Since many of you have expressed an interest in Peggy’s progress since the fall, every once in a while I publish a PPU, or Pretty Peggy Update. This is just such a update.
As most of you know, Peggy fell down the stairs about two and a half years ago, during the snowstorms that are now referred to as Snowmageddon. We’ve spent the last two years working our way back toward normal. One of the barriers to that was a malady called Frozen Shoulder, or Adhesive Capsulitus. Basically, because of inactivity, the joint (in this case the shoulder) freezes up more and more, exhibiting less and less range of motion.
When she fell, the damage to her neck and just the overall stress on her body, exacerbated the Multiple Sclerosis (MS). While her left side was already weak, the fall and the brush with Central Cord Syndrome (CCS) further reduced her use of the left arm. As a result, the joint began freezing. After a while, she was unable to lift her arm even to the point that it was straight out, or level with the should without experiencing excruciating pain.
Her orthopedic surgeon, at Kaiser, recommended a “manipulation” of the shoulder. We agreed, had the procedure done, and have been doing physical therapy since. The photo shows the progress we have experienced since the surgery. Notice she is able to move (the muscle are no longer strong enough to lift the are on its own) the arm well past horizontal with only discomfort. She can raise it all the way above her head if she is willing to endure the previously mentioned excruciating pain.
By the way, after the fall, when she was doing rehab on some of the equipment, the tech and PT specialists had to literally tie her hands to the handles because she didn’t have the strength to hold them.
Notice she’s using a wheel chair. Any time we are going to be walking any great distance, we use the wheelchair rather than the walker.
As a side note, we had ceased the diet (it’s very boring for her) and went back to normal eating. She had a downturn in MS symptoms. So we started using Avonex, another MS protocol. It shut her body down completely and we had to spend six hours in the emergency room. As a result, we have re-initiated the MS diet – this time with the same strictness we used in the first effort that did so well.
As a favor, if you know Peggy, encourage her to stay on the diet and to do the exercises, agressively.