Farewell

I am decommissioning this blog. This is the end of the road. I am officially no longer a runner, no longer a zombie turtle.

Though I had fallen out of love with running over the pandemic summer, I had started to find my cadence again, my float, my joy at the end of it. I did not know that yesterday would be my last run. Or maybe I did, and that is why I laced up my shoes even when I did not want to go.

I started running after I had my daughter. I had never been into it before, even when I (half-assed) played soccer in high school. My first run was in the heat in Tennessee, not terribly long post partum, in shoes a size too small for me. It was a sweaty, panting disaster, and yet the addiction started.

Like all things, I could not indulge just a little. The addiction took deep root. And I found accomplices. We found therapy and sanity along the riverwalk, slowly counting fishes every half mile in the dark hours before dawn.

Running led to running buddies led to run clubs led to races led to more races. An addiction sprouted into a community. Some were tourists; some became residents. Confessions were made on the trail. Therapy sessions conducted over sweaty miles. Comradery and commiseration filled the space between each panting breath.

Running came home with me when I moved back to Colorado, when I exchanged humidity for altitude, when I had to retrain to attain even my meager pace.

Every week, there were miles. While pregnant, after babies, when I was sick, in the subzero snow, up the worst hills. Before I had my son, it seemed the only thing I did was run nearly every morning.

Running brought a sanity and consistency to my mind that I was told would take medication. The blend of a routine and a physical outlet balanced me out. As long as I ran (slowly) until my legs were exhausted, I felt mentally prepared to climb the daily obstacles. Draining my body charged my mind.

I ran everywhere. I traveled to run, and I ran when I traveled. When I arrived in a new city, I would see running route options before I noticed gas stations or restaurants. I pried myself out of bed before dawn countless mornings to ensure I had the time to run before I started my day. I spent many evenings dawning a headlamp to navigate with run club before margaritas and chips.

Like every addiction, it came with withdrawals. I could feel when I had not had the endorphin rush of a good run within a week. When I fell out of love with running and when I locked down during the pandemic, I felt it. When I was recovering from birth and from hip surgery, I felt it. My brain always felt like an egg timer, needing to be reset by one more good run.

Now, the timer is going to run out.

My hip surgery failed. Or it didn’t fail, and my labrum is just too damaged and weak. It does not really matter why, but my hip is torn again. Just like before. And my hip is full of arthritis. Worse than before.

The pain resurfaced over the summer, oddly when I had lost my taste for running. Nothing happened. No dislocation like the injury that initiated this journey. I did not try a new activity or pick up a new addiction. Nothing changed. Yet a small ache started to nag in the root of my joint.

Then it blossomed in such a familiar pattern. When simple movements produced a painful flinch again, I returned to the orthopedic to check. My orthopedic was potentially more surprised than I was to see a large new tear on the MRI results.

The options are limited, as I am too young for a hip replacement. I cannot repeat my hip arthroscopy with the labrum ripping so easily. I can get a zombie tendon to replace my labrum and some mixture of donor cartilage and plasma to pacify my arthritis. However, with any other option decades in the future, I am going to try to forestall that as long as possible. I am going to attempt to manage things without the knife until I am as miserable as I was last time.

I would say I am halfway there. Two years later.

I started physical therapy with the same person at the same place. And that is where my running journey ended. Impact in my damaged joint will only accelerate my arthritis, if not increase my tear. So, I can run, but it will cost me. If I am trying to make it 30 years without needing a new hip, it might not be a cost I can pay.

So I have to let running go. I have to abandon something that has been utterly foundational in my life for the past nine years. As a self-destructive person, I have to relinquish my first healthy and productive vice in the interest of my physical health. I do not know how to do this. I do not know how to balance without it, but I will have to learn.

This blog was always about running. Later, it harbored my other fitness flirtations and my self-loathing weight obsession, but ultimately, it was always about running. As that chapter of my life is forced to close, so too does this site.

Christina Bergling

https://linktr.ee/chrstnabergling

Next up… Ketosis!…or not…

I started “dieting” when I was 22 with calorie restriction. I successfully lost 50 pounds then and developed an eating disorder that would haunt me indefinitely. While my weight would only severely yo-yo due to creating tiny humans, in the following years, I have tried probably every diet out there.

I have done:

• Calorie restriction
• Caloric density
• Intuitive eating
• Inner clean/detox
• Juicing/smoothies
• Hormone balancing
• Whole30
• Low glycemic
• Gluten free
• Low carb
• Low FODMAP
• Metabolic profile
• Intermittent fasting
• Fast mimicking
• Healthy/balanced eating

At the end of that all, I had seemed to settled happily on intermittent fasting. I was finally happy and stable for the first time since before I had started to think about these things. Then last year, something happened to my body amidst medication changes, and it never really came back to itself. So it was back to trying (and failing) at all the things.

Nothing has worked, which has left me with one final thing to try (at the direction of my doctor). One thing that I have avoided for all my years of dieting: ketosis.

