Monday, May 20, 2019

May 6-19


May 6
Two dog walks, half mile walk in 13:40, max pace 2.6, with incline of 7; 1 mile total

May 7
One dog walk, plus mile treadmill walk in 25:11, max pace 2.7, with incline of 9; 1.25 total

May 8
Pt, .33 mile walk on treadmill, max pace 2.8, two dog walks; .83 total

May 9
Am, 25 minute treadmill, 3 minutes easy walk, 5 minutes, building to 3 mph, 5 minutes easy walk, 5 minutes building to 4 mph, 2 minutes easy

Drive to Denver

May 10
Airport, travel to Austin

10 minutes of PT pm

May 11
10 minutes pool running, shallow end; 30 minutes swimming

May 12
Mother’s Day/Father in Law retirement party; lots of standing around

May 13
5 am wake up call after late night; 10 minutes pool running, shallow end; 25 minutes swimming

May 14
Surgery; Two crutches, full weight bearing, in boot
No exercise/no PT 
Total surgery fog

May 15
Recovery from Surgery 2
No exercise/no PT

One crutch, full weight bearing, still in boot; no exercise or PT
Pretty damned painful. Day 2 after surgery is the worst.

May 16
Recovery; out of boot, full weight bearing, no exercise or PT
Big decrease in pain today, super slow minimal walking

May 17
10 minutes treadmill walking, build to 2.2; .3 miles total

Before surgery it felt stiff; now it feels loose; feels very wonky and unstable whenever I first get up on it

May 18
30 minutes recumbent bike, HR 110-120, taking it very easy; just trying to get some light exercise
Can't go to the pool for at least a couple of weeks because of the sutures

Feeling better today; still feels wonky when I first get up, but it feels ok once I’m moving.

May 19
Feeling better again, saved my “up time” for overdue yard work rather than exercise.

Wednesday, May 15, 2019

Surgery #2


Had surgery #2 yesterday. Yesterday itself wasn’t too bad, but now that the anesthesia’s worn off and I’m just sitting around, yeah, I can feel it. Even with painkillers, it feels like someone just drilled holes into my bones.

I was able to keep the screws they took out of me.



As a friend of mine said yesterday, it looks like they just picked a couple of screws off the shelf at Home Depot.

Fortunate to have a great law partner covering for me at work and a great wife covering for me at home. And I’m already weight bearing, so I can get food and water for myself and handle basic chores. Just kind of a mental challenge to go back into the boot after a few weeks without it.

More than anything, just content to have the last of the major obstacles (knock on wood) to recovery in the rear view. 

Monday, May 6, 2019

April 29-May 5, 2019


I’ve decided to pick up the weekly progress reports again. Not because they're particularly interesting, or because they're going to drive traffic to this blog, but because the log is helpful to track my progress, and I figure if I’m going to do it, might as well post it.

Also, for what it’s worth, I have not found online a single example of a runner’s recovery process from a Maisonneuve fracture (or for that matter, really anything about running recovery from compound fractures of the lower leg w/ ankle displacement). On the off chance that some other poor runner is out there who's suffered a similarfate, perhaps they will find this on the interwebs and it could be useful.

Injury date: Feb. 16
1st Surgery date: Feb. 27

Feb 16-->March 20 Almost no exercise of any kind. Tried simple calisthenics and strained a muscle in my injured leg, so decided that doing nothing was the healthiest choice.

March 21-->April 10 3 days a week of swimming w/ pool buoy (limited mostly because I couldn’t yet drive and getting cabs in the small town where I live was not reliable)

April 11-->April 28 4-5 days a week of pool running, building from 20 minutes to 40-45 minutes per session (limited only by boredom and pool availability/work schedule)

First steps out of boot post-surgery happened on April 18th

April 29
Am: 40 minutes pool running, steady
Pm: 20 minutes treadmill walking, starting very slowly, building to max pace 2.0 mph, .45 miles total

Monster walks, heel raises, dynamic isolated ankle routine, squats, bosu ball x 2, leg shifters

April 30 (9 weeks from the date of 1st surgery)
Am: 40 minutes pool running, 10-minute w-up, 3 minutes on, 1:30 off
Pm: 20 minutes treadmill walking, starting very slowly, building to max pace 2.1 mph, .53 miles total

Monster walks, heel raises, dynamic isolated ankle routine, squats, bosu ball x 2, leg shifters

