Was My Hip Surgery Worth It?

This is a bit more personal of a post than I’ve written for awhile, but I thought it would be important to share my thoughts and feelings about the subject. As some of you may know (if you’ve been a reader of this blog and/or have followed me on social media for awhile), I had a hip arthroscopy to repair a labral tear on my left hip last November.

Post-surgery selfie.

The surgery lasts for about 4 hours, is totally laparoscopic. I was extremely nauseous coming out of the anaesthesia which is no fun. And then there is the recovery period. The first 6 weeks you can’t put any pressure on that side (so again, for me it was the left) so I had to use crutches to get around (which was exhausting, especially because I live alone – though I did have some friends come to help throughout). You also can’t bend at more than 90 degrees during those first six weeks, and obviously, no exercising that hip. (I found some chair workouts to at least get some upper body exercise).

My very tiny scars have faded quite a bit since the surgery.

Then after the 6 weeks, you can start walking again and bending, but no “exercise” for 6 months. And by that I mean there are some physio-approved exercises including light walking and recumbant bicycling as well as specific strength exercise for it, but overall it is pretty limited. And for me, well I help my other UCTD and fibro symptoms with exercise, so being limited is not overly helpful.

Me trying to walk for the first time in 6 weeks.

Recently someone posted in an online group that I belong to, that she was diagnosed with a labral tear and was still undergoing testing for autoimmune diseases. She was asking questions about the tear and treatment options including surgery. Someone else responded to her post saying that she was told by her rheumatologist that labral tears (which can occur in almost any joint) are common in people with lupus and other connective tissue diseases. (Mind you my rheumatologist and orthopaedic surgeon said nothing about this). In my own research I had found that people with fibromyalgia tend to have much longer recovery times from the surgery. In my own experience, I realized over the summer that the pain in my left hip had returned. Not nearly as badly as it used to be, I mean I can sit (including cross-legged) for much longer than I used to be able to, but it was back nonetheless. This leads me to believe that (a) I re-tore the labrum, or (b) it just never healed properly. So that’s what I responded to this other woman’s post.

Still wondering how I survived on crutches for that long.

So, was the surgery worth it? Would I do it again? I don’t know to be honest. Perhaps not. At this moment if someone said to me, well we can go in and fix it again, I would definitely decline. So what I learned, and I suppose what this post is about, is to do A LOT of research before committing to a surgery that some doctors think will help. Unless they are making specific connections to your illness overall, something like this which is elective (because the other treatment option is physical therapy), I would say do not jump into it. I thought I had done my research but I probably didn’t do enough. That being said, I am self-compassionate and acknowledge that I made a decision based on the information I had, and that’s okay. And I choose not to forget that it perhaps did improve the quality of my life in the long-term (remember, I can sit longer now, and as a therapist that is super important). Just many things to consider.

Thanks for reading everyone, and keep making the most of it!

If you don’t mind, I’d love it if you can support my content on Patreon. I recently reduce the fee, and you get bonus perks including 2 e-books and bonus content from the podcasts. This week’s podcast episode is on how to get started with holistic health, check it out here.

Daily Exercises: Hip Strengthening

These are the exercises I’ve been doing to strengthen my hip post-op. They were all given to me by my physiotherapist and chiropractor (please consult with yours before trying new workout routines). I’ve found them to be really helpful, especially when I was learning to walk again after my surgery. All the exercises are 10 reps per set and 2 sets. Check out my podcast interview with Trachele for how you can get your exercising started again when you have a chronic illness.

How has your sleep been?

I can’t overstate how important sleep is to daily functioning. For everyone, and definitely for those of us with a chronic illness. I know I’ve written about sleep before, and honestly, that is because it is that important. I wish I was one of those people who could function after 4-5 hours of good sleep. How amazing would it be to go to bed at midnight and wake up at 5. All the things you could do with the day. Alas, that is not the case for me or probably most of you, so I suppose it is not worth dwelling upon.

Spike was a pro at sleeping.

I will admit that I have not been sleeping well lately. And by lately I mean since my hip arthroscopy four weeks ago. Poor sleep is something I’ve experienced before. Waking up in the middle of the night because of pain, or not being able to get comfortable during the night because of pain. Anyone else with chronic pain experience this? I’m betting I’m not alone. The past four weeks have been slightly different. Yes, initially there was some pain from the surgery, and my hip was swollen, so it was difficult to shift around at night. I like to switch sides during the night, and occasionally sleep on my back or stomach as well. Immediately following surgery I could only sleep on my back. Then about two weeks later I could also sleep on my right side. The past few nights I can get onto my left (side that had the surgery) but only for short periods before I get uncomfortable. Technically my sleep has been improving the past few nights, but not to where I’d like it to be.

