Showing posts with label recovery. Show all posts
Showing posts with label recovery. Show all posts

Saturday, 3 August 2013

Just keep plodding

So the cortisone injection hasn't made much, if any difference. Despite regularly going to the gym and swimming a mile at a time and/or cycling 20-25km I still can't walk comfortably. I'm having to take Tramadol to deal with the pain. This is having an adverse affect on my mental health, as living with constant pain is wearing me down. I feel like I'm limited in what I do. I'm having to use my crutches almost constantly.

So I was scheduled to have a treatment known as GPS on July 2nd. Arriving at the hospital at 7.30 I was quickly settled into a 4 bay room where I went through the general questions and consent forms that are necessary with any medical procedure.



My left leg was marked up so that they made sure they were doing the procedure on the correct foot. 



Then I was whisked off to theatre. Despite the procedure being done under local anaesthetic it has to be done in an operating theatre for safety reasons. After numerous checks to make sure I was who they said I was, and hadn't hopped off the trolley and smuggled an impostor in, the registrar cleaned my foot with antiseptic and then injected the base of my foot with local anaesthetic. Oh my goodness! The pain of having that done is unbelievable, and all I could do was try to keep breathing and just tell myself it would be over soon. My foot was soon starting to feel tingly and then numb. While the doctor was waiting for the local anaesthetic to work he took some blood from my arm, 30mls to be precise. 



The blood is placed into a special tube, and then placed in a centrifuge machine to spin it around really fast. This separates the red cells from the white cells, and then the plasma part of the blood is re injected into the affected foot. 

This process takes around 18-20 minutes, and so it gave plenty of time for my foot to numb up. The doctor was happy to talk about the procedure, telling me that in 80% of cases it works and the foot pain clears up completely. The plasma is injected because the fibrous tissue in that part of the foot doesn't have a great blood flow and so this gets the healing cells straight to where they are needed. 

Once the blood had been spun, it was removed from the machine. The doctor showed me how the red blood cells were at the top of the tube, there was a pinky coloured substance in the middle which was the plasma, and a clear substance at the bottom. The doctor pulled the red blood cells out of the tube with a syringe, and discarded that into the medical waste, then he drew 3mls of the plasma into a syringe and injected that into the base of my foot. This wasn't as bad as the local anaesthetic going in, as obviously my foot was numb. 

After that had been done, and a sticky plaster placed over the injection site I was taken into recovery, just to make sure my blood pressure and pulse was ok and then it was back to the ward for tea, toast and to be presented with my new best friend, my moonboot. 



The boot is there to keep my foot and ankle in one position. For the first three days I had to keep the boot on constantly for 24 hours, then until the first week was up I had to keep it on 24 hours a day apart from when I was washing. This happened to coincide with the hottest spell of weather that Britain has had for years. Typical. Add the boot to a pair of shoulder crutches for the first week, and I was pretty much set to go home. 

Trying to stay off my feet for 3 days was unbelievably hard. I didn't realise how much I actually moved around. Getting upstairs to the bathroom, or even just from the sofa to the kitchen was a struggle. It's really frustrating when you can't get from A to B faster than a snail. After the first week I was allowed to take the boot off at night, but had to wear it the rest of the time, to give my foot a chance to heal. I noticed almost immediately that having the support from the boot helped immensely. But after a couple of days I noticed a strange feeling in my second and third toe, and it feels as if there is slight nerve damage, with my toes either feeling numb or tingly. 

I'm now a month on from the procedure and followed the instructions the consultant gave me to the letter. Unfortunately, though, despite the procedure and the rest, and the boot I am still in pain. My foot still feels tight, not so much in my Achilles, but my plantar fasciitis seems only slightly improved, I'd say around 20% better. This is really disappointing for me. I had hoped that it would work and by this point I would be pain free. 

I see the consultant again in ten days, and I'm not sure what the next step of the process is. I have read about an operation called a "plantar release". It seems that most cases of plantar fasciitis should be completed cleared by a year in, well I'm around that point now and I've thrown everything I can at it. From stretching and frozen water in a pepsi bottle, to massage and acupuncture, to cortisone and this latest procedure. I feel I'm no closer to running again than I was at the start of the year.

It's had a massive impact on my mental health. It's really hard to watch other people running races you know you would have been in, while you are sat on the sidelines with no light at the end of the tunnel. The Great North Run is in just over a month, and it hurts to know I won't be running this year. Running did amazing things to me, not only helping me to lose weight, but giving me targets to achieve and boosting my self-confidence when I reached those targets, to just having the time and space when out running to go through my mental filing cabinet and deal with the stresses of life. I desperately want to get back to that place. 

I've spoken about how depression feels for me before and how my mental health affects my life. I feel so restricted at times, and that in itself makes me angry. When I'm lying in bed in the morning and it takes all my effort to get out of it, or when I'm stood at my front door, unable to pull on the handle to go outside, when the world goes from glorious technicolour to monochrome, or when everything seems amplified, noise, sound, smells and all I want is peace, quiet and stability, when I'm doubting that I'll be able to ride this wave out, and wondering why I keep trying to get back on the surfboard when life and depression keeps knocking me off, this illness feels like it's mocking me. Telling me that I was an idiot for ever thinking I would succeed. And it takes masses of energy just to keep going. Then I go to bed at night, absolutely worn out from just existing, and lie awake, sleep eluding me, and the more I can't sleep, the more angry about it I become as I know the next day will already be hard, as I'm going to be tired. 

