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Game Plan For Walking Again

A

Amaris

Guest
Two Notes:

Firstly, this is in Misc because it is one of the most visited fora on the board. Also, this is less about "sports/fitness" in the general sense of that forum.

Secondly, I have this on another board, too, but this board is much larger, and I may get a wider selection of answers. So I ask you; How do you get a disabled 55 year old back to health?

Many of you know the situation with my mom, and how I have, for more than 16 years, worked to help her with her get through each day. It's a 24/7 job, and it's all for her better health.

Unfortunately, I'm just one person. I'm the only person actually working with her each day. I've tried many different methods, but none seem to help her. Let me explain:

Last year, mom had an ileal diversionary loop surgery. 10 years ago she had knee surgery. 16 years ago she had reconstructive surgery on her lower back and legs due to a nervous system disease (a variant of Sarcoidosis).

Saying it's difficult for her to walk is like saying the Pope is a little bit Catholic. During the sarcoidosis surgery, muscle and tissue were removed from her leg to supplement the damage on her lower back. It was assumed she would never walk again, so they figured might as well make use of those muscle groups for something else. Well, a year after that, she was walking again.

A few years later, her knee finally gave out and she had to have surgery. A year or so after the surgery, she could walk again, but had to have a walker and a cane to get around. Due to the treatment for the Sarcoidosis, she had gained a great deal of weight (she was taking 60mg of Prednisone a day over the course of several years). So walking at all was difficult, but she managed with assistance from me.

Last year, she had to have surgery due to her kidneys functioning improperly. The end result left her bedridden for 2 months. In that time, she received little therapy. By the time she left the hospital, she could not walk. She had to be in a wheelchair. So we get her home, and she has a physical therapist for a couple of weeks, and the therapists do next to nothing with her. One therapist even surfed the net while having mom hold a rubber band and stretching it once or twice.

Fast forward, 9 months later, and we have to move due to high costs of living. Again, I worked with her as best as I could, doing stretches, helping her stand, and for a while, she could use the walker and go 10 feet or so, before needing the wheelchair again. Over time, though, things have become progressively worse. Despite my best efforts, she can barely sit up now. She has severe pains in her lower back, her wrist is so painful that you could breathe on it and cause excruciating pain, and I can't figure out the problem. It was suggested she go get an x-ray. Unfortunately, that required money (a $1000). So we haven't done that, and at this point, getting her there would be nigh on impossible anyway.

To get her into a wheelchair, I have to pick her up myself (which does no good for my back or legs), and the end result is more pain, and god knows what I'm doing to her back in the process. Now, after saving as much as possible for as long as we could, we were able to afford her a basic model lifting recliner (the recliners that help you stand up). Up until now, she's been laying on a broken down couch which just makes things much worse, but we have nothing else to help. The chair will be here in two weeks, and I'm trying to get her up to speed, so she can at least sit in the chair and we'll take it from there.

As it stands, all I have is me. None of my family will help, so that's out. My dad's either out doing odd jobs, or puttering around, so I will have no help there. It's just me and her, and I do not know what to do.

Now, what I have been doing, is that since she has to lay on her side (due to the ostomy), I have her stretch her arms, and I do leg stretches (by bringing her legs, slowly, out over the side of the couch). It seems to be helping a little bit, but with a sunken down couch and her very weak back, legs, and arms, I'm at an impasse. I don't know what to do without causing her excruciating pain, and possibly making a bad situation worse. This is the current state of things, and I'm at my wits end.

I know it's a lot to ask, but I know there are several medical professionals here, who may be able to help me create a plan of action to bring her back to health, or at least get her on the path to full recovery.

Any help is greatly appreciated. There are a few things you'll need to know:

1] We have no money to spend on any treatments.
2] She's diabetic, has high blood pressure, and the onset of arthritis.
3] She is considered obese.
4] Her right wrist is in very bad shape. Even clasping it for support causes horrible pain.
5] She has a hernia that is yet untreated.

So, if I've added enough problems and made this feel like a wild goose chase, I apologize, but I need help, and I can't afford taking her to doctors who can help her. What can be done?
 
Wish I could help somehow man. If she's laying on her side, are you at least doing things like putting a pillow between her legs so her back doesn't get worse? I know with general back pain it's usually a good idea to move when possible, but it doesn't sound like much movement is possible with her?

Honestly, it sounds like if you could work on a diet with her that might at least alleviate some of the pain, but I know that's much easier said than done.
 
Wish I could help somehow man. If she's laying on her side, are you at least doing things like putting a pillow between her legs so her back doesn't get worse? I know with general back pain it's usually a good idea to move when possible, but it doesn't sound like much movement is possible with her?

Honestly, it sounds like if you could work on a diet with her that might at least alleviate some of the pain, but I know that's much easier said than done.