This giraffe looks like it’s in sleep mode!

Why is sleep important? Well, for one it can actually help with chronic pain. The better the sleep you get, the less pain you can experience during the day. It also helps with fatigue. That’s not to say your illness won’t make you tired during the day, but at least you won’t be starting off the day exhausted. And of course it is important for your mental health. You’ll be more alert, feel more positive, and likely have at least a bit of extra energy to do some of the things you enjoy during the day (self-care!).

Napping outside it always good! (as long as you’re wearing sunscreen).

So how can we improve our sleep, especially in situations where we are limited in how we can sleep (i..e, position)? I think the best way to go about it is just to make sure our sleep hygiene is as good as possible and that we are taking care of all of our medical needs. Sleep hygiene means we don’t drink anything 2 hours before bedtime (except for sips of water), drink caffeinated beverages after 2pm, exercise at night, do anything in our beds except sleep or have sex, and try practices such as meditation or having a hot bath in order to relax at night. As far as medical care goes, have we taken all of our medications as prescribed and at appropriate times? Have we taken any alternative medications (like marijuana or CBD oil for example) that can help with sleep? Can we sleep in if we need to? I know the last one is hard, especially if we have other responsibilities. Initially post-op I gave myself permission to sleep in (basically up until two days ago when I started setting an alarm again). Give yourself permission to do what is best for you and your health needs, because you can’t take care of your other responsibilities if you don’t!

As much as I like hammocks, I think just relaxing in them works better for me than sleep (Costa Rica throwback).

I would also add that consulting with your healthcare team might be useful as they might be able to suggest other strategies, techniques, supplements, etc to help you. Personally I would be wary of sleeping medication as it can be addictive but ultimately that choice is your own. I hope your sleep improves if you’ve been struggling. Feel free to share your own strategies, by commenting! Keep making the most of it everyone!

All the Cozy Things for Fall & Winter

This is a self-care type of post I supposed but in the past week of not being able to do much, I’ve been thinking about how, even during a pandemic, there are amazing, cozy, self-care activities… well, activities in general… we can do inside and at-home during the winter. I live in Canada, so winters are already long, and yesterday I watched a news report where experts said the “darkest” months for Covid will be January-March so I guess we should be prepared for the continuation of strict measures.

Image from: http://www.ottawafamilyliving.com/cozy-home-cozy-life-preparations-winter/

Let’s start off with some of my favourite things to wear. Pyjamas – because as spoonies we can’t have enough of these – and especially cozy ones like fleece or flannel. Who doesn’t want to lounge around in PJs all day, especially when it’s cold and gloomy outside. Sweaters are another one. Big, comfy, cozy sweaters. And for the holiday season, Ugly Christmas Sweaters (I have three Star Wars ones… I don’t think they’re ugly though!). Sweaters can also just make you feel warm and relaxed – at least I think so! Finally, slipping on some of those fuzzy socks, or a nice pair of slippers (my feet always get cold first… also I can’t get on socks at the moment because of my surgery, so I’m looking forward to 5 weeks from now when I can properly dress myself again).

New fall/winter sweater I ordered online.

Part 2: Delicious Drinks. Hot chocolate, coffee, and tea. All of these just feel warm and wintery. I maybe have hot chocolate once a year because it’s way too sweet. What I do like are some of Starbucks’ holiday drinks like the peppermint mocha (half sweet though) because it gives that combo of hot chocolate and coffee (best of both worlds)! Though if you have any local coffee places that make something similar, I definitely encourage you to support them instead! Or if you don’t want to go out, there are tons of recipes online to make them at home! Teas are all great. Usually in the winter I end up preferring black tea over coffee at some point and switch over in the mornings. I also love herbal teas. Peppermint tea is another great wintery classic.

Image (and recipe) from: https://bakingmischief.com/peppermint-mocha/

Finally, being creative. Baking, doing crafts, decorating your house, playing music, reading, and even some throw backs like playing board and card games (instead of video games) and doing puzzles can be great ways to get through the extra in door time. Varying up the routine to prevent boredom is essential (my parents used to tell us that “if you’re bored, you must be boring.”). These things all have a cozy, wintery feel to them (yes they can all be done throughout the year) and maybe that’s just some nostalgia from memories of growing up in a snow-infested, bitter-cold province.

