Monday, October 26, 2009

29 gifts in 29 days

I normally would not suggest something like this link unless I had read at least some of the book that the person has written. But, I liked the points she brought up earlier on the Today Show. Here is that link

(http://today.msnbc.msn.com/id/26184891/vp/33478623#33478623)

In a nutshell, Cami Walker is a young woman who was diagnosed with MS shortly after getting married. Her disease symptoms progressed quickly. She was losing her eye site, had problems walking, and was in such pain she was having problems with the basics of her life. Her Spiritual Advisor and friend told her to stop focusing on the disease and start giving to others. See more here:

http://www.29gifts.org/

According to her, when she did this, her symptoms improved. In the Today Show interview she says that there was a point that she walked away from her cane and did not even notice until later in the day. MRIs now show that the progression of her MS has stopped.

Now, I am not suggesting that I completely buy into the claims, but I am open to them. I know negativity can make things worse. It would seem that doing a small act of kindness could make things better. I do know that even though I do not have MS (at least not to my knowledge) that I have to keep reminding myself that it is harmful to identify myself with any sort of disease symptoms I may have. Too much negative focus on this sort of disease can only make it worse. Maybe she has the right idea.

You are not the disease. The disease is not you.

Keep those joints moving!!!

Hello Blog People- You know who you are.

It has been a while since I have written anything substantial. A week or so ago I woke up in the middle of the night and wrote an entry in my head as I lay there trying to fall back asleep. It still has not been written, but it would deal with the importance of KEEPING YOUR IMPACTED JOINTS MOVING.

(DISCLAIMER- I am not a Doctor or a Physical Therapist- Do any exercise program not prescribed by them at your own risk-)

Movement is essential to regaining any of your strength. What good would it be to get back strength if you could not move the joint? Start passive movement of the joint as soon as you can do so without pain. Your Physical Therapist can give you exercises to help. But remember that PTs are just there to remind you of what you should already know about your body. If you do not use it, you will lose it. In order to use it, it has to be able to move. Strength will follow.

A good and easy passive arm motion exercise is to just bend at the waste, and let the impacted arm hang lose towards the floor. Gently swing it using movement of your upper body. Swing it back and forth, or in a circular motion. Maybe go one way for a few turns, and stop and reverse. Do not use your arm muscles in any way to do this. That is the passive part.

Another passive exercise you may be able to do yourself if your good arm is good enough to lift your impacted arm through its range of motion. Or, you can enlist the aid of someone you trust. I say that tongue in cheek a bit, but trust is important in dealing with allowing someone to lift your arm for you and move it through range of motion you may not have. You have to be aware of when and if it is uncomfortable for you, and they have to be aware that you may not react in time to stop them before you reach that point. It is best to do this after being shown by a Physical Therapist, but if you do not live with one, you may have to improvise.

You can also do arm movement on your back on a bed. At that time, your scapula is fairly well supported, and may actually be in its normal position. When I tried to do range of motion on my back in this way, I was pleased to discover I could do a lot more movement than I thought I could do. But still be careful.

Regular readers know that I have used push-ups as a gage of my strength being there, or not. This is not something you should just start out doing on your own, or at least, not full push-ups. My PT suggested to me that I start with scapular push-ups. For these, you get in the standard position, but instead of lowering yourself to the floor, you attempt to just flex and release muscles of your scapula. It is not easy to describe. Here is a You-Tube video (http://www.youtube.com/watch?v=z4G0lSwL2os). It would be better if the guy was shirtless to see if he had the right technique, but it looks OK to me.

Along with those, there are various stretches to try. Stand in a doorway and put your arm up at a 45 degree angle as if you were motioning for someone to stop. With your arm against the door jamb, push through the door enough to slowly stretch your upper arm.

Then there is wall walking. I tell you, the internet has everything. I was going to try to explain this, but here is a link that does it with pictures. http://nih.kramesonline.com/HealthSheets/3,S,89905 Like it says; do not try this unless you have been cleared by a professional. I was cleared fairly early. In fact, I think it may have been too early. It was at least before they knew I had the scapular winging. But, the range of motion and strength I have to lift my arm over my head are because I did this exercise from the beginning.

