Injury part 7: my final update

So how is my recovery going? Slowly, but surely. This is my latest update, and it’ll also be my last. From now on, it’s all about the future

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THIS is going to be my last post on my injury and recovery. Not because it’s healed now; it hasn’t. I’m still in pain every day and it’s still affecting what and how much I can do. In fact last weekend proved to be very bad, with extreme pain and cancelled plans. I cried and slept a lot. But I’ve had enough of it, enough of thinking about what went wrong and how long it’s taken to get this far. After this post, I’m going to be all about the future and my plans for it.

I can also acknowledge that I am in the final stretch of recovery. At times it feels like it’s taking forever to heal and that it’s never really going to be right again. But this isn’t the case. It improves a tiny bit all the time and it shouldn’t be too long now before I feel normal.

Working out
I’m doing a lot more exercise these days. I do three weights sessions and two cardio workouts every week; I’m also up to 9,000 steps per day. Over the next month or so I’m going to increase steps to 10,000. I’m also going to dial up my two workouts – longer sessions, more reps, heavier weights.

I’ve not been to any yoga classes yet. I can do sun salutations at home, but yoga is still a bit out of my current ability. I’m not far off though.

The biggest and best news is that I’m properly back on the bike. I’ve moved on from the turbo trainer. I go out early Sunday morning and I’ve worked out a really nice route. Mainly traffic free via the marshes to Victoria Park, where I can do laps to my heart’s content. Although I’ve only managed a maximum of four so far. I pass a lovely café in the Olympic Park where I can stop for coffee and a snack if I want to. This is a really enjoyable ride.

I’m not commuting yet; I’m not even really cycling on roads. I still need to build confidence with both these things. I’m also only doing one ride a week rather than every day. I do want to add in an evening ride in the week. But that depends on the pain – at the moment my leg still really hurts by the evening. Cycling is very good exercise for it, as it loosens up the joint while not putting too much pressure on it. But I don’t want to aggravate it. Listening to my body is important.

At Victoria Park in east London.

Working in
I’m back at work full time – eight hours a day, five days a week. Now it just so happens that I would have been perfectly happy to continue with six hours for four days a week. But I wouldn’t have been allowed to. Also I wouldn’t have been able to do my job properly. From the point of view of my recovery, being back at work is a good thing. But to be honest I’d much rather spend a lot less time at work and a lot more time writing and knitting.

I’m only taking one dose of painkillers on work days now, at around 4pm so it kicks in on the way home. At weekends I’m mostly painkiller free. This is an enormous relief. In the last eight months there have only been a handful days in which I’ve not taken drugs. This cannot be good for me.

Plans
I’m not going to go into these too much, but I have two major plans in mind. First, a cross-country tour. Hadrian’s Cycleway is 179-mile route from Cumbria to Northumberland, following the path of Hadrian’s Wall. It goes over the top of the Pennines and passes quaint villages, museums, castles, ruins and all kinds of things.

I want to do this next year; in May or early June. And what’s really great is my mum wants to do it with me. We’d do it over several days, cycling a maximum of 30 miles per day. This will give us plenty of time to stop off and visit anywhere we want to. We’ll stay in B&Bs along the way and we’ll probably end with a couple of nights in Whitley Bay on the north-east coast.

The other thing is more long term. I want to get into racing. I’ve always loved cycling and I was worried that my accident would affect this, that I’d end up too scared to get back on my bike. This hasn’t proved the case and I want to turn my experience into something positive.

This is going to take a lot of research as I really don’t know what’s required. It would obviously be amateur and at my advanced age it would be veteran. I live near the Olympic Velopark, so that’s a good place to start, and there’s the very active Lea Valley Cycling Club, which I can contact via Facebook. I’ll just have to see where things take me from there.

Injury part 6: improvement has been made

It’s taken a long time – much longer than I anticipated – but I finally feel like I’m making progress

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IT’S been a while since I wrote here. Things were taking so long to progress that I was starting to get disillusioned. It felt like all I had to say was ‘another goal missed’ over and over. I was starting to feel like I would never be fully recovered. Pain was my constant companion and my knee was horribly stiff and swollen. I felt like I’d never walk properly again, never mind get back on a bike.

This was all very disheartening and not a great psychological outlook for someone who suffers from depression. But there is so much truth in the expression ‘this too shall pass’. And it did.

