2 Oct 2012

2nd Oct 2012 Day 7 Post Flouroscopic Injection..




"Black shadows that continue to follow guises as concerned officials/friend"




...Today I feel utterly defeated by care given of insurance company.. just got of the phone in regards to another request
by gp being ignored & my corespondance emailed highlighting its importance.. I may need to take official action to request another case manager.. for she may not be passing on relative information... God, Im frustrated.. Off to surgeon - so hoping for a surgery date/some news...
 
Obviously injections cant fix a fractured pelvis.


Daily Progress (7)
Tuesday 
October the 2nd 2012
12 lunchtime

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

Day (7) after the "dye contrast anesthetic cortisol injection" into the joint capsule or break & tear.





Hours

Monday 1st  October
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 (giving me a headache)
 

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
"Same"
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



Tuesday 2nd October
Notes (7)


Range of Motion Pelvis/Hip Function
4 to 5am


"Same"


"Same"
5 to 6am
6 to 7am
7 to 8am
8 to 9am
left good hip tight sore god i hope the bursa of good leg isnt flaring now due to overal gait issue putting pressure on it :((((

9 to 10am
10 to 11am
"Same"
11 to 12pm

Surgeon Visit
 
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 (7) after "dye contrast anesthetic cortisol injection" 
anaesthetic portions worn off
Summary;
  • Left good hip tight sore god i hope the bursa of good leg isnt flaring now due to overal gait issue putting pressure on it :((((
  • Flow in/around joint capsule not as airy
  • Anterior to superior really lax not in good way 
  • Quadriceps muscle 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 (getting worse), 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 7 still, 8 movement
  • (pelvis/labrum) Pain Scale 9 still, 9 movement can feel ring or horseshoe pulling front to side all unnaturally tight
  • (psoas/intra psoas) Pain Scale 7 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), 2 movement (only due to tightness) massive improvement from my wonder hands physio & less with crutch usage/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