Races

Friday, March 28, 2014

Who said you couldn't have fun after hip arthroscopy?

So this may have just happened...


Driving this bad boy was stop and go the first few minutes, but eventually I got the hang of it.  To be honest, it probably didn't make the shopping experience much easier.  At least my hip got a little bit of a rest.

Uneventful Day 10

I wish I had some more exciting things to report.  Each day I wake up with less pain.  Until I begin physical therapy on Monday, my days will probably continue to be similar.

I think the kids are getting used to just relaxing...

Watching Frozen, again, with two of their buddies.

Dr. Ho's recovery plan involves resting, icing, doing ankle pumps, pendulum swings, and heel pulls.  Since I haven't been lying down as much and I am not experiencing poor circulation or swelling, I have been doing fewer ankle pumps and heel pulls.  Instead, I make a point to perform my pendulum swings.
This is me standing on the first step of our stairs with my operative leg hanging off the side.  

This is the first part of the circular motion.

This is the second part of the circular motion.
 The first few days my circles were much smaller.  I continue to increase the size of the motion each day.

This is the final part of the circular motion.


I typically do about 20 forward and 20 backward about 5 times a day.  If I am sitting in a chair, I sometimes pull my knee up and I also massage the incision area when I think of it.  I can feel a little bit of scar tissue building near one of the entry points.  

I plan to add in my clam shells and other pre-op exercises I had been doing.  I would prefer to wait until my first physical therapy session, which is on Monday, but I am also extremely eager to get this party started.

Thursday, March 27, 2014

Day 9 Post Op and What It Looked Like

Day 9 has been fairly uneventful.  I spent much of the day resting, but was fortunate enough to have some friends get me and the kids out of the house for a little while.  Later in the evening, two very good friends delivered meals for my family and I am truly overwhelmed by the support we are receiving.

Once people hear that I had surgery (and before that I was having hip surgery), they assume it is a hip replacement.  Obviously, it wasn't, but here are some pictures from the scope.

This is the first page of pictures I was given.  Top two are getting into the area, next two are looking at the bruising and inflammation, not sure of the next two, and the bottom two are assessing the extent of the tear.

This is the second page of the pictures from Dr. Ho.  You can see the important shots in the next two pictures.

The top picture shows the excess bone or FAI.  The bottom picture is what he removed.

This shows him moving things around to determine how torn the labrum is.  Based on his discovery, Dr. Ho decided to leave the tear and allow it to hopefully repair itself.

Wednesday, March 26, 2014

8 Days Post Hip Arthroscopy

I have been very fortunate to have the love and support of family members and friends to assist in my recovery.  As I mentioned a few posts ago, I carefully planned the best time to have my hip arthroscopy in a way that would best suit my family and recovery.  My two children, 5 and 3, have been with my family 2 hours away since Saturday.  About a half an hour after they  left, my husband said to me, "I don't know what we used to do without kids."  The house was quiet, things were put away and stayed in their little homes for nearly five days.  My husband and I enjoyed some quality time together just relaxing and allowing my body to heal.  I am forever grateful for my family as a result.

As scheduled, Tony met my dad half way for the great kid exchange.  While they did have a phenomenal time and were spoiled rotten, I do believe they missed us.


It didn't take too long for the kids to get back into their normal routine of chaos.

During the great kid exchange, I took about an hour to do some spring cleaning in my dresser and closet.  I sat on a bench as I sorted through clothes and reorganized things.  For the rest of the day, though, I chose to rest and tried to ice as much as I could.  

My hip continues to heal, but I am noticing lower back pain.  Towards the end of the evening my outer hip and deep inside the area was bothersome.  I used my fist to massage while I lied on the couch and tried to perform some subtle movement like a physical therapist probably would.  

My physical therapy is scheduled to begin on Monday and I am both excited and nervous.  I mentioned to my husband that I am worried about the fine line between pushing myself to get a better stretch and improve range of motion vs. doing too much.  As an athlete and runner specifically, I am used to aching.  I am used to running on tired legs.  Jumping right into the pool and starting to swim like I did the day before surgery seems feasible in my "athlete" mind.  However, I don't think that is exactly what the doctor ordered.  

Tuesday, March 25, 2014

1 Week Post-Op

It is amazing to see the quick healing that is occurring for me.  I am truly thankful and I hope things continue in this trajectory.  Yesterday was my first day completely by myself.  Dr. Ho informed me that putting more weight on my operative leg would be allowable and he permitted me to take small, careful steps while in my house.  I was able to do quite a bit of this today, but did spend much of the morning sitting upright in a chair and working on some scrapbooking for my children.

The neighbor lady was nice enough to come visit.  We enjoyed lunch and sat at the table chatting away for nearly 2 hours!

After she left,  my outer hip hurt quite a bit, so I lied down and iced the area for at least an hour.  I took it easy the rest of the day and caught up on the latest news.  The down time allowed me to gear up for a grand adventure with my husband to see Divergent.  He had asked me a couple days ago if I had wanted to go and, and at the time, it seemed like this would have taken herculean effort.  Well, like I said above, it is impressive how different just a couple of days have been for me.  I packed an ice pack and we were off to movie as soon as he returned home from work.  I was fine most of the time, but noticed the outer hip to be annoying.

