Today marks one week post-op from arthroscopic surgery on my right hip.
My right hip has been an ongoing problem for over a decade since I slipped and fell, dislocating it back when I was still a white belt. I had no health insurance at the time so of course I never got checked out, but it was months after that incident before I could raise my leg without pain or instability. I’ve had issues with it flaring up and causing me pain and problems since then. While I have always been able to rehab and strength train it back into working order – each time seemed to take a little bit longer and be a little bit worse.
This time I flared up badly over the holidays and my usual measures would not put a dent in getting me any relief, I had added instability that really worried me as well. It was progressively getting worse to the point where not only training, but just sitting or standing was constantly miserable and I wasn’t able to sleep because of it either. Pain I can handle, but misery is a no go.
I’m very fortunate to have access to a group of orthopedic surgeons who specialize in working with athletes. I’m going to breakdown the process I had from first appointment to today. I should state at this point I already knew that whatever I had going on was going to be surgical, if they told me anything else I would have been absolutely floored.
The Pre-Op Days
My first appointment was with the surgeon’s PA. First they took my x-rays then a nurse took my history (the fall, my pedestrian vs car incident, etc), then the PA came in and said he expected to see worse on my x-rays based on my history but they didn’t look bad at all. Of course he said he expects the physical exam to show a different story. I said my best-case scenario is just him telling me I’m being a little baby about some tendonitis and that I need to get over it, but that’s not very likely. I did tell him that I had an event coming up that I had until the following Monday to withdraw from, so I think he put me on the fast track for getting me all my tests and info because of that.
I had positive physical testing signs for labrum tear in my right hip, as well as in my left hip. He said that it’s very common especially in women to have functional labrum tears and since it’s not bothering me we will just ignore it. I had a very “hot” reaction to the test in my right hip so he wanted to get me in the MRI as soon as possible. Thankfully they just happened to have a cancellation that morning – so I went out in the waiting room for about 20 minutes and then got called back again for the MRI.
They called me later that afternoon to confirm the labrum tear and to schedule me a follow up with the surgeon for a couple days after to discuss the results and plans going forward. I was told over the phone that based on the scans the recommendation would be for either surgery or a steroid injection to get me through the jiu jitsu events I have planned for the year – the doctor could discuss the details with me at the appointment. I definitely appreciate the advance information so I could have time to collect my thoughts before going in.
Meeting with the surgeon I also learned I had a “very small impingement” on the neck of my femur. He said it probably formed in adolescence since it’s right on the growth plate, and he would take a few mins in surgery to smooth it down so it’s not rubbing on the fresh repair work when he’s done stitching my labrum back together. I also learned I have deeper hip sockets as well – just a fun little anatomical tidbit to file away (built for power yo!). One additional thing that I learned that I was not prepared for was that they would have to stretch out the joint capsule during the surgery and because of my hypermobility it may not tighten back up all the way afterwards, so I may have a slightly increased risk of dislocation in the future. I decided the pros outweigh the cons and ended up scheduling the surgery for 4 weeks out. Additionally, my surgeon also ordered a pre-op CT scan with 3D reconstruction of my hip, just to plan out a little bit better in advance how he was doing his surgical approach.
The next 4 weeks were a flurry of planning and prep work. I filled 14 pages of a word document with research, I watched so many videos of surgery, PT, OT, anesthesia, recovery vlogs, etc. I got bored of it all. I stocked my apartment with everything I thought I might possibly need, since I live alone I was really concerned about being able to take care of myself with limited mobility. I knew I would not be allowed to bend at the hip past 90 degrees or rotate, and would be on crutches for four weeks post-op; so I moved food and daily items onto my counter and even got myself a booster seat for the toilet (yes, it is definitely needed!)
Surgery Day Pre-Op:
My surgery was scheduled for 10:30 so I got to the hospital a little before 8:30 with a teammate who was also going home with me as my post-op babysitter. I had the same pre-op bay as I did for my knee surgery, the nurse said they usually keep the ortho patients in the same 4 slots and it was just luck of the draw for me. Different OR this time though, I had #1 last time and this time they said I was in #4.
