Sunday 4 August 2019

Self Care Daily

Communication has been hard for me recently. I say recently I’ve had issues with communication my whole life. I’ve been a people pleaser for so long. Since my operation and my recovery I realised most people around me where only there because of what they could get out of it. Not because they loved and cared for me. 

I started to change. 

I needed these people but in my hour of need they deserted me. For the first time in my life I couldn’t be the people pleaser, the workaholic, the chaperone, I was just Stef… sick, tired, afraid, anxious, depressed, unable to eat normally, unable to party, to walk far, to get out of the house. 

I was useless to them.

It made me feel like I was useless.
@jawandface
I’ve spent years of my life feeling like I wasn’t good enough. I worked so hard for approval. Leading up to my pain issues and my operation I was working 3 jobs, undertaking full time University and still trying to fit in demanding friends, family and a 4 year relationship. I graduated with a first class Honours degree in business and HR management and had a career with a big FTSE 100 company set up.
Despite all of that hard work and all of that sacrifice, here I was a single woman, without friends and a huge chunk of family missing, no job, struggling financially, struggling with my health, struggling with my own self care. I felt confused, I felt abandoned and I felt completely alone. 
It’s been a hard road… and it continues to be a hard road. But over the past year I’ve had to learn to prioritise my self care again. I continually try and go back to my old habits and my old ways. Working 50-60 hour weeks, trying to make family and friends happy. Trying to have a relationship. Trying to be independent, be the strong one, but it’s not sustainable.
I figured out I use my health as my cue to stop and re-evaluate. It’s a terrible thing to do as everyday I end the day at rock bottom in agony. Those who live with pain every day will know… you just don’t know what the day will bring and how pain will stop you… you also know there is the matter of putting food on your families plates and a roof over your head.

I get that. I live that. 

I’d work 8-10-12 hours, no real food, no bath or shower, no real break. End the day on the floor, pumping my body full of pain meds and shovelling down my throat any quick and easy food I could get my hands on. Following that by dropping to the sofa in agony and then staying there until I could manage to sleep. It’s not healthy.

#SelfCareDaily

Despite needing to work and needing to maintain some form of human relationships, I think it is super important to prioritise some form of self care. I started my #selfcaredaily challenge a few weeks ago to try and force me to undertake some form of reflection or self care in my daily life. I sat on my bed, much like I am now, did a YouTube visualisation meditation, cleared my mind and realised I needed to do something for me. Too much of my life is for other people and just getting by. What was for me? I felt a lot of frustration about it.
It’s not been an easy 3 weeks. On certain days it is hard to prioritise self care. But I try to do at least one thing. Even if it’s a bath or read some quotes, write in my journal, listening to an audiobook. Sometimes I sit in front of the tv with my pillow and just take a moment to say… this next hour of watching #killingeve or #breakingbad is my time and for me. So far I’ve been feeling a lot better about things. I feel a lot calmer. I’ve been going out of my way to think of new ways in which I could look after myself and show appreciation. 
I know this is something I need to make a habit, that’s why I’ve made it a public thing on Instagram and Twitter. Please feel free to join in. The more the merrier. If we can all prioritise some form of #selfcaredaily I guarantee we will feel a little better about ourselves.
That’s all for now as my arms are starting to fatigue and migraine is kicking in. I’ve just had a lovely bath and moisturised my face. I’m now going to get myself a glass of water and go downstairs to watch tv and relax. That’s my self care daily today.

What will you do?

Please share your #selfcaredaily stories by using the hashtag and tagging me @jawandface. It would be great to get some new ideas and see what you are all doing. 
Sending my love always. x.x.x

Here are some of my Self Care Daily Ideas:

  • Epsom salt bath
  • Wash face and moisturise
  • Brush your teeth and floss to music concentrating on each tooth and all parts of your mouth
  • Light a candle and mediate
  • Do self visualisation (I use YouTube clips to help me out)
  • Stop work, have a break and eat something colourful and healthy
  • Write a thank you diary
  • Read a book
  • Go out for the day (if you can)
  • Take a picture of something beautiful (a flower, a butterfly, a plant, a sunset)
  • Do your hair
  • Put some make up on
  • Wear something nice
  • Do some stretches
  • Read some poems or positive quotes online
  • Put on your fluffy socks and your dressing gown and curl up in front of the TV
  • Cuddle your favourite pillow or cuddly toy
  • Put hand cream on. Concentrate on rubbing it into your nails, your cuticles and your finger tips. Pay attention to the activity helps it double up as a simple and short meditation
 




 

Saturday 29 December 2018

Pain Changes You!


