Been a while since my last achilles rehab update, it might seem that not a lots going on but its the opposite. Things have been progressing well, and as I approach the point where I was supposed to be fit to ride I've actually been riding for 8 weeks.

Saturday was a miserable day as I sat watching the Scott Time & Observation trial rather than competing. I feel pretty good and theirs no doubt I could of started, it just wasn't worth the risk to my damaged lung, heart and possible risk to the actual achilles. Still hurts to miss such an important trial especially as my new Montesa Honda would of been a dream to ride.

174 days seems like a lifetime ago, and a lot has changed since then. Most notably I am now 126 days (or 133 days depending on whose estimation you use), into the journey that is parenthood. Achilles injury, lung and heart injury aside, it shows that the miracle of nature still works it magic. Either that or I had too much time in bed recovering :-) My prediction is that we'll have a girl, so we'll see what happens next March.

Other notable things since my injury occurred have been the relocation of the healthCHEK empire to a new building, the start of my MSc in Psychology and my new path of nutritional study with a certain US Doctor. It just shows that what initially seemed like a devastating injury has actually given me a whole new path.

I've been out of my boot and able to walk for just over 2 weeks now. I'm feeling pretty good and whilst I still can't do a single leg calf raise I can feel the strength building. I rode a bike on a turbo trainer last week and I tested a Montesa Honda 4rt last Saturday, everything felt good so I've been out riding the specialized around the streets.

On Friday a Honda Montesa 4rt should arrive from Pidcock Honda so I can continue my rehab. It may seem a little early to ride given the nature of the injury, but I'd rather use it as a form of rehab and start carefully riding the easy route. 

Well another week has started and I seem to have taken a few steps backwards. I ended up back at accident and emergency (A&E) yesterday due to the pain and the fact that my cast was hanging off. The leg looked bruised and swollen particularly around the ankle. I ended up getting my 4th cast fitted as I haven't had much look with them. My initial one was great and the synthetic variety (usually fiberglass impregnated with polyurethane). Ever since I've been fitted with traditional plaster of paris (calcined gypsum) and they just don't seem to give the same support. All of them have spread and become loose, even the new one that was fitted yesterday, is now sliding about on my lower leg.

Am looking forward to seeing the specialist tomorrow (3pm) as I'm keen to get a scan or ultrasound and check I didn't cause and further damage when I slipped over on Saturday. I'm also hoping that they at least give me a synthetic cast (if you have any opinions on colour leave me a comment, I'm swayed towards green at the moment). Even better than that would be an aircast fitted with some heel lifts. At least this way I could maintain the pressure (they have a pump system that allows you to increase and decrease pressure to keep cast snug), which I believe speeds up the healing process, and certainly gives more reassurance.

Found some pictures of myself on Fali Nogales Alcaid's facebook page from Witches Burn which bring back some happy memories of the earlier parts of the week. Witches is a favorite group for me and most other riders (some maybe aren't so keen) so the photos are defiantly worth a look if your a facebook member.    

Its been 2 weeks since I last rode a bike and I'm a little frustrated at being housebound. I've not been able to go and watch the last few trials due to only just leaving hospital following my operation. Today my dad is riding at Mansfield Maun road trial that starts from the Miners Standard.

I've been looking forward to watching this trial all week so I'm extra frustrated to be in too much pain to go. Yesterdays slip onto my recently operated leg has left me with a loose cast and in serious pain every-time I try to move around on crutches.

So I've have a Sunday of surfing films, watching the results of the outdoor WTC, and wishing I was riding.

Day 8 of my recovery and despite today being a day that I would normally ride (my dad still went), which causes a great risk of me becoming downbeat, and in need of comfort from my wife Jen. I'm in a positive frame of mind and am focused on my recovery. 

I'd like to take this opportunity to thank everyone for their messages of support, they mean a lot to me. From the observer who helped me from the section on Ben Nevis and the spectator who lent me her shoulder to help me move. The guy at Nevis Forest who kickstarted my bike and put my bag on my back. Tony and Geoff for not leaving me and literally babysitting me the final few miles (and ignoring the fact that I had as many tears as a teenage Justin Bieber fan). The staff at Fort William A&E for being super quick, especially the nurse who argued the case for giving me a below the knee cast. All the guys at Pidcock Montesa Honda for the fantastic bike and support (glad I made it to the end after all your hard work). My own GP for getting me into see my chosen specialist so quick, Mr McDermott for stitching me back together, the nursing staff for getting me through a rough night when my BP dropped dangerously low. Robert Yang and Dr Sakari Orava for the fantastic advice. Paul Chek and Ray Peat for all the nutritional research that will see me come back stronger. Jen for doing everything for me right now and putting up with me, my mum for not crying when she saw how bad I was, and finally, my dad for simply asking if I wanted to carry on or visit A&E. Only MY dad could know how truly broken I'd be to not finish such an important centenary edition of the greatest trial ever.

