The PT I had been seeing since the surgery got angry at me and threw me out, refusing to me any more because I didn't realize how obviously great he was. Long story....basically he was treating the hip like it only had a labral repair, but in fact it also has tendinopathy and bursitis. He was trying to fast track it, treating it with a boxed approach or what I call shake and bake therapy. I was seeing some things that might be outside of the box, he didn't assess my concerns, just said he was great and I should sit down, be quiet, and do as told. I thought about it, decided he might be right, and so did so, continuing to go without crutches despite severe pain around the left greater trochanter. Normally, with such severe pain I would add crutch support, using the minimum amount of support needed to keep the greater trochanter pain under control. Anyway, so I continued without the crutches as this PT strongly stated I should, and I ended up staying in bed because I couldn't get out, using narcotics every 4 hours, and up half the night crying in pain. When I told him, "I decided you were right, I trusted your recommendations, and this was the result", he went ballistic and yelled at me how great he is and how I think I know everything, but he's really God's gift to PT. He kicked me out. So, now I'm back with the PT I had before surgery.
In terms of yoga, I just want to get back to doing something physical. Right now, I have these range of motion restrictions to allow the labrum to heal. It's a bit hard to follow all of them due to the fact I have to move (because of financial issues due to not being able to work), but I follow them the best I can.
I'm sorry about your rabbit. It's always hard to lose a pet. We had rabbits growing up, and I can recall when they would get sick and giving them medicine through a huge eye dropper type of thing and feeding them pureed veggies through it as well since they wouldn't eat on their own.
I knew some OTs in the 1980s who worked in mental health, very different than myself and now doesn't happen due to spending cuts in mental health. Then, as an undergrad I studied psychology, and knew some folks with physical disabilities. I became aware that there is so much more to physical disabilities than the physical component, like discrimination and public misunderstandings of what the person can still do. I saw what I considered to be injustice; my friends could do things, yet because they were in wheelchairs it was assumed they could do nothing....which meant no work. I liked OT more than PT because in theory it sought to address all aspects of what prevents participation in meaningful activities, and not only the physical aspects. In theory, it is more holistic. I went to grad school for OT.
Since I've decided the PT I was seeing after the surgery is a (blank), and perhaps somewhat ignorant of basic anatomy (since he insisted the greater trochanter is located 4 inches below the surface of the skin, yet I'm not that fat), I did what I know to do. I'm ignorant of outpatient conditions, like what I have, and I'll be the first to admit my own ignorance. Still, I rested it, iced it, started back on one crutch, added in some stretches within range of motion restrictions for the labrum aimed at stretching out the IT band, started some myofasicial release techniques, basic glut med strengthening with the joint unweighted, strengthening to other hip stabilizers with the joint unweighted and within pain tolerance. The pain did in fact go down a lot. However, I still have to use one crutch. When I started back with the PT I saw before the surgery, she liked the exercises I made up, added one more, did some additional myofasical release education to me, and gave me iontophoresis, stating she didn't know why the other PT said it wouldn't work or why he thought the greater trochanter was 4 inches below the surface of the skin. I go back to the orthopod at the end of this week.View Thread
cwille, sorry to hear about the blood clot. It sounds like a big one. My guess is they probably have you on blood thinners. Has it affected your lungs? Has it gone into a pulmonary embolism? Anyway, just sending my thoughts your way. Hope you have peace.View Thread
I had mild intermittent asthma in my mid twenties. Don't know how much you know of asthma, so I'll be explicit....it means it wasn't bad, just some mid level inhaled corticosteroid every day and albuterol on occasion. Then, in my late twenties, it got much worse, they had to increase the controller drugs (those I take every day to prevent symptoms), yet still I had to take at least 20mg of prednisone a day, much too high long term for a 28 year old. No matter what they did, they couldn't keep me breathing on anything less.
