The Road to Recovery (Back at home)

Baz - Recovering
Baz – Recovering in the backyard

The miracle of modern medicine and surgery has me at home already, recovering from the surgery I had on both of my ankles late last week…

My doctor is very happy with the procedures and results.

I had an endoscopy on my right ankle to clear some bone debris from a skydiving accident in 2008, and a couple of spurs that had formed.

The left heel was opened completely and the Achilles tendon detached to repair a split which apparently was mostly due to degeneration and to clean the heel of a couple of spurs and a boney protrusion, commonly known as a Haglund’s Bump.  Because it was detached I have had to have two anchor screws placed to enable the Achilles to be sewn back on.

My sport’s doctor had tried some conventional and non-conventional non-surgical therapy on my left foot, including Platelet Rich Plasma (PRP) injections that provided only moderate results.

I’m now recuperating at home and the doctor has suggested two to three weeks of complete rest to hopefully assist in a quicker recovery. Mobility is a problem as my left foot cannot take any weight at all, although my right foot can take weight, which is useful for getting around.

The plan is to progressively introduce some weight and physiotherapy to both feet over the coming month and we are hoping for a full recovery within three months.

Of course, that is the plan, and whilst it is unlikely to be earlier, it may take longer.

Baz - Grey's Peak, New Zealand
Baz – New Zealand

I have until mid-August to confirm my place on the expedition to Nepal in November, so plenty of time to recover and train, hopefully.

And to all, thanks very much for your kind words of support and I’m confident I’ll be back to doing what I love very soon…just being Out and About having fun!

Baz - Southern Alps, New Zealand
Baz – The Landy, Out and About having fun

You’re suffering from what? (Retrocalcaneal Bursitis)

Baz - Mountain Run, Coast to Coast Race, New Zealand
Baz – Mountain Run, Coast to Coast Race, New Zealand

For those of us who run, walk, jog, exercise on a regular basis the term achillies tendonitis is probably equally as familiar as the dog that always chases you half-way through your usual running route.

I suspect the achillies is blamed for most of the pain occurring in that region, but it can also be from other sources.

Over a period of time I have been suffering from Retrocalcaneal Bursitis.

Retro what, I hear you ask.

And just to be clear and to avoid any confusion, the condition and associated pain is in my heel, well below, um, my rear-end.

So what is this ailment, what causes it, and more importantly, what makes it go away?

My sports physician and I have been working on the last part of that answer for some time now.  Bursitis is an inflammation of a little fluid sac found around most of the major joints in our body and it is designed to provide lubrication against friction where muscle and tendons are sliding over bones.

Retrocalcaneal Bursa(photo A.D.A.M Inc)
Retrocalcaneal Bursa
(photo credit  A.D.A.M Inc)

Retrocalcaneal bursitis is the area specifically located around the ankle and heel area of the foot.

Causes for the condition can be varied, but for the most part it is an overuse type of injury that can be induced by walking, running, jogging, and can be accentuated by walking uphill.

For me, that is a tick on all counts. Jogging, tick, running, tick…

Women People wearing high heel shoes can often suffer from the condition.

Last year when I was training for the Coast to Coast Adventure race, a race from the West to East coast of New Zealand ,the condition came and went and was usually treated with plenty of stretching and some anti-inflammatory medication.  However, the condition has worsened over the past few months, corresponding to an increase in my mountaineering endeavours, which involves plenty of uphill walking on steep inclines.

Baz - The Landy
Baz – The Landy

A recent x-ray confirmed that a small bone spur is triggering my condition.

Preparing blood for PRP Treatment
Preparing blood for PRP Treatment

And now that we know precisely what we are dealing with remedial treatment has commenced.  My sports physician has elected to use Platelet Rich Plasma injections, or PRP as it is referred to as.  This is a relatively new technology that involves taking a sample of your own blood, in the same way you would normally do so if having a blood test, and this is placed in a centrifuge to extract the plasma which is then injected into the injured area.

The science behind the treatment is that the platelets contain growth factors which stimulate an inflammatory and healing process.

