Monday, November 30, 2009

Turkey Break

Turkey Break was a great break for my hips and knees. I got to wear boots to my family gatherings, and did not have any pain! It was good to get full nights of sleep and not be standing and walking all day. Even today was pretty good on the pain scale for my knees at least. I did a lot of walking, not much standing still, so my hips were a little sore. I had physical therapy after school and that started to wear me down. My right knee hurt on the ride home and then once I got out of the car my left knee started to throb. It's just starting to be random pain that makes no sense. I found some interesting information last week after therapy about something called miserable malalignment syndrome. Here's a snippet about it:

"The symptoms of MMS (caused by femoral internal rotation, external tibial rotation and forefoot pronation, and may involve an increased "Q" angle of >20 degrees, genu valgum, patella alta, and generalized ligamentous hyperlaxity) include compensatory internal rotation of the femur to maintain coverage of the femoral head with the hip acetabulum. It can also include a discrepancy between the axis of the extensor mechanism of the knee and that of the femur, resulting in a lateral displacement of the patella with increased quadriceps angle ("Q" angle). Patellofemoral Pain Syndrome from the patella mistracking with internal tibial rotation may result in proximal or distal iliotibial band syndrome, patellar subluxation or dislocation. The internal tibial rotation is a compensation for foot pronation. Achilles tendonitis, plantar fasciitis, posterior tibialis tendon strain and dysfunction and strain of the medial ankle and foot can follow. "
-http://www.curemms.com/syndromes/index.html

The physical therapist said that this syndrome makes sense for what is going on with my legs. Hopefully I can talk to my doctor and find a non-surgical solution for this pain. However, I know there is no getting around the PAO for my hips. I even had some pain in my right hip today (the good one). I was sitting on the couch inputting data into the computer. When I leaned to the left to look at some papers I got a sharp pain in my right hip like it was being pulled out of socket. NOT FUN!

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