Monday, June 1, 2015

Back Surgery daily post

5th back surgery

Dr John york finally heard me about pinched nerves l3 and sacroilacic inplant as I went in Richmond Henroco Dr's hospital forest, as the preopt was taking place the paperwork was laying on bed dr york has added the l5 s1, L4 also si joint pins removed . A 6hr back surgery

Day 3, 4 /25/2015
I am still hurting in hip after back surgery been sleeping alot praying for better days can't step on left leg Still thinking that pinched nerve is better. As I get stronger things will turn about.

Day 5, 4 / 28 / 2015
I am still sleeping alot and still can't put pressure on my leg can't get comfortable.
Still have lots swelling

DAY 6
Got up this morning, swelling going down I went to kitchen on 2 crutches lots pain. Waiting on Selena to come in I got up and
walked in kitchen without my crutch. Praying that this is to come about .
As evening came pain in hip got greater

11:00 pm in lots pain

1 week 2 days post Saturday
still in pain, walking on crutches pain is gone left side @ nite I am in a lot of pain.
Pain in hip is bad although @ time I can put weight on it

1 week 3rd day
Today I woke up with pain in hip & where surgery spot in hip it's 11:00 pm and hurting pretty bad .

1 week 4th day
Pain in hip, back doesn't fill bad, carpal tunel pain
Laying doing orthofix 2hrs day hurts to lay on but if it works so as not to have another back surgery. Anxiety problem can't go to doctor. Back acking some what this evening

1 week 5th day
Still hurting pretty bad still on crutches,
Nite time is worse, I have wing myself off meds oxie take 1 a day which is good but painful hard to sleep praying for God's Touch and help, I need him so. My back where surgery is hurts

1 week 6th day post
Still in great pain hard to walk can't stand very long nor sit,

2 weeks 2 days
Went to cville Fri to see Dr york but a mess up so paying for it in pain hip still swollen still in lots pain

2 weeks 3 days

2 weeks 4 day losing grip still in lots pain, bursitis in left hip back hurting don't know what to do

Still hurting

2 weeks 5 days
Hurting but walked 4 times around house 2 times today

3 weeks 1 day
Walking more but still hurting walk 4,5 times around in house
Across porch, sidewalk then hip not
allowing me to walk without cane

3 weeks 3 days
Pain in hip and still low back from surgery
Bursitis pain,rain today back hurting bad also hip I think bursitis

3 weeks 4 days
Today got up hurting in hip but drove to dr office to take blood to see about dissieness also see Dr hardigree wed about bursitis. Pretty sore today back
hurts I think coming from bursitis

3 weeks 5 days
Painful day started iron pills today

3 weeks 6th day post
Dr hardigree got political on me telling me
My hip bursitis was coming from low back still , note to self not to waste my time seeing dr hardigree again he will not help
me. I have had bursitis for years

4 weeks post
raining fill pretty ruff going 100 miles Friday dredding it, lots of pain tonight

4 weeks 1 day

Dr visit dr york in Richmond put injection
In bursitis and is letting me go to gym starting to day, heart racing from ( low blood anemia )

4 weeks 2 day post

1 day post injection greater trochanter bursitis ,has not worked yet
Hip pretty sore, my back is some better dr york told me all was normal
(Low blood anemia ) still have problems with this not sure of iron pills

4 weeks 5 days post

Still hurting although I can see my leg getting stronger , as from sat till Monday I walked alot also went to Church on Sunday dr york is going to allow me to go to the gym as soon as possible I will go
Went to gym this evening and got on bike for 16 min was pretty sore after and when I got home @11.00 I am in lots pain low back and hip Exp hip, I will try again in 2 days although I am walking some all day.

