Yesterday I went to my first pre-surgery physical therapy appointment. I didn’t want to go. Like a lot of this stuff I’m going through, I’ve “been there; done that.” But not really.
Last time I had physical therapy (2005) it was to address a condition I didn’t have. I went twice a week for three months and my hip (the right hip) just got more and more painful. Why? Because my “doctor” at the time had not diagnosed the problem correctly.
This time is NOT last time.
Every time I drive to the slough with the dogs I pass the gym which is known as “Monte Vista Athletic Club.” It looks like a barn which is not notable as the most popular building style where I live is big buildings with steel siding; lots of buildings look like barns including barns. It’s beautiful inside; it’s a gorgeous gym. I’m not a gym person, but I’ve been in several and this one is great. I told the person at the counter I was there for physical therapy and he guided me back to the corner of the “barn”. I was checked in and met my therapist — I like him! — a guy named Ron Muhlenhauser (good Swiss name). He sat me down.
The first thing he said when he looked at my chart was, “You don’t look that old.”
I thought, “Huh? Flattery? But why?” I think I look old, but maybe not. It’s a comparative thing, anyway. I explained I’d had hip surgery already on the other hip eleven years ago.
“You’re kidding,” he said.
“No. I…” I didn’t finish. We talked about accidents I might have had that could have caused the hip problem, and I rattled off a litany of sports related injuries.
“So sports, then,” he wrote on his paper. Then he asked me questions about the pain in my hip and how long I’d had it. I don’t think I was too good at the answers, but finally he said, “What are your goals?”
I said, “Hip surgery and the ability to walk better.” I still didn’t know what I was doing there other than fulfilling Medicare requirements. I didn’t think there was any reason beyond that, but I was very, very wrong.
“Here are your doctor’s goals,” and he read them to me. Of course, they were better, clearer and more articulate than mine. They are improving my posture, gait and the the development of good muscles and tendons in my hip. This means, basically, lengthening them so they will work with a new hip joint and so I can stand up straight. “You want to be good from the getgo after your surgery. Your left leg might be a little longer afterward, too. It’s likely.” It’s 1/2 inch shorter at the moment.
I was taught some exercises, and Ron gave me great explanations all the way along. I paid attention, practiced, and, all the while, thought about what I was being told. It began to sink in.
Then he said, “You’ve got the best doctor. Dr. S is the one who can handle the really tough cases. He’s the best there is.”
“Dr. Hunter (surgeon in Salida) recommended him.”
“See?” said Ron. “We’re going to try to teach your joint and your back to straighten up, to lengthen those muscles and teach those tendons to quit protecting your joint.” Ron showed me an exercise to lengthen thigh muscles and said, “You know runners. When they run, the back leg kicks way far back, so far it seems like it’s flying behind the runner, right?”
I visualized that and saw running in a completely new way. We kept working and Ron explained how the tissues in our bodies replace themselves so that every three months we have all new tissue. I then understood that the purpose behind the cortisone shot is so that these exercises will not hurt me, because, otherwise, I couldn’t possibly do them.
I understood then why the surgery will be three months from now at the soonest. With that realization, suddenly, I got it. I really wanted to cry. My surgeon and the physical therapist are working together to help me emerge from this crysalis of pain and disability into a, yes, older Martha who can still be who the eternal Martha (inside herself) knows herself to be.
The shoes? Well, they’re trail running shoes. I got them on eBay last week. I’ve been wearing Salomon trail running shoes since the early 2000s. They were developed for people who race in the mountains. They were amazing, but they lasted me only about 3 months. Toward the end of the 2000s, Salomon sold the shoe to Adidas, and Adidas changed the way they are made as well as making various models. They are more durable, but less responsive (IMO) Still, they’re the best I know. I didn’t want to fork out the $$$ for brand new ones because I don’t know how this is going to pan out, and they’re expensive. When these arrived, I just hoped they’d have some time left. It turns out they are almost new. I think the previous owner might have worn them twice. I wore them yesterday to PT. They’re going with me the whole way. 🙂