proximal hamstring avulsion Surgery

Posted by upgirl2013 @upgirl2013, Jul 14 5:29pm

Hi,
I fell on July 3 and tore my hamstrings off my sits bones.
Last Friday I had surgery to have three anchor screws to attached the hamstring to my butt.
My pain on day 3 is only at the incision site and not too bad.
I have found little information regarding personal recoveries.
I currently have knee brace set for 90degree with strict instructions to not put my foot down. I am using crutches as our house is too small for the turning radius of the scooter that I rented.
How do you maneuver stairs? It seems like I have to bend my leg past the brace allowance to go from our living room to our entry way.
I figured out how to take a shower by getting on the shower seat first, taking the brace off and drying diligently before putting brace back on while sitting on the shower chair. We use suctioned cup hand rails on our plastic shower stall.
Any tips, testimonials and questions are welcome.
Katy

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Profile picture for upgirl2013 @upgirl2013

Do have to go back to work soon? I retired a year ago and am thinking that it would be nice have a job to do. I do not sit well.
We just have to figure out another way to enjoy the summer. I am feeling well enough at 3 week post op that I am missing being control of my daily activities.
I no longer tear up in the morning when I see the crutches at the end of my bed. I do sigh and hope I have the strength to hoist me around all day.
I am going to ask a friend with a pontoon boat for a ride. I should be able to crutch on the dock and into their boat. We have a fishing boat and I will not be in that until next Spring.
I do miss a cold summer beer and decided that I am going to have any alcohol until I can stand on two feet.
My husband is mourning the loss of his summer too. I keep telling him to ask a friend to do something. With his cognitive impairments he relies on me for his social interactions and I do not have the strength to do manage that now. He still golfs on Wednesday and I have been encouraging him to go more days.
It has been so dry here that the crutches work well on grass and I have been able to walk around to our back patio. The steps scare me and I try to avoid them at all costs. Reading on the patio and being outside was nice.
Since it is my left leg, getting in and out of the passenger seat is easy. I have never been one to go for a ride just to go for one, but this past week I have enjoyed just seeing something different than the inside of the house.
I have being doing a mental inventory of restaurants that do not have steps and have handicap accommodations. We finally have insta cart and door dash in our area, but I want to get out for a bit.
I have figured out how to make the bed by hopping around it. I only make it when I am too squirrelly to sit still.
For my mental health, I started cleaning the kitchen yesterday. I had my husband help with things I could not do. Which was hard because kitchen cleaning was always his chore. Last time our house was really cleaned was June 20th before our company came. We have yet to find a cleaning service and the in home care aides do the bare minimum. We live in an area where the cleaning services are independent woman who are aging out or are cleaning cottages and primary homes of their clients this time of year. Care.com had two persons and I did not want to give my credit card number without knowing if those persons would work out.
The in home care provider is coming for an extra hour on Wednesday and I am hoping she will finally swifter the floors.
Our laundry is in the basement and my husband is now responsible for all laundry. Yesterday, he could not remember how to change the cycles and start the washer. I had him take a picture of the dials and then I could show him. I am pretty sure he forgot the detergent. I have no idea what the laundry room or basement look like. I suggested that we go to the laundromat and you thought I had asked to go to the moon.
By my ramblings, you can tell the post op mental fog is gone and now the reality of my limitations has set in.
On a side note: I asked my PT why I have a metal taste in my mouth and she said it was because the trauma to my body set off my metal fillings and it is possible the mercury is leaching into my system. Who knew???
Hang in and remember this only temporary.

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Thank you for posting your comments, it gives me ideas on how to manage after my surgery. Most of information I discovered concerns the recovery of younger adults. It is encouraging to me to hear your progress and know that I can hopefully still make a good recovery.

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Profile picture for tamb @tamb

I did the same thing, tore my ham strings off my sit bone. I am 67 yr old woman. Happened Sept 7, 2days ago. I know I will have the surgery. but the local doctor has only done 6 surgeries. He wants to do the surgery in 2 more days! He seems very capable, but I am very scared with only preforming 6 surgeries.
He said it is a rather uncommon surgery, and wants me to make a decision quickly, before scar tissue builds. What time line did you follow to have your surgeries after your accident. I won't have time to get a second opinion, or do any research. I am new to the area, and do not have a network of support in the medical community.
What type of surgery did you have: open or endoscopic?
Any information about doctors experience and surgery timeline would be helpful.
Thanks,
TAB

