new shoes!

 

you know what that means?

yes!

i am picking up the running shoes.

it has taken a year and three months, but i can do it. i am only running 1.1 miles, but i am getting that time down and will work up the mileage. 

i have been mixing in the yoga, keeping up with the stretching, and mixing in low weights. this has been one LONG haul!

i am by no means pain free, BUT my body can move. i am capable to move how a body should!

if you are struggling through this process, know that it takes time. 

take a look at where you came from and where you are now. i can only hope you see progress. we have good days, we have bad days, BUT my worst days after are nowhere close to what they were before.

you can make it through!

do i realize?

only a couple days away from getting the mri-arthrogram, and hopefully some answers.

i'm nervous and antsy about this next step. what do the next couple months have in store? will i be going back in for surgery? will i have an answer?

i am also filling my thoughts with anxiety about how lonely this road is and is getting. it ends up being a lot of days where i am alone, and people are busy. i sometimes wish everyone else' lives would slow down just a tad so they could come over, we could watch a movie, eat dark chocolate, and paint our nails. i wish people could slow down their agendas to my pace. i wish i could interrupt their run for the night, or the every night hangout they have with their boyfriend...i wish i could interrupt what agenda people have and they could just slow down with me...selfish, yes, i know.

i am pretty sure i am pretty boring right now. i am low energy because of pain, i'm poor/on disability so i don't have a lot of expendable income, and i just don't feel fun...

i'm realizing that in all of this i am having to be okay with me. i hang out with me all day and i have to be okay with my thoughts, with my activities (or lack there of), i have to be okay with the fact that God allows us to suffer.

this was a breakthrough for me. i was realizing how NOT okay i was with the events of the last year and 3 months or so. i realized that i was inhibiting the possibility of growth in my doubts. with my bitterness i was stuck.

the reality is though that every moment i doubt i'm being taken care of God reminds me of just HOW taken care of i really am. none of this looks like i want it, or how i thought it would, but i am taken care of.

so...here's to a couple days of calming the angst and allowing for growth in all of this!

heat...

wow, i never thought i would be back to heating the hip and skipping out on things because i am in pain.

i am looking forward to my arthrogram, well not the actual procedure (i'm not crazy!), but excited because it will lead to answers. well, hopefully lead to answers.

i'm calling tomorrow to see if i can make my mri-a appt...*crossing fingers*

reality check...

today was my 6 month post-op appointment, which is actually my 7 1/2 month post-op appointment. i wish i had good news...well who knows what kind of news this is. the reality is i look at worst case scenario and go from there. i'd rather be prepared than shocked, and at this point my worst case scenarios have been right...argh!

okay, back to news. i am scheduling, in the next couple days, another mri-arthrogram (remember my last one?). we will rule in or out whether my labrum has re-torn or not.

reality is, i simply want to know why at 7 months post-op i am in this much pain. if it means i have re-torn my labrum lets find it and fix it NOW.

the thought of going through another hip surgery is numbing. i don't really know how i feel about it. what is a new recovery going to be like? is this surgery going to make me better? if it solves my problem i want to go through it again, this time i hope it all works...

it is so hard to be content in all of this though. i've been trying really hard in the last couple weeks to find the silver lining. i can find things, but believing the silver lining as reality is still a process. i guess life was never meant to be easy. this is a fight i needed to have and i will keep fighting until i have some more answers and my body is pain free!

here's to a speedy process and answers...

looking up...

i write this blog for others to experience what life is like with femoroacetabular impingement (fai), what having a labral tear is like, what post-op life is like and everything in between. i also write this blog for myself. it is a good way to process through this journey, with my fingers tapping at my computer. i can pound away and the stress of it all rushes out of me.

i can't tell you how stressful this process has been for me.

the last few sleepless nights have led to exhaustion, but thankfully i have dealt with the disability process before and things are always easier the second time around. all phone calls have been made, and packets are on there ways to various departments for various importance...its hard to keep track...

