Thursday, October 2, 2014

Medical things creating some blahs

I wanted to post about the latest MRI results since I finally had my hip, hamstring area checked out a couple weeks ago.  This is the same area that I worried would bother me back in April of 2013 during umstead 100, the same area that had me purchase a Tempur-Pedic mattress on 3 years same as cash and just paid it off about 4months ago- but I purchased the mattress because the hip pain when sleeping was so intense. Massage, deep deep massage and even a couple trip against my judgement to the chiro quaker but nothing has helped.  The past 6 months though the pain has extended into the front of where the hip meets and it just throbs when I sit, stand, lay or walk.  It extend to the back of the hip into the hamstring and up to the lower back and feels like there is also a pinched nerve. My foot will go to sleep on many occasions . Now rewind to 2011 when I was still dealing with all the Doctors telling me I would never run again due to my left knee and then being diagnosed with Tarsel Tunnel in this right foot (the same side of the hip opposite of the knee) I do not have the major discomforts or the crawling to the bathroom each night like I did for so long with the Tarsel Tunnel and after I refused that surgery due to the success rate and recovery time and process I lost about 25 or pounds and I truly believe the excess weight and pressure off that pinch nerve in the tarsel tunnel helped that.  Sorry if this report jumps around everywhere but Im trying to grasp it all in my head at the same time and I believe I have a few answers and conclusions of my own.
So 2 weeks ago I finally had the MRI done on the hip....this was brought up to the Doctor during my last shoulder visit when I made the decision to NOT have the rotator cuff that tore during the recovery of having the bicep tendon re attached fixed. I was having sooo much pain from the hip and was taking the pain medication I had for my elbow just to try to function and it barely takes the edge off the hip!
So here we go with all the medical wording and MRI results readings



There are no recent comparison exams available at the time of dictation.

There is no evidence of acute osseous injury or avascular necrosis. There is mottled marrow signal. There is a sclerotic lesion in the posterior aspect of the intertrochanteric region and 1 in the left femoral head, which may represent bone islands. A 4 mm cartilage defect is seen on the lateral aspect of the right femoral head (sagittal image 21), near the margin of the articular surface. A small bubble is seen at the anterior aspect of the right femoral neck, not in the usual location at the head that is usually seen in femoral acetabular impingement. The femoral heads articulate with the acetabuli in a normal relationship. There is a physiologic amount of fluid in the joint. A small amount of fluid is also seen in the right iliopsoas bursa. There is mild inflammation in the greater trochanteric bursa bilaterally.

No acute soft tissue injury. There is chronic bilateral hamstring tendinopathy. The tendons about the hip are otherwise intact. 

The fat planes surrounding the sciatic nerves are intact. Mild increased signal is seen in the sciatic nerves bilaterally.

There is tear of the anterior aspect of the right acetabular labrum. The lateral aspect the labrum is degenerated and frayed.

There is no sizable inguinal hernia. There is no deep pelvic mass identified. A small amount of free fluid is seen in the pelvis. There is a 2.1 cm cyst in the left ovary. There is a 1.3 cm fibroid in the uterus which protrudes into the endometrium.

1. Tear of the anterior and lateral aspects of the right acetabular labrum.
2. Bilateral mild greater trochanteric bursitis.
3. Mild chondromalacia of the lateral aspect the right femoral head.
4. Small amount of free fluid in the pelvis.
5. Submucosal uterine fibroid. Correlation for history of abnormal bleeding is recommended.
6. Sclerotic lesion in the right intertrochanteric region and left femoral head may be bone islands. Correlation with radiographs is recommended.

Electronically signed by: Settonni, Loretta M.D.
Date/time: 09-16-2014, 08:53 AM

I had a follow up appointment with my doctor and we discussed the anterior and acetabular labrum tears and he suggested we could have a scope done, however there are not a lot of Doctors that preform the scope and I had already told him no surgery no matter what the findings were. Let me stress before anyone starts to judge THIS IS NOT A RESULT OF RUNNING!!!!! PEOPLE JUST HAVE SHIT HAPPEN TO THEM!!!!!
His other suggestion was to have a intravenous hip injection, again nobody around here does that so they would have to bring someone in from KDMC out of Kentucky.
I will not find out what needs done with the ovarian cyst until October 14th....but maybe the old tale is true about women who run......"You're uterus is going to fall out" sorry couldnt resist that one!
I now know the hamstring does have some issues and they just called it bilateral tendinopathy- this could explain the tightness in the hamstring and that pain I have had for the past couple years but neither of the Doctors that I have gone to with these results have touched that area yet.......Since my local Doc didnt bring up anything to me about the cyst the hamstring the recommendation of a radiograph and when I asked about some of the other stuff this report listed ( I could pull it up on the patient portal before going in ) but when I asked the response I received was oh..I dont know - I didnt read it all just the top part. Oppps. So I decided to wait and go see the folks in New Albany, the Doctor that was number 4 when I was having all the opinions with my knee from the end of 2009 to middle of 2011, he is the only one that said "I wont tell you not to run, but I would suggest just a couple days a week and build up to a couple miles during these runs" He also did NOT see a new knee in my near future like the other 3. After hearing that I signed up for my first 50 miler!!! So off I head with my Hip test to New Albany. He felt the tears in the labrum were being caused because i have some hip degeneration and going into scope them in reality they would prolly tear again due to the degeneration ( arthur starting)  He did go ahead and do an injection in the bursa sac on the right side of the hip and that has now been a week, this has not helped so now we are in the process of setting up an appointment to do the intravenous injection into the joint. Uggg not looking forward to that. Once we find out the actual source of the pain then we can see how to treat things. The injection will not fix things but will hopefully help take some of the imflamation and reduce the fluids that are present.
So my thinking also is this.....since my hip DOES NOT HURT WHILE I AM RUNNING.....yes you read that correct - it only hurts when i sit, stand, lay or walk. I dont know if it is due to my mind blocking pain so well but I have another analogy. I think there is an impingement either on the hip, sciatica or some area that is causing the pounding pain, the shooting pains down the entire back of the leg and putting the foot to sleep. I believe it DOES NOT HURT while I am running due to the fact that there is a quick step turn over so my weight it not on the ground or sitting in a chair or laying in a bed in the same position with the same amount of weight. So now I have to tell myself that in order to find out if possibly I take off 15 pounds that that excess weight that is hitting the nerve it could possibly help as well?
The hard part is I have not been motivated during the week for my short runs, instead just doing my marathons etc that I travel too. Once I get moving outside I feel better but I just get tired of seeing the same folks driving by me and the trashy men honking and wolf whistling at me. Then that creates the self pities and I sit here and eat crap food and lots of crap food. I was never really a candy eater and have no idea why I have been on a candy kick. I think since November of last year I have said ok....tomorrow I will start watching what im eating and keep track.....I do start that and do great all day until evening comes around...then I go get crap.

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