So…… my plan to get back to blogging regularly back fired. My last blog was posted just before my 30th birthday. Full of anxiety for what the year had in store. Many had told me, relax, life begins at 30. Fuck me were they wrong/ right. This year has been a tough one. Moving back in with my mum. Sharing the same room and bed. I lost a very special person to me and then my business partner. Got super busy with work and had lots of personal stress and pain to deal with. I had hoped by now I could report some calmness. But that is yet to come.

It is a Saturday and I have just finished work. I had two days off for Christmas and then client Christmas parties and hospital appointments. I am a little panicked about money, so I have been kicking myself for it ever since. I am currently setting up a new business and had hoped that would be ready to launch at end of December. But like most things this year, it wasn’t to be. So, in that spirit - goodbye and good riddance to a frustrating and tough 2018 and hello to 2019! Clean, fresh new year, with good people, good vibes and positive moves.

In October I posted up on my social media about the key questions, concerns and lessons learned from living with chronic pain and chronic fatigue. I was overwhelmed by the response. I had some great conversations with amazing people.

Here are a few of the responses:

@sweptaway91 – Frustrations - not being able to do all the things I have planned (and never knowing how I will feel tomorrow and how much will I be able to do). But lesson learned - I started to value my time and set boundaries

@allyoops541 - I'd like society to try and understand that we aren't ill on purpose and we don't wallow in it or enjoy feeling the way we do😊

@nicbunce - That you can't let pain stop you from doing what you want to do. Find a way to endure and persevere, and live your best life

@myfibrohome - As hard as it is you have to get on with it. When you stop and give in to the pain it wins. This can be mega hard in a lot of situations, but you have to grieve the things you can no longer do and accept the pain is part of you and it's a new chapter in your life. Acceptance is massive and took me years. Things will get better, but you have to work for them and every day remind yourself of something positive that you did or achieved. Cling onto those positive moments and accomplishments as they will get you through on the darkest days. Xx

@lizdelaney - It’s been a roller coaster for me for 4.5 years. Lost a great job working for Apple, hid in my room for basically two years in pain, and have had a tough time dealing with the withdrawal from family and friends... life in general... as I protect myself from sound now (my big trigger for ATN). I don’t take pain meds as I have a huge fear of addiction and increased pain levels. I started Aimovig and it’s helping I think in case anyone is looking around for ideas. Am cautiously optimistic!! Not a drug. :) I am learning to ask for help and advocate/take care of myself better finally.

Follow me on Instagram www.instagram.com/jawandface

One of the blogs I have often sat and thought about writing was how pain changed me as a person. It was a reoccurring theme for a lot of pain sufferers. We lose so much to pain, but we also gain so much knowledge, insight and depth. For someone who’s worst day is having a cold or a toothache, you will never understand. But for those who live with this every day I know you know what I am talking about. One day you thought your life was mapped out and all you had to do was focus and work hard to get there. Then overnight, things completely changed.

Trust issues

One of the biggest issues that I have discovered with pain, is I now have serious trust issues. This is not a direct result of pain. But what pain has done to my relationships. I literally lost everyone close to me within 2 years of my pain and operations. My partner, my family, my friends. I lost it all. Now I just don’t let people get close to me.

Lack of close relationships

Pain has made me withdraw massively. I used to be an ENFJ, but I am now firmly an INFJ. I just cannot make connections easily. I panic about what people will think when they find out about my illnesses and pain. How will they react or judge me? Will they believe me? Will they think less of me as a business person, a girlfriend or a friend. Pain has made me scared of the world and scared of people. People don’t mean to be unkind or unthoughtful. They just don’t understand.

Loneliness

This leads into loneliness. If you never let anyone in, you never have anyone around. I have a very small group of people around me (3). At times it can feel really lonely. When I feel like this, I usually try to meditate, watch an inspiring documentary or speak with my group of chronic pain and fatigue sufferers online.

Anxiety

I started to become agoraphobic a long time before my pain and operations. I was attacked at 17 on a bus and never really dealt with the PSTD symptoms from then. But after my operations and the mobility issues I physically couldn’t go out and going out was a real undertaking. I became so anxious that it was just easier and safer to stay in than it was to try and face the world and all the horrible things that could happen. I panicked that all of my hard work I put into recovery could all be undone by someone else. I could be beaten up, I could be run over, I could fall over and bash my head on the pavement.

Low Self Esteem

Living with pain and fatigue everyday is exhausting. Coupled with skin problems, weight problems and lack of happy hormones it is hard to look in the mirror and say “Stef I love you, you are beautiful and I am proud of you”. I don’t believe any of that. And unfortunately, 2 years of CBT have done little to improve that. On a work’s Christmas party last week I was told by no less than 8 people in one day I was a beautiful and talented woman. 2 random people approached me on 2 separate occasions to tell me that I was cute and I needed to be more confident and believe in myself. Despite all of that, the little voice in my head just said; “Stef they are drunk and lying”. But the reality is, they had no reason to come up to me and tell me that, other than wanting to. One of them was even with his wife at the time.