On 22 March I had a hospital appointment in the orthopaedics department. This was slightly farcical, in that when I eventually got called through to see the surgeon he came in, told me that he hadn’t performed the surgery and so wouldn’t comment on it. He passed me onto the sister to see what could be done. Luckily she managed to get a very nice and helpful registrar to see me.

The registrar was great. He reassured me that there was nothing wrong, that my knee was healing as expected and that an injury of this size simply takes a long time to improve. He acknowledged that this must all be very frustrating for someone who’s used to being quite active. It was incredibly encouraging to have someone in an ‘official’ capacity say that to me.

Florence on her new turbo trainer.

In the month since then – I’m writing this on 23 April – I feel like I’ve made some real improvements. I’ve given up on the aims that I set myself initially. They were far too ambitious; I really had no idea how badly I’d injured myself or how long it would take to heal.

Cycling and walking
I can walk without the crutches. It takes a lot of effort and it hurts, but I can do it and I can do it almost normally and at almost normal speed. I’ve walked to Orford Road and back twice. The first time it hurt so much that evening that I cried. The second time was much better.

I’m mostly just carrying the crutch when walking between home and tube and office and tube. That’s right, tube. I’ve progressed from the bus. This means that I’m doing stairs – lots of stairs – at Finsbury Park. I’ve also been taking the stairs up to the office in the mornings (we’re on the fourth floor) and using the main entrance at Walthamstow Central so as to go up the stairs there too.

I’m still more wary of going down, but that’s more to do with vertigo than not being able to. I’ve been adding extra bits onto my journeys from Wood Green to work in the morning and home from Walthamstow Central in the evenings, just to get a few extra steps on the vivosmart. I’ve got up to 7,000 steps!

Following some excellent advice from Facebook friends, I invested in a turbo trainer for the bike. The first time I used it I only did 15 minutes in first gear and on the lowest resistance. I didn’t even have a means of recording the session until my brother pointed out that I could use my Garmin Edge with my speed sensor.

My second session was also 15 minutes on the lowest settings. But by the fourth I’d gone up to second gear and 20 minutes. For the next I’m going to try third gear. The plan is to build up speed, strength and confidence and then move the whole setup outside.

Work
I’ve made a lot of progress here, too. I’m now doing four days a week at six hours per day. I’m taking far fewer painkillers even on work days. Last week I managed to get it down to just one paracetamol before setting out to work and a couple of ibuprofen before leaving at the end of the day.

It’s been not easy and it’s definitely not been quick, but things are moving in the right direction

My next goal is to do a full day. I’d like to give that a go next week, but I’ve got quite a lot on: physio on Monday, training in Bourne on Thursday, afternoon tea on a bus on Saturday. So it might be too much to extend my days as well. It might be best to wait until the following week.

Things have got a lot better. But it’s still not all over yet. The swelling has gone down a lot, but it’s still there. The pain isn’t constant and isn’t as intense, but when it does appear it’s still bad. This weekend has been very painful. I had plans to walk to Wood Street or St James’s Street, but just couldn’t do it, although I did manage a turbo trainer session.

It’s been not easy and it’s definitely not been quick, but things are moving in the right direction. Finally.

Postscript
Since writing this I’ve had another appointment with the physiotherapist. I told him all about my turbo trainer sessions and my crutch-free walks and he was very pleased with my progress and the way I’ve taken control of my rehab. He discharged me. I am incredibly pleased and relieved.

Injury part 5: have I achieved my goals so far?

It’s time to check in with the aims I set myself last month to see how the reality has matched up with what I was hoping for

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It’s been about a month since I blogged about my goals, and three months since I had surgery, so I thought now might be a good time to look at how I’m doing.

My big achievement is that I’m back at work. It’s for three days per week at six hours per day at the moment, but still, I’m there. I actually started off doing just four hours per day so even six is another improvement. I definitely feel good about this. It’s a huge step forward and has definitely boosted my confidence.

My current 10am start is really very civilised and I wish I could do this all the time. Three days isn’t enough time in which to get everything done, however, so I’m hoping to go up to four soon.

It hasn’t been easy, though. My first week back was very hard. I did Wednesday to Friday, with no time to recover in between. By Friday night my leg was agonising and I was in tears. The following week I did Monday, Wednesday and Friday and that worked well, but the week after I had physio on Monday and worked on Tuesday. That evening was simply horrible.

