Author Topic: what do doctors really know?  (Read 1052 times)

Perry

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Re: what do doctors really know?
« Reply #15 on: May 12, 2008, 09:05:15 pm »
Wow! December. 

But then again if you are like me you got a little better and continued to ski.  So the pain kind of waxed and waned, a little better a little worse.  What is curious to me is that some significant rest has not helped.

Does it feel worse when the affected leg is pushing off or pulling forward?
Where do you feel the cramp?
Any pain shoot down your leg/ electrical/ numb/ tingling type of pain?

Sounds like a serious muscle strain - probably an adductor, gracilis, or pectineus muscle (groin strain)

For what it is worth, at this point, I would think it is reasonable to MRI groin and hip of affected side.

Gentle stretch and strengthening at first followed by 15 - 20 minutes of ice.

Scattered thoughts at the end of a busy day...... your answers and some more funny questions from Gary should get us closer!

Glenn

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Re: what do doctors really know?
« Reply #16 on: May 13, 2008, 05:31:43 am »
Is this what I have to look forward to when I get older?  ;D  Pain and injuries?  :o

Ron

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Re: what do doctors really know?
« Reply #17 on: May 13, 2008, 07:17:18 am »
well, this has been my life! I have always been very active in one sport or another and unfortunately,  I've had a lot of injuries. Doesn't say much for my atheletism.

Gary

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Re: what do doctors really know?
« Reply #18 on: May 13, 2008, 08:33:42 am »
Perry....you know we need a Doc at our RS III and heck you could probably write it off...well....being a member of the club and your expertise needed on the mountain.

Nah...you'd be tearing it up with the rest of us.....well that means carving, sliding, bumping all over Steamboat.

Please consider joining us.


AND Glenn...getting older doesn't mean injuries or pain. When you push yourself to extremes you sometimes run into trees or crash off a jump, ya take chances which may result in pain or injuries.....not necessarily an age related melody.

Ron, on his behalf is one of those guys who  likes speed, trees, all terrain....just ski behind him. Unfortunately, the kind of injury he sustained when an elephant sat on his car, has long term physical implications.

But with the heart of a champion and the mind of a 15 year old, Ron soldiered on and now needs time and answers to recover.
We hope that his pursuit of hang gliding this summer will be moved to the rear burner so he can save himself for another great ski season.

Ron...please stay away from elephants and hang gliders!
Best,
Gary

Ron

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Re: what do doctors really know?
« Reply #19 on: May 13, 2008, 10:40:12 am »
such kindness and well-said, I would rather have this than be an overweight-couch-sitting-do-nothing-potato-chip-eating-gaper!  How about a gang-gliding elephant?  :o

Thanks for the support! (Is this the same guy who took pictures of me while I was puttin gon my hernia belt???  ;D

Gary

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Re: what do doctors really know?
« Reply #20 on: May 13, 2008, 12:48:52 pm »
Hernia belt or kind words....you can use all the support we can muster!

Now....get better....215 days and counting!

G

"a gang gliding elephant"?  and you're on what LEGAL medication?

For sure those gang gliding elephants are always steppng on toes, eating all the nuts in the jar, and showing there colors on the wrong side of town.
So any gang gliders from your neck of the wood Ron?
« Last Edit: May 13, 2008, 12:52:23 pm by Gary »

Ron

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Re: what do doctors really know?
« Reply #21 on: May 14, 2008, 02:09:47 pm »
Good news! I went to rehab today and the therapist wants me to have an MRI. He was a little bewildered that the other docs' hadn't ordered any tests. I called my main Ortho, who recommended me to find a specialist, and brought him up to speed, he was also suprised that no one ordered any tests and immediately ordered an MRI. I go next monday.

midwif

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Re: what do doctors really know?
« Reply #22 on: May 14, 2008, 02:28:39 pm »
excellent!!! Hope they don't find anything and  that "tincture of time" will be the only prescription needed.
"Play it Sam"

Ron

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Re: what do doctors really know?
« Reply #23 on: May 15, 2008, 07:52:25 am »
thanks, I will feel better just seeing what we can see, so to speak, MRI's won't show a lot but if there is something with the ligaments and all, we will at least have an idea. I am really hoping that rehab will work and I'll be back on the track to recovery. I had rehab yesterday and I am really sore today but that's to be expected.

