Friday, April 20, 2018

Shoulder Support Tricks

This post is actually in response to a question I received about bracing my shoulder with a Theraband I had mentioned in my previous hip update post. I had recently discovered this as a trick to supporting shoulders. Desperation drives creativity and discovery and that is what happened in this case. I had been recommended to take a break from swimming and shoulder PT exercises to try to give my very painful and limiting left shoulder a rest, chance to calm down, more or less try to reset things. However, what actually happened was a massive flare of left shoulder, in turn neck became more painful, then right shoulder started to hurt again. After days of this, I woke in the night with left arm entirely numb, then the next morning neck sort of locked, not wanting to let me turn my head. That took heat, ice, heat, ice, repeatedly. I then started sleeping in a soft cervical collar that I have from previous injury to brace my neck at night. But, I could not figure out what to do for my shoulders. One suggestion from chiropractor was taking a Theraband, tying it in a loop, placing it behind my back when I went to bed, slipping my hands through so that the band held my arms down at my side, thus preventing me from moving and bringing them overhead at night. I am apparently a restless sleeper, sleep only my back, but often wake with arms overhead and elbows bent with acute angles that stretch ulnar nerve, creating cubital tunnel symptoms, but it is not cubital tunnel, just crazy EDS stuff. Anyway the Theraband worked! And, that gave me the idea to play around with it and see if I could figure out how to support my shoulder better. This is what I came up with. The band is essentially a figure 8. I can tie things behind my back, but this was already in a loop from using at night, so tried slipping on left arm up to shoulder, then with right hand giving one twist to the band behind my back and sliding right hand in and sliding band up to right shoulder. If too tight, it can pinch off circulation or nerves. With just a little stretch, it gives decent support! The band shown is one of my older latex-free bands. My physical therapist compared once and thought it was equivalent to a regular green Theraband. Thus, medium resistance. I usually wear it over a shirt, so it is not in direct contact with skin.

New fashion statement: Orange Theraband "brace" and blue kinesiology tape

I am trying to add shoulder exercise back in as recommended, but it is becoming very clear that the shoulder lacks actual strength, thus neck and back are compensating for it. (Atrophy easily seen in this previous post. The break from shoulder exercise has certainly not aided that issue.) The Theraband brace has supported very nicely for walks, PT exercises, daily tasks, etc. I rarely use it long at a time, but it helps give my neck a break. I also find kinesiology tape very helpful for supporting my shoulder, but also trying to help retrain neck and back to stop compensating. The above photo shows the tape on shoulder and up neck, but there is also a strip down my back on that side. Kinesiology tape is what provides huge aid with swimming, PT, living life. I would be taped all of the time if possible, but too long and it loses effect. I also have this little problem of adhesive sensitivity and can only stand so much before reactions get worse. My other shoulder support tricks include placing left hand in pocket of hooded sweatshirt--that serves sort of as a sling, and using an infinity scarf as a make-shift sling. Neither of these work as well, and scarf "sling" creates the elbow/ulnar nerve issue if done very long. But, they are welcome reprieve for my neck at times.

Scarf "sling"

Necessity is the mother of invention and desperate need certainly makes me more creative in finding solutions for problems.

Copyright © 2018 by Stef. All rights reserved.

Wednesday, April 18, 2018

9 Months: Thriving!

I am already 9 months post-op right hip scope, getting closer to a year. My left hip is approaching two years post-op. Both are doing well overall. I will not say 100%, but so much better than prior to surgeries. I can do pretty much everything I could before. I finally feel confident in the ability of my hips to handle normal load and work. I have been easily forgetting I had surgeries for quite some time, but would still favor one or both hips a tad, or move in a modified manner. I am now back to half running on the stairs, jogging across intersections when out walking in the neighborhood, doing 4.5-mile walks in just over an hour, averaging over 10,000 steps per day, with some days over 15,000 steps and 40 flights of stairs. Not too bad for being post-op both hips, multiple other issues! I am excited to be back to this level of consistent ability!

Walked total of 6.5 miles outside, 20,000+ steps!

