A week after my stress fracture diagnosis, I crutched around Leadville 100, putting on a brave face (ok, failing but trying). Many wonderful people came up to me and said something along the lines of “gosh, I’m sorry this must be so hard.”
“This?” I said in response, “Oh, this is the easy part. The hard part comes later once I’m able to start doing things again.”
That response always seems to perplex people, but it’s true: being laid up with injury is the easy part. It’s the rehab and the comeback that’s the hard part.
And it’s especially acute when you have been given the green light to come off crutches (or out of a boot, pick your injury poison), but you still haven’t had follow-up imaging to confirm that, yes, the stress fracture is healed. (note: most doctors won’t repeat an MRI before 12 weeks because prior to that, the MRI is likely still going to look terrible and then send you into a spiral that you are never healing. Not that I speak from experience).
It’s the in-between, and I am currently in the thick of it. And despite how many times I’ve been through it, I forget how this part can absolutely suck.
The questioning every activity: “was a 30min walk too much? Perhaps I should have started smaller? Oh god my TFL is getting tight is that muscle pain from non-use or is it the stress fracture?” It’s the replaying everything you did in the past few months that could have potentially made it not heal. Did I go too hard in the paint with arm biking? Maybe if I hadn’t slipped with my crutches on that lime wedge at the Death Cab for Cutie concert and slammed directly down on that leg? (pick up your lime wedges, people).
For an already anxious person by nature, it’s not exactly the most soothing time right now. My physical therapist told me the other day: it’s going to be very difficult to tell right now what all the sensations and feelings in my hip mean. As long as I’m patient and stick to the plan, I’m going to have to trust that it’s part of the process and not “bad” pain.
So…listen to your body, but not too much? Or don’t listen, unless it gets too loud? But isn’t that kinda what got me into this situation in the first place?
It’s frustrating for me because I feel like in the past two years, I finally got to a really good place of striking the balance between listening to my body but not being overly fearful of every ache and pain. And it showed in my running - in two years, I barely had more than one or two unplanned rest days here or there (always had my regularly scheduled ones though!). I fear now that this stress fracture has shattered that natural trust and balance I built with my body, and I will be back to the place of paralysis from every ache or pain.
It’s the in-between.
And as I’m currently here with injury, I’ve also reached that place with heartbreak and grief. I also find this the hardest time: the edges of pain have begun to soften, but at the same time, reality has fully set in. I’ll go about my day totally fine, and then I am NOT FINE in the most urgent and terrible way, seemingly out of nowhere. The bags of my things from his place sit partially unpacked in the corner of my room still - I’ll start pulling stuff out to unpack but a sharp pang in my chest says “nope, not right now.” I’ll be be-bopping along just fine for days until I find a picture or a card that fell under a car seat.
Most people will expect that you are fine by now, which also makes it hard. The incredible friends who so diligently (and amazingly) would check in on you every day have long since stopped (understandably)1, and you realize that it’s on you to reach out if you are struggling and sad and not be ashamed that it still hurts. I’ll be the first to raise my hand and say I’m terrible at that, so these past few weeks have been a good practice for me to start doing that: “hi friend. I’m in a funk - do you have emotional/mental capacity to chat?”
So maybe the in-between is all about discomfort because it’s a time of extreme uncertainty. As a person who has struggled with obsessive-compulsive disorder her whole life, certainty = comfort. An MRI showing my femur is healed would be certain. A partner is certain (“no it’s not,” says the narrator). But there is no certainty in this space (or perhaps, ever, but that’s a post for another day).
I guess I’ll have to move through this time just like every time before: one decision at a time, one day at a time, putting blind faith that things will continue to get better.
This is the hard part, but it doesn’t last.
And while it’s the hard part, it’s also the hopeful part. The hope of healing, the hope of future adventures, the hope of possibilities.
That hope will move me through.
Note: this is not some weird passive-aggressive plea to check in on me. It’s just simply the reality of how things work: we are all amazing at checking in during acute phases of pain or tragedy or grief, and then we move on (as we should). I’m super lucky to have a wonderful support system.
It feels like you are in my head. I knew surgery wasn’t the hard part—I could deal with that and get through it—but everything that comes after? So hard. Despite how many times I’ve gone through it, I forget. I’m in the process of weaning off crutches and my brain doesn’t trust it. I’m questioning everything I do and worried that I’ve messed up my knee again even though I know it’s be really hard to mess up my ACL reconstruction just from sleeping on my side! All this to day, thank you for writing this and sharing this.
I am proud of you. You are learning growing healing and doing your best.