I have avoided ketosis for multiple reasons. Yes, it is a strict eating regiment. I can do strict. The simplest excuse is that I love fruit, and after giving up so many different foods on so many different diets (cheese for fuck’s sake), I had no intention of relenting my last grip on fruit.

Also, everyone I have personally seen on ketosis does lose weight very well… then gains it right back. Over and over again. I do not need a temporary fix. I need the answer that intermittent fasting was before whatever the hell happened happened.

However, it is what the doctor recommended, so I went into it with the intention of giving it the full attempt for three months. And since I was going to be in it, I might as well report how it.

Month 1: Fuck This

With all the various diets and restrictions I have tried in the past year, so many of the foods included in keto have been off limits. I was excited to eat cheese and bacon and FAT again. This excitement lasted a day, maybe two. Until I actually ate all the fat.

While delicious to eat all the fat (and liberating to not count the calories or the portions), it made me feel gross, the way I might feel after days on a fast food bender. The “keto flu” came and went in the first week (or so I thought), but on the other side, I still felt nasty. I never crossed over into the promised land of when keto is supposed to feel awesome and energizing and clarifying. Instead, my stomach always felt heavy; my tongue always tasted sour; my muscles always were weak and shaky.

What I felt in my first month of keto was rage. So much rage. I was angry and bitchy and unhappy all the time. I wasn’t hungry, but I might as well have been hangry for how irritable I was. I also experienced weird tingling and numbness in my hands/fingers and feet/toes. ALL my workouts were absolute shit, especially my runs, like I was trying to run on an empty tank. After I was active, I would hit an impenetrable wall and be borderline nonfunctional. Most likely, all of this wonkiness and extended “keto flu” was due to an electrolyte imbalance that I could not seem to rectify.

I adapted, somewhat, in my first month. Getting used to the composition and rhythm of the food. The grossness dwindled after the first couple weeks, but I still didn’t feel awesome about the food. It often felt heavy, even nauseating in my stomach. In the second week, I attempted to reintroduce fasting but found it halted my weight loss and tried adding the third meal back in (though that didn’t help). It seemed counter intuitive to need to eat more of such rich, high calorie food.

I just went strict. I followed the meal plan. I spent my entire days on Sundays doing meal prep, cooking things in butter and frying bacon and mixing in heavy cream. I didn’t cheat. I went to Chipotle when I ate out so I could get a bowl with no rice or beans, just mean and cheese and guac. I didn’t deviate.

I committed, and I suffered. I am able to do that. It is moderation I cannot accomplish.

However, the first month was not terribly successful either. In the first two weeks, I lost 8 pounds. In the second two weeks, nothing happened. I didn’t change or eat carbs, so I don’t know why it did not work in the second half, but it was very frustrating to continue to be miserable for no results. What I thought this told me is that I lost water weight in the first two weeks but did not lose any actual weight in the entire first month.

At the end of the first month, what it really felt like what more of the same, just like all the other failed diets. A lot of hope fizzled out into physical discomfort without change.

Month 2: I Can’t Feel My Hands!

My negative keto symptoms seemed to reach their peak as I moved into the second month. The strongest, and most unsettling, reactions seemed to be from an electrolyte imbalance. The most notable and irritating was extremity numbness. At its worst, I would lose sensation in both hands and both feet, especially while running.

In response to all the tingling, I started drinking bullion, taking a magnesium supplement, and adding salt to everything. After about a week, I did start to feel better. Even more that the electrolyte symptoms, I started to feel better overall. It seemed like I might actually be seeing the other side of the keto flu. I might actually be adapting to keto itself. At the end of week 5, I finally went on a run that did not feel terrible. It was still atrociously slow, but it was not a miserable experience.

At the end of week 5, the Coronavirus pandemic panic also broke on the grocery stores. I had the strange anxiety of first worrying about being able to get food, and once I had the essentials, I worried that I would not be able to stay on keto with what I had in the house. There were bizarre tiers of stress in my eating. Thankfully, the stores restocked in the same weekend, and it became a nonissue, but it was a surreal experience briefly. Keto would have quickly died if I had to turn to boxes of ramen or cans of soup.

I messaged my doctor to tell her about my numbness and ask her how to proceed. She had me come in to see her. At this point, I had been on keto for six weeks pretty strictly. However, I had not lost any weight past the first two weeks, and I never started to feel good in any real way. I only experienced negative side effects. So she advised me to terminate the diet. Since I only went on it because she recommended trying it, I complied.

Part of me feels like I should finish the 12 weeks just to finish them, but why? How wrong does it have to be to be wrong? I think I am just frustrated to have the last option still not be the answer.

Another Failure

Instead of a month 3, keto ended at week 6 in another failure, in more negative results. To me, this leads me back to the conclusion that brought me to a medical professional for assistance: something is not right with my body. Something is not functioning how it should be. From what I have been told, strict keto works for almost everyone. The doctor had expected me to easily drop 20 pounds in the first couple months.

If I cannot lose weight, that’s fine. I can live with that. The problem is more that if I do not starve and work myself to death, I gain weight rapidly and my blood sugar climbs. That is not healthy. Or normal. That is what I am trying (and repeatedly) failing to figure out here.