First off, I got changed and then settled in the bed to go over my intake paperwork with the nurse. They hooked up my warm air blanket and checked vitals. At this point my friend was able to come back and hang out with me for the rest of the time until the wheeled me back. Eventually the anesthesiologist came by to ask about my last experience with general anesthesia. I told him as far as I’m concerned, I had a very nice nap although I was told I took a while to wake up and I was pretty trashed afterwards – although probably because the surgery lasted an hour longer than planned. He scrolled through his notes (I was at the same facility for my knee surgery and made a nod), confirmed a few more things, started up my iv in the back of my hand (with lidocaine thankfully), and then told me “I wish you a forgettable experience!” before bidding me farewell to go handle an induction in another room.
Next to visit was my surgeon, he came by to confirm that we were operating on my right hip, signed my leg, and assured me he had a fantastic plan in place. I should state that even with just saline in my iv I was very chill and relaxed – so when he signed my leg, I told him he should go ahead and write “later” on my right knee. I additionally told him I was quite ready to have my brain turned off so I could get stretched out and skewered. He also wanted to make sure that my medications and such had been sorted (there had been a mix up at the pharmacy), and that my friend was all set with the info she needed for proper care and feeding of me afterwards.
Finally another anesthesiologist and nurse came to fetch me for go time! They gave me a dose of propofol into my iv in the bay then started wheeling me out toward the OR – I remember saying “Oh that’s spicy!” when it hit the vein and getting a bit fuzzy by the time we reached the OR. Near as I could tell I had an all female prep staff in there with me which I registered and appreciated in the moment (due to the nature of the prep area for the hip surgery) as I helped scoot myself from the bed onto the much more narrow operating table. I had several people helping to secure me in place and a mask on my face and I remember trying to ask a question that they couldn’t understand with the mask in place, so they removed it to hear me.
That was the point I decided to just shut up and let them work. I might have said that out loud, there might have been a jedi hand wave while saying that out loud. But that was my last conscious memory “I’ll just shut up and let you work” before I work up in recovery. What happened between that memory and waking up in recovery will be forever sealed in the annals of time!
Surgery Day Post-Op:
I woke up a lot faster than I did for my knee surgery, and a lot more clear headed this time! I likely didn’t have to be put under as far as I did since it wasn’t nearly as intense of a procedure. I was asked if I was in any pain and there was some so I said yes, and also asked if I wanted my friend to come back so I said yes. So my friend was brought back and I was given some pain meds in my iv and apple juice. My friend said she got the text that I was out of surgery only 15 mins before she was called to the back, so I really did wake up quickly this time!
I chatted a bit and went through a bottle of apple juice and some saltines before I decided to use the bathroom – this was when I learned I was allowed to stand with my weight evenly distributed between my feet. My nurse was very surprised at how alert and articulate I was with the level of medications I had in me, she had ended up giving me about 3/4 a syringe if dilaudid and offered to top it off but I declined, instead opting for another bottle of apple juice to help me finish off the crackers and get the plastic tube taste out of my throat. Speaking of medications, my prescriptions had somewhat been sorted out and were getting picked up by a coworker who was then coming to pick us up from the hospital and drop us off at the front door of my apartment building. I was still missing my prescription anti-inflammatory but we could substitute aspirin while we waited for that to get sorted out and we had my prescription pain and nausea meds, so we were good to go.
When we got word that the meds had been picked up by my coworker, we got pulled together and headed downstairs to go meet her. When I got home I settled into my air mattress that I set up on the floor (my bed is really high) and really just tried to chill as much as I could and unpack the whole day and experience.
Since then the days really have blurred together. That first day (Friday) I took the strong pain meds as prescribed, 1 every four hours on a timer just to stay ahead of any post op pain. For my knee they gave me straight oxycodone and that knocked me out pretty hard – for this surgery they gave me oxy/acetaminophen which thankfully I found I could stay standing while taking which was super important for me since I live alone and need to be able to take care of myself while on crutches.
