rare disease

What happens after the hEDS diagnosis??

 

 

By:  @mylifeinzebrastripes

 

Learning to live with Hypermobile Ehlers-Danlos Syndrome (hEDS) is not for the faint of heart.  Everyone’s journey to diagnosis and beyond is completely individual.  I would argue that while we share some similarities in our stories of how we got to our diagnoses…there is a vast difference between those who grow up ‘sick’ and those of us who lived our lives with a set of symptoms without benefit of a diagnosis.  Here is my point:  if you grow up knowing you have hEDS from the day you are born…that IS your normal.  But what happens when you grow up not feeling well but you are still functional (friends, school, jobs) and THEN the syndrome progresses??  My supposition is that those two journeys are distinctly different.

 

I can’t speak to growing up knowing you have hEDS from a young age but I can share what it was like being diagnosed at age 36 after searching my entire adult life for answers.  Initially, there is a honeymoon period after diagnosis where you are just so stinkin’ happy to have a name to put on your symptoms.  Someone actually believed you after, what is most often, many years of belittling, doubting docs telling you that all you need is psychiatric care!  This ‘diagnosis high’ as I call, can last anywhere from a few days to years.  For me it was the latter.  I was so relieved and astonished and happy that after 18 LONG years, someone had actually validated my symptoms.  But what happens after that??   

 

I was fully functional at the point of diagnosis…I had a job and friends and a life.  Did I have pain and skin issues and digestion issues??  Sure, but they didn’t stop my life.  Probably, the best gift I was ever given was from the rheumatologist who made the diagnosis.  She said, “I think this is what you have, (handed me an article on Benign Joint Hypermobility Syndrome, which was what hEDS was called back in the day) it’s not life-threatening so go out and live your life.”  And I did! 

 

Four years later at the age of 40, I was unable to stand or walk for more than a minute.  But imagine what might have happened if my doctor told me that this was coming??  She didn’t know if I would be one of the unlucky ones whose symptoms would progress or rather, remain benign.  She gave me the gift of four years full of life because she didn’t assume the worst and plant seeds of worry in my already overactive brain!!

 

When I turned 40 and my body started breaking down, I had my first appointment with Dr. Brad Tinkle, world-renowned geneticist and expert on The Ehlers-Danlos Spectrum disorders.  This guy wrote the book on hEDS…literally!   I was skeptical as I went into our first appointment and even passive aggressive.  History had taught me that best-case scenario, he would be aware of the topic, but have no helpful insights and worst case scenario, he would belittle my symptoms and demean my intelligence with a smug comments that would make Napolean look like Pollyanna. 

Lucky for me he was patient and kind, and took over an hour to talk to me about hEDS and what this meant for my future.  He told me in no uncertain terms that I needed to learn to pace myself…I could do many of the same things just not in the same way or at the same time.  He created a protocol to manage the symptoms including pain, told me to quit travelling 180 days a year and come back same time next year.

 

As this new reality began to sink in, I went into a deep depression which was novel for me….not something I’m used to feeling.  This downturn in my health caught me completely off guard. (I NOW know that being only slightly symptomatic and then having more symptoms pop up suddenly in your 30’s or 40’s is pretty common.)  I was pretty ill but was hoping I could find my way back to a better quality of life.  On some level, I knew that things were never going to be the way they were. 

 

I started the grieving process for the life I’d already lived.  It was as real and profound as any death.  I grieved for the career I’d loved and lost.  I grieved for the education I’d obtained and now could not use (3 Master’s degrees later!)  I lost nearly every friend I’d ever had.  And I lost myself.  I didn’t recognize this person in the mirror who frankly looked like death on a cracker!  What I now know, standing at this point in my journey is that you MUST allow yourself time to grieve the losses of the life you had and learn to live a new life.  You must learn to let go and hold on all at the same time. And finally, it’s ok for grief to visit, just don’t let it take up permanent residence!

 

When you are diagnosed with any chronic condition, I think you have 2 options…

1.     float

2.    learn to fight

 

I’ll be honest…I floated for a long time…almost paralyzed by this new reality.  I couldn’t see how I could loose all the things in my life that I thought mattered most (family, friends, career, mobility) and still have a life worth living.  But after some time, and some better living through chemistry, I realized that there was beauty and joy in the world and that I could be a part of it (as long as I could sit!).

