Wednesday, March 21, 2007

Patellar tendonitis

So my diagnosis has been upgraded from "angry knee" to "jumper's knee." At least this diagnosis makes a little more sense - even if it is a malady usually reserved for basketball players (and, apparently, people who can't pedal a bicycle as well as they think they can.) The bad news is my condition is at least "grade 3," which means I need to:

* Rest completely from the aggravating activity. Replace it with swimming/running in water (if pain allows).
* See a sports injury specialist/therapist who can apply sports massage techniques and advice on rehabilitation.
* Accept the fact that I've basically wasted an entire month.

The doc recommended physical therapy. That sounds expensive. But I'm willing now to accept that this is a problem worth throwing money at. The fact that I've been so stingy and stubborn is one of the reasons I've lost an entire month.

Because I acquired the injury in an interesting way - riding a 100-mile snow bike race - the doctor always ends up spending more time chatting with me about my bicycling than he does talking about my knee. He was asking me another string of questions about the Susitna 100 today when I finally dropped my most pressing question.

"So I want to be able to ride another 100-miler by early May. Think that's possible?" I asked.

"Yes, that's possible," he said.

I paused to wait for the qualifier, but it never came. So I said, "But ... um ... will I have time to get back into shape before then?"

"The idea is to not fall out of shape," he said.

I waited for more doctorly advice, but he just looked at me with a straight face. I was confused. This is the guy, after all, who recommended active recovery all along. But he wasn't gushing with specific suggestions. And because I'm pretty sure that I had it all wrong before, I went for something I've never tried."So, should I try swimming?"

"Swimming is good," he said. "Your physical therapist will be able to help you develop some recovery-specific exercises."

I felt a bit bewildered. There I was, fishing for an authoritative lecture about all of the things I shouldn't be doing, and I was only getting closer to having an actual MD tell me I should start riding my bike again. He chose that awkward pause to pick up our chat where we left off, in which I told him about my desire to ride the 24 Hours of Light.

"I'd like to ride the 24 Hours of Light," he said, "but I'm going to be in Coeur d'Alene that weekend."

I knew the doc was a cyclist, so I said, "Oh, are you going to do some riding down there?"

"I'm going to race the Ironman triathlon," he said.

"Ironman? Um. Wow. That's great." It's just my luck that I'd get a crazy enduro-nut for a doctor. He probably considers patellar tendonitis to be a perfectly normal condition, like blisters. He's probably tough enough to go out and run 100 miles through such a niggling injury, but that PhD degree forces him to recommend physical therapy to lesser animals like me.
This is all hugely speculative on my part, of course. But the diagnosis seemed to be good news either way. I had plans to go out after my doctor visit to consul myself with sushi. But instead, I decided to celebrate ... with sushi.

Now it's time to call those PT people and get to work. White Rim, here I come.



Tuesday, March 20, 2007

Into the daylight

I believe today is the Vernal Equinox.

In the northern hemisphere, that means springtime. In Alaska, it means cold daylight.

Twelve hours now. And very soon, much more.

I've lived through exactly two Alaska winters and one Alaska summer. I may be one of the deranged few who actually enjoy winter more. Don't get me wrong. Summer holds its own joy, and its own trials. I basically stumbled through last summer. Making a major move and enduring a period of homelessness in the middle of it all didn't help. I found myself pinned between obligation and the constant crush of activity. Winter is very liberating to me. The landscape freezes over. The world slows down. And I can move freely among it.

Summer is going to be very difficult for me if I can't ride my bike. I don't say this to fish for sympathy or diminish the trials of people who are truly suffering. I'm just making a statement that I suspect is true. It's not about my life one, 10 or 20 years from now. It's just about this summer, and how I watch the sunset creep further into the evening and resent that retreat. Longer days have a way of feeling much more empty. I've always believed my life to have a well-rounded array of meaningful elements, but some holes can be difficult to fill.

Like I said, though, I'm really not digging for sympathy. And I promised myself I wouldn't subject anyone who stumbles across this blog to my whiny rants anymore ... but ... It's been on my mind a lot. Probably because it's spring now, and I have a doctor's appointment this morning. There's not a lot he'll be able to say that will make much of a difference - beyond "major reconstructive surgery" (unlikely since he's already established minor injury, but you never know.) However, I am now sufficiently humbled and will take any advice more to heart. And I do think this month has been valuable in learning much more about my weaknesses ... both physical and spiritual.
Monday, March 19, 2007

Top o' Douglas Island

I hiked too long and too high today, and now I regret it. It was clear and calm and I was down to short sleeves in the 32-degree sunlight. Now ... swollen. I can't detect my tipping point, and I can't define my boundaries. Heaven knows I'd push them, though, even if I knew what they were.

I learned that a window of three hours will take me deep into the heart of the Douglas Island mountains. It's much further than I've ever been on my bike, because the canyon's grade increases significantly and the trail fades out into dozens of "high mark" lines. I always thought that "high marking" was the term for snowmobilers' testosterone-fueled efforts to kill themselves and all of their buddies in massive avalanches. But today I watched several snowmobiles roar up the slope before carving a graceful arc and descending in a cloud of powder. It looked wicked fun. I was jealous of them, and wishing that I had brought my snowboard with me, and at the same time, grateful that I didn't (Heaven knows I don't need to add that to my list of infractions.) That didn't stop me from traversing several of the less-steep high-mark lines in an effort to climb to the top of the ridge. I came pretty close a couple of times. But eventually, the slope would reach a grade in which my wimpy snowshoe crampons became useless. I'd take one last hopeful step before sliding backward about 30 feet. Clearly, I was inviting my own avalanche. So I turned around, bounded down the mountain as powder swirled around me, and went to try a high-mark line that *definitely* looked less steep. Repeat.

Not the best of physical activities, but good for the soul. Somewhere in here, I'll find a happy medium.