BSRD63 – The Inevitable Setback Arrives

only-a-flesh-woundYesterday I was in the kitchen and stooped to pick something off the floor. The tightness I immediately felt vertically along my incision site alarmed me and inevitably angered me once again. I spoke of my anger and bitterness when this happened after my first surgery 10 years ago and it’s really no different this time but there are a couple of things to note. First, this is not the soreness and regular pain I have been having for the last few weeks. That was some workout pain and physio pain but just general muscular soreness. This is more of a nerve pain, a shooting stabbing and restrictive pain that alters my mobility and causes me to feel physically nauseated. I can’t really describe it, it’s not the nerve pain from the disc that I get when my back is “out” but it’s a precursor to that. It’s as if I am too tight and the muscles are pulling my vertebrae together causing a bulging of the disc. All I know is that today I feel like I did 2 weeks after surgery, immobile, in a boatload of pain and absolutely intolerable to be around. All I can hope is that with a couple of careful days I can be ready to get back to my life on Monday with a well earned day off work and a short work week!

I’m sure it’s just a flesh wound. I am keeping my fingers crossed, I would appreciate if you could cross yours too, to be safe.

BSRD60 – Not So Triumphant Return

return-to-workSo Monday was my first day back working from home for 3 hours per my Occupational Health schedule. Let me just say it was the toughest 3 hours of my life. There is a huge difference between checking the odd web page and some email and actually having to stick to the computer for 3 hours. I was shocked at how little I was able to tolerate sitting at the computer, and that was really no surprise since that is why I started to stand at my desk in the first place. The shocking thing was that I was completely unable to concentrate on anything work related once the pain set in. I suppose that’s why they let you back in slowly because had I been at the office I would have had to leave after about an hour. I really didn’t anticipate it to be that difficult, I thought that standing at my desk would be OK and it is, as long as what you are doing is not important. Once you add importance and the requests of co-workers to the mix and all of a sudden it’s like you have the weight of the world on your shoulders. I guess I will have to get used to it, I am working another 3 hours tomorrow and I am hoping to start at 8 rather than 9 so that I can take advantage of my morning enthusiasm and mobility. Yes, I know that sounds counter to what I have said recently in my posts about mornings being very difficult and painful but the fact is that once the pain goes away after an hour or so I am far more mobile and intellectually and physically capable than I am later in the day.

This brings about a secondary issue that I have to deal with and that is a return to regular workouts. I know for a fact that if I don’t start getting back into daily activity I will be at a very real and painful disadvantage once I have to return physically to the office. Not only that, but coaching is due to resume at the start of July and I am going to have to work around that schedule too. It was with that in mind that I decided to add to my walk this week and I am happy to report that I managed to do some chinups today. Chinups are the one thing that I have been avoiding since surgery. I suppose in my mind I wanted to make sure I did not stress my rear chain with suspension in case the movement was too severe. But now that I am at physio and the manipulation of the scar tissue and the corrective positioning of my hip seem to be working OK then I figure it’s about time. I know I still haven’t seen the surgeon yet, that is next week, but I am pretty sure that he will tell me to continue to take it easy. I am afraid that at my age, that’s not really an option if I want to recover fully and quickly. I know that the less I do, the worse I get so it’s pretty simple maths that I have to do as much as I can staying below the injury line in order to get me back to a situation where I am durable and capable in my real world activities.

Today’s workout:

I did a demo video of all my Olympic lifts, in one respect to show mechanics but in another respect to make sure my form is as solid as I hope. That was only a total of about 50 reps. I then went out to the back deck and completed 50 chinups. It was purposefully a light day to monitor just how much pain the chinups will generate.

BSRD52 – Good Morning Agony

My mornings this week have been absolute agony. Ever since I have started my physio exercises and started to do back load movements during my workouts my back muscles across the lower spine and middle back are so sore and stiff in the morning. On Saturday it took about 10 minutes just to get upright and mobile. We went to Wonderland in the afternoon on Saturday and even though I didn’t work out Sunday was just as bad when I awoke. Sunday I did more bench to keep the load off my back and thought this morning would be easier but to be honest it was still excruciating although the pain passed much more quickly than it has in the last few days. Today I am going to try and concentrate on abs and see if that helps.

