Jaw Dislocation

I've determined I will take a hip dislocation over dislocating one side of my jaw any day.

Perhaps it is because I've survived a hip dislocation many times.  Maybe the soft tissue surrounding my hips are able to adapt better because they are larger.  Possibly, I just don't remember how much it hurt the first time.  Whatever the reason, the pain in my face was incredible.

I am so thrilled that the rolfing is working and, with the help of the new shoe lift to level my short leg with my long one, I have not had a full dislocation of any joint in many months.  An occasional slip, but nothing big.  Dislocating my jaw was a complete shock.  One side slips and pops a lot, and occasionally dislocates, so I am careful not to take too big of a bit of an apple and avoid tough-to-chew food. 

To add to the complete shock of having to reset the other side - it happened while I was yawning.  I guess I over-compensated for the weak side, but it slipped right out.  As with other joints, I snapped it back into place, but that is when all the muscles, tendons, and ligaments in that side of my face exploded in colorful ways.  I didn't realize how many little tissue lengths are involved in the jaw, cheek, and neck.  Swelling went into my mouth and my sinus cavities on that side.  I've spent the past 3 days talking as little as possible and eating soft food.

This event also reminded me how much pain and anxiety are closely related.  I have had a little stress recently, but nothing so much or such type as to stress me out.  The past three days, while living with this pain, little things send me through the roof and I panic.  I fought down two panic attacks yesterday, and realized I was worrying about things not worth worrying about. 

This morning, my pain is much reduced (ate an entire banana with only a little discomfort) and I am reflecting on the experience and realizing that I need to manage my pain better.  I cannot afford to run to the emergency department every time I dislocate a joint - the visit fees and prescription drugs will destroy me financially; besides, I hate the side effects of pain killers.  But, I do need to find something so I can keep the pain/anxiety minimized while I heal. 

Rolfing Sessions 3, 4, & 5

My last three sessions focused on what is called the "center line."  This is the imaginary line from the skull to the ground.  I have come to think of it as a plumb line; if I drop a weight on a string from my head this line would be where my spine should be.  It is side to side and front to back.

Much of the work has been through deep muscle triggering/massage and at times becomes a bit painful.  Luckily, she backs off when I signal, usually through body signals before I think to say something! 

After my third session I found I no longer have to fight to stand up straighter.  This is a wonderful experience, allowing me to see the world from higher up and look in front of me as I walk, instead of at my feet so I won't trip and fall and inward to remind myself to continue pulling up, wagging tail, etc.

My fourth and fifth sessions continued from this, with focus more on the legs and hips, but continuing in the spinal areas.  It has been 3 days since my last session and I am still a bit sore, but in new ways (mostly where the pressure became too much and my EDS bruising tendencies kicked in).

I love how my body is changing!  I feel stronger, have more energy, am standing taller, and have not fallen in months.  I also have not experienced a full hip or shoulder dislocation since starting.  Subluxations still occur, but seem less severe.  I have not had this much success  from anything else I have tried, and am, yet again, looking forward to my next rolfing session.

Second Rolfing Session - Walking

Yesterday's big event was my second Rolfing session, and I am still loving it!

This appointment's focus was on how I walk. 

We started by evaluating how well my newly lifted shoes level my hips.  Not only are my hips more level than when I walked in for my first appointment, but she told me I am moving more normally than 3 weeks ago.  Then we moved to my feet.

Looks like, in this situation, EDS is a benefit.  The joints between the carpals, the small bones in the foot, are very flexible.  She was able to easily get them moving, which was a little scary at first since I have slipped some of these joints before.  We worked with what it feels like to move the foot properly as if walking, then she moved on to my legs and hips.

One of my legs likes to turn out.  Through deep tissue massage she turned it in and helped me to feel how it should face forward.  This also involved the hips and teaching my coccyx, or tail, that it is separate from the hips.

Then, I got up and walked.

It is strange that I now understand what I've been told for years about, "walk on the outside of your foot."  It involves a lot of rolling of the foot, bending of the knees, movement in the hips.  And, I didn't fall!

As I've aged I've become more scared of falling.  In my defense, falling has resulted in much bruising, subluxations, and dislocations.  It hurts a lot!  The body's natural reaction is to defend against this, but it does it by limiting or eliminating natural movement.  This, in turn, causes more instability and can actually cause more falls.  A vicious cycle. 

I would not have believed anyone if I was told that to minimize pain I had to learn to walk again.

Alternatives to Surgery

My last update was about the immediate need for surgery. 

Hasn't happened.

I consulted with an adult scoliosis expert at the same hospital as my EDS specialist.  His conclusions:  I'm too scary to operate on.  I would be in more physical pain with more physical limitations after surgery.  I am flexible enough that there would be a near total curve reduction (as evidenced by a push-pull x-ray series), but the odds are for a lower quality of life. 

My orthopedic specialist thinks the surgeon is too comfortable in his tenured teaching position and wants another opinion.  Me?  If one of the best of the best says, "Eek!" I want to try non-conventional alternatives first.  I won the argument.