This is definitely something I know is my biggest barrier. More so than the pain and physical limitations. Confidence is so important!! It makes us feel better about ourselves. And when we do, we usually find our pain reduces.

Anger & Jealousy

I was never an angry or jealous person before pain. I would say this only capitalises 10% of my time. But that is still a huge part of my life. I often feel angry and jealous when I am suffering my worst days. Social media doesn’t help. Seeing all of these so-called perfect celebs being paid to post a picture and endorse a product while I work from home struggling in pain every day - trying just to get through the day and do my clients proud. I look at all of my old school friends who are married with children, going on holiday and spending time with their families and I think why couldn’t that be me? Life had something different planned for me, that’s why!

So, pain hasn’t changed me all for the bad. There are some really lovely things pain has given me:

Compassion

Pain has definitely made me more compassionate. Before chronic illness, my idea of helping people was charity - doing a fundraiser or giving money. Now I know the best use of my time and money is by actually helping people and being there for them. There are so many other people out there that have it 100x worse than me. I am one of the lucky ones. I see how they struggle, but also see their courage and truth. Since the pain, I find it easier to imagine myself in someone else’s shoes. Think about where they are coming from. What made them behave that way. What is the real reason for their actions? It has allowed me to use that skill to help my business clients and my blog readers. It has also helped in my personal relationships too.

Honesty

Chronic pain and fatigue have made me more of an authentic and honest person. While I hide some of my illness to certain people, I am more honest and open with people close to me. No one likes having those awkward or hard conversations, but I will, and I do. If I am pissed off, in pain, hurt, upset. I let people know.  

Makes us stop

One of the themes you will see time and time again is, pain makes you stop. Many of us were working stupidly long hours, looking after family and/ or friends, we were maybe studying and dealing with a bunch of other stuff we shouldn’t have. The burden was firmly on our shoulders. Then one day your body says…. “no more” and you come to a resounding halt. Life stops for a while. All those negative and dangerous things you were doing to yourself. That dream job you were busting your ass off for… that relationship you were fighting for. All of a sudden, none of that matters because here comes your body to stop you! It’s tragic I know. And you must morn for the life you lost. You’ll probably lose several lives during your time with chronic illness. But the positive is, it wasn’t the life that was meant for you. Those things were not for you. Not now anyway. If they were, it wouldn’t have been so hard.

Chronic illness, pain, fatigue and anything like that is a sign something isn’t right. Sometimes you need to stop and take a look around. Revaluate your life!

Gets rid of the deadwood & helps us to appreciate

I am already conscious this blog has been going on for a while, so the last point on my change list is…getting rid of the wrong type of people, jobs, experiences etc and appreciating what you have left.

Much like the point above. Illness makes you stop and evaluate your life and what you are doing. It also helps to clearly highlight the good and bad in your life. Now more than ever you will be able to see how badly people have been treating you. How they use you. Equally you will realise how amazing others are. You’ll see how that 60 hour a week job was filling you with dread every morning and how your true passion and skill can be found elsewhere.

In today’s society we spend so much time thinking about material things. We must own a house, have an iPhone, drive the nicest car. We work our arses off… for what? Something that gives us a small amount of pleasure. When in reality, sitting at home cuddled up on the sofa with our loved one or our pet, drinking a cup of tea is more than we will ever need. It’s the little things in life that make it special. It is about happiness and spending time with the people you love.

Summary

Often it is easy to discount and overlook where we have come and how pain has shaped our lives for the better. Yeah, it’s all pretty shit! But without this pain we wouldn’t be who we are today. In my darkest days I feel alone, jealous and angry. In my best days I feel grateful, strong and empowered. How can pain be so debilitating, but yet so liberating?

When discussing this subject with a cancer sufferer, we talked about how sometimes we feel the best thing is to put up a strong front and fight our body. We feel like it has betrayed us and is punishing us. Other times we have to stop, we have to rest, and we have to nurture and take care of ourselves. Just like we would an elderly relative or a sickly child. We just want to feel comfortable, to eat well, drink fresh water, meditate, listen to some music or watch crap tv. There always comes a point where we can’t keep fighting our bodies, but just have to relax. Ease into the pain and let the ship ride the waves naturally.

