Category Archives: Hip Pain

Feeling Awesome by Work Out and Crappy by Anything Else

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  Say hello to work out Meghan. Running (well, “running” but it’s not walking, so who cares how many miles per hour it is?) with the breeze blowing through my hair, one foot after the other, busting out an uphill gain (Ok, so it’s only 50 feet, who cares?) while I’m doing a little dance move with my hands to Pink’s “Raise Your Glass.” Perfect. Seamless. True, legs are a little sore, calves still haven’t completely adjusted to the new vibram five fingers or the torturous cold air 4 mile jog that I am putting it through. Yes, my knees are a little rickety and at a time or two I slide ever so gracefully on a small patch of black ice. Yes I am absolutely covered in sweat from head to foot because for some unknown reason, I perspire 1000000000% more than the average human being.  Yes, my earbuds slide out every few minutes because apparently my ear holes aren’t properly formed for the latest Sony bud covers. Yes, my spandex pants are a little too tight, thus accentuating parts of me that I’d like a little more toned. Yes, I’m breathing through my mouth, gently wiping slobber out of the corners of my mouth and off my cheeks. Yes, I MAY EVEN BE mouthing or heaven help us, SINGING OUT LOUD to the song on my shuffle. But, don’t I look happy? I am in my element. I am doing it. I have AS and I’m out of shape and I’m running. And I like it. I even got Andrew out there running with me and putting up with my crazy routes. My butt feels NO pain. Take that SI joints, I have found a way to mute you. Take it! My lower back feels like I have brand new vertebrae of flexible steel. I don’t know if it’s possible, but just imagine it is. My muscles are relaxed and I feel like I could fly.

That’s work out Meghan. Now meet Meghan at any second of the day when she is not working out.

Meghan is broken. Meghan is in pain. Meghan is exhausted. Meghan is ready to throw in the towel. Imagine your neck and back and butt being steam rolled, spat on, and steam rolled again. That is Meghan on no Enbrel and not in work out mode. It could be an hour after working out, it could be in the morning before working out, it could be on a “rest” day. This Meghan is evil. She feels like crap, she is groggy. She feels like she has been up for 5 days straight. She wants a vacation.

 

How is it possible to be both Meghans? I’m not sure myself, but trust me, I know it is! I don’t get it. It exhausts me to start thinking about it (not currently working out). I try to figure out how I can feel so wonderful exerting energy that quite frankly, I don’t even know that I have in me. Yesterday, I did NOT want to get up. I knew we were supposed to run 4 miles and I wanted to run 4 miles but I didn’t want to get up. I hit snooze a couple times. Andrew got up and got ready and then came back into the bedroom. It took everything I had in me to get out of bed. Once I was outside, I felt a little more awake but really sore. I remember thinking to myself, there’s no way I’m going to be able to run 4 miles. But you know what? I did… and I’m not sure how- but I do know that during those 4 miles I felt invincible. So I guess my question is, is it possible to work out all day? Because if I could, I would. If that’s the only way to get relief, I am. in.

Next Monday, I have an appointment with my Rheumy (FINALLY!). I’m really hoping that he gives me the go-ahead to get back on Enbrel. Please cross your fingers– I think if I can go back on, I will start to feel 1000000% better!

 

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Today I Ran a Half Mile

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Yes, you read correctly. Today, I ran one half mile. No, it’s not as glorious as a 5K, 10K, half marathon, or heaven forbid, a full marathon, but it was progress and I’ll take it. At my one month mark of being diagnosed with Ankylosing Spondylitis, I proclaimed that I will be running the Rock N Roll Half Marathon next February in Pasadena, CA. Well, I have to start somewhere and today, that start was one half a mile.

For those of you who have ever completed a marathon, first off props to you- it is a great feeling to be in that special group of 26.2-ers. Someday, perhaps I will get back there again. Regardless, remember that feeling you get around oh mile 21? That oh my god, I am literally dieing there is no way I can put my left foot in front of my right foot again- every muscle is tearing and my bones are gone feeling? Well, that is what I had during my one half mile sojourn today. Now, don’t get me wrong, part of that is due to the fact that I haven’t trained in months. The other part of course, is my near and dear friend, AS. But such is life.

Tonight I lay in my bed with aching wrists, ankles, knees, hips, heels and a lower back. My body feels like I was accosted by a group of people with baseball bats. I voiced to Andrew that I hate the feeling of feeling like crap and I feel so frustrated sometimes and just like my body is completely giving up on life. And yet, as I sit here typing this post, I can’t help but smile knowing that today, not only did I get to go on a 7 mile walk with the love of my life and our bestest dog, Franklin, but I actually ran (ok, jogged, whatever) a half a mile.

I am well on my way. Today was a great Fall day and I wouldn’t have changed it for anything.