4 weeks 6 days post
Still hurting today ,muscle in leg is getting stronger , walked 2 10th mile but in pain

5 weeks post
Went to gym was on on bike for 22 min
Was better than Tues but still hurt from it
My hips don't like me doing what I do,
6:30 pm lotts of pain

5 weeks 4days

walked .013 mile today, still cant walk without crutch, lotts hip bursa pain

Monday, August 19, 2013

Sacroiliac Surgery again

SACROILIAC JOINT STABALIZATION THROUGH SURGICAL TREATMENT:

***CONTINUED HYPERMOBILITY AFTER CONSERVATIVE THERAPY METHODS HAVE BEEN APPLIED MAY INDICATE THE NEED FOR A SURGICAL SACROILIAC JOINT FIXATION CONSULTATION…
SURGICAL TREATMENTS:
I. Sacroiliac Joint Screw Fixation
II. Sacroiliac Joint Fusion
NOTE: ESSENTIAL TO THE SUCCESSFUL OUTCOME OF SI SURGERY IS TWO THINGS:
1. TO ALIGN THE SI JOINTS AT THE TIME OF SURGERY JUST PRIOR TO FIXATION. THUS, ASSURING THE SI JOINT IS NOT PERMANENTLY FIXATED IN A SUBLUXATED (PARTIALLY DISLOCATED) POSITION!
2. HAVE A GOOD POST-OP THERAPY PROGRAM AIMED AT PROGRESSIVELY RETRAINING THE MUSCLES WHILE ALSO ADDRESSING THE SOFT TISSUES WHICH HAVE BEEN AFFECTED.

SI FIXATION with Implants: to stabilize the sacroiliac joint, cannulated screws will be placed through the ilium and sacrum. The cannulated screws that your physician will use for stabilization are approved by the U.S. Food and Drug Administration (FDA) for fixation of fractures of large bones. It is inferred from this that they are solid enough for sacroiliac stabilization for which they are commonly used.

SI FIXATION LEADING TO FUSION with ifuse Implants:>iFUSE Implant System by SI-BONE: TRIANGULAR SHAPED IMPLANT RODS-> are titanium devices which are coated with a porous plasma spray. It is an SI Fixation procedure which leads to SI Fusion.

SI (Traditional, open back) FUSION: between the sacrum and the ilium fusion may also be necessary. This is done by scraping the bone on both sides and placing a graft taken from the iliac crest at the surgical site between the two sides. Artificial graft can also be used. If your physician determines that a fusion is not necessary in your case, the joint will be fixed in place using only the screws.

PIRIFORMIS SURGERY: often inflamed or swollen as a result of SIJD. Among other symptoms, the Piriformis Muscle can irritate the sciatic nerve causing radiating leg pain and butt pain.

CRITERIA FOR SURGICAL STABALIZATION OF THE SACROILIAC JOINTS commonly include the following (by Alan Lippitt, MD):
1. Pain must be disabling.
2. Pain must be localized to the SIJ and not relieved by conservative modalities.
3. Pain should be relieved on a transient basis by a fluoroscopically controlled SIJ block.
4. Other causes of lumbopelvic pain such as herniated nucleus pulposus, facet arthropathy, trapped nerve root, spinal stenosis, hip disorders, etc. should be ruled out.
5. Associated conditions must be treated before, in conjunction with, or after treating the SIJ dysfunction.

GLOSSERY OF TERMS commonly associated with Sacroiliac Surgeries:

>SI FIXATION: SCREW IMPLANTS->the placement of cannulated titanium screws screws across reduced (properly positioned) Sacroiliac Joints

>SI FUSION: TRADITIONAL FUSION-> sacroiliac joint fusion involves open surgery to access the SI joint, bone removal, and adding bone graft to help the joint heal.
*note: for traditional SI Fusion to be succesful, it should be combined with SI Fixation to ensure joint stabalization during bone growth.

>iFUSE Implant System by SI-BONE: TRIANGULAR SHAPED IMPLANT RODS-> are titanium devices which are coated with a porous plasma spray. It is an SI Fixation procedure which leads to SI Fusion.

>PIRIFORMIS RELEASE: the piriformis muscle goes from the sacrum to the hip joints where it inserts. Piriformis surgery typically involves cutting the tendon of the muscle at its site of insertion.