Saturday
The next morning as per the doctor’s instructions I took off the large bandage that was covering the surgical site and clean the incisions using Q-Tip’s dipped in a half and half mixture of peroxide and water. He told me he was okay with me showering after 24 hrs. – he just wanted me to let the stitches dry and then cover them with band aids to keep them from rubbing on clothing and getting irritated. I have three entry port areas, from what I was researching before surgery it looks like he used the standard anterior-lateral port as well as the anterior port, in addition to a modified anterior port to help with placement of anchors for suturing my labrum in a more anatomically secure angle (I read about it in a research paper). There was (and still is) significant bruising around the two upper port entries and very little around the additional access port. I started out Saturday spacing my pain meds out to every 6 hours to see how the pain felt. It was a little achy but nothing terrible so I decided to keep it that way. My friend went home this afternoon so it was just me and my puppy in the apartment
Sunday
I took the prescription pain pill at 5 am and decided that if the pain wasn’t bad at 11 that I would try switching to Tylenol, with the escape that if it got bad, I’d go back on the prescription medication 4 hours after that if needed. I ended up not needing it and just stayed on Tylenol (still have been since). I still had a little oozing from the stitches so I cleaned the incisions again with the peroxide/water mixture, let them dry, then covered again. I had a hypotensive episode that really frightened me this afternoon, I nearly passed out and was very close to calling 911 for myself. I checked all my pulse points and verified that it did not hurt my lungs to breathe so I made my way to my bed and created a pillow nest to call the weekend on call line for my surgeon’s office, I additionally called a team mate of mine who is a nurse who deals with similar issues. Overall consensus being my mild orthostatic hypotension must have gotten mad triggered by the anesthesia and I just had to take it really easy for the next couple of days and use up all the electrolyte powders I had bought. I had planned on showering that day but decided with that excitement that I didn’t want to risk trying to stand up for that long again and would try again in the morning before my PT appointment.
Monday
Joy of joys I made it through the shower! Being able to stand with my weight evenly distributed, and having a walk in shower without a tub made it a pretty simple affair – it was just exhausting. Then it was time to get ready for my first physical therapy session! It was at the same PT clinic I went to for my knee and my newly assigned therapist recognized me from all those visits – I told her I just missed everyone so much I just had to do something to come back and see them again! PT is going to be all table work for a while since I’m 100% crutches for the first 4 weeks. She did a lot of passive range of motion movement and was very happy that my hip could already flex to 85 degrees before she felt a slight bit of resistance. My max of course is 90 degrees and I’m allowed internal rotation but strictly zero external rotation. Also, no active hip flexor activation or crossing of the midline with my surgical leg. Basically, none of the movements that I really want to do right now. I have PT homework too that consists mainly static muscle squeezes to just try to keep the muscles firing while the joint isn’t allowed to move dynamically quite yet.
Tuesday
Not a whole lot going on for Tuesday really. I’ve been working remotely since Monday and am planning to do so for the first two weeks post-op. This is mostly because of the movement restrictions and my need to periodically hook myself up to my ice machine during the course of the day. I highly recommend getting one of these continual ice machines if you’re having any orthopedic procedure, it really makes a huge difference for pain and inflammation in these first few weeks! I keep frozen water bottles in the freezer and just rotate them through the little ice box and it will keep the wrap on my hip chilly for several hours at time without me having to worry about it getting too cold. I sleep in it every night – they have the new version that does compression as well as cold therapy but I’m good with just the cold.
Wednesday
Second PT session was today! Had a repeat of the first session except she bent me to 90 degrees during passive range of motion and I didn’t even feel a stretch, so I’m gonna tentatively say maybe I won’t have too much trouble getting range of motion back from this surgery. She also added two new exercises – one where she assisted me with rolling to my belly for a good stretch there, and then the other was a core crunch using one of the large exercise balls to keep me from actually breaking my 90 degree flexion rule.
Thursday
Thursday was basically a repeat of Tuesday although I noticed that I’m starting to get more yellowing bruising spreading out around my hip and the swelling is really starting to go down. I slept in a more flat position as opposed to having my leg and head elevated and it seemed to really have helped the fluids to distribute a bit more evenly at this stage of everything (I was headed into BBL territory for a bit there).
