Monday, May 16, 2016

BS!

As I sit here with a napping R in my lap (we just passed the 2 hour mark!!), it's a good time for an update. I'm sad to report that I'm not doing PT in the pool right now, and possibly ever again. I developed a nasty case of contact dermatitis on my nipples, and my PCP is certain that it's from the chemicals in the pool. I saw her almost a week ago, and have orders to apply lanolin, air-dry as possible, and stay out of the water. So. To put things bluntly, I find this turn of events to be complete BS and am feeling bummed. As I wrote in my last post, I was really enjoying my time in the pool, in addition to it being the best possible PT for healing my PS... gahhhhh! So frustrating! I'm not sure that getting back to pool PT (and risking more nipple issues) would be worth it to me. We shall see.

In the meantime, I'm still going to PT, but am doing "dry" activities. A new one is "tummy time". No, but really: just like R, I now have this on my daily to-do list! My PT has me laying on my stomach for 10 minutes. While I'm down there, she helps me do other stretching-related exercises, but the tummy time is apparently helping my hips stretch back and realign themselves. Not too shabby.

OK, the boy seems to be stirring. More later.

Saturday, May 7, 2016

Pool PT Review

So far, so good!

PT in the pool has been REALLY great. I've had a total of 3 sessions so far, and am scheduled for 8. Not only am I doing exercises to strengthen my core and hips (which will help my PS slowly stitch itself back together), I am also getting the benefits of good old exercise. After each session, I'm feeling muscle soreness that's just from doing ANYTHING exercise-related, and I love it. Here's what my last session looked like:

* Total time: 35 minutes

* With a pool noodle, walk forward 4 lengths of the pool (focusing on heel-to-toe stepping).

* With a pool noodle, walk backwards 2 lengths of the pool (focusing on toe-to-heel stepping).

* Holding on to the pool deck for balance, march in place for 20 steps total.

* Stand without holding on to the pool deck (so, with arms at my side) for 10 seconds. Do this with feet together, left foot forward, and right foot forward.

* Laying/floating in a recliner position (with the pool noodle supporting me behind my arms), do flutter kicks, pedal pushers, and legs in/out. Do 20 reps of each.

* Traction float (i.e. floating with the pool noodle supporting me behind my arms) for 5-ish minutes.

The above workout definitely made me sore later that afternoon. Today (the day after), I'm feeling the usual pains and aches, but nothing too crazy. It's pretty easy to differentiate between PS pain and regular, healthy soreness. I hope that I continue to make progress... I suppose that plateauing is a fear of mine. Time will tell!

More later, gators.

Tuesday, May 3, 2016

Assistive Devices

I've had to rely on an assortment of assistive devices since coming home from the hospital. Here they are, with reviews and all:

* A Rollator walker: This has been my most used assistive device. Before getting a Rollator, I was using a less heavy-duty, 2-wheeled walker. The Rollator has 4 wheels, ergonomic handles, brakes, and a seat that also functions as a place to store/transport things. These days, I don't use the Rollator when I'm moving around small areas in my house (like the bathroom, the walk-in closet, etc.). So long as I have something to balance myself on nearby (counter tops, door frames, and the like), I do OK. The Rollator also easily folds up and fits in the trunk of my small SUV for transport. I have it in a bright blue color, too, which adds to its appeal in my mind.

* A grabber: This is used to (what else!) grab things that are out of reach. There are TONS of affordable grabbers out there - I have an EZ Reacher that I found at Rite Aid. I don't need to use it anymore, but it was most helpful to pull up my pants (TMI? Maybe. Oh well!) and pull down shades in my living room.

* A raised toilet seat: A completely necessary item! When I first came home from the hospital, sitting down was NOT easy to do. Both the pain and the unsteadiness of my core contributed to that. I have a Drive Medical Elevated Toilet Seat, with the padded arms. It's still installed in our guest bathroom, although I could probably sit and stand without it now.

* A rubber ring seat: I didn't start using this until a few weeks ago, when I started sitting at the kitchen table again. It's literally a rubber, blowup ring that you sit on - VERY comfortable. I also picked this up at Rite Aid.

These were all things that my PT suggested I use. They all definitely helped my functionality around the house. Even though I paid out of pocket for a few of them, I figure I'll use them again when I reach the geriatric stage of life! :)

Also, for the record: it took me 3 days to write and publish this post, thanks to the presence of my little R. He'll be 3 months old next week... time is FLYING, in that regard!