>SACROILIAC JOINT ALIGNMENT: it is believed to be an important procedure to have this done on the operating table just prior to the Sacroiliac Surgery. It is a MANUAL technique to ‘reposition’and align the SI Joints. The pelvic complex is brought back in it anatomically right position, before being securing it with harware.
>”bilateral”: both sides
>”unilateral”: one side

Sacroiliac Surgery again

SACROILIAC JOINT STABALIZATION THROUGH SURGICAL TREATMENT:

PIRIFORMIS SURGERY: often inflamed or swollen as a result of SIJD. Among other symptoms, the Piriformis Muscle can irritate the sciatic nerve causing radiating leg pain and butt pain.

GLOSSERY OF TERMS commonly associated with Sacroiliac Surgeries:

>SI FIXATION: SCREW IMPLANTS->the placement of cannulated titanium screws screws across reduced (properly positioned) Sacroiliac Joints

>iFUSE Implant System by SI-BONE: TRIANGULAR SHAPED IMPLANT RODS-> are titanium devices which are coated with a porous plasma spray. It is an SI Fixation procedure which leads to SI Fusion.

>PIRIFORMIS RELEASE: the piriformis muscle goes from the sacrum to the hip joints where it inserts. Piriformis surgery typically involves cutting the tendon of the muscle at its site of insertion.

Monday, June 17, 2013

Hip Replacement

Hip Replacement:
I hand hip surgery April 8,1:30
After surgery I could not get out of bed. Bp was taking a dive
Today after cut back on med
And blood building back up thank you Lord It was hard but I was able Too do therapy
4/12/13
I walked twice today and I am hurting but as time comes I believe that the pain will be behind me no matter the pain will leave me Trisha
Will be home to nite
Now I am by my self for a couple days. Till I am able to go home
4/14/13 still lots hip pain numbness 6 days out replacement
Glory to God thank you Lord for healing me as I jumping out of my shin with excitement even though I still live in pain O" by the way by the Blood of The Lamb I Bind pain away. Lord every day is a new day...........
April 22 2013
Sleepless nites I am in great pain
Hoping that from what therapist says in 1 month a lot of pain will leave
It is just hard to see at this moment
4/29/13 painful nite's evening woke up this morning in lots of pain
But after exercise and walking the pain slowed down .9 tenths mile twice today still numbness and swelling in thigh top and side
dreading driving to Augusta Health
Therapy wed @10:30 am going to sign up for lifeline for water
therapy
But as pain is living in me I can see healing in this year.
5/3/13
Just short 1 month post surgery and
Still lots pain I have therapy 1 day a week Jim was telling a couple weeks
And the swelling numbness should leave my low back has been hurting
Some the exercise come easy but it doesn't seem to be doing anything. Still can't sleep with out causing more pain.
5/6/13 hip replacement
Got out of bed this morning with some relief pain level about 4-5 but as I start exercise pain went back to 7 but I think my pain level is about to decline, praying as such that before month is over this new hip will bring relief.
5/10/13 1 month post surgery
Still hurting #7-8 pain level rarely
Below although Monday the 5th I woke up with pain level 3ish I can move my leg side to side and in bed exercise leg slide to side leg towards chest I can only lift leg only 1/2 inch
It hurts to do that but I continue to push in time I fill I will be ok
I walk .19 mile today .15 mile then toke Selina for a walk about .10 mile
Needless to pain and more.
Still numbness in thigh some back pain from muscles I think back left for 2 weeks post
5/16/13
Hip pain still is bad I have been walking exercise but still in lots pain
5/17/13
Seems to be si joint where I have pain
Praying that after hip surgery
That si joint problems have showed its ugly head again
Back pain again
5/19/13
Pain in si joint can hardly walk using both crutches can't set hard to even lay in bed. All I do is lay in bed this sucks. I got out of bed this morning
One crutch as I have been doing my left leg gave out on me My God help me I don't know what is next
My low back hurts
5/24/13
Still in great pain this day hard to walk thinking that I need to try and get si pins removed. My hip is slow healing but is better.
5/25/2013
I slip and fell today fell on my new hip Ouch it hurts 6/03/2013
Still in a lot of pain more sense I fell
Meds do not help pain in crutch more when I walk, pain in donut area refers
Pain into upper back. I still have numbness in thigh I could not walk after 2nd SI fusion there's no doubt that the SI is the cause of this pain. Painful days.
Called doc to get another x-ray
To see what I did to my hip when I fell
still can not walk with out great pain.
6/03/2013
I am "THINKING" that my new hip is OK although I have had 2 failed SI JOINT SI-BONE surgery on same side as new hip, I believe that I fell so hard that it reset my SI. I can still do exercise my hip but I can't walk, sit, stand symptoms from SI disorder.
Woke up to intense pain low back and hips thigh, pouring rain so I know rain and low pressure all help bring on pain all over with more pain seance the fall
6/11/2013
Don't know why the X-rays are useless because I have had 2 this month to see what's going on with SI joint or hip I had a visit to my doc yesterday when talking yesterday
He said the xray did not show if si-bone had fused or not? So now I have cat scan set for 6/19/2013
So I will see.
6/17/13 Still have numbness in thigh
This past weekend has been horrible pain in crutch low back cant put pressure on leg. When I walk it hurts more than I ever could imagine.