The operation was a success and you've all looked after me in some way. I'm eternally grateful, without you all I'd be at serious risk of not returning to compete in one of my favorite sporting events.

I'm feeling positive and now concentrating on getting back to full fitness over the coming months.

Well todays the day. Am at hospital at 10:30am to double check my paperwork and its planned for me to be sorted just after lunch. Hope he has a good metabolically typed meal and is fully alert.
Theirs two methods of surgery available, the percutaneous method which requires a few incisions. This enables the skin to remain relatively unbroken and as such less chance of infection (quicker skin healing). Their is potential for nerve damage due to restricted access/view.

Open surgery is what I expect to be used for me but I'm happy for my surgeon to use the method he feels is most appropriate. The larger incision allows him more room to work, this increases the risk of infection but does reduce the possibility of nerve damage. In my opinion it allows him the best chance of doing a good strong fix for me. (remember I'm hardly likely to give up my passion for activity).
The protocol I have planned (depending on the discussion I have with the specialist) is that following the tendon repair no weight bearing for ten days. Hopefully using an aircast boot walking can begin. I am worried that they will put me in a leg cast (if they do I'll have to "roll with the punches") which can lead to weakness and atrophy of muscle. A treatment pioneered by Dr. Myerson, recommends "a removable boot is worn and instead of using crutches, walking is commenced very rapidly after surgery. Therapy and exercises are begun soon after surgery. This therapy process is critical in the recovery after tendon rupture, and without a carefully monitored program, full recovery is never possible. This treatment has made a huge difference in the recovery process for both recreational and professional athletes."
The sooner I get working on it the better. (by working on it I don't mean weight training, I mean maintaining flexibility, trying to keep the muscles working, massage, walking, various therapies etc).

Had a good meeting with my GP yesterday and she got me booked into see the specialist today at 2pm. 

A few days ago I went from being full weight bearing (FWB) with no problems to my current state of being non weight bearing (NWB). I have a long road to recovery and hopefully my blogging will assist others in their recovery in the future.

My main aim is to hopefully help you prevent it. Prevention is better than cure and I'm in a pretty miserable place right now so I'd urge you to avoid this at all costs.

As most of you know I'm fairy well skilled at rehab and am obsessed with nutrition. I also have asperger's and follow strict patterns and routines with my diet and lifestyle. The rupture is my own doing and given my time again I'd change the weeks prior to the injury. So, how did it occur.

• Increased activity - The number one rule in exercise/activity is to increase gradually, whilst I ride every weekend and also in the week. I don't often walk the distances I covered in Las Vegas, Hawaii and San Francisco. Near the end of our trip we walked a 14 mile trip to visit the Golden Gate bridge (we also walked to other places that day). Most who know me will know that I have an ability to carry on regardless so whilst I thought it was taking a long time, it never occurred to me that we should stop.
  
• Too much flying - When David Beckham ruptured his achilles at the age of 35, many considered him very young to have such an injury and pointed the finger at his increased flight activity trying to play for LA Galaxy, England and combine family life with promotional activities. For me, at 35 I consider my recent flight activity to be instrumental in my downfall. Travelers suffer the effects of dehydration at high altitude as the water vapor content of the air is reduced. Coupled with increased breathing this leads to dehydration. Nowadays were are no longer allowed to carry water through airport security and are restricted to paying for high priced airport water. So I landed in Vegas dehydrated and playing catch up with my water and mineral consumption. Upon landing I commented to Jen that my right ankle was swollen, suffering restricted blood flow and that the achilles was causing me problems. Luckily due to foam rolling, good diet and water I managed to get it back under control. I also kept a check on my pulse and body temperature. 
• Altered diet and hydration - I always eat and drink in a routine, same food groups, same times, same water etc etc. (asperger's). While in the states I maintained this to the letter but also allowed myself the odd treat such as a Luna & Larry's ice cream (naked coconut flavor which I highly recommend). On the first day in Scotland I ended up drinking Buxton Mineral water which is lower in overall mineral content (TDS or Dry Residue) and in particular much lower in calcium. During the first day I suffered arm pump/cramp and asked my mother to pick up some Evian so I could continue drinking the same standard of water I had been on for the previous 2 weeks.
• Rushing - The day before my injury I suffered some minor electrical problems which needed to be sorted following day in order to continue competing. Lee and Mick at Pidcock's were on the job and I never had any doubts in their ability to guide me through sorting it. Sadly, all thoughts of water etc went out of the window. In the panic to get to the start I failed to stretch or foam roller, never drank any evian and forgot to pack any evan in the van. Once I got riding I realised I was dehydrate and that having no lunch break allowed me very little chance to rehydrate properly. Just after the halfway point I saw my parents and asked for my Evian. It was at this point I realised I had no evian and had to drink Buxton and Strathmore (nothing wrong with these waters but its different from what I'd been consuming for 2 weeks previously). Time is also notoriously tight on the Saturday, with no lunch break and riders keen to get to the finish it turns in to a mad dash which didn't help.

