Anti-inflammatories
Does anybody know if Dr. Muschaweck's procedure can be done without anti-inflammatories?
Or what type of anti-inflammatories she prescribes? Or for how long they are to be taken?
Anti-inflammatories
Does anybody know if Dr. Muschaweck's procedure can be done without anti-inflammatories?
Or what type of anti-inflammatories she prescribes? Or for how long they are to be taken?
rem-
I have been massaging the adductors since day 3. Meyers says to do so. I had my NMT massage as close to them as he could on day 5 and day 12. At day 19 he did them and went into them like he would any other muscle. I think i may have erred on that one because the muscle had cuts in it to promote new vascularity. (i believe thats what the OR report stated. Anyways, between that, the damp weather and my dog dying I was inflammed big time. Yesterday was less and today is nil. I also have refocused my approach on more stretching and strenghtening of my legs/core and less cardio. Most of you guys are in good shape. I am not. I am an ex-boxer who has not been able to steadily worked out for 4 years. i have sporadically worked out and paid for it...but the last 2 years I was in bed most of the day due to edema in the leg.
MY adductors popped last night and feel great today. i dribbled up and down the court about 6 times and it felt goos. My plantar fasciatis hurts more than my AP now. I also am getting new aches daily as new muscles are being recruited to support my core. That i can live with. In about 3-4 months I will be down 35 pounds and a new man.
MY surgery site feels great. Minimal tightness left. After the scar pop..adductor burned a little....Nice today.
Surf,
I'm sure someone else can answer that about Dr. UM, but I took arnica post-surgery. I also took a few hydrocodone for pain a couple days later, but I probably could have done without them. I've also taken some ibuprofen. But as far as natural supplements, I was taking 1000 mg of bromelain (for swelling/bruising) and vitamin c because it speeds healing and reduces the chances of infection. Whether or not any or all work, I can't answer that. But I am an advocate of keeping a balance of alternative medicine and conventional medicine. Either way, I still have inflammation in day 8 which I don't think is highly unusual for a mesh procedure.
Anyway, I think Dr. UM is very familiar with homeopathy and natural alternatives based on some blogs I've read. Here is one of them...
http://sportsherniablog.blogspot.com/2007/08/recovery-from-nerve-pain-due-to-ap.html
and a site for natural healing pre and post-op...
http://www.drweil.com/drw/u/QAA400331/Vitamin-C-for-Surgery.html
Vultarin.. You are given twenty pills that are to be taken 2x daily.
Surf wrote:
Anti-inflammatories
Does anybody know if Dr. Muschaweck's procedure can be done without anti-inflammatories?
Or what type of anti-inflammatories she prescribes? Or for how long they are to be taken?
Likewise, I was given Voltaren. I had one other as well, can't remember what it was + some prescription B viatamin. Note that my procedure(s) weren't straightforward SH repairs so I may have been on a different track.
Den, MeLLoDraMa, rem - Thanks.
The Delicate MatrixThis was interesting. It seems to make a lot of sense. We sports hernia sufferers are dealing with tendons at the end of our rectus abdominis and also at the ends of our adductors. So this seems relevant to our rehab and healing process.
I was never given any anti-inflammatories. I was given perecocet which i took for 3 days and then just 1 tablet at night the first 10 days.
I have been taking systematic enzymes for inflammation. It seems I inflame about every 3-4 days when I push it too hard. It is getting less and less. The good thing is that when i excercise it feels better whereas before the more i did the more it hurt.
I am speaking with him on Monday (Meyers). He left me a VM to call him on Monday to check in on my progress. I think i will see if i can get an anti-inflammatory so I can push through these every 3 day things
I am starting to do alot of core/stability training. I am standing on 1 leg....swiss ball sitting with 1 arm/1 leg up...unweighted squats.....adduction/abduction flexion/extension with 2.5 pound weights...Also started my egoscue excercises.
I am amazed how weak my legs are. I can walk great and stuff but I am calling on alot of smaller muscles that are unused and at the end of the day my legs (quads/adductors) are shaking....Also my hip muscles are real sore too from all the mobility excercises that i have not done in 5 years (adduction/abduction)...So my whole pelvic girdle is sore from work...
I am starting to enjoy doing more stretching/strengthening instead of all cardio.
Today I am doing real well. Worked 8 hours plus 2 hours at the gym before work Aches and pains periodically all day but no biggie.
Albert,
If Dr. Muschaweck repairs me I'm going to ask her if I can forego any anti-inflammatories. I'm not an NFL or World Soccer champion that has a big game to make the next week worth millions to my career.
Didn't Dr. Meyers inject you with hydrocortisone? If so that's the most powerful anti-inflammatory of all (or one of). Anti-inflammatories are a two-edged sword, so not a good idea to use if not necessary, I think.
You seem to be making excellent progress as is.