So now I am to return to Whole30, which worked when I tried it before things got all wonky last year. I’ll be happy to eat produce again, not feel gross, and be able to feel my fingers and toes. Maybe I’ll have some fuel during my workouts. I’m also going to layer intermittent fasting back on, simply because I like it and it makes my body feel good.

Here we go again… We’ll see again… I’ll have another follow up with the doctor to reveal lack of progress yet again I’m sure.

 

Christina Bergling

christinabergling.com

facebook.com/chrstnabergling

@ChrstnaBergling

instagram.com/fierypen/

youtube.com/channel/UCG2s2dQA7309EeGM8y3BvQA

chrstnaberglingfierypen.wordpress.com

amazon.com/author/christinabergling

goodreads.com/author/show/11032481.Christina_Bergling

pinterest.com/chrstnabergling

And I Run Alone

I started running over eight years ago. Though an individual sport, it has always been a group activity for me all these years. Running mates, run clubs, races. Running, for me, has always been decidedly social (perhaps because I am decidedly social).

Until now.

For the first time in all my running, I really only run alone, except for a few anomalies sprinkled here and there. Run club conflicts with my dance class, which I prioritize, and wanes in the dark winter evenings. My running mates continue to run and train for half marathons while I instead work short distances on speed work. And races only happen in the fall and winter, so that season has passed for now.

I have almost always run alone for some of my training, alternating them with social runs. I have done races by myself. I just have never only run alone. I appreciate the balance between being able to focus and dissolve into an audiobook and run only at my pace versus being distracted and encouraged while sharing with other people.

I’m not sure how I feel about this. Life changes. Schedules shift. Things get in the way. I am complacent with these sorts of natural shifts and evolutions. And my relationship with running overall has changed since my hip injury and then again since my hip surgery and recovery. I don’t know if I feel any sort of way about it. I always enjoyed social running, but I am not angry or sad that those situations aren’t currently available. I don’t think they are gone forever, and I don’t think the lack right now prevents me from running.

I wonder if my running circumstances have changed because I have fallen out of love with running or if I have fallen out of love with running because my running circumstances have changed. Perhaps a little bit of both. Either way, it does not really matter.

It is definitely less motivating to run alone. I no longer have the accountability of meeting someone at a place and time, of keeping pace with another body or more, It’s just me, relying on me to get out there and to push myself.

I just wonder if running is my thing at all anymore, if I even love it as I once did. I fought so hard to get back to it after injury and surgery. Now that it has finally been the year and I am finally as recovered as I will probably ever be, I find that it’s not the same to me anymore. Maybe I was fighting for the idea, rather than the reality. The current reality is starkly disappointing.

Switching to running alone could have changed the dynamic. Moving toward working on speed (which I hate) could also have soured the experience. The fact that I have made zero progress in all directions for months is definitely not helping. Run as I might, alone or together, fast or wogging, I only seem to get slower; it only seems to be more of a struggle. And that may be what poisons my affections and infects my high.

If it’s not running anymore, then it just is what it is. Like a dead relationship, I don’t know that I can necessarily reconjure the magic. I can’t force myself back into love. I don’t want it to be the end, and I have no intention of giving up already, yet the thought is starting to blossom at the periphery of my mind, back in the darkness where the answers usually come from.

But if not running, what? I operate on a very simple but delicate balance. Two days or more without a heavy dose of endorphins and the house of cards comes tumbling down. Running has always been the highest and most reliable dose of those endorphins. Better than barre, dance, hiking, or any of the other fitness I do. So, what moves in to fill the void? What slides onto the scale to keep the balance?

I don’t really have any interest in seeking out new passions. I would rather find a way back to my old contentment. Maybe I need to abandon the speed work that has done literally nothing for my pace. It has only stunted my distance.

Right now, I am just coasting. Doing what I have done because it’s what I have done and because I don’t know what to do next.

 

Christina Bergling

christinabergling.com

facebook.com/chrstnabergling

@ChrstnaBergling

instagram.com/fierypen/

youtube.com/channel/UCG2s2dQA7309EeGM8y3BvQA

chrstnaberglingfierypen.wordpress.com

amazon.com/author/christinabergling

goodreads.com/author/show/11032481.Christina_Bergling

pinterest.com/chrstnabergling

Hip-iversary

Happy anniversary, hip surgery!

Today is one year since I had my hip arthroscopy surgery after tearing my hamstring and hip labrum years before. In that time, this blog went from being about running to being about fitness to just being about injury and recovery. Honestly, it was hard to focus on anything else.

I guess I do post about some hiking too, though I did neglect to write about our Pikes Peak descent. I at least mentioned that when I wrote about the madness of October on my author blog.

So where am I a year later? Did the surgery work? Am I recovered?

Um… kind of? Not much has changed since 6 months after.