Friday was Century Club, again in 2 sections one for the regular participants and one for the terminally injured.

Century Club

25 of each, 4 rounds

Bulgarian Halo with 20lb bag or vsnaps
26lb wall ball or box jumps
Vsnaps or 3 suicides
25lb kettlebell swings or burpee

Tonight’s candidates:

Toes to bar
Single toes to opposite hand
Stability ball ground touch sit ups
22lb twisting 180’s
22lb twisting 45 degree 180’s
med ball vsnaps
med ball russian twists
bicycles front and back
side balance hip floor touch
plank hold with 20lb collar
22lb wipers
22lb full lock walking lunge
Turkish get up with 8KG kb

BSRD46 – Busy Week / Change Of Direction

crossfit-logo11I am in limbo with my decision regarding how to approach my rehabilitation. I am at the point where I have stress tested myself with very light weights and very basic movements and as I move towards the inevitable return to work I need to make sure I am up to the task of sitting in the car to work, sitting or standing for 4 hours and driving home PLUS then doing my rehab work whatever that may be. Given my history with P90X that would be an easy place to start, but I am not sure that doing a round of P90X or P90X2 at this point would give me back the functional fitness I am looking for. As good as it is, and it is an excellent program, I am not quite sure that it will suffice. That is where Crossfit comes in.

Before I go into any details I want to quickly address my concern with Crossfit as it stands. For the most part I think it’s a wonderful system, it’s heart is in the right place and the quick format takes care of many of the issues people claim with not having enough time to work out (nice excuse!). I did write a piece not too long ago about the Crossfit Nonsense article that probably was a little harsh but let me take a second here and demonstrate what I meant at the time. I called it Crossfit Caution and I stand by the idea that I presented but before I start let’s look at what Crossfit.com would have had you do last week for workouts:

Monday – Run for 30 minutes
Tuesday – Rest
WednesdayAMRAP 20 minutes: Row 250m + 25 pushups
Thursday – 50-40-30-20-10 Double Unders plus situps (Double Unders are simply rope skipping with 2 revolutions of the rope per jump, you could sub tuck jumps)
Friday – An Actual workout:

Complete as many rounds as possible in 20 minutes of:
5 Handstand push-ups
7 Chest to bar pull-ups
35 pound Dumbbell squat snatch, 10 reps, alternating

Saturday – Rest Day
Sunday – Another actual workout:

21-18-15-12-9-6 and 3 rep rounds of:
Sumo deadlift high-pull, 75 pounds
Push jerk, 75 pounds

So there you have it, for your 7 days of Crossfit membership you would have stumped up probably in the region of $200 per month for unlimited use only to have 2 days of what anyone would reasonably think of as a “workout” and have only used equipment that most people probably already have at home (save the rowing machine).

What about body parts? How do these 7 days stack up and what happens if you are only able to work out 4 days? Let’s say like me you are busy this week and due to your commitments only have Tuesday Wednesday and Saturday to work out. That means you are unlucky enough to hit 2 rest days and a day of pushups. Even if you were able to follow the program for the 5 active days let’s just look at what you would have worked:

Monday: Cardio
Tuesday: Rest
Wednesday: Cardio plus chest and triceps
Thursday: Cardio and light core (150 situps is light core, yes)
Friday: Shoulders, Upper back, Traps (If you can count a 35lb snatch)
Saturday: Rest
Sunday: Traps and shoulders

My question is this. Where is the leg work (except the cardio). Also, where is the bicep work knowing that pullups utilise a small amount of bicep work which is reduced by the infamous Crossfit Kipping pullup. How about some oblique or lower abs work? You could argue that the snatches do work the abs to a degree but that’s like saying a squat snatch works the legs with 35lbs.

