Target Practice

Well, it’s been nearly two weeks since my last update, packed full of goals as it was. What’s occurring?

1. Stairs

These are a lot easier now. I am firmly into the habit, despite having to occasionally leave a colleague or two looking mournfully out past the closing lift doors at me. It’s rare I don’t make it up the stairs in the same time as the lift takes, more or less, which is heartening. I wouldn’t say I’m entirely non-breathless, but (unless I take the stairs two at a time, which I sometimes like to do on the final flight, and even then) I’m a lot less breathless when I reach my desk.

So that’s nice.

2. Lunchtime Walks

This has been going pretty well. I’ve managed to do this (or roughly this) every workday lunchtime, and have even fitted in a couple on non-workdays (walking to Newmarket Road and back on Wednesday - 1.4 miles either way; walking to Milton Country Park on Sunday - 1.5 miles either way). In fact, I definitely seem to have hooked into the “feeling weird if I don’t do it” vibe pretty quickly. In terms of goals, I do seem to have upped my pace for the lunchtime walks, which is groovy, though measuring inconsistencies (the first few times I kept forgetting to switch off the recording device until I had been pottering around in the canteen for a few minutes) mean that it’s hard to say whether I would have recorded a lower completion time in the first few anyway... However, the mean pace is consistently better (though sometimes a little slower than my average if I’m walking with someone else - getting breath to speak and all that). That one feels like a solid win so far (though I’ve had few weather challenges to overcome), even though I do feel like a dapper gent taking a lunchtime constitutional (yes, I do wear my famous hat).

3. Isometrics

Bloody isometrics. Well, I’ve finally hit upon a way to do them at least once a day - tag them on the end of my morning physio. Fuck it. I can always to an end-of-working-day one as an extra, but I’ve had trouble working that in, so I’ll at least have that one. I’ve only done this twice now, though, so no stats yet.

Time for some other goals/ feedback

4. Hydration

I’ve been using the FitBit to monitor my water intake. It’s a bit rubbish, which I knew it was, so I’ve been using various methods to improve that, and (apart from this morning, because Monday morning, amirite?) I’ve been doing pretty well. Not, you know, excellently, but better. And my evidence on the benefits on days with proper hydration in them is fairly bloody empirical, but you don’t want those details.

Advantages: All of them? Good for digestion, skin, metabolism, oh yeah and staying alive.

Disadvantages: Obviously I need to wee more. That’s part of the point though, so hey.

Goal: Get up to drinking about two litres of water a day without having to poke myself in the head to do so.

5. Fitstar

As previously reported, I selected the “Get Strong” program from Fitstar, packed full of strength-building and cardio exercises in three-times-a-week, twenty-minute sets. So far it has not proved onerous to do the three sessions a week (so far Wednesdays, Fridays, and Sundays), though it’s significantly easier to not feel self-conscious when bobbing up and down to some perky fitness expert’s generic instructions when no-one’s in the house. (“Tighten those abs!” “Remember to keep a straight back!” “Keep it light - land on the balls of your feet!”) And the program does seem to keep track of which exercises I label “Too Easy!” and “Brutal!”, pushing me where I’ve indicated I’m up for that and not where I’ve said “Nope”.

Unfortunately, there are a fair number of exercises which require the adherent to put weight on one or both knees. After gingerly trying a couple of these and suffering both math and aftermath, I now instantly skip any with weight-bearing knee forms, label them “Brutal!” and indicate that I’ve done zero. Apart from the “press-ups from knee” which I do from the toes. So.

The exercises get my heart-rate up and many are moves I’d never have considered (read: in some cases didn’t even know they were A Thing). Some are nearly impossible to do properly in my living room, so require improvisation, improved immensely when I realised that I could pause the instructions while I rearranged things to roughly match.

Apart from some tightness and pain in and behind my knees which felt terrifyingly like a return to horrible old symptoms of 2011/12 until I ruthlessly did all the right things to loosen stuff, these exercises appear to be taxing me exactly the right amount.

Goal: Just keep going and ingrain the habit.


6. Weight

Argh. So, the side-effect of being more active? Yep - weight-loss. Which, in my case, is a bugger, and leads to friends advising me to eat more, and put on some weight.

I. Am. Trying. Believe me.

The balance of “types of food that won’t fuck with my now-shitty digestive system”, “quantities of food/ drink that won’t fuck with my now-shitty digestive system”, “time periods of ingestion that won’t fuck with my now-shitty digestive system”, and “oh, yeah, I’m still allergic to loads of stuff” with “go on, eat more and put on weight” is proving... problematic.

I am going to try protein shakes next. Because fuck it. There’s been very little advice online about this, and most of it is: “Hey, ladies, you don’t want to put on loads of fat (urrgh, fat), you probably mean you want to pile on lean muscle; here, have an avocado.” And while a) avocados are nice (especially mashed up with bacon and garlic-infused olive oil on brown toast), and b) more lean muscle would also be nice, c) I am finding it hard to keep warm when stationary and my less-padded arse has difficulty sitting for extended periods of time, especially on hard surfaces, dammit. A significant number of “weight gain diets for women” searches have led to the above advice, or even straight to weight-loss advice because apparently I don’t know what I’m talking about plus Western culture’s obsession with thinness = healthiness which gjjh&*HJ*$%&Jkj, basically.

