Today marks four weeks since my arthroscopic hip surgery. Before going in for surgery, I researched the procedures and recoveries pretty extensively. I talked to other patients. I saw a few surgeons. I talked to others in the medical profession. I knew I had to be committed to doing things properly and being in the recovery for the long haul and not the short term pain and frustration. This is not easy for any athlete, but it can be especially challenging for someone who is used to engaging in their sport of choice every single day. And let’s face it: people who run stupidly long distances are not entirely right in the head. Moderation and restraint are probably not things we embrace.
Like many women, I have a lifelong history of body image issues. I have been an every single day exerciser since I was 13-years-old. I have written about body image previously (particularly HERE). As the mother of two daughters and as someone who has struggled with how I feel about my appearance, it is an issue of utmost importance to me. Running freed me from a lot of concerns I held about not being ‘enough’: ‘not thin enough, not muscular enough, not hot enough, not pretty enough…just ‘not enough’. Running was something that made me feel not only ‘good enough’ but just plain old ‘good’.
This is a Test
I worried a lot going into this surgery that months of not running would make my body and self-esteem take a nose dive. I guess that is one thing about being in survival mode…suddenly the size of your ass seems much less important than just making it through each day. I learned that during my cancer treatments, of course, but we humans have short memories. We forget a lot of important lessons we learn over our lives and sometimes we need to go through a hardship again to relearn them. This recovery period is a test of how well I learned certain lessons the first time around.
Of course, I have not been inactive at all. Since the night of surgery, I have been working very, very hard at my rehabilitation. I do my Physical Therapy exercises twice each day. I spin on the bike for two 20-minute sessions each day. I have been going to the pool and swimming, water jogging and doing my aqua therapy exercises 3-4 times each week. It isn’t running on trails, of course, but it is something and I am diligent about doing it.
There are No Shortcuts
I promised myself before doing this surgery that if I lost muscle or gained weight, I would not engage in self-loathing. I promised myself that I would approach this like I do a race and look at each phase as vitally important in reaching my goals. In training for ultras, I wanted to embrace the entire process, start to finish, the good, bad and the ugly. I did not seek shortcuts then and I am not seeking them now. I want to do this properly or I would not have signed up to do it at all.
Ingredients for Recovery
Right now I need two things to heal properly: rest and good food. This includes lots of veggies, fruits, lean meats and sometimes cookies because a little indulgence is good for my mental health, too. So far, I have been kind to myself and not judgmental towards my body. This is progress.
I Don’t Hate you because you Can Run and I Can’t
I am actually proud of the fact that over the last four weeks I have not once felt sorry for myself because I cannot run. I have not felt jealous of my running friends. I am still able to look at people’s running joys and accomplishments on Facebook and think how genuinely happy I am for them. I am so glad I can celebrate along with people who are still fulfilling running goals and dreams. I hoped I wouldn’t feel pathetically sorry for myself following my surgery, but you just don’t know how things will impact you until you experience them personally.
So those are the things I really feel good about and have even gone better than I thought. But there are also things which are harder than I believed they would be and some things I had no idea would be an issue at all.
I Knew this Would Be Difficult…
I really miss being independent. Not being able to drive myself frustrates me still, but I know it is temporary and I am grateful for help. I could never have done this without my mom here.
Trying to sleep in the CPM is just so difficult for me and lack of sleep for four weeks is really hard to deal with. I will be shedding the CPM this week, so this too is temporary.
Sitting up causes a great deal of pain- more pain than I thought it would. I was in so much pain last night after working on stuff at my computer for several hours that I wanted to cry. I wanted to cry but I couldn’t cry because I was in too much pain and just too tired. All I could do was lay down on ice for the rest of the evening and pray I would feel better in the morning.
Didn’t See THAT Coming
In many ways, the hardest part has been the stuff I was not able to plan ahead for. I did not anticipate was that I would be on medications (not pain meds) for a month which would make me very sick to my stomach and dizzy. For 28 days, I have felt like I have morning sickness that lasts all day. Aside from PT, I am spending a whole lot of time laying down on ice and just feeling ill. I am far from resuming my normal life.
After beginning to progress towards weight-bearing, things that didn’t hurt at all before are now quite unhappy. My adductor muscles are very angry and so is my IT band. This is to be expected, but I was doing so well at first I believed maybe I would escape with no pain at all.
I did not expect what a toll this would take on my mental faculties. I apparently am not the only one, because a friend of mine who had a very similar surgery also commented to me that her brain was not firing at 100% either. There are a lot of things from the last month that are a bit foggy, and since I am not on pain medications, I cannot attribute it to that. It must just be the stress on the body and lack of sleep. Whatever it is, it is real.
Yay! Phase Two is Here
So, phase one of recovery comes to a close now and I move on to phase two. I can start to say goodbye to the CPM, the DVT calf sleeves, the ice and hopefully the crutches shortly and begin working towards full weight bearing.
The goals for me for now are to maintain my (mostly) good attitude and continue to adhere to PT protocols even when I am feeling poorly. Equally importantly, I hope to continue focusing on my end goals and recognize that each moment, especially the hard ones, are what will help me get there. I will be patient. I will be smart. I will be kind to myself. I will move forward slowly and surely.