We was hitchhikin' down a long and lonesome road.....

All of a sudden, there shined a shiny demon... in the middle... of the road.
 

And he said.....

It is difficult for many people to look at you after a hip op and see that there is much wrong with you, especially if you don't have a limp. And if you aren't much of a whinger they'll never know about the aches, pains and burning going on inside your groins, hips, pelvis, lower back and legs along with the poor sleeping and inability to get comfortable in bed or sitting or standing for any length of time.

If you are reading this blog and have any thoughts or comments, good or bad, I would really appreciate it if you could add your comments after any of my posts. I feel like I am on my own with this and would love to hear from people in the same boat.

Be careful not to sit around after physio

Had an appointment with my physio today who worked on my back and upper gluteals while we chewed the fat about footy and the Adam Goodes racism issue. I enjoy my chats with Matt.

I was sitting and driving in the car for about an hour after the appointment and started to feel very sore with that old familiar burning pain in my right hip and groin. I did mention to Matt that I was feeling soreness in the hip/groin while he was working on my back but I didn't expect it to flare up so much.

Posture is everything but it can be difficult when you need to keep your hip angle greater than 90 degrees. I might get the ice onto it.

On an entirely different topic, I'm not a religious man and probably refer to myself as an agnostic atheist with a Catholic death bed Golden ticket. But as a father and a husband this got to me. Thanks for the heads up, Matt. I'm not sure if I look forward to continuing to read this or not.

http://howthelightgetsin.net/2011/11/06/in-defense-of-daddy/

Surgery reports

Here are my surgery reports I received today. I thought they'd be more detailed.

Phone appointment with sports doctor post-MRI

This morning I had a phone appointment with Dr Chris Bradshaw from Olympic Park Sports Medicine in Geelong. He is the club doctor at Geelong footy club and is very highly regarded. I had an appointment with him a couple of weeks ago and he was a very nice bloke. Some specialists tend to talk down to you, or at least their secretaries do, but Chris was a terrific bloke.


At the first appointment, Chris agreed with the assessment that I had FAI and its associated issues but did not concur with Andrew Jowett that surgery was not an option. This was such a relief as I felt that my progress had plateaued and I was getting nowhere.

The MRI tells him I have cam impingement on both sides with labral tears. Fortunately there is no wear and tear in the hip joint itself.

He recommends surgery and is going to get Mike Pritchard (Hobart-based surgeon) to contact me and get the ball rolling. He is also very pleased that cricket is finished for the year (I think he reckons I'm a bit mad playing out the year).

He reckons that if I get the femoral neck (top of the thigh bone) reshaped it will give me my mobility back, get rid of the pain in my hips, groins and lower back and head off any associated degeneration and potential hip replacements down the track.

He said to continue with glute and core strengthening exercises (which I have been very slack with).

It will be a very long process, both in getting into the surgeon, getting the surgery done and completing the rehab especially as it will be both hips.




I'm getting somewhere.....slowly.

Post sports science doctor physio

Went along to see my local physio, Matt today. We discussed the sports science doctor's findings and recommendations and then went into the gym next door to go over a strengthening exercises regime.

After a 10 min warm-up of walking he wants me to stretch the hammys, quads, groin, lower back and gluteals.

Then strengthening exercises including bridging, Russian twist using the Swiss ball (SB), leg raises (SB), planking, dog leg lift, side planking, hammy curls (SB) and back curls (SB).

A 4 min warm-down walk to finish.

I have appointments each week from now until Christmas too. Let's see how we go.

Olympic Park Sports Medicine - I'm excited!

I went along to meet sports science doctor Andrew Jowett at Olympic Park Sports Medicine today and was excited in the knowledge I'd be getting some definitive answers to what was going on with my body! After years of being treated for assumed lower back and groin issues I was looking forward to finding out what was really going on.

I didn't have to wait long after filling out an initial details form and went into Andrew's office where he asked me about my history. I informed him I'd had a knee reconstruction as a 19 year old, several years of short-lived groin issues and a left ankle injury in April 2011, among other minor issues.