Any advice on this would be super-gratefully received. In the meantime, I’m due to see the gastroenterologist in October, and I’m going to ask for a referral to a dietician/ nutritionist for this very reason, because at least they won’t advise me to eat more eggs, unlike even the actually vaguely helpful websites do. (I am super-allergic to eggs.)

And how is this all making you feeeeel?

Ah, that one. (How about super fucking hungry all the time?) Well, I’m feeling a bit more confident about my body and its ability to cope with physical challenges. I’m also enjoying the fact that I appear to be (slowly) gaining a measure of discipline over a lot of these things, which in turn makes me feel better about myself, which in turn makes me more likely to Do Things Right, so...

I’m also noticing a (unexpected at this stage) small but significant set of changes to my body shape and, well, the best word I can think of is texture. Specifically:

• there appears to be more intense wall of muscle around my abdomen, especially evident when standing.


• My thighs and calves are definitely more heavily muscled. Again, this is more evident when standing, but the calves, in particular, seem to be changing shape even at rest. Their texture at rest is different. Sorry - I can’t explain it better than that they’re denser? less wobbly? Maybe...


• My forearms also have this change of texture. Not that they were ever particularly wobbly, but... yeah, they feel denser.


• My biceps appear no different, but my triceps appear more defined, especially when my arm’s extended.

I am stiff a lot of the time - sitting still really does cramp me up, but I seem to be recovering quite well each time. And maybe some of that recovery is more psychological - I’m expecting my body to be more in command, so just act as though it’s going to be fine, and it is.

My digestive health is... mixed. I am trying to eat larger meals and that’s causing me pain and bad reflux issues, including impacting on voice and breathing. On the other hand, I know better how to deal with that, so that’s passing faster and I’m panicking less. Mostly.

Spent two weeks saying how great it is to have my voice back. Woke up today with it as scratchy and painful as before. Send hope, please.

— Fay Roberts (@fayroberts) September 17, 2017

Oh well. It still cleared up within a few hours, so that was nice.

I’d like to say I’m sleeping better, but that’s a Whole Other Thing that we’ll have to address in a separate blog post, possibly a couple of months down the line when all this has bedded in properly.

Haha. Bedded in? Bedded... Bed. Coz sleep, coz. Yeah. Ahem. Anyway. See you soon!

Back in the Saddle

Blimey. It’s been over a year since I last updated this. So what’s happened in the World of Fay Health & Fitness since then?

1. Injured myself at home on the actual day of that event. Foolishly. Luckily, it’s a neck injury I’d had before, so this time I didn’t piss around, got hold of a physiotherapist (my old one having semi-retired), and got into a bunch of new, neck-related exercises.
    
2. After recovering from foolishness, continued to do lots of cycling, but just back on a daily, get-everywhere-I-don’t-need-to-transport-gig-gear/people kind of way.
    
3. Got back into mat exercises - press-ups, crunches, planks - plus the fun addition of chin-ups, courtesy of a bar you can slot above the doorframe (and a stack of books to stand on, because I’m not that tall (despite being tall for a poet), and our house is old, so the ceilings - and therefore doorframes - are high).
    
4. Went to the Edinburgh Fringe in August to take part in the usual shenanigans, which, from a health perspective, involved:
   
   Positives: a bunch of weight-lifting (hauling my crap up six flights of stairs virtually single-handedly as my flatmate had a hernia); walking 2-3 miles/ day up and down a very steep hill (luckily, I lived at the bottom of the hill), sometimes more if I had to go home and change between shows; continuing with the daily physio exercises and the twice-a-week, more hench mat exercises.
   
   Negatives: bad/ little sleep; the usual dehydration and when-the-fuck-do-I-eat issues leading to a little weight loss; abundant and often unnecessary stress (necessary stress I can deal with).
    
5. On the final couple of days had a troubling cough and sore throat, which I powered through on sheer adrenalin and stubbornness, which transmuted into a cold as soon as I started the long drive home through the night.
    
6. Cold turned into a chest infection and laryngitis, and then… and then I couldn’t speak, sing, or anything vocal, couldn’t bend over to pick things up, couldn’t lie down flat, couldn’t eat much, was constantly coughing and had chest pains and stomach pains, and then the bit where my throat kept closing off, stopping my breathing, all of which made sleep difficult.
    
7. I lost a LOT of weight. And no-one seemed to know what was wrong. Everything hurt, everything made me cough, and the only thing I’d ever relied on my whole life - my voice - was gone. And no-one seemed to know beyond a shrug whether it would ever come back.
   
   I pushed on through work, though had a lot of sickness leave, including after a trip to A&E (waking up in the middle of the night entirely unable to breathe and retching mucus) when I was signed off for a couple more weeks after I’d only just got back to work.
   
   As you can imagine, my mental health took a steep and long fucking dive. And even the physio exercises were out for a long time because of the aforementioned not being able to lie down flat, so my joints started to suffer in a major way. I slept (hell: I lived) on the sofa for about three months for fear of waking everyone constantly with the coughing and the terrifying choking noise that happened every time I dropped into proper sleep, even when propped up perpendicularly. It was bad enough that I wasn’t sleeping…
   
   It was horrible. And then there was the (thankfully apparently a clerical error?!) cancer scare.
    