What if your arm is OK and you have a problem elsewhere? Well, for me, my hand was also impacted a few years earlier. All they told me was that I should keep my tendons flexible. Be creative. Your hand is a lot easier to do passive exercise on. People may look at you funny, but you really have to make it such a habit to keep your fingers moving that you do it without thinking about it. Do a bit of passive, and then try to actually move the fingers that will not move yet. I mixed this a bit, and physically moved the finger with my left hand as I tried to move finger of my right hand on its own. It would also help to have some sort of electric muscle stimulation treatments. At least, it helped me. I was lucky that a Physical Therapist who was interested in my case loaned me a muscle stimulation unit that was surplus for his practice. I used this at least a couple of times a week as my right hand returned to function.

Well, that is not quite how I wrote it in my head, but it will do. Good Luck getting movement back!!!

Sunday, October 18, 2009

Strength return – Pushups again

On Oct 3rd or so, I had been able to increase my number of pushups back to around 7. Here it is Oct 18, and I have now been able to do 10 for the last few tries. And I have been giving it a couple of days of rest between attempts. Being able to do 10 again seems a bit disappointing in a way. I know the muscle is capable of doing 25- somehow because it was not all that long ago that I was able to do 25. I find it frustrating that I have to dial down my expectations. But, I also do not want to over fatigue myself and hurt my recovery as I did last time.

On the bright side, my right scapula feels pretty good while doing the pushups. But, my upper arms are still pretty weak and the tremors continue.

Monday, October 12, 2009

Tremors and twitches anyone?

It sort of bothers me at times that when it comes down to it, I am not 100% sure what I really have. It almost bothers me more that I was the one to come up with the original diagnosis from the internet. I guess what I am concerned about is that once the doctors had the idea of what I thought I had, that they just went along with that because the symptoms I suggested I had seemed to fit those of NA. Sure, since that point, a couple of different doctors have agreed with that assessment, but what if they are wrong? What if I left out an important symptom early on because it had not happened yet? Now that it has happened, what if they ignored it because it was a new symptom that did not fit the set diagnosis?

One thing that bothers me is the tremors and muscle twitches I seem to still have. I do not see much mention of this in any of the symptoms lists for NA or HNA. I can see how the tremors would happen due to muscle fatigue of impacted limbs, but why if this is such an obvious thing with me is it talked about so little (if at all) in any of the web pages? My recent visit with the neurologist got me wondering about the little tics and twitches I have had since this started. It used to be that I would notice my foot twitch or a hand as I was resting. Or maybe I would kick my lower leg out as if some invisible doctor was testing my reflexes by tapping below my kneecap. But more recently, I have noticed individual fingers twitching. This morning before I got out of bed, I noticed my little finger, middle finger and thumb of my left hand twitch numerous times over a period of a half hour or so. I have to wonder if anyone else has these sorts of things happening to them. Leave a comment if you like. Thanks.

Tuesday, October 6, 2009

H1N1 (aka Swine Flu) Risk factors for Autoimmune Diseases too

I had seen information suggesting risk factors included immunosuppression disorders, but not autoimmune disease directly. Of course, it is only a theory that HNA or NA has an autoimmune trigger. And, I would think some autoimmune diseases would be more a factor than others.

From Medpedia http://wiki.medpedia.com/Influenza_A_H1N1

“Risk factors are not yet known, other than exposure to pigs or people infected with Influenza A H1N1.
The current outbreak is atypical in that, thus far, the majority of the deaths from Influenza A H1N1 have occurred in Mexico. Furthermore, most have been in young adults. Regular influenza typically affects infants and the elderly the hardest.
With the H1N1, adults over the age of 60 may have protective immunity from prior related infection.

Pregnancy is being identified as a clear risk for more severe illness. (see Complications and "H1N1 in Pregnancy)

Other groups at higher risk of infection and complications from Influenza H1N1 include those with chronic lung disease (including asthma), cardiovascular disease, diabetes, and immunosuppression (including autoimmune disease), and morbid obesity.”

Saturday, October 3, 2009

To pushup or not to pushup- that is the question.

After I had pushed things too far and fast, I cut back on pushups completely for awhile. Now, it seems I can do 7 regularly. This is quite a ways off from my recent high of 25 twice in one day. But, it is better than only being able to do 3 or so, which had been my recent average. I will work at this more slowly. I guess it took a few years to lose all the muscle. I should not expect it to all come back in three days.