 

Here’s what I did, in no particular order:

1. Researched everything I could get my hands on about hEDS…knowledge is power

2. Researched medications…pharmacists are tremendous resources for info

3. Researched alternative or complimentary therapies

4. Began therapeutic massage, acupuncture, pilates, and physical therapy

5. Changed my hair, clothes, and work schedule to better accommodate my new symptoms

6.  Altered my diet

7.  Learned to meditate

8. Relied on family and faith…I drew tremendous strength from being ‘re-grounded’ in those relationships

Once the depression started to lift, I began to see the world through a completely different lens.  Gratitude filled my spirit because I knew all too well, that things could be worse…a lot worse.  It sounds cliché but it was as if the colors in the world where just a little bit brighter and I heard the sounds of the river flowing with greater clarity than Bose could ever dream about!  Chronic illness has a way of instantly rearranging your priorities…things that were once super important are now at the bottom of the list. 

 

One of the ways I cope is via humor.  Generally speaking, I am a very positive, emotionally even-keeled, person but am known to appreciate irony and a good joke.  If ever there was a condition that stood out for it’s comedic opportunities, it’s hEDS! 

Think about it…the building material that makes of 80% of the soft tissues in your body is faulty and they can’t fix it or replace it and it’s only going to get worse as you age!!  I can’t make this stuff up!!  My instagram feed became an outlet for this humor and the realistic hEDS anecdotes that honestly fill my everyday life.

 

People often say to me questioningly, “So…you have this progressive chronic condition that caused problems in every body system and you live in constant pain…how can you be so positive?”  The brutal truth answer: “What’s the alternative? Be miserable?”  Not for this girl. 

 

I returned to Dr. Tinkle one year later with local goodies from the town confectioner as a peace offering from my rather curt behavior a year before.  At the end of our appointment as he walked me down the hall, he remarked with surprise, “You are a completely different person!”  I thought for a moment and replied, “No, I’m not…I’m the same girl I used to be…it’s just that now I’m listened to and believed and am getting compassionate and quality medical care.”

 

 

Mental health & The Mind Body connection

Hello readers, my name is Sophie,

 

I have had a liver transplant and I take medication that lowers my immune system to stop my body from rejecting my new liver, because of this I have ongoing health challenges, which puts me in the umbrella of people with chronic illnesses. 

I believe that this affects my mental health because life in general can be really challenging and hard to cope with at times, and then if you add into the mix coping with your own health issues as well as daily life it all can become very difficult and spending lots of time in hospital as a child means that I went through lots of very frightening things and because of this I’m quite an anxious person.

 

Here are some things that I have found that have really help me to cope with everyday anxiety and when things are rather overwhelming.  

 

Therapy

 

 I know this sounds simple but I prioritise allocating my budget for seeing a psychotherapist once a week. 
I know for some people that just isn’t a possibility but there are lots of free counselling services, helplines, reduced rate services, or within your workplace some organisations will provide supervisors who are willing to let you talk, maybe its a person within your spiritual/religious life, maybe it’s an anonymous online service however you do it, you need to have a space where you can just talk about how you are processing everything that is happening to you, without judgement!  
 

Here is a great pdf that explains what counsellors and therapists do - http://www.itsgoodtotalk.org.uk/assets/docs/Key-fact-sheet-1-What-do-counsellors-and-psychotherapists-do_1276789241.pdf

 

Here are some services where you might be able to gain access to free / reduced cost services. I did them for where I live but I got this huge life just through 5 mins on google so I’m certain there will be something available where you are too!

 

Mind - http://bristolmind.org.uk/counselling/

University services - http://www.bristol.ac.uk/student-counselling/

Womankind - http://www.womankindbristol.org.uk/

Local doctors surgery resources - http://www.oldschoolsurgery.org.uk/counselling.html

Off the Record - http://www.otrbristol.org.uk/

NHS - http://www.nhs.uk/Conditions/stress-anxiety-depression/Pages/Free-therapy-or-counselling.aspx

Online - https://www.7cups.com/

 

Self-Care

 

No-one knows you better than you so spending time figuring out how to best manage your condition is super important you need to become your own expert! I have learned so much over the years about how I cope day to day things like not overloading myself, remembering to eat and drink at the right time, knowing when to take a break, or when I need to get help.

