“I did abs every day for 6 weeks and here’s what happened!”

Well… if you think any program like that can get you ripped, think again. My pelvic floor may be stronger than ever but otherwise it offered few benefits except a routine. One leg is shriveled and saggy, the other is only slightly stronger. I have zero aerobic capacity to speak of, and I don’t have a six-pack. But, of utmost concern to everyone going through a similar situation, no, I didn’t really gain any weight. My secret is… I ate normally, didn’t drink for about a month, and was in fairly good shape to begin with.

It’s been almost 72 hours since I kissed my crutches good-bye and limped out the door of the Laramie orthopedic center. I have four and a half months until I’ll be running again, so my goal is to provide the inside scoop on how to get from here to there over that time. I’m pretty immersed with school these days, but I should be able to add updates once a week.

And now to answer that burning question: what is it like to walk again?

I almost barfed on my way out from the doctor’s the other day. All the blood that was pooled in my foot went squirting out in a sharp, unpleasant way, like walking on a limb that’s fallen asleep, plus my leg about collapsed. (It really makes me revisit that unsolved mystery from a month ago; I don’t know if adrenaline is powerful enough to overcome the sensation of walking on an unused leg.) Later that day I walked to the end of my street and back, and it took a whopping ten minutes.

My surgeon’s office told me to wear an air cast boot until I feel comfortable walking regularly in a shoe. I had already come to that conclusion on my own and was glad I’d kept the boot stashed under my bed for the last few months. I wear it when I run errands or have to spend prolonged time on my feet. I just get around a little faster with it. But most of the time I’ve been walking barefoot at home, trying to regain full function.

It actually comes back faster than you’d think. By the end of the third day, walking felt almost normal again. Going up and down stairs is the most difficult. And I can’t walk super fast, but it’s much better than day one when I clocked 40 minutes per mile pace on my neighborhood walk and had to take an ibuprofen.

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I don’t really have any photos to add, but look how much my hollyhocks grew while I was sitting around on my ass repairing a joint!

My left calf has been so sore in the mornings it reminds me of college when we could barely make it out of our lofted dorm beds after the first spike day of the track season. I spend a couple minutes in the evenings rolling it on a hard plastic ball to keep the fibers loose. And the first day both my heels were excruciatingly painful by bedtime. Rolling helps with that, too.

I’ll be seeing my PT twice a week for the next four weeks to do “blood flow restriction” training. More on that when I’ve actually witnessed it in person. This week I went in the day after I started walking, and we literally just practiced walking. Which was exhausting and made me feel like a newborn animal. I was still limping heavily at that point, and my PT had me break down the stride cycle by focusing on toe-off and then heel-strike. My muscles were so tired at the end I could barely walk all over again.

This weekend I’ve been visiting the rec center to walk around in the pool. Next week I’ll try aqua jogging on campus, but I’m honestly not quite there yet. For now, I walk back and forth a couple laps, sideways and zig zag, and do leg swings and hip circles. Then I breaststroke a couple lengths (like 10 max — remember when I could do 60?) very slowly. That’s about it and I’m ready for a nap.

I’m still doing my core routines, but now I can add a couple things, like a proper pelvic tilt, bridge, and standing on one leg. I’m not ready for anything resembling yoga, but I got the green light to cycle on zero resistance. No word yet on the elliptical, but realistically I don’t expect to add it until about 10 or 12 weeks post-op.

Let the countdown to running begin! Eighteen weeks to go.

Five weeks post-op

Holy shit. One week left. It’s a bit hard to believe it’s “already” comin’ in hot, but it still can’t get here quickly enough. A guy on campus blew past me on his bike today and told me to watch where I was going. I almost cried. (As if he would’ve won that case had he actually hit me — not a chance, bro.) So yeah. I wouldn’t mind being through with the whole ordeal. Here are all the things I’m gonna do on repeat when I unleash myself to the world again:

  • PULL WEEDS!
  • Swim til I drown
  • Cook dinner for myself for a week straight
  • Brew kombucha
  • Go on a walk
  • Do ANY exercise that isn’t abs
  • Shower standing up
  • Clean my house of ALL evidence of humans and animals alike
  • Go to the bar. Yeah.
  • Relearn how to drive my car
  • Stand exclusively on my left leg for six weeks

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It took about 2 weeks for the scabs to fall off after my stitches came out. Pretty minimal scarring. I’ve had shaving accidents worse than that.

I’m not really sure what to expect at my review next week. I assume I’ll be going in with crutches and leaving without them. I’m seeing the Laramie equivalent of the Fort Collins surgeon who actually performed my surgery. I don’t have the resources or time to travel to Fort Collins during a school week for appointments, so I had all my records released and transferred here.

And then it will be back to PT the next day to commence with the real work of restrengthening and retraining.

