Archive for category microfracture

No longer the Vickers, but still holding up

Quite a bit has happened in the past few months since I’ve written anything substantial.  With school picking up, it’s hard to write since both activities draw from the same energy source.

Today marks the first time since my knee surgery, nearly a year and a half ago, that I’ve run for seven consecutive days.  The last time I ran six days in a row was at the beginning of September, and I felt awful by the end of that streak.  From mid-August to the beginning of September, I ran about five or six days in a row and then took the other days on the bike to try to alleviate the completely trashed feeling from running.  By the end of September, I had been running about six miles on the days I ran and started to feel more smooth doing it, but I was still pretty beat up.

Part of the beat up feeling was more than likely due to me favoring my non-surgery leg when running.  I had been fighting an adductor strain on my right leg that gradually got worse until I was unable to walk without limping.  While my left knee felt fine, my right leg hurt just about everywhere.  At first, I thought it was just the humidity, but as the summer ended, the problems persisted, and I was forced to stop running at the beginning of October. From then until the beginning of December I spent most of the time on the bike, with a few botched attempts at running once my thigh problems calmed down.  However, within the last few weeks I’ve been able to restart running while keeping everything under control.  With the introduction of cold weather, it’s a lot easier to run than bike, despite buying warmer clothes to ride in the cold and rain.

At this point, I’m certain that I’ll never feel as good running as I did when I was on my college team.  On the team, even on the worst days after a race or hard workout, I still felt light on my feet and able to cruise through a 10-15 mile run without thinking.  Today, each step I take is a considerable effort, like I have to drag myself through five or six miles.  Comparing how I felt when running on the team with how it feels now reminds me of a passage in Neal Stephenson’s Cryptonomicon. A character in the book compares the power of a bandsaw to other saws and a Vickers machine gun to other firearms:

[T]he most noteworthy thing about the bandsaw was that you could cut anything with it and not only did it do the job quickly and coolly but it didn’t seem to notice that it was doing anything. It wasn’t even aware that a human being was sliding a great big chunk of stuff through it. It never slowed down. Never heated up.

Guns could fire bullets all right, but they kicked back and heated up, got dirty, and jammed eventually. They could fire bullets in other words, but it was a big deal for them, it placed a certain amount of stress on them, and they could not take that stress forever. But the Vickers in the back of this truck was to other guns as the bandsaw was to other saws. The Vickers was water-cooled. It actually had a fucking radiator on it. It had infrastructure, just like the bandsaw, and a whole crew of technicians to fuss over it. But once the damn thing was up and running, it could fire continuously for days as long as people kept scurrying up to it with more belts of ammunition.

Before my surgery and when I was on the team, it was as if I could just go forever and chew through any workout or race, “firing continuously for days.”  I never slowed down and rarely heated up.  There were limits, of course, but reaching them required hundred mile weeks, punishing pace runs, and draining interval workouts.  Like the Vickers, there was also quite the support infrastructure of coaches, trainers, and teammates.  But now only running a few miles is “a big deal” for me.  It places quite a bit of stress on me, though it is easier than in the late summer.  I’m quite sure I’ll have to spend a lot more time on the bike, but maybe I’ll get to the point where I’ll want to run a race.

With respect to school, I’ll be travelling to Stockholm in April to present a paper at RTAS.  I’ve been working on several projects related to event detection with accuracy guarantees, which will probably form the basis for my thesis.  I also went to RTSS in Washington, DC two weeks ago, but only a few tracks were on wireless sensor networks, but most were about job scheduling and cache replacement policies with the latest multi-core architectures.  I’ll also be starting a project with mobile phones with a few other students in our department, which should be interesting.  The traditional concept of wireless sensor networks entails small devices with cheap sensors and the processing power of a scientific calculator.  However, mobile phones have considerably more power as well as onboard sensors and have more potential for practical applications that people would actually use.