My pain is SO MUCH better. Before the surgery, I had an unbearable wave of pain every time I transitioned from sitting to standing or the reverse. I would have to grip onto something and breathe through it before settling into the new position. I could not sleep through the night. I would need to get up several times to reset my hip then search for the perfect angle to fall back asleep to then wake up and repeat. I couldn’t hold my kids or have them sit on my lap because the pressure of their minuscule weight made it unbearable. The pain was so intense and relentless that it was detrimental to my behavior, affected my personality.

All of that is gone. That alone made the surgery worth it, even considering the amount I had to pay out of pocket.

What remains is a lingering, nagging, and inconsistent pain. Some weeks, it will persist and build enough to make me think the rehab did not work or I have re-injured it. Then it just vanishes again. Some days, I think I’m almost healed.

But it is never all the way gone. There is always a twinge, an ache when I’m sitting, a movement that lights up the joint. Any hint triggers panic and depression, but on the average, it is much improved.

Just not cured. Just not completely healed.

After a year, I think this is just life now. I think this is as good as it gets. I wish I could go back to that moment when I slid down into the splits and lifted my hands. I wish I could snatch my muscles around my hip before it rolled out of joint. But there is no going back.

I did get back on the slopes this year. I was advised not to ski last season (an epic snow year) by my physical therapist, and it was heartbreaking. I even sat in the lodge drinking and writing while my children skied for my daughter’s birthday.

I found myself so gun-shy, uncharacteristically nervous on the slopes. I have been on skis since I was three; I am rarely shaken by the top of a run (unless it’s an accidental double black diamond). Every turn and bump had me flinching. Would I catch an edge and yank my leg in the wrong direction? Would I jump or bump and slam my hip into joint (as if it would be any more than running)? Would I fall?

Then, once I calmed down, it was glorious. I skied only a couple hours and gently, but I had missed it. It felt good to be back on the slopes, on skies, in the snow. It felt more normal. And I have proven to myself that I can do it again.

At this point, I’ll take better but not perfect. Now, I just have to keep myself from injuring myself again. Because it’s always me. I always push too hard. I get to a good place and drive for more, grind my body until it snaps. I need this hip experience to be my lessen, to temper my impulsive extremism. Injuries will only get harder to heal as I seem to age faster by the day.

Christina Bergling

christinabergling.com

facebook.com/chrstnabergling

@ChrstnaBergling

instagram.com/fierypen/

youtube.com/channel/UCG2s2dQA7309EeGM8y3BvQA

chrstnaberglingfierypen.wordpress.com

amazon.com/author/christinabergling

goodreads.com/author/show/11032481.Christina_Bergling

pinterest.com/chrstnabergling

Happy 3rd Anniversary

Happy 3rd anniversary, hip/hamstring injury!

Three years ago this morning, I stepped out of a dance class and began doing an extra stretch sequence. I slid my left leg forward into a front splits and was surprised at how effortless it felt compared to the previous time. I was startled to find myself in full splits, seated all the way on the ground. I smirked in my own pride, finally able to lift my hands from supporting me on the floor. I took a deep, satisfied breath and felt my muscles release a little more.

And my hip half dislocated from its socket.

My leg that was sitting flat on the floor managed to fall lower, in an alarming snapping motion. I was not sure what had happened; I just knew it hurt. The pain seized me. I hovered in some awkward calm over my panic. I just kept thinking to myself, This is really bad. I think this is really bad…

As the past three years have shown, it was really bad.

I would eventually learn that as my hip rolled out from its joint, it tore the labrum along the socket and also 20% of my hamstring in the center. I would go through two orthopedic doctors, multiple medications, multiple steroid and PRP injections, and eventually laparoscopic hip surgery.

And here I am, three years later, eight months after surgery.

I often think back to that moment three years ago, when I lifted my hands and felt my muscles relax. I meditate on how that split second has rippled out, how much that inane decision has affected everything. And how much that is like everything in life.

Every decision is a fork in the road. Every decision is irreversible.

Deciding to stretch gave me years of debilitating pain, pain I have not even completely shaken yet. It is something I would have never expected, but isn’t that like so many decisions that change everything?

So, my injury becomes like all other life-altering decisions for me, intended and unexpected. It fades into my shadow as a formative mark on my timeline. The only thing I can do is accept the reality and the trajectory of the journey.

I do not plan on taking any more measures for this injury. Some pain still lingers, but none of the options for dealing with it are favorable. Instead, I am just experimenting with exercise to decode what aggravates it. I don’t want to do more injections, and I will not have additional surgery (especially the hamstring one), so there is no point in continuing with an orthopedic or getting another MRI. Physical therapy might be beneficial, but I have exhausted my insurance coverage for the year.

That leaves me here, three years later, nodding a cheers to the past and moving the hell on.

Christina Bergling

christinabergling.com

facebook.com/chrstnabergling

@ChrstnaBergling

instagram.com/fierypen/

youtube.com/channel/UCG2s2dQA7309EeGM8y3BvQA

chrstnaberglingfierypen.wordpress.com

amazon.com/author/christinabergling

goodreads.com/author/show/11032481.Christina_Bergling

pinterest.com/chrstnabergling

Over 5 Months Later

Here we are, over five months since surgery.

Four months is when I was supposed to start running again, but I have been running for a month (doctor approved and physical therapy monitored).