Afterwards, I iced for at least an hour and headed off to bed.

Monday, March 24, 2014

6 Days Post Op

Today was a great day.  I had my first follow-up appointment and was eager to meet with Dr.Ho again.  I was able to take a shower again and fended much more gracefully this time around.  As I was allowing my incision area to get some air, I snapped a picture.  The was the first real glance I managed to take since I am typically so queasy.  The red area is some sort of reaction to the surgery dressing, it doesn't bother me.  I can hardly believe the surgical skills of the doctors to be able to make such progress with such small entry points.

We made it to his satellite location and played the waiting game, again. 


 Barb, his nurse, removed the sutures, and eventually Dr. Ho saw me and allowed my questions to guide our appointment.  Without my prompting, he informed me that I'd be able to begin physical therapy fairly soon.  This was music to my ears.  I was worried I would have to beg and plead for a more aggressive recovery, but it seemed obvious to him that I was ready.  He let me know that I am probably ahead of schedule in comparison to other patients, but I still need to be very cautious.  He wants me on crutches for another 3 weeks and says I can drive when I feel I am ready.  I've been off the pain meds since Day 2, but I am not ready to give it a try for at least another week.  He believes I will be more than ready to return to work on April 7th, but would like to see my sit 50% of the time, limit my walking during the day, stay out of the hallways, still use my crutches during work, and try to ice with a freezer pack at least once during the work day.  

He also reviewed the pictures that I was given from my surgery and specifically discussed my case.  Dr. Ho said I was lucky we caught this "so early" to which I responded, "2 years is early?"  He said, "Well, whatever you've been doing, you did something right."  I was kind of surprised to hear this since I really did push through a lot of pain over the last few years, but thankfully I didn't do too much damage.  He said that there was noticeable bruising and irritation inside the hip area from the CAM impingement.  

Despite all the rubbing, only a partial tear was formed and with the excess bone now gone, he said the tear should actually heal itself.  I was glad to hear this.  The psoas was also then rubbing from the other side causing more irritation and he was able to release that, which will also make movement much easier for me. I did ask him how likely it is that something is going on with my left hip and was disappointed when he reminded me that the body is often symmetrical and it would not surprise him if I see issues on the left side at some point in my life.  At the same time, however, he reiterated that physical therapy for both sides should help if there are any early signs of problems on the left side.


All in all, I came away from the appointment overjoyed.  I hope to schedule my PT for Monday and will have my first day alone tomorrow.  

Sunday, March 23, 2014

First Few Days of Recovery

I am not going to lie.  This is one of the hardest things I've had to do in my life.  While I am not in any significant pain, and even weaned myself off of the pain medication within 24 hours, it is difficult.  I find myself frustrated and emotional at times.  I think I'd pick to go through child labor or run another marathon instead of recovering from hip arthroscopy.  I tell myself that I should feel fortunate that this is what I have to experience.  There are many other people experiencing things that are way worse.  I realize I have a long road ahead of me and that scares me.  I wonder if I've made the right decision.  Will I be better off when everything is said and done?  I hope so.  Until then, I am taking one day at a time.

My days consist of lying on the couch, on the blow-up mattress, lying in the bed, and more recently sitting in a hard chair.  I consider myself a pretty coordinated and athletic girl, but it is taxing thinking through how to maneuver my body and my crutches and such.  I am very careful with my leg, but it seems you can not be too careful.

During the first day or so, I was awake for a few hours and then would sleep an hour or so.  I iced nearly all day and forced myself to pump my ankle, do my heel slides, and on occasion my pendulum swings.  Sleeping at night is the worst.  My back gets tired, I have to interrupt Tony to help me move or get up to go to the bathroom, I get hot, I get cold, etc.  I dread going to bed each night.

Thankfully, each day has gotten a little easier.  The stiffness is a little less, the tricky moves aren't so tricky, and I'm beginning to return to my old self.

Here are a few highlights:

Monday/Tuesday: Talking and texting with more people than I have the entire last year, knowing I'll be off of work for a little while, eating my Frosty

Wednesday: Seeing my kiddos, spending time with my Dad and husband, receiving even more texts and check-ins

Thursday: Easier movement; changed the dressing---wow, that thing weighed a ton!  Delicious food from Mom

Friday: Even easier to get around, less pain, SHOWER, warm weather which allowed us to take the kids to the park and my first outing, a visitor with a delicious quiche, spending time with my sister

Saturday: Less pain, able to sit in chair for awhile, less time icing, quality visit with a dear friend, who brought cookies, reading The Fault in Our Stars (which has been on my to do list for 2 years), sleeping in my son's bed while he (and sister) is away with my loving family

Photo: Finally getting to a book I promised a student I would read.  I'm also pretending my tan blanket is sand underneath me and the sun is beaming down.

Sunday: Productive morning getting lesson plans done, less pain, SHOWER, outing with hubby, dinner out

Tomorrow I go for my first follow-up appointment.  I have MANY questions for Dr. Ho including how to change his conservative recovery plan to a more aggressive one and the ramifications of only addressing the impingement and psoas release but not repairing the labral tear.

Stay posted as I chronicle my progress..."I am not afraid. I was born to do this."