When I was at the Ride of Silence the other day, a friend joked that watching my recovery from afar was like watching a roller coaster from the ground. At one moment I’m up, and the next moment I’m back down. That analogy was appropriate, and would come back up again. The image above (used with permission from Adam at The Sports Physio) sums it up perfectly. We expect everything to go as smoothly and perfectly as possible, but in reality, the process can be chaotic.
After the recent setback, I had my orthopedic appointment bumped up just to play it safe. As always, he gave me some terrific advice. I cannot say enough about how much I lucked out getting Dr. Guy as a doctor.
First was the issue of the setback. We went into detail about what happened in physical therapy, and he said that absolutely shouldn’t have happened. My injury is a lot different from what therapists usually see with hips, and it has to be treated differently. Usually running in water would not be so harmful, but when I told him the low water level, he rolled his eyes. When I told him about using the recumbent step machine rather than an stationary bike, he practically gasped. Those are impact exercises. I’m not ready for those now, and there’s really no timetable for when I will be. I’ve heard as early as 6-9 months from surgery, and as late as a year. Aside from casual walking, there shouldn’t be the slightest bit of impact exercise at 16 weeks.
He also likened this experience to a roller coaster. He frankly reminded me of how he surgically went into my hip and tore into my bones and cartilage. As he put it, he made big holes so that they could fill in and heal correctly down the road. Every time I do some exercise, smaller wounds are created and they need to heal during recovery. Light exercises like swimming and spinning a bike in a low gear will do slight damage to my hip. Impact exercises will do a lot more damage, and that takes longer to recover from. That’s exactly what happened with the setback.
That’s where the roller coaster comes back. When you do a little damage each time, the hip’s condition will drop slightly after each workout, and eventually after recovery it will continue upward. The trend line will resemble the left side of the image above. If you do too much at once, the condition will plummet like a roller coaster and have to slowly climb a longer ways back.
The goal is to progress slowly and steadily. As I exercise and do a little damage, it’ll heal and the next time I can do a little more. I can swim 5 laps the first time, and then maybe 7 laps the next time. If I keep progressing in a steady direction then I will eventually get to 20 laps without pain. If I go from 5 laps to 20 laps, then I my body will take longer to recover and I’ll need rest. Without that continual progression, the recovery will take longer and the body will need more rest. That’s exactly what happened after the run and step machine. I’m now where I was shortly after I first started walking.
The doctor said that I should absolutely do no running or any impact exercises. He wants me to do a lot more swimming, which is the least impact I can put on my body right now. The next best thing is cycling. I can ride in little gears, but nothing aggressive. I’ll start with a few laps and miles, and inch my way forward. One day I’ll be recovered and can give some impact a try, but that is far from here.
I know that I have a history of being naive optimist with this injury, but after seeing the doctor, I’ve never been more confident that the trend line will continue to progress forward as it should, and not be a jumbled mess like the right hand column of the image above.
There is good news this week. It took me about three days to be pain free after the step machine. I felt no pain when riding, and no pain the day afterward. As long as I’m smart, I won’t need to cause unnecessary suffering and setbacks.
May 24th, 2014 at 3:49 pm
Sorry for the setback, but glad to hear that things are back on track. I’ll bet it felt really good to be back in a peloton again. I still am anxious to read a Haute Route report(s) from you!
Keep the writing coming!
May 31st, 2014 at 9:12 am
Hey Matt, I think one day that’ll happen. Hopefully sooner rather than later. As always. thanks for the encouragement. Things are definitely back on track.
May 24th, 2014 at 4:45 pm
Buggers. I understand pain and trying to recover. Spent most of last year doing it myself (although my injuries don’t seem as bad as yours!). Hang in there, trust the docs and listen to your body–
And looking forward to more recovering stories! The positive kind 🙂
May 31st, 2014 at 9:13 am
Thanks, Sandra. Injuries are no fun, and I think there’s a little luck involved. It happens to everyone, although some are going to be worse than others. I hope you are feeling a lot better.
May 26th, 2014 at 11:10 am
So true Aaron, recover is dependent on so many variable factors.
Ones physiology, and ancillary conditions. It’s never a straight road! 😀
May 31st, 2014 at 9:14 am
It is a very crooked road. I’m optimistic that it’ll be a straight(er) road from here on out, but there’s no guarantee and there’ll likely be at least slight setbacks. Still, I think the worst is behind me.
May 31st, 2014 at 5:00 pm
Good way to look at it. Stay optimistic buddy!
May 28th, 2014 at 10:07 pm
Aaron – During my recovery, there were days I made great progress….then multiple days where I made none (or went backwards). 10 years out, I think I’ve demonstrated that while the path may not be straight…..it can eventually get better. 😀
May 31st, 2014 at 9:15 am
That you have, and you have given me plenty of inspiration in my recovery. I’ve learned from trying to lose weight and gain fitness that results don’t come overnight. The same is true with recovering from injury. It’s a constant grind and eventually you’ll reach the end. Sounds sort of like a ride I know about.
May 28th, 2014 at 10:08 pm
Reblogged this on HolliWorks and commented:
Progress isn’t always in a straight line…..