This is when I am supposedly “fully recovered,” though there are still lingering restrictions.

My hip is doing well. I would say the joint itself and the repair therein are fully recovered. The surrounding muscles, however, are still working through their discontentment. I can live with muscular pain; muscular pain can be worked and repaired without surgery.

Traditional physical therapy has been largely worthless on me. I’m too flexible to get any stretching accomplished, and the same disposition might also be why I don’t gain muscle strength (discussed most recently with my orthopedics PA). However, we recently added dry needling to my regime.

I did dry needling way back when the hamstring tear was new and my first asshole doctor treated me like a drama queen with a stubbed toe. Dry needling has apparently changed in that couple year window. Previously, the therapist stabbed me in the muscle with the thin needle then pistoned it until my muscle hypercontracted. Super painful. I bruised a lot. Now, rather, the therapist implants the needle into the belly of the muscle and zaps it with a tens unit, causing the muscle to contract by stimulation. Still unpleasant but far less so.

The dry needling is working surprisingly well this time. I see progress in the tissue after each session. The muscles have less knots. I feel less tension. Things hurt less. As I approach the end of my physical therapy program, I think this is exactly where I could hope to be.

There is still pain. Pretty much every day. But it is so much less than before surgery, and it is less than last month and the month before that. On a long enough timeline, this could just be working.

If I can calm down and step out of my own nature and into patience, I can see the improvement. The surgery definitely knocked me completely off mental balance, as I knew it would. I underestimated what it would be like to go back there, but I feel like I’m flirting with recovery on that front as well. My exercise routine is nearly restored; I just need to commit to it long enough to level things back out.

If I ever had any doubts of the effectiveness of my routine and coping mechanisms, this has confirmed that they work and I need them. I guess it’s just not an instant return to where I was. Mentally or physically.

So, I need to take a deep breath, tell myself to shut up, and stay the course.

 

Christina Bergling

christinabergling.com

facebook.com/chrstnabergling

@ChrstnaBergling

instagram.com/fierypen/

youtube.com/channel/UCG2s2dQA7309EeGM8y3BvQA

chrstnaberglingfierypen.wordpress.com

amazon.com/author/christinabergling

goodreads.com/author/show/11032481.Christina_Bergling

pinterest.com/chrstnabergling

12 Weeks Later

Honestly, I don’t know what the hell is going on.

My 12 week post-op appointment was last week. At that point, I was feeling great, healed even. I was experiencing little pain, just hamstring aches that were improving, and thought it might be what recovered felt like.

I was supposed to see my surgeon, but instead, his PA greeted me again. This was fine, though she was unable to provide any real wisdom or answers on my hamstring pain. She did not seem too acquainted with my file. I didn’t expect her to remember my mediocre case out of her entire patient load, but it would have been nice if she skimmed the highlights before coming in. She examined me and agreed I was healing exceptionally well.

At the end of the appointment, I asked her if I was cleared to run. Without hesitation, she said yes and gave me a plan on how to ease back into it with 1 minute on/1 minute off intervals. I asked very clearly if I still had any restrictions. She said I could not do extreme sports but I could SLOWLY return to any activity.

Naturally, I got home from the doctor, laced up my running shoes, and put in two rough and slow miles of micro intervals.

It felt GREAT! It was slow and awkward and barely a run, but I was out there. I even celebrated by listening to my own audiobook on the miles. My hip got a little tired and achy, but there was no real pain. It felt like I was finally getting back to myself.

The next morning, I went to physical therapist, and my therapist freaked out. He was very nervous about the idea of my running and interrogated me on why I would do that. He said the recovery plan always included waiting 16 weeks (another full month) before any impact, especially running. He resolved to test me out on their anti-gravity treadmill then allow me to continue to follow the doctor’s orders, provided there was no pain.

I haven’t been able to try running again.

The next day, I tweaked my hip. I got a little overzealous dancing, and it hurt. So I stopped. I went to barre for the first time the next day, and it felt fine. It was still a little achy from the previous day. I made modifications and did less. Certain positions aggravated it, so I skipped those. The pain seemed reasonable for getting back into activity and also seemed to be improving.

Then, as advised by physical therapy and as I had been doing frequently the past couple weeks, I spent some time on the massage ball on my hamstring attachment, my hamstrings, and my IT band. I worked it all a little longer than normal, hoping to compensate for tweaking my hip and the new, added activity. Then I stretched it out, like normal.

This made my hip livid. It hurt as bad as it did after I started walking on it after surgery, as bad as it did before surgery. The pain got me out of bed for the first time in weeks.

Cue my panic. I tried to remain calm and rational, but any reemergence of the pain makes me stupid. So I did nothing. No activity. No massage ball. No stretching. The hip still hurt, a lot, but seemed to be improving.

Tonight, I went to my belly dance class. I did not intend to really dance and did sit out or modify the majority of class. I have been attending class since before I could participate again for the social aspect. Mostly, I just stretched. And my hip became angry again. Worse than when I tweaked it. Worse than when I massaged and stretched it. Worse. It got worse.

