Eight days ago I snapped my right achilles tendon (AT) running on a stunningly beautiful beach in northern New Zealand. It broke with a ‘boing’ – like a sound in a kid’s cartoon on morning television –
kicking me forward, face down in the tide. With the help of friendly strangers and a lifeguard I was taken to the lifeguard base and then by paramedics to Thames hospital where the leg was put in plaster. Today is the beginning of week 2 of my recovery.
Thames hospital treatment – the plaster – was a holding pattern. They advised me to see my hometown GP asap and get referred to a specialist for evaluation and treatment decisions. The appointment with a specialist in the fracture unit came through quickly once they understood the AT was completely broken. A 3 week wait became “can you get here in an hour and a half?” The consultation confirmed the events and reported diagnosis, but rescheduled evaluation (treatment decisions?) for next week, once the injury has had two weeks to settle down.
As I understand it from a quick literature review, an oversimplified description of the options is whether to follow a conservative recovery approach and allow the tendon to heal itself or assist the process with surgery to join the two ends – stitching them together with parachute pattern sutures. Considerations include the innate healing effectiveness of my body and a 10% risk of infection through surgery. The literature is not clear if either method is faster or results in a better outcome for cycling or life.
In the meantime I have had a week off work and now 3 weeks without riding. I pulled my entry in this weekend’s 2 day tour. My crazy thought is to comeback at K2, the 200km mountainous circuit of the Coromandel peninsula in early November 2011. That gives me 10 months. The big question is whether the specialist can provide a workable time line for return to the bike and training. In the meantime I need to control my weight and make the most of what I have. This means daily calorie counting (I am using fitday.com) to monitor and control what I eat, keeping daily intake close to my low activity needs. I am following or reading ‘comeback stories’ for inspiration and developing a weights plan to strengthen my core initially and then move progressively to a full cycling plan, in appropriate stages, later.
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