In a letter I wrote to my friend titled “a letter to 53-year-old you”, I talked about how we discount what we have now in search for this future happiness, future love, future fulfilment, this future miracle or moment when everything makes sense and the lightbulb switches on. I am a firm believer that everything happens for a reason. But what if we just took a moment right now to be thankful? To feel free? To say ok body, I am listening to you and I am here with you in this moment. We can do this together and I trust you.



Friday 23 March 2018

On the Eve of my 30th Birthday 🎁

It’s been quite a reflective time in the run up to my 30th. Thinking about where I am in life, where I thought I’d be, looking around at my family and friends, who is with me, who isn’t. Where they are, what they are doing and what they’ve managed to achieve. It’s been emotional to say the least.

When I was 21 I never thought life would have u turned the way it did. I was in a stable relationship, working 3 jobs, at university studying HR and business management, healthy and relatively happy. I was confident, had friends, I had a car and a safe home. Then it all changed. By the time I had my operation I’d been in agony for over a year. I was suicidal. I just didn’t know how I was going to live with the pain I was in. I was delusional from lack of sleep and heavy pain meds and muscle relaxants. Thinking back... I just don’t know how I did it. That pain! Stabbing, stinging, burning, pulsing through my face 24 hours a day, every second was miserable. It was agony just to think about talking. 

Then the neighbours and the nightmare of fearing for my family’s safety as they shot a gun at our door, or attacked a woman in the street with a brick, or mounted the pavement to try and run my young brother over. The police gave us a flame retardant mailbox and set up CCTV but there was little they could do to protect us until one of us was actually hurt. Eventually, in between the pain and university we moved. With the help of some very special people.

We were safe, but now I had to complete my university degree. I will never forget sitting in my mother’s living room with my mum until 4am for nights on end cutting up small pieces and clippings from academic journals just to break the info down into manageable chunks. Just so I could make some sort of sense out of the text. Everything took forever. An essay that once took a couple of hours took days for me to put together. I couldn’t read properly, think properly, type efficiently and I could hardly move for pain and fatigue. Then my mum would put her head down for a couple of hours and wake at 6 to go to work for the day. If she isn’t the definition of the world’s greatest Mum I don’t know what is. The nights she would wake hearing me sobbing and just hold me and tell me it would all be ok. I used to cry a lot. I just felt so helpless and trapped in this pain. I couldn’t escape. 






After my operation in August 2011 Mum was there night and day. Syringing my food, helping me to lift my head, bathing me, washing my hair, helping me to get dressed, sitting up with me when I had insomnia and getting up in the middle of the night to help me take my pain meds. All while going to work and looking after my brother and the house. Moments I will never forget. 

No one thought the operation was going to leave me in such a state. People often ask me what happen after the operation. All I know is, I opened my eyes in recovery and was in the most pain I’ve ever been in in my life. I couldn’t lift my head, it felt like a million tonne weight and my arms felt like there were glued to the bed. Years and years no one has been able to answer why I was in so much pain and why my muscles seized up. All we have been able to guess is that I was allergic to the muscle relaxants used during the surgery and that is what caused this. The same thing happened when I had my plates removed. But because that was a much shorter operation the rigidness and pain wasn’t as bad. 

I was so upset. I thought this operation was going to make it all better. Yes I knew it could make it worse (my surgeon warned me), but I hoped and prayed it wouldn’t. 



For the first time since I was 17 I couldn’t work, I couldn’t even look after myself. Mum was caring for me and trying to support a whole house. Running home in her lunch break to feed me and give me my pills and then running back all on a couple of hours for sleep. I looked around and saw all my friend’s had graduated and secured jobs. They were going on holidays, buying homes, getting married, planning families and here I was being fed by my mum through a syringe. 

I hoped things were going to get better, but even Mum didn’t know. Recovery was long. Even the jaw surgery itself. I took quite a while to heal and be able to open my mouth fully. I had to learn how to smile, feel and eat again. It was strange, I would bite the side of my mouth by accident or miss my mouth completely. But even after the orthodontist and surgeon were happy and signed me off of their books, I still had a long way to go.

So years and years of physiotherapy, psychological therapy, hydrotherapy, acupuncture, osteopathy, sports massage, chiropractors, cranial therapy, aromatherapy and meditation. I’m still numb on both sides of my lower lip, bottom teeth and gums. My muscles in my neck, face and shoulders spasm all the time. They also rip and tear for no reason what so ever. And my nerves fire up and shoot pains down my face and jaw, through my eyes, head and neck and down my arms. Sometimes the nerves are so painful and fire off so strongly I can’t lift my arm or grip at all. 



In November I started with a personal trainer and I’ve learnt a lot about my body. Since starting training, I have discovered that certain muscles in my body just don’t react or wake up. There are a few core muscles that take on all the work and then some muscles that don’t work at all. I also have reduced feeling in certain areas like my shoulder blades and peck area. I’m seeing a neurologist at St Thomas’s so hopefully this is something he is going to look into. 

