Tag Archives: ārsta apmeklējumu

Cauda equina sindroms izraisa lielāku kaitējumu

Sometimes it just doesn't seem to end.moving-forward-quotes253

Kā man bija nervu augšanu pēc bojājumiem, ko izraisījuši mana cauda equina sindroms, I was able to feel a pain in my right ankle that wasn't like the pain in my other ankle nor the other side of my right one. Man bija tas paņemts pirms Ziemassvētkiem. Dr. teica, ka viņš domāja, ka tas bija plosītos cīpslu & pasūtīts nervu vadīšanas testu (lai noteiktu summu, nervu bojājumus joprojām pastāv) un MRI par šo labo potīti. Testi tika veikti uzreiz pēc Ziemassvētkiem.

Es atgriezos vakar pie ārsta, lai iegūtu rezultātus. Nekad sabojāt - vēl daudz; cīpsla - ieplīsis, un plosītos tādā mērā, ka tikai noteikt to būs operācija. Nu mēs tikko sākām Jauno gadu, lai operācija būtu no kabatas rēķina. Nav problēmu, ja tur ir kaut kas kabatā. Pēc 4 operācijas un rehab pagājušajā gadā starp Kim un mani, kabatas ir tukša. Tāpēc mums ir jāuzticas Dievam, lai nodrošinātu šo. Neviens noteikums = nav operācija.

blessings-healing-mercies-lauras-story-song-lyrics-the-positive-pear1So I'm wearing a brace and have order to take it easy. Dr. man parādīja kustības es esmu neļauj mana pēda izdarīt, kopā ar dažiem darbības ierobežojumiem (no kuriem lielāko daļu es nevaru darīt anyway, jo cauda equina sindroms). Viņš teica, ka, ja tā kļūst pārāk sāpīgi, vai man ir vairāk sliktās dienas nekā laba, tad tas būs laiks darboties.

Tad ir atveseļošanās - bez svara gultnis izlēja 3 nedēļas, pastaigas izlēja 3 vairākas nedēļas, spirdzinošs boot vēl 3 vairākas nedēļas pēc tam fizikālā terapija. Tiesības tagad, ka ir tikai nav kartes.

Kā tas ir saistīts ar manu cauda equina sindroms? The inflammation of my superficial peroneal nerve restricted how far upwards I could bend my right foot, tad, kad sper soli uz priekšu ar savu kreiso kāju, šis ierobežojums tur potīti no noliecoties uz priekšu, kā vajadzētu. Once it hit that point, tas būtu "rullis" uz ārpusi (tiesības) pusē potītes. This caused a lot of motion in bad ways on the tendon, galu galā izraisot asaras.

Tāpēc tālāk mēs ejam. So far this has affected the speed and length of my walking. We'll see what else it affects. But in this, un visās lietās, my wife and I trust God's plan for us. And we praise Him and continue to walk, lai gan lēnāk, ar Viņu šajā ceļojumā.

 

Nodrošinājums Damage no cauda equina sindroms

Walk This Way...

Kā jūs zināt, no kurām, vai zinot, kāds, kas ir, Cauda zirgu sindroms, tā ir ņirgāšanās par savu soļu gaita. I've described myself as walking like Frankenstein. Tagad nāk jaunas, jautras lietas, ko CES ir darījis.

Sajūta ir sākusi atgriezties pie sāniem manas potītes. Tā kā tas ir, I've noticed a different type of pain on the outside of my right ankle. My wife looked at it and said there is a small bump there.

broken ankle side x-ray
Jared Zimmerman / Foter.com / CC BY-NC-ND

At first, I thought that my shoe must be rubbing me. But the bump was hard. Of a morning, before my feet swell during the day, there is almost no pain unless it is touched. As the feet swell my shoe comes in contact with the bump and it gets progressively painful through the day despite my pain meds. It peaks at about a 3 and affects my gait.

ankle_peroneal_sublux_symptoms

 

I went to a podiatrist this morning. Diagnosis - probable torn tendon. This "nodule" is just what to expect from this condition. Surprise, surprise! The Doctor was actually aware of CES and knew quite a bit about it.

Next up, an MRI to confirm diagnosis and a nerve conduction test to determine extent of my nerve regeneration in the lower extremities.

Cauda zirgu sindroms - the gift that keeps on giving!

CES | Mēnesis 9 ar cauda equina sindroms

Mēnesis 9 iegāja vēstures grāmatās par 11/11. I have continued to have improvement in the symptoms of my Cauda zirgu sindroms. Mazāk manas kājas ir pilnīgi sastindzis tagad, ar apmēram citu 10% no sastindzis jomām atgūšanas tingly sajūta gaitā mēneša. The bottoms of my feet feel less pain, less like they are walking on rebar (http://wp.me/p3A64Y-6Y) and more like normal. To top it off, my legs are getting stronger.

Due to the move back to Lancaster, we’ve changed primary care doctors (again) and the new one suggested using a plantar fasciitis boot to help with my foot nerves tightening overnight. When I get up in the morning, my toes are curled right down and it takes a little while of walking to straighten them. With the nerve that runs from my big toe up through the ankle (the common peroneal nerve, I think) tightening, it makes taking a normal length step with my left leg more difficult. This is because the right foot will not bend upward enough. So it gives me a bit of a limp or rolling movement in my gait.

