Paralyzed Diaphragm

Posted by giller198 @giller198, Jul 3, 2018

My name is John and I was diagnosed this past January with a paralyzed right diaphragm. Phrenic nerve damage has been ruled out because of the amount of time between my heart valve surgery and when this started. I still cannot figure how this happened, I have a couple of ideas but nothing conclusive. I have seen two pulmonary doctors and both say there is a surgical procedure that can be done but no guarantee that it will work. I would like to know if anyone out there has been diagnosed with a paralyzed diaphragm and if they had it fixed.

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@bb729

I love the idea of cards and balloons...Memorial day is coming soon and @usccman absolutely deserves them and more... I'd be willing to kick in and have paypal. Just let me know.

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That is a great idea--cards and balloons.

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@usmccam

@john @terri @merry @thankful @alamogal635 @teresa @jenniferhunter @thankful

Thank you, everyone, for all of your good wishes, thoughts, and prayers. It is easier for me to post at this hour as there is less traffic in here and sort of quiet. I have a few inspirational ideas but cannot do anything currently until I stabilize a bit more but just give me some time and I will get them posted for you. I have one lobe that has inflated but not the other one, so am still on massive treatments and eggshells. Hopefully, things will get better but it will take some time so to speak. Wishing everyone a good weekend and am sending all you hugs and prayers and good thoughts. Ciao.

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@usmccam- How are you doing? I'm worried as we haven't heard from you in a while.

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Hi John, Randolph here: recently diagnosed, exact ditto for me your first two posts of 2018 (second in reply to lisagillier). Set numerous (Canadian) Masters Swimming records twenty years ago in my 40s, and swam hard “recreationally” until two years ago. Thought my times were just slipping with age and swam distance-per-stroke hypoxic drills for a year, until an April 2019 ambulance respiratory emergency and follow up brought on by flu. Now faced with “plication” surgical procedure if I still exhibit “dyspnea” in July. The surgery is NOT offered, if physicians‘ opinion is that I do NOT still exhibit symptoms, and their definition of “exhibit” is geared towards couch potatoes not athletes. So that’s a catch 22, because as you probably know by now, plication sutures the diaphragm down flat, disabling it.

Notwithstanding, I’m working out to fix that muscle, but can’t even finish a fifty without standing up. We both used to “swim into” the pain. But we only have one diaphragm left. I share the panic you feel when immersed, and want to know if it’s safe to “swim into it” in the hope of stimulating some latent elasticity in the atrophied diaphragm.

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@randolph

Hi John, Randolph here: recently diagnosed, exact ditto for me your first two posts of 2018 (second in reply to lisagillier). Set numerous (Canadian) Masters Swimming records twenty years ago in my 40s, and swam hard “recreationally” until two years ago. Thought my times were just slipping with age and swam distance-per-stroke hypoxic drills for a year, until an April 2019 ambulance respiratory emergency and follow up brought on by flu. Now faced with “plication” surgical procedure if I still exhibit “dyspnea” in July. The surgery is NOT offered, if physicians‘ opinion is that I do NOT still exhibit symptoms, and their definition of “exhibit” is geared towards couch potatoes not athletes. So that’s a catch 22, because as you probably know by now, plication sutures the diaphragm down flat, disabling it.

Notwithstanding, I’m working out to fix that muscle, but can’t even finish a fifty without standing up. We both used to “swim into” the pain. But we only have one diaphragm left. I share the panic you feel when immersed, and want to know if it’s safe to “swim into it” in the hope of stimulating some latent elasticity in the atrophied diaphragm.

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@randolph I wanted to share our discussion about Myofascial Release in case that is something you think could help you. I struggle with physical issues in my breathing from fascial tightness where one side of my chest restricts proper rib movement, and I don't move my lungs enough. I work with my physical therapist on this, and when we get things loosened up, I breathe a lot better. I also have asthma and allergies. My chest tightness extends from my neck to my pelvis, and that tightness between the rib cage and hip does affect my diaphragm movement a bit. I have thoracic outlet syndrome which is a nerve entrapment of the bundle that passes through the chest between the collar bone and rib cage, and it can frequently cause my first rib to be elevated which makes it difficult for me to breathe. I know that MFR has helped patients avoid surgery by getting things moving again and back in better alignment. Here is the link to our discussion which has lots of information. There is a provider finder on the MFR website. https://connect.mayoclinic.org/discussion/myofascial-release-therapy-mfr-for-treating-compression-and-pain/