Has anyone ever included push-ups as part of their rehab? Seems like push-ups would help strengthen the core.
Albert,
Why are you opposed to anti-inflammatories? Inflammation hinders the healing process and it is a natural response by the body after trauma of which any surgical procedure qualifies as. The Vulterin is strictly an anti-inflammatory and not pain medication if you are worried about addiction or reliance.
Surf,
I'm disappointed... I thought maybe you were a world champion surfer. I guess my over-30 B league soccer career is going to have to wait another couple of months. I've already missed out on tons of endorsement opportunities and I really miss all the hot chicks waiting for me after the games. It's sad really... especially since my contract may not be renewed in 2010. I've got to get better.
Mel-
I am not opposed at all. In fact I wondered why I was not given any. I take Wobenzyme which in some european countries is given after surgery for anti-inflammatorhy.
Surf-
I was injected in the pubic symphysis with Marcaine and Kenalog. Most of my inflammation happens in the adductor region. When those inflame I get the leg pressure which was my worst symtpom. However, the leg pressure is very very minimal...even at its worst. I am having more of a sore back issue on the opposite side. I imagine it is not used to working in a position that it is supposed to be in.
Meyers prescribes Indocin. I have never heard of that.
Surf-
Good article. I think I had a mild torn RA for many many years before it finally let go. The reason I say this is because I had these symptoms in my 20's.....had lumbar surgery for it.....they found a miniscule cyst....barely showed up on MRI....and still had pain post surgery.....leg pressure...groin/testicle....Fought pain...went back to boxing and it never bothered me except a sore testicle and low ab once in a while....until the day it let go....When Meyers went in he said it was very scarred. I imagine from it repairing itself haphazardly and un-uniformly without flexibility.
I still get pissed over the lumbar surgery. I had 2 myleograms...nerve blocks....2 MRI's.....2 EMGs.....all came back negative....except one doc said he saw small shadow and it was a cyst....it turned out to be smaller than the tip of my pinkie. I think it was asymptomatic and this was just residual AP pain, but the year was 1984 and this was pre-AP surgery....So things happen for a reason. i bounced back from that and i will bounce back with this.
I am setting a goal of fighting one more time before December in an amateur bout in NYC.
Surf,
Push Ups = bad. Give them a try and see how you feel.
Mike in Va.
MeLLoDraMa,
I think it's the same for all mammals, including humans, squirrels, horses etc. A horse steps in a hole, a wolf's foot is stepped on by a horse, a basketball player sprains an ankle.
There is pain at first. But he gets back up and maybe plays another game. The inflammation takes time to kick in, it's a special type of signalling process. Later that day, or by the next morning for sure, the inflammation has kicked in full force, doing its job.
The horse, the wolf, the basketball player all make the same calculation: I'd better not move that hoof, that paw, that foot. It feels terrible.
It's natures way of immobilizing the area of damage so that delicate, complex repairs can be performed on it.
If an NSAID or other anti-inflammatory chemical is administered to the horse, the wolf or the human, the repair process is interferred with and the quality of the resulting repair is reduced.
That's how it looks to me.
In your case, part of the repair has been done by the sutures of Dr. Muschaweck. Yet even that suture needs to become molecularly welded. But other parts, such as the fascia/tendons ends on the adductors, need time for extra rest and immobility to mend themselves properly and strongly.
That's why, if Dr. Muschaweck repairs my sports hernia, I'll tell her I have no championship game affecting my careeer the next week, and ask her if its feasible for me to abstain from any anti-inflammatories.
Den,
I'm hoping you'll be out on that soccer field soon.
Albert,
Your dog -- What kind and how old? How did it die? That's gotta be a tough break for you right now.
Mike in Va,
I'll take your word for it on the push-ups. Thanks.
Anti Inflammatories block the checmical the body makes that is needed during the inflammatory process. That is why during prolotherapy we are told to NOT take Antiinflammatories becasue the whole idea behind proltherapy is to inflam the area so the natural process takes place..........If you read on the inflamation process it will explain it better then I have........there finding Anti inflammitories taken directly after any injury are not a good idea.......Like Surf said the inflamation process is needed in those critcal first 3 days....actually I think I read the process takes anywhere from 3-10 days....but then again surgery is a differrent animal because the tendon is surgically repaired therefore taking anti inflamatories may not be as big of a deal.......Ive got some HGH set aside for my recovery process :)....
JCSportsman,
That sounds reasonable I guess.
Maybe I'll just take the Voltaren for the first 3 days, then skip the remaining ones, if OK with Dr. UM.
Actually if your thinking along the lines of the natural process you do the exact opposite......dont take any the first 3 days and let the natural process take place.....regaurdless best to just listen to the doctor.......Surf your #1 priority should be nailing down a consultation to get your diagnosis....then worry about all the other stuff...your thinking 10 steps ahead ...got to take care of step 1 before you get to step 2...good luck