Getting Hip The Hard Way

Having just navigated through the replacement of a hip and the first stage of recovery, I am now able to reflect on the last couple of years…the decline of function, the increase of pain, and my continuing impression of Treasure Island's Long John Silver, with his peg-legged gait, before I was wheeled into Surgery and put in the hands of a doctor whose work gives every indication of allowing me to live in a world with a much wider orbit than previously.

There is nothing on earth which can appropriately measure my gratitude for his and his colleagues’ skills in helping me get another shot at being able to walk comfortably. I even dream of a trip to Scotland and a hike around my favorite loch.

But here is what I don’t get and probably never will: Why did I get the best advice in dealing with my declining hip from a complete stranger in London, my stockbroker, and an old friend?

The people in the white coats were helpful, interested, and happy to prescribe physical therapy, the now rejected anti-inflammatories like VIOXX and Celebrex (and for a time these meds did help some), and home exercise.

Last year when the pain got to the point where I would do anything just to get through a day and a night without being driven bonkers by the pain, I felt I was hitting the wall. Then on a trip to London, my medical luck began to change. On a guided walk one Sunday morning, I was struggling to keep up with the group, when one of us came over to me and asked for my cane, and I was so surprised, I just handed it over, feeling like such a dumb cluck. The cane was adjustable, and she lengthened it some, and gave it back, saying, “Try this.” Recovering somewhat, I said something like, “Well, but..how…why.” I can be very good with words sometimes.

She responded, “Oh, well maybe it’s my thirty years as a physical therapist, maybe it’s because I got a new hip at Johns Hopkins seven months ago, or maybe I just recognized your walk.” For the rest of the morning, when the guide wasn’t talking, I was asking questions about hip replacement and getting good answers. She recommended some meditation tapes, and after I overcame my intuitive dislike of the prospect of some middle aged woman with new-agey flute music playing behind her telling me I should feel better about myself, I bought a couple and found the damn things actually helped.

Fast forward to last September and a phone conversation I was having with my broker. She asked about the hip, received a frank answer, and asked if I had ever tried water therapy. I described an attempt to do some of that in a YMCA pool, without much success.

She told me about a center with a therapy pool and recommended I get an evaluation. At that point, the pain told me I had little to lose, so off I went for my assessment, first on dry land and then in the 91 degree (F) therapy pool. The therapist said they could help me, and when I got back to the car, I did not know whether to laugh at the irony of finding this place so late in my struggle or cry.

So I signed up and began the long process of preparing for my surgery. Three to four mornings a week I was in the pool being trained by a therapist, and once my program was developed, I showed up and did it on my own. And this was the best thing I did. Period. Full stop. By the time the doors to the Operating Room swung open, I was ready, not just for the operation, but for the recovery from the surgery.

The old friend asked about my hip and recommended I see a masseuse she had discovered. I demurred, probably the usual guy thing. A few weeks later, the friend prodded, and I knew better than to resist. And so the masseuse helped get me and my hip ready to receive the titanium, polyethylene, and ceramic replacement.

I went straight home from the hospital to my home where my two sisters came over consecutive weeks and gave me the greatest gift I’ve ever received – their attention, support, and love. It was the first time we’d been alone together in half a century without spouses, children, pets, and so on, and my recuperative incapacities notwithstanding, it was a wonderful time.

I’m still using the meditation recordings; I’m back in the pool being trained to help me learn a normal gait; and I’m still getting massage. I have every hope that what I have learned and implemented in my daily life will help as I travel on.

In this day and age, we all have to be active, indeed aggressive, advocates for coping with our disabilities, whatever they may be. Books, web-sites, networking, asking questions of everyone who is or has dealt with a situation like yours can be incredibly useful in improving your coping skills, providing the resources for better questions when you do deal with the medical establishment, and improving your life and perhaps delaying surgery for a bit.

Yes, I have been very lucky, stimulated by pain and assisted by friends and strangers, accompanied by perseverance, something I learned from a paraplegic scotty who owned me years ago, but that's another story for another time.

How I Found Courage

A couple of days before Thanksgiving, I sat down and wrote a screed, and I am thankful I didn’t put it up on the site. It was off the mark, a bit sour, and not what I intended. What follows comes closer to the mark.

Each year I find I am thankful for yet another “something” which has come into my life, and this year what tops the list is a place called “Courage Center.”

For the last several years my right hip has started to deteriorate, and the discomfort has moved from sporadic to continual to continuous, and the situation finally got to the point where I’m scheduled for a replacement hip early in the New Year.

I tried everything I could think of to delay the surgery – glucosamine/chondroitin, riding a bike followed by riding a semi-recumbent bike, active stretching and strengthening, physical therapy, anti-inflammatories – including the now infamous VIOXX.

On the recommendation of a physical therapist from Baltimore whom I met by chance on a walk in London (a story for another time), I bought some meditation tapes and found them far more helpful than I ever would have imagined..new age music and all.

Then one day, I was talking to my stockbroker, and she listened to the hip update and then recommended I go out to a place called Courage Center for some work in their therapy pool. I figured it beat slaughtering a chicken and slathering the warm fat on my hip, so in a “what the hell” mood which failed to disguise the true level of my desperation, I made an appointment for an evaluation.

I met one of their physical therapists in the reception area, and on the hike down to the room where she was going to assess my state of hip, I felt like carrion being watched by a hungry eagle. By the time we arrived, she had it pretty well sorted out but confirmed it with the usual pushing and pulling and aches and pains.

Then we got in the pool, and I learned about the advantages of 91 degree (Fahrenheit) water, of working out in an environment of nearly zero gravity, and discovering exercises which would help my hip and prepare me for the day when I would have a new hip which would be an improvement over what I’ve got now.

Truth to tell, I got in my car after that first session, and I didn’t know whether to laugh - almost angrily - at my not having learned about the place far earlier than I did or to cry at my never having felt so good after a workout with the hip in its sad state.

I had always thought that the Courage Center was for people with disabilities, serious physical problems; yes, and, it turned out, I was one of them. My disability was pretty modest compared to some of the people helped by the staff at Courage Center, but that didn’t matter.

So for several weeks Kathy trained me to do a water program which would help me, and then I was allowed to come work out on my own. Every morning when I get up and head for the pool, I have exactly the same set of feelings I had when I was a hockey playing kid and it was time to go to the rink – anticipation bordering on excitement, and the urge to tear out of the house and go get in the pool.

As a result of our efforts, I shall probably be better prepared to cope with the surgery and the period immediately thereafter, and I know I’ll count the days until I can get back in the pool.

In the meantime, I’m getting to know some of the others working out in the pool, to appreciate what they’ve overcome with assistance and hard work, and to ease myself into the ad hoc community which ebbs and flows in the pool each workout.

I may be a latecomer to this remarkable place, but I shall always be deeply thankful for the facilities, services, and staff of Courage Center, yet another reason why I'm glad I live in Minnesota.