It’s interesting that I spend much of my time writing, creating presentations, and sketching out designs and high-level solutions.  About half of my time is actually spent programming.  It’s probably a good thing since it gives me a balance between different tasks.  Writing papers and creating presentations can be tedious since it can be difficult to cram in months of work into a short paper or presentation.  It’s also difficult to create a good balance of high-level descriptions and details to keep people interested but not get confused.  When working with a small group of people on a project for a long time, it’s easy to get stuck in a box and not consider things that outsiders would see as obvious.  Working with a few other students on my next project should help with this.

It’s when I run into my old teammates that I realize that despite being in the same town and same school that things are really different.  One of my teammates got married a few weeks ago and at the wedding, it really hit home that I’m living in a new era.  We’re no longer kids.  School has taken on a whole new meaning.  My relationship with my longtime girlfriend has also taken on a new meaning.  Many of the people and the places are the same, but life is different.

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Microfracture: 1 year

One year ago, as I headed into surgery, I wondered if I would ever be able to run again. This week, I ran over five miles every day with today as an off day on the bike.

Last week I was at home for the first time in awhile and while I was out running, I saw a guy who I always used to see in the early summer mornings before I headed to work. He asked where I had been and I told him what had happened. I said I was lucky just to be out there.

I don’t feel like I used to. Five miles is hard and it beats me up good. The loop I’ve been doing at home is probably more like 5.5 since I used the GPS once and I used to be able to do it in 31 – 32 minutes with little problem. Now I struggle to keep it under 40 minutes. While many others have returned to where they were following similar procedures, I’m guessing I won’t get back to high mileage weeks and workouts and long runs. The risk of undoing everything is too great and I’ve heard of people who pushed a few track intervals too hard and were in pain again the next day. For now, I plan on supplementing the running with biking when I get too beat up. I’ll probably gradually increase the amount of running I’m doing until it feels more comfortable.

Maybe in ten years some of those experimental stem cell injections will be common practice and I could get something like that if what’s left of my cartilage wears away.

Yesterday, in the middle of my run I tripped on a branch that came down with all the rain and storms. I twisted my left ankle so bad it hurt the rest of the day and irritated the plantar fascia. It was the same twisting that I think contributed to the whole knee mess in the first place, so that little move has me worried. After a day on the bike, I’ll see how it goes. I don’t know if I’ll ever run on any trails again after all of this just to keep myself from tripping or twisting my left ankle. But, even in the street I still manage to hit something.

Everything has improved significantly in the past year and hopefully it will hold up into the future.

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Microfracture Recovery: +10 months

It’s now over ten months since my knee surgery and nearly a year since my knee pain got so unbearable that I was forced to stop running.

I remember thinking last summer that my recovery would be a success if I could run a few miles a day every other day.  I’m now doing that: yesterday I ran 25 minutes at an agonizingly slow 7:00-7:30 pace.  Given my history, that isn’t much at all but I’m glad to be doing it with little or no discomfort.  Supplementing with biking, I feel pretty happy with the way things are going.  A year ago at this point, I felt as if I were doomed.

Occasionally when running, I will feel something down in the joint area on the left (bad) side, but I think it’s mostly IT band.  The IT band on my right side has been tight and nagging at me ever since my left knee blew up a year and a half ago.  The IT band has been the most persistent soft tissue problem I’ve encountered, but I’ve managed to keep it at bay since April 2008 through endless stretching and icing.  It’s probably because I’m still compensating on that side because of the left knee.

The size difference between my left and right leg isn’t noticeable to me anymore.  Following the surgery and being stuck in a brace for 10 weeks, my left leg shrunk down to nothing.  The size difference was incredible, which was what probably contributed to my limp that lasted for several months.  Biking has really helped with regaining strength in my left leg, but it still doesn’t feel quite equal with the right.

