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wshaffer

September 2021

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So, this is what my experience of loading and unloading my luggage from airplane overhead bins was like on my most recent trip: "Excuse me, ma'am, do you need help with your -- oh, clearly you don't." All my shoulder rehab still hasn't quite given me back 100% normal range of motion, but on sheer strength, I have clearly surpassed where I was pre-injury.

But this got me thinking: back when my shoulder injury was at its worst, people were generally very good about offering to help me when they saw me struggling with my luggage. (Although I also checked my bag more often - sometimes you just don't want to to put yourself in a position to rely on the kindness of strangers, especially strangers on airplanes, which are not an environment that brings out the best of human nature.)

But when I think further back, back to the days when I had very little upper body strength, it was very rare that anyone offered to help me with my luggage, even when I was visibly struggling with it. I somehow doubt that we've all just gotten nicer. I do kind of feel that since the airlines started putting bigger fees on checked luggage and more restrictions on carry ons, passengers have taken a more cooperative attitude towards getting everyone's bags stowed on planes. Or maybe it's just that I'm older now, and more plausibly look like someone who might need help?
So, I haven't posted much about my frozen shoulder recovery in a while, because there was a long stretch of many months which felt like an exercise in learning how small an increment of progress could be and still be progress. However, in the past month, I've gained a remarkable amount of range of motion.

The funny thing is that a lot of this progress happened during the two weeks when I was traveling in the U.K., and not doing much work on the shoulder beyond a bit of soft tissue work with a lacrosse ball. On the other hand, I was getting plenty of sleep, walking 3-6 miles a day, and not stressing about stuff, which sounds like a pretty good recipe for fighting general inflammation. The lesson I'm drawing here is not that my PT exercises are useless, but that progress is non-linear.

I'm also incredibly excited that the other mobility work I've been doing with my trainer seems to be paying off as well. My hip and knee mobility are visibly improving.

And, just to lay to rest any worries that I had along the lines of, "Well, this mobility stuff is great and all, but does it mean that I have to give up making strength gains?" I deadlifted 140 lbs this morning.
So, having "graduated" from physical therapy, I've now got the job of managing my shoulder recovery on my own. I've learned two things recently:

1) Some days I wake up with a very stiff and sore arm. (The locus of the most pain has actually shifted from my shoulder to just above my elbow where the biceps tendon inserts. My physical therapist told me that this is normal.) Doing 30 to 40 minutes of upper body exercises (lat pulldowns, push ups, bicep curls, triceps extensions, and horizontal rows) does wonders for loosening everything up and reducing the pain. The trick is getting through the first 10 minutes without either sitting down on the weight room floor and crying, or going and doing some leg exercises that don't *hurt*.

2) I can do YTWL's again! YTWL's are one of the best exercises I know for strengthening the rotator cuff muscles. I've tried doing them at various points during my recovery from this injury, and have always found either that the movements were too excruciatingly painful or that my range of motion was too limited to make the exercise seem worth doing. I tried a couple of sets this morning after the aforementioned 40 minutes of upper body exercises, and it was manageable.

Progress sometimes seems frustratingly slow, but there is progress.
I'm not dead! It's just been a slightly hectic past few weeks.

Something I learned about time management: I thought that I was being tremendously clever in scheduling most of my physical therapy appointments in the early morning, so I could get them over with and get on with my day. I forgot that with the increasingly close collaboration I have with colleagues in different time zones, early morning is also practically the only time we have to hold important work meetings. This has turned my work schedule for the past few weeks into something akin to a slightly stressful game of temporal Tetris. I've learned my lesson - my last two physical therapy appointments are scheduled for early afternoon. It will mean a bit more driving back and forth, but I think I'll be saner.

Physical therapy is going pretty well. I'm not all better yet, but I've got a pretty functional range of movement in everything except the "reaching up between my shoulder blades" movement, which remains sticky.

And then I got a horrible cold and lay around at home for a few days. Daniel, who knows how to look after a sick Wendy very well, brought me a few liters of diet ginger ale, and the DVDs of the BBC's recent production of The Hollow Crown - Shakespeare's Richard II, Henry IV (Parts 1 and 2), and Henry V. I watched Richard II and thought it was an excellent production. The cast is basically a who's who of British actors, but Ben Whishaw is particularly good as Richard II. Richard II is a difficult role to play, because he's basically someone who is making a great outward show of being king without having the decisiveness or the political savvy to back it up. I think my initial reaction to reading the play was basically, "For god's sake, kid, hand over the crown to Bolingbroke and put us all out of our misery." But when you see the role played by an actor with real charisma, it really changes the play, because you half buy into Richard's image of himself. My only quibble with this version is that they cut down the farewell scene between Richard and his queen, which I remember being really heartbreaking in the Arkangel Shakespeare audio version of the play, and in this version was merely mildly heartstring-tugging.

Also, I think maybe they over-egged the visual coding of Richard as effeminate and Bolingbroke as manly. Because there's really no connection between having fabulous hair and wearing pink and being ineffectual at governance. (Ben Whishaw does have fabulous hair in this, though. If the BAFTA awards had a category for best performance by a ringlet, this would have been a shoe-in.)

Looking forward to watching the rest of the set. Which has Tom Hiddleston as Prince Hal/Henry V. Niiice.

Progress!

Nov. 15th, 2013 10:39 am
wshaffer: (Default)
So, today at my PT appointment, we measured my range of motion and compared the numbers with what they'd been on my first visit:
lifting arm straight up in front of me: range of motion increased from 130 degrees to 160 degrees
lifting arm straight up to the side: range of motion increased from 110 degrees to 160 degrees
holding elbow at side and rotating lower arm outward: range of motion increased from 30 degrees to 60 degrees
My PT doesn't record a numerical value for the "reaching up to scratch between your shoulderblades" motion, but he considers me now able to reach my "mid-back" rather than just "lower back".

I've still got some way to go, but that's a very nice rate of improvement!

As my reward, I get a new batch of exercises to add to the ones I'm already doing. Wheeee!
So, I just had my follow up on the MRI of my shoulder. Basically:
* I have a "very tiny" partial tear of the rotator cuff.
* I have "a lot" of inflammation in the shoulder joint.
* My shoulder is structurally "totally normal".

The upshot of which is: Left to its own devices, the injury will probably just get better slowly over the course of the next few months. In the hopes of hustling it along a bit, we're going to try physical therapy and follow up in a month. There is an outside chance that if the inflammation is stubborn, I might still need surgery, but it's pretty unlikely.