Thursday, March 6, 2008
1st day of Physical Therapy
Today was my first day of physical therapy, all I have to say is it was painful. Most of the time was spent answering questions, since this was the first visit. Next we warmed up and then started some hip stretches. I thought ok not so bad but then we moved on to my shoulder. When he started to exam it and have me move it different ways it started to pop then came the crunching sounds and for me the feel of it. All he had to say was uuh. Once we started those exercises it hurt so bad. I couldn't even finish them. Starting next week I will go twice a week. But for the mean time I will do my stretches at home twice a day. I can walk a mile SLOWLY, do ab work and bicep curls. So today, I have had my protein enriched Special K and blogged so let the stretches and exercise begin. One more thing, he informed me that older people really need to stretch more. Just so all you old people out there know that. Needless to say he was younger than me.
Grandaughter visit
My step daughter, husband and granddaughter arrived at 1 am Saturday morning. I of course was asleep. When I got up at 6:30 Mark let me know he had already cleaned up vomit. I was so happy I slept in. We all got ready and went to Will and Audrey's game.
Here Ava is with her daddy. She doesn't feel really well. When we got home I gave her some Tylenol. She had 102 fever, poor baby.
After the medicine kicked in she felt good enough to eat grits and talk with her grandpa.
Here Ava is with her daddy. She doesn't feel really well. When we got home I gave her some Tylenol. She had 102 fever, poor baby.
After the medicine kicked in she felt good enough to eat grits and talk with her grandpa.3 points
This past Saturday was another game day. I didn't watch the entire game even though I was there. I was getting frustrated because Will would stop when he had an open lay up lane. Well I missed the score that tied the game.
Will came up and stopped and made a 3 pointer, that's right a 3 pointer! With that goal he tied the game and it finished in a tie. He was so proud. And so were we.
Friday, February 29, 2008
Mouse Attack
I was sitting on my couch being a good girl like the doctor told me to. The dogs and cats were outside and I was resting my hips. The next thing I know I see something come down into the living room. It was little and yucky (and kind of cute). Once I realized what it was I went and got Bogo (Barbie wouldn't come in). So Bogo and I went on a mouse hunt. That thing moves fast. But we finally prevailed. I put it in a container and waited for the kids to get home.
My girlfriend told me to flush it down the toilet but I decided I would let it live as long as it was far away from the house. Will was thankful for it. He went to get my camera and so I peeked in the container and that damn thing jumped out and started running up my robe. I of course am screaming and Will came running. He caught it by its tail.
Will then dropped it because as you can see the mouse wanted a little nibble of Will. But it was caught once again.
Cindy and Bogo were waiting for it to escape again. I don't think Will and I could have saved it if it had gotten down. Will took it to the back of the property and threw it over the fence. So now it isn't my problem. YUCK!
My girlfriend told me to flush it down the toilet but I decided I would let it live as long as it was far away from the house. Will was thankful for it. He went to get my camera and so I peeked in the container and that damn thing jumped out and started running up my robe. I of course am screaming and Will came running. He caught it by its tail.
Will then dropped it because as you can see the mouse wanted a little nibble of Will. But it was caught once again.
Cindy and Bogo were waiting for it to escape again. I don't think Will and I could have saved it if it had gotten down. Will took it to the back of the property and threw it over the fence. So now it isn't my problem. YUCK!Thursday, February 28, 2008
Trochanteric Bursitis
I went to the Orthopedic surgeon Tuesday because of sever hip pain I have been having for weeks. It had gotten so bad I could barley walk. He gave me a shot in each hip then prescribed physical therapy and anti inflammatory. This is a description of what it is.
Bursitis is caused by inflammation of a bursa, a small jelly-like sac that usually contains a small amount of fluid. Bursae are located throughout the body, most importantly around the shoulder, elbow, hip, knee, and heel. They act as cushions between bones and the overlying soft tissues, and help reduce friction between the gliding muscles and the bone.
Relationship of trochanteric bursa between the iliotibial band and the greater trochanter.