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I had my surgery at Aurora Baycare in Green Bay, Wisconsin. That is 100 miles south of my house. I met my Dr on a Wednesday, 6 days after my accident and the surgery was on Friday.
My local hospital sent me home with a muscle strain diagnosis and I knew it was something more. I saw a physical therapist in my town on day 5 post accident, He knew what it was and called the surgeons office for me.
It is important to have the surgery sooner than later.
Like you, I did not have time to research a thing. I went in with blind faith and I hoped everything would work out. Which it did. My surgery was open and the anchors are located directly behind the incision. Which is the reason for the dull ache.
There are a lot of articles about the technique and clinical notes on the recovery.
This article was helpful in my decision to have the surgery: https://www.sciencedirect.com/science/article/pii/S2059775421000122

The post surgical pain is minimal, but the recovery is long and boring.
You will need a lot of assistance for the first 6 weeks.
This a traumatic injury and surgery. It will take at least a month to come out of the post surgical brain fog.
Crutches worked best for me.
My surgeon and his staff were very helpful and seemed knowledgeable.
Good luck and keep me posted on how everything went.

REPLY
Profile picture for upgirl2013 @upgirl2013

I had my surgery at Aurora Baycare in Green Bay, Wisconsin. That is 100 miles south of my house. I met my Dr on a Wednesday, 6 days after my accident and the surgery was on Friday.
My local hospital sent me home with a muscle strain diagnosis and I knew it was something more. I saw a physical therapist in my town on day 5 post accident, He knew what it was and called the surgeons office for me.
It is important to have the surgery sooner than later.
Like you, I did not have time to research a thing. I went in with blind faith and I hoped everything would work out. Which it did. My surgery was open and the anchors are located directly behind the incision. Which is the reason for the dull ache.
There are a lot of articles about the technique and clinical notes on the recovery.
This article was helpful in my decision to have the surgery: https://www.sciencedirect.com/science/article/pii/S2059775421000122

The post surgical pain is minimal, but the recovery is long and boring.
You will need a lot of assistance for the first 6 weeks.
This a traumatic injury and surgery. It will take at least a month to come out of the post surgical brain fog.
Crutches worked best for me.
My surgeon and his staff were very helpful and seemed knowledgeable.
Good luck and keep me posted on how everything went.

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Thanks you so much for the above information. It is very helpful. I will hopefully be scheduled for surgery this Friday. I will let you know,
Thanks!

REPLY
Profile picture for tamb @tamb

Thanks you so much for the above information. It is very helpful. I will hopefully be scheduled for surgery this Friday. I will let you know,
Thanks!

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I will be thinking of you. You will want to get as much done as your body will allow today. By day 7, post accident I could not do much. I used a private pay in home care agency one day a week for 7 weeks to help with light housekeeping, laundry and meal prep. I also had my daughter put my clothes and undergarments in a cloth box on my dresser. You will not be bending down or putting your foot on the floor for a ling time. You will need a shower chair and I used suctioned cup type grab bars in the shower. I needed help getting the brace off and putting it back on. I only took the brace off to shower. My surgeon had me start PT at 2 weeks. It was not much, yet I had the peace of mind that everything was healing okay.

REPLY
Profile picture for upgirl2013 @upgirl2013

I will be thinking of you. You will want to get as much done as your body will allow today. By day 7, post accident I could not do much. I used a private pay in home care agency one day a week for 7 weeks to help with light housekeeping, laundry and meal prep. I also had my daughter put my clothes and undergarments in a cloth box on my dresser. You will not be bending down or putting your foot on the floor for a ling time. You will need a shower chair and I used suctioned cup type grab bars in the shower. I needed help getting the brace off and putting it back on. I only took the brace off to shower. My surgeon had me start PT at 2 weeks. It was not much, yet I had the peace of mind that everything was healing okay.

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Again, thank you for all the information.
My surgery went well. I am still using the leg brace from the ER. I am guessing the waist/leg brace will not arrive till Monday.
Which type of brace are you in?
My biggest challenge is the toilet position.
I am surprised that this surgery is outpatient. I have the support of my husband, but it is not a role he is acquainted with!
I appreciate the information you have posted. It has been helpful hearing about your experiences and your timeline.
Day by Day—Tanda

REPLY
Profile picture for tamb @tamb

Again, thank you for all the information.
My surgery went well. I am still using the leg brace from the ER. I am guessing the waist/leg brace will not arrive till Monday.
Which type of brace are you in?
My biggest challenge is the toilet position.
I am surprised that this surgery is outpatient. I have the support of my husband, but it is not a role he is acquainted with!
I appreciate the information you have posted. It has been helpful hearing about your experiences and your timeline.
Day by Day—Tanda

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I am happy to hear your surgery went well. A T-Scope brace set at 90 degrees was put on my leg during surgery. My PT adjusted the brace and changed the degrees for range of motion during the 9 weeks that I wore the brace. I only took the brace off to take a shower. The toilet was a rough one. I did not get a raised toilet seat, but in hindsight wish I had. Suction cupped hand rails made my life easier.
The brace was removed permanently last Wednesday. I can now walk on two feet without a brace or crutches. The tough part for you are the next few weeks when you are non weight bearing. Let yourself heal and rest as mush as you can. Ice, ice and then ice again for the first two weeks. A soft pillow or blanket between your legs helps with discomfort of the brace rubbing your other leg. I used a sling bag to carry my phone, book and water bottle from the chair to my bedroom.
It is perfectly okay to cry when you see the crutches every morning and have to use them to go to the bathroom.
Let yourself heal and your husband will figure out how to take care of you. It was a big adjustment for my husband, but we figured it out. I am trying to add a picture of my brace and if a bunch of random pictures are attached, please accept my apologies.