Sunday, April 7, 2013

Anterior Hip Replacement

Go Monday the 8 April to have hip replacement

Anterior Hip Replacement

Minimally Invasive Anterior Approach Hip Replacment Surgery

By Jonathan Cluett, M.D., About.com Guide

Updated November 19, 2012

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

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A recent trend in hip replacement surgery has been to perform the surgical procedure through smaller, less-invasive approaches. The idea of this trend is to perform the same procedure with less disruption to the surrounding muscles and soft-tissues. By performing surgery through smaller incisions, with less soft-tissue dissection, it is hoped that patients will have less pain and a faster recovery.

Anterior Hip Replacement

Anterior hip replacement is not a new surgery. Many surgeons have performed hip replacements through an anterior incision for decades. In fact, the most widely referenced report of this technique was published in 1980. What is new about anterior hip replacement is that the surgery is being done through smaller incisions with more specialized instrumentation to help make this surgery less traumatic to the patient. The hip joint is deep within the body at the junction of the pelvis and the top of the thigh bone. All hip replacements, regardless of incision type, require your surgeon to replace the top of the thigh bone and the socket of the pelvis. There are a number of ways for your surgeon to achieve this, as your surgeon can approach your hip from the back of the joint (posterior approach), the side of the joint (lateral or anterolateral approach), the front of the joint (anterior approach), or through a combination of approaches (two-incision approach).
It is important to understand that all of these approaches accomplish the same goal of replacing the ball and socket of the hip joint.

Unique Aspects of Anterior Approach Hip Replacement

The anterior approach hip replacement is a muscle-splitting approach, meaning that the surgeon gets to the hip between two muscles, rather than by removing and then reattaching a muscle. The advantage is thought to be that rehabilitation can proceed more quickly by not having to allow the reattached muscle to heal. As with other minimally invasive approaches, the incision size is minimized in an effort to help limit post-operative discomfort.
Anterior hip replacements are thought by some surgeons to have a lower rate of dislocation, although with newer implants some surgeons feel that this is no longer a distinct advantage of the anterior approach hip replacement.
Most complications associated with anterior approach hip replacement are similar to standard hip replacement complications. One specific complication is injury to a large skin nerve just adjacent to the incision of the anterior approach hip replacement. Injury to this nerve, the lateral femoral cutaneous nerve, during surgery can lead to chronic pain and abnormal sensations along the front and side of the thigh.

Is Anterior Hip Replacement Better?

As with many other changes in joint replacement surgery, it is simply not known if anterior hip replacement is an improvement over other approaches for a hip replacement surgery. There are advantages and disadvantages of the different approaches for hip replacement surgery. While some argue that rehab may be faster or pain may be less, there is conflicting data to support this argument. Some studies have found no difference in recovery when an anterior approach hip replacement is compared to other techniques. The desire to minimize pain and speed recovery is understandable. However, the most important aspect of hip replacement surgery is to give you a joint that is pain-free and will last you a long time. These goals cannot be compromised when changes are made to hip replacement techniques.
While anterior approach hip replacements may provide some benefits when compared to other types of hip replacements, it is not known if this truly represents an improvement in hip replacement surgery. You can discuss these issues with your doctor when you are ready to consider hip replacement.