 

The NHS have put together a great toolkit for self-care, I would suggest if you are new to this concept working through the booklet, and giving it a good go. You are more powerful than you know!

 

http://www.nhs.uk/Planners/Yourhealth/Documents/Self%20Care%20Toolkit%20Booklet%20-%20Oct%2010%20-%20READ.pdf

 

Mind have also put together a very specific guide for self-care and anxiety which I know affects SO many of us with chronic illness, there’s lots of info on here that’s really well researched and evidenced based so have a look!

 

http://www.nhs.uk/Planners/Yourhealth/Documents/Self%20Care%20Toolkit%20Booklet%20-%20Oct%2010%20-%20READ.pdf

 

 

Planning

 

I believe this follows on from self-care but if you’re feeling like everything is a little too much write a short list of things you need / want to do today and work through them. These do not need to be mammoth tasks like finish writing you dissertation (ahem I’m writing mine now) but maybe it’s something like read a couple of chapters of a book, or fold some laundry, or text a friend back, whatever you like! ALSO do not feel bad if you don’t get through them if you have only do two things on your list THAT’S GREAT. I make lists on the backs of old envelopes all the time and some days I get through very few and I still feel better that I made the list and had some focus than spent the day feeling more lost.

 

I get that sometimes you REALLY need motivation even to get to this and you need reward incentives on those days that even doing anything other nothing is hard – so I have something for you, especially those of you who are goal orientated or just LOVE playing games - https://www.superbetter.com/

So this app I find really useful because it allows me to accomplish small things like, drink a glass of water and it makes me feel like I’m really taking self care seriously and it helps me organise my life so again I feel a little bit more in control, which is a big deal especially when you can feel so powerless.

 

For those of you who are really creative and prefer to put pen to paper – try this - https://thehappinessplanner.com/ I got this for my partner last year (he’s also a human with chronic illness) and it allows him to really focus of things that are going to make him happi(ier) and obviously this is not a magical curative but putting your energy into things that can improve your life can only be a positive step.

 

 

Exercise

 

Obviously, this is going to be different for different people for some this might be a half an hour run for some this might mean seated Zumba or yoga poses in a seated position or a 5-minute walk round the garden!

 

Everyone is different and as I have said before you know yourself best, if you can manage a yoga routine and going out for a walk for an hour fantastic! If you can manage to sit up in bed and do 5 mins of stretches that’s fantastic too!

For me I signed up do be a dog walker so I know each day I have the dog I know I must take her out so that’s a guaranteed 30-50-minute walk or I occasionally do yoga with my partner.

 

Exercise can help improve your sleep. Relieve stress, and reduce fatigue in some people (Sharma, Madaan and Petty, 2006), however always talk to your healthcare professional about what is appropriate for you.

 

Mind have a fab video that talks about getting moving and explains how it might begin to make us feel a little better, and without scaring you it does point how important it is to try to incorporate a little movement in our day because those with mental health issues may be more susceptible to other condition due to the lower levels of physical activity, so give it a go.

http://www.mind.org.uk/information-support/tips-for-everyday-living/physical-activity-sport-and-exercise/about-physical-activity/#.WPN_YVMrKWg

 

The NHS provides guidance for physical activity and has set up programmes like couch to 5k which have had huge amounts of success with people beginning to become more active

http://www.nhs.uk/Conditions/stress-anxiety-depression/Pages/Exercise-for-depression.aspx

 

 

References

Sharma A, Madaan V, Petty FD. Exercise for Mental Health. Primary Care Companion to The Journal of Clinical Psychiatry. 2006;8(2):106.

 

 

Eating regularly and healthily 

For me this is a pretty big one, if I haven’t eaten at the right time for me or if I have only eaten junk food I am noticeably more sluggish, I have less energy, and my mood can be really very low.

