Monday, August 22, 2011

Small victories

I returned from my Thursday run drenched in bliss, and a decent layer of sweat, after successfully executing my three-mile uphill run and three-mile downhill shuffle/hike with only a few encounters with the invisible searing knife of pain. I felt as satisfied as I often do after finishing a 50K, or a day-long bike ride, even though my accomplishment was comparatively small. When one's ability to move pain-free is taken away, even for a short time, and even by a relatively minor injury, every new movement suddenly feels like a gift.

Today I accomplished an even stronger run, covering seven miles with a consistent running stride and only walking a few of the steepest descents. Earlier this week, I struggled with the jarring impact of each step, which sent a stabbing sensation through my elbow that I referred to as "jiggly pain." That impact soreness has mostly abated and I can now run (slowly) without issue, although I'm certainly not out of the water yet. I was reminded of this today when I picked up a half gallon of milk and felt an electric jolt that nearly caused me to drop the carton on the floor. When I grip things with my right hand, I engage an arm muscle that triggers what feels like exposed nerves in my open wound, and it hurts something fierce. I still drive one-handed, and feed myself with my left hand (even with chopsticks during my birthday sushi dinner, a feat I was quite proud of.) It feels like it will be a while yet before I can grip handlebars and steer a bicycle.

Still, I have been genuinely enjoying my short and slow runs (short I guess only by some standards. Five to seven miles is still enough to get my heart pumping.) At first, I was so grateful for my renewed ability to even get out of bed without pain that I convinced myself I could live out my life happily as a five-mile-a-day jogger. But as pain diminishes, so grows my desire to go longer, higher, harder. And even though I feel a sort of post-crash disillusionment about mountain biking, I still salivate when I pass cyclists on the road. I am itching to get back out there in a real and challenging way, to energize my body and fuel my creativity. And yet I have this most annoying injury, this hole in my arm that cuts into the muscle, still open and oozing and shedding bits of gravel after ten days. It's hurt me physically like nothing I've experienced before. And yes I'm grateful it's not worse, and nothing's broken, and I will recover. But I admit this has been a hard lesson, an unsettling reminder of just how quickly and easily health and vitality can be ripped away.

Still, every movement is a gift, and maybe it's good to receive a refresher course on building from the ground up, every once in a while.

Saturday, August 20, 2011

32


Today's my birthday
I can't go for a bike ride
Grateful all the same

Tuesday, August 16, 2011

August lost

On Monday evening, I attempted a four-mile hike. Using an ACE bandage, I created an elastic sling for my arm to aid in stability and suspension against each jarring step. I set off walking, fighting back the initial sharp releases of pain until the impact settled. The sun cast golden light on the hillside and it felt so wonderful to just be outside, focusing on breathing and movement again. For the past four days, my thoughts have largely drifted to stillness and pain. The truth of the matter is my arm hurt a lot, and every time I moved, it hurt even worse. But in stillness I could almost be free, almost.

I held my arm away from my body and pressed my wrist deep into the sling until my shoulder burned from the effort, but by doing so I could almost achieve stillness while moving. The gray pall of pain lifted and I started jogging up hill, drinking in the saturated colors of the evening. I reached the crest of my route and surveyed the sunlit valley below. It was so incredible, so beautiful. I felt a literal, tangible tear of joy roll down my cheek. That's when I remembered that my moods were all jacked up from not having slept more than an hour at a time in four nights. Sleep had just become so difficult, because my arm constantly felt like somebody was holding a hot iron against the joint. I usually drifted fitfully to sleep only to be jolted awake in twenty minutes by sharp pain, probably spurred by movement. On Sunday night, I only slept about an hour, total. On Monday morning, I had to duck into the bathroom to quell some tears after the car dealership employee told me my three-hour wait for an oil change was probably going to extend to four. My humorously overdramatic reaction to that news only confirmed that I really needed to get some sleep, and get out.

On Monday night, I still had hope. Hope for participation in the Capitol Forest 100. Outside hope that I might even heal up enough to run a 50K for my birthday at the end of the week. These hopes were all but extinguished just a few hundred yards after I started downhill into a new barrage of burning pain. It was impossible to brace against so I just had to suck it up and deal with it. It was probably no different or worse than it has been for the past four days, but my reaction to the pain was amplified by the beautiful setting, some mounting frustration, the wild emotional roller coaster of sleep deprivation, and of course, disappointment. This injury isn't going to clear up in time for anything. Not without some sort of incredible turnaround.

I returned home to more stillness, and attempts at acceptance. This probably appears to be a humorously overdramatic reaction to road rash. The injury is actually a bit more complicated. When I hit the ground at 20 mph on Thursday, I landed directly on a sharp, quarter-sized rock that dug deep into my elbow. Then, with a puncture wound several millimeters deep, I slid a meter or so, ensuring that maximum debris was pushed deep into the wound. The plastic surgeon I consulted on Friday used terms like "bullet hole" and "shrapnel." He smiled as he said these things, and I assumed he was using hyperbole for humor's sake. But honestly, after four days of near constant pain even with the aid of Vicodin (which I was at first too proud to ingest, and am now rationing), I've become more convinced that this is what it might feel like to be shot in the elbow by a small caliber gun. I can honestly say that while this may not be the most serious, it is certainly the most painful injury I have ever sustained.

I have another appointment with the surgeon on Friday, and am really hoping for no further complications that might necessitate surgery (and maybe a renewed Vicodin prescription.) But I'm ready to accept that the rest of this month is probably going to be about a slow comeback in the form of easy hikes, jogs, upright spins on a trainer, and possibly several weeks before I have enough arm strength and stability to ride a bicycle again. That's OK, injury is part of life, and for now I'm grateful for simple things, short releases from the stillness, and a renewed appreciation for health and vitality.