i got a hold of the leave administration at work and was left with a load of relief. before contacting i was expecting to be left with no leave, no insurance, and ultimately no job...no nothing. thank goodness i made the call to cover my basis because when my family medical leave runs out (which i still have 3 weeks of!) i have medical leave! i don't necessarily have my old job back, but the company will do its best to place me when my disability is over. i don't know if my body can handle going back to my old job, but nonetheless i get to keep insurance (praise the Lord), and the benefits of still being with the company. huge stressor gone.

ultimately there are lights in this really dark tunnel. there is hope that things will get better and the reality is that this surgery and its recovery is unpredictable. everyone heals at a different pace and my pace might be a tad slower.

who knows what blessings in a really good disguise will come.

almost 6 months post-op

i'm only a few days away from being 6 months post-op and i am back on disability.

i am deflated.

this has been a journey that hasn't left me with many ups, but a lot of downs. i know i will get there, i have to.

on tuesday evening i emailed my doctor with some questions about increasing pain and the request for a modified work status report. a work status report is the all poewerfull piece of paper that states exactly what you can and can't do at work and home. at the end of march when i returned to work i was back at full duty according to my work status report.

for the last few weeks, especially, i have been in increasing pain. and since i have not been able to work full duty since march i decided i should get on modifying my work status to what i am actually capable of doing at work. i also wanted to be covered under the american's with disabilities act.

thankfully my doctor responded by tuesday morning with his nurse calling me back that they had a completed work status for me. one things she also mentioned was that they modified it to work only 4 hours a day. this made me nervous. no matter how much pain i am in it is a catch to only be able to work 4 hours a day.

do i get partial disability? will i make enough money if not? i called back after work that afternoon and promptly picked up the work status at one of the closest orthopedics office. i sank as i read the work status report.

stand no more than 10 cumulative minutes every hour, for no more than 4 hours per day
walk no more than 10 cumulative minutes every hour, for no more than 4 hours per day

Limited standing/walking, no squatting, no heavy lifting/push or pull

being that my job requires me to stand and walk for 4-8 hours of the day and i have to squat, lift, push and pull all types of material i was deflated. one of the caviats to a work status report is that if your employer can't accept you go on temporary and full disibility.

i didn't sleep tuesday night. i was worried, scared, anxious.

how is all of this going to work out?

i went in early to work on wednesday and gave the paperwork to my boss. my work status report was denied.

one catch with this process is that i do not have any family, medical leave left. i can't take anymore leave from work, which means i can no longer be employed at my place of work. i will now loose my insurance, be left to find a job at the end of september and have no idea how i am going to pay bills or how any of this is going to work out.

pushing paper for myself is one of the most exhausting tasks. i am emotionally drained and the 5 phone calls i have to make today, in hopes things will clear up, are seeming meaningless.

i need to get on disability, i have to work on getting medi-cal so i have medical care while on disability...i know there is more and i'm burned out already.

this has been over a year of jumping through hoops, advocating for myself, getting paper pushed, care when i want and need it, and missing the mark on so many occasions. i'm ready for this to be over.

i hope that a good update comes soon. maybe after reading this in a few days i'll have realized some of the good in this situation and update on a lighter note. i guess the reality is though that this is reality. in the process of repairing fai and labral tears and surgery in general it isn't easy.

they aren't kidding when they tell you a hip replacement is easier than this!

4 month anniversary...

it has officially been 4 months since i had surgery. what a trip all of this has been.

i've been back at work for a month, all of my billing has gone through (eek!), my scars are healing nicely and i'm settling into post-op life.

to be honest this post-op life is difficult. there is a fine balance, i haven't quite figured out, of activity and rest. the pain comes with too little or too much activity and the in between is the golden-zone where you feel almost normal again. i'm excited to find that place and stick there for a while.

work kicked be in the rear for the first two-weeks back. the first two weeks were riddled with intense pain as the request for 4-6 hour shifts was ignored and my weak and inflamed hip couldn't handle the 7 and 8 hours on my feet. with not many options, and a what is seeming to be a non-understanding boss, i'm left working 17 hours a week with probably no promise of more hours. i'm soon to loose health insurance and any financial stability in the wake of post-op recovery.