Total Knee replacement : AP view (Xray).
Total Knee replacement : AP view (Xray). (Photo credit: Wikipedia)

The last half of month 9 was getting ready for my wife’s knee replacement surgery. She has been in pain for quite some time. The pain was keeping her awake at night. It was getting too much to bear and getting the surgery done outweighed the drawbacks. So after seeing a highly recommended orthopaedic surgeon, attending a class (I had to go to it too), and convincing the health professionals that I on my cane could take care of her, the surgery was set for 11/13.

We’re getting ready to launch a new ministry at church & in the community, which is taking up a measure of our time. We’ve made some lifestyle changes, or more accurately, we’ve made changes in what has priority in our lives. We’re busier than we’ve been in a long time, yet we have time and energy for the new things, as old things take a smaller place in our lives. We look forward to Month 10 with anticipation of my wife’s surgery and recovery. We are looking forward to her relief from pain and more feeling coming back for me. Even though only one of those has a high probability, we will take what God gives and enjoy it. Mēnesis 9 has been good.

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CES | Mēnešiem 5 & 6

Mans 5 mēnesis gadadiena cīnās cauda equina sindroms ir pienācis un pagājis ar daudz aizņemtības. Tik daudz, ka es esmu mazāk nekā nedēļu pēc mēneša beigām 6.

šī 3

Šķietami perpetual parāde ārstu tikšanās ir kļuvusi sūkties. Bet dzīve ir ļoti aizņemts - we're preparing to move back to our unsold house in Lancaster, OH and there is a lot to do in that regard.

I've settled into a routine with my recovery from CES, with no improvement in my symptoms except for more strength in my legs. This has allowed me to increase the distances I can cover using my cane and walking unassisted. One morning, two weeks ago, I walked unassisted for approximately 400 pēdas. I made it but that was it for the day - I had to use my rollator walker after that. The balancing effort really tired me.

My routine begins with rising in the morning 1 hour and 45 minutes before I leave for work. I go feed our cat and sit with her while she eats, following which I go change my diaper. Next up is a trip to the kitchen to fix my breakfast (some days Kim gets up and takes care of this - it depends on how she feels). I get out my bagel and cream cheese, the milk, and a Coke Zero. I put the bagel in the toaster oven and proceed to the dining room table where my glucometer and oral meds await.

After taking my blood sugar reading and downing my meds, I return to the kitchen to get the bagel out of the toaster oven and spread the cream cheese. I begin eating as I put things back in the fridge and return to the table to finish eating. After eating, I then take 2 spoons of fiber in a glass of water. I then mix a dose of MiraLax along with the Coke Zero in the glass and down it.

Why Coke Zero?

When I mix and drink the fiber, some of it sticks to the glass and spoon I used for stirring it. The residue sticks to the glass as if mixed with SuperGlue! 2 or 3 doses of fiber and it's time for a new glass and spoon. Tomēr, Coke products are very corrosive and clean the glass extremely well just by pouring it in the glass! Coke's "cleaning" capabilities have been proven by none other than the MythBusters.

Well after all of that, I then take a dose of each of my 2 insulins and head to the bathroom to shave and shower. Once completed there, I move to the bedroom where I stretch my hamstrings and do my foot flexor exercises. Then come the back stretches, piriformis stretches, and 2 different hip abductor exercises. Every few days I do balancing exercises after that.

I then get dressed and leave for work. Yep, due to being stiff and not having taken pain meds for over 8 hours while sleeping, this process takes me 1+45, whereas before my injury, I could be out the door 30 minutes after waking. Throughout the day, I don't sit for too long before getting up and walking around (ar niedrēm) for a few minutes. I use the cane because of balance. The less I have to help me balance, the more energy is expended in walking. In any event, standing still is limited to a max of 3 minutes so often I have to get folks at work to walk while we talk. Otherwise I'd just have to walk away from them. Same thing at church.

Time to Adapt - ClockAfter getting home, activity varies between spending time with my wife, email, moving prep, tv, playing with our cat, and my blogs. There are also more exercises to do. The medical literature says that most of the recovery from CES happens in the first 6 months after surgery. I'll be there at that point in 3 weeks and I've really had no increase in sensation/feeling since around the 2 month mark. Everything is pretty steady. So maybe this is all I'll get back and will forever remain unable to feel normally in most of my body below my waist. No feeling at all in some of it, only painful sensations in most of it. Last night, while Kim was putting lotion on my legs, she gently gripped my right foot to move my leg's position. I jerked it out of her hand as fast as I could - it felt like she had taken a clamp and placed it very tightly on my foot. Of course she hadn't, but it sure felt that way!

So this is the routine now. How this fits into the next ministry stage God has in mind for me I do not know. Whatever it is, it must be important because of this training process I'm being put through. God is doing a great work in me, molding me into a better human being and becoming more Christ-like every day. I am grateful for the changes in my attitudes and outlook that He has affected through this affliction. But I obviously wish there was a less painful way to get through my thick skull.