8. Slowly my voice returned to something that was at least audible (though it’s currently fucked again - yay) as I learned what I can eat and not eat (I’m even more limited now than I was before), and which drugs and supplements help and which are, at best, useless.
    
9. They still don’t know what’s wrong, but the latest notion is to put me on a very low dose of something that, at much higher doses (like: fifteen times higher), is used as an anti-depressant.
    
10. I’ve recently got back on the bike. I am still horribly unfit. But I was haemorrhaging money trying to get around town and this is worth it long-term.
     
11. I’m even more recently back on the mat exercises, after I managed to injure myself doing ill-advised free weight-lifting (yes, again) a couple of months ago, and put a crimp in the cycling and some of the physio for a while.
     
12. I’m not living my best life right now, and I think the definition of that is going to have to change, but hey - who needed creative career plans anyway…?
     

I thought I’d go back to the blog because I actually wanted to ask some dietary advice, but I’ll leave that until the next entry, because it’s a bit much to cram into a catch-up post as well…

Thanks for reading (and, to some of you, waiting so patiently).

Grindstone, meet Shoulder

So, as I’ve just posted, it looks rather like I’m back in the old exercise saddle.

I have bust through the notorious two week point (don’t know about anyone else, but if I can make it through two weeks of good exercise habit, the pattern is generally set until injury) and so far appear to be injury-free (you know, above my usual baseline of "various bits of me are a bit wrong").

So, what have I been up to?

1. Cycling
2. Large Muscle Physio Exercises
3. Small Muscle Physio Exercises
4. Butch Core Mat Exercises
5. Dancing

1. Cycling

I’ve been doing my best to cycle everywhere I can.  This is by no means every day (sometimes I’ve got massive stuff to carry; sometimes I’m not even leaving the house; today I couldn’t find my cycling helmet until after I’d given up and ordered a taxi), but most days, and I’m generally clocking (when the app bloody works) between 3-7 miles every day that I do cycle.

Advantages include cheapness and smugness alongside muscle strength; non-weight-bearing cardiovascular challenge; and the sensation of my lungs "opening up" again; forces me not to carry too much stuff with me.

Disadvantages include smelling bad (or feeling like I smell bad); dangerously ignorant cars; annoying cyclists; headwind; forces me not to carry too much stuff with me ({pout}).

Improvements to be made include being more systematic about where I put my gear, and getting better into a regime for the mornings in order to get to work more on time.

2. Large Muscle Physio Exercises

I’ve only missed one morning physio session in about 8 months, and that was when I was too ill from The Cough to go into work, so I sat on my arse and watched Netflix.  Other than that, I’ve been doing my usual:

leg-lifts (supine, sideways, on my belly)

crunches (normal, side, and slightly twisted)

kicks and crosses

All of these from the floor, and apparently - according to various friends - quite similar to a lot of Pilates moves. Most of them are designed for either 20/ 10 reps. As advised by physio.

Advantages include simplicity; portability; being part of a good morning habit; excellent for core strength; great for a range of leg muscle strength and stability; really good, demonstrably effective way of ameliorating and preventing pain, damage, injury etc. from long-term standing.

Disadvantages include finding enough room to lay flat, arms and legs full stretch in all directions, on a surface that won’t hurt to exercise on; needing to do it before breakfast otherwise indigestion; them doing pretty much nothing for upper body strength/ stability, which I badly need, considering the frequency with which my shoulders/ neck get injured/ go out of alignment/ both; they’re really only any good for maintenance rather than development.

Improvements to be made include getting them done earlier in the morning; finding something maintenancey to add to them for arms, shoulders, etc.

3. Small Muscle Physio Exercises

Instead of waving whole limbs around, these focus on tiny, tight-to-the-bone muscle groups, ostensibly to improve stability. Instead of lifting against gravity, you’re squeezing or pulling against yourself - these are for arms (and therefore shoulders and wrists), and can be done either sitting down or standing up:

pushing palms/ fists against each other

hooking fingers and pulling hands/ arms against each other

palm-against-back, one hand pushes towards the body, the other pushes away (then swap)

All of these forms are done in front of the torso, above the head, and behind the torso, holding the push/ pull for at least ten seconds before moving onto the next form. As advised by physio.

Advantages include them being for shoulder stability, which I badly need; massively portable (I can - and usually do - do them at my desk at work); hard to see how you can injure yourself only pushing against your own strength.

Disadvantages include that they’re super-boring, so it’s difficult to remember to do them unless I’m already injured and thinking about that kind of thing; it’s difficult to discern any difference even after doing them for a while.

Improvements to be made include setting up a thrice-daily reminder to do them, like I have the once-daily to do physio, twice daily for nasty medication, etc.; do some research into how they function and how to spot the difference between doing and not doing them; add more neck ones (which I’m currently not doing because they’re more fiddly and look "weirder" than the arm ones in work!).

4. Butch Core Mat Exercises

A long time ago I went out with someone who was a Navy officer and who taught me how to do a press-up. In fact, taught me that I could do press-ups. He taught me a routine of three types of press-up ("normal", wide-arm, and wacky ones with hands close together to challenge the triceps), and three types of sit-up ("normal", twisted, and crunch). I vaguely remember that I was supposed to switch up between these and do lunges or squats or some other damned thing that I can’t do these days because knees. He also showed me free weights.