Image (and recipes) from: https://www.chatelaine.com/food/kitchen-tips/baking-perfect-christmas-cookies/

I think my point here, is that we can help our health and our mental health by thinking outside of the box and making ourselves feel good with the little things. Because sometimes little things can have big impacts. Keep making the most of it, folks!

Surgery & Post-Op World

First of all, I’m going to say that I’m pretty impressed with myself for writing a blog post just 24 hours after coming out of surgery. Also, this was my first ever surgery, so I thought I’d share some thoughts and feelings about the whole experience. If you’ve been following me for awhile you are probably aware that I was diagnosed with a labral tear in my left hip back in March (MRI was back in January). Of course, with Covid-19 any kind of surgical consult, let alone treatment was pushed back and back (also I was floated around to 3 hospitals because very few surgeons specialize in hip arthroscopy apparently).

My sexy hospital bracelet.

I didn’t choose the surgical route lightly. Actually, I took advice from several physicians and healthcare professionals before making the decision. My rheumatologist (actually my rheumatologist was on mat leave so it was the one covering for her) diagnosed the hip tear and sent off for a surgical consult. She also told me to start physiotherapy for the tear as it is often helpful. Because things closed down because of the pandemic, I started virtual physio with my regular physiotherapist mid-April. Though exercise helped a bit, it was minimal. I added chiropractics, and massage back into my routine care (because of my undifferentiated connective tissue disease as well) in July, and then most recently started seeing the naturopath again at the end of September. All helpful, but not enough to take away the excruciating discomfort cause by the tear. They all also offered opinions, some differing, on whether I should have surgery. At the end of the day, with research done on my own, I decided that as my naturopath put it, surgery was really the only option to fix the problem.

And my sexy post-op selfie.

Now, I actually wasn’t nervous about the surgery, especially after finally meeting with the surgeon mid October, and literally being booked for surgery less than a month later. He was confident, read me off the risks which were minimal, and again, I did some research on long-term outcome studies. Yesterday, after I had been checked in, and then taken into the pre-op area for some vitals and questions, I started to get nervous. However, the amazing healthcare team (all the pre-op, op, post-op nurses; pre-op and op anesthesiologists and assistants; and of course my surgeon and surgical team) made me feel at ease. According to my surgeon after surgery, it went “perfectly.” Also a relief.

Post-operatively not so fun. I wasn’t actually nauseous at first and the pain in my hip I rated at a 6-7 (for which they had me on morphine) after about 30-45 minutes later (really was out of it and couldn’t keep track of time) I rated the pain about the same, so they gave me oxycodone, which then made me nauseous. It took another 2.5 hours for me not to feel “as nauseous”… basically the least amount for me to go home (and my pain was also down to about a 4 at the time). Long day. Probably longer for my amazing friend, Mike, who picked me up from my appointment and then took care of me at home (even brought groceries, and Starbucks!). The nausea stayed until like 7:30pm. Honestly, I think food helped. And I was pretty out of it all day. Oh yeah, they gave me Gravol for the nausea which totally made me drowsy. But we had sushi, and watched Netflix until like 9, when I passed out in bed.

Is everyone else singing, “Vanilla Ice, Ice, Baby…”

At this point I’m more annoyed about the post-op complications I guess? First, sore throat which apparently is common after coming off of general anesthesia, but I didn’t know that. I’m trying to drink a ton of liquids to help! Second, I have numbness in the groin area… maybe I’ll share more about that on a later post but let me say, not fun. Finally, living alone and trying to get around on crutches post-op is not fun. I have to ice my hip constantly, and then it took me forever to get coffee/breakfast ready for myself this morning. If it weren’t for the pandemic, my mom would’ve flown out to help me. Oh well, I suppose this is Chronic Pain Warrior life.

I’m quite impressed with my breakfast abilities this morning!

That was mostly thoughts… as for feelings, I’m tired and sore and frustrated (about the numbness) but also relieved to have the surgery over with, and hopeful that I will have significantly less pain in my hip. I mean, if I’m going to be a practicing therapist soon I need to be able to sit for long hours without looking like I’m in discomfort, so I can be present on focused on those future clients of mine!

If anyone else has an op/post-op experience they’d like to share, I’d love to hear from you. And remember, keep making the most of it. 🙂