So, I asked around, and used my judgment that said, "well, I live in the fifth polluted area of the country, we have industrial accidents, etc." I asked the allergist about moving, but they said it wouldn't help. I tracked the ozone reading from my area (which were available on the internet) with the asthma symptoms, and found that as ozone went up, so did the asthma symptoms, and when ozone went down, so did the asthma symptoms. I found that half of the attacks were when I was in the car, especially if there were diesel trucks around. So, using this objective information, I decided the allergist was wrong and moved to a small town. Within one month, my peak flow increased by 20%, leading support to the idea that pollution was a major trigger.
I would probably track when your husband has symptoms, what is around him when he does, etc to try to identify triggers and then remove triggers where possible. The doctors can give information about what the common triggers are, but you and your husband are at an advantage in identifying his specific triggers since you are around him and he is around himself and his environment much more than the doctors.
Common triggers are cold air, strong smells, allergies, pollution, infections, emotional upset, pollution, diet. There are probably others I don't recall right now.
I refused Xolair, so can't be of much help there.View Thread
I've had moderate to severe persistent asthma, similar to what you describe, but might not be as severe as your symptoms. I wasn't exposed to toxins. There are many people here with severe persistent asthma, many hospitalizations/intubations, doesn't respond to meds like it should.....though I don't know if it was from exposure to a toxin. You should find several people here with similar symptoms and severity.View Thread
I can understand why you choose what you did in your field.
I'm an Occupational Therapist. Most people don't know what that is, so I was trying to simplify it by saying, "I'm a therapist in physical medicine and rehab". It's difficult for me to explain what it is in a forum like this, but I'll try. Basically, OT seeks to enable people to engage in activities that are meaningful for them despite cognitive, emotional, or physical impairments. It is related to physical therapy, and in fact those OTs, like myself, who specialize in physical dysfunction normally share offices and gym space with PTs. OTs typically receive a lot of training in upper extremity and hand rehabilitation and normally specialize more in fine motor issues than PTs. In my case, I trained with a hand surgeon to do physical rehabilitation after hand surgery as part of my program. Therefore, although I don't know the specific injury I had very well, I do know the general concepts.
For instance, I had surgery about 4 weeks ago and have both soft tissue and connective tissue injury. I had a PT session in which the PT increased the weights, and I had severe pain for the following 24 hours, which self resolved. When I trained with the hand surgeon, such events were normally considered an inflammation response of the tissues and then the OT would normally either keep the resistance the same or lessen it for a few sessions to give the upper extremity tissue time to adapt to the stress. So, I told the PT tech how the tissue responded, and she said, "you had surgery, of course you'll have tenderness" without understanding why I was telling her about the tissue response. The PT, I think, understood, and said, "well, that happens sometimes. I can't know unless I try how tissue will respond. We'll keep the resistance the same this time."
Also, as part of my training for hand therapy, I was trained in teenosynovitis and overuse injuries. At this time, I have an MRI showing I have bursitis, inflammation, and gluteus medius tendinopathy in the left hip. Since I recently went off the crutches, the area where the gluteus medius inserts has been in severe pain, causing me to not walk much, stay in bed, and use a lot of narcotics. If a similar issue were occuring in the hand, namely increased pain and tenderness where a tendon inserts after increasing its workload with MRI results demonstrating tendinopathy, inflammation, bursitis, my training taught me to consider introducing modalities that decrease inflammation because until the inflammation gets controlled in th hand, not much else can be done. So, in this case, I will ask them to consider anti inflammatory medicines or modalities, especially since I can't take NSAIDs.
Occupational Therapy isn't the same as Physical Therapy, and tends to focus much more on the hand and upper extremity, but it is a highly similar and related field. Because it is a related field, I have some knowledge of gait abnormalities, but PT is better trained than myself on this. To be a tech, you don't need any training. So, when I see how I compensate when I walk, I know it is likely a sign of gluteus medius weakness, for example, but a PT would know all the possible things it could be. If we're talking about hands, I would know a lot more detail and PT would have a basic understanding.
You are referring to internal and external rotation of the hip. Yoga should contain progressions so you can do it, but perhaps some teachers don't.
I hope the pain goes away as well. I got slightly upset with the tech last time for assuming it was all due to surgery when I'm 4 weeks out and I have objective reports saying I have bursitis and tendinopathy instead of asking her supervising PT about it.View Thread