A more recent partner taught me about planks and tricep dips, rest days, and doing crazy things like press-ups or planks with your feet elevated (I don’t think I’ve yet done these). Another showed me Russian twists, deadlifts, and how to improve my full-leg-lifts (i.e. both at the same time) in order to make them more challenging. The internet (and Wii-fit) showed me flying press-ups and some crazy versions of crunches.

This, I suspect, is why I used to have a six-pack - I used to do a bunch of this EVERY DAMNED DAY, along with punchball exercises and free weights every other time.

Instead of doing the usual thing that I do which is flail wildly into DOING ALL THE EXERCISES ’TIL I BREAK then advanced pouting for six weeks, I’m moving slowly back into Butch Exercises by doing increased reps and increased sets of only four forms to start off with, including lying the hell down between sets:

a) "Normal" press-ups. Generally up to 20-25, except for at the end of the event, when the sets are more like 10.

b) Planks. I’m now up to minimum 1 minute, even at the end of the event (although a lot of swearing is currently involved when I come out of the form on the fourth go-round), and up to 1:40 max. I know this isn’t much, considering that the world record is in hours, but it’s my best, dagnabbit...

c) Double leg-lifts. I’ve injured myself with being over-enthusiastic with these, so - even if I’m feeling full of vim and strength, I tend to only go to 16 max, even at the beginning of the event.

d) Wide-arm press-ups. Only for the latter half of the event once I’ve warmed up, and - again because of former injury - I keep the set reps to ≤ 10

Advantages include fast speed of discernible differences; really feeling core tightening; butch satisfaction of "proper" aches the following day; done right the press-ups lead to good shoulder strength and - I think - stability; measurable progress (more reps before exhaustion, longer holds on planks); some cardiovascular challenge; have to do them from the feet.

Disadvantages include how easy it is to get carried away and bugger my shoulders, especially the Especially Borked One (left), leading to aforementioned six week pouting; not entirely convinced I’m doing the forms properly (could I be preventing injury with better form?); if I forget to stretch properly afterwards, I’m screwed; not very aerobic; have to do them from the feet.

Improvements to be made include setting limits on sets/ reps and - instead - adding new forms at lower reps; getting some advice about forms.

5. Dancing

Only just got back into this on Saturday just gone. I have no discipline beyond the beat, and making sure I wear vaguely suitable shoes (canvas trainers with ankle support) rather than The Boots. I stamp, pogo, flail, mosh, gurn, wiggle, grin, pirouette, and do fancy-ish footwork with lots of crossing-over of feet, kicking, and double-kicking.

I’m a bloody maniac.

Advantages include the weird fact that I can keep up sustained fast movement to music far longer (HOURS) than, e.g. running on a treadmill, which makes me want to die in a tiny ball of fail; excellent aerobic and cardiovascular exercise; needs no special equipment (except aforementioned change of footwear); by far the most social of my exercise activities; cheap (for me - I go to an indie club 3 miles from my house that costs £4 to get in, with free parking, and £1/ bottle of water); the way I dance means that it’s a full-body workout (sustained rhythmical flailing is surprisingly hard on the arms).

Disadvantages include the fact that the clubbing-dancing I’m doing leads to very-late-to-bed, and further sleep disturbance; not very portable (needs friends, and I’ve only found one club in Cambridge so far that plays my kind of music); it’s all too easy to forget to stretch out afterwards and e.g. have very tight calves hobbled by All The Pogoing (rather like I’m feeling today...); all the attendant issues of clubbing in dodgy little places (unsprung floor which stands fair to bugger joints with impact; no mop-up for perilously-spilled drinks on the dancefloor) and any vaguely mainstream venue (no, mate - just coz I smiled at you while jumping up-and-down to Song Two does not mean I want special cuddles with you); moshing is seriously bad for your neck, dear heavens; badly-coordinated people with interpersonal space issues leading to bruising, and/ or, in this instance, a blistered toe from a poorly-managed stiletto.

Improvements to be made include getting a regular night to go out on, co-ordinating friends; some research into other clubs that might play my kind of dancing music (indie, indie-rock, trance, techno (or whatever the youth call it these days), almost anything from 90s except hard or cock-rock); look at finding ceilidhs/ folk-dancing groups locally, because nothing gets you properly out of breath like a good twmpath.


And that’s your lot for the moment. :D I plan to be updating on the progress on these (including any injuries - my left shoulder’s been feeling a wee bit gimpy as I’ve been typing this...) over the next few weeks/ months

Catching Up…

Well, I appear to be back. Which is an interesting place to be.  Let's review where I went:

In December I'd already been cycling to and from work, and in January had started sessions with an exercise trainer who'd done lots of reading up on HMS/ EDS (and seemed to know more than me) and was feeling quite chipper about my physical health.  My lungs had started to "open up" again, and I was feeling a lot of the benefits of being more physically active.

Then in mid-late-February I injured my neck badly. (Please don't ask how: from experience, we'll both regret it.) Now, I'm used to injuring my neck - it's a bit par for the course with the way my hypermobility works. So I left it alone, doing all the usual right things (reduce burden, immobilise, sleep a certain way) that usually sorts it out within 48 hours.

