Tag Archives: impingement

Updates!

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Updates!

Alright, time for some updates ^^

Went back to my sports medicine doctor and back to PT this week. My physical therapist gave me a few more exercises to add into my routine (which, this time, I will make routine), specifically to work on stretching my psoas. My iliopsoas on my left side were super, super tight and tender. He tried to do some releases on them, and it was horrible. About the worst pain I’ve been through in sports med or PT so far (well, maybe tied with the trochanter/hip pain…), and now I have bruises and terrible tenderness, even a few days later. But hopefully the new exercises will help some.

I got to talk with my sports med doctor about my x-ray results. She said she’s not really that concerned about the degeneration of the symphysis pubis, since I’m not experiencing pain symptoms with that. But it is arthritis, and probably caused by the abnormal pelvic mechanics I’ve had for, well, my whole life, I guess. I’m just not sure what the implications of it are since I already have degeneration so young. But, I guess we’ll see.

With the hips, she basically told me what I’ve already figured out from research. Retroversion is where the acetabulum is rotated back, so the femur sits and moves in the socket abnormally. It also puts me at much higher risk for impingement and wearing down of the labrum. She doesn’t know how far back it’s rotated, nor how bad it really is, but both she and my physical therapist recommended me seeing a hip specialist. So I have an appointment with a really good one near home, but I can’t get in until September. Boo. But he’s a great doctor, and my symptoms aren’t terrible, so that’s not too bad. And, if something changes and they do get bad before then, I have the name and number of another doctor who I could probably get in to see much earlier. So I have a lot of options.

Basically, what I’ve been told will happen when I see this doctor, is that I might have to get 3D CT scans (which look freaking awesome) so that he can get the most accurate picture of what’s going on inside my hips. Then I have a few options, probably. Injections, which I already know make me flare up worse for a while and then don’t do terribly much, or an arthroscopic surgery to see what’s going on and what can be done.

I really don’t like the idea of surgery, but if helps or can fix something, that would be great. I suppose it would be better to do something now, when I’m younger and heal better, than to wait until I’m older and something more serious happens. I’ll have the time before I start grad school, but I don’t know if I would be able to fit both hips in in that time. I don’t know, we’ll just have to see what the hip specialist says in September.

Other news: I’m totally done with my roommates. I moved all of my stuff into my room (which was literally everything in the apartment), and the younger roommate is paying for the couch, as well as for some other stuff her cat destroyed during her time there. I took the electric bill out of my name, forcing them to pick it up and pay for it all themselves. I’m just glad that this roommate nightmare is over. Here’s to hoping that I’m done with roommates forever (minus possibly my BFF for grad school) XP

I also took my bookmaking class last week. Holy crap. My new favorite thing. I got all of my tools (bone folders, awls, micro spatula, waxed linen, knives!) and awesome paper and binder’s board and such, and am now making my own books! Currently working on a bound book of all of the cards that I got from my high school graduation! And I’ve been making really tiny books to put musings and such in, as well as mini books for fortune cookie fortunes! :’D I’m thinking about opening an Etsy shop or something — I’d love to start selling them and doing custom books, but I just don’t even know where to start! No matter what, though, I love making them, and will keep it up!

Well that’s…unexpected

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I finally got the hip x-ray results from the radiologist the other day, and it was kind of a shock. My doctor initially thought hip impingement, which ended up not quite being the case. I’m at risk for FAI, but that’s not the underlying cause of my hip problems.

I turns out that I have acetabular retroversion in both hips, and that this puts me at risk for FAI. This is a really difficult disorder to describe, as it’s pretty abstract. Basically the socket in the hip is supposed to be rotated towards the front, so that you would be looking into the opening were the head of the femur not there. With acetabular retroversion, the socket opening is turned so that it’s not in that forward-facing position; rather, it’s turned towards the back. Here are some x-ray images that depict normal hips versus those with acetabular retroversion:

Normal hips. The green line and arrow represent the lip of the front of the acetabulum. The yellow arrow and line represent the back lip.

Hips with acetabular retroversion. Again, the yellow represents the front and the green represents the back. In “A” you can see the characteristic figure eight pattern that identifies it. You can also see the rotation in figure “B,” where you can’t really see into the socket.

My x-rays also showed degeneration of the symphysis pubis. Not quite sure what that means, but it definitely doesn’t sound good. Looking it up, it looks like it’s usually associated with aging or postpartum women. Since I’m neither, it’s a bit more confusing. Another source said that abnormal pelvic mechanics can contribute degeneration, which I guess the AR would constitute as that…But I still don’t know what the implications of that are, or how it could be halted.