As you know, recovery has been a long road and I still suffer from pain daily... but look... this time 5 years ago, even 3 years ago I didn’t think I’d be able to sit up all day and  support my neck unaided, I didn’t think I could manage a flight of stairs without a walking aid or walk for more than a few meters or stand for more than 1 minute at a time. I never thought I was going to work again. Things were bad.

Yes I struggle. Lifting that 500ml bottle of water hurts, but I can do it, I can hold that glass or that tea cup and drink without getting it all down myself (the majority of the time). I’ve eaten some amazing foods, in some amazing places and been able to live a life I thought was out of reach. It’s not the life I imagined. But it is a life! 



Yes it’s easy to get caught up in the what ifs, what others are doing and comparing. I thought I would be in a stable career by now, be married with kids... but I’m not and those thoughts aren’t going to help me. 

I’m proud of how far I’ve come. I now run a successful company and I’ve just set up a new one. I’m independent. I’ve travelled. I can afford to go to a personal trainer and go for massages to help my pain. 

I struggle yes. It’s hard, yes. I feel exhausted, down trodden and uncomfortable all the time. But I’m moving in the right direction. If this is what I can do in 7 years. Imagine what I can do in the next 7!


I wouldn’t have been able to do any of this without my mum. I literally wouldn’t even be alive if it wasn’t for her. I was on the edge of giving up so many times. But she kept me going, kept me strong and gave me a reason not to be selfish. How could I do that to her. 

So on the eve of my 30th birthday I would just like to say... I love you Mum. And I am so thankful for everything you have done and do for me. You truly are an angel. You’ve been there for me through this all. On my side and fighting for me all the way. The one person I could rely on. I hope I can make you proud and maybe one day we can sit on a beach somewhere hot, with the sun shining and toast to being pain free. Until then we have many happy memories to make and special times to spend together. Just mind that step :) 

I looking forward to spending some quality time together :) and you too Fraser!

Love you both. 



x
xx

Friday 2 March 2018

Constipation after Jaw Surgery




Disclaimer: this blog post will being talking about pooping. For any guy who still believes girls don’t poop, or for anyone who is a little too proper to read about this online, I suggest you skip to the next article now.

Ok not to alarm anyone, this blog post won’t be graphic. I saw someone post up on a Facebook group about problems going to the number 2 after surgery and thought this would make a useful blog post.

So here we go...

After surgery your body can go either one or two ways. Either you vomit and have an upset stomach... possibly due to the stress, anaesthetic or dramatic change in diet. Or you can go the other way and not go at all. Again this could be due to the dramatic change in your diet from solid to liquid and pain relief medications such as co-codomol which are well known to cause constipation.

Constipation can be painful and rather unpleasant. I’ve always had a lazy bowel... ever since I was a child... once a week if I was lucky. Before you freak out... I’ve had all the tests and I’m fine. Nothing untoward, just lazy bowels.
Coupling this with the co-codomol, I suffered terribly post op.

The first 2 weeks weren’t too bad as I lost a lot of water weight and was only on watered down fruit juice, milkshakes and soup. By week 4 things became a little uncomfortable and I realised I needed to do something.

So here are my top tips to get moving again







Drink plenty of water

Whilst recovering from your surgery try to drink lots of water and watered down pure fruit juice.


Natural over the counter remedies

You may also want to ask your pharmacist for some Senokot tablets or lactulose in liquid form. If you are looking for a more herbal natural approach Acai Berries, Flaxseeds, Aloe Vera and Green Tea are also great for constipation. 

Or alternatively you may want to try syrup of figs, prune juice or 2x teaspoons of coconut oil. I still take the coconut oil capsules and Aloe Vera now. However, these capsules are quite large, so I would suggest sticking to the liquid form while you are recovering.

When you move to a soft food diet you can incorporate a high fibre cereals like porridge and Weetabix.

You can also try purée fruit and vegetables - broccoli, spinach, pineapple, coconut, figs, grapes and mixed berries are particularly good for this type of problem.

I also found runny egg yolks can help.


Move around

If you can do a few sit ups and leg raises. Nothing strenuous and if it hurts your jaw stop immediately. Stretch, move you hips in a circle and go for a walk.

Use heat

Try hot baths, showers and hot water bottles to get things moving. They also double up as a nice pain reliever.


Things to avoid

  1. Don’t eat bananas
  2. Avoid milk and other dairy products as this can have a binding effect for some people
  3. Don’t eat white - go for wholemeal versions of rice, pasta, bread etc.