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@jenniferhunter

@randolph I wanted to share our discussion about Myofascial Release in case that is something you think could help you. I struggle with physical issues in my breathing from fascial tightness where one side of my chest restricts proper rib movement, and I don't move my lungs enough. I work with my physical therapist on this, and when we get things loosened up, I breathe a lot better. I also have asthma and allergies. My chest tightness extends from my neck to my pelvis, and that tightness between the rib cage and hip does affect my diaphragm movement a bit. I have thoracic outlet syndrome which is a nerve entrapment of the bundle that passes through the chest between the collar bone and rib cage, and it can frequently cause my first rib to be elevated which makes it difficult for me to breathe. I know that MFR has helped patients avoid surgery by getting things moving again and back in better alignment. Here is the link to our discussion which has lots of information. There is a provider finder on the MFR website. https://connect.mayoclinic.org/discussion/myofascial-release-therapy-mfr-for-treating-compression-and-pain/

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Thank you Jennifer: I’m struggling with (blog?) navigation - and followed the link to MFR website which is enlightening (always assumed it had something to do with the “face”) - but don’t see the “link to our discussion”.

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@randolph

Thank you Jennifer: I’m struggling with (blog?) navigation - and followed the link to MFR website which is enlightening (always assumed it had something to do with the “face”) - but don’t see the “link to our discussion”.

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@randolph This is the link I mentioned for myofascial release.
https://connect.mayoclinic.org/discussion/myofascial-release-therapy-mfr-for-treating-compression-and-pain/
This is a discussion on Connect where I listed a lot of information which is mostly at the first pages.

Here is the MFR website. https://myofascialrelease.com/

Here is the provider search. http://mfrtherapists.com/

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@jenniferhunter

@randolph This is the link I mentioned for myofascial release.
https://connect.mayoclinic.org/discussion/myofascial-release-therapy-mfr-for-treating-compression-and-pain/
This is a discussion on Connect where I listed a lot of information which is mostly at the first pages.

Here is the MFR website. https://myofascialrelease.com/

Here is the provider search. http://mfrtherapists.com/

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Thank you Jennifer. That’s very helpful.

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@randolph

Hi John, Randolph here: recently diagnosed, exact ditto for me your first two posts of 2018 (second in reply to lisagillier). Set numerous (Canadian) Masters Swimming records twenty years ago in my 40s, and swam hard “recreationally” until two years ago. Thought my times were just slipping with age and swam distance-per-stroke hypoxic drills for a year, until an April 2019 ambulance respiratory emergency and follow up brought on by flu. Now faced with “plication” surgical procedure if I still exhibit “dyspnea” in July. The surgery is NOT offered, if physicians‘ opinion is that I do NOT still exhibit symptoms, and their definition of “exhibit” is geared towards couch potatoes not athletes. So that’s a catch 22, because as you probably know by now, plication sutures the diaphragm down flat, disabling it.

Notwithstanding, I’m working out to fix that muscle, but can’t even finish a fifty without standing up. We both used to “swim into” the pain. But we only have one diaphragm left. I share the panic you feel when immersed, and want to know if it’s safe to “swim into it” in the hope of stimulating some latent elasticity in the atrophied diaphragm.

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Hello Randolph, this is John. I to am a Masters swimmer along with the senior games. When I first found out about my diaphragm problem I also had to stop after a 50. That was two years ago. I kept on swimming though and I'm up to doing 100's without stopping. Doing 200 kicks and pulls. Started doing IM''s about a month ago. On average I'm doing about 2000 yards in a workout. Have you checked into phrenic nerve damage? I had open heart surgery about a year before this diaphragm problem started and I thought maybe during the surgery that nerve got nicked. Doctors are saying no, because the diaphragm would have stopped working sooner. There is a test called EMG, electromyology that can check the phrenic nerve. If it is the phrenic nerve I haven't heard of any procedure to fix it. Keep swimming it does get better, take care