I’m honestly kind of worried at this point. My hip pain has only gotten worse over the past few weeks, to the point where it’s almost constant when I walk. And I’ve been getting groin pain, which I never did before. I was reading that when a person with AR starts to get hip pain, it’s a sign that the body can no longer deal with the abnormal pelvic mechanics. Again, I don’t know what the implications of this are, but I’m definitely worried. I don’t get to see my sports medicine doctor until the 18th, so I have some time to worry, but I’m hoping to start up PT again this week, so maybe he’ll be able to give me some answers.

I’ve also had other nonsense to deal with. Particularly: roommates. Good. Lord. Can I tell you just how excited I am to live by myself next semester? I never, ever, ever want to live with another roommate ever again, unless it’s my BFF in Chicago. First, I’ve got one roommate throwing an absolute fit because she doesn’t want to pay a third of the electriv bill, she wants to pay a quarter. One roommate moved out and isn’t coming back, so it makes sense to only split it three ways instead of four (since she’s literally using no energy), but this girl is all mad because she claims that she paid for her quarter when she barely lived there the first half of the year, and that she used like no energy (not true — she does laundry like every three to four days, so her portion of the bill is by FAR the largest). We finally settled it so that I would be paying the last two week bill by myself, and she would pay a third. Which really makes no sense and isn’t fair, but whatever. I don’t want o fight about it.

Cliffnotes on the other issue, as it’s kind of a long story. My other roommate also brought back her demon cat, behind my and my other roommate’s back, after telling us she wasn’t bringing her back over the summer, and has been lying about it to us. I caught her red-handed with the cat the other day when I went down to pay my rent. The cat has already torn up the apartment and torn up my own personal leather couch. I tried to gently confront her about it all but she was really combative, so I walked away, as I did not want to fight. I then got a text from a friend with screenshots from her Twitter account, which she had made private and afterwards had an absolute freak out about me, calling me a “lunatic” and “psycho” and saying I was “stalking” her and that that was “disturbing” and “scary.” …What?! The girl is just really immature and childish. I wrote her a message addressing all this and explaining why I (and my other roommate) were upset, but I haven’t heard back from her yet. I actually had to e-mail it rather than send it over Facebook as I had planned, as she BLOCKED me over Facebook. Again…what?! Does she think this is going to make the situation better or solve anything? So anyway, I’m giving her a few days to respond, and if she refuses, I’m going to management and I am going to suggest they move her out. I have too much medical stuff to worry about right now to also have to be dealing with this. But maybe she will respond and we’ll get it all sorted out. Fingers crossed.

#feelingelderly

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I don’t use Twitter — I think it’s stupid — but I feel like a hashtag is appropriate here for this post.

So it’s been more than a week now since I had my cortisone injections in my hips done. I thought I would feel better, but I’ve been feeling a lot worse. Before, I got pain in my hips (mostly left) after sitting for long periods of time, and some with activity. It was uncomfortable, but not horrible. Now, however, I’m getting a lot more pain in my hips while sitting, including groin pain on my left side. And it’s definitely worse the longer I stand and am active. And it’s interfering with my sleep. Last night was pretty horrible, and I had pain running all down my left leg. Miserable.

I still haven’t received the radiologist report about my hip x-rays, so I called my doctor’s office yesterday. They’re going to mail them to me, and she was able to briefly tell me the results over the phone. Yes, it’s hip impingement. I don’t know how bad, where, or what might be done about it, but hopefully I’ll know more when I get and review the results next week. I’ll probably also take them to my chiropractor for her to look at, since she might be able to help me figure out what the heck they mean. I just feel like, I’m only 22. I shouldn’t be having these problems that most older adults have, not at my age. I’m feeling pretty elderly today.

To make me more miserable health-wise, my mom and I were joking with my dad last night about how every allergy med makes him sleepy, even when they’re non-drowsy and have absolutely nothing in them that would make someone fall asleep. We’ve decided that it’s a psychological thing, and that even if we were to give him a placebo pill and tell him it was an allergy med, he would still fall asleep. For some reason, he thought we were calling him a hypochondriac. He laughed, and was like “I can’t believe that Jane, you of all people, are calling me a hypochondriac.” He said it jokingly, but it still really hurt.