In the end, no, I did not attempt to swim and will not until I am walking. Most of the feedback I received from friends and family was to listen to the instructions I was given. Which seemed reasonable. As time passed, I also felt less angsty about the lack of exercise and a month hasn’t felt as long as it seemed initially. I have such a long road ahead before I can run anyway that there is little point in rushing anything, and I think the total rest will pay off.

That being said, I’ve very diligently done core and glute activation exercises every day for the past five weeks. Among other causes, I think lack of functional core strength was a major player in this injury, and I had really been neglecting it last summer when everything presented itself. If only runners could actually be counted on to take care of the small things before disaster strikes. We’d put surgeons and therapists out of business.

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Credit to bodybybodde.com (Google search) for this crude representation of a prone glute raise

As a point of reference, when I first began physical therapy a year ago, I couldn’t perform this somewhat basic glute exercise ^^ that I have now mastered. And it only took about four weeks! ON A LEG I’M NOT EVEN USING! Runners!! Do your damn core work. It’s cheaper than surgery.

One month later

Jeeeezus, I have written and re-written this post about a zillion times because I can’t think of anything to say. I’m coming up on four weeks post-op, with just over two more weeks to go on crutches, and I suppose my lack of heart-warming content is due to the fact that I have literally nothing going on. I’ve become the human form of my own cat.

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Cute but lazy

Just waiting and napping and reading and waiting some more. No advancements to be made with PT, no new doctor’s appointments. It’s like the third lap of the mile. Everything got off to a rolling, panicky start and now we’re stuck in the longest, most agonizing lap. Startin’ to feel that burn…

I enrolled in classes at the university again, because ya know, there’s nothing more fun than being 10 years older than the freshmen. I’m cobbling together an Interior Design minor and trying to reconcile that with a yet-to-be-declared Kinesiology major, which mostly still exists in its previous form as a minor from my undergrad days. Which I got somewhere else. If you need an example of someone who has no fucking clue, you found her. My future looks like a Pinterest board.

Basically, what’s gonna happen is I’ll end up going all the way through a PhD here in Kinesiology and then decide to go into real estate.

While selling homebrewed kombucha at the farmer’s market because I haven’t made any money in 25 years.

Anyway it’s such a beautiful fall afternoon that I think I have to to throw my book in a tote bag with some snacks and drinks, sling the whole thing over my shoulder, and crutch out to the porch for a while.

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See ya in two weeks.

Help! I walked on my foot: what to do if an accident occurs?

I am writing this because I couldn’t find the information I was desperately hunting for on the internet. Maybe it will be helpful to someone else. Always call your doctor first in an emergency or if questions arise, but if that option is not available because it is after-hours or the weekend, as was the case for me, sit tight and try to relax. Unless it’s an actual emergency; then you might wanna get that checked out ASAP. How to differentiate is probably up to you.

Saturday morning. 16 days after surgery. I blink my eyes open just before 7:30. My cat is already eyeing me from the nightstand. When she wants breakfast she is quite the attention hog, and being that she is younger than 2 years old, she has lots of energy. I roll over to ignore her for a few more minutes. But she has other plans. On this particular morning, she chooses to get her kicks by attempting to jump into the high windows above my bed (which, I might add, are obscured by curtains and don’t even accommodate her well). She launches from my nightstand, sending a stack of books flying and knocking over a water bottle, my lamp…

Half-asleep Claire is NOT having these shenanigans today. I wrench myself awake, yelling “For fuck’s sake!” as I grab my lamp off the floor, and she goes flying out the bedroom door. I jump out of bed like a rocket, slam the door shut, and throw myself back under the covers.

It took all of 10 seconds. My adrenaline is rushing. Several minutes go by, and slowly I realize…

I don’t think I used my crutches.

I panic. I can’t remember. Do my pits feel freshly chafed? Does my shriveled calf feel strained? No, no, I think I would’ve noticed if I’d landed on my left foot — my leg has zero muscle, it would’ve collapsed — I would’ve noticed! I glance at my crutches. They have slid slightly off my nightstand, as they were right in the books’ line of fire. Doesn’t seem like I would’ve just left them there, like that, though… I do not remember using them. It happened so fast. I think I would remember fumbling to grab them and put them back again… I. Can’t. Remember.

I stayed in bed another 90 minutes crying and debating what to do. Googling anything I could Google. I called my doctor’s office, forgetting it was Saturday morning. Trying to remember. And the more I tried, the less I could recall. The details slipped out of my mind like water. I circled my ankle. Became angry. Upset. Fucking pissed off at myself for what I did. Mad at the cat. But it wasn’t her fault. Why haven’t I been locking her out at night? Why haven’t I been wrapping my foot at night? Why didn’t I give her attention? How did I not think to grab my crutches? Why didn’t I breathe for five seconds before reacting?