On days where I try and eat plenty of veg and some fruit and drink plenty of water, I tend to have less fatigue and my bowels are a bit happier, and my skin really looks clearer. On days when I’m very anxious it is really very difficult to regulate when to eat and what to eat, but I find that planning (see tip above) and preparing meals on a good day in bulk so that its easy just to get a box out of the fridge or freezer on a bad day I have helped my future self when I’m having a rough time.

 

Mind provide a fantastic page providing in depth information on this – http://www.mind.org.uk/information-support/tips-for-everyday-living/food-and-mood/about-food-and-mood/?o=6831#.WPON9lMrKWg with a really fab video which gets you thinking about ways to improve your diet by doing things like reducing caffeine, and eating the rainbow!

 

The Royal College of Psychiatrists have also identified and acknowledged how eating well and regularly is hugely important and have highlighted that having a stable weight, and having a balanced diet can help with management of mental health issues. It also discusses that some medications can pre-dispose you to weight gain, without shaming anyone who is having issues with their weight. - http://www.rcpsych.ac.uk/healthadvice/problemsdisorders/eatingwellandmentalhealth.aspx

 

The NHS provide a huge amount of resources and help with thinking about healthy eating too - http://www.nhs.uk/livewell/healthy-eating/Pages/Healthyeating.aspx

 

This all being said what will suit me and my diet may not suit you, so if you would like to start and you find this information a little too much to take in talk to your doctor, and ask about a referral to a dietician who can help you put together a meal plan that works for you.

 

 Final words

 

So sometimes you can be very diligent with all of these things and things can still be really rubbish and that’s not your fault we all go through particularly bad spells and it can take a lot of hard work to get out of them, remember to ask for help.. 

 

All the best

 

Sophie Savage

 

Instagram.com/nimbus_cloud

Harvesting Healthy Habits

Harvesting Healthy Habits

In honor of EDS Awareness Month, learn how you can help improve your overall mental, and physical well-being by learning how to harvest healthy habits with us.

American Journal of Medical Genetics newly released informational Part C (Seminars in Medical Genetics) general overview.

This freshly released collaboration of research articles, compiling hundreds of pages of research driven encapsulations of the varying manifestations from psychiatric/psychological aspects to chronic fatigue in hypermobile types.  I have read and elaborated on nine of these articles, listed below.  For the full 2017 EDS International Classification brought to you by the Ehlers-Danlos Society click here!

A highly suggested if not obligatory reading if you have any type of Ehlers-Danlos.  In fact these should be emailed by diagnosing physician immediately after diagnoses so that patients can be equally present in their management of symptoms.  As someone who was diagnosed 19 years after I first gathered the courage to ask a doctor for help, these studies have greatly helped restore my hope that those being diagnosed, treated, enduring, cared for, and altogether afflicted by the many draining, and multi-systemic, comorbidities are being taken seriously on a larger scale.  Hopefully our children will not have to endure symptoms that rearrange our schedules at whim.  

EDS is difficult enough to navigate, at least with the knowledge of these articles we as patients have the best tools to help us manage our symptoms until we have more effective options.

Each article is a carefully articulated synopsis of all of the research available, in each respective category.  You can check my quick recap below each of the clickable links.

You can click on any of the following titles to be taken directly to their articles from the Ehlers Danlos Society.  Thank you Ehlers Danlos Society for facilitating the release of these documents for us, and for creating the amazing "Your Questions Answered" brochure about the 2017 EDS International Classification, which you can also find here.

I implore anyone diagnosed with cEDS, vEDS, hEDS, and any of the rarer or associated Ehlers-Danlos Syndromes, care givers, and loved ones to make time to read through each and every one of these articles.  The information is invaluable, and will help you be better prepared as a patient when it comes to providing and receiving the best care available.

  

Hypermobile Ehlers-Danlos Syndrome (a.k.a. Ehlers-Danlos Syndrome Type III and Ehlers-Danlos Syndrome Hypermobility Type): Clinical Description and Natural History

Brad Tinkle, Marco Castori, Britta Berglund, Helen Cohen, Rodney Grahame, Hanadi Kazaz, and Howard Levy
 One of the laregest of the articles, this is the best intro to hEDS .  From clinical description to quality of life and a wide overview of the varying comorbidities, these 22 pages are full of vital information to help you guide your healthcare plan of action. 

