Tag: rehab

Cool, Daily Life

Lists And Things

Too many random thoughts buzzing around in my head this morning to think coherently. We shall purge them in an attempt to clear the mechanism.

  • I’m thinking of taking up a musical instrument. Guitar was my first thought (I very briefly played as a kid), and then I saw this clip. Stop what you’re doing and take a listen. Seriously. I am now contemplating the harmonica. Is there an electronic version of the harmonica that I can hear via headphones? I fear that Mrs Troutdog would divorce me if she had to listen to hours of amateur harmonica every day.
  • I was able to resist a donut (doughnut?) last night. It was an apple fritter, which is hands down my favorite deep fried treat. That level of discipline is hard to describe. Probably close to what it takes to get into Navy SEAL selection. Full disclosure, I did have an apple fritter the previous night. But in my defense, that was the first one in at least a year.
  • It doesn’t happen that often, but I’m back in a weird sleep cycle. I fall asleep in about 30 seconds, always have. But recently I’m waking up at 3-4am every day, regardless of what time I go to bed. Done, no chance of falling back asleep. Leaves me barely able to keep my eyes open in the afternoon. Started magnesium bisglycinate last night to see if it would help. Dr Huberman suggests magnesium threonate as it crosses the blood-brain barrier easier. May try that next.
  • Abdominal surgery went well, recovery is going ok (I think). Went for an easy bike ride the other day and probably overdid it. Don’t think I’m ready for ski season yet.
  • Speaking of ski season – we don’t have one. As in, no snow. And nothing on the horizon. Yay El NiƱo. Probably for the best. If we had great snow I’m not sure I’d be able to resist.
  • I caught myself getting sucked into the X/twitter morass this morning. Someone I followed for a while has been posting nonstop anti-Israel hate since Oct 7. Like at least 10 posts a day. I actually wanted to see what his latest post was this morning – specifically so I could be angry. It was a weird feeling realizing that I wanted to be angry at this guy. It’s probably a feeling that if he just reads my one brilliant comment, he’ll see I’m right and change his mind. I suspect that feeling describes 70% of X/twitter commenters. I took a deep breath and unfollowed. No need to encourage that level of negativity in my life.
  • Following up on my fashion post the other day, I am ordering a new pair of boots today. No it won’t fix the hot fashion mess that currently describes me, but it’s a start. At least it’s better than the $20 cheap Amazon shoes I wear most of the time (when I’m not wearing Crocs or flip flops). Fun side note, once upon a time in the ’90’s I had a trench coat. It was actually kind of a pain because it was so big, but I thought I looked good (narrator: he in fact, looked like a dork).
  • I learned from my nephews that there is such a thing as a professional Esports league. As in, professional gamers. AND you can get a collegiate gaming scholarship. We are finished as a society.
  • The Ukraine comedian/mafia boss is back in the US today looking for more money. Can anyone provide a plausible scenario in which Ukraine defeats the Russian army, pushes them back to the original border, and Russia just simply gives up? Anyone? Anyone? Please tell me why we need to borrow more money to give to a lost cause? Is it just to see another couple hundred thousand people die?
  • The holidays are my absolute least favorite time of the year. Always been that way. I do my best to not be a grinch, but sometimes I can’t help it. I am also not drinking right now to help the fashion/weight loss scenario. Please send prayers.
  • I’m reading a number of books right now. The Strange Death of Europe: Immigration, Identity, Islam and The Storm Before the Storm: The Beginning of the End of the Roman Republic. Recommend both. They’ve spawned a huge jumble of thoughts that I want to capture, but have been unable to. It’s like I have a sense of what I want to say, but it’s just out of reach and slightly foggy. I guess I’ll just have to keep contemplating. I’m always impressed by people who can articulate complex ideas. We clearly don’t teach that any longer. We’ve moved into the University of Tik Tok phase of the empire.
  • We started watching the older series, Vikings. A few thoughts… A) I wonder if I could sport the viking haircut at my age. B) I cannot sport that haircut at this age or any previous age. C) What a brutal time to have been alive. D) Fascinating that the Romans in England were a more advanced society than the feudal/tribal times that followed them. Anyway, a good series. No spoilers please.