Printed with permission from Green WB(ed): Essentials of Musculoskeletal Care, Edition 2. Rosemont, IL; American Academy of Orthopaedic Surgeons, 2001, p. 335.The bony point of the hip is called the greater trochanter. It is an attachment point for muscles that move the hip joint. The trochanter has a fairly large bursa overlying it that occasionally becomes irritated, resulting in hip bursitis (trochanteric bursitis).
Another bursa located on the inside (groin side) of the hip is called the iliopsoas bursa. When this bursa becomes inflamed, the condition is also sometimes referred to as hip bursitis, but the pain is located in the groin area. This condition is not as common as trochanteric bursitis, but is treated in a similar manner.
Top of page
Symptoms
The main symptom of hip bursitis is pain at the point of the hip. The pain usually extends to the outside of the thigh area. In the early stages, the pain is usually described as sharp and intense. Later, it may feel more achy and spread out.
Typically, the pain is worse at night, when lying on the affected hip, and when getting up from a chair after being seated for a while. It also may get worse with prolonged walking, stair climbing, or squatting.
Top of page
Risk Factors
Hip bursitis can affect anyone, but is more common in women and middle-aged or elderly people. It is less common in younger people and in men.
The following risk factors have been associated with the development of hip bursitis.
Repetitive stress (overuse) injury. This can occur when running, stair climbing, bicycling, or standing for long periods of time.
Hip injury. An injury to the point of your hip can occur when you fall onto your hip, bump your hip on the edge of a table, or lie on one side of your body for an extended period of time.
Spine disease. This includes scoliosis, arthritis of the lumbar (lower) spine, and other spine problems.
Leg-length inequality. When one leg is shorter than the other by more than an inch or so, it affects the way you walk and can lead to irritation of a hip bursa.
Rheumatoid arthritis. This makes the bursae more likely to become inflamed.
Previous surgery. Surgery around the hip or prosthetic implants in the hip can irritate bursae and cause bursitis.
Bone spurs or calcium deposits. These can develop within the tendons that attach to the trochanter. They can irritate the bursa and cause inflammation.
Top of page
Diagnosis
The doctor examines the greater trochanter with the patient lying on his/her side.
Reprinted with permission from Green WB(ed): Essentials of Musculoskeletal Care, Edition 2. Rosemont, IL; American Academy of Orthopaedic Surgeons, 2001, p. 335.To diagnosis hip bursitis, the doctor will perform a comprehensive physical examination, looking for tenderness in the area of the point of the hip. He or she may also perform additional tests to rule out other possible injuries or conditions. These tests can include radiography (x-rays), bone scanning, and magnetic resonance imaging (MRI).
Top of page
Treatment
Nonsurgical Treatment
The initial treatment for hip bursitis does not involve surgery. Many people with hip bursitis can experience relief with simple lifestyle changes, including:
Modification of activities—avoiding the activities that worsen symptoms
Use of nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, naproxen, piroxicam, celecoxib, and others, to control inflammation and pain
Use of a walking cane or crutches for a week or more when needed
There is little evidence to support the use of physical therapy to treat hip bursitis, but many patients claim that it is helpful. The doctor may ask a physical therapist to teach you how to stretch your hip muscles and use other treatments such as ice, heat, or ultrasound.
Injection of a corticosteroid along with a local anesthetic may also be helpful in relieving symptoms of hip bursitis. This is a simple and effective treatment that can be done in the doctor's office. It involves a single injection into the bursa. The injection typically provides permanent relief. If pain and inflammation return, another injection or two, given a few months apart, may be needed.
Use NSAIDs cautiously and for limited periods. Talk with your doctor about the NSAIDs you use. NSAIDs may have adverse side effects if you have certain medical conditions or take certain medications.
Surgical Treatment
Surgery is rarely needed for hip bursitis. If the bursa remains inflamed and painful after all nonsurgical treatments have been tried, your doctor may recommend surgical removal of the bursa. Removal of the bursa does not hurt the hip, and the hip can actually function normally without it.
