by dmcff » 09 Aug 2018, 08:17
Yesterday I had my last physiotherapy appointment at the Pelvic Floor Clinic, St Thomas'. Together with one of the doctors my therapist examined me and then told me that she is now referring me to the Pain Management Clinic, where I'll be under the supervision of the CRS Andrew Williams again, and will concentrate on desensitisation techniques with a different team. These could include anorectal manometry, but are more likely to be an extension of the relaxation exercises I've already - only partially - done. I think I'm ready to go along with this, and have for the time being decided not to look further into the therapy offered by Karl Monahan - so much of it is really self-care and self-therapy, and I think I can probably manage to make some progress on my own, particularly if I have the pain management sessions to act as a focus. Though I don't know when the clinic will be able to accept me - it's an NHS referral, so may take some time to come through.
Although the examination yesterday was quite painful, I found that discussing my symptoms and pain problems with health professionals did help quite a lot, and I feel more confident about the future. The thing I'm starting to realise is how strong the human body is, and how it's possible to continue one's normal activities in spite of pain, or through pain, without causing physical damage to oneself. There's a psychological component there that's quite important. While swimming this morning I really felt almost back to my former self, before 2014 - back to normal! That must be progress of some kind.
2014 Anal fissure
2015 CAT, EUA, sigmoidoscopy, 2 MRI
2016 Pain severe then moderate to low
2017 Moderate pain
2018 Physical therapy, pain management
2019-20 Living with it
2021 Still AF
2022 Therapy, meditation
2023 Onward, up
2024 CT scan