I am probably going to get a lot of flak for this (thank goodness nobody comes here!) but honestly relying on Crossfit boxes as your fitness all-in-one is just not a great idea. You know what is the best idea? Get some equipment of your own and make sure you are getting a well rounded workout each week. I am sure some people would say that taking a week is not a fair measure but I think spreading your whole body across 2 weeks or more is laying it a bit thin.

So what is the solution? Well, for me, Crossfit is the solution. But it’s a home grown hand picked version that allows me to take the workouts from the last month, pick the ones that are most appropriate for me and do them on my time with my own equipment. Sure, I don’t have the camaraderie I would get at the gym but then again I don’t have to keep telling people not to talk to me while I work out. As I have posted many times, I have made some of the stuff I needed to accomplish this, I got cheap chin up bars, a decent olympic bar and some bumper plates, I made a wallball and some dip bars and bought some kettlebells. That is all I needed to invest in order to give me the workout I wanted and avoid the problems that Crossfit inevitably has in scheduling around busy lives. At what cost? The Newmarket crossfit box wants up to $200 a month for a membership. For the price of 2 months I have an unlimited use gym in my house. You can Crossfit if you want, and I would suggest you do, but I also would suggest that you can do it on your own.

By the way, if you are new to Crossfit and Olympic lifting etc. then I would suggest you take out a short 2-6 month membership and have them teach you how to lift. Then hit the discout fitness store and buy some stuff for yourself.

By the way, this is not meant to be a Crossfit bashing entry, just an eye opener for some people who may think that they can’t Crossfit because they can’t afford it or who think that they can’t Crossfit because they can’t commit to specific non-rest days at their box.

BSRD40 – The Danger Zone

keep-out-of-the-danger-zoneIt was around this time after my last surgery that I had my first relapse. I remember it well, I had decided that I was well enough to try and fix the toilet and in lifting the lid off the toilet I felt that overwhelming burn of nerve pain shoot through my back. My first instinct was anger. How was this possible? After all, the surgery was supposed to have fixed me right? The anger was quickly replaced by an overwhelming and long lasting bout of self pity during which time I flirted with the notion that I would never be better and that I may even be permanently broken despite the operation. Surprisingly this feeling lasted only as long as the residual pain which was a few days however it made an indelible mark on my psyche of which I am still acutely aware. I was suddenly aware that the surgery was not the end of my problems and that not only was I going to have to submit to years of care and diligent awareness of my movement but the notion of a repeat surgery was already growing inside me. This time around I am very much more careful with what I am doing and I am refusing to take risks with my recovery. I do need to go and see my Occ Health department to discuss my return to work but my mind will be firmly stuck in that small bathroom almost 10 years ago when my invincibility was certainly permanently damaged.

With that in mind here is an update as to my status for various activities.

Walking: I can walk 3km max but I require at least an hour recovery afterwards.
Bodyweight workouts: I can do most of the exercises with the exception of burpees but again, I require lengthy rest after only 10-15 minutes.
Weights: I can handle some weights as long as my back is protected and there is no bending. Resting and soreness for at least 3 days after this.
Running: Nope.
Pullups: Not yet.
Sitting: I can sit for about an hour or so before I start to cramp and get sore. Requires at least another hour of laying to recover.
Standing: Standing is not a problem mostly and is my preferred state at this time given that my shoulders ache if I lay too long. Yes, welcome to my hell, even laying down makes me sore.
Driving: Same as sitting even with the heated seat on.
Sleeping: Sleep is generally OK without the memory foam topper we had. The hardest part is getting up, not because I hate my life but it just takes a while for me to warm up to moving again.
General Housework: Impossible.

There you have it. A general outline of how I am doing.

 

 

 

 

 

BSRD37 – Plateau or Slipping Backwards?

plateauIt’s funny, I had a lot more confidence in my recovery a few weeks ago than I do now. There was a time there where I was recovering fast, I was making progress every day and feeling really good, however as the last week or two have passed I find myself having weakness in my back which is causing me to doubt my recuperation.  The problem could be related to not working out with weights or bodyweight at all last week. I was so focused on walking and getting my 3km per day in that I did sacrifice the other parts of my rehab. I am hoping, therefore, that the lack of pushups and core work, bench and arms has contributed to an overall weakness in the mobility of my lower back muscles. The specifics of the issue is a weak feeling in the lower back, a tightness that causes me to think that I may strain something at any moment. It’s not just a feeling of not being able to move certain directions but rather a feeling of being on the brink of hurting myself. Obviously this has caused me great concern and so this week I have once again begun to focus on movement and whole body rehab rather than just walking.