A newer technique that is gaining popularity is arthroscopic removal of the bursa. In this technique, the bursa is removed through a small (1/4-inch) incision over the hip. A tiny camera, or arthroscope, is placed in a second incision so the doctor can guide the surgical instruments and cut out the bursa. This surgery is much less invasive, and recovery is quicker and less painful.
Both types of surgeries are done on an outpatient (day surgery) basis, so an overnight stay in the hospital is not usually necessary. Early studies show arthroscopic removal of the bursa to be quite effective, but this is still currently being studied.
Top of page
Rehabilitation
Following surgery, a short rehabilitation period can be expected. Most patients find that using a cane or crutches for a couple of days is helpful. It is reasonable to be up and walking around the evening after surgery. The soreness from surgery usually goes away after a few days.
Top of page
Prevention
Prevention is aimed at avoiding behaviors and activities that make the inflammation of the bursa worse.
Avoid repetitive activities that put stress on the hips.
Lose weight if you need to.
Get a properly fitting shoe insert for leg-length differences.
Maintain strength and flexibility of the hip muscles.
Bursitis is caused by inflammation of a bursa, a small jelly-like sac that usually contains a small amount of fluid. Bursae are located throughout the body, most importantly around the shoulder, elbow, hip, knee, and heel. They act as cushions between bones and the overlying soft tissues, and help reduce friction between the gliding muscles and the bone.
Relationship of trochanteric bursa between the iliotibial band and the greater trochanter.
Printed with permission from Green WB(ed): Essentials of Musculoskeletal Care, Edition 2. Rosemont, IL; American Academy of Orthopaedic Surgeons, 2001, p. 335.The bony point of the hip is called the greater trochanter. It is an attachment point for muscles that move the hip joint. The trochanter has a fairly large bursa overlying it that occasionally becomes irritated, resulting in hip bursitis (trochanteric bursitis).
Another bursa located on the inside (groin side) of the hip is called the iliopsoas bursa. When this bursa becomes inflamed, the condition is also sometimes referred to as hip bursitis, but the pain is located in the groin area. This condition is not as common as trochanteric bursitis, but is treated in a similar manner.
Top of page
Symptoms
The main symptom of hip bursitis is pain at the point of the hip. The pain usually extends to the outside of the thigh area. In the early stages, the pain is usually described as sharp and intense. Later, it may feel more achy and spread out.
Typically, the pain is worse at night, when lying on the affected hip, and when getting up from a chair after being seated for a while. It also may get worse with prolonged walking, stair climbing, or squatting.
Top of page
Risk Factors
Hip bursitis can affect anyone, but is more common in women and middle-aged or elderly people. It is less common in younger people and in men.
The following risk factors have been associated with the development of hip bursitis.
Repetitive stress (overuse) injury. This can occur when running, stair climbing, bicycling, or standing for long periods of time.
Hip injury. An injury to the point of your hip can occur when you fall onto your hip, bump your hip on the edge of a table, or lie on one side of your body for an extended period of time.
Spine disease. This includes scoliosis, arthritis of the lumbar (lower) spine, and other spine problems.
Leg-length inequality. When one leg is shorter than the other by more than an inch or so, it affects the way you walk and can lead to irritation of a hip bursa.
Rheumatoid arthritis. This makes the bursae more likely to become inflamed.
Previous surgery. Surgery around the hip or prosthetic implants in the hip can irritate bursae and cause bursitis.
Bone spurs or calcium deposits. These can develop within the tendons that attach to the trochanter. They can irritate the bursa and cause inflammation.
Top of page
Diagnosis
The doctor examines the greater trochanter with the patient lying on his/her side.
Reprinted with permission from Green WB(ed): Essentials of Musculoskeletal Care, Edition 2. Rosemont, IL; American Academy of Orthopaedic Surgeons, 2001, p. 335.To diagnosis hip bursitis, the doctor will perform a comprehensive physical examination, looking for tenderness in the area of the point of the hip. He or she may also perform additional tests to rule out other possible injuries or conditions. These tests can include radiography (x-rays), bone scanning, and magnetic resonance imaging (MRI).