Okay, I’m sure it is far more technical than that, but crikey, the last time I played doctors and nurses it was with the Kelly girls when I was 10 years old, and it was nothing as complex as PRP treatments.

But I’m digressing…

I had one PRP treatment about two weeks ago, along with a cortisone injection and I will be having a follow up injection in a week’s time to assist the healing process.

And whilst the treatment does not correct the bone spur at this time, it will help strengthen and thicken the achillies tendon and help protect against the aggravation, well that is what we are hoping for as surgery usually takes quite some time to recover from, but may be necessary eventually.

A boy who dreamed of big mountains
A boy who dreamed of big mountains

So another couple of weeks of rest away from the normal exercise routine, but I’m chomping at the bit and need to get extremely fit for the climbing expedition to Nepal later this year.

Strewth, can’t wait for that…

And remember, if all else fails, just remain out of control and take a big leap of faith!

Baz and TomO (two peas in a pod?)
Baz and TomO (two peas in a pod?)

The Shed – Font of all knowledge (And some tall stories)

The Shed
The Shed

Phew…“The Shed” hasn’t changed whilst I was away climbing in New Zealand.

It is still that grand old place where tall stories can be told, a few laughs had, a place where you can grab a coldie out of the fridge to share with mates, and importantly, it is my morning training hangout.

These past few days I’ve headed up the driveway in the pre-dawn darkness, a time of the day I actually enjoy immensely, to exercise on my C2 Concept Rower, and to lift a few weights.

Rowing in the Shed
Baz on the C2 Rower

Over the coming months my exercise regime in The Shed will revolve around high intensity cardio and building muscular endurance in preparation for my expedition to Nepal at the end of the year. Of course, there will be plenty of hill climbing with a 20 kilogram backpack, and I could never go without getting in a paddle on the lake at least once a week.

Baz - heading up "The Hill"
Baz – heading up “The Hill”

I’m always happy to be out hiking in the Australian Bush…and kayaking on our magnificent ocean beaches and inland waterways!

Baz, Terrigal Beach, Australia
Baz, Terrigal Beach, Australia

I will also be focussing  on improving muscular flexibility through yoga practice. Bikram is my preferred yoga and I’m looking forward to reacquainting myself with it over the coming weeks.

Another focus of mine will be agility, something we seem to have in younger days and lose over time. Whilst I’m not too bad, my trip to New Zealand highlighted that I would benefit from undertaking some specific training, like balance beam walking with a back-pack…

And of course there’ll be plenty of rock-climbing up in the Blue Mountains to hone my rope handling skills and efficiency.

Baz - Boar's Head, Blue Mountains, Australia
Baz – Boar’s Head, Blue Mountains, Australia

Something that I will be revelling in!

And my partner in crime, brother-in-law, Ray Tong, and I are scheduled to line up for another start in Tough Mudder in early April, and he is well advanced in his preparation, so I have some catching up to do!

Ray and Baz line up for Tough Mudder
Ray and Baz line up for Tough Mudder

We are looking to improve our time from last September’s Tough Mudder event.

Mind you, I’m currently suffering from a long term achillies tendon injury which has flared once again.

My sports doctor is treating it with Platelet Rich Plasma or PRP as it is usually referred to.  It involves drawing my own blood and extracting the PRP which is then injected back into my achillies tendon to assist recovery. The process can be done in the surgery and takes around 15-30 minutes.  To date, I have had one injection and another is scheduled for next week.

I’m also undergoing a very specific stretching regime to assist in the recovery.

Fingers crossed, as failing this it will require some surgery to correct.

Baz - Crossing Swing Bridge on the Six Foot Track
Baz – Crossing Swing Bridge on the Six Foot Track

But I’m confident all will be well within the next few weeks and I can’t wait to be back out in the mountains hiking and climbing.

All up, life is pretty good, wouldn’t be dead for quids…

And remember, if all else fails, remain out of control and see what happens, or just take a leap of faith!

Baz and TomO - Just remain out of control...!
Baz and TomO – Just remain out of control…!