May 1
Am: PT, including some treadmill walking (.15)
Pm: 20 minutes treadmill walking, starting very slowly, building to max pace 2.2  mph, .58 miles total

Monster walks, heel raises, dynamic isolated ankle routine, squats, bosu ball x 2, leg shifters, bosu ball lunges, cone pickups, and balance work

May 2 
Am: 40 minutes pool running, steady
Pm: 10 minutes treadmill walking, max pace, 2.3, plus dog walk .58 total

Monster walks, heel raises, dynamic isolated ankle routine, squats, bosu ball x 2, leg shifters, bosu ball lunges, cone pickups, and balance work

May 3
Am: 40 minutes pool running, 10 minute warmup, then 1 minute on 30 seconds of
Pm: 12 minutes treadmill walking, max pace, 2.4, .4 total

May 4
Am: 46 minutes pool running, steady, adding a wrinkle of actually running on the pool floor in the shallow end; felt sensitive, but good
Pm: 15 minutes, treadmill; half mile, max pace 2.5; .75 total on day

Monster walks, heel raises, dynamic isolated ankle routine, squats, bosu ball x 2, leg shifters, bosu ball lunges, cone pickups, and balance work

This will be my last day in the Salida pool for a month, because the pool is closing for repairs next week and then the week after is my surgery

May 5
Two dog walks; half mile treadmill walk, max pace 2.6; 1 mile total
Also did about 45 minutes of yardwork, pulling weeds and removing tumbleweeds and the like

A couple of interesting data points: First, I weighed myself for the first time since the injury and I weighed 158 pounds, which is more or less what I was when I hurt myself. In the past, I’ve put on serious weight when I couldn’t run. I’ve managed to avoid that fate this time around. Also, I measured my resting heart rate this week for the first time in a while and it was as low as 39 beats per minute (I have an unusually low resting heart rate). The lowest I’ve ever measured it was at 37, and 39 is the lowest I’ve measured it in the last few years, so I’m hopeful that’s a sign that the swimming and pool running has kept my aerobic fitness from falling too far. 

With all that, I’m reasonably confident that if I can work the ligaments, muscles, and tendons back to proper functioning order, that the aerobic engine will fall into line. On the whole, recovery looked a bit behind schedule last week. Now, I’m optimistic I might be back on track for a June 1-ish return to running. I suppose that'll depend mostly on how hard the second surgery hits me. But my progress this week was very good.

More than anything, it's been really nice the last two weeks being able to do simple things like yardwork and grocery shopping. This injury has been great for readjusting my perspective and making me appreciate being able to do the basics.

Friday, April 26, 2019

Walking


After a little more than two months, I’m now back up on my own two feet and walking without the aid of a boot or crutches.

The tibia and fibula feel fine, but the surgically repaired ankle still feels sore, swollen, and stiff. It feels like I’m recovering from a bad ankle sprain (which, I am), but you’d think that would take less than 3 months to recovery from. I definitely underestimated how stiff it would be after getting out of the boot. I also have some mild twingy-ness in the knee, which I’m hoping isn’t a sign of anything worse.

Also going to the pool to do "aqua jogging" for about 45 minutes, 5 days a week. That’s nice, if not the most stimulating thing I’ve ever done.

The big challenge now is re-learning how to walk without a limp. At first, I couldn’t do it at all, but I’ve been working with the PT to build up to faster walking with a normal(ish) gait. Today I walked 14 minutes(!) on the treadmill with a max speed of 35 minute-per-mile pace. So yeah, slow going. But it’s an improvement over where I was even a few days ago and way better than I was a few weeks ago (not walking at all).
  
The big looming event is my next surgery scheduled for May 14th. After that I’m in a boot again for another week or so and will have to go to the exercise bike rather than the pool, as the sutures can’t get wet. Prefer the pool, but sometimes injury beggars can’t be choosers.

All in all, everything seems to be going to plan. I want to be able to walk 30 minutes at 20 minute-per-mile pace before I start jogging again. I was thinking June 1st for a hopeful "first jog back" date, but with the soreness in the ankle that might be a few weeks premature. Ultimately, it'll happen when it happens. If I push too hard I'll just end up going backwards. 

One step at a time (this time, both literally and figuratively).

Friday, April 12, 2019

Weening

I had my 6-week post-op appointment on Wednesday, and now I'm progressing toward my first steps of real human walking with no crutches since the injury.