Ok, that’s enough purging. Time to move on to something more productive. Like arguing with people on X.

Daily Life, Health, Motivation

And The Answer Is…

If you’ve been following along at home, you’ll remember that I recently did something I shouldn’t have done. I thought I was twenty again and spent the day lifting furniture. I figured I’m a dude, so of course I can still do that sort of thing. The problem is that as you age the connective tissue becomes less supple and thinner. Years of slowly becoming deconditioned take their toll. The end result is injury.

In my case it’s a hernia and a separated linea alba. My abdominal muscles pulled apart, allowing the tissue below to bulge out. Yesterday I got the official word – lots of PT and surgery.

Age is a weird thing. It creeps up on you. Mentally I certainly don’t feel old. Up until recently I didn’t feel terribly old physically either. Oh sure, I couldn’t do things to the level I could when I was younger – but I was still out there doing it. I’ve always felt that compared to lots of guys my age I’m doing pretty good.

But this year felt different. Especially this summer. Yes I’ve put on weight before and felt various levels of stronger/weaker throughout the years, but the last six months I just haven’t had the mojo. Body parts just hurt. My eyes changed and I had to get new glasses. My balance is noticeably worse. I’ve had lots of little nagging injuries. And my weight, and the motivation to do anything about it, just hasn’t budged.

For the first time, I honestly feel old.

And now this. The unfortunate part is that the warning signs were flashing neon red. Rapid weight gain. A low back injury last year was the foreshadowing that my transverse abdominals were weak and deconditioned. I skied a bunch last winter, but otherwise didn’t do much physical activity. For a variety of reasons, my usual summer activities (hiking, mountain biking, motorcycle riding, etc…) have been pretty sparse this year. Long story short, there’s been more sitting than moving.

A perfect recipe for injury. An older adult going from the couch to moving furniture, or trying out pickleball, or deciding to take up running again, or even just stepping off an awkward height is just asking for problems. As Dr. Peter Attia writes in his book “Outlive”, once you reach your mid-50’s you’re no longer building muscle and strength – you’re desperately trying to maintain what you have. The moment you stop moving, you start going backwards in terms of physical ability.

Muscles atrophy, connective tissue weakens, tendons and ligaments are no longer supple. The key is to recognize the limitations. Unless you’ve continued to actively train, the days of doing box jumps, hill sprints, and explosive dynamic movements are probably in the rear-view mirror. That doesn’t mean you can’t get back to some form of those things… but you need to go very slow and carefully to avoid injury.

Mentally it’s hard to come to grips with that. In my head I’ve always thought that if I just got motivated for a few months and lost a few pounds, I’d be right back to where I was three or four years ago. Reality has a way of itch-slapping you in the face.

The Dr was pretty blunt. The surgical recovery won’t be too bad. Four weeks of not lifting anything. I should be able to ski in six weeks, although not at 100%. It’ll all be dependent on how motivated I am with PT (Hmm, sounds just like I used to lecture my post–operative patients about. What goes around, comes around).

The good news is that the doc cleared me to do any activities I want leading up to the surgery. I won’t make things any worse at this point. The harder I work now, the better my recovery will be. It looks like I have eight weeks to get ready.

Let’s do this.

Daily Life, Health, Motivation

That’s Going To Leave A Mark

I remember the days when you never had to think about doing things. Jumping over fences, climbing trees, picking things up, and running were all activities you took for granted. You just did them. You didn’t worry about stretching beforehand, ensuring you’d eaten enough protein, or if you were using proper form. I think in my head I still feel like that person much of the time. Reality has a way of reminding you those days are gone.

I did what every old man should avoid. I spent a day picking up and moving heavy furniture. I actually felt pretty good doing it. I never felt like I strained terribly hard or had to struggle to lift something. I was tired at the end of the day, but was pleased with myself for the effort I put in. I went to bed satisfied with a good day’s work.

The next morning I did a sit up to get out of bed and a huge alien looking thing popped straight out of my abdomen. I immediately laid back down. Holy shit, what was that? I slowly sat back up and my abdomen had that same big bulge projecting out in an unnatural way. I gingerly pushed and prodded a bit to see if it would go away. I laid back down and closed my eyes for a few minutes. I had a pretty good idea of what happened.