and oh the medical billing finally processed, gaining another $1,200+ in medical bills. i guess i was naive to actually think that when i asked pre-op if my large payment was all i had to pay that it really was all i had to pay. i'm slowly, or quickly i guess, gaining an air of stress that is only tempered by daily trips to dog beach in the fresh southern california sunshine and the knowledge that my hope doesn't rely in job fulfillment, financial security, or independence but; solely on my hope in Christ alone. my sanity would be gone, sometimes it leaves me for a few but, i've got something bigger to grasp onto than the consumption of all of this.

despite the debbie-downer mentality i hold onto here and there i've tried to get myself out there. i went to the railroad revival tour in san pedro, ca on the 22nd, i get outside for at least a few hours a day and i am on the search for a fresh new start in a new job (Lord willing).


i knew all of this was going to be a process but, i didn't realize to what extent my life wouldn't return to "normal", whatever that really is, post-op. i'm settling into the reality that at a year post-op i'll be feeling good, not 6 months. i'm realizing how much i need more patience and drive. i need to not settle into apathy and acceptance of all of this but, to actually push myself harder than i want to at times. i can be at a better place, happy and full of joy through this process. i don't have to wait for an arrival. i'm blessed to have been given a fix to my ailment while that isn't always the case for others.

here's to the journey!

physical therapy...

this has been a long haul so far. i get discouraged easily and i get worn out from the constant something with my hip. i know that the atrophy is not getting better, and the first two weeks of work set me back a few. i started out a little too strong out the gate and have crashed! i'm back to only 4-6 hours on my feet and i'm starting a stretching and exercise routine for the specific areas i am weak in. what a difference 2 days has made! the second day of doing the routine and my bodies muscle memory is already kicking in. i could do up to 10 in a row versus the 3!!! i could do the first day! i can already tell what a difference this is going to make in my stamina, strength and in lessening my pain level. thank you rebecca!

my pt routine stuck to the fridge :)

four weeks post-op

i am officially four weeks post-op. wow, what a journey this has been. i'm starting to forget what pre-op was like. i am starting to forget what the last year of my life was like and kind of happy about that.

i had my four week post-op visit and my surgeon is so pleased. i am probably the best patient that he has seen, post-op, in the last four years of doing this surgery! my range of motion is amazing, we took an x-ray of the refined hip and it looks beautiful, and my pain level is doing astounding! i am pretty proud of where i'm at and then i am also reluctant to get too excited. i still think about all of the things i can't do yet, but try to relish in the things i can do.

i was given the go ahead on the stationary bike today and the go ahead for some stretching. i still shouldn't do too much knee to chest action or internal/external rotation, but i can start to, slowly, work up a sweat. six more weeks and he gives me the go ahead for a whole lot more.

the last day or two have been pretty achy, taking pain pills to sleep, but after the eventful weekend i had it doesn't surprise me. and with that i'm back to the reality of being at home. after an amazing two-weeks up in sierra madre recouping with my brother, his wife and their seven month old baby girl, it is hard to come back to a sense of responsibility and the feeling i need to meet goals. its like my sense of accomplishment has lowered and my need to do more to feel that has increased. i hope that the next 4-6 weeks off of work will be restful and productive in the way a one-hipped girl can be ;p

i am still limited in life, which is hard to deal with. i look like nothing happened to me so the special treatment is gone. this process of recovery is a roller-coaster. you feel amazing one day and the next two you pay for whatever it is you decided to do. it will be slow going from here, but holding onto what i can in the way of progress is going to be so important. and my progress has to be important to me; not the treatment, expectations or rallying from others. this journey is personal and only i can judge or know what it is like for me to recover, and know what i am or am not capable of.

slow and steady is going to win this race...