Friday/Today
And that brings us to today, one week post-op. Other than the movement restrictions I currently have in place I already feel so much better than I did before surgery. I’m a bit more sore in the mornings right now because I’m sleeping through the night: which I wasn’t able to do before the operation. Once I do my limited PT exercises I’m feeling good. My plan has been to work from home for the first two weeks which has been working out okay so far and my dog Dmitri has been doing a stellar job at guarding my hip for me.
To my knowledge I have 3 more weeks at 50% weight bearing, meaning I can stand unassisted at the counter to make food, then gotta reach for the crutches to walk myself to the next location. My post-op appointment Tuesday morning, so I’ll get to hear the details of what exactly went down while my brain was turned off in the OR, see pictures, hopefully get the video (I have the one from my knee!), and see if any adjustments were made to my recovery plan as the result of what was done in surgery.
I decided I would try to start off my day with a visit to the Kanda shrine in Akihabara. It is a Shinto shrine about a 20 minute walk from my accommodation and once again, was quite busy. I had planned to request a goshuin from this location but when I saw that it was a pre-written separate page goshuin I decided to move on and explore other places instead. I am not a huge fan of goshuin pages that have to be glued into my book unless they are special edition ones that take an extra long time for the priests/monks to prepare. So I decided I would circle back toward the end of my trip if I had room in my book.
I took a 25ish min stroll from here then toward the Ueno park area (stopping along the way for a snack) where I re-visited the Shinobazuno Pond – which is full of lotus plants. I have always ever visited during the time of year when they are in full bloom and there was something of a different kind of beauty to see them in the phase of life cycle when they are buried in the mud.
My next stop was #4 – up the hill to the Kiyomizu Kannon-do Temple. Here they have trained a tree into this circular shape so that standing at the main entrance you can look down the hill and see the Shinobazunoike Bentendo temple down below in the middle of the pond.
Stop #3 consisted of collecting 2 goshuin from one location. This was the Ueno Daibutsu Shrine. The original temple was destroyed years ago by an earthquake. I believe the body was used for materials in the war but they were able to save the face and the very top of the temple spire and they just keep these two items on the top of a small hill in an open air temple space.
Stop #2 Was a tough one to find, and quite a distance away. The maps they had up around didn’t have very clear markers, were all in kanji, and not to scale – so I kept taking turns far earlier than they needed to be taken. The name of the temple is Kanei-ji Kaishan Hall – there are two separate halls and I ended up at the Kaishan Hall, although there is also the Rinnoden hall. I did not know about the Rinnoden hall until later and I just told myself it’s the intent that counts at the end of it.
The final #1 stop was a bit of a hike as I didn’t want to backtrack the way I had already gone and wanted to see new things – instead I walked behind the national museum. My map wanted me to walk through what looked like a school grounds which I didn’t feel comfortable doing so I took a longer loop around and eventually I ended up at the main Kaneiji Temple grounds and the Konponchu-do Temple where I completed my official pilgrimage. The monk flipped through my book to look at the stamps I had collected and congratulated me and placed an additional little paper talisman in my book for completion. I also sat in the temple for an extra 15 mins to just breathe for a bit at the end of the journey.
At this point I was ready for another snack, so I hopped on the metro and made my way back to Asakusa to get that melon pan that I wasn’t able to get the day before. I inhaled it with gusto too quickly to remember to try taking a photo, but it was super satisfying. Then I decided I would be brave and visit a brand new place, the Zozo-ji Buddhist Temple. It is also super close to Tokyo Tower which I have not visited before in all my other trips to Japan.
I arrived an hour before the evening service was scheduled to begin so I decided to visit the temple office for goshuin request and then wander the grounds for a while. I came back when I heard the pre-chanting begin and then sat to experience the service.
After this I walked up to the Tokyo tower. I was considering going up the tower today to see the city view at night. It would have been a very good evening for it since it was clear – I was also hungry and there were a lot of shops and places to eat inside of the tower. There is also a shrine at the top of the tower where I read I could get a goshuin – although a paste in the book kind of goshuin… but special edition for new years at least!