I was in such denial that I ignored it for most of the morning and went about my business. It was approaching lunch time and I snuck back into the bedroom to lay down and see if it was still there. Crap. I knew I was going to need to see a doctor. I reluctantly called in Mrs Troutdog and showed her. She was understandably alarmed. “Oh my god, what is that?”, she exclaimed. That sealed the deal. Off to the walk-in clinic I went.

Long story short I’ve either torn or separated the linea alba. That’s the connective tissue that holds the abdominal muscles together. Sigh.

I don’t know what it means yet. I have a surgical consult next week to see what, if anything, needs to be done about it. The initial doctor said twisting motions should be fine, but don’t be lifting anything. I’m unclear if I can ride a bike, motorcycle, etc…

My prediction is that the answer will be lose weight, strengthen the transverse abdominals, don’t do crunches, sit ups, or deadlifts, and work with physical therapy for some number of weeks. But who knows? Maybe it will require a surgical repair.

My fear is that my new reality will be a long-term limitation to activities in some fashion regardless of the answer. It also means that getting serious about the weight loss, and proper strength training, are no longer optional. Will I have the discipline to actually follow through with it? It’s ironic – as an RN I lectured countless post operative patients that their quality of life will now be dependent upon how dedicated were towards rehab and PT. I’d give a judgmental look at a patient and just know that they won’t do anything to help themselves, and will show up with the same problem a few years down the road.

Looks like I’m finally going to have to eat my own words.

As Dirty Harry said in the movie Magnum Force, “A man’s got to know his limitations.” Clearly, I didn’t know mine.

Daily Life, Health, Motivation

I Don’t Understand How This Happens

Years ago I had a pretty good crash on the mountain bike. A broken rib and big-time shoulder pain. Being a dude, I never really did anything about it. Eventually (like a year+ later) the pain in my shoulder became unbearable. Every night after dinner I’d have to sit with a heating pad on my shoulder to calm the ache down enough to be able to sleep. Finally, I went in to have it looked at. An MRI confirmed what the doc suspected with his physical examination – a torn supraspinatus (part of the rotator cuff) and subsequent arthritis since I never did anything about the injury when it happened. Side note – the big-ass needle used to inject contrast dye deep into the shoulder hurt way more than the injury itself.

The doc said that the tear wasn’t large enough justify surgery and prescribed PT. I went for a while. I’ve mentioned before that the gym isn’t my thing so eventually, I abandoned any sort of structured rehab. Fast forward and the end result has been that my shoulder always hurts. Any sort of overhead pulling or pushing motion is a no-go, which has always been my excuse for not doing pullups.

Anyway, over the winter I started using a strength conditioning coach and we worked pretty hard on my shoulder. For the first time I started seeing progress. The pain was going away. My range of motion improved enough that I was able to slowly start working on the pullup motion. Hey, maybe this really was fixable! A pain free shoulder would be amazing.

Well, me being me… I’ve fallen off the workout wagon the last two months. Life, ugly weather, and the previously mentioned hatred of the gym makes it super hard to stay motivated. Yeah, a pitiful excuse I know. It is what it is.

So, three days ago I woke up, rolled over and tried to get out of bed. Intense shooting pain in that shoulder. Unable to even lift my arm type of pain. It’s the exact same spot and exact same pain I had previously. It’s gotten slightly better, but I still can’t lift my arm over my head without pain. It aches all day long.

I have officially reached the age where I manage to hurt myself sleeping. I don’t even understand how this is possible? How in the world do I sleep in a funny position for long enough that it torques my shoulder sufficient enough to re-aggravate an old injury? I mean, seriously? Who hurts themselves sleeping?

To make matters worse, I leave in a week for a three-day offroad motorcycle class. It’s guaranteed there will be multiple crashes and frequent picking up of a 500+ pound motorcycle. I don’t know how this is going to work if my shoulder continues to feel like it does right now.

Currently I’m vacillating between giving in to old age or resolving to spend two hours in the gym every day. Sigh… I’m not going to give in, but man it sure is hard sometimes to remain motivated.

Now I’m afraid to go to sleep for fear of what new injury I’ll wake up to.