I feel like this is how they think of me — that I’m always thinking I’m sick and looking for new problems for no reason. They just don’t get it. Fibromyalgia is a condition that has literally hundreds of symptoms associated with it, and a ridiculous amount of other diseases and syndromes associated with it as well. I’m always having to pay close attention to what’s going on in my body, and every day my pain is different and my symptoms manifest themselves in new ways. I just never know what it’s going to be like on a day-to-day basis. And it doesn’t help that there’s no actual test for fibro, so it’s all based on ruling out other conditions. All it takes is one single symptom to change my diagnosis to something else, for better or worse. I need to always be on the lookout and alert for any changes in my condition. Having someone say, even jokingly, that I’m a hypochondriac is incredibly hurtful, and makes me doubt myself. It makes me wonder if I am, and if it’s all actually in my head. It makes me feel ashamed and not want to get help for new symptoms and issues, and I know that that could be dangerous. But it doesn’t change that doubt and hesitancy.

I dunno. I was kind of down yesterday, between the pain and the hypochondriac issue. And my jaw has suddenly flared up on my left side again,and has been painful and clicking, which makes it difficult to eat or talk. And the stress of not knowing what could happen with my hip, and the threat of surgery hanging over me. It’s just not what I want to deal with at 22 at the beginning of what might be my last real summer. I wish I could just have a week where I didn’t have to worry about any of this, and could just be a normal 22 year old. Meh. Maybe tomorrow will be better.

Oh hai thar

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Oh hey guys, it’s been a while. The last few weeks have been insane — finishing classes and doing finals, finalizing my schedule for next year (finally done!) graduating, moving home…I’m pretty much exhausted. Thank goodness I’m done, though! Now to just find a job and work on some art projects this summer! It’s going to be so chill!

Oh wait, that’s not really true. Yes, I’m looking for a job, and yes I have a lot of projects to work on, but, as always, my poor health is rearing its ugly head, this time in a new way.

I went back to my sports med doctor for a follow up on the snapping hip. The good news is that the physical therapy (which I did rather sparingly, shame on me) really cut down on the snapping, clicking, and instability. It barely happens at all now. The bad news is that, even though the popping has stopped, my hip pain has gone up. Which is weird, because I didn’t really have much hip pain before all this, and now I do. Or maybe I just never really paid attention to it, since I’m dealing with pain in various places on a daily basis for year. But whatever the reason, whether it’s worse or I’m noticing it more, I decided I should probably bring it up with my doctor. She was concerned by that, and ordered x-rays. She also poked around my hips and they were SUPER sensitive around the trochanters. I was pretty much jumping and flinching with even the slightest pressure. And so that’s how it was decided that I would get cortisone shots in each hips. Yay me. I’m just glad she wasn’t in on the day my appointment was originally scheduled for, and that we had to move it back two days, because all of this would have made my birthday pretty crappy.

So we did the hip x-rays and she administered the shots (not fun). Afterwards, she went to look at the scans before the radiologist examined them. She told me that it looks like I have hip impingement, which I had never heard of. Basically it means that there’s too much friction in the hip, due to growths on the femoral head or the edge of the socket. It really increases the risk of arthritis and the need for hip replacement later in life (but earlier than average). It’s usually treated with PT, injections, and rest (all of which actually don’t really do anything except pain relief), but surgery (arthroscopy) is often needed. The surgery is minimally invasive, but still requires like six weeks on crutches and about four months to heal fully.

Hip impingement — the two types of growth.

Ain’t nobody got time for that.

Seriously, though. I’m only (barely) 22. I should not be having hip problems at my age. And I really don’t want to have surgery again — my lap wasn’t terrible, but it wasn’t fun. And hip surgery would be far, far worse. I mean, I guess I actually would have time, because I’m taking one semester and then I would have January — August for whatever. I was hoping to travel and work before graduate school, but if I absolutely had to have surgery, that would be a good time to do it. It would just be really not fun.

Ugh. Here I was thinking, “Hey, things haven’t been too bad health-wise lately. Fibro’s decently under control, my hip’s not popping anymore, I’m going to work on getting fitter this summer…what could go wrong?” and then bam, the universe was like “No.” How rude.

Still waiting for the radiologist report, though. That should hopefully come in the mail today. I guess I’ll wait and see what it says and then try to figure out what to do. Fingers crossed that my doctor read it wrong and that my hips or normal, or that the impingement is mild and surgery wouldn’t be needed now. Bright side, though: I’m pretty much covered for furniture for my apartment. I’ve got a table, five chairs, and a couch. I just need to touch up the stain on the chairs and redo the seats with new fabric and they should be looking pretty good! I’ll post a DIY post and pictures at some point!