Running still feels extremely awkward, but with running more, I’ll adjust and be able to go farther and faster.  The question remains as to how much I can do safely.  The doctor and PT didn’t place too many restrictions on that and even tried to get me back to running faster than I wanted.  Both said that because of the location of the cartilage tear, I would have no difficulty returning to running.  The PT said I shouldn’t do any really hard workouts or compete in races — it seems that those whose microfractures fail occur during really hard efforts.  Of course, my teammate had the same surgery and was able to get through three years without anything going wrong, but I don’t know if that’s a chance I should take.  For now, I’ll gradually add time every week and maybe try longer streaks towards the end of the summer.  Sitting down with my college coach last week, he said I could be in shape to show up to practice and “hammer the freshmen” by the time the fall semester starts.  I don’t know about that.

Interestingly, on my trip back from Rome, I read a novel about a CIA operative that also had to stop running and undergo surgery thanks to missing cartilage.  Like me, he ran until the pain became unbearable.  The author didn’t elaborate as to whether or not the character had microfracture, but it was mentioned that loose pieces were removed.  The surgery was provided as a way for a hit man to try and take out the operative as he recovered at home.  Of course, the character was nearly 40 years old, so at least he had another 15 years of hardcore running under his belt that I won’t ever get.  Not to mention that the whole thing was fictional.

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Today’s WTF moment: Running pain free

So, this morning I went out on the bike and then came back and decided to have another go at running.  I knew my knee would hurt, but I wanted to figure out exactly where the pain was coming from to see if it might be something soft tissue.  I got back, and with dread, put on the running shoes I last wore in July 2008 for the last serious run I had.  I walked out to the parking lot again, and started going.  No pain.  I went a good three or four minutes in the parking lot and couldn’t believe it: not a thing.  How did this happen?  I will count my blessings.

It could be that biking is just making things tight and that maybe I should run first.  I also really shortened my stride so I didn’t have to bend my knee as much, which probably helped.  It might be that bending it too much is causing the pain in the damaged area, so I might be constrained to shuffling around everywhere.  If my body permits me to go more, maybe that will work itself out.  Regardless, it was the best four minutes I’ve experienced in quite a long time.

Pain is a weird thing.  When you don’t have it, you don’t think about it, but when you’ve got it, it makes things miserable.  I remember my high school coach giving a speech about pain before a workout.  It was during the first few weeks of my freshman year.  He asked how many of us had older siblings in our families.  A lot of guys raised their hands.  He then went on to say that our minds don’t remember pain and if our mothers had remembered the pain of childbirth that many of us who were second or third children would not exist.  The point was to illustrate that though you’ll be suffering through the workout, an hour later, you’ll be fine and you’ll be willing to do it again a few days later.  The same thing goes for injury pain and illness: it’s hard to concieve what it’s like when you’re healthy, but when you’re down, it really sucks.

An interesting study/article points this out: that the little things like pain are what make or break our lives.  People believe that it’s the big things that really make us happy or sad, but it isn’t.  It’s not the new and exciting job, it’s not the move to sunny California, and it’s not winning the lottery that makes your life better.  People who survive natural disasters and other traumatic incidents and those that even lose their vision or hearing don’t report that they feel any less happy than they were previously.  However, those that develop strong ties with family and friends report being happier, while those that develop chronic pain or discomfort never adjust.  It seems that indeed, pain is something that can never be adjusted for, and it’s probably some kind of evolutionary survival mechanism.  Without pain, I would have run even farther on my knee last year and probably to the point where I would become unable to walk.

For now, I’ll get while the getting’s good and try to run in real small increments all the while being on the lookout for any serious problems.

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Microfracture: +9 Months

Today marks nine months since my knee surgery.  After some cycling, I put on my running shoes and shuffled out in the parking lot for a few minutes.