And that’s the truth. I didn’t even think. As the adrenaline wore off, I began to notice a faint throbbing, a dull ache. There hadn’t been any pain previously. But now, this ache, and I feel like I know in my heart what happened. I have no evidence to prove that I’m innocent.

I got up to eat. Feed the damn cat. Wrap my foot. Put ice on it. Take ibuprofen. And then I returned to my room, closed the door, and went back to sleep for hours.

* * *

The verdict is that I most likely didn’t cause anything to worry about. I spoke to an aid in my surgeon’s office right away on Monday morning who reassured me. Three or four steps isn’t enough to ruin the surgery. There was never any noticeable swelling or bruising, and the aching subsided to give way to general stiffness. Over 72 hours later, I have fully resumed all my PT and ROM work with no adverse symptoms.

Here’s the thing — accidents happen, and doctors account for that. My feeling is that if they thought it was too big a risk, they could have put me in a cast. They would do more to prevent it than simply mandating compliance. The last time I was on crutches, for a stress fracture, I landed on it a couple times due to losing balance on stairs. The same has happened once or twice this time. It’s to be expected when using crutches.

Disclaimer:

I am not a health professional. If you have an accident that you are unsure of, I would advise getting help immediately. New bruising, swelling, and pain that comes on afterwards might be a sign of trouble. If you fall and twist the joint in question, you deffff might wanna get to the ER. But those little bumps and mishaps — they are bound to happen. Be smart, don’t sweat it, and calm the eff down.

How to lose your mind in 2 weeks (warning: not a chick flick)

This has been my most difficult post to write, for some reason. I blame the entirely depressing circumstances that surround surgery recovery. My dad went home a week after my procedure, and the last five days without him have been really sad. The first morning I woke up, several hours after he had gone, I cried and cried, feeling totally helpless, useless, pathetic, and lonely.

There isn’t much to do while waiting for a joint to repair itself. There isn’t much I can do. For a week my dad stock-piled my freezer with home cooked meals, watered my gardens, cleaned my house, did my laundry, and moved my laptop from the table to the couch and back again every hour. We ran short errands together so that I could get outside for some fresh air. Now my house is quiet and lonely, just me and the cat — who is decent company but has so far proved to be quite useless at putting dinner on the table and bringing in the mail. I didn’t even unlock my front door for the entire day once. If it sounds sad, it’s definitely worse.

Anyway, four days after surgery I visited my PT to have the bandages removed. He was pleased to see that the swelling around my ankle was minimal. Just some bruising and orange iodine toes. We worked on some range of motion exercises, and then agreed to revisit once I’ve had my stitches removed. Working on PT and some core exercises is about the only thing I actually have on the schedule every day. So, once I get tired of spending the whole day on the couch reading, scrolling, and snacking on reheated food, I crawl into the garage to do my routine.

I start with ankle circles and passive stretching on a wobble board to regain my ROM. The first couple days were really abysmal — it’s amazing how much you lose after only four days. But slowly things improved, and I no longer felt like I was pulling a muscle when I stretched. I also self-massage by rolling my calf on a field hockey ball to loosen things up. At this point, I’d say ROM is probably almost back to normal. There hasn’t been any pain inside the joint, just some tugging at the stitches if I overdo it.

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Staying in shape

As far as core, anything where I can stay on my back or off my foot is fair game. I’m still expanding the foot-free possibilities, but a short list of doable exercises includes:

  • Bicycle, dead bug, scissors, row boats, Russian twist
  • Firehydrant, donkey kicks, bird dog
  • Clamshells, leg lifts/hip lifts, hip circles
  • Hamstring curls, superman/locust/swimmers
  • Anything that can be done lying on my stomach while clenching my butt cheeks that feels like it requires effort
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It might be ugly, but it’s mine. Stocking a home gym has been a total game-changer, and not just after surgery.

I also have a set of small weights that I can use for some arm exercises. It’s not as fun to me as heavy lifting, but I can save that for the gym… whenever I get back in one. At the very least, doing 20 reps of arm lifts in as many directions as I can think of burns off some fidgety energy. I have nothing else to do, I might as well get ahead on my strength.

^thanks to Internet compatriots I now have Amy Winehouse stuck in my head forever. What would we do if we couldn’t mistake famous runners for IRL friends? At least he also looks sad. 

I’m ready to be done wallowing in self-pity and get back to life. Somehow the school year crept up on me and classes start literally next week. It’s been over a year since I last took a class on this campus, and I’m feeling that rushing anxiety that comes on when something is coming so fast, so inevitably, and you’re completely overwhelmed by your to-do list. There are dishes in my sink I can’t do, weeds in my yard I can’t pull. I keep stressing about getting back to work, and then I have to just stop myself. There’s nothing I can do to rush the recovery process. Work will be there when I am able to go back. The weeds… will definitely still be there. The things will get done that need to get done, it’s just hard to imagine that while I’m currently staring at the ceiling for a living.

Breathe in, breathe out, and be patient.