Sunday, August 16, 2009

My Moving Out

Well, tomorrow I am leaving my family's home and am making a go of it back at my place. I need to get a couple weeks of re-acclimating myself to independent living before work starts. I had assumed work was starting Sept 7 or 8, but realized it actualy is Sept 1 for staff so I have less time than I realized.

I am seeing gradual improvements in my muscle flexibility. However, much work is needed in strengthening, especially on my left side which has been extremely under-utilized my whole life.

The chronic back pain remains. I expect to request my MRI/Xray reports on Friday unless I hear from the neurologist beforehand. If nothing major shows up on those tests (which I expect), I will proceed with investigating injection therapies in addition to maintaining my daily physical therapy. A probable cause of this right side low back pain is the lack of strength on the left side. Basically, when I weight bear on the left, the right hip "hikes" up and over more to add the support to the left where strength is lacking. This constant compensation over the years, combined with my pelvic instability when I walk is the likely cause of the chronic pain and inflammantion of the back. Ligaments are stressed, loosened, and are unable to maintain the support needed by the pelvis.

Walking patterns are slowly getting better, yet feel so unnatural. I am no longer on the walker but will be most likely using a cane to add stability to the left side until the proper strength is achieved.

I will keep you posted when those imaging test reports come in.

As always, thanks to all you followers for your support and prayers!

Saturday, August 8, 2009

Going "Back"wards"?

Well, my low back pain has been a concern of late to the point where I am getting x-rays and MRI on Tuesday. Numbness still remains on right side. From a flexibility, stretching standpoint, things are going fine, but it looks like this back pain is definitely a separate issue. Still trying to walk with more core/trunk stability, so not off the walker yet. Tried the cane in therapy, but still not ready to avoid old habits. I'll post once more news comes from the tests!

Sunday, August 2, 2009

My Week 5

Well, things are slightly better today. My incision site pain that I aggravated has gotten a little better, yet still remains. Ironically, all who come in contact me comment that my appearance in terms of alignment has improved greatly, however, the pre-op pain in the back remains as does the numbness in my legs and feet. This was a rough week emotionally and physically as the two obviously go hand-in-hand for us all.

This week is the last week for restrictions of the motion of the spine. After this week, I hope that my increasing these ROMs (range of motions) will continue to bring me back to a better place physically and mentally. As I write this, I realize this is exactly why I started this blog for the prospective future patient. Honesty in moments like these.

My left side of my low back is now showing similar signs as my right. This is interesting to me, as if the body is trying to balance itself out somehow. Interesting, yet still frustrating. Despite these pains, I am still able to keep my daily regimen of home therapy and my outpatient PT appointments. In these moments of pain and weakness, I "offer them up" as a good catholic boy should! :) I also realize that things can always be worse. There was a story on the front page of the paper a few days back about a CP man who is wheelchair-bound who has a friend who has no limbs. This friend is able to build and work construction and is building a new, accessible house for his friend. Yeah, that was a good reality-check for me for my whining and impatience.

I think the initial back pain issues will have to be put on the back burner and dealt with later in the year once the surgical process has been completed in terms of therapy and healing. I hope to investigate ideas like injection therapy, etc. in the future.

Sitting for any length is most difficult these days as the spine is in a weakened posture with gravity pushing on it as well as my SI (sacro-illiac joints) being out of alignment. Obviously, I cannot yet see a chiropractor for usual adjustments, however, my home PT team is working hard to help in this area. Again, it's all about patience.

Muscle strengthening and stretching is now the focus. The body truly is so complicated and unique. Most low back pain is hard to diagnose an exact cause due to so many variables in the body. However, the gluteus muscles, piriformis, and hamstrings are usually always in the equation. These are the muscle groups I most focus on. Also, core stability and strength contributes greatly, so I try to do my crunches as best I can. Also, the upper body has made its own adjustments through the years to compensate for the lower. Muscle stretching to help with upper body movements are needed as well, as I walked with a guarded gait for so long. Basically, the upper body also walks very stiff-like and I need to learn to keep the upper body relaxed while walking. Teaching the upper body to relax while in motion is a very foreign concept to CP patients, as we instinctively guard ourselves from falls, etc. which may cause further injury.

We'll see what this next week brings! I still have a little over a month before work begins. My goal is still possible! I still am not back at my own home yet as I do not feel ready. Also, I am still using the walker--not because I can't walk without, but I am more likely to fall into old, bad, incorrect walking pattern habits. Hopefully, I will try driving later this week!

Til next time!!