All I can say with certainty is that my knee hurts when I run.  I went about twenty or thirty steps before pain started somewhere around the joint.  I went about a minute, stopped and stretched, and then walked for a few more minutes before going again for another minute.  It wasn’t any better the second time around, and the pain seemed to get worse.  I haven’t had any serious knee pain in a very long time.  It doesn’t hurt when cycling: I can mash the pedals and ride up hills out of the saddle or sprint to beat a light and I have no pain at all.  It doesn’t hurt when I climb stairs, nor do I feel any popping or locking that I used to.  It still doesn’t hurt when I put in the clutch to shift in my car.

While running for the first time since November or December felt awkward, the pain eclipsed any biomechanical weirdness.  Run enough, and the biomechanics will smooth out.  Oddly during a recent practice, one of my old teammates told me that my coach gave me as an example of good running form.  I think that’s the first time I’ve ever heard someone comment on that.  It’s like saying I’ve got great coordination — I struggle just to get my feet in the bicycle clips.

It feels as though the pain is in a different place than last July when the knee pain took me out.  Since it’s been so long since last July when I experienced the knee pain while running, my perceptions of how things feel have been invalidated.  That said, last July, I could tell that the pain came from a very specific place right next to the kneecap and that it was deep in the joint.  This time it seems more spread out, more to the surface, and more lateral in its location.  I had occasional pain similar to this at PT when the leg brace came off, and the PT told me it was my IT band.  It could be my IT band, but when my teammate who eventually had microfracture first started feeling pain, he thought it was his IT band too.

The pain really comes down to one of two sources: either the microfracture failed to produce enough fibrocartilage to protect my knee from the impact of running, or it’s something soft tissue that I can deal with.  Since the doctor and PT were extremely optimistic that the microfracture worked and that the cause of my pain was most likely from my IT band, I will first try dealing with this as a soft tissue problem.  That means loads of stretching to try to smooth stuff out.  I am not without precedent: when one guy with torn cartilage and microfracture first started running in the early winter, he experienced a lot of pain like I am now.   Now he is running six, seven miles a day and the pain is much more manageable or even nonexistent on some days.  Initially, I thought he was crazy the way he talked about running in excruciating pain, but it appears as though the pain wasn’t from the torn cartilage.  At least not if he is feeling better while running more.

I can say that I am feeling a lot better overall than even before the surgery.  I can go harder and longer on the bike than I could before.  I can go almost two hours before I start to feel tired, while last summer I would be exhausted if I went that far.  I can now power up hills that previously left me in the lowest gear and I can take on someone who passes me, when previously I would struggle just to stay on their wheel.

I will try to run small amounts as much as I can and see if this pain is manageable, while hopefully not making things worse.

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This weekend I…

… rode outside for the first time since the surgery.  This was a huge step forward and I had been waiting too long.

Over the past week or two I had been getting really restless.  The hour on the trainer every day gave me a workout, but the weather was starting to turn.  Spending nearly 95% of my time indoors over the past seven months was starting to really get to me.  As goes the quote from “Office Space,” “Human beings were not meant to sit in little cubicles staring at computer screens all day,” which was pretty much what I have been doing.  I would walk back and forth from the Computer Science office and that was about it in terms of getting outside.  Something was about to give.

It gave this weekend.  The Colonial Relays was this weekend, and on Friday I walked over from the office and watched some of the distance races.  The hour or so that I was out there had been the longest I’d been outside in quite a long time.  That night, I went back and talked to a few of my teammates and alumni that had come back to watch.  It was a great change of pace and was good to see everyone run.  I talked to a lot of people that I hadn’t talked to in months, some even longer than that.  A lot of people asked me when I would try running again, since the doctors have given me the okay to start.  I replied that I wasn’t sure, but it would be soon.  In talking to my old teammates, I had forgotten what I had left behind.  For quite awhile, I’ve been in my own really tiny world, working on my projects.

Until now, the only times I would be shocked back into reality was when I would be having a discussion with my adviser in the late afternoon.  We would be having a discussion on the whiteboard in his office and I would happen to glance out the window and see all my teammates run by in a blur.  It’s a real kick in the butt to see that and remember what I used to do.  In the world of computer science, the atmosphere is mellow, but determined.  In the world that I came from, it’s about getting on the track and suffering.  Unfortunately, in the context in which I live now, I don’t think anyone says, “I really dominated in that conference paper.”  You don’t sweat and breathe hard while thinking up and coding a slick algorithm.