My big achievement is that I’m back at work

Even worse, though, was last night (22 February). I’d worked two days on the run at longer days of six hours. But the real difference was that I’m now taking the bus, rather than taxis, to work. Both the journey in and home were hellish and I suffered as a result. I was in agony last night.

That said, using the bus is another huge achievement. I’ve not been on public transport since the accident and managing to take the bus has been a major confidence boost. It’s also meant that I’ve been walking a lot more. Getting back on public transport wasn’t on my original list of goals but with hindsight it should have been.

I'm back at Birdwatch, right on schedule. 

I haven’t managed a walk to the marshes, which I’d planned for mid-February. And I’m now certain that I won’t be back on my bike by early March. Instead I’ve moved the walking to early March and will aim for my first bike ride some weeks after that.

I charged my vivosmart today, so from tomorrow I’m going to be wearing that again. Tomorrow is a work day, so I’ll be walking to the bus stop and then walking from Wood Green High Road to the office, and then doing the same in reverse at the end of the day. My step count won’t be high, but it’s a start.

Injury part 4: setting goals

As my recovery continues – slowly! – I’ve decided it’s time to start putting in place some goals to work towards

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I’M quite goal orientated. I like to-do lists and deadlines. I think it’s because my brain is always so busy that the only way to ensure anything gets done is put it in writing. Also it’s so satisfying to put a little tick next to a task that I’ve completed.

I’d like to set some goals for my recovery, but this has been impossible as it’s so hard to predict the speed of that recovery. For example, I had no idea I’d be off work for as long as I have been. But since having physio on 17 January I’m seeing improvements in my mobility almost on a daily basis. Admittedly these are incredibly small, but they’re improvements none the less. So I’m feeling a little bit more confident about setting myself if not hard and fast goals at least some things to aim for.

Inevitably most of these will be physical, but I’m going to include some entertainment too, if only so that I’ve got things to looks forward to. Some will have dates attached to them. These might have to be revised or simply missed, but I’ll just have to be open minded about it. I’ve added all the dates to my Google Calendar so I can keep referring to them. This is meant to inspirational and encouraging, so I’m not going to get downhearted if I miss any dates. They’re more guidelines than rules.

Back to work
This is the biggie; the sign that things really are progressing. At the moment I’m signed off till the end of January. If I continue to recover at the same rate I think I should be able to return to work on 1 February. I might need a phased return. I’ll have a better idea towards the end of the week, when I’ll need to speak to my GP again.

I’ve got another physio appointment on 13 February and I’m waiting for an appointment to see orthopaedics, both of which will impact my being at work. The date of the ortho appointment might dictate when I return to work.

Getting back to work is important, if only for it being a huge leap forward physically. However, I am feeling rather odd about it. Being off work for this length of time has really knocked my confidence. I feel anxious about the job, about being in the office, about getting to the office, about talking with my colleagues, about whether I’m even needed back. The only way to address these fears is just to go back, but I can’t do that until I’m physically able.

The Red Shoes was my first show, back in December.
I spent the whole thing in pain and had spend the
next day sleeping it off. 

Long walks
This is the next thing on the agenda. I can walk, after a fashion, and I’ve been getting around the house without crutches. But this isn’t the kind of walking I’m talking about. I’m talking about getting to the marshes, walking to Stoke Newington, trekking along the River Lea towpath. Proper walks. I can’t do these yet and it’s going to take some time.

I’m going to set a provisional date as mid-February for this.

My Garmin VivoSmart might be of use for this. For obvious reasons I’ve not worn the VivoSmart since 22 November. But putting it back on now might encourage me to get out a bit more. The more I get out, the quicker I’ll be back to proper walking strength. Obviously I won’t be aiming for 10,000 steps from the off – more like 10! – but having them counted up and displayed on my Garmin Connect account should act as an incentive for me.

Back on the bike
This is another massive milestone. It’s impossible to put a date on it. I need a lot more flexibility in my knee in order to push the pedals round; at the moment I can only just bend it to 90 degrees.

I really want to get back on my bike, but at the same time it scares me. What if if happens again? I don’t know how I’ll react when I do try to ride again. I might freeze and not be able to do it. Cycling will be a huge confidence boost, though, and it’s an important step in my recovery, both physically and psychologically. I want to do it as soon as possible, but it entirely depends on how quickly I can get full movement back. I reckon I’ll have a better idea after my next physio appointment. Maybe I should aim for my first bike ride to be in early March?