Ehlers-Danlos Syndrome, Classical Type

Jessica M. Bowen, Glenda J. Sobey, Nigel P. Burrows, Marina Colombi, Mark E, Lavallee, Fransiska Malfait, and Clair A. Francomano
 A wonderful breakdown, and literary map, of the genetic sequencing that unfolds into the physical and invisible traits of cEDS.  Even if you do not have this type, the information here is so useful in understanding the characteristics of COL5A1 and COL5A2 mutations which embody cEDS.  

Cardiovascular Autonomic Dysfunction in Ehlers-Danlos Syndrome -- Hypermobile Type

Alan Hakim, Chris O'Callaghan, Inge de Wandele, Lauren Stiles, Alan Pocinki, and Peter Rowe
 A great overview of the cardiac involvement  within the Ehlers-Danlos Syndromes.  I love that this complation takes you from the clinical history to the management and treatment of POTS, OH, and OI.

Oral and Mandibular Manifestations in the Ehlers-Danlos Syndrome

John Mitakides and Brad Tinkle
 Another great overview of the many different manifestations linked to the oral and mandibular regions.  TMJ, CCI, TMD, tissue fragility and treatment therapies are explained to great detail.     

Psychiatric and Psychological Aspects in the Ehlers-Danlos Syndromes

Antonio Balbuena, Carolina Baeza-Velasco, Andrea Balbuena-Cabre, Guillem Pailhez, Hugo Critchley, Pradeep Chropra, Nuria Mallorqui-Bague, Charissa Frank, and Stephen Porges
 I was elated to see that not only was this addressed independently, but that the care and attention to detail in the article were definitely in tact.  I absolutely believe the connection between the Ehlers-Danlos Syndromes and depressive, and psychological conditions deserves our full attention.  We cannot improve our quality of living, or the way we engage our health management without addressing this.  There are three great diagrams which outline the cycles of eating disorders, the "Roles of Mental Health Professionals in the Management of JHS/hEDS," and neuroconnective model used to illustrate how important the implementation of a multidisciplinary team is in symptom management. 
  

Chronic Fatigue in Ehlers-Danlos Syndrome -- Hypermobile Type

Alan Hakim, Inge de Wandele, Chris O'Callaghan, Alan Pocinki, and Peter Rowe
 The dreaded CFS, destroyer of motivation and most things fun.  Another very common concern across the Ehlers-Danlos Syndromes.  A great review of the MANY intricacies of CFS, and how to engage recovery effectively.  

Gastrointestinal Involvement in the Ehlers-Danlos Syndromes

Asma Fikree, Gisela Chelimsky, Heidi Collins, Katcha Kovacic, and Qasim Aziz
 GI issues are rather universal among the Ehlers-Danlos Syndromes, and I thoroughly appreciate the points they eluded to about the importance of nutrition, and the decreased quality of living amongst those with overlapping GI symptoms.  Another imperative read which has explained so much of my youth.

Pain Management in the Ehlers-Danlos Syndromes

Pradeep Chropra, Brad Tinkle, Claude Hamonet, Isabelle Brock, Anne Gompel, Antonio Balbuena, and Clair Francomano
 I was most excited to read this article.  Another great collection of undeniably pertinent information when it comes to the mechanics of chronic pain and the methods most effective to manage your pain.  There is a great table of the types of pain in hEDS, and a wide range of alternative therapies I hope my MDT will be open to trying.  I will say, however I was disappointed that while opiods were illustrated as an ineffective long term treatment option, I felt the issue of pharmacogenetics should have been addressed as well.  This may be a personal issue, however I have heard medication intolerances echoed among patients and feel this would have been a great place to address this.

Orthopaedic Management of the Ehlers-Danlos Syndromes

William B. Ericson Jr., and Roger Wolman
 For those of you with frequent, or even incessant subluxations, and full dislocations this is a great window into the disconnect you may observe when visiting your orthopedist.  There are some valuable pointers on how to make the most of your visits, when pain management is at its' most critical for those greatly affected by severe joint laxity and instability.

Our time is now.  If you would like me to provide a brief synopsis of the remaining articles, please leave a comment below.

