Monday, July 18, 2011

Unscheduled Pain

a few weeks after going boxing (2x/wk), golf (at least 1x/wk), and strength training (2x/wk), i started having pain in my groin, similar to pre-PAO pain.  it hurt while i walked.  i iced and took aleve.  a few days in, the pain traveled to the outside of my hip trochanter area.  it hurt a ton to walk and was probably the worst pain i felt besides the incision pain post-screw removal.  i really thought i would need to take a crutch out to walk cuz i was limping a lot and had to walk really slowly.  i stopped going to the gym after i had to stop mid-session in boxing b/c i couldn't do any type of footwork from the pain. even jump rope impact was hurting. we ended up practicing left hooks on heavy bag and i overdid it and my shoulder got messed up.  so i had ice packs on my hip and shoulder for a couple days. i went swimming a couple of times (i'm learning how to do front crawl) and nothing hurt after swimming.

i kept bugging nurse triage to try to get an answer from the hip team. when i finally got a call back from Dr Millis he admitted he dismissed my emails thinking the pain would go away but my complaints lasted for 2wks. the pain was improving but Dr Millis put me on his calendar fairly quickly and i got xrays at the appt. xrays showed good space between bones in the joint. i also had some heterotopic ossification HO in the muscle on the outside of the hip where they made one of the bone cuts. hip team said the joint looked good so probably have some tendonitis (rectis) and muscle fatigue, and maybe some irritation from the ossification. so i'm supposed to rest and take it easy.  PT said i shouldn't swim either, which could aggravate the tendonitis. i think the pain stemmed from rotation/pivoting movement used in boxing and golf.  i didn't feel any discomfort from my regular strength training.    

Dr Millis was planning on taking another MRI at month 9.  this unscheduled visit was just shy of month 8.  we got a lucky same-day dGEMRIC appt at the Waltham location so we drove out.  did the contrast injection and was in the tube for about 45min.  the movie goggle helmet wasn't working but i fell asleep with headphones on (i'm always afraid of being bored during the MRI since the only thing to read in the tube is the manufacturer's serial and model number).  Waltham looks pretty new and seemed to be renovating some wings. it is very quiet and parking is free.

the MRI results showed improvements all around but also an abnormal signal in the anterosuperior acetabulum which was there pre-PAO. Dr Millis has no explanation for this abnormal signal and doesn't seem to have any plan for it.  i have pain in the top left hip area which might match up to this anterosuperior spot. it's getting better since i haven't done any gym stuff in almost a month (but i've been cheating and going to swim class).  hopefully my lack of activity will help my hip be 100% pain-free as we have a 2-week golf vacation in scotland coming up.

just got a suggestion, that my gait might be messed up from being on crutches and post-surgery in general, and the messed up gait is causing some pain.  also maybe the fascia in that area is tight.  so i can try to get my gait checked (physiatrist or chiro) and get a massage to loosen up the fascia.  will see if these help!

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