3 weeks post-op

i get emotional thinking about what life was like 4 weeks ago. i am hesitant to get too excited about how well i'm doing as i am only 3 weeks post and so much could still happen.

a look back...           
                                   
four weeks ago i was in chronic, debilitating pain. i was daily taking Norco (2x vicodin) to mildly alleviate my pain, second guessing everywhere i went and everything i did. i couldn't work out. i could barely make it through work. i didn't want to go out as the discomfort would overshadow the fun i could have. i was being controlled by my fai and labral tear.

now i am making strides. i want to get out. i want to push the limits and get going again. i am not taking pain meds but if i feel the need, i'll take some aleve to help with the aches. life is moving again. i feel like i can think about what i am going to be doing this summer as apposed to worrying about how my pain and injury is going to prohibit me from walking on the beach, from walking on the beach!!! now i want to try it. how is it going to feel? is my hip going to hate me or love me for making it work?

i'm officially off crutches! i am hesitant, i guess you can't tell by the exclamation of excitement, but i am. is it okay that i'm putting that much pressure on the joint? i have walked down the block to coffee and yogurt three time!!! without my crutches. okay it is less than half of a mile, but i'll take it! it is more than half a mile round trip ;p

i am second guessing and emailed my surgeons office and looked over countless blog forums, making sure i'm doing okay. am i doing okay???

there are aches, stiffness and a lack of range of motion, but it is a pretty nice trade off. it is a nice trade off because all of this will dissipate. i was feeling confident and attempted some leg lifts...guess what? there was NO catching, NO popping and ultimately NO pain in an attempt to tackle this atrophy! i am starting to see the light. regardless i have NO MORE impingement!!! this will hopefully help my tear heal and allow for a fully functioning and mobile hip.


what a stark contrast from now and four weeks ago! i am blessed to have this opportunity to repair a problem and restore my body to a body that functions!


should i set a goal for a mud run this oct/nov??? too lofty of a dream? i hope not!


*addendum*


i am feeling the increase in activity due to the increase in pain level. i've also noticed my right hip-good hip-is not happy with the extra work it is involved in. i went on a walk today (about a mile total roundtrip!), but with one crutch. my body was telling me that no crutches today would have been a bad idea, so glad i listened! there is a pain on the outside of the hip with aching and burning, and the incision sites, deep, feel the ache as well. the pain reaches down through my knee, front and back as well. my body is pooped!

i am so glad i am where i am at and realizing that these days will come and go through the healing process. i am not invincible and the best medicine through all of this will be my own honesty about where my body is at. i whole-heartedly believe that building up my body, getting my blood flowing and increasing my progress daily is the best, but all in all, with moderation...

anxiety...

i've got another week and a half before i go back in to see my surgeon. i'm getting really nervous about the prospect of how he's going to try and manipulate the area (ouch!), if i'm at a good spot in recovery, if i'm going to be given the time i need to recover. this disability has taken over me. i am defined by it. i make plans based upon it. i decide my every second based upon how it will effect my pain level and healing. of all things i would ever become consumed by i didn't imagine this.

i want this time to be consumed with how much people love and support me, reaching goals, dreaming up things i could be doing and all of the things i WILL do once this is all over. or will it all be over. there is still the doubt that i'm left with all of this anticipation. will i be let down with the words, your labrum has torn again, in six months?

i also anticipate leaving my time in sierra madre to continue healing at home and i'm forgotten. i'm getting better, so the appearance of disability has diminished. will people care to stop by? will i not be able to get a ride to freedom? my livelihood still depends on the assistance of others. even the first week and a half was different than i thought. i doubt that people care. did i get enough, you okays, can i bring you dinners, i love yous?

it is true though that i think people don't like to intrude, get in others business, but it is SO important to get in the business of someone recovering.

i do want to thank the few, the faithful family and friends...i might not be able to express enough how much a stop by means, but when you're dependent on your community to come to you, when they actually show up it means the world.

here's hoping my doubts diminish, my community shows up and that regardless, i know i am cherished and beloved by the One that truly matters...

motate...two weeks post-op

i really can't believe it's two weeks post-op. i've had my ups and downs, hit some amazing goals, and been set back in many ways.

today was a great day, i trekked down to the local sierra madre coffee shop, beantown, with my brother and played a little cards to break up the monotony of the last few days. i used both crutches as the last few days have proven that i am very much still in recovery mode and very fragile. sunday and monday were a couple painful days. i had been doing pretty well listening to my body, taking it easy and being very cautious. i felt so good after taking such good care of myself that i overdid it on friday and saturday :|

yesterday and the day before i was taking at least two norco a day again and in no shape to get out and about or push myself. it was back to laying low, taking naps and sleeping 10 hours a night (if i remembered to take a pain pill...if not it's more like 2 and 2 again after 3 hours of fighting pain).

