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If lifted, I shouldn't have, it hurts, now Am I in trouble?

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Gene214
Regular Member
Joined : Mar 2007
Posts : 422
Posted 4/15/2007 4:47 PM (GMT -8)
My surgeon said not to lift anything more than ten pounds for 6 weeks.  I am eight and a half weeks post open radical prostatetomy.  This morning I lifted a 50 lb. luggage into the car.  I felt in lower abdomen as soon as I did and it has gotten more and more sore throughout the day, especially on the right side. 

What do you suppose I did?  Could this be serious after eight and a half weeks post open radical?  Should I now just take it easy for a few days or call in?  I know no one can tell for sure, but I'm a little scarred... again... and comments would be appreciated.

Gene

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Izzyblizzy
Regular Member
Joined : Oct 2006
Posts : 411
Posted 4/15/2007 5:06 PM (GMT -8)
I don't have direct experience with that, but heard you could get a hernia from that?

Might wanna call tomorrow to see what doc says.

Hopefully someone with actual hernia experience will stop by and give you a better idea of what it actually feels like.

Tanya
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Tamu
Veteran Member
Joined : Oct 2006
Posts : 626
Posted 4/15/2007 6:16 PM (GMT -8)
Gene,

I cannot speak to the hernia issue but at my six weeks post op appointment I asked my surgeon if I was free to do anything I wanted. He said that I could but to not do anything stupid. Sounds like the 50 pound luggage may be approaching that limit. I would get it checked out.

Tamu
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Tim's Wife
New Member
Joined : Feb 2007
Posts : 15
Posted 4/15/2007 6:24 PM (GMT -8)

Husband Tim is about 8 weeks post op from an open radical surgery.  His surgeon gave him the go-ahead to resume regular activities in moderation.   Lately, he's been carrying heavy bags of dirt and mulch trying to get the yard in shape.  (no, he won't listen to me  nono  )   He gets a twinge of soreness and strain here and there, but it mostly goes away.  Right now he says it feels like he's *done alot of sit-ups* sore.  He had the lower groin pain as well.

Perhaps, if you still have pain tomorrow you should give the doctor a call.   Or if something just doesn't seem right give a call tonite.

 

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PianoMan
Regular Member
Joined : Feb 2007
Posts : 365
Posted 4/15/2007 7:39 PM (GMT -8)
I agree with all the above. I'm about 12 weeks out of surgery and I'm doing things I hadn't done for 12 weeks or so. Over the past two days I've been throwing footballs; picking up two heavy items at a time; squatting and lying on the floor to paint molding etc. AND GUESS WHAT.. This morning I woke up feeling like something was trying to punch its way out of my lower stomach!! No real pain, but real soreness. I think my abs have been unused for so long, they are not used to the new moves I'm making. Also, the surgical procedure cut through some ab muscles, so as I strain them, they will hurt. TAKE IT EASY Y'ALL!! DON'T BE A HERO. GIVE IT TIME!!!
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Cedar Chopper
Regular Member
Joined : Mar 2007
Posts : 432
Posted 4/15/2007 7:57 PM (GMT -8)
Good Evening Gene,
It would help us give you more pertinent advice if you altered your signature with some stats.

I have had 8 major surgeries, 6 abdominal.  After my spleenectomy (1977 car wreck - hit by DWI driver in a van...), I got the dry heaves and got a hernia (below the skin) from that.

There is no way to tell if you've done any real damage.  Perhaps the physician can tell.
I can only suggest you take warm showers, walk, take Acetemetophene (Tylenol - as aspirin and ibuprofin cause bleeding.), and TAKE IT EASY UNTIL THE PAIN GOES AWAY.

Oh yes, and don't do it again....

If you have a hernia and it is not hidden by body fat, you will be able to feel it.

Be careful and don't let it get constricted.  If it protrudes, lie down and work it back in carefully.
Then get medical attention by the next day at least.  Go to the emergency room if it stays out.

More than likely, you have strained some of those internal sutures from where the vas deferens, seminal vessicals, etc. were removed.

I am on week nine and an hour ago just lifted a lot of 40 lb. cases of fruit and vegetables at work.

However, I have CAREFULLY been doing calculated calesthenics to work up to this since week 3.  At week 4, I lifted nothing heavier than 15 pounds.  At week 8 I lifted just a few 40 pound cases and was exhausted for days.

Everyone is different.  It is my left side (where the da Vinci tools could not get through the adhesions from the spleenectomy and the subsequent incisional hernia repair) that is tender and hurts when I do too much.

NOTE, my 60 to 80 hour per week job of 30 years has always involved this kind of work.

I too feel the loss of strength and occasional few days of abdominal pain (The worst was not from lifting but bending inside my car when cleaning the floorboard.)

My doctor's advice has been - if it hurts, don't do it.  He says it scares him when his patients are working sooner than 3 months - and lifting anything substantial before 6 months.
He also feels my continued incontinence (while walking and lifting...) is directly related to my activity level.
My feelings are that being continent and sedentary is not my goal.  I've got the sitting still and reclining stuff under control!  

I am also avoiding taking disability pay as a job-opportunity/promotion came up at week 4 when I went back to work. 

Sometimes I feel a little foolish as I ask the petite 20 year old young lady that works for me to lift the 30 pound cases for me. 