But if you change your diet and you're still stuck, it might be time to go and see your doctor. If your constipation is an ongoing issue and you have done all the right things and still have problems then these are things that should be evaluated by a doctor or a gastroenterologist.


Continue the chat in my closed Facebook Group 

Sunday 11 February 2018

Who gave me my diagnosis?




A jaw surgery and chronic facial pain patient recently asked if I could write a blog about who I spoke to in order to get my diagnosis and who I went to see to be referred for my different treatments. I realise the way modern healthcare works changes like the wind and the criteria they once used to assess certain diseases and treatments has changed, but I thought this information may be of benefit to the UK patients and some international patients who are just starting their treatment or part way through their journey and are looking for their next step.

Jaw Surgery & Brace Work (Dentist)


From a young age my mother was told I would need to be referred to a specialist about brace work and maxillofacial surgery. I was around 8 when this was flagged up as a concern by my dentist. At the age of 11 I was referred to St Mary’s Hospital in Sidcup. They agreed with my dentist and started brace work to correct my bite and prepare me for surgery when I was 18.

Changing Hospital / Treatment Team (Dentist)


If you have read my previous blog posts you will know they weren’t particularly child friendly and a lot of my esteem issues stem from my time with them. I was deeply unhappy with the way they treated me and the way they made me feel, so I spoke to my dentist who wrote a referral letter to King’s College and Guy’s Hospital in London. This is when I met prof Cobourne and Mr Shaun Matthews. They agreed to take my case on and they were the team who operated on me.

Second opinions about surgery (Dentist)


During my treatment I started to develop terrible left sided facial pain. I was desperate to be out of pain and to have my surgery. I was also very nervous about having surgery at King’s College as this is where my baby brother died and it had some horrible memories for both me and my family.
 I wasn’t sure what my surgical team had proposed would be the best option and I did not want to wait, so I spoke to my dentist again who wrote to Eastman’s hospital and asked for a second opinion. This is were I saw Mr Lloyd. He stated that he was a good friend of my team at Guy’s and he wouldn’t feel comfortable to take me on. He said that the team at Guy’s had my best interests at heart. 

Going private (GP)


Unable to wait much longer and unsatisfied with Eastman’s response, my dad added me to his health insurance and requested an appointment at the Sloane Hospital. There I met a very senior consultant. And I am terrible because I cannot remember how to spell his name. He explained that it was he who actually mentored my surgeon and reassured me I was in good hands. He explained the same procedure my surgeon had proposed and said it would not be any quicker and certainly not cheaper to take the private route. Even if I were to pay for surgery I would need to have surgery at King’s College because it was the only hospital in our area that had the required machinery, equipment and specialist team required for my type of surgery. He suggested that I be patient and wait it out. Feeling a little deflated and very worried, I had to bite my tongue and hope it would all be ok.

Diagnosis Atypical Trigeminal Neuralgia and TMJ (Maxillofacial Surgeon & Neurologist)


As previously mentioned, 2 years into my brace treatment, I started to develop terrible left sided facial pain. I was and still am in pain 24 hours a day. This pain was debilitating, distracting and unmanageable. I had never experienced anything like this in my life. I would describe it as the worse migraine of my life, but in my face and it just didn’t stop. Stabbing, shooting pains all day and all night, clicking and muscle spasms around my jaw joints and huge painful balls behind my ears. My neck, jaw joint and face was hot and it felt like half my skull was on fire while being crushed by a vice. My surgery team asked for x-rays, CT scans, MRI of the joints. All came back clear. Just a slight slip of the disc on the left side. This is seen as quite normal.

I spoke with my GP and dentist. My GP referred me to see a neurologist who did more MRIs and x-rays. I was also tested for Lupus using a blood test. The neurologist diagnosed me with Atypical Trigeminal Neuralgia based on my description of the pain and the absence of anything untoward on the scans (cancer etc).

My surgeon who is a TMJ specialist believed that the joint pain was TMJ dysfunction and it was he who diagnosed me with TMJ dysfunction.

Chronic Fatigue and Fibromyalgia (Psychiatrist & GP)


After several years of pain, severe issues with my mobility post operations and complete exhaustion, my psychiatrist and GP diagnosed me with CFS and Fibromyalgia. To remind you I was completely unable to move from my neck to my lower chest after surgery and had to go through years of physiotherapy and rehab to get where I am today. Often these diagnoses are only given after all other disorders have been discounted. I had been feeling exhausted for a period of years. I believed it was the combination of crippling daily pain and the sedative pain meds which had caused it. But my GP and psychiatrist believed it was Fibro and CFS. They said that the muscle weakness, shaking, urinary tract issues, inability to walk far without pain all over my body and the flu like symptoms were a result of these two disorders.