Glenn

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Re: what do doctors really know?
« Reply #24 on: May 16, 2008, 06:14:12 am »
Are you getting one of those MRI's with the dye? I'm not sure if that's applicable in this case. I'm just a desk jockey who studied business.  :D

Ron

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Re: what do doctors really know?
« Reply #25 on: May 16, 2008, 11:05:57 am »
no contrast, I jsut came from rehab where they had another therapist run more tests and he discovered that my Iliopsoas muscle is not working. He turned my leg in different positions and tested my strength. When he tested this muscle, I couldn't move my leg!  It had no strength. So, this is good in a way, we found something specific to work on. They are very interested to see if it shows up on the MRI

Glenn

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Re: what do doctors really know?
« Reply #26 on: May 16, 2008, 12:47:54 pm »
That is good news. Now they have something to focus on.

Ron

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Re: what do doctors really know?
« Reply #27 on: May 16, 2008, 12:56:02 pm »
we hope. Even if the MRI doesn't show anything, we at least have a specific area to work on now. Thanks!

Perry

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Re: what do doctors really know?
« Reply #28 on: May 16, 2008, 01:05:41 pm »
ohhhh........very interesting!  Don't you hate it when a doctor says this  :o >:D

Now we are getting somewhere!  The MRI is a welcome opportunity to either find the problem, or reassure you that time will heal. The psoas starts as high as L1-2, goes along the side of the spine and inserts into the lesser trochanter of  the hip.  It pulls the leg up or flexes the leg at the hip and is a weak external rotator of the leg.  It gets it's innervation from L2-4 so if you pushed a disc out at that level on the affected side, it could cause your weakness.  The importance of this is that you may need and MRI that goes from L2 down to just below the lesser troch of the proximal femur.

Here's some questions - Do you have a fairly arched lower back (the MD may say accentuated Lordosis - comes from the fact that most rich Lords had big bellies that caused them to have arched backs in order to counter balance their Yorkshire pudding gut!)  If the back is arched, the psoas gets short, and may predispose you to strains.  To stretch you have to pull the leg back and press the pelvis forward and flatten the lower back.  It's not easy to do at first, and the PT can really help you with this.

The disc is an interesting possibility (hope I'm wrong).  Your post about the pain said something about burning or electric pain and you get numb when sitting for long periods of time.  That's what I remember - too lazy to open a new window and go back and read that post before sending this.  The other possibility is that you ripped the muscle "slap off" the lesser troch (I take care of many farmers and I love it when they say "slap off")  That would explain the large amount of bruising.

Anyway, sounds like you are on the way to sorting things out and getting a solution.

Perry aka Dr B

PS - thanks for the invite to RS III - I have been tempted since the first go around.

Ron

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Re: what do doctors really know?
« Reply #29 on: May 16, 2008, 01:17:01 pm »
Yes interesting! no back pain,no apparent nerve interaction/impingement or disk issues. Both the PT and my chiro checked my back . The PT's concern was I severed or servely tore it. My back is fine. I had L5 S1 surgery 4 years ago, extruded disk!  Fun baby, fun.... NOT.

I called my ortho who took over my care for now to let them know. They'll reissue the script to the MRI folks if needed.  PT said these two muscles go through area of primary pain, pass the inguinal ligament, into the uuper thigh and down into the pubic bone area. he feels it's not the only muscle involved. Thoughts?  Unofficial and non-medical advice speaking of course!  ;D

You must come to RSIII. It's really a fun week. AND Lynn's apple pie is a true slice of heaven!  (each of us take turns hosting dinners at our condo's) I am readt for this season!  Whoo-hoo!!!