Better to feel foolish than to feel pain!


Take it easy.  If you feel a hernia or the pain doesn't get better after a day or two of taking it easy, go to the doctor, regardless!

Holding you in good thoughts.  Keep your spirits ups.  ;-)

Cedar Chopper

 

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Gene214
Regular Member
Joined : Mar 2007
Posts : 422
Posted 4/16/2007 10:58 AM (GMT -8)

Dear izzyblizzy, Tamu, Tim's wife, Pianoman, & Cedar Chopper,

Thanks for your help.  Since my pain has lessened a lot today, and since there is no sign of hernia, I am hoping I only strained myself.  It really was a foolish thing to do, especially since the wife said, "Don't do that by yourself.  I'll be here to help you soon."  But Macho Me, thought, "It won't hurt me."  It was a stupid thing to do. nono

Cedar Chopper, you mentioned my personal signature.  My date of surgery and type (open) is very close to yours (Feb 14, 07).  I still do not know my numbers but I will see the doc Wednesday for a follow-up on my recent bleeding elpsode (and subsequent antiobiotic).  I plan to shoot my questions to him.  I will post them then, hopefully.  Of course I'll also have him examine me for hernia too.

Gene  

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Swimom
Veteran Member
Joined : Apr 2006
Posts : 1732
Posted 4/16/2007 12:51 PM (GMT -8)
 

confused  Any Doctor that thinks his patient should turn to a vegetable for 6 months instead of steadily (slowly) building muscular strength back...does NOT have my vote of confindence! Gene, age and surgical site/direction of the cut, plus comorbidities all play a role in how quickly or how well we we heal. A healthy man with few to no comorbidities should be able to build his strength to a decent level at 8 weeks post-op. If I were to guess, it would be the resting muscles let you know they were awakened yesterday. The ole saying, if it hurts, don't do that, does apply in the early stages after surgery. Perhaps lifting 50 pounds on your first attempt was asking for some pain but keep in mind....it takes using those muscles to bring them back into shape. There would be a little strained sensation under any condition and, there will be again as you begin to use those abs. Your poor abs have been cut and then allowed to do little to nothing for 2 whole months. You have awakened a beast but he's (La Belly) actually pretty grateful. Just give the abs a little time and keep using them at a pace that feels alright.

Be Well,  Swim

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Tim's Wife
New Member
Joined : Feb 2007
Posts : 15
Posted 4/16/2007 2:41 PM (GMT -8)
Gene, Tim had his open surgery the day before yours on Feb. 13, 07.  yeah    I hope your recovery is doing as well as his.
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Cedar Chopper
Regular Member
Joined : Mar 2007
Posts : 432
Posted 4/16/2007 6:41 PM (GMT -8)

Gene,

I ALWAYS love what "Swim" has to say!  I completely agree with her about pushing the envelope.  Do pay close attention to this idea of individual levels of comorbidity.

However, I would add that - for me - this particular abdominal surgery is VERY different from other abdominal surgeries I have experienced: inguinal hernia repair, appendectomy, or even laparotomy/spleenctomy, and incisional hernia repair (with retention sutures - OUCH!).
With this surgery (open radical prostatectomy) - as I increase my activity level, the "stumps" from the missing parts - and the relocated bladder - are VERY "loud."  They literally take the breath out of me in ways that I cannot communicate.

Still, Swimom is absolutely correct about ratcheting up the healing process as much as you can - without hurting yourself.  It's just that for me, it is not so much a question of "abdominal" strength (I've been doing 600 modified stomach crunches and 50 push-ups a day since week 5) as pushing past this vacuous sense of feeling weak and gaining familiarity/coordination  with the new "land" I find myself living on.  I am in week nine and I  still let others unload the pallets of 60 pound boxes of potatoes.  I do lift a few more heavier boxes - every day.  (Thanks Swim!)
I also like the Bluebirds' cautions about riding bikes and sitting exercises.
A few more Kegels each day are in order, too!

Concerning modifying your signature:
If you actually "Log On" - your toolbar will include a "control panel" button.
From there you can edit your signature in the profile section with your information (e.g., pre-surgery PSA's, biopsy information, type and date of surgery or procedure chosen, where you are in the healing process, etc.).

Not everyone does it.  It helps:
   Those responding may not remember where we are on our path.  
   Those we respond to can weigh our perspectives and gain a little better insight.
   We save time as we don't have to keep repeating ouserselves.

May God's Love be with you, always - in the Son
Cedar Chopper

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Swimom
Veteran Member
Joined : Apr 2006
Posts : 1732
Posted 4/16/2007 7:38 PM (GMT -8)
Thanks Chopper :>)

I always wonder if I'm a smidge too frank...probably more like a dollop than a smidge.

I've had abdominal surgery one time. The only thing I can say for certain is waterbeds are not meant for people with no abdominal muscles! The surgical insision was hip to hip therefore, I had no muscle strength at all. Wish someone had mentioned what it takes to get out of a waterbed BEFORE I got in it! Funny as it was, don't try this at home! It took some creative moves to get up and for the next week or so I slept on the guest bed. After that little incident I paid pretty close attention to my limits :>)

As a veteran of abdominal surgery, you give some good advise. I can see you know your limits and work with them at a pace that promotes the process.

Swim
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