i just need to be realistic about the surgery i had done and know that a goal i should have is being completely off crutches by week 3 or 4, NOT 1 1/2!

i'm not a super hero and i need to be understanding to myself, all of this is going to take a lot of time and the reality is that i will be "normal" by six months to a year. there is a reason i have 8+ weeks off of work...i will need it!

i guess i can also talk about my scars and bruising too...eek! :|

the suture sites look great! i'm scabbed over a bit, but they are pretty good. i might start using mederma or such as the sites are getting dry. the bruising is fading, but amazingly still dark! i do bruise easily so i assume the bruising will be around for at least another week. one of the weirdest parts is how sensitive the  bruising and local area still is. i didn't expect my skin to be so sensitive...

all in all i am in a great place at two weeks. i'm up and about, in fairly good spirits (better than i thought), and managing pain. i'm blessed to be spending two weeks with my brother, his wife and my little 7 month old niece. her smile makes me feel much better.

here's to another 2 weeks, another 2 weeks of major recovery and more milestones!

1 week post op-day 8

i can't believe a week has passed. i am doing amazing! i did have a fall two days ago that left me crying for over 20 minutes and more than anything scared.

what would i do if i hurt myself and undid everything that was done in surgery. i reeled and thought i broke my hip or that i might be worse than before surgery. this was my first day home alone, there was no-one to help me and soothe my fragile, norco addicted/withdrawing brain. i was shaking, it was bad. i don't think i have ever been that scared, that menaced by an event. needless to say i was mighty sore yesterday, but am feeling like a new woman today!

Besides the "knotting" in my joint and minor pain i am doing really well. my energy is still low and i know when i out do myself, but today my friend "m" took me out of the house! i went to my starbucks and we even grabbed lunch and i sat at the restaurant, pretty much discomfort free, pretty much! I guess i don't have a lot of memory of my hip feeling good, so a day where i can actually sit! at a restaurant is a good day! pre-op i would second guess every trip out with friends that required me to sit. i would have to pop a pill to make it through, and i haven't taken anything today. i really can't believe it! okay, lets be honest, i'm exhausted now and i ache, but nothing like pre-op.

yesterday my friend a took be out of the house for fro yo and that was a stretch so to be out for about two hours today is amazing. now think of everything that was done to my hip, can you believe that i can walk without crutches today?!?

one thing i had mentioned was the norco withdraws. i've been on norco (10/325) for about 6-7 months. I've taken norco about 3+ times every days and am finally at a point where i don't need it but my body does. withdrawing makes me anxious, agitated, uncomfortable, and it brings on a pain that comes from nowhere. I'm down to, thankfully, just one at night. this is my worst pain time anyway, so its good i'm taking it then, but i'm hoping that tomorrow i can take half a dose and not withdraw in any way shape or form.

what an amazing procedure, and what amazing hands my surgeon has to be where i am now!

Post op day 4

This has been completely different than I thought it would be.

I'm up on my feet, with crutches, but up on my feet...okay every once and a while I don't use the crutches. I probably shouldn't do that yet.

The last few days have been a mark of improvement. Every morning I wake up and I have more muscle control, less pain, less swelling and I can function a bit more normal. I did push it the last two days, pushing myself to walk, stand, keep up with my family and baby niece; and am consequently exhausted today. I can sleep a 10+ hour night and feel well rested. It is amazing what the body needs after a surgery.

I'm looking forward to the small and big steps in my recovery. I really can't believe what I am capable of at day 4 post op.

Here's to speedy, and smooth recovery!

It's done...

Yesterday was the day! What a crazy ride it was!

Nerve block? Check!

Bone shaved? Check!

Labrum repaired? Check!

Breathing tube? Check!

Three hours under? Check!

Out of the hospital two hours after surgery is done? Check!

How insane it is that I was in my own bed less three hours after surgery? And let me tell you, this has not been the easiest of journeys.