On Saturday, I got up, ate breakfast and prepared to do what I had done since before Thanksgiving: get on the trainer and pound away for about an hour.  I would open the window, turn on the fan, and listen to music while I looked outside at the law students coming and going from the library.  But on Saturday, the sun was shining and it was getting warm.  I couldn’t take it any longer: it was time to go out.

It was about the best feeling I’ve ever had.  I was uncaged, released into the wild, my natural habitat.  I hauled it out past the state park at York River.  The weather said the wind was blowing 30 mph gusts from the west, but I didn’t notice a thing.  I powered up hills where over the summer I remember being exhausted and downshifting into the lowest gear.  I remember trying to upshift, only to look down and see there were no more gears to use.  A dog bolted out from its house and chased after me for nearly a quarter mile, but I kept it at bay.  I turned around right before the road ended at the river.  As I got closer to home, I never got tired.  I looped around campus and got to the track just in time to watch the 4×800.

Yesterday was the first day in months that I didn’t do any work before dinner.  I still did a little before I went to bed, so I couldn’t call it a complete day off.  I was outside at the meet all day and got a nasty sunburn.  I guess that happens when you don’t have a built up tolerance from running or biking outside every day.  I watched all the distance relays and hung out with everyone some more.  By the end of the day, I was exhausted.  On the bike, I’d gone 45 minutes over an hour, and despite feeling much easier than the trainer, was enough to make me not want to move for most of the afternoon.

Today I went out again, but took it easier.  I was definitely more tired today and felt more normal as compared with pre-surgery rides.

As for my knee, I was out of the saddle several times and really hammered up some hills without any real discomfort.  I might have felt something this afternoon walking around, but I can’t be sure.  I do know, that if my knee could handle what I did today and yesterday, I’m pretty sure I’ll be able to do at least some running.  Sometime soon, the same thing will happen with biking outdoors and I’ll just start running on a whim.  It won’t take much to push me over the edge.

I finally broke down and got a new bike.  For awhile, I’ve been worried that the rear cogs are so worn that someday I’ll go up a hill and the chain will just rip off.  I tried a few new bikes out at the bike shop, the first one being a Specialized aluminum frame.  It felt like my old one, nothing really special about it.  But, I tried a Giant TCR-0 with a carbon frame and it felt like a rocket.  It was an unused 2006 and I think I got a pretty good deal on it since equivalent new models of just about every manufacturer go for about $1000 more.  I’d been to bike shops quite a bit in the past few years and I don’t often see anything older or discounted.  It seems most owners keep a limited stock.  The components had been switched up and have a combination of Shimano Ultegra and 105.  I really don’t need the way high end components since I don’t care too much about saving some fraction of an ounce of weight.  As it is, the bike feels like a feather compared to the steel Bianchi.  Since my shoes and pedals were a mess, I went ahead and replaced those.  Hopefully I’ll be able to try out the bike before the weather crashes this week.

If I can bike or even run outside more often it will provide more of a balance to my life.  I really can’t just hole up and work all day — there’s got to be a balance to the equation.  The recent discussion about goofing off boosting productivity probably has some merit in it.  Biking or running isn’t really goofing off, but it provides the same release.

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Microfracture: +7 months

It’s been over seven months since the surgery and there are days I don’t think much about my knee. It just works like it’s supposed to. No more painful popping. Sometimes it does pop on the inside, which I think is some kind of compensation due to the new tissue growth on the outside, where the damage was. It probably isn’t very smooth in there.