This decision really only came to me as a conclusion yesterday so this week has really been about the walking up until then:
Monday – 3km walk
Tuesday – 3km walk
Wednesday – 3km walk
Thursday – 2km walk plus bench (15 sets)

The plan for the next 7 days should look something like this:

Double workout days
Friday – 2km walk plus triceps and biceps
Saturday – 3km walk plus Shoulders
Sunday – 2km walk plus core and light legs
Monday – 2km walk plus chest and tricep
Tuesday – 3km walk plus deadlift practice
Wednesday – 2km walk plus clean / clean and press (barbell)
Thursday – Long walk (Possible 5k?)
Friday – Off

This should transition me into the regular schedule of workout weeks that looks something similar to this:

1. Chest and tri or bootcamp workout
2. Deadlift and Pullups
3. Core / Whole body light day or cardio
4. Off
5. Clean and press (barbell or RKC day)
6. Bench and pullups
7. High intensity cardio and core

 

 

 

 

BSRD30 Action Brings Pain

I stuck with the program for the most part this week with the exception of Thursday which I took off completely after feeling a little wobbly after doing some full body weights on Wednesday. It was also pretty crappy weather here so I was indoors on the treadmill on Tuesday and Wednesday but managed to do 3.2km each day. Monday I did 3km outside but left the bicep work until Tuesday. Today is Friday, I just got in from a 2km walk still feeling sore and a little nervous after Wednesday’s workout. The good news is that the shoulder work and squats didn’t completely wreck my back and even thoug I am sore, I don’t really feel much the worse for wear. It was a good stress test and one which I think I passed, if not with flying colours then at least with a healthy grade. This is good news since I am getting a little stir crazy at home not being able to work out and so the coming couple of weeks will hopefully see a return to regular, if extremely light workouts.

BSRD25 – Updates

Day 20 – 3,2k on treadmill and light bench
Day 21 – 2k on treadmill and light WOD at gym
Day 22 – Walk / speed walk 2.3km
Day 23 – Treadmill 2k
Day 24 – Walk 3.2k treadmill
Day 25 – off (Saturday)
Day 26 – Today

Light bench usually means starting at 135 and going up to 165 then 185. I have tried going up to 205 but lifting the 25lb plates is still not a great idea. It’s tough because I crave teh feeling of the workout and I want to push it but I just can’t. The WOD at the gym means a few pushups, reg and military, some dips on the dip station and most recently a few air squats which is basically the same as sitting on the toilet and standing up again. Certainly I am not able or willing to go any further down as of yet.

I woke up today, Sunday, and found that my back was mysteriously sore. I didn’t really do much yesterday, we went to Wonderland but only walked for about 30 mins with lots of resting and sitting. I also didn’t do my regular walk since Saturday and Sunday are my walking rest days so I am not sure what the deal is. The thing that is scary is that the pain isn’t incision pain, it’s tight muscular pain that in the past has led to the disc compression. So I am understandably cautious this morning. Also, yesterday I cut my finger quite badly trimming a tenderloin and that is hurting like hell. I probably could have used a stitch or two but I don’t have time for that.

Last week I also went to work to see the Occupational Health department to discuss my recovery. I am going to revisit them after my follow up appointment on June 2.

It’s a long weekend this weekend and it’s also time for me to get more orgainized with the walking and workouts. Here is the plan for the coming week.