Then I got back on the bike.  And it became clear really quickly that this wasn't going away, even though it waxed and waned, and I'd have to stop doing an exercise that relied on me being able to look over my shoulder as I no longer could.  I went to my usual physio, who assessed me (yes, I was right: I'd injured something in a different part of my neck from usual, and it was a generally unusual place to boot), gave me some exercises, and asked me to come back.  In the meantime, I was back in taxis and buses, spending a bunch of money on that and physio.  Which, it turned out, didn't work - my neck was busted badly.  She suggested I get X-rayed, and a desperately frustrating cycle of annoyance and admin kicked off.

Short version:

5 second X-ray from one angle - nothing to see, reported by SMS. Wow.
10 minute examination by rheumatoid specialist - you don't have EDS. Er, okay, but why...? Go to a physio. Yeah, er, thanks...
30 minute back-and-neck massage from 19-year-old at a spa in Cardiff - regained at least 50% range of mobility. WOW! {tears of joy}

By this point, it was mid-May. Once the range was back enough for me to at least vaguely look over my right shoulder, I got back on the bike, and back into the mat exercises.

One small problem - a persistent cough that started with a bad cold on 1st May. This is buggering my sleep, which means that I spent a while sleeping on the sofa to avoid disturbing everyone in the house, which means the kind of discomfort you'd imagine. Also: a ridiculous amount of nosebleeds. Joyous.

This, however, has not noticeably stopped me from becoming more active again.  For a start, it's not in my lungs, as far as I can tell, so my breathing itself is okay. And once I get past a certain point in any exercise event, all the nice neurochemicals kick in and open up my respiratory tract, reducing inflammation and phlegm, and I have this wonderful phase for a brief period afterwards where I just don't cough. :)

The next post will deal with what I've been doing, exercise-wise. :)

Back in the Habit (Slowly)

It's quite remarkable how many good habits I've dropped lately. From the aforementioned gym-slacking and taxi-taking to sleep patterns, fluid intake, and sugar consumption, it's all gone a bit to pot.

Annoying.

However, not insurmountable.  So this week I will be:

1. Resurrecting the Spreadsheet. Harder to say "Oh, I'm fine..." if the graphs say "Er, not really..."

2. Setting myself some short-, medium-, and long-term goals again.

3. Starting blogging about all this again (I suspect this lost out to the "writing a new poem a day for every day of April" thing I've been doing (with running-mates this year)...)

4. Starting thinking about teaming up with others who have similar goals.  (i.e. people who aren't super-fit but who like walking/ are happy to job gently beside my fast walking pace; want to cycle at all/ more/ further/ faster; want to use my gym at the same time as I do, etc.)

5. Celebrating the small victories again.

6. Starting to look out for a physio who likes talking about weights, press-ups, etc.

7. Having a look through this book what I bought, to see if that's any cop (got to sort this bloody neck/ shoulder thing out).


So yeah - see above; you'll be hearing more from me on this.

Right. As you were...

The Shape of Desire

Part of yesterday's conversation with the physio was her questioning why I'm doing the (upper-body) exercises that I'm doing.  Why am I lifting weights, doing press-ups, etc.?

In particular, she was concerned that these exercises were a bit, well, male.  She covered, elucidating, saying there was nothing wrong with that per se, but that she was wondering: was I wanting to be a body-builder [cue hunched shoulders and loosely-raised fists]?

Well, there it is.  Why am I doing this?  Why am I pushing muscles in my upper body that were not designed by nature to be massive (due to HMS and, well, a lower testosterone level than the average bloke) to build?

Several answers, not all of which may be either wise, feasible, or even the whole story:

1. In October 2005 I had a six-pack and could lift sofas without much effort.  I also had the kind of lightly but defined muscular physique that made both women and men go "hmmm..." and "ooooh...!" with a little reaching-out gesture. (Yeah, baby...)

a) Being strong felt good physically - my wobbly joints were much more secure.

b) Being strong felt good mentally - being able to rely on myself and feel comfortable (even superior) in my body was rather nice.

c) My personal vanity is, perhaps, a little odd.  The resources needed to conform to many elements of acceptable Western femininity feel like way more trouble than they're worth, to me.  However, I revel in decking myself in a certain way as I move through the world.  I want people to see me, at a glance, as very much my own person, as attractive in an unconventional sense, and blending elements across genders.  I also like to look healthy.  So a little ripped (again)? Yes please! :)

(I felt right at home in Cambridge really quickly.  Wonder why...)


2. I gave up on that level and type of healthy after several things happened:

- motorbike (okay, fine: scooter) accident that made Borked Shoulder the way it is today (February 2006).

- massive (they took photos for a medical journal!) benign tumour;

- recovering from the surgery that removed it (vertical 5" abdominal incision - wasn't allowed to pick up anything heavier than 5kg for, well, a while - September 2007);

- the knee-based accident (and all the other, less easily pointed-at elements) that propelled me into the Year of The Stick (September 2011); and

- subsequent slow recovery from that.

I started feeling old.  I let myself become dispirited by the constant setbacks (I tried building in strength in 2006; scuppered myself lifting furniture; tried getting fit again 2010-11, not as hard as now, but cycling everywhere... then Stick Year... and then again in the summer of 2013...); I rationalised it as "I'm not meant to be fit", I think. And yet clearly this other model of me persisted underneath the whole time, because now I'm thinking: screw old, there are people who take up marathon running in their 70s.  I want to take this body as far as it can in terms of healthy, fit, and strong.