Procedures and Anxiety

 How I utilized relaxation techniques to help work through episodes of anxiety related to a medical procedure.

GRAPHIC CONTENT WARNING**  There is a photo of the injection sites at the very end of this article of my wounds less than 24 hours after the procedure.  This is intended to be a visual aid to chronicle and study the healing of these sites.  Note also that I am not a doctor, these opinions are my own.  Please consult with a physician if you have specific questions or needs.  This article does contain some affiliate links, and some other links intended to help connect people with products or items that may help with their well being or recovery if needed.

So this is what I had done yesterday.  Bilateral hip MRI with contrast, injected directly into the hip joint through VIR.  Want to know more about what Vascular and Interventional Radiology is, click here.

I can't tell you how nervous I became when it hit me that they were going to be injecting fluid into my hip sockets.  The literal pivotal point that scares me the most about  the possibility of not being able to use my leg.  I'd personally rather not touch it, which is why almost exactly 20 years after expressing concern for the first time to a medical professional about the discomforting pain the dislocations of my hip have been causing me, I had it done.  I need answers, and I would like to continue to walk, if possible.  While that sounds dramatic, that is exactly what is running through my head, exactly what triggers anxiety in me.  Exactly how I feel every time shooting and disabling pain runs through the socket of my mobility like a loose cannon ball.

Using tools that have come my way I decided to be proactive the day of my Interventional Radiology (IR) procedure.  While it can be difficult and taxing physically and emotionally, I wanted to attempt to use the tools and methods that have worked for me.  I am so happy I did, and I really feel like it went well.

Great thing about investing in your general and mental health you pick up tips to help deal with extremes and stressful times.  I subscribe to an amazing all inclusive beauty, skincare, wellness subscription box called Beauty Heroes.  This last month's Hero was the Osmia Organics Night Body Oil.  "A concentrated blend of intentionally sourced essential oils infused into a complex base of skin-strengthening botanical oils," presented here as this glowing bottle of relaxation intended to trigger a neurological response from the intoxicating blends calming your central nervous system preparing your body for rest, thank you Pavlov.  This proved to be an amazing relaxation tool in the procedure room.

We've been loving this oil, and seeing great results this the last week using it to wind down for sleep, so I eagerly pumped away at the back of my hand and the back of my hand right before I left the house yesterday, and then covered my hands with my sweater to preserve the integrity of the oil.  Made sure my lip doctor sidekick was with me to combat nervous dry lips, and headed out.  I didn't quite feel nervous until I they strapped my body to the bed.  I quickly slid my available arm out and inhaled as deep as I could, and I was immediately relaxed.  So thankful for this glowing bottle right now, and my intuition to use what I have on hand as far as skincare, to help me adjust to a stressful situation.  Tools can be as simple as the things that make you feel the most cared for.  A luxurious body oil, when connected to an intentional mental cue to relax your nervous system becomes a powerful tool among the chronically ill, depressed, and anxious.

Point is, this is a relaxation technique.  We have a responsibility as a patient when we consent to procedures and want answers to treat the human on the other end of the chart, the needle, and the bed in every gauge of medicine with respect.  We should be conscious enough of the fact that our energies and states of mind effect everyone involved.   These techniques settle your mind and body and prepare you to deal with events.  Through the injections I practiced a metered breathing of my discretion.  We are all different, you may count to 3 or 7, or sing a song, but find your groove.  I asked the doctor if my deep breathing was "disturbing" him, and he said, "no it's great!"  

Applied technique, communication, and making other people feel appreciated might not change a good, bad, or unwelcome events, but it changes your experience, which ultimately alters our perceptions and abilities to deal with the stresses of our conditions.  Run-on sentence aside, I realize this journey is not complete, and I do not want a legacy of stressful memories, rather meaningful interactions.

I was able to watch the enthusiasm and guided intent of a doctor as he accurately guided instruments into a human body, my body.  I learned the shape of my pain yesterday, the ring of Saturn, and it was a stunning sight to be honest.  I can't wait to order my MRI's so I can watch the results unfold.

