Friday, January 29, 2016

Friday (1/29/2016)

Update:

It’s 4 a.m. and I’m wide awake.  It wasn’t pain that woke me up this morning.  I guess it was anticipation.  This afternoon I get to try a new elevated vacuum socket for the first time.  If it works for me, then I’ll be able to get back to walking soon.  If it fails, well then it is back to the drawing board to try to come up with another solution.  Obviously after being in my wheelchair full-time for the last 12 months I am really hoping that this succeeds.

Overall, I am feeling the best I have in quite a while.  My lower back and sciatic nerve pain is very minimal.  My phantom pain is only occasional and usually not too severe.  I’ve been off of pain medications for a few months and haven’t needed to go into physical therapy to get myself straightened out since mid-December.  The amount of sleep I need daily has reduced to a more normal level.  And I’m able to sit in my wheelchair for more extended periods of time without severe pain (although I still end up on the floor to stretch my back out several times during the day).  I can ride in the car for a couple of hours now with only minor pain.  I still get tired out pretty quickly but I am able to do more than I had been able to do in the last couple of years.  So overall I’m doing great!  And as of yet, I am still unable to bear weight in my prosthesis.  Although my leg has been checked out thoroughly, the doctors cannot figure out why I have the excruciating nerve pain when I am weight bearing in a socket.  Since they’ve determined that there aren’t any obvious physical issues, now it is time to try some different techniques and styles of prosthetic legs to see if something works for me.

I feel like this last year has gone on F-O-R-E-V-E-R as attempt after attempt and test after test has been made with negative results each time.  Emotionally it has been very weird the last couple of weeks.  I’ve gotten to the point where I cannot emotionally fully invest in the process.  I’m leery of being too hopeful because I cannot handle another failure as easily.  In the past, I was confident that the next attempt would be reveal the solution I needed and I’d be back up on my feet in no time.  Each time it didn’t was an emotionally disappointing letdown.  So this time, I’ve been more guarded.  I’ve tried not to get my hopes up too high.  In my heart, I’m already expecting a failure. What a weird way to think!  “Yes, let’s try something else; but I don’t think it will really work—but let’s try anyhow.” I’m kind of worried that I’ll get to the point that I have no energy to keep fighting and just resign myself to life in a wheelchair.  I really am not ready to give into that yet.

Now I’m on the verge of getting to try an elevated vacuum system and I’m wide awake several hours before I normally wake up.  I think that I’ve convinced myself at the conscious level that I’m not too excited or hopeful that this is the answer; and yet, I think deep down I can hardly wait to see what the results are.  Early this afternoon, we’ll see which way this swings.  I’d like this to be the solution I’ve been hoping for.  That would be awesome!  But if it’s not, then I need to get back up, dust myself off and start searching for the next possible solution.  I’m going to liken my situation to running a marathon.  There is not only the physical battle that must be won; there is an emotional/mental battle as well.  Sometimes, it just comes down to “Just take the next step! Now take another one. Now another.” until the finish line comes into view.  This journey I’m on has certainly proven to be a marathon and not a sprint.




“Do you not know that those who run in a race all run, but only one receives the prize? Run in such a way that you may win.” (1 Corinthians 9:24 NASB)

Wednesday, January 13, 2016

Wednesday (1/13/2016)

Update:

On December 15, 2015, I had a nerve block done in hopes of decreasing the pain in my residual limb enough that I could wear my prosthesis again.  This was done after doctors determined that there was no obvious surgical solution to my pain.  Unfortunately, the nerve block didn’t completely remove the pain and I wasn’t able to walk.  My medical team has been trying to come up with another potential solution.  It was decided that my prosthetist would build me a new leg using a totally different system to see if that would work.  I’ve been using a pin system for support.  We are now trying an elevated vacuum system.  The vacuum system should spread my weight out over the entire limb when I am standing.  As the name implies, there is a vacuum pump attached to the leg that creates a vacuum inside the socket to hold it on my leg.  I’m really hoping that this might be the solution to my pain problem.

My prosthetist told me that now that we know there isn’t any structural issue that can be easily corrected by surgery; we can experiment with stuff and hopefully find an answer.

Today I was measured for the liner.  I go back to my prosthetist next Tuesday (1/19) to be cast.  By the following week, I should have the check socket to try on.  At that point we’ll have a good idea whether this will work for me or not.  If it works, we’ll buy the pump and everything I need to take the leg home and give it a good tryout.  Sounds like I’ll be using the Ottobock Harmony system on my leg with a Willowood Limb Logic pump. 


One way or another, I should know by the end of January whether this will allow me to walk again or if we need to come up with some other plan.  I’m hoping that this is the answer we have been looking for.