takes to schedule, and it sounds like my doctor wants to wait another two weeks after my next appt - which would mean I could probably finish my rotation but it gets much, much harder. I really dont want to be completing this last rotation next spring. It wouldnt be the end of the world, but it would be so nice to be a fourth year! So I guess I am leaning in the treat it more aggressively direction, but I will never know if it will buy me a week or months. (ie, no idea how long it will take to heal on its own.) And, yes, I have lots of questions to ask before making that decision. At least its more or less the same and no longer getting worse.
      Abba- glad to hear it's not getting worse at least. Like you I am hoping to take the agressive treatment route, it's already been 5 months of non-agressive treatment, and no sign of improvement yet for me. I'm trying hard to stay positive, but some days it is really really hard. I'm also still in purgatory. After last weeks doctor visits, I rode my bike on Thursday (no increased pain, just really really out of shape), did a walk/run Friday on the treadmill (run was less than 25% of total time and surprisingly no increase in pain... I was thrilled!). Took Saturday off, then tried to run/walk outside Sunday for 3 miles (ran a total of 2 of them). And the intense pain was back. Since I was seeing if I could live with it, this showed me that NO-THAT ISN'T GOING TO BE A POSSIBILITY. The intense pain was still present all day yesterday despite taking it off. I swam and did some water running today and I'm not in excruciating pain but I'm definitely not pain-free either. *sigh* I will update more after the specialist on Thursday, hopefully there will be some news.
      Mile Collector


      Abs of Flabs

        It's reporting time! Dear Ms Half-Dr-Half-Gimpy-In-Fuzzy-Middle-Ground-Purgatory, not getting worse is good news. You can't get better while getting worse at the same time. Or maybe you can if you're in purgatory. You're surrounded by doctors, so you should take advantage of that. If I'm in the kitchen, you can bet that I'd be sampling everything. Just saying... Shauna, it sucks that you still don't know what's going on. Have you had an MRI taken of your foot? I don't remember. No point in poking around. It's time to bring out the big guns. As for me, I ran a 10k on Sunday. *gasp* yes, I did. I was supposed to run it with my friend but she bailed out because of PF. Ugh. We're all injured. I purposefully waited for a minute before crossing the start line to force myself not to run fast. I ran at a comfortable pace and wasn't gasping for air like I usually do at races. Even so, I lost a lot of my fitness as my quads started burning half way through it. The behind didn't bother me much if any during the race and I finished in 50:26 gun time (49:32 according to my watch). Oops. I ran a little faster than I thought. I stood around at the post race party for a couple of hours and didn't bother stretching because the ground was wet. I thought for sure I'd pay for it yesterday but yesterday I felt the least amount of pain for as long as I can remember. Maybe I ran so "hard" that I ripped out all my nerves. Maybe it just needs some tough love. I can't explain it. Today, the pain is back to its normal levels. I'm going in to see my orthopist tomorrow and see what he thinks. As of last night, I can't even get into the proper bridging position without feeling a lot of pain in my butt. It's time to bring out the big guns and get an MRI.
          Eric- yeah I had an MRI back in January which showed absolutely nothing wrong. I bet they'll order another one though since that was 4 months ago now and the pain has gotten worse. I hope that if you get an MRI it shows something. It's interesting that you felt great the day after the race. I'm wondering if we both have some nerve thing that causes pain sometimes and not others? Let us know how your visit goes tomorrow. Nice negative splits on your race btw! I'm going to ask my doc Thursday if instead of surgery to remove the nerves, maybe they can inject something in them to kill them? I don't know if anything like that exists, but it would (obviously) be more appealing than surgery. The only time I have felt good since November is when I had the cortisone shot into my nerves, and that only lasted a week.
          Mile Collector


          Abs of Flabs

            I'm not a fan of removing your nerve. That's like boarding up the window so you can't see the grizzley right outside of it. It doesn't solve the underlying problem. Obviously, you and your doctor would know better than me on this. My concern with these procedures, as well as taking pain killers, is that you are only masking the pain, that you'll continue to do damage to your foot. I'd do more investigation and questioning before doing anything to kill the nerve.


            Finished!

              Hello fellow purgatory-ites... Well, I posted for the first time in ages to the "main" board because I actually "ran" (wogged was more like it....) and logged a bar onto my log Smile No orthotics yet (Hoping they arrive a week from Friday so 2 more weeks), calves are tight - the PT did some soft tissue on them because I could feel something kinda clicking around when I stretched my right soleus...I'm definitely feeling it today. Haven't had a moment to run since the last one, but the gear is in the car. Definitely have lost some fitness, I think, and my pace is really slow because I'm forcing myself to keep my heartrate down a la Maffetone method... Eric, glad to hear that you were able to run without pain - though sorry to hear the pain is right back again. Let us know what your doc says. Abba - glad to hear you're at least not getting worse! Shaunna - I have my fingers crossed for your visit this Thursday - I hope they have some guidance for you!
              Walk + Jog = wog.
              I'm trying to Lose 5% at a time
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                Well, I'm confused Confused I had a massage yesterday and got to meet the head therapist ( I have to wait until July before I actually have an appointment with her) - she is telling me that the reason I get stress fractures is that my right leg is not weak, it is my strong leg (hard time believing that) and that my fractures are caused by posterior tibialis bowing my bone - solution strengthen my comparatively weak adductor muscles. My PT told me that my problem was a weaker right leg, and that my lower leg muscles were not doing an adequate job absorbing impact and that the impact was being transmitted to my bone - solution - strengthen my soleus. They both said I should be picking up marbles with my toes and doing ABC exercises with my feet. Any guesses? I am going to ask the ortho doc - wonder if I'll get a third option? Ab - how long does it take to recover from the surgery if you went that route? Are they planning another MRI? Shaunna - I didn't realize it had been that long - keeping my fingers crossed for your Thursday visit Eric - Wow - I bet that felt good to run that race, and nice times- sorry about the pain after, but maybe it will trigger something that will help identify your problem at your visit tomorrow - hope so. Wood - soundls like you are really on your way back - great news!

