Steps Forward

My first week of physical therapy for a broken collarbone is complete. I have about five weeks to go if I heal well.

The first week consisted of various up, down, sideways, and diagonal movements with the arm and shoulder. In some exercises I stood and in others I sat. In some exercises I could barely move the arm without pain, while others I completed with relative ease. Some exercises had me hold a towel, others a stick, and others a stretch band.

I do feel that my mobility is already increasing. I also like my physical therapist. My favorite part of physical therapy is actually not the exercises themselves, but rather the connection shared with a therapist. I have better recollection of a long conversation about pizza than I do the specific exercise repetitions I did.

I managed to run four days this week. I am beginning a “building” phase of a marathon training plan. This week only included slow-paced running, most of it done at a perceived effort of “4 out of 10.” The idea is to comfortably accumulate volume and adapt to it. I did not expect to begin training under these circumstances, but that’s life. We play the cards we’re dealt.

The bone aches a bit less with each run and the “bad arm” swings with a little more ease. I felt the bone for every second of the first run, but that aching feeling is already diminishing.

My running performance has frankly been terrible and that’s okay—my conditioning worsened severely over the last month spent in a sling—but I’m also improving a little each day. It’s only natural that the fall occurs much more quickly than the climb. I can tell by my heart rate and pace metrics that I’m adapting well though. The heart rate is steadily lowering while the pace is quickening, and that is just in one week.

After the first run, intense inflammation struck my right foot, the same foot that I sprained a year ago. With each day, though, this seems to ease a little, and subsequent runs haven’t worsened it.

That’s one difficult part about recovering from an injury: you emerge from a cast or sling with a weakened body that is more susceptible to injury. One has to tread carefully to prevent another setback.

I think of a Megadeth song, “Soldier On,” about the innate need to just keep going. Despite a few setbacks, I find myself striving to stand back up again.

Here’s to health in 2023.

Resuming Activity with Frozen Shoulder

I ran for the first time in over a month today. I’ve buried my sling somewhere in the dark recesses of my closet, hopefully never to be seen again. I’ve been cleared by an Orthopedic for running, but not weight lifting.

It was a frigid morning and a blustery wind amplified the chill. I rode a bike through previous winters and from the outdoor activity was better adapted to the cold than I am now.

I ran one hour, and it was a long hour. There was pain involved, but most of the pain was in my shoulder, not my collarbone. I have a condition called “frozen shoulder” from the month spent in a sling. It will take physical therapy to reverse this over the course of the next six week. My targeted completion date is January 13th.

On top of the frozen shoulder I felt on the run, I fatigued quickly. A month of inertia will do that. I lost much of the conditioning that I spent the better part of the year building. An hour run at a slow pace was my recovery run through the fall season. Today it was a challenge to finish. My hoarse breathing was more audible and my pace was especially slow.

Still, I made an hour run. It was a steady run at a slower pace than any run I’ve done in some time. The positive is that my collarbone remains mostly pain-free and my shoulder didn’t worsen.

Today was, in summary, “day 1” of my start to marathon training. It wasn’t the “day 1” I hoped for or visualized prior to my injury, but I see a silver lining.

The month of rest gave me fresh legs. Aside from the collarbone and attached shoulder, I feel no pain.

Much of endurance running is a balancing act between minimizing risk for injury and maximizing volume.

So, I am starting everything on a clean slate. I have a fresh bone and a fresh mind. I have my first physical therapy appointment on Tuesday and I’m feeling optimistic again.

Inertia

Each significant injury I incur is a harsh reminder that the world not only moves unrelentingly fast, but that it is willing to leave behind those who can’t keep up. Deadlines have no care for broken bones. Project managers are too caught up in the maelstrom of bonuses and performance reviews to consider empathy.

Every one of my daily chores is taking longer to complete, but I find some solace in moving slow. I needed to slow down and catch my breath. If it takes five minutes to throw a shirt on, so be it. If it takes an extra ten minutes to prepare a coffee, there is no loss on my inner wellbeing. It is only external forces that weigh.

Today, according to the forecast, is likely the final warm day of the year. I hope to spend some of it outside.

I’m thinking about my initial inclination to change my cycling habits, and my thoughts of selling my bike. As much as my logical mind believes that to be a good idea, my emotional mind fights back. I think of Robert Marchand, the Frenchman who rode a bicycle beyond age 100. I just need to be vigilant and gain a little skill.

I also think about Christopher Nolan’s Batman films, particularly The Dark Knight Rises.

In an epic fight, Bane crushes Batman’s body and soul. Batman’s back breaks and he is left imprisoned, with little hope of ever escaping. It’s Batman’s memory of his past that gets him out of it. “Why do we fall?” He is asked as a child when he almost fatally falls into a bat cave. The answer is obvious. And over time, he heals his back and climbs out of a prison that is considered impossible to escape.

It was a bicycle crash, and a nasty one. But I don’t think that it will prevent me from getting back on the bike.

Slow Healing

It’s a bit challenging to sleep well with a broken collarbone. That probably goes without saying. Every little twitch and turn during the night wakes you up.

I somehow managed about 7 hours of sleep last night, which is pretty good with all things considered. I can’t say the bone feels any better or worse than it did on Sunday. It might be that way for awhile.

I am still hopeful to be running again within a few weeks time. But, we’ll see how it goes. I missed the mark by months on my foot injury last year. To an extent, a recovery timeline is out of your control, especially with something such as a bone break.