Hip Bone Spurs

A bone spur, also called an osteophyte, is an abnormal growth of bone occurring at the edge of a bone, usually where two bones meet. Bone spurs most commonly form in the cervical (upper) spine, lumbar (lower) spine, heel, shoulder, and knee, but they can also be found in the hip, elbow, finger, and toe joint. The ends of normal, healthy bones are covered by cartilage, protecting them from rubbing against surrounding bones. When bone spurs appear, however, they do not form with that protective layer of cartilage, so they have the ability to cause a lot of pain.
The repetitive rubbing together of bones most commonly is the cause of bone spurs. After prolonged periods of overwork or overuse, cartilage becomes worn down, exposing bare bone that is vulnerable to degeneration. This happens often with people suffering from osteoarthritis and/or tendonitis, both of which are inflammatory conditions. The formation of bone spurs is the body's way of compensating for the wear and tear.
Bone spurs that grow in the hip joint can cause serious problems when they press against the nerves in the surrounding tissues or bones. There are two areas in which bone spurs can grow in the hip: on the femoral head and on the acetabulum. Nerve impingement can cause many serious neurological problems. Nerves are composed of a plethora of tiny neurons, which, joined together, conduct electrical signals that allow the brain and body to communicate sensory messages and carry out motor functions. When any irregular growth, like a bone spur,imposes upon a nearby nerve, extra pressure is exerted on the nerve, putting this "tunnel" of communication at risk of disruption. If too much pressure is put upon a nerve, electrical signals can no longer be conducted, leading to loss of feeling in the affected limbs. Bone spurs that interfere with a ball-and-socket joint can severely impede the hip's normal range of motion. Nerve impingement within the hip joint is called femoroacetabular impingement (FAI). This is dangerous because it can cause labral tears in the hip.
It is possible to have bone spurs in the hip joint without having any symptoms for a while. Some bone spurs are not particularly harmful or disruptive at first and are easily overlooked. However, when the condition becomes painful, the normal range of motion restricted, and numbness/weakness of the extremities occurs, it is time to seek medical assistance. Bone spurs can cause pain and loss of motion due to nerve impingement. At Spine & Sports Medicine, our experts here will conduct a thorough examination and X-ray (if necessary) to properly detect any bone spurs. They will assess the situation according to your symptoms, tests, and medical history. In some more severe cases, surgery is needed to remove the growth, followed by physical therapy rehabilitation. Because the hip joint has such a wide range of motion, bone spur interference can cause major movement dysfunctions. In general, a physical therapy treatment plan can help mitigate the pain caused by bone spurs. Working with a physical therapist to strengthen the structures in the hip and to increase flexibility can allow you to regain a normal range of motion and be free of pain. Electrical stimulation is sometimes used to reduce muscle spasms, pain, and inflammation. When bone spurs occur in the hip it is extremely important to seek medical help immediately. Major inflammation is a result of bone spurs in the hip and can cause chronic, excruciating pain. If left alone without treatment, surgical intervention is often required, which in this case would be a hip replacement.
Based on a meticulous examination, a diagnosis is made and a comprehensive treatment plan is devised tailored specifically to each unique situation. It is very important to seek professional advice and treatment when dealing with hip pain because this is a condition that can become very serious very quickly. Our experts here at Spine & Sports Medicine are professionals trained to diagnose each condition; they are also highly educated on the best treatments for each respective injury. It is crucial that the injury is diagnosed correctly; otherwise further damage may be done.