After the conclusion of my matches in the professional division, I still had a good chunk of daylight left since my division was one of the first ones of the day to run. I decided that I would make use of it by attempting to visit a shrine in Harajuku for a limited edition temple seal book that I wished to purchase. Temple seal (Goshuin) collecting is one of my favorite side quests to do in Japan. When I visit a temple or shine, I can go to the office and request for the priest/priestess place the temple seal in my book via red stamps and hand brush stroke calligraphy ink. Each shrine and temple have their own unique seal. It is something small but memorable to collect, and also it gets me out of my comfort zone, interacting with people, and into different neighborhoods to explore more.
I walked past the entrance of the main street, which would be the most direct route to the Togo shrine but I decided to opt for a side street approach instead. I ended up meandering a bit and walked past this small curated garden, then doubled back and decided to give it a stroll through in order to help relax and decompress myself.
I did loop back around to my starting point and then had to wander back to get to the shrine entrance again. I made it up the side entrance and then saw the huge crowd of people and was once again reminded that it was a weekend. I did not have the energy to complete my quest and noped it out of there. Instead on my way back to the station I ducked into a small crevice and grabbed myself a bottle of my favorite electrolyte beverage from one of the vending machines there. I don’t know what magic is in this bottle but it really is the best thing ever, and the name makes me smile.
At this point I realized that I really needed to get back to my hotel and lie down so that I could get some rest after the day’s events. My headache just wasn’t going away and there was really no need for me to be pushing myself since the rest of this trip was officially vacation with very little by way of actual itinerary. I had eaten a salmon bento box at the venue before I headed out but definitely needed to feed myself a bit more before going to sleep. I didn’t have the energy left for much interaction so enter the convenience store rescue. I went for familiar (to me) easily digestible items with the plan to get myself some real food to eat the next day. Milk tea, egg sandwich, pudding, and vitamin jelly pack for the win!
I woke up pretty early Monday morning and started off with another milk tea before heading back to Harajuku to resume my quest. I still found the whole idea very overwhelming though and determined that since it was a much smaller and less familiar shrine I should instead backtrack to the other side of the station and instead first visit the Meiji-Jingu shrine – a very familiar, very large shrine that you walk through a large wooded park to reach. Even with the huge amounts of people present it still feels peaceful and I could feel myself getting into a groove.
One thing I quickly realized is that visiting so close to New Years means that I shouldn’t expect the normal type of tranquility that I usually experience when visiting shrines and temples in Japan. Most of the festivities were all over by the time I arrived in Tokyo, but people were still doing a lot of their New Years visits, and activity levels were much higher than what I had been accustomed to when visiting in the early autumn.
There was a box for placing your previous year’s amulets in so they can then be ceremonially burned later on. I had been holding on to mine since I had not been able to visit since 2019 so it was far past its prime – but we can only do what we can! My new amulet is for victory and perseverance, very appropriate methinks!
When I visit any sort of sacred space, whether it be a church, synagogue, mosque, shrine, temple, etc; I tend to minimize the photos I take unless I see the locals also taking photos, and what photos I do take I try to make sure that I do not take or share unavoidable photos of people, particularly of people in prayer/meditation. It’s the respectful thing to do. At this particular location it is such a hub of activity that it doesn’t feel disruptive to take photos so long as I avoid being obnoxious
After getting myself oriented a bit at Meiji-Jingu, I made my way out their side entrance (making note of their new location for their Goshuin request line), and back towards the Togo Shrine. At this point though I was getting cold and hungry and I decided to stop at the cafe on the shrine grounds for a bowl of ramen. It was my first hot meal in Japan and it was pretty stinking amazing. The egg was hard-boiled but it was marinated and I could have eaten a bowl full of just those. The whole bowl of ramen was about $4 with the current exchange rate and while a pretty mid-level for Japan ramen, blew away the best ramen you’d ever get state side!
After this I felt like I finally had my feet under me and decided to jump on the train for a short ride to the Hie shrine. I unexpectedly arrived during the time they were busy burning the previous year’s amulets and was enjoying watching the process while I waited for the priestess to finish inking the shrine goshuin into my book. When I saw the locals taking photos and video of the burning process I took that as a cue it was okay to take photos as well.