Easy warm-up on elliptical

This makes it sound like life should be getting easier, ability back to normal. However, shoulders are both flared, had been on enforced break from shoulder PT exercises and swimming. Slowly allowed to add back exercises, then swimming. Adding back PT exercises has been surprisingly difficult. It is as if my shoulders forgot how to work completely, neck and back flared even worse from even more compensation. Back in turn flared up left hip--it still has strength and ability but is sore. Anyway, swimming is so far going well. And, feels amazing to be back in the water again!  I have had to start out slowly, but shoulders both handled it! This was swim a lap, walk a lap, repeat, but by doing this, I was to do a half mile (18 laps) of each! Most recent attempt, not so great and stopped earlier than planned as shoulder was just too sore and I was afraid of re-injury beyond current scenario. I had tried swimming two laps, then walking one lap, but after a few cycles of this and having to keep strokes more mixed up than usual, gave up and went back to swimming a lap, walking a lap. I was hoping to add a couple more laps of swimming, but had to stop at 18 laps. The water itself still felt great. The following day my shoulder/neck was sore, but eased up after a walk outside with shoulder braced with a Theraband. (I had discovered shoulder lacks strength to support itself, so my neck tries to support it. I have also discovered all sorts of options for make-shift braces, slings, supports for shoulders.)

The Ehlers-Danlos syndrome remains a challenge to learn how to manage. I feel as if the rest of my life is going to be a domino effect of joint after joint giving out. The partial answer to preventing this is strengthening the muscles to better protect the joints, but we have been doing this for years--even prior to diagnosis. I sometimes feels as if my body is 80, though I look 25 ish, but am in reality in between. Currently sleeping in a cervical collar at night to support neck, keep it from moving too much while sleeping. Using Therabands to support arms/shoulders to hold them in place, try to decrease incidence of my arms/hands going numb. Compression shirt to support shoulders, back, compression shorts/leggings to support low back, hips. Kinesiology tape to support shoulders, help retrain neck and back to stop compensating for shoulders. But, keep reacting to tape.

There is a lot to be grateful for and this is what I am choosing to focus on. There are a lot of gains in ability with respect to the hips. I am very grateful for this, especially in light of the difficulties I have encountered along this recovery. I am thriving with respect to how well my hips are doing, what they are capable of, my confidence in ability. I am grateful for all who have supported me in getting to this point. I am aware both hips still have some healing and recovery ahead, but feel hopeful.

9 months post-op left hip.

4/20/18 edit: added hyperlinks to post describing Theraband shoulder brace/support.

Copyright © 2018 by Stef. All rights reserved.

Tuesday, April 17, 2018

Easy Tomato Soup Recipe

I grew up having tomato soup with grilled cheese sandwiches. I still love this combination but my body does not love canned soups. I just went without....until this idea. This is just as fast and easy as canned soup.

Easy "Homemade" Tomato Soup
1 can (6 oz) tomato paste
1 1/2 cups chicken broth
1/2 teaspoon onion powder
1/4 teaspoon garlic powder
pinch black pepper
pinch celery salt
4 tablespoons (1/2 stick) butter
salt to taste
1 1/2 cups milk

Heat all ingredients except milk together, whisking to mix. Add milk last, heat through.

This recipe can be easily multiplied. I have made a double batch and I am sure it can be tripled just as easily. This can be made on the stove top or in the microwave. I sometimes do not add the milk at all, but rather add milk to preference when serving.

The amounts of chicken broth and milk are based on preference. All chicken broth and no milk works great. If no chicken broth, it may work better to use 1 cup of water for the first step, then stir in 2 cups of milk later. I also sometimes do not measure how much liquid I add, so sometimes the soup so thicker, or thinner than other times. If I add milk too early it curdles.  The soup is still OK and tastes fine, just looks weird.



Copyright © 2018 by Stef. All rights reserved.

Cheesy Garlic Biscuits Recipe

It seems like it has been a while since I have posted a recipe.  I am still creating new recipes, modifying older recipes, plus have never typed up all of my regular recipes in the first place. This recipe is something I had made a variation of before, but could not find my notes on what I did. So, I experimented and made the recipe up again. The result was amazing!

Cheesy Garlic Biscuits

Biscuits
2 cups whole wheat flour
1 tablespoon baking powder
1 teaspoon garlic powder
1/2 teaspoon salt
2 cups (8 oz) shredded cheddar cheese
1/2 cup (1 stick) butter
1 egg + milk to make 1 cup

Topping
1/4 cup (1/2 stick) butter, melted
1/4 teaspoon salt
1/2 teaspoon garlic powder
2 teaspoons dried parsley

Stir together dry ingredients, then add cheese.  Melt butter. Beat egg in a glass measuring cup, then add enough milk to fill to 1 cup.  Add melted butter and egg/milk mixture to dry ingredients and mix. Drop by heaping spoonfuls onto cookie sheet. Bake ~12 minutes @425. Remove from oven, brush tops with melted garlic butter. Return to oven and bake an additional 3 to 5 minutes or until golden brown.

These are amazing fresh from the oven. They make a great side for soups or stews. Or, they can make a great egg sandwich in place of toast, regular biscuit, or bagel, etc.




Copyright © 2018 by Stef. All rights reserved.