At this time I am working with a new orthotic/prosthetic specialist who reevaluated my short leg and changed my shoe situation.  I am spending the next two months, the warmest and my least painful, walking in and adapting to the changes before we determine if this is best.  After a few hours in my new sneakers I already decided I like it if for no other reason than I am  very stable.

I also am seeing a physical therapist who specializes in a technique called Rolfing.  So far I like the results and have even gained about 2 inches of height!  Granted, I shrank almost an inch between the first and second session, but I have experienced minimal back pain (though my back muscles are very tired at the end of the day even if I skip my exercises!).

So, I'm heading into the summer with no surgical scars, new physical therapy technique, new shoe lifts, and a positive attitude.  Let's see where this road takes me!

Orthopediatic Outlook - Stormy Skies Ahead

I am still processing the results of my latest orthopedic appointment emotionally but mentally know what has to happen. The little kid inside me, however, swings back and forth between, "this needs to happen," and, "NO!" I'm about to send my emotional self to her room to finish out the tantrum.

The latest appointment was to go over the findings of a series of x-rays. There is a little osteoarthritis setting into my shoulder; not surprised. My short leg is 14mm shorter than my long leg; hasn't changed. My spine has become unstable. WHAT?!? Yes, unstable. After over 2 decades of stability it is collapsing. Gravity is no longer my friend. I am an adult staring into the abyss of corrective spinal surgery. I hated hearing the words Harrington Rods spoken aloud after so many years of believing I escaped their cold surgical steel clutches.

But. mentally, I knew this was coming. I could feel it in the increasing pain and unidentified anxiety. The strange "you are too young for this" diagnosis of bursitis just 3 weeks ago that prompted me to demand a new spinal evaluation. The knowledge that gravity works and it was only a matter of time before the curves increased. The nurse who laughingly refused to remeasure my height last year when it was 1/2 inch shorter than I knew it should be. I knew. But I refused to accept.

Now, I have no choice. My curvatures are each over 60 degrees. This is no longer a case of avoiding surgery but needing to embrace it before my spine kills me. Some of my internal organs are in danger of being damaged. There is a potential I will break a rib on my hip bone - good thing I have strong bones! Straightening my spine will also eliminate pain, correct problems with my hips and shoulder, and on the petty side I'll be MUCH taller (at least 3 inches) and no longer be 5 pounds overweight for my height. Hey, I have to find a ray of sunshine in this somewhere :)

Pain Management Program

This spring, at my specialist's recommendation, I enrolled in a pain management program through my local hospital's wellness center. My requirements were that it would be non-invasive and limited pharmaceuticals - I admit I was very surprised to find that at a traditional hospital!

The program was supposed to start with an informational meeting, but due to time constraints and because I want to keep working and not threaten my employment status with frequent absenteeism I started with an orthopedic evaluation and physical therapy. The evaluation found bursitis in one hip which was causing a new onset of pain and weakness and, when my shoulder was moved the way he wanted, limited mobility in my previously "worked on" shoulder. Of course, if allowed to move the shoulder "my" way it has hypermobility. PT has focused on these two and not, as I wanted, all-over body strengthening to help manage the constant discomfort.

I still haven't had the informational meeting with the head of the program, but found out last week that was due to a hiking disaster she experienced and the program is slowly changing hands. Thus, I am fighting for my needs with the feeling of little support other than my family.

I pushed and was sent to a second orthopedist who is re-evaluating my short leg and scoliosis. If these have changed at all (which is likely, it has been about a decade since last evaluated but at that point both had been stable for about 15 years) then they could be the cause of the bursitis, limited shoulder mobility, and possibly other areas of pain. Won't know more about this until early September.

My goal with all of this is to reduce the amount of daily pain and numerous subluxations/dislocations I experience. I want to be able to keep on top of it and not be constantly surprised by new problems. I love my career, but know EDS is slowly making it difficult to work everyday and be effective at what I do. My hope was for the pain management program to help me organize it all and figure out who and what would help the best, but so far it is, yet again, me figuring it all out with almost no knowledgeable help from the medical community. This is extremely frustrating and I sometimes want to just give up, but I am still too stuburn to admit I am disabled.

Summer is My Favorite Season

I always look forward to summer. The flowers are blooming, trees fully leaved, and the days nice and warm. Perhaps it is the warmth I look forward to the most.

Heat helps my joints feel better. The lack of shivering also gives my muscles a chance to heal from the damage of winter. I can exercise more because I feel better, which, in turn, makes me feel even better.

I haven't had a major joint episode since my elbow last year, though my left shoulder gave me a scare about a month ago. Luckily, since it is getting warmer, I can exercise the joint more and strengthen it before I have a full dislocation.

I'm looking forward to my next visit with my EDS specialist. I have several new oddities that I want to discus with him to find out if they are EDS related. One is an occasional extreme headache, not a migraine but seriously painful, that is occurring about once every 2 months. The other is a bizarre hive-like rash that will occasionally appear and disappear a few hours later. I am wondering if my skin allergies are related to EDS (since my skin is very much a result of EDS) and if there is anything I can do besides live in a hypoallergenic bubble :)

Now, to go enjoy exercising in the warming weather and get these joints of mine ready for next winter!