                Life is not measured by the number of breaths we take, but by the number of moments that take our breath away...(unkown)




                Go With The Flow
                Thyroid Support Group

                Mile Collector


                Abs of Flabs

                  I just got back from my doctor's appointment. I went to see my orthopedist. Before my doctor entered the room, he was reviewing my charts with a medical fellow of sorts. I heard him describing me as "that tiny running guy that I saw 6 months ago." Great... He is a runner too, and ran a ~2:30 NYC Marathon some 10 years ago. It's good because he won't tell me to stop running unless it's detrimental. Anyhow, he took more x-rays (my mid section is aglow once again and the possibility of having kids go out the window). He also examined me and I pointed to what turned out to be the sacro-iliac (S/I) joint that's bothering me. He located the spot and think it could be a slipped disc. He ordered an MRI. So, I'll be magnetized on the 11th. Hopefully, that would shed some light on what's going on.
                  Mile Collector


                  Abs of Flabs

                    Cheryl, you'll just have to put one foot in front of the other, just like running. I don't know when, but eventually your problems will go away.
                      MC- how would they fix a slipped disk?? All these x-rays make me nervous too, especially since my doctor brought up the fact he hates to do any more than necessary and made me wear the big lead bodysuit last time Confused I hope your MRI is useful!
                        Cheryl, you'll just have to put one foot in front of the other, just like running. I don't know when, but eventually your problems will go away.
                        Thanks Dr.MC – you may send me your bill – that’s as good advice as anything else! Hope that MRI shows something useful - you are lucky that you have a doc who is a runner.
                        MC- how would they fix a slipped disk?? All these x-rays make me nervous too, especially since my doctor brought up the fact he hates to do any more than necessary and made me wear the big lead bodysuit last time Confused I hope your MRI is useful!
                        Lol – Shaunna – I’ve had so many nuclear studies in the last 2 years, that I probably don’t need to wear reflective clothing at night Roll eyes Hi, Alyssa ,glad you found us!

                        Life is not measured by the number of breaths we take, but by the number of moments that take our breath away...(unkown)




                        Go With The Flow
                        Thyroid Support Group

                          I actually e-mailed her and asked how long it would take to schedule - she said she could do it Weds. (As in in one week.) That was a super scarry moment for me - I hadnt expected it to be that soon! Eeekkk!!!! Of course, if I do it I want it to be soon so I can try to salvage my surg rotation. It sounds like recovery is about 2 weeks. I would be weight-bearing as tolerated afterwards, though my surgeon said I would probably want to use my crutches for a while for balance. Of course, it also depends on what we mean by recover and who you ask. She said I could probably be back in class in 1.5-2 weeks. (I havent asked about running - at this point I have to admit that is so low on my list of concerns.) I was also hanging out in ortho clinic today with a surgeon who happens to do a lot of hips. (I was supposed to be with the other ortho onc surgeon, but evidently he left town and I didnt know. Gotta love our schedule which seems to be wrong more often than it is right! Grumble! But I saw lots of interesting hip stuff!) He was asking me a bunch of questions and then offerred to look at my x-rays. Well, yes please, of course! And guess what - he doesnt know what he would recommend. He did say if it were his son, he would go ahead and go the surgery route. But then he thought that the fact that internal rotation initially hurt but after 2 weeks on crutches it didnt was a good sign. Then he looked some more and noticed that the femoral neck is shorter in the injured hip - I didnt get to ask him what that means for real. But it sounds like he is not too optimistic about it healing quickly at this point after almost 6 weeks on crutches. He did tell me that he really likes the surgeon I am seeing (as does everyone else) and that whatever she recommends is solid. There are always multiple approaches ie, he said he would put two screws in the neck. She said she wanted to do nails and put one in the neck and one vertically in the shaft to lock it but he also said that he wouldnt argue with her approach - it just wouldnt be his plan. So reality is starting to sink in. I think whatever I do I am going to question it. I mean, if I go the surgery route, how close am I to healing on my own? If I dont go the surgery route and am still doing the same thing in 6 weeks, I will totally regret not having done it sooner. And then wondering if I am again 2 weeks away from healing on my own. I think all med students should be required to do a rotation at Hogwarts.
                            It's one thing to think "surgery" in an abstract way, it's a little bit different when it is more of a reality. Good luck with a tough decision. It would be hard under any circumstances, but during med school - I just know how DS would feel about it. Still - if it has to happen - you seem to be getting good feed back from different docs and it sounds like your surgeon has the respect of the other docs - that really says a lot about the great care you are/will be getting. Smile

                            Life is not measured by the number of breaths we take, but by the number of moments that take our breath away...(unkown)




                            Go With The Flow
                            Thyroid Support Group

                              Not surprisingly - my parents think it is a terrible idea and I should keep waiting. Go figure. Isnt it nice to be an adult and get to make your own decisions? Reality vs abstract. Exactly my point. You just said it better. I have a ton more questions to talk about with her on Monday. And I am glad to hear that everyone respects her. And in terms of med school I am thinking that getting it over with is better than hobbling around on crutches and not knowing what the course will be. My first choice, of course, was not to get injured in the first place. My second choice was to have conservative therapy work. I still wonder if I am paying the price for delaying diagnosis for a month and a half.....
                                Oh, and did I mention that I really dont want my mom coming down to Nashvegas? I am so predicting she will get into an arguement with my surgeon. Who I need to work with in the future! Its much harder for my dad to clear his patients than for my mom, and she knows more about joints, but........
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