28 Sept 2012

28th Sep 12 Day 3 Post Flouroscopic Injection





"Feelin trapped away from my strength & Brilliance"

.. Today I taught my modified (without physical instruction) to one of my long standing corporate
clients (usually wednesdays) & loved it, though wish I could of physically joined them ...
 
Injections cant fix a fractured pelvis.

Daily Progress (3) Friday 
September the 28th 2012 12 lunchtime

Daily progress post (7 day pain diary - day 3) until I see the surgeon next Tuesday
regarding the dye contras x ray pathology/results
Day (3) of, back on feet 

Day (3) after the "dye contrast anesthetic cortisol injection" into the joint capsule or break & tear.
anaesthetic which obviously wore off :(((((((((((((((((



Hours

Thursday 27th September
Notes


Range of Motion Pelvis/Hip Function

12 to 3pm

Joint not as airy (reversing cortisol benefit)
Anterior/Superior aspect of rim burning & pinching esp when sitting & picking things up again
(R) Trochanter Bursa flare swollen & hot 2 inches out still
Stepping forward without discomfort is back before planting foot down (R)   
Anterior to superior lax not in good way (R)
Gluteus muscles & Psoas are tight & knotted as a response to super lax sensation at anterior aspect due to cortisol (the bit of injection I was against – the area is already weakened from disuse & unsound structure)
Lower back (R) Psoas/Intra pulling lumbar spine out ward & down as result/twitching
Psoas aches like before again lumbar & anterior (R)
Groin burn back in full again & flowing down from pelvis to hip to lower limb chain including out to bursa (R) 
Pelvic rim anterior/superior now swollen from the site of cortisol injected 
Anterior/superior feels even weaker than before & lax
Lumbar back (R) really tight now & knotted 
Neck (LS) thoracic/shoulder blade (RS) tight as guitar strings again
Forehead muscles tight from tension & wont release 
 

Function & structure ROM same as before yesterdays procedure
Pelvic balance stability the same as
before yesterdays procedure 
Ability to weight bare – Normal Abduct Adduct (R) same as before yesterdays procedure
Ability to walk & normalize (R) side of Gait (R) same as before yesterdays procedure


3 to 4pm
Lower back (R) psoas aches bad
4 to 5pm
"Same"
5 to 6pm
"Same""Same"
6 to 7pm
"Same"
7 to 8pm
"Same"
8 to 9pm
Sleep
9 to 10pm
Sleep
10 to 11pm
Sleep



Friday 28th September
Notes (3)


Range of Motion Pelvis/Hip Function
4 to 5am


"Same"


"Same"
5 to 6am
6 to 7am
7 to 8am
8 to 9am
"Same"
9 to 10am
10 to 11am
Physio releif of psaos/lumbar, neck & scap/thoracic
11 to 12pm
"Same"
 
Again I didn't want cortisol for it wont fix the damage but weaken already weakened area from disuse & neglect over 6 months. Ive got a massive diary that Ive been religious with & below is the excerpt (more info than diary's given couldn't hold)


undefined


Day (3) after "dye contrast anesthetic cortisol injection" 
anaesthetic portions worn off Summary;
  • Flow in/around joint capsule not as airy (reversing cortisol benefit)
  • Anterior to superior really lax not in good way 
  • My quadriceps muscle starting to tight through pelvic to hip to lower limb chain
  • Pinching when walk even with crutch, especially sitting down or on side
  • Lack of mobility/function, sitting/laying on side/laying on back/weight fully distributed when standing/flexing hip forward to take a step/forget adduction/abduction of hip - still not able to do as before procedure albeit not as uncomfortable when try
  • (trochanteric bursa) Pain Scale 5 still, 6 movement
  • (pelvis/labrum) Pain Scale 7 still, 9 movement can feel ring or horseshoe pulling front to side all else extremely lax not in natural way
  • (psoas/intra psoas) Pain Scale 6 still (tighter than a guitar string), 6 movement(rigid as)
  • Neck/shoulder blade back thoracic tightness from compensating gate/crutch the lesser of two evils :) Pain Scale 2 still (tight as hell), 4 movement (only due to tightness) massive improvement from my wonder hands physio & less with crutch useage/walking with
Although this is only a band aide this is a great indicator for what actually fixing the break & tear will do, which can only be done with surgery & great healing & physio after.

Now my surgeons got a great contrast, I hope that further helps his efforts. Although I know full extent & what it means to my full function possibility post op - wont be known until he puts a camera in there.. I at least for the first time feel a little hope to me coming back through this physically.. albeit with three nasty scars to fix.

Its a shame & disappointment that this has taken 6 months to be applied & noted. I could of avoiding allot of of further discomfort/disuse/degeneration, had the surgery I need & been finished with the acute phase of rehab by now. I have lost allot of income, business & severely impacted my career thus far. I'm even being robbed of my ability to spend time with family abroad for Christmas this year. It will take a year to get my strength & body back post op/acute rehab phase considering the damage isn't any worse than want we can visibly see thus far.

I will post the actual Xray contrast of joint next week & am going to post the results of the (secondary injury) (2) bursa trochanteric cortisol shots later on this week.

Coming



Coming



Coming



Coming