So, there you go, a catalog of errors. I nursed a sore achilles through almost 3 weeks and just didn't quite do a good enough job on the last day. Before starting riding on Saturday I commented that my achilles felt ready to snap, I just didn't expect to be that accurate in my diagnosis. 

Their were tears shed between the section I did it at (last one at Ben Nevis), and the finish. As anyone who has had a rupture knows, its not that painful. After the initial feeling of being shot it goes kind of warm. Mine did hurt a little as I continued to try and ride across Ben Nevis for a few miles one footed in a desperate attempt to reach the finish. I even wiped my tears and tried to ride the last section as I knew it would be my final time riding for a considerable amount of time. The tears though were more likely due to the realisation of what I'd done, how long my road to recovery is. I also felt massive disappointment in failing to stop it happening. I have asperger's and my passion is anatomy, physiology and biology (nutrition). Within seconds of it happening I knew what it was and had worked out a plan, the jigsaw of how it happened fell into place while I way being helped out of the section. When I see a client I can formulate a picture (I see things visually) of what caused their issue so I really had though it through while the watching spectators were still wondering what had happened to me. The guy helping me said I looked white with shock (remember I'm tanned from Hawaii) and it was more the shock of thinking "how could I let this happen".

I've had lots of nice messages from spectators, fellow riders and some health professionals. It kills me to know I won't be riding for a while but I'll be back observing and helping out from the other side of the fence as soon as I am partial weight bearing (PWB). Hopefully once I'm in a boot with my foot at 90 degs I'll be allowed to ride a bike round flat ground just to keep me happy. Other than that I aim to take some photos at trials which I enjoy but just never get the chance. Hopefully I'll be able to snap Donald Young with his foot down...

Once I'm past the surgery stage, I know I'm in the best hands in terms of rehabilitation...my own!!

Well thats it all over for another year. The big news is that 35 year old veteran Dougie Lampkin didn't start the final day after his crash on Thursday left him with severe ligament damage

Slightly less "big" news is that my achilles which has troubled me in recent weeks snapped this afternoon at the Ben Nevis group and caused me another succession of fives as I attempted to reach the finish unable to stand on one leg

Whilst riding the section I suddenly felt like I'd been shot in the back of my leg, followed by radiating heat. I instantly knew what had happened and stopped. Boyd got my bike out for me and the observer leant me his shoulder to hobble out of the section.

From this point it was a case of working out whether to ride off the moor or wait for assistance. As I was only 3 sections I decided to chance it and aim for the finish. Geoff and Tony babysat me across the moor and got me to the Nevis Forest where I took 2 fives. From there it was on the the road and off towards the final section, town hall brae, which rather daftly I tried (and failed). Next stop was A&E for some very speedy service and they confirmed my thoughts that it had snapped.

So, I have a plaster cast and a fair amount of time till I can ride again which will be frustrating as hell because I'm desperate to ride the Montesa again. A huge thank you to Lee, Mick, Chris and everyone else at Pidcock Montesa Honda, sorry I limped into the finish, but I'm glad I got the bike round as its been more than fun all week.

Final positions are available on ssdt.org but James Dabill won, Michael Brown second and Graham Jarvis third which is amazing for someone who gave up trials but came back to take on the factory sponsored riders. Commiserations to Wiggy, think the whole trials world feels for him after his chain came off and robbed him of the win.

A 79 mile blast round the peninsula yesterday, (road race day). Sections were harder than on every other day and a lot of marks were being lost by riders. I felt like I was riding about the best I have all week. Just before group I (i think) I sustained a wrist injury and re-damaged my left knee which led to a succession of 5's. So I limped home with a succession of fives which saw my score rocket from 33 up to 93 for the day.

Have never been so glad to return to the apartment and both relax and work on my injuries. Am walking a little better today but am not sure how long it will hold. Going down soon to see if I can hold the bars. Also have a little repair work to do post crash.

Little late posting about day four. Yesterday was my late day, I started at 11:16 and we managed to overcome a few little setbacks to race round all day and make it in just inside the time limit. So, I wasn't back here till 8pm and food and a bath took priority over blog updates.

The day started with the huge road ride out to Chairlift in very wet conditions. I saw from photos that the early numbers had a nice dry start to their day. By the time we arrived the sections were covered in mud.

We then continued to Ba House and then back on the road for a short blast to the start of Rannock Moor. From this part we become very isolated from all the support vehicles. For me with its always a nervous part of the week that I'm always happy to make it through. I know my Dad isn't keen on not knowing how I am and I'm sure its the same for every-bodies families.

Everybody breathes a sigh of releif when their rider arrives from the final group at Fersit. Dougie fived the penultimate section at Fersit yesterday and sustained ankle ligament damage (prob atfl). The results show that I cleaned it so it would be nice to see what caught out the multi world champion.