Medical information about Lenore's hips
Okay, not a funny thing: I fucked up my back around December. And after an MRI and a full spine x-ray, they kicked me in the ass to send me to a kinesiologist. And my thought was “well, if they're going to torture me with physical therapy, at least I'll end up with fanfic material”. Don't worry, I'm fine now and my kinesiologist had fun answering my questions about a 2D character with fucked up hips.
So I decided to sort out in one post the information my kinesiologist gave me and some other stuff I got from researching around.
Possible symptoms
Okay, this post is based on the following information provided by buddy @ghostselkie.
According to the places where she shows pain in the comic, it is very likely that Lenore fractured her pelvis this way.
The sacrum is a wedge-shaped bone that sits at the back of the pelvis between the hip bones. Five vertebrae in a person's spine fuse together to make this bone. They get progressively smaller toward the center, giving the bone its triangular shape.
Since Lenore suffered a trauma fracture because a fucking tree fell on her, this would be a high-energy fracture, which would give her the following symptoms:
- Hip and lower back pain
- Reduced sphincter control
- Pain, bruising and swelling throughout the immediate area.
On the other hand, the Ilium fracture is much less common and in associated literature appears to be a bit more “harmless” than other hip fractures, since in some cases it may not even need surgery. However, she may have the following symptoms:
- Bowel impaction (unable to go to the bathroom)
- Open wounds (this does not appear to be her case in the comic)
- Soft tissue detachment (bruising, hematomas and muscle tearing)
You can find more information about this here and here.
Treatment, rehabilitation and repercussions on daily life
Okay, let's move on to the part where my kinesiologist was having a bit of a discussion with his colleagues.
In a modern day AU, Lenore would have received a pelvis surgery where she would have definitely had screws put in. This would have sent her straight into a post-operative physical rehabilitation process of several months. How long? 6 months minimum.
In this process, Lenore would have regained strength in the muscles that were damaged, regained control of the nerves that were shredded and taken steps to live pain free.
This is where my kinesiologist and one of his colleagues differed somewhat. Apparently, pelvic injuries are tricky because, although the pelvis is pretty tough and has a good margin to heal, it's also hard to get things 100% right, so: although they both agreed that Lenore would walk again, my kinesiologist said that with enough rehab she could live without problems with, perhaps, occasional pain if she overstressed herself (something that could also hurt her). But one of his colleagues was more skeptical and commented that she would probably need a Canadian elbow permanently.
Now, in the canon of when she was alive, she would have received neither an operation nor rehabilitation. This means that, although the broken bones fused together well since the doctors were able to identify the site of the break and immobilize Lenore so she could heal, without the screws it is very likely that something was slightly off and that is why she seems to be limping a bit. Add to this that, without physical rehabilitation, Lenore lacks strength in the muscles that were first damaged and then lost strength due to lack of use when she was prostrate, plus her nerves must also have suffered and make it difficult for her to control the damaged area well.
That is the reason why, for example, when Annabel falls and she holds her, it hurts: Lenore's muscles need assistance to support her own body weight and forcing them beyond that is like you overexerting yourself in a way you are not physically prepared for: something is going to tear, damage or break.
Consequences in ✨spicy✨ subjects
Here's a Pluto protector of NSFW content, what's below it talks about the consequences to Lenore's sex life of getting hurt in this way.
Of course, I researched this online and didn't ask my kinesiologist. You can find the full articles here, here and here.
Basically, Lenore is fortunate to be a lesbian woman because ideally her hips should remain static and not be pressured, which would be quite complicated if her partner were a male because penetrative sex puts a LOT of pressure on the hips.
In short, this is all a matter of posture to avoid any damage.
If Lenore is being top, she can either sit her partner on her lap (this while she is sitting in a chair or on the bed with her feet flat on the floor), ask her partner to lie down in a position where Lenore can lie on her side on her sore side and touch her without moving too much, or hug her partner from behind while they are both lying down.
If she is being bottom, it may help to have a cushion placed on her pelvis to keep things from moving, to lie on her side, and if her legs are spread apart, this should be done very carefully.
In both cases, her and her partner standing is also a quite friendly posture for her hip problems.
Also, but not least: Lenore cannot do scissors. There is no way this could not seriously hurt her, so it is completely out of the question.