Labour, baby wearing and hips

July 24, 2013

It’s been a while…..

Since I last posted things have been busier, more sleep deprived and a lot of fun. Over 16 months ago now (and yes time flies at a rate of knots you never thought possible) our beautiful little girl arrived in the world.

Now I could bang on about the experience of babies; the good, the bad and the smelly but this is a hip dysplasia blog so I will resist.

After worrying my wotsits off about giving birth (as I’m sure any expectant mother does) it all went much better than I could have hoped. Little E arrived naturally, albeit nearly 2 weeks over her due date and sadly not in a pool as hoped – there wasn’t enough time to fill the pool by the time I got to hospital. There were no complications, no hip related issues and she was a healthy well baked weight of 9lb 9oz!

Throughout my pregnancy I was still having physio for my hip related muscle weaknesses and tendon issues many of these exercises were about strengthening my core so that my hips have the support they needed as baby grew and increased in weight. I believe these exercises helped me no end during my pregnancy and during labour. The most simple was pulling in my bump and holding it for an increasing amount of time, then repeating. So whether post PAO or not I would recommend this, oh and the obvious pelvic floor pull ups!

Since having little E life has changed in many ways, and my hips, well they seem to be holding up. I ‘wear’ or carry E most of the time when we’re out and about; I love having her close. More importantly she is happy to be close (she is also happy in a buggy). She was born a good weight and now is over a stone and a half, but I can still carry her; on my front for short periods of time and on my back for a couple of hours and without major hip issues. I do have a left hip twinge every now and again, but that’s my own fault for not doing enough exercises to keep my butt muscles up to strength.

So how about little E? First born girls are allegedly more likely to have hip dysplasia, but E has escaped. When she was born she had the clicky hip test where they wiggle the hip in the joint and feel for clicks and any unnatural movement and was given the all clear, after 6 weeks she then had an ultrasound for a more detailed analysis and again she was given the all clear, so it would seem that her hips are happy and healthy – HOORAY!

Incidentally according to some research baby wearing can help happy hips  see the link for more information and make your own judgement, one thing I will say is that I couldn’t carry E in a dangly leg carrier past around 5 months – she was just too heavy and the weight distribution is no where near as comfortable for me as when she’s in a wrap.

http://hipdysplasia.org/developmental-dysplasia-of-the-hip/prevention/baby-carriers-seats-and-other-equipment/

So there you have it, a year and bit after E arrived in the world I’ve managed to update my blog, if you have any comments or questions they will be gratefully received.

xx

I almost forgot, a few years on from right PAO and I’m now back to kick boxing a couple of times a week – it all feels fine apart from my hip flexors (both sides) which tighten up a fair bit, I figure they’re picking up the slack from my lazy ass butt muscles so I need to work on those some more. It’s blooming good fun though :0)

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Pre-Op Assessment info

February 11, 2009

So I had my Pre-op on Monday morning at Guys, the whole thing took about 3 hours, but that includes about 45 mins of waiting for very busy and helpful staff to come and see me.  All the info below is specific to my surgeon and hospital, so don’t be surprised if there are differences from what you’ve heard or read before. I just tell it how I’ve been told 😮

First I had some MRSA swabs, and height, weight and blood pressure taken. Next was going through family contact info, medical history, and general health questions, followed by a blood test. (I still have the bruise!). I then saw the Orthapedic nurse, who is super lovely and patient and very knowledgeble. She went through lots of pre and post op info, and answered pretty much all of my questions.  Then I saw the OT, who made me realise just how much of our house we need to tidy so I can get around!  I have a form to fill in with measures of various bits around the house so they can make sure I have everything I need.

Here’s what I learned;

The surgery, whether just PAO or PAO and FO will take around 3 hours. I’ll have an epidural beforehand, and can ask to be slightly sedated before this if I feel really nervous – this is good news for me, as mentioned before the thought of my spine being pierced with some big arse needle, or even a tiny needle, does make me feel a bit sick and shaky.  Obviously I will also have a general anesthetic, but the use of the epidural means they don’t have to pump me so full of the general which is better all round.  After the surgery I’ll be taken to recovery and monitored before being taken to the ward.  Where possible they’ll put me in an all female ward, but if this isn’t a goer they put all the girlies together in one part of the ward and all the boys in another.

I will be staying in hospital for 5-7 days, this timescale depends on how well I can get around. When I’m up on crutches and able to get up and down stairs they’ll let me loose on the world once more!  During my time in hospital I’ll be seen by the Physio and the OT on the day of surgery provided I’m ‘with it’ enough, if not it’ll be the following day. At this point they’ll try and get me up and hopefully about a bit too.  Apparently day 3 after surgery is renowned to be the low point of the whole affair.  By this point I’ll be off the epidural and on pain meds, this change in medication and the fact that I’ll feel a bit better, but still not able to do anything and totally shattered leads to a bit of teary depression. Obviously this is not a definite, but as the warning came from the very experienced Orthopaedic nurse I’m willing to accept it as a high possibility!

I will be able to shower as soon as I can get up and about as the dressings used are waterproof.

There is likely to be nerve damage in my thigh so I’ll loose some feeling. In 95% of cases this is temporary and the feeling returns withing 6-8 weeks, however there is a possibility that this will be permanent.  During the surgery they will cut through the hip flexor muscle and the only thing I can do to help at this point is stay as mobile as poss before the op. Other than that things will repair themselves as they see fit.  Either one or both legs are likely to swell up after surgery, only if they become hot, red or inflamed should I begin to worry.