Top of page
Treatment
Nonsurgical Treatment
The initial treatment for hip bursitis does not involve surgery. Many people with hip bursitis can experience relief with simple lifestyle changes, including:
Modification of activities—avoiding the activities that worsen symptoms
Use of nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, naproxen, piroxicam, celecoxib, and others, to control inflammation and pain
Use of a walking cane or crutches for a week or more when needed
There is little evidence to support the use of physical therapy to treat hip bursitis, but many patients claim that it is helpful. The doctor may ask a physical therapist to teach you how to stretch your hip muscles and use other treatments such as ice, heat, or ultrasound.
Injection of a corticosteroid along with a local anesthetic may also be helpful in relieving symptoms of hip bursitis. This is a simple and effective treatment that can be done in the doctor's office. It involves a single injection into the bursa. The injection typically provides permanent relief. If pain and inflammation return, another injection or two, given a few months apart, may be needed.
Use NSAIDs cautiously and for limited periods. Talk with your doctor about the NSAIDs you use. NSAIDs may have adverse side effects if you have certain medical conditions or take certain medications.
Surgical Treatment
Surgery is rarely needed for hip bursitis. If the bursa remains inflamed and painful after all nonsurgical treatments have been tried, your doctor may recommend surgical removal of the bursa. Removal of the bursa does not hurt the hip, and the hip can actually function normally without it.
A newer technique that is gaining popularity is arthroscopic removal of the bursa. In this technique, the bursa is removed through a small (1/4-inch) incision over the hip. A tiny camera, or arthroscope, is placed in a second incision so the doctor can guide the surgical instruments and cut out the bursa. This surgery is much less invasive, and recovery is quicker and less painful.
Both types of surgeries are done on an outpatient (day surgery) basis, so an overnight stay in the hospital is not usually necessary. Early studies show arthroscopic removal of the bursa to be quite effective, but this is still currently being studied.
Top of page
Rehabilitation
Following surgery, a short rehabilitation period can be expected. Most patients find that using a cane or crutches for a couple of days is helpful. It is reasonable to be up and walking around the evening after surgery. The soreness from surgery usually goes away after a few days.
Top of page
Prevention
Prevention is aimed at avoiding behaviors and activities that make the inflammation of the bursa worse.
Avoid repetitive activities that put stress on the hips.
Lose weight if you need to.
Get a properly fitting shoe insert for leg-length differences.
Maintain strength and flexibility of the hip muscles.
Warts?
I took the children to the dermatologist the other day because of bumps on them. Will's looked the worse. He told me they were some kind of wart this is contagious through touch. They actually got them by swimming and touching the sides of the pool with there body.
Audrey has them on her arm pit. You can see by the top how they start then progress in a larger nod.
We have been dealing with this on Will since last summer. His body can not fight them. Most people don't even get them. Of course Will would and not be able to fight it. Here's his. He says they itch. The Dr. burnt most of them and now I have a cream to put on them. I feel bad for Will because now they are trying to get on his face.
Audrey has them on her arm pit. You can see by the top how they start then progress in a larger nod.
We have been dealing with this on Will since last summer. His body can not fight them. Most people don't even get them. Of course Will would and not be able to fight it. Here's his. He says they itch. The Dr. burnt most of them and now I have a cream to put on them. I feel bad for Will because now they are trying to get on his face.Hockey game
Will had spent the night with his friend Cole. They have been friends since Will was 3 weeks and Cole 3 days. They live in different towns, go to different schools but still remain best friends. When you put them together its like they haven't been apart. Well, besides catching up on all the things they have learned good or bad. Of course, they have to teach each other the tricks.
Anyway they went to a hockey game and our local newspaper captured this photo of them watching warm ups.
Anyway they went to a hockey game and our local newspaper captured this photo of them watching warm ups.
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