So, I have no idea what’s going on. Am I supposed to be running or not? Am I recovering or not? Did I hurt it or not? Is stretching the problem? Why does it hurt? Will it ever stop hurting? Will it ever get better? I have no answers. I have had no answers this entire recovery, but now, I have severe pain again.

I can’t go back to the pain all day every day again. I would have preferred no oasis from it. Even dipping a toe back into that misery destroys me. Two and a half years of suffering and desperation and hopelessness surge back over me instantly. I cannot go back there.

I also cannot continue to be inactive. Again, I would have rather not got to taste it again. Having this tease of being able to run (twice) and being able to really dance and go back to barre just to land back here is excruciating. It was all just a tease. My mind is not balanced without exercise. I am not myself without exercise. I have been waiting three months, and it has been rough. The thought of continuing on so stagnant is terrifying, especially since activity now ended in pain.

Or stretching did. Stretching that was fine every week before this.

I don’t know. All I have is the panic. Panic at the idea that surgery didn’t work. Panic at the idea that I hurt myself again. Panic at the idea that my hip might be like this forever. Panic at the idea that I might never ever get to really return to my activities.

Panic is where I am 12 weeks later.

 

Christina Bergling

christinabergling.com

facebook.com/chrstnabergling

@ChrstnaBergling

chrstnaberglingfierypen.wordpress.com

goodreads.com/author/show/11032481.Christina_Bergling

pinterest.com/chrstnabergling

instagram.com/fierypen/

amazon.com/author/christinabergling

Six Weeks Later

Six weeks later, the first phase of my recovery from hip surgery is done. In some ways, it flew by must faster than I expected; in others, it has been brutally slow.

After surgery, it took a good three days to detox from the anesthesia. I did not move from the couch much. I slept a lot. Though I did not take any pain medication because I did not have any pain. Despite the numerous warnings and promises of how miserable recovery would be, I began mine with six days pain free. I didn’t really feel any discomfort until I started moving around.

I did my two weeks in the brace and on the crutches. These were definitely the longest and most irritating days in my recovery so far. I loathed the brace and struggled to keep it on. I also never mastered the crutches.

When pain started with walking on the crutches, I was confused. In a typical case, the patient would wake from surgery and be utterly miserable for several days; then the pain would reduce to an ache as they started moving around. In my case, I woke pain-free for the first time in over two years; then my pain increased as I started to move again. Did that mean the pain was getting worse? Did that mean I was finally aligning with a normal track? I didn’t know. And my doctors and physical therapists didn’t seem to know either since, as always, I’m atypical.

I didn’t let the pain or the crutches stop me. I continued with life and activities as much as I could. The crutches were endlessly inconvenient. I could not carry anything, which is especially challenging as a mother of young children. I moved very slowly, again rough with little kids. I hobbled on through life and physical therapy.

After two weeks, I was liberated. It was near blissful to be free of the brace and the crutches. Again, my pain increased though. It was only a fraction of what I was experiencing pre-surgery, but the pattern was definitely increasing. Yet I still did not know if that was a bad sign. I resolved to just follow the rules and wait.

I also finally got to remove the tape and see my stitches. Then the nurse promptly cut them out. They are tiny little marks that may even vanish in time. Amazing they could do all the repairs to my hip joint through these two small holes.

While I was liberated of the physical restraining devices, I remained held back by multiple movement restrictions. At this point, my brain decided it was an apt time to remind me that I’m still bipolar as fuck. I have managed my cycles effectively for years using routine, exercise, and infrequent therapy. And it has worked. More than I even thought it had been. Once these systems were impeded, I got to fully experience what I have been suppressing.

I knew this was a risk so much so that I made multiple contingency plan to deal with it. I knew my system is what kept the symptoms managed and that when I would not be able to maintain it, I would see some reemergence. Unfortunately, the depression still managed to descend on me before I could enact them.

The prolonged anesthesia detox really derailed me. I planned to focus on writing and tasks and being productive with sedentary tasks. Instead, I experienced some of the deepest depression I have experienced in years.

I surely did not miss it. I was working, mothering, recovering, and I felt like I was drowning. I didn’t want to do anything. I didn’t want to see anyone. Textbook symptoms I know well. It made the holidays a struggle, to feel so weighted and disconnected. I powered through, well I think.

I resigned myself to the suck. I knew I was going to be low. I knew why I was low. I knew I had to ride it out. So I did. I missed out on some festive fun. I ruined some minor moments. Thankfully, it was nothing too traumatic. Mostly because I didn’t resist, and I remained communicative about it.

When I returned to work after the holidays, I was able to snatch at some normalcy. Though I still could not move much, I finally launched into all my productive plans. Working made me feel less worthless. I forced myself back into my new novel (and actually enjoyed the progress I made). I wrote multiple short stories and even some horror poetry. I loaded on the tasks and fixated on them.

And it helped. Even still immobile and devoid of the endorphins I needed, being busy and focused tamed the beast.