So this is me right now, with my Bauerfeind Sacro-Loc to help keep my PT ice pack in place.  Inhaling some relaxation, with my knee (which is feeling the effects of my body trying to break down and remove the excess liquid in my hips) propped up on my Savvy Rest pillow.  I had it on a regular pillow, but the organic kapok in these really allows the pillow to mold to your joint reducing pressure and stress to aid in healing.   

Also enjoying my Savvy Rest body pillow for much needed lumbar support for the same reason.  This pillow also acted as a great blockade last night for my 3 year old.  I actually felt safe in bed, and was still able to hug it and alleviated the tension from the angle of my femur.  

What you can't tell from this photo is I'm also indulging in a deep healing facial mask, and in constant throbbing pain.  It's actually the pink bottle in the photos, another beautiful gift from my amazing friend Kapua of Honua Hawaiian Skincare, the Pa-Akai Cleansing Cream and Mask.  Pure and gentle full of the healing properties of salt, oils, and all thing beautiful from the sea.  If I'm going to be laid up, I might as well be working, taking care of my skin, and comfortable right?  

Although this brace appears to be sitting a little low, I am not using it for support.  I set it specifically to cradle the gluteal hamstring muscles which are not engaging to support the front of my body's weight.  This belt also has removable pads to help place pressure on specific points of your back to relieve pressure.  While great walking around, when I sit on them my legs and rear end begin to go numb.  So listen to your body and only direct and place pressure/support where it can handle it.  I've also tried to rest my laptop on my left leg instead of my right, and lift my leg from behind my knee to completely alleviate any strain on the front of my hips.  You can find a great overview of general hip anatomy right here for those interested.

I am also applying the Copious body serum from Khus Khus Herbal This serum has ashwagandha and CBD oil.  CBD, or cannabidiol is a non-psychoactive concentrate extract of hemp. It is "highly analgesic promoting the reduction of pain + inflammation in the body." Ashwagandha has antiinflammatory and muscle relaxing properties and is a large part of Ayurvedic healing.  I apply this around the injection sites, and let it sink in.  Don't touch the entry points/broken skin for at least 24 to 48 hours or longer if you can bare.  These represent an open, however closing, path directly to your hip joint, not touching these greatly reduces the probability of joint infection of the synovial fluid.

Not only is preparing yourself mentally important, but setting up healing time, letting the light in, and doing simple things for yourself have such an impact on your mental well-being.  Just setting up the original photo flooded my room with so many great colors and warmth, it's changed the whole mood of the day.  Flushing your body with water after should also help you body detox and aid in the excretion of the liquid from your body.

You deserve to be happy and at least mentally healthy through your struggles.  My mental health switched gears the minute I decided to do something for myself, and that was skincare for me.  I revel in getting something beautiful and healthy for myself once a month, and Beauty Heroes never fails me.  If your passion is feeling good from the inside out, give them a peek.  It's always okay to treat yourself, you're the only one who knows when you need a pick-me-up.

I definitely still have my moments, my triggers, and my downfalls, but being able to see beauty and  learn new ways to communicate has been immensely helpful.   If you ever have any questions about techniques, products, please don't hesitate to reach out.  If you're interested in the Night Oil from Osmia, click the Beauty Heroes link.  You can subscribe, or just purchase the product in the Beauty Heroes, Buy Beauty section.  If you do wish to subscribe, you have until the 20th to get in on the Night body oil bundle!  I also highly recommend watching the inspirational videos of Beauty Hero's creator Jeannie Jarnot's interview with Osmia creator Dr. Villafranco here.

Do you use any techniques?  Was this helpful?  Want to contribute your story?  Let me know! 

 

GRAPHIC CONTENT BELOW

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These are my injection sites R and L at 1:00 p.m., less than 24 hours after procedure.  I find it interesting how the bruising on the right hip, the one that causes the most problems decided to pool under where the band aid was, and that my stretchmarks on my right hip and the slight stretch on the thinner skin of my left hip look like zebra stripes.  Also the one that actually bruised is the hip that gives me the most grief.  My dear friend says the left hip looks like I got bit by a vampire.  I presume the lower point of entry on the right is the original site that administered the lidocaine, and the larger entry on the left is the larger needle which administered the contrast fluid. Side note, experiencing slight hand and left thigh tremors at the moment, hypotonia?  Definite persistent weakness and numbness down the front of both legs.