I'm weaning off the crutches for a week, and then, after that's done, according to the plan, I'm weaning off the boot for 8 days. In 13 days, if all goes well, and the pain is manageable, I should be walking around the place like a normal person.

I've been swimming 3 or 4 days a week, averaging about a mile every time I go the pool. I usually swim with a pool buoy between the legs to stabilize the legs. Just recently, I started swimming a little using my legs to kick, and that feels a little funky, but it's doable and not too painful. I may even start driving one of these days, and with that, I'll probably start exercising 5-6 days a week instead of 3-4. I'm also now cleared to exercise bike and can soon do elliptical if I want to (which I don't).

In terms of healing, doc says everything looks fine. In terms of the eye test, things are looking way more normal than a few weeks ago. My leg has atrophied lots and looks skinnier than it was when I was in junior high, but that's to be expected.

I have another surgery scheduled in 32 days (the next one is just to remove the "hardware"), which is not as big of a deal, but it's still surgery. So it'll probably be another two months before I'm jogging, and maybe another month or so before I'm running. But I'm starting to see the light at the end of the tunnel, as they say. And every day I'm regaining independence, which is in many ways more important than the running thing.

Eager to spend more time outside and just move. Given that most of life is a matter of relative expectations, I'm enjoying the process well enough as I progress in that direction.

Thursday, March 21, 2019

Swimmingly

Went swimming today for the first time since the injury.

It's amazing what low expectations will do for you, because 20 minutes of swimming felt downright magical. It's the first real exercise I've done in the last five weeks.

I'd love to get to the pool 4-5 days a week and build up to 45 minutes to an hour of swimming, but since I won't be able to drive for another month, that means relying on the wife or taking a cab both ways, at least for now. Not sure quite how reliable cabs are during the day in Salida or if that's even possible. And Uber and Lyft haven't made it out here just yet. 

I'm still crutching and in a boot, and I will be for another five weeks. But even after I'm walking and jogging I expect to be spending a lot of time at the pool the next three to five months. I prefer swimming to ellipticals or stationary bikes, and, well, I couldn't do those yet even if I wanted to.

I'm able to take the boot off at night and when I'm in the water now, and I'm not going to lie, the leg still don't look right. The pain has subsided considerably, but thoughts of running are still a long ways off. First, swimming. Then, walking.

Patience, grasshopper. Life's all about patience right now.

Regardless, being able to get into the water was a big spirit-lifter and gets me excited about the process of recovery. There's a long road ahead, but I'm glad that I'm finally taking the first steps in that direction. Figuratively if not yet literally.


Friday, March 1, 2019

Surgery Update

After my initial diagnosis, I had planned to get surgery in Salida.

But after having a day or two to think through things, I put feelers out to doctor friends around the state, described my injuries, and asked them, if it were you, where would you go for surgery? 

The answer was universally the same. Everyone said I should go to the Steadman Clinic in Vail. 

I reached out to Steadman, was able to connect with a foot & ankle specialist right away, and put myself on the calendar for surgery this Wednesday. 

I made my expectations clear: I told them I had about 50,000 miles of running on my legs and that, if it were all possible, I'd love to do another 50,000 miles more.

After looking at my X-rays, and discussing my long-term goals, the surgeon recommended I get two surgeries, rather than just one. An initial surgery to put two screw into my lower leg to fixate the bones to put them where they should be and then a second minor surgery in three months to remove the screws. 

Initially, I had hoped to avoid surgery altogether. Now I had two surgeries ahead of me. Not ideal. That said, if it means I don't have metal in my legs the rest of my life, and if it means a better long-term prognosis, I'm willing to do what it takes.

So that's what's happening. 

I had my first surgery on Wednesday. The clinic came highly recommended, but the quality of service and treatment at the clinic still exceeded all expectations. From the nurses, to the PAs, to the anesthesiologist, to the surgeon himself, I was just blown away by their seriousness and professionalism. It was all very reassuring. I'm very confident I got the best treatment possible. And the surgeon seems optimistic that a full and complete recovery is on the horizon. 

Back at home now and things are fine. 

I might actually try to do this one of these days, just to keep from going stir crazy.


I'll see if I can hop my way to the finish line over at Run Through Time next Saturday. Perhaps I'll see
some of you there.

Best of luck to all and stay safe. There will be snow and ice on the course this year.

Update: Just heard from the RD that there are going to be re-routes on both courses to minimize snow and ice exposure. Definitely the right call.