But life is a challenge. This illness, depression and Borderline Personality Disorder will not beat me. 10% of all people with BPD end up committing suicide and I don't want to be part of that statistic. So I keep on trying to just take each day as it comes. One fabulous achievement that I have attained is 4 years sobriety. This year has been an incredibly difficult one. There are moments when I would have welcomed the oblivion that alcohol can provide, however I know I have far too much to lose if I drink and that keeps me sober. However hard things feel at the moment, they would feel 100 times harder coupled with alcohol and a hangover. 

Each day is a journey through life. You can try and embrace it, even with the restrictions of illness, or you can give up. Personally I will do everything I can each day to hit the small targets that I set myself when depression hits, getting up, trying to keep in touch with friends and family, trying to focus on small positives. And that is all that I can ask of myself at the moment. 

Tuesday, 27 March 2012

Sobriety rocks

Today I reached another milestone in this great journey that I've undertaken. I am now 2 years and 8 months sober. To say that still totally amazes me. Becoming sober and moving from an alcoholic to a recovering alcoholic has been one of the best things I have ever done. I spoke in my very first post about some of the physical difficulties of stopping drinking.

The first week of coming off the alcohol was awful. The only way I can describe it is like a horrendous bout of flu, not a cold, but proper FLU! My body ached, my head pounded constantly, I sweated, I shook, I vomited and I physically hurt. I had to literally hold onto the mattress on my bed to stop myself getting out of bed in the middle of the night to go and buy alcohol. The craving was horrendous. I had nightmares, I felt like I was dying. Then on the fifth day I woke up and I felt amazing. The headache that I had lived with for years, but never even realised I had was gone. The diarrhoea that I had for years had stopped. I felt as if I suddenly had a veil lifted off me.

From that point on it was about living as an ex-drinker. The physical cravings were gone. The mental cravings would take longer to beat. With the help of AA I attended 90 meetings in 90 days. I had to get the support from people who knew what it was like to go through the pain of alcoholism. It was also in the middle of the break in the football season, which helped me immensely. I knew that I wasn't going to be tempted into pubs before the game which in the early days of my recovery would have been impossible to deal with. When the season started again I had to change my routine on match days. That meant having to change who I was meeting with before games too. I still liked my friends, but the temptation was too much. Funnily enough now I still see these people at the match, but have made a whole new set of friends that I go to the game with now.

After a while I found I was able to start going back to the pubs pre-match. That took time though. Initially when I went back into the bars I couldn't stand the smell of stale beer. It made me feel sick. Now I don't notice it that much. I also don't find not drinking alcohol as hard to take. Don't get me wrong, there are times when I think "Oh I would love a pint of bitter" or whatever, but I know that what I have gained from sobriety matters much more than the taste of beer. I can go out now, drink soft drinks and have such a good time without them. I've been to festivals, derby matches and parties and have enjoyed myself as much, if not more than when I was drinking.


Proud to be a Tyne Bridge Harrier!

Anyway, on to the fitness front. My legs suffered after the 10k last weekend. I don't know if it was the terrain, the actually race itself or the driving to and back from Leeds in less than 24 hours but my hamstrings suffered. On Tuesday the Tyne Bridge Harriers had their final winter Grand Prix run, a 5k around the Quayside in Newcastle. I ran down to the start point and nearly decided to pull out due to the tight feeling in my thighs. However I decided to go for it, and 3 miles has never felt as hard for a long time. I ran it in 36.29 mins, but it felt like a struggle. I tried some stretching on the Tuesday night and Wednesday but the Thursday night run felt hard too. So I decided I needed to rest, and not do the Parkrun in Newcastle on the Saturday and do a longer, slower run on the Sunday.

I aimed for a 7.5 to 8 mile run on the Sunday, which would be my longest run to date. Despite it being quite foggy when I got to Tynemouth it was already warm. However I noticed straight away that my legs felt so much fresher than they had on the Thursday and was able to run more freely. I love being able to run and get my head into that relaxed zone, where I work through any stresses and get time to chill out. Before I knew it I had reached the four mile point, just before St Mary's Lighthouse and turned to run back.

As I was running back I was passed by Denise, Vikki and Jude from the Harriers who all offered me supportive words. It's amazing how great having others acknowledge your effort on a run can feel. Whether its someone shouting at you, a few words as they pass, a thumbs up or a nod of the head the message really helps you along. My legs started feeling the effort by mile 6, and I needed to get some inspiration. I thought about how David Rathband had managed to overcome his injuries and run when he was still recovering. I also thought about how Kath, Ash and Mia had been through so much and that helped keep my legs going. It brings it home to you how lucky you are at times like this.

Just after that a car pulled up alongside me, and at first I wasn't sure what was going on but then saw that Denise, Vikki and Jude were yelling support for me from the car! That was so brilliant, it was as if I had been given a carbs boost. I knew then that I would get back to Tynemouth and focused on that. I can't explain how I felt as I passed the priory at Tynemouth and knew I had ran 8 miles for the first time ever in my life. You definitely get an endorphin rush when you run, but the achievement of being able to run and the massive changes that have happened in my life in the last 2 years 8 months hit me. I have raised nearly £1000 in the last 18 months, and am only £36 away from raising £500 for the NSPCC when I do the Great North Run in September. I had to sit in my car for a little while and just take in what I've done and the belief and support I've had from my friends and family. Thank you all.

I know I still have a long way to go. I'll keep drawing inspiration from people like Mark Allison (aka Rungeordierun), Ivan and Nadine who are raising funds for the Children's Heart Unit at the Freeman Hospital, and the Rathband family and I'm going to reach my goals for everyone who has shown that they believe in me. I'm not going to let you down!