3. I don't want a male physique, I want a strong female physique, and I don't think I'll get that purely from physio exercises - I'll need to challenge myself, not just maintain myself.  I'm also pretty sure it would take more effort, time, and calories than I would consider worth spending getting perturbingly "bulky".


4. Up until now, not one single person (male or female) has told me that I shouldn't do press-ups, etc.

My dad (the very one who's struggled with my gender queerity in recent years) showed me how to do them; and a recent boyfriend showed me the variations on the theme.  We did them in school, and we were expected to do them in the few martial arts lessons I attended.  They're part of my model for "becoming fit and strong".


5. I enjoy doing weights, press-ups, planks, etc. Not only do I think they're fun (look, I'm a bit weird, just give up and go with this), but I enjoy being able to do them well (possibly in a tomboyish, showing-off-physically kind of way).


So here's the thing I'm going to try to find a way to say succinctly to the physio: this is the kind of body I want to aim for.  It's not unfeasible, and it's not toxic, so please help me get to a point where I can make that happen.  Ta!

So, unless anyone's got any better perspectives, that's The Plan.

Body Blow

I walked out of the physio's this afternoon, clutching my hat against the wind and squinting against the sunlight, muttering certain anatomical terms.

The news had been mixed.

The good news first:

1. I'm doing a lot of things right.

2. The general prognosis isn't as bad as I'd assumed from what she said last week.  I may, after all, be fine as I get older.  Nothing is certain.

3. That dumb move is a) unlikely to have done much damage, b) not beyond the realms of possibility for me to do in future.

4. The Walk is still on.


Bad news:

1. Something's clearly gone wrong and The Dumb Move only exacerbated it.  The thing that's gone wrong is cerebro-spinal.  Hence the pins-and-needles, numb patches, and other weird symptoms that have been plaguing me with increasing intensity since December.

2. I've been doing some things wrong - who knew I should change up weights for different muscles?  Oh, you did?  Nice...  I'll ask you next time...

3. No upper-body work for, well, a while.  A really vague while but the phrases "you're not going to be pleased about this" and "longer than you'd like" have been bandied about.

So no free weights, press-ups, rowing-machine, weights machine. I didn't ask about planks.  I suspect that since the repsonse to "does it put stress on your shoulder and neck" is "yes", I've got my answer.


And we talked more about HMS and agreed that, while yes - constant pain is dispiriting and draining, and damn-near-inevitable injury in the course of working to make yourself less prone to injury is demoralising - it could be a lot worse, and - bar Dumb Moves - I'm doing pretty well.

I know people who have been made pretty much housebound by this or similar conditions.  I know people who sublux and dislocate at the drop of a hat. I've met people who're in their 20s and far more debilitated and in pain than I am on a daily basis.  I'm not sure whether that makes the pain I have to cope with any better, but it does put it in perspective.  It's worth managing it, and keeping on doing the right things, and learning from (and not punishing myself for) setbacks.

In other words: everything I said in that poem last night.  So well done me.

Back on the Wagon

In the end, I had five days with no other exercise but walking, and even then not much. I'm disappointed, if truth be told - while I chose wisely not to for the first three days, the other two were littered with excuses and bad planning.

Oh well; changing patterns of thought are unlikely to happen overnight. I shall look on this as a learning opportunity...

In other, more positive news: I got back into things while staying over at my family's at the weekend, and felt the better for it, though my abs kept saying really?! I missed the chance to get a long walk in, though, which was a shame, but visiting my mum's grave with my dad (the first time we've done that, it suddenly occurs to me, since her funeral in '99) took precedence.

Anyway, a week later than anticipated (planned, that is), I went for the "Walk all the way home after work" goal.  Some numbers for the stats heads, according to my Google Tracks app:

Distance: 2.6 miles

Putative Calories Burned: 273

Total Time: 41:40

Average Speed: 3.74 mph

(There's all sorts of stuff about moving time and average moving speed, which seems confusing to me, but hey...)

All of which is rather positive, I think.  Good speed, didn't stop for any significant amount of time except at a pedestrian crossing, during which I kept my legs wiggling, like a very slow, over-dressed jogger.  I didn't hurt too much during the walk itself, and I even stretched out when I got home.

Today my legs are so very far from fussed I'd almost forgotten I'd done it.  Well, I say that.  They weren't during the day, but now they're grumbling, especially in the knees, and I can't help but wonder if 2.6 miles at a fast trot followed by fairly intensive sessions on the stationary bicycles the next day was entirely wise.

Heigh-ho.  You'll be wanting a progress report then?

Diet (as opposed to dieting)

I'm eating well, enjoying food, and stubbornly substituting dried fruit and more water for biscuits and flapjack.  Tonight I sat there, in our currently freezing kitchen, after an extremely satisfying meal of home-made stew with potatoes and fresh bread, and wondered what was wrong.  I started externalising the conversation I was having sotto metis in my head to highlight to myself how ludicrous it was:

"But I want a biscuit."

"You've eaten more than enough, you're just tired."

"Biscuits! I can see them!"

"Sorry - no biscuits for you..." etc.  It seemed to work.

(Although I'd quite like a biscuit right about now.  Maybe I'll go to sleep instead.)

Sleep

I've got to do something about this.  I'm more tired from physical exertion, so my sleep quality's better, I just need to work on the quantity. Dammit.