This shrine is a bit out of the way on top of a hill but became popular when people discovered that one of the entrances was lined with red torii gates and it became a hot photo spot. I snapped a quick photo on my way out but didn’t feel like waiting around to get one without people in it – I’ve got that photo in my memory card already from previous visits and really needed to grab some water.
As it was a completely new place it was of course overwhelming and I took my time with it. As an autistic individual I’ve learned to give myself time and space to explore new things in my own way – I take in and appreciate the feel of a place first before I start looking at things visually and with other senses. I probably sat for about an hour before I started actually moving around and (from an outside onlookers point of view) taking it in. This is one reason why I prefer to travel alone especially my first visit somewhere, so that I can really experience places fully the way my brain does best. The second visit to a place I can happily do so with company.
The shop was unfortunately closed for the day by the time I arrived, so I just made a mental note to return the next day for my prize and then strolled to the adjacent Senso-ji Temple – my first Buddhist temple of the trip. This is the oldest temple in Tokyo and enshrines the Kannon – the Bodhisattva of Mercy. A huge marketplace has grown around the temple over the years and you could easily spend a week or more exploring this neighborhood. Senso-ji is also one of those places where you just give up about not having people in your photos. It’s just that busy!
At practically all temples and shrines you will see pieces of paper tied to trees, poles, and strings. These are the fortunes that are drawn by lot at the temples that are, shall we say, less than fortunate. If you draw a bad fortune you then fold it up and tie it in these designated areas. These bad fortunes are then taken by the priests and ritually burned to dispel the bad luck so it does not follow you.
After leaving the office, I was contemplating trying to go out to eat but I was fading really fast and the sun was setting, so I decided to go back to my room and just grab something quick and easy to eat on my way back. I was going to stick with familiar (egg sandwich again?) but something caught my eye and made me double back my steps on my way to the train station. It was a katsu shop that had pre-made premium katsu sandwiches for sale. I decided to grab one since I felt like I was depending on the convenience store failsafe a little bit too much (although admittedly their food quality tops most US restaurants).

This was my first time back in Japan since before Covid in 2019 and to say I had been looking forward to it would be a massive understatement. I was caught completely off guard however by the huge wave of emotions that hit as my plane lifted off from Nashville early that morning. I was thankful to have a window seat and the cover of darkness as the waves of realization hit and became reality – of how much I had done over the last several years to make this happen again. I ugly cried for the majority of that short flight from Nashville to the Atlanta hub where I would catch the connecting flight onward to Tokyo.
I chose to once again stay in a capsule style hotel, this time in Akihabara (aka: electric town/anime central). I really like capsule style hotels because they tend to be centrally located near main train stations and offer great amenities such as premium hair/skin care products, spa services, and such like. This one gave me a fresh bag with my towel set and pajamas every day and I did not have to pack any toiletries since everything they provide is luxury quality. I don’t need a lot of space either, since I’m not hanging out in a hotel room all day and just need a safe comfortable place to sleep at night.
As far as how my matches went, well it wasn’t my best day. I could make excuses but that’s all they would be. It doesn’t really matter what the excuses are, I either brought it that day or I didn’t – and that day I didn’t. I was feeling pretty cruddy about it since the masters division was supposed to be my actual focus for this trip and the pro division was going to be my “f*ck it I’m here, may as well” division.
The mood the next morning on the warmup mats for the professional match was quite more serious than the day before. I won’t go into too detail about my matches but I will say I felt so much better about my performance overall in the pro division than I did in the masters division the day before. Each match was dramatically different, and they do double elimination at these big events for brown and black belt matches so I went 2:2 and took 4th place, just missing the podium (and some sweet $$).
So, the overall lesson learned from this after the spiral of the day before is that I was a dumbass and shouldn’t fly for 18 hours to the other side fo the world, weigh in the same day of arrival, and then compete the day after I arrive. I could get away with that in my 20s and early 30s: but apparently it’s a no go in my late 30s. One extra day of recovery and I was a much less embarrassing version of myself – still not perfect of course, but much improved. Yes, I should know better but I’m thickheaded and need to be reminded sometimes that I’m not invincible. When I do the Grand Slam in Abu Dhabi this May I plan to arrive several days before the event so I will have time to recover from the trip before weigh ins and competing.