Yeah, I keep a pillow between her legs to ease back pain. As for diet, she doesn't have a large appetite, so I cook what I can, but I balance it, so sometimes she'll have lean chicken and broccoli with cauliflower, other times it's turkey or beef (both always lean), with a veggie. She doesn't drink pop, just water and sometimes she likes sugar free Sobe drinks (the sugar free fruit punch and the like). On the diet front, I've done what I can with the money I can use. Her biggest problem is that couch she's on. It's broken down and getting her up and out is a major effort because it sinks down in the middle. I'm really hoping this chair will minimize that problem.

(thank you, Kestra :adore:)
 
Have you tried contacting a social worker, or someone in that vein, who might be able to get in touch with local charity and/or state programs for your Mom? When my dad's Alzheimer's first got really bad, my mom was able to sign up with a charity group that sent a RN out to the house for a few hours a week. It allowed her to go to the grocery store, or just take a nap. It was only for about 6 weeks, but it was a big help to her.

From the sound of it, you sure have a hell of a lot on your plate. I wish I had more to offer you.
 
Have you tried contacting a social worker, or someone in that vein, who might be able to get in touch with local charity and/or state programs for your Mom? When my dad's Alzheimer's first got really bad, my mom was able to sign up with a charity group that sent a RN out to the house for a few hours a week. It allowed her to go to the grocery store, or just take a nap. It was only for about 6 weeks, but it was a big help to her.

From the sound of it, you sure have a hell of a lot on your plate. I wish I had more to offer you.

Hey auntiehill, yeah, I've contacted a number of state and local programs to get assistance, but have had no luck. Either my father makes too much money (he doesn't make a lot, but it's just enough over the line), or they're not accepting any new cases due to being way overburdened by the current economic crisis (our area was hit rather hard by the downturn). I even tried a couple of church charities, but they said they couldn't help due to their own budgets being strained, or just didn't have any way to get involved.

It also hinders things that we live out in the country. Well, near the country. It's a small town out in the middle of nowhere, so the offerings are very slim to begin with. (thank you! :) )
 
Well, my first thought was some kind of exercise bike. Strengthens the muscles and tendons. Then I remembered some reality show where a woman was trying to lose weight but the initial bike was too stressful on the knees, so she go an exercise bije where she was in effect, almost lying down, putting most of her weight on her back, with the pedals at head height or slightly higher.
<darts off to Google, darts back>
Look up 'recumbent exercise bike'. It does seem slightly incongruous, but the initial thing I think is to strengthen her legs, and this way (and water exercises) are the least stressful ways I can think of to do that. Good luck.
 
Well, my first thought was some kind of exercise bike. Strengthens the muscles and tendons. Then I remembered some reality show where a woman was trying to lose weight but the initial bike was too stressful on the knees, so she go an exercise bije where she was in effect, almost lying down, putting most of her weight on her back, with the pedals at head height or slightly higher.
<darts off to Google, darts back>
Look up 'recumbent exercise bike'. It does seem slightly incongruous, but the initial thing I think is to strengthen her legs, and this way (and water exercises) are the least stressful ways I can think of to do that. Good luck.

We had a recumbent exercise bike (I managed to pick one up for $25). It didn't work for her because it was difficult to get into the chair, also because it was too short (even when extended) so that her knees would bump against the handlebars. We had to get rid of it when we moved because we downsized in a big way.

(thank you! :) )
 
Not sure if this will help but my condolences anyway.

I was in an accident several years ago and required surgeries on my left knee, lower back and right foot and heel. The doctors said I would probably never walk again.

After lots of physical therapy my back improved but walking was still extremely problematic and I was needing to use a wheelchair for anything more than simply getting around the house. The crutches in the house weren't too bad for short distances.

To improve my walking ability I went to the local swimming pool which greatly helped me exercise the required muscles which were beginning to atrophy. The buoyancy from the water made "walking" a non-impact exercise where walking is low-impact and weight-bearing and would tire her out very quickly. A pool might also help her back due to buoyancy.

Now I am able to walk again fairly normally (provided I'm not doing it for things like visiting Disneyland or other all day activities) but it took a lot of effort and time.

Again, not sure if it will help but movement is key to keep the muscles from completely withering away. The couch is probably the worst thing for her but I understand, rock and a hard place.

Good luck and hope things get better.
 
Not sure if this will help but my condolences anyway.

I was in an accident several years ago and required surgeries on my left knee, lower back and right foot and heel. The doctors said I would probably never walk again.

After lots of physical therapy my back improved but walking was still extremely problematic and I was needing to use a wheelchair for anything more than simply getting around the house. The crutches in the house weren't too bad for short distances.