The pain also leveled off then began to steadily decrease. My body recovered. I do believe the pain was a large contributor to the depression. Whenever I hurt, the base part of my brain panicked that I was returning to my pre-surgical pain. As that threat dissolved, my control over my mind returned.

As I have reached the six week mark, my movement and activity restrictions have been lifted by degrees.  I can now go for short walks or hikes, belly dance gently, move my hip and stretch however I want, carry moderate weight (read: my four year-old). These minor things make a world of difference. Doing gentle yoga and fully stretching my body was near orgasmic. Dancing , even if it was slow and labored, made me feel like myself.

I am still itching to go for a run or do anything until I hit a sweaty high, but that will come in time.

I am proving challenging for my physical therapists. Atypical, as usual. I hit full mobility effortlessly by my six week check. They cannot seem to provide me stretches that actually stretch me. Especially after they have spent so much time smoothing my hamstring with some bizarre butterknife-like torture device. The exercises also do not challenge me. They don’t hurt; they aren’t hard. Yet I’m not allowed to do more. So we go through the motions with no effort and just wait.

Now, I have six weeks to go. Six weeks until I can run, dance, go back to barre, do whatever the hell I want. If it continues without pain, perhaps it will go even faster than the six weeks I have already pushed through. I’m excited, anxious, but at least waiting is easier with the surge of depression fading behind me.

In the meantime, as a teaser to myself and full activity, Pratique Photography finally edited and released my Pennywise belly dance video. It was nice to see what I was able to do in constant pain so I can plan on what I can do when I’m finally healed. Check it out on YouTube.

 

Christina Bergling

christinabergling.com

facebook.com/chrstnabergling

@ChrstnaBergling

chrstnaberglingfierypen.wordpress.com

goodreads.com/author/show/11032481.Christina_Bergling

pinterest.com/chrstnabergling

instagram.com/fierypen/

amazon.com/author/christinabergling

Pain Makes Me Stupid

I don’t think I realized what a relationship I had with the pain until I was pain free for six days for the first time since 2016. I have had infatuations with emotional pain before, romances with depression, flings with mania. And a former cutter will always have a strange dynamic with physical pain.

After so long, I had just integrated the pain into my daily life. I had just adapted to it. It was unpleasant and I hated it, but it had become the new normal. Steroid shots had given me spotty relief over the years, but those first six days after surgery were the first time I had experienced no hip or hamstring pain since my hip popped out of socket that fateful day. Even if I was immobile and detoxing off anesthesia, it was blissful relief.

It was when I experienced pain again that I was able to see how much it had taken root in my mind, how it had poisoned and deformed the tissue in my brain. Instead of logically thinking that pain is a part of recovery and it is going to pass, I immediately panicked emotionally. My brain descended into a hopeless ramblings about how the surgery did not work, how the pain was back again, how the pain was never going away.

I flinched away from it the way you would recoil from a stove after having been burned.

I know I just had surgery. I know pain to be expected, even if I was spared it initially. I know it is way too early in the recovery process to decide if the surgery was successful or what my body will feel like going forward. I know these things, yet I do not feel them. I feel panic followed by crushing hopeless depression.

I would love to go for a run to clear my mind and bring myself back to sanity, but that might just exacerbate the situation.

Taken from an outside perspective, recovery has been going amazingly well. Once I emerged from the anesthesia haze, I felt great physically. Even now, my pain is less than a tenth of what it was when I checked in for surgery. Last night hurt, but it did not hurt as much and it is passing. If this is improved as I ever get, it would still be improvement.

The brace and the crutches are torture devices. The crutches are supremely inconvenient, mostly in how much they slow me down and how they prevent me from carrying anything. I feel completely useless. But those I could deal with. The brace drives me mad. Sitting in it, sleeping in it. It’s always on me, squeezing me; it’s always constraining and confining me. I want all the things off me. I want to be able to just walk again. But it has already been over a week, so I have less than a week remaining. I can stuff my complaining and make it.

I just hope I remember to appreciate being able to just walk again.

I hope I remember to appreciate every day with my healthy, able body again.

If I can manage to reestablish perspective and deliberately manage my reactions to emotional pain, there is no way I shouldn’t be able to easily translate that to physical pain. It should be easier, but I underestimated the instinctual influence, the way the baser part of my mind takes over when my body hurts.

Onward…

 

Christina Bergling

christinabergling.com

facebook.com/chrstnabergling

@ChrstnaBergling

chrstnaberglingfierypen.wordpress.com

goodreads.com/author/show/11032481.Christina_Bergling

pinterest.com/chrstnabergling

instagram.com/fierypen/

amazon.com/author/christinabergling

Hip Arthroscopy Surgery

Two and a half years after a seemingly innocuous stretch turned into a relentless injury, the corrective surgery is finally done.

It has been a long road. To review, in August of 2016 I was stretching after a dance class. I went easily into the splits; then my hip popped out from its socket. When it did, I would later learn, it tore my hamstring about 20% in the center and also tore my labrum. My hip slipped back into socket that night, but the pain continued.

