Week 8

Week 8 has really shown huge improvement from weeks 6/7.  I can’t believe I’ve only been weight-bearing for 1 1/2 weeks.  I started land PT last Wednesday and today was my 5th visit and I’m doing things I thought were going to take weeks to do.  PT has me walking in the clinic forward/backwards/sideways without any walking devices at all, and doing all kinds of exercises like squats and bridges.  When I focus I am only compensating minimally on the walking part and doing well.  At home I tend to use 1 crutch much of the time because my focus in not always consistent, and also after walking more than the length of a room a couple of times my hip muscles fatigue and I feel myself walking funky and don’t want to develop incorrect motor patterns so I grab my crutch then. In public I use either 1 or 2 crutches depending on distance and how my hip muscles are feeling.  The muscles are still a mess, they are tight, weak, stuck a little I think in their former guarding position.  PT has really been working on them manually to break up what they call “fibrotic tissue” around both the scar and all the muscles that surround it (glutes, IT band, hip flexors, and adductors).  As much as it’s all a mess I still remain happy at this early point that I had the PAO.  The stability and lack of spastic muscles make me happy and give me hope that all this muscle/nerve mess will eventually be worked out.  I have been reading up a lot on core strength and PT is working with me a lot on that during our sessions, as well as on my own at home.  I was lacking strength and muscle firing in the deep muscles, specifically the transverse abdominus as well as in my glutes.  Now I am gaining some strength in those muscle groups, they just don’t fire automatically unless I focus on getting them to fire with EVERY movement (sitting, standing, walking, bending, etc…).  It gets mentally exhausting to think about every move I make all day long, but the minute I slip and don’t think about it I feel my posture go and my muscle and nerve pain get so much worse, so I guess that’s a good reminder to keep my posture correct.

My right hip continues to take a beating through all the exercises with PT.  I feel everything around that hip tightening in guarding mode, and the tightness goes all the way from my hamstring up to the muscles in my neck.  Call me crazy, but I can’t wait to get the other side operated on!  I set my scope date for that hip November 20th, with a PAO “dummy date” (as my surgeon calls it) December 11th.  The “dummy date” is just in case during the scope the hip presents as dysplastic (large labrum and cartilage wearing patterns consistent with dysplasia vs FAI).  As I mentioned in my last post Dr. Ellis feels pretty confident this hip will only need scoped.  I must say I feel less instability in this right hip then I did in the left one, and actually feel more deep groin pain with catching (which I did not feel in the left hip-just felt total instability there) so I am hoping this one is truly just FAI with the labral tear.  We’ll see though.  I must say that I specifically picked December 11th as my PAO (if needed) date because that is the anniversary of my baptism.  I thought since that day is so spiritually significant in my life it was like truly handing the situation over to God, that he will guide Dr. Ellis and this whole situation in the best way and I don’t have to worry or fret about it, and that if I do have to have the PAO that date I will go into with a greater sense of peace.   I will say if I do need the PAO we will not have the incredible 7 weeks of help graciously given to us before (from Yago’s parents), we will most likely be on our own; however I know that we will get through it.  I believe that God will place the right people around us at the right time to help us through the rough first weeks.  I’ve seen his mighty work looking back over the past 2 years, although I didn’t always see it at the time, I can look back and see it all now.  This whole experience is really helping me to develop my faith.

Web Definition of Faith: making the words of God the main determining factor for every action you take, and remaining at peace whether you know the outcome or not..

Not knowing and still believing, still trusting that things will all work out………..maybe not the way I envision them, but in the way that God plans them (which is always better).  In the end I realize I am not in control, that I only control what God allows me to control.  As I’ve learned to accept that I’ve grown so much, and hopefully will continue to grow.  Until next time……

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4 thoughts on “Week 8

  1. Hi Julie – just wanted to let you know, I’ve read many of your posts – I’m rooting for you. I’ve had all kinds of issues – and now have learned my hips have always been mildly dysplastic (this is after spine fusion and bilateral hip scopes for FAI) — I’ve not been without severe pain since before I was 30 (19 years back). Currently it is very hard for me to do much of anything – the scope definitely was a big mistake (he took some rim along with femur). My pelvis is all over the place – and trying to figure out next steps. One doc who is a dysplasia specialist confirmed I have no coverage anterior/lateral.. but my arthritis is minimal – cartilage decent too – yet I’m above the age that PAO is usually considered for. THR may or may not be an option- but nobody seems to want to go there since I’m not bone on bone.

    In any case – I have been keeping you in heart/prayer that you are on your way to full recovery (know you are having your right hip explored and possibly scoped in November. Your surgeon sounds very thorough and skilled (I looked him up;) – love that he is versed in all forms of hip surgery and not biased toward just one… I’m in NY but might even consider seeking him out at some point for consultation.

    You continue to heal – I’ll be keeping an eye on you! Blessings and Love, Robyn

    • Thank you Robyn:) I read through your story on your blog today as well and my heart was hurting for you and all you’ve been through. You have such a positive attitude and spirit when you write, despite all the pain and suffering you’ve endured for so long. You truly are an inspiration to people struggling with chronic pain on how to keep pushing forward and finding ways to have happiness and in finding your purpose.
      Your hip situation is in a difficult place, sounds like thr is the next step like you said, I hope you can find a dr who will consider this sooner rather than later to help with the pain in your hips due to the dysplasia. As for my surgeon I can’t say enough wonderful things about him, both professionally with his knowledge and skills, as well as from a personal standpoint. He’s very kind and genuine and gives you all the time you need. Whether you end up seeking him or another I hope things work in your favor. I will keep you in my thoughts and prayers, and have subscribed to your blog as well:)

  2. Hey Dear,
    Just wanted to tell you that you are in my prayers. I have been keeping up with your recovery almost the same time as I am going through my own. Hopefully one day soon things will just start falling into place as far as your recovery goes and once that happens every second will be worth it. It warms my heart to see your growth in your faith through this journey and that faith will most certainly get you through this process. My faith has faltered on some of my worst days, but overall it has been the rock I hold onto. Anyway, keep up the good posture and ab work! Also, I have found that using a cane in the hand opposite of my operated hip has significantly increased my gait and posture the one crutch did not allow me to start really weaning or walking normally. I definitely don’t know if that would be helpful to you as well, but thought I would share.

    • Thank you:) I falter as well, especially on my not so good days. I Just try to write my blog on my “better” days. Good recommendation about the cane too, I was thinking I need something but at times the crutch feels too much (plus it keeps messing up my back). I hope your recovery continues without too many bumps in the road. I don’t know about you but I often feel like its 1 step forward and 3 steps back some days, but we must keep pushing forward:)

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