Saturday, February 9, 2013

Sacroiliac Joint Dysfunction (SIJD

http://www.mysijd.com/

Sacroiliac Joint Dysfunction (SIJD)
Clinical Symptoms of Sacroiliac Joint Dysfunction
1. Lumbosacral pain
2. Buttock Pain
3. Pain radiating to the leg
4. Hip pain
5. Groin pain
6. Urinary frequency
7. Iliac crest pain
8. Transient numbness, prickling or tingling
9. Increased pain with menstruation
10. Increased pain with sexual intercourse
11. Increased pain with stair climbing
12. Increased pain with sustained positions (i.e., sitting, walking, lying)
Only about 15% of SI patients need surgical intervention. Many can actually benefit from CORRECT/ACCURATE SI Therapy (can be hard to find!). It may sound like everyone with SIJD needs surgery but in reality it’s mostly those of us who’ve already had chronic SIJD instability, long term. Because we sustained too much dam…age BEFORE we’ve actually found effective SI therapy protocols! Severe SIJD patients can be less likely to stabilize from therapy alone because sometimes the joints and soft tissues have already suffered too much structural and soft tissue damage. Yet, as you know, there is no rule book that can predict how SIJD effects each person! Some SI patients stabilize surprisingly well even after suffering for years once they locate an effective PT!
SACROILIAC JOINTS :
The sacrum is the lower portion of the spine where several vertebrae are fused together. The sacrum has a joint on either side with the ilium, the back part of the pelvis. The pubic rami, the front part of the pelvis, fit together in the front forming the pubic symphysis. The sacroiliac joints are L shaped in contour with a shorter upper and longer lower arm. Normally the sacroiliac joint is configured in such a way that the bones have an interlocking structure, which assists in keeping them properly aligned. In some cases the opposing joint surfaces are quite flat. This type of joint is much less stable and can lead to a shearing or sliding misalignment. Some sacroiliac joints reverse the normal concave-convex ‘locking’ relationship, which can lead to rotational misalignment. The variation in joint configuration results in a corresponding variation in integrity. This means that some sacroiliac joints are inherently weaker or more prone to misalignment.
A clear understanding of the difference in the signs and symptoms of sacroiliac joint dysfunction and other pathologies is key in making the proper diagnosis. Because the diagnosis of SI joint dysfunction is made primarily from the patient’s subjective complaints and the physical evaluation, it’s diagnosis is somewhat problematic for the clinician.
The most common manifestation of sacroiliac joint dysfunction is acute pain in the low back, in the area of the Posterior Superior Iliac Spine (PSIS) positioned approximately 2 inches from the midline and very deep-seated. Usually, tenderness is found near the lumbo-sacral promontory and in the PSIS area, one more pronounced than the other. Radiating pain into the buttock, hip, groin and thigh is often experienced. The pain is frequently increased by prolonged sitting, standing, walking or lying. The patient reports that frequent position changes are needed to maintain any degree of comfort.
QUESTION: Is there more than ONE kind of Sacroiliac Joint Dysfunction?
ANSWER: YES! There are 5 types of Dysfunctions which affect the Pelvic Girdle and can cause symptoms of pain to be experianced in the low back region.
CLINICAL EXERPT written by Dr.Alan Lippitt, MD:
5 types of Dysfunctions:
1. ILIAL UPSLIP OR SHEAR WITH ILIAL ROTATION
2. ILIAL DOWNSLIP
3. ILIAL ROTATION AND/OR FLARE
4. SACRAL DYSFUNCTION
5. PUBIC LESION

Rods Screws Removal Si Joint redo

Oct 2012
I had been going to a pain clinic in Richmond va Dr Depalma www.vaispine.com and after 2 injections into l5-s1 to aleaf back pain. Dr Depalma then ordered up a bone cat scan with nuelear
injection still with pain level of 10+. The bone scan showed screws loose from back surgery so needed to get them removed

Chasing God Through Valley Of Life

Monday, June 1, 2015

Back Surgery daily post

Monday, August 19, 2013

Sacroiliac Surgery again

Sacroiliac Surgery again

Monday, June 17, 2013

Hip Replacement

Sunday, April 7, 2013

Anterior Hip Replacement

Anterior Hip Replacement

Minimally Invasive Anterior Approach Hip Replacment Surgery

Ads

Ads

Anterior Hip Replacement

Unique Aspects of Anterior Approach Hip Replacement

Is Anterior Hip Replacement Better?

Hip Bone Spurs

Saturday, February 9, 2013

Sacroiliac Joint Dysfunction (SIJD

Sacroiliac Joint Dysfunction (SIJD

http://www.mysijd.com/

Rods Screws Removal Si Joint redo

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