Friday, April 22, 2016

Starting Outpatient PT Today

... and I'm admittedly a bit nervous. I had such an amazing experience with my in-home PT, I'm worried that my new outpatient PT will somehow mess with the progress I've made. Ever since my diagnosis/in the time before starting PT anew, I've continued to do my exercises at home. All of them center around my pelvic floor muscles. When I'm home alone with R, I find that I can get away with doing standing exercises most easily - no extra time needed to situate myself on a bed or on the floor. Other than standing exercises, I also do bed exercises (which, yes, all start with me lying on my back on the bed) and floor exercises (all of which start with me on hands and knees on the floor). I do the standing exercises at the kitchen sink, or really anywhere where I can balance my hands on something that's at about waist height. If anyone is interested in more information about the specifics, just comment below.

While none of the exercises are vigorous, I always feel a sense of accomplishment when I do them. Before my injury, I was a very active person: Frisbee, field hockey, running, biking - all of it. My postpartum months have definitely been the most inactive of my life to date. It's such a downer... but thankfully PT is something that helps lift my spirits, while at the same time enabling me to make physical gains, too. #staythankful!

Saturday, April 16, 2016

Doctor, Doctor, Give Me The News

After meeting with the ortho doc a few days ago, I've got some more information on my situation. Here is what I found out:

* I won't be needing surgery. Apparently, surgery to fix a pubic symphysis rupture is relatively rare, and this doctor told me that, while he has done the surgery before, he "regretted it". It can make for a faster recovery time, but it can be extremely painful and complications are possible (as with any surgery, I suppose). Also, by inserting a plate between the pubic bones, you can cause more SI joint pain... no, thanks.

* I'm going to restart physical therapy. As of my first week postpartum, I had in-home PT 2-3 times per week. We stopped after I got my diagnosis, but before I spoke with the ortho doc. While the progress was s-l-o-w, there was definite gains over the past 2 months: I went from not being able to lift my legs onto the bed, to using a leg lifter, to now being able to do it independently with minimal discomfort. During PT, I did light stretching, standing exercises, floor exercises, and bed exercises, all of which focused primarily on core strength/the SI area. I'm looking forward to getting back into it.

* I won't be wearing a binding belt. According to the doc, wearing one is hit-or-miss, as far as helping with the pain goes. I wore one for about 40 minutes during the MRI of my pelvis, and I was back to a pain level 8-9 (out of 10) for the next 48 hours. Given that info, the doc said I should skip it. He didn't need to tell me twice!

* I'll continue taking ibuprofen and a NSAID as needed for pain. I've been trying to taper (before this, I hardly EVER took OTC pain meds), but I find I need to take a full dose overnight (sleeping for even 3 hours in a row in the supine position bothers me).

* Other than PT, "patience, my dear, patience!" is the primary ingredient of my treatment plan (quote the doc). It'll take me 4-6 more months to recovery fully.

* "Recover fully" for me means back to my old-self, at 100% functionality! I was REALLY worried about asking the doc if that was even a possibility: I know from my internet research that, even years after an injury that caused PSD, people live with chronic pain. Even though I'm hesitant to set myself up for failure - to believe that I WILL get better, all the way - I need to focus on it, in order to keep my spirits afloat.

SO, there you have it. Writing here with a newborn on my hands is turning out to be trickier than planned, but I'll update as much as the little man allows (for example, right now R is sleeping in his Rock 'N Play - I'm rocking him with my foot as I type)..... and he's awake! More later.

Monday, April 11, 2016

Hello, and Welcome

This is my first ever blog, let alone blog post. My goal is to chronicle my postpartum experience, primarily with a ruptured pubic symphysis. I've found that there isn't a lot of information out there for inquiring (aka, freaking out!!) minds, so hopefully I can compile some here. I was inspired to start this blog in part by Rowena, a fellow blogger whose blog has been a source of both information and comfort for me (check her out: http://pubicsymphysis.blogspot.com/).


I'm 8 weeks postpartum as of today, and have an appointment with an orthopedic trauma surgeon this afternoon. Hopefully we'll make a plan of attack... stay tuned.


Here are some fast facts about me, outside of my PS issues:


* I live in the state of Maine, USA - our motto is "The Way Life Should Be" for a reason!

* R is my son, and my first child - although his arrival prompted my PS rupture, he's honestly perfect. I'm a total goner for this kid.

* E is my husband - the love of my life, and a tremendous support throughout the last 2 months.

* The title of my blog is a line from the lullaby that we sing to R before bed each night. My dad used to sing it to my sisters and I, and his dad sang it to him. Somehow it seems like the right fit for this space.

* Stay Thankful is my life's motto. I have it inked on my right wrist.



All for now -