REPLY
Profile picture for tamb @tamb

Again, thank you for all the information.
My surgery went well. I am still using the leg brace from the ER. I am guessing the waist/leg brace will not arrive till Monday.
Which type of brace are you in?
My biggest challenge is the toilet position.
I am surprised that this surgery is outpatient. I have the support of my husband, but it is not a role he is acquainted with!
I appreciate the information you have posted. It has been helpful hearing about your experiences and your timeline.
Day by Day—Tanda

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Just checking in, how are you?

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Profile picture for upgirl2013 @upgirl2013

Just checking in, how are you?

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Struggling a bit. My brace still has not come in and it
seems like I am in more pain than I should be. My current brace appears it might be similar to yours, so not sure what the new one will be like, except it straps around waist also I think. It is hard for me to find a comfortable position.
Did I understand correctly that you slept on your side some with blanket or pillow between legs? Rotating positions might give me a break.
Trying to keep a positive attitude.
Thanks for checking in, it is nice being able to ask questions.
At 9 weeks, do you feel comfortable walking? Do you walk the same? And how much walking or how many steps do you start with?

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Good to hear from you! The first few nights I slept in a recliner with a blanket between my legs. At day 3, I moved to my bed and used a pillow between my knees. I am a side sleeper and was afraid to sleep on my brace side. The brace always felt heavier at night. I used the ice machine regularly for the first two weeks. After my two week check up, In decided to use a heating pad at night. The first four weeks, I took extra strength Tylenol every 6 hours to stay ahead of the pain.
Walking with two feet on the ground at 6 weeks with brace and crutches was wonderful. I did the “heel toe, heel toe, eyes 50 feet in front of you” mantra for a bit. While still crutches, I walked 10 mins one way and 10 mins back to where I started. That wore me out.
Last week, I walked gingerly and little unsteady.
I walked more over the weekend and my leg did fine. I felt it getting weaker if I went too long and made sure that I sat on ice pack when I got home. I have strict orders to not walk up any hills.
Stairs started once my brace was completely straight but not opened. I still go down and up them with one leg at a time.
My uninjured side is quite sore from compensating for the weakness of the injured leg.
Do not be hard on yourself, the pain is real. Someone drilled holes in your tushy and then tied your hamstrings to the screws, after your body had a traumatic event. If you can tolerate the pain pills, take them.

REPLY
Profile picture for upgirl2013 @upgirl2013

Good to hear from you! The first few nights I slept in a recliner with a blanket between my legs. At day 3, I moved to my bed and used a pillow between my knees. I am a side sleeper and was afraid to sleep on my brace side. The brace always felt heavier at night. I used the ice machine regularly for the first two weeks. After my two week check up, In decided to use a heating pad at night. The first four weeks, I took extra strength Tylenol every 6 hours to stay ahead of the pain.
Walking with two feet on the ground at 6 weeks with brace and crutches was wonderful. I did the “heel toe, heel toe, eyes 50 feet in front of you” mantra for a bit. While still crutches, I walked 10 mins one way and 10 mins back to where I started. That wore me out.
Last week, I walked gingerly and little unsteady.
I walked more over the weekend and my leg did fine. I felt it getting weaker if I went too long and made sure that I sat on ice pack when I got home. I have strict orders to not walk up any hills.
Stairs started once my brace was completely straight but not opened. I still go down and up them with one leg at a time.
My uninjured side is quite sore from compensating for the weakness of the injured leg.
Do not be hard on yourself, the pain is real. Someone drilled holes in your tushy and then tied your hamstrings to the screws, after your body had a traumatic event. If you can tolerate the pain pills, take them.

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Good to hear your progress. It is a reminder that we will both get thru this! I hope you continue to improve quickly.
I am still struggling with my brace, it is a DonJoy Excyabir brace. Even more uncomfortable than what the ER put on. Hopefully it is doing its job, and we have it adjusted properly.
Several years ago I burst a L1 vertebrae in my by falling off an laddago, but I feel this injury has been more disabling. Otherwise, I took my good health for granted, which I will not do again.

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