Monday – 3k walking plus biceps and air squats
Tuesday – 3k walking plus Shoulders
Wednesday – 3k walking plus chest and triceps and air squats
Thursday – 3k walking plus abs
Friday – 3k walking plus biceps and air squats
Saturday – Shoulders
Sunday – Chest and Triceps

BSRD20 – Updates

I have been on a 5 on 2 off schedule, taking the weekend off walking to spend more time with Nicole and Elyse who both seem to sleep an awful lot. I have been trying to add some very light weights work in order to reactivate some areas of my body which has included some shoulder work, traps, a few gentle squats and some crunch holds. I also have done a few push ups here and there which seem to be OK and actually are doing my core some good at the same time. It’s funny, everyone I meet who I tell I have had surgery is amazed at how mobile and “normal” I appear, it’s just too bad that the normality only lasts a short while until I have to lay down. That said, I am still happy with my progress.

I am not able to do any kind of twisting yet, any time I try I get a very sharp and pretty alarming pain through my incision site. So as far as my mobility goes I would say I am linearly back to 75%, I am able to put on socks and tie shoes and reach my feet for short periods but I have not tried to standing fold at this time, I don’t think I am up to that. Everything I do is done with particular attention to keeping my lower back straight, something that I have learned over the past year of deadlifting is not only recommended but actually engages the correct muscle groups required for heavy lifting. My foot drop is almost all gone, I can heel walk without issue and my lifting ability with my right foot is about 80% of what it was. I do still have a lot of pain in the left fibula area which I will have to monitor and see if I can stretch it into submission. The problem is that most of the stretches that are effective for back, hip and hamstring flexibility require twisting. Hopefully as that ability returns, the rest of the pain will subside.

It snowed here this past weekend (yes, May 12) and so I walked on the treadmill on Friday and Monday for a total of 2.5k each time. Earlier in the week I had been outside and I will hopefully be able to get outside again today, Tuesday, since it’s supposed to be 13 and then in the 20’s the rest of the week.

We have had some issues with WordPress this week, apparently a botnet of 90,000 PCs was attempting to brute force attack WordPress accounts to access admin rights on servers. This caused me to be unable to log into my admin panel to post anything. It seems like they have it under control now, but it was not just Dreamhost, apparently it happened starting last week to many providers of small business and personal websites.

As far as the other patient is going, I am still giving Lightning subcutaneous fluids 3x a week but his numbers are down to a high normal range. I am hoping we will get a little more time with him and that his health improves to the point where he is happy again. He has lost a few pounds which I know very well is always a help.

 

 

BSRD14 – 2 Weeks And The Pain Returns

I have to first make an adjustment to my last post. The pain that I am feeling in my left leg, the unrelated leg so to speak, is not actually in the shin but rather in the top knee side of my calf muscle. It seems to be the insertion of the lateral collateral ligament in the area of the fibula, in fact the whole area around the head of the fibula seems to be sore. On further inspection, it appears that the poplioteal fossa or the peroneal nerve may be the source of my pain. In any case, I was told that I can’t have advil or any ibuprofen for that matter until my follow up and so therefore I can’t indulge in my usual anti-inflammatories. This is a problem and a source of not only physical discomfort but also psychological discomfort in the fact that it is preventing me from enjoying the fruits of my recovery but also causing me to pile more concern on myself regarding the real rather than imagined state of my body. Simply put, I don’t know if the things that are hurting are that way because of the surgery, the recovery or the lack of exercise to which I am doomed at this time. In any case, the pain seems to be less pronounced even if no less frequent. I understand that it’s only been 2 weeks since the surgery, but forgive me for imagining that someone of my physical condition and stature could recover more quickly than the average person. I am frustrated. I have watched all the TV I care to, football season is coming to a close and I am getting a little stir crazy regardless of the ability to leave the house. I suppose it’s because no matter where I am, I am still trapped within my body which, amazing of a machine as it may be, is still at this moment frail in it’s deployment.

By the way, you can tell it’s getting to me just by the fashion of this writing. I am afraid I may be descending into lexicographical embellishments from where there may be no escape.

And on a related note I vociferously object to the use of the word “ginormous” in NHL13 on the PS3. It’s either gigantic or enormous, it should not be both since we already have both words. If needs be, get rid of one rather than add another by a combination of the two, it’s ridiculous.