Showing posts with label fitness. Show all posts
Showing posts with label fitness. Show all posts

Saturday, 1 March 2014

why personal training...

As is often the way, time absolutely flies by!  I cannot believe we are into March already.  

Part of the reason its flown by at such a pace is that its been busy.  I've been working my way through a course with premier training to become a Personal Trainer.  Im pleased to say that at the end of last week I passed, and passed pretty well if I may say so myself! 

Having passed, Im now in the process of working out what to do with it and how to use it. Im eager to operate freelance to make fitness and exercise as inclusive as it can possibly be.  Whilst contemplating all of this its been hard not too spend a bit of time thinking about how far I've come as well since that fateful day in 2010  (this blog has only existed since 2013, in case you don't know - that was the day of the 30 odd foot fall, broken back, snapped wrist and ruined ankle...), and the way a passion for activity has, at least in part, helped keep my focused, progress my rehab, and guide my recovery.  


This is me about two weeks into my post injury life having just been winched into a wheelchair for the first time.  I'd love to say this was the lowest point but Im actually looking pretty good here compared many occasions in the days before this was taken.  At the time, this was a huge step (for want of a better word).  My legs were paralysed, my right arm had various canulars going into it, and it was a treat to have my left arm out of its vertical position in its sling.  A lot of this was crap but it was still a really positive step forward as it was the first step towards getting into a manual wheelchair and regaining some vague degree of independence.  

Since then its been six months in Stoke Mandeville, a rehab experience like no other.  A gradual process of learning to walk again over a very long period.  The realisation of just how seriously I had ruined my ankle as it became more limiting than my back, and was causing me to walk badly making my back far worse.  Three surgical proceeders to try and fix make the ankle something worth hanging onto.  The realisation that it wasn't. An amputation.  Another four weeks in hospital and countless appointments with the prosthetist (with on going physio throughout)!



Then last week I  earnt my t-shirt!  

There are a lot of things that have helped my get to this stage.  My faith is an important part of my life and has undeniably dragged my through some hard times and I hold it heavily responsible for my ability to keep positive pretty much whatever happens.   Morgan has been a HUGE part of every element of the recovery, from the great moments like successfully walking down the isle on our wedding day (ruined my for a week after), to making the decision to amputate last spring.  Its been a huge burden on her and I hate that fact but despite that, on a daily basis she has absolutely amazed me with her mental strength and her ability to support me through it all.  On a similar note, family have been a huge help and I consider us really lucky to have family on my side and Morgans, who are local and who would do anything to help us.  As much as I get frustrated with myself  at the help I need at times, its a real blessing that its there.  On a purely practical point, Im extremely fortunate that there is an ongoing legal case on my behalf.  Whilst it is a horrible process, it has meant that Im able to see and work with some spectacular physios and access some incredible prosthetics.  Later in March I will be trialling a bionic foot.  The sad reality is that its something that is a long way off being accessible without such claims.  


So where does fitness come in.  Ive always loved activity.  Thats not to say I was into your classic sports at school (never on the football team - couldnt have cared less), but never the less I was never happier than when I was being active, whether that was on my back or climbing or what.  As a rule, the greater the perceived risk, the more interested I was!  At the time of the accident, I was in good shape.  I was running most days, I was climbing and kayaking regularly, and biked a lot.  I also spent a lot of time working my core and training in ways to improve my climbing ability beyond anything.  There are two reasons why this proved a good thing.  1 - it meant I could handle more.  At least 4 surgeons have commented that my level of fitness is likely to have helped limit the damage that was done by the fall.  Put simply, the fitter/stronger you are, more muscle you have which helps protect the body, secure the joints etc, and the stronger your bones are! 2 - It gave me something to strive for.  It was incredible, laying in a hospital bed and realising how fast muscle wastage is.  I expected it on my legs as they were literally unable to move, but I was amazed by how scrawny my upper body became.  I was determined that in time, Id be in ok shape again in the future. 

Reality is that these things take time and its a process.  Regaining some upper body strength happened quite quickly but it came with quite a lot of body fat.  Working out how to train effectively from the position I was in wasn't easy and nutrition was, sadly, the last thing on my mind - in hospital, whether its first or last thing on your mind its challenging to get right.  

As the months have rolled on Ive had different focuses.  In the early days of learning to walk, I knew that my legs needed to be stronger and I needed to regain the muscle mass Id lost.  Challenging when putting weight through one of your feet literally makes you want to cry.  As I was preparing myself for an amputation, I knew one of the key things that would help with recovery was improved core strength to improve my balance and control as I moved onto a prosthesis and so I worked my core hard (one of the key influences in my 3 week rehab, as opposed to the 6-8 week rehab I was told I would need). 


really, whats not to love....
So why a personal trainer?? I genuinely believe one of the key processes in my recovery has been my fitness level, and my determination to improve my fitness level throughout.  Exercise also keeps me going on a day to day basis.  If I don't, my body seizes up.  Everything gets harder, everything gets more painful.  In reality, at the absolute best of times, if I walk for more than half an hour my back will start screaming at me but I know that if I go a few days without training its made worse still.  The body and mind are a bit like a car engine when it comes to activity, they work at there best when the engine is warm.  If I don't exercise for a few days, everything gets cold and seizes up, and starting again becomes a 10x harder.  I also notice it in my mental state (as does Morgan I'm ashamed to say...).  If I don't train, I get moody! Part of that is probably linked to the increase back pain and discomfort though in all fairness...  