I may have to inject myself for 28 days after the surgery with anti-coagulents, this will thankfully only be once a day. Fingers crossed the new tablet version will be up and running by the time I’ve had my Op, so I can have a tablet a day instead of a needle.

I will be non weight-bearing (on crutches) for a minimum of 6 weeks, after which I will have a follow-up appointment at Guys when my new hip will be X-ray-ed. If the bone is knitting back together I’ll be allowed to bear weight on the operated side, on the other hand, if the bone is not knitting together well enough then I will have to continue non weight bearing for up to 12 weeks.  During the non weight bearing phase I will be doing naff all. No bending forwards to put socks on, no bringing my knee up, no crossing my legs – not even my ankles, no twisting, definitely no exercise unless physio specified.  I will be able to hobble my way around on crutches but have to be super careful. I can be a passenger in a car if I really have to, but this is best avoided as getting bumped in any way (even just going over a speed bump) might result in a wonky bit of bone floating around my pelvis! For the same reason I’m not allowed to use public transport.   Obviously I’ll not be able to drive until I have the all clear to try and walk, even then I need to be strong enough to be able to do an emergency stop if needed.

In terms of aids in the home I have to measure the sofa, chairs, bed and loo to see how high they are off the floor. The measurement from my foot to my knee is around 19″ when my knee is at 90 degrees, so all the furniture has to be high enough for me to keep this measurement, anything less and I’ll be putting pressure on my hip joint. I’ll be getting a very glamorous riser loo seat, some cushions to bulk up the sofa and chairs, and may need a stool in the shower so I can sit down whilst washing my hair etc..  and I will have a ‘helping hand’  or grabber so I can put my own socks on (if I can be bothered to wear any!).

I received the confirmation letter to day for my surgery date, so it looks like this is it folks, countdown is progressing.   Just a little over 6 weeks and I’ll be on the way to being bionic 😮

I’ve come to realise, through a lot of reading of other peoples blogs and medical accounts, that I am blooming lucky in the amount of activities I can do with my dysplastic hips.  Don’t get me wrong, I do have pain, soreness and hobbling in varying degrees every day, but I can still go for a walk, kick box, go spinning and lark around in the snow – knowing full well it’ll hurt tomorrow but I’ll blooming do it anyway.  Being fortunate enough to still be this active means I’m going to be really pissed off at not being able to do anything, not even put my socks on!  It’s a short term pain in the arse for a long term better quality of life and being able to go about day to day stuff without any pain in the years to come…… at least that’s what I keep telling myself!


it’s been a while…

October 30, 2008

This weekend just gone my man and I went to my folks for some lovely home cooked grub (full roast if you must know- yummy too). Anywho after dinner my very ‘down with tha kids’ parents got us all playing on their new toy… a Wii, much to the interest of my little nannie who was a bemused and amused spectator throughout.  If you’re not familiar with this particular toy it’s great entertainment with interactive games aplenty.

We partook in Wii Sport – boxing, tennis, baseball, bowling and a coupla others, next we moved onto Wii fit. Part of which is a sensitive board which you stand on and it can work out all sorts of things about you that you’d rather not know – weight, balance and more worryingly your Wii fit age (whatever that might mean!). I’m apparently 12 yrs older than my real life age – blooming rudeness! The age calculation isn’t based on any cardio or strength level of fitness, but on your balance. Obviously with wonky hips I was off to a looser on that one from the off (at least that’s what I keep telling myself).   After the initial balance assessment the machine decided that I put most of my weight on my right side, and then mentioned something along the lines of ‘your pelvis may be out of alignment’ NO SH*T SHERLOCK!!  Any way after this amazing revelation we all continued onto the balance games – thinking it prudent not to shake up the roast dinner too soon with aerobic activities.  We slalomed, ski jumped, headed balls and a couple of other things I can’t remember. Not that I’m competitive at all but my fella beat my overall high score on the ski jump, so I gotta go back and rectify that soon.  After a while I decided to have a go at something different and found the hoola game….  Basically you’re stood on the Wii fit board thingy facing the telly and wiggling your butt like a maniac, that is until you have to pause and lean to one side to catch another hoop (yes I did manage all 6 hoops spinning at once whoo hooooo!!). Needless to say the others in the room had an interesting spectator sport and were rolling around on the floor in fits of giggles … ahh they may mock but they’ve not managed to unlock the next level of Hoola! I will not be defeated!  Well that’s what I thought until Monday morning. 

Hobbling out of bed and limping my way round Uni all day topped off by my kick boxing session being hampered due to hoola related hip pain was all too much.  It’s day’s like that it really brings home to me how things could be if I’m not careful and if I don’t have the PAO in the next 12 months.  The day of hobbling wasn’t so bad, bit of a pain but bearable, what really got me was kick boxing. Something I really love doing and when possible love launching myself into, part way through the class I had to leave. There was no point in me being there as I couldn’t do kicks with either leg – kicking with the right made the right hip sorer, and kicking with the left meant supporting all my weight on an already sore right side. IT SUCKS,  so frustrating, and I still only have mild discomfort compared to many. 

The rest of the week has been ok hip wise, just a little sore from the weekend shenannagins – I mean Hoola-ing of course!  It makes you wonder though, what’s next? I can’t circuit train anymore, running is out (not that I did much but it’s still off the list), rowing machine is a no-no, clearly Wii Hoola isn’t such a great idea, how many more things are gonna be struck of the list?…….