My bikes remain on their racks in my living room. Because I’m housebound right now, I see them almost every waking moment. I want to visualize myself cycling again and enjoying it. I think that I will eventually, but the experience will be different. I’ll probably be intentionally slower and more vigilant.

That’s sort of how it goes with age in general. We try to repeat the thrills of the past, the adventures that exhilarated us when we were young, and to an extent we can. Yet we don’t have the same cells in our bodies, nor do we have the same minds, to experience those adventures. So we go through the motions, and it’s mostly the same… but it’s a little different. Maybe the once-vibrant colors our eyes saw long ago are now dulled or our emotions are a little more subdued. Maybe we miss the element of surprise or the delusion of feeling invincible.

Healing is also a lonely process. Your pain is uniquely your own. The entire right side of my body remains bruised and bloodied. It has been two days of ripping bloody bandages off of my right side.

To the outside ears, it was a “bike crash.” That has little meaning without feeling. To my own nerves feeling the pain, it is constant misery. Your physical pain cannot be shared; it is monogamous, and clings to you for life. It also sucks. Still, I believe that pain is a necessity. Life and death are painful, so you might as well get used to feeling pain.

In time I will be back. How many times have I said that?

Eating Scones and Breaking Bones

I’ve read that it’s healthy to eat foods while they’re in season. This fall I interpreted that to mean that I should consume extra pumpkin flavored beverages and foods at Starbucks. Pumpkin spice lattes and pumpkin scones became regulars on Saturday morning through the months of October and November. Apparently this isn’t how you’re supposed to interpret “eat foods while they’re in season.” Oh well. I have no regrets.

On a more serious note, I had what may end up being the bike crash to end my bike crashes.

I was pedaling my road bicycle down the Riverfront Trail yesterday and turned into the Riverfront Park. Maybe because I’ve made this turn a hundred times in the last year, my eyes were focused forward for a moment, rather than on the path beneath the wheels. It turned out to be a critical moment to avert my gaze from the path.

Though the sun shone and the winds were calm that morning, a storm had hit the day before with severe winds. I didn’t take that into account. Some intense debris littered the road, included a large tree branch.

My front tire hit the tree branch and I flipped forward, sideways, and upside-down. I felt my head slam against the road first. I was wearing a helmet, but the force was enough to whip my head and nearly knock me out.

Then my shoulder hit and I immediately felt my collarbone break. I also heard something that you never want to hear come from your own body: “snap!”

Finally my hip landed with a loud thud. The pain was intense, and I knew that I was in very bad shape.

I was wearing a helmet, luckily, but I was still dazed. I was not sure what city I was living in or where I was going, and suddenly the trail seemed foreign to me. I was not sure what I did the past few days either. I just felt that I had to turn around and get home, wherever that was.

Due to the adrenaline and lack of logical thought, I hopped back on the bicycle and rode back. It was not for twenty minutes that I knew where I was or where I was riding, but somehow I still rode the correct direction.

It was an hour later, after X-Rays and a CT scan, that I learned that I somehow managed to ride the bike home with a broken collarbone and a mild concussion.

The adrenaline wore off the moment I stepped back in my apartment, and it was then that my right arm lost mobility. It was my right collarbone that broke. The pain surged quickly thereafter.

Later, at a nearby Total Access Urgent Care, I learned the full impact of the injuries quickly.

“Yep, that’s broken,” the X-ray technician said as he glanced at the first photo of my shoulder and collarbones. “It’ll be for the doctor to say, but the good news is, it looks like it’s the good kind of break.”

“There’s a good kind of break?” I said. I assumed all breaks were bad kinds.

“Yeah,” he said, “The kind that doesn’t need surgery.”

It turned out he was correct. The bone was broken but not displaced, meaning the bone would heal after two months in a sling and some physical therapy.

I regained my mental senses quickly and all of my memories returned. For that I’m also thankful.

I’ve had some nasty crashes over the past year. This was the worst one; it was enough, I think, to break me mentally. It raised a conundrum: how do I keep doing something I enjoy, when I seem to have a penchant for serious injuries while doing it? I’ve never been injured while running, after all.

Are my cycling days over? It’s difficult to say. I should be honest here though: they might be over. I have no interest in breaking the clavicle again. Certainly my cycling days are over for the remainder of the year. With bone breaks, the best thing you can do is nothing.

I guess it’s inevitable that these sorts of doubts flood my mind after such a crash. Maybe I’m just not meant to be a cyclist. Maybe I just have to commit to slow and leisurely rides from now on. What will I do?

I may feel young, but I know this bone will not heal as quickly as it would have twenty years ago.

Hopefully I am back on a bicycle eventually. To what capacity I’ll ride again, I’m not sure. Some cyclists bounce back quickly after bone breaks. They heal, and then they pedal with extra fervor. They love the activity. All pain is worth it. Suffering is hardly a reason to quit. Neither is a broken collarbone.

But I am not those cyclists. A part of me feels I’ve had enough bone breaks and ligament sprains to last a lifetime.

Every injury I’ve ever had has arrive via bicycle. You can only fall so hard when you’re on a run. You can only break so badly. On a bicycle, though, it doesn’t seem to be a matter of if your collarbone breaks in a crash, but how badly it breaks.

I guess time will tell what’s in store for me next. Though I feel down, I don’t feel “out.” I’ll focus on eating well, sleeping, and healing. There’s still life to enjoy.

I guess time will tell whether I hope on the bike again.