It literally improves my ability to function on a day to day business and I don't think thats limited to me.  Its the case for everyone and so as a PT, I want to help people to find that for themselves.  I also want to help people to find something they love to do.  It frustrates me when people tell me they don't like exercise.  The reality is that the body was BUILT TO MOVE.  We are not designed for the sedate lives thats western culture slots us into.   Most of us spend our days moving from one chair to another and spend our days sitting down, not on our feet, not moving.  Our bodies are designed to be upright, we are designed to be mobile and active and a huge number of health issues would be reduced if we fix that problem (we also work better when we have good quality fuel but Im not getting into nutrition now or Ill be ranting all night),  Even if your mind doesnt enjoy exercise, your body does, and in reality, exercise comes in many forms, theres something for everyone!   For me, its not about turing everyone into bodybuilding champions and fitness models (although if thats your goal, great, thats what we'd work on), instead its about functional exercise to improve how well you function on a day to day basis.  That might be as simple as a client saying, "I want to improve my health and not be out of breath when I walk to work", it might be "I've got three kids who all have more energy and I cant keep up".  It will vary from person to person.   

My hope is that, due to my own life experiences, as a PT I'll be able to empathise with my clients.  I understand that its hard, I understand that sometimes it feels like the body just doesn't want to join in, but I also see the importance and know that the benefits are hugely more than just looking better with your shirt off (although theres no harm in that).   

So my goals.  Work as a freelance PT.  Im currently in the process of going through the practicalities of creating a business, getting insured, setting up a website etc (functionalfitness.org.uk - its still a work in progress, ignore the typos, spelling mistakes, and need for more content). 

Long term, I plan to do specialist work looking at exercise referral, working with people with disabilities, and rehabilitation work along side the standard personal training work but you know what they say, one step at a time....  With a baby due in April, there is plenty to be thinking about after all! 

And on that note, Ive just realised how late it is and so Im going to hope this makes sense and say goodnight...


Thursday, 23 May 2013

Progressing fast!

It seems that I vented my frustration regarding the speed of progress and lack of challenges in physio a little too soon in my last blog.  Alternatively, perhaps one of the physio's stumbled across it and thought they would prove me wrong!  


Kneeling on a Swiss ball
Flipping hard work!
One way or another, in the last week I have been worked and worked hard!  On Tuesday I arrived for physio and I was told very clearly that we were upping the anti and had every intention of making me work harder - I guess that'll teach me for wanting to be challenged to a greater degree.  A lot of time has been spent in the Ppam aid which is great because its important but I've also found myself balancing on Swiss balls, either on all fours, lifting alternative arms/legs/arms and legs, or on my knees playing catch etc.  Sounds easy but try it - flipping hard work!  What doesn't even sound easy is doing single leg squats on a bosu ball, if you want to make your thighs burn I really do recommend it.  I also seem to have become a little bit of a challenge for one of the senior physios who likes to throw a bit of competition regarding who can do the better job with the balancing acts.  It's quite satisfying to be able to get up onto a Swiss ball, in a kneeling position, all with no support or balancing aids. 

Also been challenged into various activities with a guy called Jude, a patient with a through knee amputation who I'm getting to know quite well.  Challenges together included the likes of playing catch balancing on Swiss balls or kneeling on wobble cushions, or sitting back to back on wobble cushions and passing med balls to each other etc, all of which is happening in addition to all the other stuff!  

The inside of the negative
mould!
We've been productive in more ways than just increased physio though as today the wound has been checked and the doctor came to the conclusion that it continued to look spectacularly good and so the stitches were ready to come out.  The wound is now stitch free and nothing opened up so happy days I guess.  In even more exciting news, the doctors started talking about what my new leg should be and today I was casted so a prosthesis can be made.  The casting was a simple enough process, its literally lots of drawing on my leg, followed by a plaster cast which picks up all the drawings on the inside.  From this negative mold they will make a positive mold, which they will then make a socket out of that should fit me perfectly.  
and the outside... 