I also had glandular fever when I was 18 and had a terrible reaction to the medication Amoxicillin. I was a lobster and burning up for a period of weeks. Then I turned a horrible black and blue colour when the fever finally broke. We found out in 2015 that I am severely allergic to Amoxicillin and Penicillin and I won’t be able to use these ever again. Apparently, Glandular fever makes you more susceptible to getting CFS in the future and this was another tick in the box for my psychiatrist and GP.

Optical Neuralgia and Trigeminal Neuralgia continued…


I have recently seen a new neurologist. My psychiatrist has now referred me to St Thomas’. I am now awaiting further tests and scans to see if anything can be seen on the new scans. Since the surgery I get terrible migraines, face pain attacks and neck spasms and weakness. This was never investigated. Instead it was assumed my lack of mobility post-surgery was due to a reaction to the muscle relaxants used during surgery. My neurologist would like to discount anything new and would like to see if there is anything visible which could be causing the tension, muscle spasms and muscle weakness. I also have trouble with shooting pains down my arm and problems with grip now. So this is a new development.

In conclusion, there are a lot of people involved in making my case and diagnosing me. If you are having problems with your surgical team or need a second opinion, ask your dentist to refer you to another hospital. If your dentist isn’t helpful, go elsewhere. Try a different dentist.

If you are having problems with long term facial pain or chronic pain of any sort, speak to your psychiatrist or your GP about a referral to a neurologist. If your GP isn’t too helpful and you don’t have a psychiatrist, you can always ask your pain management team to write a letter to your GP who will be able to refer you to the correct team.

I know it is frustrating and it sometimes feels like you won’t ever get the answers you want or desperately need. But do not give up hope and do not give up trying. If at the first, second, third or fourth attempt you don’t succeed, try, try again. It only takes one good specialist to diagnose you.
Always ensure you have a full list of your symptoms to take with you and keep a pain diary and calendar. Something like this….




If you go fully prepared and with as much information as you can, this allows the specialist to be able to assess you a lot faster and get a better grasp of your overall condition and how it effects your life. Without this, you could forget crucial symptoms, examples and pain management tactics. All of this helps to develop a story of your life and what you are dealing with on a day to day basis.

You can now continue the chat and speak with other patients on my new closed Facebook group:


Looking forward to connecting with you soon!

Lots of love always,

Steffie

x.x.x




Sunday 4 February 2018

Cleaning my retainers



I have had my retainers for years now. Not the same pair. I have had 3 replacement pairs since my first Essix retainers given to me by the hospital in December 2011.

In that time, I have heard all the warnings; don’t keep them in water, don’t use denture cleaner, don’t brush them with toothpaste, don’t use warm water. Apparently, all these things will break down the plastic. Well news is, general wear will break down the plastic. So there is very little you can do to prevent them breaking. The truth is, after a while they will just break. Plus, if it is a choice between putting dirty bacterial infested retainers on my teeth or clean retainers, I am saving my teeth and choosing the clean retainers every time. I did not go through this many years of treatment and pain to destroy my teeth.

So here is what I do to keep my retainers sparkling clean –

Note: I still wear both my upper and lower retainers 1-2x per week and I wear them overnight.

  1. In the morning, I take the retainers out and wash them under cold clean water.
  2. After this I fill up my denture pot with water, add the retainers and pop in a non-scented Steradent Active Plus tablet.
  3. I leave the retainers to soak for the rest of the day while I go about my business.
  4. When I return home from work, I rinse the retainers and give them a light brush using the spare head on my electric toothbrush.
  5. Then I pop them back into the pot with clean water. I change the water once a day until the day comes for me to wear them again.
  6. When it is time to wear them again, I run them under cold water and brush them with my usual minty toothpaste and rinse.
  7. I brush my teeth, floss and then rinse.
  8. I then brush over my teeth with Eucryl and pop in the retainers. The Eucryl acts as a whitener and reduces the amount of bacteria and plaque building up under the retainer during the night. 

I have tried many different ways of maintaining and keeping my retainers clean. This is the one that has been most effective.

You can now continue the chat and speak with other patients on my new closed Facebook group:


Looking forward to connecting with you soon!

Lots of love always,

Steffie

x.x.x


Sunday 10 December 2017

Exercise after Jaw Surgery

Let’s be realistic here for a moment…. After surgery your surgeon with advise that you do not participate in any contact sport for around 8-12 weeks. Your surgeon will most likely say you can resume non-contact sports and exercise as soon as you are ready.

I have spoken to many people who have had jaw surgery and I do not know anyone that was able to participate in any kind of sport for the first 4 weeks post-surgery. You may be lucky and be recovered within a few weeks, but for most people this is not the case.