The first thing I remember when waking up was the pain. Pain meds in my IV and two percoset (SP) took over an hour to make enough of a difference to want to go home. The pain gives me chills and makes me really cold, leaving the motivation to get up very low. Getting up is painful, I'm definitely swollen and the bruising is showing itself. I look pretty dynamic!

But, surgery went so well! Like I said before, surgery took over three hours and everything was addressed. Hip bone shaved, labrum sutured back to the bone, femur pulled out of the socket and shaved, and the joint around the side of my hip cleaned. Dr Powell is confident in the success of the surgery and so am I!

The staff that worked around me was amazing! Friendly, hilarious and one of my anesthisiologists was cute to boot! Too bad he saw me in compromising positions on the operating table!

This post has taken me all morning to write. The pain makes it hard to concentrate and I'm still exhausted, but I'm trying to keep my spirits up. I've only cried once due to a mix of nausea, shakes and pain. I consider that pretty good! :D

Here's to a speedy and FULL recovery!

the time is now...

Less than 48 hours and the process will begin. I cannot believe I am finally here. Though with that comes a mix, a cacophony of emotions.

A sigh of relief, I’m here!

Bouts of anxiety, oh my gosh what am I doing?

Peace, the timing is right…I’m going to be okay.

I still wonder if this is going to be a success, how bad is the pain going to be, am I going to battle depression through this, are people really going to be there for me-are they going to forget about me? I never really admit that I’m a doubter, well okay maybe I am now, but I always hold a place that keeps a low expectation of what is going to happen. This is a place where I self deprecate, and do the same for others; things really aren’t going to work out, I’m going to be let down, someone’s going to fall through. I don’t want to keep low expectations, but I don’t want to expect too much. Basically, I don’t want to get to a place where I spiral in disappointment; but I am left in perpetual disappointment in this headspace, doubting that the best is going to happen.

Now that it is the turn of a new year maybe this should be my resolution. I should count on the best and believe that people, myself included, are capable of more.

So here it is:

I declare that,

I will have an impeccable recovery
People will love and care for me and I will not be forgotten
I am the beholder of my emotion and
     with the strength of God and positive self talk
     I will make it through post-op in mental and emotional health


Thank you for stopping in on this journey of mine. I will keep you all posted on the recovery, and lets be honest, I bet I will be typing away the night before

understanding fai

here is a link from an amazing blog by a gal named vanessa. she has been through hip arthroscopy and it is such a blessing to read about the expereience of someone who is on the other end of all of this.

this link is to help people understand what it is like to go through all of this...good words she has, good words.

so part of getting the go-ahead for surgery is me finding as many videos on the surgery...good thing or bad thing...hmmmm...

oh for it to be january...

Whelp, met with my surgeon yesterday. All in all a relieving visit. A lot more validation as to why i am feeling and the way I am. And surgery is three months out!

Turns out I do have femoral acetabular impingement (fai), with a turned hip socket, labral tearing (which includes cartlage delamination), and damage in general from the wear and tear of a misshapen femoral/acetabular joint.

I'm an info junkie and I thrive on the details so to have a surgeon who went through everything in detail was a huge relief. He was honest about the success rate, complications and general reality of the surgery.

So for details...at this point my surgery date is three months out, God willing I make it that long! I will be out of work about 6 weeks and fully recovered anywhere from 6 months to a year. The success rate is 60%-80% and with the bounty of findings I am a perfect candidate (hoping this means full recovery for me!). If the surgery is not a success I will have to live with it until a full replacement happens. This is, of course, worse case scenario. I'm just a realist wanting to know all the possibilities. There are possibilities of arthritis with the cartlage damage already incurred, but I have hope things will get cleaned up and I will be good as new!

At 26 I never thought I would be going in for hip surgery, but I will be ringing in the new year with a new outlook, and a repaired hip!

And in the mean time here's to pain management for three months :|

results

9.18.10

mri results in and the news is torn labrum of the hip. I got the call from my doctor wednesday with a referral to orthopedics for surgery. a 40 minute hold and i'm scheduled for a consultation with orthopedic surgeon dr.powell on october 20th. i'm relieved to finally have an answer 9 months in the making.