The plan is for me to have a moderate activity foot as my initial limb, which will have considerably more ankle articulation than a standard first prosthesis which, once mastered should allow me to walk over considerably less even ground be pretty active and mobile.  Once I'm settled into life they will give me my second limb which will have a high activity foot on it all ready for me to start climbing mountains, getting around properly uneven terrain and so on.  I'll also be having my limbs attached to my using a less traditional first limb system.  A standard first limb seems to be to use an effective belt to strap it above the knee.  Its great for simplicity but not good for high activity as its will cause a rubbing above the knee, so instead we are looking at over securing options such as a suction liner or something similar to keep the limb on which will allow a much better level of activity.  Happy days!!  Amazingly, having been casted today, I should be getting to try my first limb for the first time by Wednesday of next week.  I'm extremely excited as I'm sure you can imagine.

I've also just taken my last Oxycontin (hopefully), which is good news as its an extremely strong opium based drug which is really addictive so I have been eager to not be on it.  Hopefully the transaction to not needing it will go smoothly and I wont suffer as a result of it finishing.  Despite this I have upped the drugs to aid phantom pain, not because I am in any unbelievable amounts of pain but because it would be good to have none, especially in these early days when it is a more common problem.  Its good to be clear, if I always had this level or pain, it would be a shame, but it would still be better than the ankle pain I used to have, and because of the nature of phantom pain, firstly its likely it will settle with time, its still very fresh after all, and secondly, in my experience so far, using the leg (in the Ppam aid/on balls etc) seems to make pain less, not more and so it would not limit my activity like my previous ankle pain.  

In other news, Morgan continues to come up each day with different companions (family and friends), to visit which is amazing.  I've barely spent any time in the hospital where I've not been in phyiso, in the gym or in bed.  Pretty much any period of time I have been breaking out of the hospital to fine somewhere else to eat or something, anything to do that isn't being in hospital.  This place is, I'm more sure each day, the best place to be at this stage of amputee life, but its still so so good to get out, be with people who aren't patients and do non hospital things!  Its also great to see the love and support she is getting at home with people keeping her company at home, staying the night (massive thanks to Oliver in particular here, he basically moved in), people from church delivering food so she doesnt have to cook, friends and family helping with dog walking and so on.  A massive thank you to everyone who has been such a massive help, and a massive thanks as well for the prayer support we've been getting, both me for a fast rehab and for morgan dealing with everything as well! It means a lot to us both! 

As for now, its time to attempt to sleep on a 6 bed bay (a challenge in itself), before a busy morning of physio prior to a long weekend at home!! Don't you just love a good bank holiday!  

A good looking wound with
half the stitches out!

Monday, 20 May 2013

Stuck in the Ppam Aid

A great looking stump by all accounts
After an awesome weekend at home with Morgan and the dog, last night we had the depressing drive back to the hospital so I would be here and ready for 8am ward round with the consultant this morning.  

This morning began with the knowledge that it would be the first day since the op that I wouldn't see Morgan and this quite frankly sucks! It was the right decision as its not a lovely commute to do every day and Morgan needs rest and wasn't feeling 100% (pray for a quick recovery), so hopefully a day of resting will be a great way of recuperating and getting some uni work done.  Rehab needs to be fast because I miss my wife!  My aim is, get a prosthetic, be discharged walking comfortably a couple of days later.  Its totally unrealistic but you have to cling onto dreams and aims don't you!   

Strap weights to work the stump
Ward round was fine and the stump is looking 'fantastic' and 'textbook' - surgeons words not mine and the wound is looking beautiful so I should be all set for stitches out by the end of the week.  Ironically, because it was ward round day then nurses were paranoid about the huge amount of things happening and so got the drugs out incredibly swiftly.  Given thats the only thing that ever takes time from my point of view, I was up, sorted and ready with all the time in the world!  Using my excess time I hit the gym for an hour before physio.  Bit of a gamble as I didnt want to be knackered for my two and a half hours morning physio and hour and forty five minutes afternoon physio.   Was a good call in the end though, did me good. 

Physio went well.  Spent nearly two hours doing core and leg strengthening work - predominantly I was playing about on a big swiss ball challenging my balance in as many ways as possible.  I was then stuck in the Ppam aid and wondering around the gym! 

Ppam aid assault course 
Afternoon physio was entirely Ppam aid time.  It continues to be good to get up on my foot and strolling around the physio gym but frustrations are certainly coming through.  My fitness levels are fast outdoing my stumps recovery despite that going as swiftly as possible.  I'm in a great position as I've been working on my balance and core strength with passion for the last year plus.  This means I'm finding the Ppam aid really easy to use, which in one sense is great but at the same time I like to be challenged.  There are only so many times I can walk around the gym without having a numb brain!  To try and up the anti, my physio set me up a little course to make it a greater challenge with a step, a slalom and some bits to step over... 
It was no great challenge.  This was the first time I tried the course; 

So this is what I'll spend most of my physio sessions doing for the next week.  Its the best way to prep me to be as ready as possible for a prosthesis when the time comes (hopefully Ill be casted for my first one next week).  Its going to take some positive mental attitude to keep this happening but its all working towards something bigger and better!  Patience is a virtue eh!