I still haven’t tried running yet. With a lot of work for school, the immense overhead of returning to running is just too much. With past running injuries, there is so much time that is needed for walk/jog, cross training, and way more stretching and icing to deal with potential comeback injuries. When work subsides some, hopefully within a month or two, I should have more time to try running again. With the biking that I’ve done, I’m fairly confident that my knee will tolerate some running. Otherwise, I’ve got a feeling that I would have some pain on the bike.

My bike got a flat from the resistance trainer this week. I find that odd. The tire rubs against a smooth surface on the trainer, so it wasn’t punctured. I have a feeling that the rubber tube degrades over time and eventually the glue and seams that hold it together come apart. It was probably a pinch flat: as air slowly leaked out, the underinflated tire was pinched by the rim, causing a small tear in a seam. I did notice this week that the resistance didn’t seem as much as usual although I had recently put air in the tire. This morning it was flat, and five minutes after putting in more air, it was flat again. After a tube change, the resistance seemed more normal, but I always get real paranoid about stuff like this when biking. Sooner or later, something’s going to give. It’s why I like running: no equipment to rely on.

It’s almost as if with biking, some of my stress-induced injuries that would occur with running get transferred to the bike. With running or biking, there is a single entity performing the activity with the same probability of some kind of failure. With running, it’s just me, but with biking, the bike and I are sharing the task. Sometimes I break down, and sometimes the bike breaks down. In most cases, the bike can be fixed a lot faster than I can.

I’m still considering getting a new bike, but haven’t looked into it too much. I would like a carbon fiber frame, but that jacks up the price significantly. I know Trek has a fairly wide range of relatively affordable carbon fiber bikes, but it seems that some are better than others, so I’ll have to do research. The aluminum frames I’ve ridden feel kind of twisty while the steel-framed Bianchi I’ve got is solid. The components on the Bianchi are about ground to dust so I’ve got to get something that’s fairly robust. I figure that shelling out a bit of dough will be worth it if it’s something I’m going to use every day. Like the computer monitor, I would rather pay a bit more for something that’s good and that will work well and hold up than get something cheap that will break down. If I start running again, I’ll probably not bike as much, but I would probably still do it to help ease the impact of just running and doing nothing else.

For now, I’ve got no reason to rush anything, and when the time is right, I’ll look more into running again. I do think that time is coming soon.

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One year ago today…

The day that my knee gave out. It was the day I went out on a freezing cold morning run and five minutes down the sidewalk I took a step and it all went wrong. It felt like my whole lower leg and quad just exploded. It was definitely a scary moment and I thought for a few seconds that whatever it was wouldn’t allow me to even walk.

Now it’s one year later on a similarly cold day and I’m on the other side. After a long period of pain and wondering what I had done to my knee, to the cartilage tear diagnosis and buildup to the surgery, the weeks of non-weight bearing, the months of wearing a brace, and finally biking again, I’ve come nearly full circle. A few of the guys on the team asked yesterday when I’ll be tying up the ol’ running shoes again. One even asked about racing plans. Not so fast…

My goal is to start once the weather gets warmer — the cold is probably one of the factors that led to my problems in the first place. The worst of all my previous running injuries started in the winter. I really also don’t care for freezing my butt off outside when I can bike inside. A part of me doesn’t want to start at all in fear that I’ll be in pain. I would almost rather just have the hope that I can run again versus the fear that I’ll never be able to.

I have a hard time believing it’s been a year since all this went down. I feel a lot better now than I did then, especially knowing what was wrong with me. I waited for months until the pain and irritation got so bad to go to the doctor, but there wasn’t a day that I wondered why my knee gave me such trouble. I remember clearly the day I hurt it, getting into the car and feeling unbearable pain each time I put in the clutch. Stairs were a nightmare, and even extending my leg when sitting down was pretty bad. At the least, I know what happened and I’ve tried to get it fixed. It’s possible with advances in stem cell research that I could get an injection that would regrow my lost cartilage to its pre-tear state. I could go back to running as if nothing ever happened. Now, I’ll be satisfied if I can get out the door a few times a week for a couple of miles.