After jaw surgery there are many aspects that you need to bear in mind when planning the amount of time off you will require from work and school. It is also important to be realistic and not to plan too much too soon after your jaw surgery. Regardless of what the surgeons have told you, hardly anyone is recovered within two weeks. It is imperative that you do not partake in any heavy or contact sports for the first 8-12 weeks. It is also important that if you have had a bone graft or have any external wounds that you do not get them wet. All in all, that means no weights, no heavy sweaty cardio and no outside sport when it is likely to rain.

After surgery many people experience swelling, numbness and (sometimes) a vast amount of pain. There may also be complications caused by the surgery and your ability to breathe easily. This could mean nose bleeds, mucus build up in the nasal cavity or just general swelling around the top jaw, nose and cheeks. This makes exercise difficult.

You may also have existing or new issues relating to TMJ pain and/or posture. Many patients say their jaw joints hurt a lot after surgery and any exercise can cause pressure around the jaw joints.

Further to this, your body will be under immense stress due to the surgery itself and the dramatic change in diet. You will be losing weight and trying your hardest to maintain a nutritious and high calorie liquid or soft food diet.

Separately these issues may or may not affect your ability to participate in exercise, but after surgery the combination of these aspects can leave you feeling exhausted, weak, tired and dizzy. I would suggest asking a friend or family member to accompany you when exercising. At least for the first few weeks, while you get back on your feet and get back to some normality.




My story


Before surgery I was in immense pain. I have TMJ issues and Atypical Trigeminal Neuralgia. This meant that I experienced excoriating shooting and stabbing pain 24 hours a day 7 days a week. I was unable to exercise at all. The pain took over my life. I went from being a very energetic person who loved to ride my bike along the river Thames, go to the gym weekly, swimming, dancing to doing Pilates in my home living room, to a zombie, navigating between my day job and a full-time university honours degree. I was on Baclofen, Ibruprofen, Cocodomol 30/500mg 8x daily and Amitriptyline 30-70mg. Even so, before the surgery I was still quite strong, able to walk, stand and get through a day’s work.

When I woke up after surgery I was rigid from my eye socket down to my chest. I could hardly move my head, neck, shoulders or arms. The surgeon had no idea what had happened or why I was in so much pain. The medication continued to roll on and on and I was discharge 2 days after surgery.

After surgery I was unable to walk or stand for any period of time and would often faint or feel dizzy on the high dose of pain relief. My head also felt like it weighed a tonne and I needed to constantly support my head and neck. My face would swell up and burn if I did constantly use ice packs. After a few weeks I was starting to feel a little better so tried my hardest to go for a 5 or 10 minute walk each day or use my exercise bike on the easiest setting.

The combination of the anaesthetic, lack of food, pain, swelling, broken bones, external scars and sedative pain relief meant that I wasn’t fit for much and walked around like a zombie for a good 2 months after surgery.


Picture of me post surgery - Working on balance. As you can see my shoulders were still completely turned in. 


Is exercise good?


Exercise after jaw surgery is supposed to be really beneficial for reducing the level of swelling. It is also important to maintain good muscle tone as your body adjusts to the change in diet and your inactivity. However, even after a short walk my face would often burn up and turn bright red. I was so exhausted that I would need to have a sleep after any exercise. I lost around 12 lbs and 6 lbs of that was in the first week after surgery. The muscle wastage happened so quickly.

When I had my titanium, plates removed I attempted to go swimming 6 weeks after surgery. I only managed 50 metres and I had to stop. My face turned bright red and started to go hot and swell up. I was worried but went home to rest. After a couple of days my face recovered and the swelling decreased. After discussing this matter with my friend, he suggested that it could be due to the opening of the face and the rupturing of the capillaries, arteries or veins during my surgery. He suggested that I should stick to a lighter form of exercise for the time being.

Important note


The final note I would like to highlight would be that your jaw bones take 8-12 weeks to fully heal and even after this point the bones may be very weak. It is important to be conscious of the sports you are participating in and ensure you do not hit or put too much pressure on your face or jaws.

Do not push your body too hard, too fast. Ease back into exercise and your normal routine slowly. Do not participate in any contact sports for at least 8-12 weeks and only go back to it once you and your surgeon are happy for you to do so. No point going through all that pain and suffering just to set yourself back to square one.

Recommended blog post: http://steffies-orthognathic-surgery.blogspot.co.uk/2015/04/faq-orthognathic-surgery.html

You can now continue the chat and speak with other patients on my new closed Facebook group:


Looking forward to connecting with you soon!

Lots of love always,

Steffie

x.x.x