Tag: spinal fusion

  • Sometimes I Remember What Bending My Spine Feels Like

    My body is falling apart.  It was happening slowly, then I had a hysterectomy and now it’s happening not so slowly. When I lie on my left side, now my right leg longer than my left, above the knee. 

    Which is interesting, because my legs were measured over a year and a half ago from the hips and that’s not the longer leg.

    My spine is collapsing in on itself. My hips are contorting, my spine is corksrewing like a single helix, and sometimes when I lie in the bed just right depending on the angle, I can feel the rods in my spine as the only barrier between further collapse.

    There was a time when I couldn’t feel the rods at all. And I still can’t, except in very specific positions. Positions that used to be comfortable to lie in at night.

    And sometimes I try new positions. I’ve tried lying on my back to sleep. Occasionally I do sleep on my back. And when I do, I wake up feeling like my right shoulder is attempting to cave in toward my left hip. Which, it is.  The left side of my body is the weak side of my body. It is the side that is collapsing. And my right shoulder is caving forward. And I lean back when I am not paying attention to my posture. 

    My posture is much better since we got rid of the reclining couch, now that I am sitting in my rocking chair full-time when sitting in the living room. 

    I try to resist lying on my left side at night.

    I remember after the scoliosis surgery in 1993. I was so young, and the surgery involved an incision that spanned the entirety of my left side. I remember the first time I could lie on that side again after the surgery, for brief periods. 

    That curve that was around 91 degrees or so the week of the surgery, that got corrected to the 45-degree range ultimately, with a corresponding curve now….and those Harrington-Luque system rods that line my spine from my shoulder blades, drilled deep into my hips. And all those little twist ties, as I call them, still there to this day. 

    Sometimes, when I feel the force of those rods in whatever position I’m lying in bed at night, I think about those twist ties wrapped around my spine. And I wonder what happens if one gives— whether the tie gives, or whether the bone of my spine gives first. 

    I remember being in the bathtub in the days before the surgery. At 13 years od, I remember bending my spine in that tub, and I remember knowing that I needed to remember that feeling, that I would never feel it again in a couple of days— maybe the next day; I don’t know. 

    If I try really, really hard, to remember, I can remember that feeling even now. It’s been 33 years and a few days, and even now, I do remember that one specific moment. I remember telling myself, willing myself, to remember that feeling.

    Sometimes I can’t remember. Tonight, I can. 

    My left side is most comfortable to lie on to this day. The primary curve bends the opposite direction. 

    But my left side has its own curve now, up above my ribs and into my neck. I know it is not a great idea to lie on it regularly.

    And yet, I find myself caving to my most basic comfort positions when I am exhausted. And when I am exhausted, that involves lying on my left side, holding a bolster to sleep. Comfort wins. 

    Bipolar disorder and PTSD is pretty much the worst combination the universe could have sent me for severe, progressive scoliosis. 

    I have spent literal years in the bed depressed. Not a great recipe when activity and strength is required to maintain my internal scaffolding. 

    And queue days like today. Good days make me want to try.

    My Daddy and Jared installed a Swedish ladder system in our bathroom several weeks ago. Some days I touch it, some days I don’t.

    This morning, I hung for a couple of minutes before we went to Dawsonville.

    Tonight, I sat on my stool by the ladder, and just sat there leaning forward, with my arms pulling on the highest bar I could reach. Then I climbed up the ladder and hung, and breathed for a minute. The muscles under my left arm are pretty darn weak. Just hanging on, even while sitting there, stretched them in ways that were strenuous. 

    So, I came out and worked on my balance exercises I learned in physical therapy over a year and a half ago. I stand on one of my favorite stools to do those exercises. Then I laid on the floor and did some reps with a 2 pound weight. And I tried my breathing exercises while I did my arm reps on the floor. 

    Schroth breathing exercises involve visualizing inflating the parts of your spine and torso that are deflating. And doing that involves getting in touch with the fact that my body is indeed, contorting in 3D. Which is tougher than it sounds. I can look in the mirror and see that my left side is collapsing with no shirt on.

    I can look and see the dip in my shoulder. I can look and see that on the corrsponding side, my hip is higher than the right. But in my brain, my spine feels straight. It fights my brain to get in touch with the reality of the geometry of my spine. 

    And the amount of concentration required to do those breathing exercises that inflate the bottom back left of my rib cage and lungs and spinal column…..It’s effort. We’ll say that. 

    And when I am doing those breathing exercises correctly, the intensity of the activation required of my lower right abdominal muscles…..it’s pretty darn strenuous and it requires no small amount of concentration. 

    And all that is well and good and promising for the Schroth method, except it requires just the right conditions.

    And, I’m working really hard on stability. Life is good these days. We have a household routine, Jared and I are luckier than we deserve both with the boys’ health and their determination and ambition and accomplishments and how they carry themselves. 

    And, the breathing exercises are hard. But with each session, I become more aware of my body’s unique geometry, my own place in space. At 46 years old, I may be late to the game, but everyone starts somewhere, right? 

    And tonight, doing those breathing exercises on the floor for 20 long reps while I lifted those weights straight ahead and over my body……

    Tonight those breathing exercises reminded me that I do indeed remember what it felt like to bend my spine, before that forever fusion that solidified most of my spine. 

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  • bet my back is more messed up than yours

    I referred to it a little on the 12th but last week, on the 12th, I had a check-up with my orthopedic PA.

    I’m not really sure why I even go. It’s not like there’s more surgery I will ever let them do to me, even if my neck discs are seriously degenerating.

    The photo above is my back as it looked on x-ray on Wednesday, November 12. 

    It’s pretty crazy. 

    And that whole top curve wasn’t there when I was a teenager or young adult. I assume that is what 4 pregnancies (yes, there were 4 even though there are only 3 boys) and years upon years of laying-in-the-bed-depressed depression will do to me with my brand of scoliosis.

    The only real comment the orthopedic PA made was that indeed, there is significant degeneration in the discs in my neck. Such that actually, there was a blank space where there should have been a disc at the base of my neck in front, actually. 

    That’s probably why my neck hurts when I transition from standing or sitting to lying down in the bed. 

    And maybe I should feign terror at the utter basic breakdown that is my spine, that is my body.

    But to be honest, it’s just my normal. I’ve dealt with this since I was 6 years old, way back in the back brace days.

    At least I’ve spent the vast majority of my life without the large lumbar hump that was on the left side of my back as a kid.

    My orthopedic PA says she doesn’t measure degrees. She says she’ll know when she should refer me to her surgeon, and he’ll measure degrees then. She knows– rightly– that people obsess over degrees of curvature when– also rightly– degrees don’t necessarily mean a damn thing, especially when there’s rotation or some other such craziness going on.

    She didn’t say this time, though, that she’d never see me needing surgery again.

    Not sure I would do it though. I’d have to be in an awful– a very awful– amount of pain to agree to give up the mobility I have in my upper back and neck, and that’s what would happen with more fusions.

    I’ve had probably 2% of progression in the last two years. She says that’s pretty stable for my particular situation. So much so, that she won’t worry about x-rays when I come back next year.

    I did get another referral for physical therapy. I still know a lot of the exercises I was taught last year but I haven’t been super reliable about it since I got depressed and had very bad mental health in the Spring and summer. And of course, I did have a whole hysterectomy in May.

    All you people with normal bodies, it must be nice.

    When I look at this photo of my x-ray though, it makes complete sense as to why I have mental health issues AND why I have been the object of not-nice men.

    Easy to prey on the already weakened.

    As my oldest would say, “It is what it is.”