Physio

Apart from the blip (it was a blip!) that was last week, doing well on this score.  It's getting a tad easy, though, which means that, presumably, I run the risk of getting bored by it and not doing it.  Doing it first thing in the morning keeps it more difficult (laxer muscles to overcome), and I can do that time-wasting reading the news thing that I would usually do slumped on the sofa when I arguably should be getting ready for work...

Mat exercises

Going very well.  20 reps is almost easy now, and my planks (even the repeated ones in later sets) are more reliably 60 seconds (or close) at a time.  So I've started adding in some new ones (wide-arm press-ups!  Yay! Holy damn that's difficult!), and will continue to do so (I foresee flying press-ups - where you swing one arm up at a time after coming back up - scissor kicks, and - in a month or so's time I suppose - gym ball gubbins; that'll keep me occupied...)

Gym

I failed to consider that doing longer sets of the endurance stuff (bikes, rowing machine, etc.) would mean that I spend longer overall at the gym.  That tiny miscalculation (and missed bus) aside, this is going pretty well too.

Up to 16.5 minutes on the bikes (the magical 20 minutes is almost within sight!), with variations of difficulty to - again - keep me from getting bored and doing it wrong.  I'm also listening to music and reading the Kindle app on the phone during the "flat" stretches.  And watching the man who does Epic Lunges down the length of the cardio part of the gym.  Luckily, I am too breathless, generally, to shout "Why so serious?!"

Maximum reps on the free weights is starting to get easy.  I think next week I go up a whole 0.5kg!  Onto the Big Girl Weights, where they have textured chrome bars and black hexagonal ends!  Yay! :D

I'd forgotten how ace rowing machines are.  I'd also forgotten that people are as crap at putting the handles back to the right slot for the next person as they are re-stacking their weights.

Oh hell - I'm turning into a gym bore!

No, no, it's okay - I'm allowed/ supposed to on here.

I saw a lot more people that I know in the gym today.  Tuesday appears to be People Fay Knows Day at that particular grunt emporium.

And no, I still haven't got used to the guttural gasps emitted by men with weights, the higher-pitched, sobbing exhalations of women at the end of their sets.  This, I have decided, is why people wear earphones - not to distract themselves from the boredom of repetitive exercise, not to dedicate themselves to their fitness in aural isolation, but to prevent themselves from getting needlessly aroused by the sounds of the others around them.

There's a poem in that, I'll wager...

And that's it, I reckon.  This weekend I'll need to walk 3.5 miles to be up to the mark; I'll let you know how that goes!

Progress

Not quite sure what to say here. Have avoided this so far, but this is one of the stated reasons for having the blog - a record of effects, so have at it. Behold a mixture of facts and feels.

Timetable

I have one now, and so far I haven't cheated. It's only been a couple of days now, mind. Basically, I have to treat exercise (physio, strength-builders like press-ups, etc., and gym) as an entity like gigs or arts admin meetings or dates or stuff, only the main difference being that I can move them without asking anyone else. And that's move, not cancel. I try to make sure there's at least one rest day per week in the mix (and some of the other days are physio-only).

Let's see how that goes. I've learned from tonight's experience that I can do a day's work, go to the gym for a short but thorough workout, and drive a 100-mile trip round a gig without dying. I wonder what tomorrow will bring!

Physio

This is going well, and I'm building back in some of the weird micro-muscle exercises I can do in my chair at work as well. Doing 15-20 mins of mat-physio in the morning does seem to make me feel more energised. It does, however, need to be timetabled with real discipline, mind...

I'm up to the proper number of reps for everything, and it's neither a burden nor a literal pain at the moment.

Gym

Gymnasia are weird places, no? What the...? Yeah. So re-calibrating my weirdness scale again to fit gyms in is proving interesting.

I've worked out how to make the stationary bikes do stuff that works for me and doesn't make me frustratedly confused. This is good. I'm up to a whopping 13.5 minutes (oooh) on each type of bike (beginning and end of the workout) at around level 8 (whatever the hell that means), and the time doesn't drag.

Much. I did have to start reading on my phone for the final 5 minutes of the second set. I should look out my Kindle - that worked well last time around, in the gym I understood.

This gym is shiny and doesn't have thick, slightly manky mats on which I could stretch and do floor exercises like the old one. It also has an alarming number (one so far, but where are the rest?!) of work colleagues in it. And there's a hot tub on a fire escape. I don't even...

Okay. Right. I'm using 2kg weights for the free weight exercises - up to 20 reps for the "easy" ones, and 15 for the "people with a screwed-up shoulder probably shouldn't... fine..." ones. I'm doing a mix of biceps and triceps and I have to try hard not to smile encouragingly/ snigger at the other people with (much bigger) weights. (Listen, if you look at me out of the corner of your eye while mashing big lumps of metal around and grunting, I have to assume that you want me to pay attention and validate you somehow.)

I'll switch up weight and down reps when 15 and 20 get easy. They have 2.5kg weights. They're barely used...

My arms don't burn like they did at first; the final five reps of any set are a lot less Sisyphean than they were last week.

Rowing machines are fun! :D Especially when you remember that time your partner taught you how to row properly on one of these things. 800+m in 5 mins? Something like that... More next week, and to think I only got on it because someone was using the chest press.

