Oh! My Back!
I try not to
complain about any ongoing health problems I may have, unless I can make a
compelling narrative out of it. After
all, I do have a variety of ailments with which I can bore my readers silly. They include my heart disease, obesity,
short stature (really, this should be considered a terminal illness [badum
ching!]), my feet, my ankles, my back…bingo!
I’ve known
since childhood that I had flat fleet, although I have always thought of myself
as normal. (Ooh! Add delusional to my
list of ailments above.) I can only imagine
what my fellow members of humanity must think of me as they’ve witnessed my
daily, fool hardy attempts at ambulation. They must marvel:
First
Human: “Look at him! Good lord! He’s got flat fleet, one leg
shorter than the other, and his hips are all screwed up!”
Second
Human: “And he’s probably delusional, too! Poor devil!”
I know, I
know, I was talking about my back, but my feet have a lot to do with this topic. Believe me, if the feet are off kilter, then everything else up the line through the ankle,
knee, femur, hip, and back are thrown off too. And thrown off in a very painful way…
My pedal condition meant that I could not
purchase shoes off the rack. My parents
would take me to a shoe store at the other end of town (i.e., Philadelphia),
where they could buy shoes which gave me the proper support my feet needed. The insides of the shoes were built up to
ensure maximum support and extreme discomfort. I would complain to my parents that they hurt, but they always
responded, “Oh, you’ll be all right, once you break them in.” BTW, this NEVER HAPPENED! The shoes guaranteed maximum support,
extreme discomfort, and would resist being broken in for the life of the shoe.
The
importance of having proper foot support was not high on my list of concerns 20 years ago. Now, however, as I get
older and my hips continue to get more and more misaligned from the rest of my
body, I find that the resulting sciatic condition is too unbearable to place low
on a list of priorities.
In recent
years, my body would send subtle signs that it was time for me to adjust
something to alleviate the pain. And by
subtle, I mean sudden shooting pains from the hip down to the knee. Popular
over-the-counter salves and balms would not work. After a while, I figured out that my body was
telling me that it was time to purchase a new pair of shoes, which is what I
did a few months ago.
I purchase
shoes (EEE wide, removable insoles for placement of a custom orthotic) from
Hitchcock Shoes online. I usually
buy one pair which lasts me a year, at which point the heel of my left shoe is
worn down most unevenly in comparison to the heel on the right shoe. In past years, just replacing the shoes is
enough for the sciatica to go away. This
didn’t happen this year, which led me to consider replacing my custom orthotic.
For the last 10 years, I have had orthotics made at the nearest Foot Solutions. The last pair was guaranteed to last five
years, which I found out was last year when I went to be fitted for a new
orthotic this year. The fitting is a
unique process - it comprises my standing on a set of round headed pins that conform
to the shape (or, in my case, mis-shape) of my feet. This impression is printed on a 3-D
computer image and sent somewhere to have some sort of sole carved out of
plastic and lined with cloth.
These orthotics
cost four times as much as the shoes, and I suppose they could be covered by my
health plan. No, correct that: I suppose they could be applied to the sky high
deductible on my health plan, but then I would have to go to my doctor
(in-network fee negotiated office charge also applied to deductible) who would
refer me to another doctor (who would also have an in-network fee negotiated
blah, blah, blah) who might write a script or letter of medical necessity for
the insoles which then could be…oh, eff it!
Up to this point, I’ve had to rely on
stretching exercises, which are supposed to be performed every day of my life
for maximum effect. This does not always happen when it is scheduled to happen
before I get out of bed every morning, owing
to leg cramps. There’s nothing like a
good charley horse in the calf that can make a sciatic condition seem trivial.
I learned
these exercises during physical therapy sessions for a previous episode of
sciatica several years ago. Oh yes, I suppose
I could go to physical therapy again, but I have huge health care debts now due
to the laughable excuse of a health plan I have.
Besides, who
needs physical therapy when I have my TENS unit. This Transcuteneous Electrical Nerve
Stimulator device was also purchased during those previous physical therapy
sessions, and paid for by a real health plan which I had at that time. For those not familiar with a TENS unit, this
is a machine about the size and shape of those pocket calculators we all
carried when we went to high school in the 70s. Ah, the 70s! When we were young, strong and sciatica was
nothing more than a famous curse uttered by W.C. Fields. (“Suffering sciatica!”)
Anyway, these
units, powered by AA batteries, send small pulses of electricity to the nerves
in my back, which generally makes the pain more tolerable and me more tolerable
to live with. The unit is adjusted by
degrees from 1.0 to I have no idea, although I did crank that puppy up to 47.0
one day recently.
Some people may swear
by the healing powers of marijuana, but sometimes my TENS unit can be just as
good as any joint I may have smoked in college.
(Janey, I swear this on a stack of dime bags!)
So now I
have everything in place for my sciatic condition to improve. New orthotics and
new shoes to support my feet, a TENS unit to alleviate the acute shooting
pains, and various over the counter pain medications for further soothing. So now when humanity sees me approaching they
can say to each other:
First Human:
“My God! Look at him! He’s got flat
feet, one leg shorter than the other, and screwed up hips!”
Second
Human: “Yes, I see, and I’ll bet his
health insurance sucks too! Poor devil!”
(Thank you
for reading. Ah, TENS unit! My precious...”)