First sportive
The Cambridge Gran Fondo is on 4 June. I signed up last year long before the accident. It’s 80 miles through largely flat terrain. I would love to be able to do this. June seems like a long way off right now, but I’m not even back on the bike yet and don’t think I will be before the end of February. I might have to let this one go.

The next sportive I’m booked on is VeloBirmingham, a new 100-mile event in Birmingham. This is in September and I shouldn’t have any problems making this one. I’ll also have a new bike to show off. Whether I’ll do any others over the summer depends on how quickly I recover. It would be nice to do some shorter ones with my mum.

Back to yoga
At the moment I probably miss yoga more than I do cycling. I didn’t have a yoga accident, so there’s no fear associated with it.

Again I’ll need much more flexibility before I can even contemplate a yoga class. This is another aim that will have to wait till after my next physio appointment. It’s something I can ask the physio about, along with any advice on getting back on the bike.

I’m going to provisionally pencil this one in for the beginning of April.

I really want to get back on my bike, but at the same time it scares me. What if if happens again?

First show
This won’t actually be a first as that was back in December when I went to see The Red Shoes at Sadler’s Wells. However, I spent most of that performance in pain and slept most of the following day. I would like this to be a pain-free show.

There are several I’d like to see. Art at the Old Vic closes on 18 February. I suspect I’ll have to give this one a miss. At the moment I can’t sit for very long without my leg being elevated, although I could probably do a couple of hours. But it’s not just a case of sitting. I also have to get there. I’m not happy with the idea of public transport yet. The injury is still very painful and I really don’t want to risk it getting knocked about.

More realistic is Don Juan in Soho at the Wyndham Theatre. This is on till 10 June, and quite frankly if I’m not OK with using the tube by then, there’s something seriously wrong. May might be a good month to aim for this one.

Then there’s my favourite: dance. There are loads of things on at Sadler’s Wells that I’d like to see and this venue is easy to get to by taxi. First up is Gala Flamenco (23-25 February). There are tickets available for the matinee on 25 February. I think this is doable if I go by taxi and only take in the show. It’ll be after my second physio appointment and hopefully after the ortho appointment. I’ll (hopefully) have been back at work for a while.

But what I really want is to be back to my normal experience of going to Highbury & Islington station, preferably with my mum. We walk along Upper Street and stop somewhere for lunch. Then we head to the venue, watch the show and then walk back, stopping along the way to have a glass of wine. It’s really very pleasant. For this I’ll need to be walking properly and be fine on public transport.

For this I’m thinking of the Northern Ballet’s Casanova. This looks amazing – beautiful, sexy and seductive. It’s on in May, which should give me plenty of time to be ready.

Exhibitions
There are two I want to see. The first is Maps and the 20th Century at the British Library. This closes on 1 March, which means the latest I could see it is 26 February, the last Sunday in the month. I think I might have to let this one go.

More realistic is Philippe Perreno’s Anywhen in Tate Modern’s Turbine Hall, which closes on 2 April. I love the installations in this room. I love the way the artists have risen to the challenge of using the space and the way their works interact with it. I love the fact that Tate kept the hall as it was, rather than giving in to the temptation to split it up into more easily managed galleries. This particular work is said to “challenge your perception of time and space” and it sounds fascinating.

If I plan to go over the weekend of 25-26 March this gives me a full two months from now (24 January), as well as four months since the surgery (23 November) for recovery. This should be plenty for my knee to be healed, for me to be confident on public transport and to be OK with walking quite a distance. Heck, I might even be able to cycle there!

First holiday
This is another thing that was booked long before the accident. I’m heading to Grantown-on-Spey for 5-9 April with my mum. This is to be my third attempt to see Capercaillie. By this time I’m hoping to be OK. I should be able to walk and drive and sit on aeroplane.

But again we’ll have to see and take it as it comes. If my mum has to drive, so be it. If we can’t do the walking that we’re planning, so be it. If I have to pay Easyjet extra to change seats so I can keep my leg extended, so be it. We will go on holiday and we will enjoy it. We might even see Capercaillies this time – I think I deserve some luck!

I’ve diarised these goals for the first half of this year, culminating with the Cambridge sportive on 4 June. I’m sure I’ll have to revisit and revise some of the dates, but it’ll be interesting to see how my actual recovery matches up to my plans.