Virgil wrote that ‘The greatest wealth is health’. Whilst I fully concur with the Greek sage I have to say that my right knee was never the same after I flew over the handlebars of my bike one sunny August morning last year. A raised kerb, hiding in the shadows of a huge oak, propelled me over my handlebars and onward like a geriatric Buzz Lightyear. I saw the funny side of my horizontal launching (and quickly checked to see how many people saw me fly; it was only a few!) but between grimaces of genuine pain. In fact the pain was so bad that I had to wait whilst sat on the kerb until my eldest son arrived to help me home.Thankfully, as we don’t live too far from the scene of my embarrassment and so he straightened my handle bars and supported me as we walked but I was not happy.
My knee didn’t heal but became progressively worse and this condition stayed with me for some time. It now appears to be as well as it ever will be. I have a couple of stages of The Capital Ring to complete so I thought now was the time , metaphorically at least, to get back on the bike and share some of the notes I wrote in my notebook at the time of my rehabilitation. It had been a dark period in my life. Hopefully, my next entry after this will be notes on the completion of The Capital Ring.
‘Monday 24th September 2012
My knee is getting progressively worse. On the 13th September 2012 I had to attend A & E at St Thomas’ Hospital as the pain in my knee was now at a very uncomfortable stage. I cannot turn whilst standing still as the pain is insufferable. I sat for three hours and the very helpful GP told me that it was more than likely that I’d torn some of the fibres in my medial ligament on the right knee. The damage to these ligaments will not show up on an x-ray and need an MRI scan and so she referred me to attend the Knee Clinic at the Hospital.
It is now more than a week since I attended A & E and my doctor has not received the paper work. My GPs surgery is no more than a five-minute walk from A & E and therefore It’s not too much to expect the paper work to be sitting on his desk awaiting his action. Meanwhile, I sit at home and the knee hurts and I’m taking anti-inflammatory tablets to reduce the pain.
I phoned my surgery and they assured me that no paperwork has arrived and they will get on the case for me and contact the hospital. Something needs to be done soon or I’ll not last the week. The appointment needs to be made soon as my condition is worsening and it will have a domino-effect on the rest of my health and well being. I’ll explain how:
If I am unable to walk I have to sit indoors;
If I sit indoors and do not exercise then I will gain weight, moreover my ankles will start to swell;
then my mental wellbeing starts to get worse as I cannot allow my ankles to swell and this makes me feel morose. I cannot bear feeling unfit and this injury continues to make me feel so.
I am now awaiting a phone call from the surgery to tell me what’s happened and how this problem can be resolved.
Saturday 29th September.
I walked home from Waterloo Station and it appears that a combination of rest, tablets and limiting the distances I walked is having a positive effect and the knee appears to be improving. At the moment I no longer have any back pain though there is every chance this happy circumstance will change by next week. What I plan to do, therefore, is walk sparingly but regularly and slowly build up my tolerance and reaction to miles walked.If I do this correctly it could be a profitable winter for me: one where I may build my walking fitness … The ankles also feel sore and the cracked and broken skin on both heals needs urgent attention. Another job on the list.
Tuesday 16th October
I attended the Musculoskeletal Assessment Clinic at St Thomas’ Hospital to get to the bottom of what it was that is causing me so much discomfort.Getting an appointment so quick is great news but I have to say I’m not looking forward to the examination!
The beauty of seeing a specialist at a hospital is that they know their specialism inside out. The physiotherapist that examined me knew her job so well that she was capable of diagnosing very quickly what she believes has happened to my knee.I first filled in a questionnaire … Next was the examination. For thirty minutes I had to perform leg stretches, achilles stretches and squats to demonstrate that my balance was not impaired and that basic functions of the knee worked without pain.I lay back on the examination couch and she stretched the knee joint and twisted it; probed and prodded the joint in search of floating parts or a knee joint incapable of functioning correctly. All appeared well but she did detect a problem: I had undergone some form of fibre tear on the right-knee which was now almost healed and would account for my improved mobility. After a range of stretches, pulls and exertions she announced that the fibre tear was the most likely explanation due to a lack of swelling after any physical exertion. She would sign me up to a physiotherapy group which would heal the problems of the knee.She recommended swimming, cycling and re-visiting my own gym which I have been paying for without using for the past six months! Exercise is what is needed but it has to be slow and gradual and not in one leap which may damage me once more. My target is therefore to do cycling in the gym and build up my fitness before finishing the last leg of the Capital Ring sometime over the half-term holidays at the end of the month.
With that I thanked her and walked home to contemplate the first stage of my rehabilitation.
Thursday 8th November
Physiotherapy appointment at St Thomas’ Hospital.
‘On physical examination, there were no abnormalities observed and no tenderness on palpation. Ege’s test was negative… his injury appears to be well into the healing process as he is self-managing very well. There is however some core weakness and so with that in mind he was given some core strengthening exercises to supplement his current gym programme.’
Finishing the last leg of The Capital Ring at half-term didn’t happen. I’d gone off the idea and the rehabilitation to this point has consisted of walking and gym work in between bouts of supply teaching.I’m not a very consistent gym person but I do try my best. I am now at the point where I try not to think about my knee at all but there is always that unease lurking within my psyche that my knee will never be what it was and at some stage will restrict me from doing what I love to do: walk. I understood some time ago that I am mortal (doh!) and that ageing is what we humans do. So, if I am able to I shall get out and walk the paths across our beautiful landscape and I shall appreciate what I can do and not what I cannot. Walking is a simple act of placing one foot in front of the other and yet at times we don’t realise how fortunate we are to walk.
Next: The completion of The Capital Ring.