To improve my walking ability I went to the local swimming pool which greatly helped me exercise the required muscles which were beginning to atrophy. The buoyancy from the water made "walking" a non-impact exercise where walking is low-impact and weight-bearing and would tire her out very quickly. A pool might also help her back due to buoyancy.

Now I am able to walk again fairly normally (provided I'm not doing it for things like visiting Disneyland or other all day activities) but it took a lot of effort and time.

Again, not sure if it will help but movement is key to keep the muscles from completely withering away. The couch is probably the worst thing for her but I understand, rock and a hard place.

Good luck and hope things get better.

You went through a great deal! I am glad to hear that you're walking again. That is my goal for her. To get her walking to where she can take command of her life again.

Thank you, Gothowitz. :)
 
Wow, that sounds awful, my heart goes out to you, you're doing a great thing for your mom.

Not sure I will be of much help, but here goes.

First off, I strongly second Gothowitz's suggestion of aquatic therapy. I did that for many years to increase my range of motion and it worked wonderfully for me. I think it would also help to ease her pain and help her muscles relax because she wouldn't need to put so much pressure/weight on her body.

Also, cherries may work to relieve some inflammation for the arthritis. This has been in the news a bit lately and I've found that it works. I have early onset arthritis in my knees and eating a couple of these helped me a great deal It won't completely prevent the pain, but it'll help.

Other than that, I don't really have any other suggestions. Hope things start looking up for the two of you, good luck!
 
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Wow, that sounds awful, my heart goes out to you, you're doing a great thing for your mom.

Not sure I will be of much help, but here goes.

First off, I strongly second Gothowitz's suggestion of aquatic therapy. I did that for many years to increase my range of motion and it worked wonderfully for me. I think it would also help to ease her pain and help her muscles relax because she wouldn't need to put so much pressure/weight on her body.

Also, cherries may work to relieve some inflammation for the arthritis. This has been in the news a bit lately and I've found that it works. I have early onset arthritis in my knees and eating a couple of these helped me a great deal It won't completely prevent the pain, but it'll help.

Other than that, I don't really have any other suggestions. Hope things start looking up for the two of you, good luck!

I love the idea of aquatic therapy, and look to it as a future event. Right now, though, she can't even move herself more than a few inches, and I'm not talking about walking. I'm having to start from scratch, essentially, in getting her mobile again.

(thank you, TrekNut :) )
 
I can't believe she doesn't qualify for In Home Support Services. What state do you live in? What kind of insurance does she have? Did she work earlier in her life? Does she qualify for SSI?
 
Since she obviously can't work, it sounds to me like she should be eligible for SSI (or SSDI if she has enough work history).

I've had mixed experience with in-home physical therapy. One therapist was useless; the second was wonderful.
 
I can't believe she doesn't qualify for In Home Support Services. What state do you live in? What kind of insurance does she have? Did she work earlier in her life? Does she qualify for SSI?

She doesn't qualify for SSI or SSDI. We have tried many times, including lawyers.

(thank you, digits! :) )

Since she obviously can't work, it sounds to me like she should be eligible for SSI (or SSDI if she has enough work history).

I've had mixed experience with in-home physical therapy. One therapist was useless; the second was wonderful.

Her first PT team (back in the mid 90s) were awesome. This last time around, they were pathetic.

(thank you, Tora! :) )
 
((((((J and mom)))))) I don't have anything useful, but I wanted to send you a hug and let you know I'm keeping you and your mom in my thoughts and prayers. I hope you find something that works, and that things get better for you guys. Bless you for loving your mom so much.
 
((((((J and mom)))))) I don't have anything useful, but I wanted to send you a hug and let you know I'm keeping you and your mom in my thoughts and prayers. I hope you find something that works, and that things get better for you guys. Bless you for loving your mom so much.

Aw. [squishy hugs] :D
 
Have you tried the old "board under the cushions" for the couch. It is supposed to give more support if the couch has broken down.

I feel for you and your mom, not an easy task. Perhaps some exercise bands for a bit each day, I got one for the arms at the dollar store. Even a tiny bit done regularly is a start.

Good luck, and Zen hugs to you both.
 
Have you tried the old "board under the cushions" for the couch. It is supposed to give more support if the couch has broken down.

I feel for you and your mom, not an easy task. Perhaps some exercise bands for a bit each day, I got one for the arms at the dollar store. Even a tiny bit done regularly is a start.

Good luck, and Zen hugs to you both.

Thanks, ancientone51. [hugs]

Yeah, I've tried the board under the cushions thing, but it didn't help much. The board started sinking down, too. :lol: This couch is about 6 years old, and since mom hasn't been able to move very well in a while, is where she is the most. She has to lay down most of the time due to the nerve endings in her lower back and legs and how they were affected by the surgeries and the disease itself, so sitting up makes up about 1% of her day.
 
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