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@randolph

Hi John, Randolph here: recently diagnosed, exact ditto for me your first two posts of 2018 (second in reply to lisagillier). Set numerous (Canadian) Masters Swimming records twenty years ago in my 40s, and swam hard “recreationally” until two years ago. Thought my times were just slipping with age and swam distance-per-stroke hypoxic drills for a year, until an April 2019 ambulance respiratory emergency and follow up brought on by flu. Now faced with “plication” surgical procedure if I still exhibit “dyspnea” in July. The surgery is NOT offered, if physicians‘ opinion is that I do NOT still exhibit symptoms, and their definition of “exhibit” is geared towards couch potatoes not athletes. So that’s a catch 22, because as you probably know by now, plication sutures the diaphragm down flat, disabling it.

Notwithstanding, I’m working out to fix that muscle, but can’t even finish a fifty without standing up. We both used to “swim into” the pain. But we only have one diaphragm left. I share the panic you feel when immersed, and want to know if it’s safe to “swim into it” in the hope of stimulating some latent elasticity in the atrophied diaphragm.

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Hey Randolph, it's John. How we doing these days? Haven't seen much chatter with this group. I'm still swimming 3 days a week. Trying to do at least an 1800 more if I can. Don't think much about this diaphragm problem when I'm out of the pool. Don't know if you ever swam at the Huntsman Games in St George Utah in October but got an email from them last week and the games have been cancelled because of covid. First time since they began in the 80's. Let me know how you are doing, take care

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@bigbdk

Hi my name is Brian. I have been reading posts here about being diagnosed with a paralyzed diaphragm and the procedure to help. I was diagnosed with unilateral diaphragm paralysis of my right side after being struck by a large tree branch that crushed the right side of my chest.
About 2 months after the accident I started physical therapy and that’s when I noticed that I couldn’t catch my breath after exerting myself. I was referred to a pulmonologist and was administered a breathing test and my outputs were very low. From there I was given sniff test and that’s when I was diagnosed with a paralyzed diaphragm of my right side. The procedure was quite quick. It took the doctor about 15 seconds to diagnose my problem.
I was given the option to go see a thoracic surgeon at the University of Iowa Hospitals to discuss a procedure called diaphragm plication to help me breath.
Since I was a healthy 50 year old man prior to the accident I decided to go through the procedure because I couldn’t even climb a flight of stairs without being completely out of breath.
I had the diaphragm plication surgery about 5 months after my diagnosis and I would like to share with those my experiences after having the surgery.
The first thing I remember when waking up after a 4 hour surgery was the sever pain I was in. Thankfully they placed something in near my spine (which I can’t remember the name) that helped numb the surgery area. I had a chest tube inserted into my back to drain the chest cavity and I am so glad that they had placed a catheter in to drain urine. It was 3 days of severe pain and getting up a couple times a day to walk wasn’t fun. I had the chest tube removed and they took me off the pain reliever drip to my spine on day 4. I believe I was released on day 6. Just have a nice riding vehicle and avoid bumps on the way home. It took me at least 6 weeks to recover.
That surgery was 3 1/2 years ago and I am still debating whether it was worth it. I did gain some lung capacity back, but I still am breathing hard when I climb a flight of stairs. I still deal with pain everyday in my lower chest area. It feels like I have a rolled up towel under my rib cage that runs from the front to the side. I have a hard time bending over to pick something up or to even put on a pair of pants. I don’t want to scare anyone off from having this type of surgery but I felt I needed to share my experience. I researched this surgery myself and there just isn’t much out there to help you make a decision.
I hope this information is helpful to anyone who is considering this type of surgery. I am willing to answer any questions that may come up about this condition. Good luck to all of you in the posts before me. I wish I consulted the Mayo Clinic for a second opinion.

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I was recently diagnosed with a right paralyzed diaphragm and really appreciate reading about your experience. The doctor recommends plication surgery; but I read a journal article that said people get around
35% improvement in breathing. I'm wondering if I could get that from learning how to breath more efficiently. A different problem that makes me think I should have the plication surgery is my stomach is moving into my chest cavity because the diaphragm isn't holding it back. I will have a followup appointment with the doctor soon. He wants me to lose weight before the surgery, which I'm working on.

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