After a lot of pain and no recovery, I sought the help of a doctor. The pain was so constant and unrelenting that it was affecting my personality, particularly my patience with my children. My doctor referred me to an orthopedic. He was awful. He treated me very condescendingly and dismissively, as if I had stubbed my toe and was being overdramatic. His administration of a plasma injection into my hamstring gave me sexual assault flashbacks.

His treatment did nothing to heal my injury or alleviate my pain, so I moved to a new orthopedic doctor. This doctor I loved. With additional plasma injections, we did finally heal my hamstring, but the pain persisted. A second MRI and steroid injections revealed the remaining issue to be the labral tears in my hip joint. We scheduled surgery about 7 months out based on the best timing for my insane schedule.

Leading up to the surgery was its own rollercoaster. I oscillated between rationalizing to myself that I could live with this level of pain and didn’t need surgery and not thinking I would make it until the surgery. A couple successful steroid injections bridged the months effectively, giving me enough relief to function. However, in the final two weeks prior to the procedure, my pain became horrendously inflamed, back to initial injury levels. It even got worse, driving me from my bed at night for the first time.

By the time I was in the hospital gown tethered to my IV, it was too painful to sit for any length of time. I hadn’t slept in over a week because every position sent spires of pain shooting up from my hip. When the anesthesiologist brought me the consent form, I signed it without even a glance. I was so ready for the situation to change. Surgery might be a painful recovery, but at least it would change the pain from this endless circle to a line that progressed in an actual direction.

From my side, the drugs began to climb into my veins, and the world began to float. When they brought me into the operating room, I saw the large, Y-shaped table on which I would be operated. The anesthesiologist said, “Let’s get hammered.” And I was gone.

I had been prepared for Hell when I woke up. I was warned by a friend, by my doctor, by the nurse, by the anesthesiologist that this was an especially painful procedure, that they would basically pull my hip apart to perform it, that often they struggle to manage the pain afterward. I did not wake up to any of that.

I felt the soreness of my punctured muscles and the tenderness of the sutures, yet that was it. I kept waiting for pain to blossom in my hip joint and flare over my nerves, but compared to all the months before of constant firing, it was alarmingly silent. My exceptionally open hips and extreme flexibility got me into this mess; perhaps it spared me the worst part of the solution. I woke to my customary, post-anesthesia tears yet not even in full sobs like usual, and I could barely keep myself conscious, but that was all.

My husband got me home, and I slept. Even in the restrictive hip brace and the squeezing compression devices, I slept and slept and slept. I made up for not sleeping the previous week. The hip pain never surfaced, but neither did I. The anesthesia stayed threaded through me, holding me down in a choking haze. I rode waves of nausea as pain clenched my head until it felt like it might fracture.

I hated the sensation. I hated the pain, but more I hated the haze in my mind, the way conscious seemed to slip through my fingers like water. So I continued to sleep, lost myself in a blur of twisted dreams and nightmares until I actually surfaced.

All told, a couple days with a blurry mind plus a little headache and nausea and no surgical pain is not a bad surgical recovery at all. Sure, the journey is not over, but this is a decent start.

I went to my surgical follow up. The nurse and doctor were both surprised by my complete lack of pain. The nurse didn’t know what to do with me, and the doctor was pretty pleased. I also went to my first physical therapy appointment. My therapist was equally surprised by my lack of pain and the amount of mobility I have. Instead of working up, it sounds like we will be holding me back to allow it to heal.

At my follow up, the doctor walked me through the procedure and pictures. He considered the surgery very successful. He discovered a surprising amount of inflammation in all parts of the hip joint.

He repaired a larger labral tear than he had anticipated.

I also had bone spurs on both the ball and socket part of my joint, so he shaved and smoothed both of those down.

So, my labral tear has been stitched up and anchored down, and my bone spurs have been removed. From here, everything should be gliding smoothly in there.

My doctor told me it would take 6 weeks to recover from the operation. However, the physical therapist said it is a 12-16 week recovery. I’m glad I didn’t know this beforehand. At this point, the surgery is done, so I will just walk the recovery however long it takes.

I can sit in any position (within the post-surgical guidelines) without pain. I can lay flat without pain. I can stand up in one fluid movement without pain. After over two years, all of that is amazing. I can take that relief and stretch it out into patience for getting back to the rest.

I do hate the brace though. And the crutches. They are so slow and so confining. When I have been fully lucid, I feel trapped and suffocated. But it’s only the first two weeks. I can feel the depression and cabin fever creeping around the edges of my mind. I’m going to curl up on the couch and watch endless horror movies and write blogs and work on my novel. I am going to throw up every sedentary distraction I have against the looming inactivity and boredom. I can do this. I can decide to do this and force my mind into line behind me. I can take control of this from my recovery bed.

So, the surgery happened. I lived, and now, I start my recovery.

 

Christina Bergling

christinabergling.com

facebook.com/chrstnabergling

@ChrstnaBergling

chrstnaberglingfierypen.wordpress.com

goodreads.com/author/show/11032481.Christina_Bergling

pinterest.com/chrstnabergling

instagram.com/fierypen/

amazon.com/author/christinabergling