I told him my symptoms really flared up in July when I started running for fitness and noticed hip, groin and thigh pain, especially in the left side. I said I have pain when I sleep and with prolonged sitting, especially driving. I mentioned I occasionally feel the pain in my lower leg and have an occasional limp when I walk or run.

He then tested me for the range of movement in my hips and watched me walk up the corridor to check my gait. He noted I had "some mild left gluteal wasting and a mild antalgic gait". "Left hip pain in full flexion and bilateral abductor guarding". He said I have "hip pathology".

Andrew then sent me next door to have x-rays and ultrasound which showed I have flattening of the femoral neck on both sides but he thought the left side looked worse.

He has diagnosed me with a Femoroacetabular Impingement (FAI) of both hips with hip joint synovitis that is secondary to the FAI. It is the cause of the inflammation and pain around the hip joint. I also have moderate thickening and scarring of the illiotibial bands.

Andrew's initial explanatory diagram of FAI.

Andrew has recommended a 3 week course of anti-inflammatories with a potential cortisone injection in the hips under x-ray if it doesn't settle down. He has suggested I strengthen the gluteals under physio guidance and says I can continue with karate, cycling and swimming and told me I can do straight line running that is cricket specific.

He has advised me to continue to be as active as possible within these limitations.

Unfortunately he also told me that surgical intervention has a limited role at my age, as the outcomes may not be predictable from hip arthroscopy and labral debridement. According to Andrew my running days are over

This is not what I wanted to hear and was a real downer. Feeling very flat as I am pretty sure I won't improve with exercises and strengthening. There is more to my pain than weak muscles.

Myofascial release or how to blow $200 on hokus pokus in a week

Having tried physiotherapists, chiropractors, a massage therapist I have had good results with, a very cocksure neuromuscular therapist, an exercise physiologist who thought he was the bee's knees and other assorted health professionals, including my GPs, over the past 15 years my GP suggested I head along to see a local couple at The Dreaming Body.

Apparently they are devotees to the theories of an American bloke by the name of John F. Barnes who has pioneered and promoted the benefits of "myofascial ralease and myofascial unwinding" which "is the release of the holding or bracing patterns of the mind/body complex."

The treatment involved "90-120 seconds of gentle, sustained pressure for the restricted tissue to begin to release."

When I went back the second time and explained that I had experienced no change in my pain or symptoms at all they really went to work on me. There was more prolonged "gentle, sustained pressure" and "How does that feel?" - style questions. They were seriously surprised when I said it was doing nothing!

THEN!!! They both grabbed a leg each and, after getting me to relax and let my legs go floppy, they were slowly lifting and rotating my legs around in long sweeping rotations. It was bloody weird and I really struggled to not laugh out loud.

At the end they sold me a plastic yellow ball and gave me some notes to take home and some notes to help me with some hip, abductor, illiotibial band, and psoas releases. They pretty much admitted they didn't know what else they could do for me.

Each visit cost me $100. Even the ball cost me $8. I felt seriously duped. How can people get away with this sort of witch doctor crap and charge so much for it without producing any benefits or results. F**k!!

That burning feeling

I have found I am better during the day but really struggle when I have to sit in the car or at the computer or on the couch watching TV. I have a burning sensation through the hip (right side especially), hamstring and groin (left side). I’m tight in the groins. There is nerve pain in the legs, especially down the left side. It wakes me up as I can’t sleep on my side as it causes me hip/leg pain.

I’m feeling pretty clapped out.

Treatment with a neuro-muscular therapist

On the advice of my masseuse, Lauren, yesterday I went along to receive treatment with Paul Broeders, a neuro-muscular therapist. He treated me for a tilted vertebrae in lower back, sacrum had moved to the right and he said I had a tilted hip which caused one leg to be longer than the other.

Despite his assurances I would be "fixed" the treatment didn't improve anything. I let him know how I was feeling today over the phone and he suggested I contact my GP and organize a scan.