Botox,Ballet, and Pedicure Protocol

I  have been in no mood or state of mind for blogging for some time;-(


BUT here's a turn of events since last summer. Progress, ANY progress always pulls me out of tail-spins. THIS time took couple of rounds of Botox, pedicures to relieve inflamed, curled toes, and a serendipitous Feldenkrais discovery on my daily limp past Austin Ballet. Yup ALL true!


The Botox, Ballet and pedicure protocol?


Ideally, I think I should plot these treatments with a view to cycles of Botox efficacy with:

• mobility issues note: last two rounds have ended with ugly toe curling, nail loss and infection...... I now have a personal pedicure specialist Vicki for big toe maintenance conveniently located within barefoot walk down the hall from my place;-) but goal is to keep those visits to a neighborly walk-through to say hi.;-)
• pain management and/or spasticity medications such as Lyrica vs additional S1 or other nerve blocks? Do i really need to revisit Baclofen??Again timing and sequence is key issue From what I understand, I have pain from "secondary" effects of spasticity- impingement on sciatic nerve from contraction creates pain and that stimulus provokes additional waves of spasticity. At what stage of this cycle might expect some or any non-medicated relief??!!
• "corrective" post -botox physical therapies? have yet to find the " ideal" to optimize whatever opportunities I might leverage during window of opportunity when excess tone is "blocked" by the chemo-denervation.
  
  One theory has been to focus on increasing flexibility and range of motion of the offending IT band and Gluteus have tried several approaches but with little progress.
  
  Another theory has been to re-train the brain to move these muscle groups {or opposing sets} with new and more fluid control to override the cyclical patterns induced by excess tone.
• I discovered a Feldenkrais instructor and classes at nearby Ballet Austin- Instructor Lisa del Rosario just happens to have recovered from left hemisphere paralysis from car accident. Soooo, she has a relevant “body of knowledge.” Feldenkrais sessions are a bit like TAI CHI, but conducted on a horizontal plane. These classes have tremendous potential for re-training cramping leg and hip muscle groups but at certain stages my sciatic nerve and surrounding is so hypersensitive I can't partake of some Feldenkrais positions – Mark Miller noticed this during PT sessions and raised question re: some injection for this type of pain. So again, choice of available therapies and coordination is critical, but has been "off-track" or uncharted to date.