Living at PT

In my last post, I mentioned that continuing physical therapy would be left up to my PT and I to discuss. Considering my desire to get back to running and considering I still need some help strengthening my muscles and loosening them up, along with my crazy work schedule that doesn’t leave me time to properly rest my affected injuries, we decided to continue on a week by week basis for now. I attended two sessions this week, and I’m honestly not sure what to think about my progress because a new issue started trying to pop up. I don’t have as much pain as I did when I started, but now my IT band is getting tight on the side where I already have the gluteus medius tendinitis and trochanteric bursitis. Given this new development, my PT decided that giving ASTYM a try would be worthwhile. Those of you who have been following along with this blog might remember that I had this done on my Achilles tendon this past summer and it’s what ultimately helped me recover from that surgery. I had my first ASTYM session for my hip/IT band today and I was really dreading it because I remember how much it hurt last time, but to my surprise it wasn’t as painful in that area as it was on my Achilles tendon. The worst part was having to wear shorts, which I hate because I hate my legs. I actually only had one pair from before I lost 70 pounds, and they’re huge on me, but they worked pretty well for ASTYM since my whole leg had to be exposed. I just changed back into my capris when it was time to work on the exercises so I didn’t end up losing my shorts on the floor xD

I left this out last time, but I started to get elbow pain last week that is very persistent and bothers me when I do pretty much anything. Doing some of my own research, I think it’s tennis elbow (lateral epicondylitis). I have an appointment with my primary care doctor in a week and a half, so I’m hoping to get a definitive diagnosis so it can start feeling better. I feel like I’m living at my physical therapy clinic. Every time I feel like I can escape, something else happens. I hope I don’t have to attend sessions for my elbow, but I won’t know until I see my doctor. I’ve also been getting tingling in my fingers on both hands, which hurts enough to keep me up at night sometimes, so it’s just a matter of time before that needs treatment, too. Having a physical job is doing me no favors. I feel like the only way I might convince the powers that be to get us a real manager is if I show up with my arm in a sling, which may very well happen considering my shoulder on the same arm is also bothering me (not as much as the elbow, though). Maybe once there’s some outward sign that I can’t do 80% of the work alone, things might speed up. I’m tired of working overtime and being in pain. I want to be able to get back to running. I’m planning to start training again in 5 weeks, which would put my first 5k race the last week of April, or first week of May, but that’s assuming everything stays on track. With the way things have been lately, it’s hard to say. I’m going to work as hard as possible at PT; if I can get back to running, that’s the first step to getting back to tennis, which I really miss!

Battle Plan

My hip pain has not resolved despite it having been seven weeks. I talked to my physical therapist a couple of weeks ago and he recommended a new doctor to me who is good with younger active patients with hip injuries. I looked him up and he’s published a ton of research and is team physician to several area college teams. I had my initial appointment with him today, and he seems to be really good. I didn’t tell him what my PT thought was going on at first just to see if he thought the same thing, and he did: gluteus medius tendonitis and trochanteric bursitis. He’s having me do formal physical therapy (I was just doing stretches on my own at home) and he’s going to reevaluate in six weeks and if it’s not better by then, he’ll try a steroid injection.

I called my physical therapist as soon as I got home from my appointment and he told me he had a light afternoon and offered me an appointment 45 minutes from the time I called. I was really glad to be able to start today so I can recover sooner. The only downside is that if this injury had waited a month, my insurance would cover it because my benefits would have reset. That means I’ll be doing self-pay until New Year’s, by which time I’ll be almost done with my course of treatment if all goes well. My therapist and the office manager were really apologetic about me having to pay myself, but I honestly don’t even care that my benefits are used up. I knew that going in and I knew what the fee was from last time, so it was expected. I’m just glad to be able to get some help getting back to my normal activities and not being in pain every day. The cost is worth it to get my life back.

Today’s PT session focused on a thorough evaluation of my hip injury and setting up a plan. My therapist told me that we needed to try to figure out why my foot is still an issue because if I’m limping on it and not walking normally, it will affect other areas of my body. I was very happy to hear that because I would love to know what’s actually wrong with my foot. I have nothing against the surgeon who fixed my tendon; that’s 90% better or more than it was before surgery and I’m grateful for that, but there’s no way I’m having surgery on my foot again anytime soon until I feel absolutely certain of the problem.

Other than those two appointments, my day was filled with lots of phone calls and emails. The asthma inhaler I had been taking all year is suddenly not allowed to be filled at the local pharmacy anymore. Instead, it has to be filled through the mail because it’s a maintenance medication, which costs more sometimes. At the pharmacy, I was using a manufacturer coupon to get the copay reduced to $10/month. The mail order pharmacy doesn’t take coupons and the copay there is $63. I emailed my family doctor and asked to switch to something with a lower copay and he was nice enough to change it for me without me coming in for an appointment. The weird problem is that the generic version of what I switched to costs $40 more per month than the name brand, and the doctor sent the generic on the prescription because generic is always cheaper, except apparently in this case. I found that out because I called the mail order pharmacy and made them give me the copay amounts to make sure they matched what I was told they were supposed to be by the insurance company, and indeed the name brand inhaler is cheaper than the generic. So now the pharmacy is supposed to contact the doctor’s office tomorrow to get the prescription changed to the name brand, and hopefully that will clear things up. I bothered my doctor so much today with an email chain while we tried to work out the issue that I really hope tomorrow will be the last I’ll have to cause him trouble.

That’s all I have for now, and hopefully the next time I write I’ll have some good news. I’m benched from running for the next six weeks but I can still bike as long as it doesn’t hurt, so at least I can try to keep up my conditioning. I have major doubts that I will be making my first 5k in February. I wasn’t given a clear answer when I asked my PT, which I understand because it’s still too early to know. If I have to push it back, so be it. There’s no use stressing about something I have little control over. All I can do is put my best effort into PT and trust that God will let everything work out eventually. So, until next time, I hope everyone is doing well!