I’m really starting to face the reality that I’m getting older. I know I’m not that old, but most of the doctors I’ve seen for various running injuries have told me that I’m not an invincible high schooler anymore. Stuff is going to wear me down more than it used to and I’ve got to pay attention.  My coach calls them “old man” injuries. I even get called “old man” when I occasionally drop by at practice.

I guess this just boils down to the fact that I wish that I didn’t have to worry about coming apart at the seams. Ray Kurzweil goes on about how much of a PITA it is to give our bodies constant attention and to still have them break down on us — that a better solution is needed than just advances in medical technology. I really can’t stand to have to dedicate so much time to bodily upkeep when I could be doing something else. Imagine how many more interesting things we could be doing instead of having to sleep, eat, drink, brush our teeth, and handle other annoying bodily functions. They always seem to get in the way when I want to put my attention elsewhere.

Though uploading my consciousness into a computer as a program sounds like a radical idea, it would certainly take care of most of these annoyances. The question would then become one of experience: would existing as a computer program provide the same sensory experience, satisfaction, and overall quality of life as in a real body? I’m not sure. At this point I would have to say no, but maybe a few more years of aging will change that.

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Microfracture: +20 weeks

A few more days and it will be five months since the surgery.

At this point I don’t know if I’ll post any more weekly updates about my knee since not too much is happening. At least not until I try running again or if something bad happens. The biking is bringing my left leg strength up to par with my right and the size difference between the two is becoming less noticeable. I drove the Mustang yesterday and for the first time putting in the clutch wasn’t accompanied by the anticipation of popping and pain. I’ve noticed that putting in the clutch is easier now that my strength has improved.

As I’ve probably mentioned before, I’m content just biking for now with the resistance trainer. After the semester really gets going and maybe the weather gets a little warmer I might start a return to running program with some guidance from my old coach. It’s hard for me to believe that I’ve found contentment in something else other than running, but hard biking seems to be doing the same job: making me tired. When I feel worn out, I feel like I’ve accomplished something. I do miss being outside and not relying on some piece of equipment to get me around, so I’m pretty certain that I’ll get back to running at some point as long as my knee allows.

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Microfracture: +19 weeks

Not much going on with respect to my knee.  I’m still continuing my leg strengthening routine with leg weights and biking with the resistance trainer.  I was on my feet for a few hours again over the weekend and again noticed that I was more tired than before the surgery had I done the same thing.  Maybe it’s the biking, but it’s hard to tell.  Regardless, it’s a far cry from the daily fatigue I faced while running on the track and cross country teams.  Some guys used to hate it, but at the time I really didn’t care — it was just something I dealt with.  Now, I’m starting to realize how much effort it took to get through practice every day and how ransacked I got after nearly every workout and race.  Tiredness for me now equates to about the level of tiredness I faced during the first few weeks of a new training cycle when I was on the team.

I still have occasional pain in my left knee, which is probably just the IT band again, but sometimes I think I feel something in the joint.  I’ve been stretching more after biking to help keep everything loose before I get in front of the computer for most of the day.  I spend about 15 minutes or so now, which is better than when I first started biking, where some days I wouldn’t stretch at all.  I really should do more so that I can adjust better if I bike more or start running.  If I start biking on the roads for any significant amount of time or add in running, I could be in trouble with not stretching enough.  Plenty of typical soft tissue injuries could be in store for me if I don’t watch out.

I drove the Mustang again yesterday for the second time since I’ve had the surgery.  I’m planning on driving it again more now that I can handle it, but it still has me worried whenever I put my foot on the clutch.  Each time I even touch the clutch I think about the popping and pain that ensued prior to the surgery.  It’s like going down stairs was for awhile.  I just have to overcome the fear, but at the same time I wonder if the clutch is going to wear down the fibrocartilage in my knee in the same way that running might.  I will gradually drive it more and see how it goes.  I may throw in the towel if I start to get discomfort.

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