Up to 14kg on the chest press - two sets of 15-ish reps (second set always shorter than the first). Starting to come to the conclusion that either all chest press machines are wonky in the  same way, or I actually have one arm shorter than the other.

Strength exercises

Up to 20 on press-ups, 15 on leg-raises (old injury I'm being careful of), and 60s on front plank (get in!). I do four sets and the reps/ holds definitely vary after the first one.

How does it make you feel?

Chuffed, really. My top pulse rate appears to have reduced on the bikes, the weight reps are solid, I haven't injured myself yet, and it feels like progress.

And how does that make you feeeel?

I definitely feel more confident and more present in my body (as opposed to disconnected/ avoiding sensations from). I'm not exactly free of pain at the moment, but I seem to be less bothered about it - it's just information.

I tend to start to groan when I pull myself up from sitting, then realise that's not that painful. In fact I've only just realised this week how much I move through the world as though in expectation of pain. It would be good to stop that.

Dietary Stuff

Drinking more water is brilliant! And it turns out I was already pretty good at getting five a day. But pushing it more is good. Eating more raw vegs always gives me this weird sensation of a light belly (no, not hungry!) after a few days of putting the effort in.

And I'm therefore eating fewer snacks as there's no room for them.

Right. I'm.crashing. See you soon!

Meet my friend: Pain

Someone I know has the following advice for exercising, especially when you're getting started and don't know your limits: Stop comes before ow.

It's good advice, as it goes, but imprecise.  Ow comes at different points for different people and, in this case, "Ow" is not the beginning of pain, but a tenuously-defined point after the pain starts and before you're ripping yourself to shreds.

I have a high pain threshold, in general.  This is partly because I'm used to it as a constant (q.v. crappy joints), and partly because, when things are bad and I'm whingeing, I have some historical doozies to call back on to say: it's not as painful as [insert horrific incident], just put it away in the pain cupboard.

This management technique is good for pain when you know it'll end at some point, e.g. simple injury, recovering from surgery, headache when the source is known, migraine (although that's only minimally good when your headspace for putting pain is filled with orgulous, rolling, foggy banks of sickening pain).  However, it's a bit less useful for when the pain is scary because its source (and duration) is unknown. Then it becomes as tiring as someone constantly jumping out at random and shouting "Boo!" - you become hyper-vigilant to the point of paranoia, cringing before it even hits...

One of the things that's wrong with my poor knees is, apparently, some kind of hyperalgaesia.  Something went wrong with my ability to work out what's an ignorable amount of pain in that area and it all feels frightening and alien.  When I haven't done my exercises for a while (or eat the wrong food, or do too much standing without preparation), I go back to the place where I can't sleep for the discomfort, which sucks for two reasons, one of which being that sleep deprivation makes you more sensitive to pain.

One of the two useful things the NHS physio gave me (the other being insoles to correct pronation) was advice to touch my knees (and the areas around them) as much as possible with different kinds of pressures and textures, to basically bring up their sensation threshold.  Resting them and avoiding using them was only making them flabby and over-sensitive, basically.  Imagine that puffy rawness of paler skin out from under a plaster and breathing air for the first time in ages.  Like that.

Which brings us on to the key bit - the NHS physios told me to "do [these gentle exercises] and stop when it hurts."  The private physio told me to "do these more difficult exercises and push through the pain - your body has expectations and you need to shift them."  [This last is a contraction and paraphrase.]

Now, that's not to say that she was keen on me running around and breaking myself.  This is the woman who laughed heartily at me coming in with a busted neck, the pain of which had seemed to come on with a sneeze, but had actually been caused, she worked out, by me trying standing on my head the previous evening.  I am too heavy to stand on my head with the current parlous state of my muscles.  In this case, stop should have come way before ow.

Until very recently, I've been neglecting to stretch out properly after exercising.  I'm not entirely sure why this is.  Sometimes I'm rushing for a bus to get home, but... well... maybe I'm not taking it all seriously enough.  (Also, when the endorphins are rushing around, you think you're fine and don't need to stretch, just change, go home, and eat ALL THE PASTA.)  So I've been hurting like a bastard the following day, and that's been my measure of "congratulations: you did exercise". I used to call this "the smug fire of self-induced pain".

Yeah, not so clever.

Last night I achieved a mini-goal: front (as opposed to side-; I'm building up to that) plank held for 60 seconds.  I squeaked in victory and collapsed on the mat, all glowy.  Last night, after upping my sets to 4 instead of 3, I stretched properly, and today: yes, I feel achey, but to the degree that feels like "good workout last night" not the "holy crap, my left shoulder's so tight I've got pins and needles running down my arm" sensation I've been getting that makes me think I should see my physio.

Turns out Pain's one of those friends - you don't seek him out because he can be very draining company but, if he happens to come with the territory, you should neither avoid nor ignore him - he always speaks the truth, even though he sometimes exaggerates. Pain's part of healing, after all, and I need to break my muscles just enough to build them through healing, and pain's part of that.

Conversely, Injury's a wazzock and should be avoided if at all possible.

I guess what I'm saying is: test your limits constantly by artfully nudging beyond the ones you want to change. And have a map for what the steps are between the landmarks.  Pain is part of this - listen to him and he'll be a good friend in unfamiliar territory. And, for goodness' sake, save painkillers for emergencies!