Trials and Tribulations of Enbrel

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As you may recall, I went to my Rheumy two weeks ago on Wednesday during which appointment he prescribed me Enbrel. That day they submitted the prescription and told me that it would need to be pre-approved by my insurance before it was filled so they would let me know when that process was complete so I could pick up the prescription. A week later (this past Wednesday), I called regarding my uncontrollable itching and also asked about the medicine. They nurse said call on Friday if you still haven’t heard anything. Mind you, I’m leaving on Monday for 8 days in Denver for work so I NEED more enbrel.

On Thursday afternoon my Rheumy called me to check in. We discussed the itching and the lack of pain relief in my knees, hips, and back. He told me to take Zyrtec, Benadryl (at night), and to switch to Nambumetone rather than Meloxicam. So, he sent in those prescriptions. I then brought up the Enbrel- he told me to talk to his secretary about it to get it figure out. The woman I spoke with was very nice, however she said “it looks like you didn’t need pre-approval, just go to the CVS and ask them for the prescription. If they won’t give it to you, let us know.” Rather than showing up like a crazed drug addict, I decided to call. After putting me on hold for about 20 minutes, the pharmacist came back on and said there was never a prescription sent over for Enbrel. awesome.

I called the doctor back and after being put on hold explained the situation. She put me on hold again and then came back stating that she was sorry and it never was sent over, the woman with her was on the phone with my insurance currently and it would be taken care of immediately. I then went online to Enbrel Support to register some extra insurance card thing. It’s unclear to me what it is besides subsidies for Enbrel. I don’t know who pays for it (probably tax payers?) or why I get it, but I do, so I tried to register. It sends you through a variety of questions and asks for contact information and then you hit submit. Easy enough- I already had a card from my Rheumy with an ID number. OF COURSE, the site crashed three times.

Finally I gave up and called the 1800 number. I basically spent 45 minutes on the phone with a guy who although very nice, seemed to now know what he was doing. Even though I explained that I had a card already and had just started taking Enbrel, he continued to ask me over and over how many years I have been on Enbrel and if I was just trying to renew my membership. 45 minutes later, he assigned me new numbers and a new card (god only knows when that will get here). The upside: I was able to use the numbers without the card.

I went to CVS to pick up the prescription. After a little wait the pharmacist brought out the Enbrel from the refrigerator (yay!). I handed over my temporary Enbrel support card and he looked very confused and then told me I would have to wait. Fine. About 20 minutes later, they called my name. I’m not sure what they did or what black magic they used, but bam! I had Enbrel! The even better part? IT WAS FREE! No, seriously. I didn’t have to pay one cent for FOUR injectors. I’m not sure why or how, but I will take it.

Down-Side: About 2 full days of my life wasted trying to get a prescription of Enbrel
Up-Side: Four injectors were free

Giving Yourself Enbrel at Home:
In case you’re wondering what the process is like… this is the set up along with the steps you take to successfully give yourself a shot.

 

 

1. Gather Accessories Andrew’s sister-in-law mentioned that it is less stinging if you take the Enbrel out and let it warm up for about 10 minutes. So I tried that…

2. Wash Your Hands– didn’t take a picture!

 

 

 

 

 

3. Swab the Injection Area with Alcohol Swab– note to self, remember WHERE you swab or you will have to do it again. Also, let alcohol dry BEFORE injecting (less stinging).

4. Remove the White Cap from the Injector– the white cap is what covers the needle. I use my teeth to pull it out- works better when you are trying to do too many things at once.

 

 

 

 

 

5. Pinch Area of Skin Where Giving Injection and Hold– this is weird. My doctor told me to do this, although the directions in the kit say to stretch the skin. Either way, I’m sure it is painful.

6. Ensure there are Not a lot of Extra Air Bubbles in the Liquid- They say to do this, but honestly, the more you tap the little liquid, the more bubbles that appear…

 

 

 

 

7. Push the Injector Down Hard- I’m pretty sure the reason is this pushes the needle into the skin. Surprisingly enough, I’ve found myself freaking out with anxiety over the impending stinging of doom that I can really feel the needle. Oh, in addition, the window viewer should be facing you so you can see the liquid draining (I don’t pay attention to the window, usually my eyes are closed and I just listen for the second click).

8. Press the Blue Button on Top- Stinging commence. No really. A lot of stinging/burning. Awesome. When you press the button, you hear a click. The liquid starts to go into your thigh. It feels a lot like a bee with a long stinger that is pushing the stinger deeper and deeper into your leg. You wait. A. really. long. time. Then it clicks again, signally that you are done.

 

 

 

 

9. Remove Injector and Discard into Sharps Container- I’m not really sure what to do with the sharps container once it’s full, but apparently Enbrel Support will give you a new bigger sharps container. Cool, right?

 

 

 

 

 

 

10. Use Gauze to Stop Bleeding and Cover with Mini Band-Aid-Not much bleeding this time! And you’re done!