Showing posts with label doctors. Show all posts
Showing posts with label doctors. Show all posts

Sunday, 30 March 2025

My left foot (revisited)

Things just happen, that's the way of the world, and often there's no way of telling if there might have been a reason, cause and effect and all that jazz. Sometimes, like back in October 2017, I awoke with my head spinning as soon as I jumped out of bed. That threw me, I can tell you. I gave up drinking and now, eight years later, I'm still on the wagon and have no intention of going back, even if it was simply an inner ear infection. In many ways, good things come out of bad.


My left foot is not a newcomer to this blog. If you go to the search bar at the top left of the page and key in 'my left foot' you'll get a few posts about it. I can't think of what triggered it. Last Thursday, after a swim, I went to a gym induction and was shown various pieces of gym equipment including a piece of machinery that looked as if it could dislocate my shoulder, now there's something I don't want, a dislocated shoulder. My brother suffered from one after using my Bullworker back in the seventies and, if I recall, he was dogged with problems for years and, I think, he had an operation to fix it. Once, I remember, he disclocated his shoulder whilst swimming in the sea and was a long way off the coast. Fortunately, all was fine. But listen, I don't want these problems. If I suffer any kind of injury linked to doing a specific sport, then I'm stopping immediately. I don't want to be put under for anything and would rather switch my sport to something a little safer.

Now I know there's no such thing as safe and that problems can arise from anything, like cycling, but that's not what I mean. I don't want to indulge in any sport that inherently has a specific injury attached to it. With cycling, yes, you can fall off, yes, you can be hit by a car and yes you can get injured, but there's nothing inherently problematic with cycling, your joints are supported, like they are with swimming (by the water) and by rowing and those are the sports I'd rather engage with; yes, I might be hit by a car, I might fall off, but such incidents are not directly the fault of the activity. Cycling, in other words, if you keep your wits about you, is pretty safe even if you cannot legislate against the activities of other road users or, indeed, your own negligence (like when I came off through nobody's fault but my own, ie I was riding too fast into a left turn. Not the bike's fault, not cycling's fault but my fault. I don't want to be engaged in a sport where the slightest wrong turn or twist will mean surgery. Count me out. I'm not a professional sportsman, I don't earn money from my exercise because that's all it is, exercise. I get paid for doing something unconnected with keeping fit, like most people.

So how the hell did I find myself unable to walk for most of the week? Your guess is as good as mine. Was it swimming? I doubt it. No, I put it down to foolishly 'trying out' the leg press and, as I say, fortunately, I haven't damaged my shoulders; again, I'm not a professional athlete, I don't earn my money from keeping fit, it's purely me doing my best to maintain a reasonable level of fitness, but the parameters seemed to have changed a little bit, forcing me and countless others to fret about not getting enough exercise.

While I have always rode a bike throughout my life, as a kid and an adult, my sport of choice used to be swimming and back in the day I was always told that 20 minutes of exercise, three times a week, was all I needed to keep fit. I swam between two and three times a week, normally with two half-milers and then a mile on a Saturday morning (God, I felt good after the Saturday swim), but that was it. Outside of my two to three swims I was happy and I didn't think of exercise in a fretful way. But over the years, in the same way that marketing people convinced us all that we ought to be drinking litre upon litre of water daily and people started buying those plastic or steel water bottles - I knew people who bought huge canisters and probably drank well over what they should have been drinking - the same has happened with exercise. In fact, I can almost remember the day that somebody upped the ante on exercise, claiming that it's a daily thing, at least 20 minutes, not just three times a week (which was more than enough) but seven days a week, no let-up and so 'going to the gym' became something that people started doing and of course people, businessmen, got rich out of people's obsession with being ripped or whatever it might be, but the gyms were full, people were making money and now if we take a day off we fret and worry about it and vow to double up the following week.

It's the same with a lot of things and we can draw many parallels. So let's see if we can break a few myths. First, I'm going to stick my neck out and say exercise three times a week is absolutely fine. At present I manage one swim and two rides per week. I'm thinking of adding a second swim or a third ride, but that's all. I don't need (and don't want) to be in the gym every morning, on a treadmill watching breakfast television, don't want it, don't need it. I'm happy with my two rides and yes, if I don't do them (like this week) then I get a little irritable as I don't like breaking the routine and missing out. I do believe in exercise and I enjoy it. I'd hate to be one of those people who go everywhere by car, even down to the corner shop to get a newspaper.

But let's get back, briefly, to those parallels. Phones. I used to have a Nokia 3310. I did it's job perfectly and the battery lasted forever. It was a phone, people called me, I answered, we talked, we hung up. I don't need a smartphone. I never use half of the apps and, if I'm honest, I hardly use the phone element of it. There was a time when people were always calling me, now not so much. I've often thought about buying another 3310 and ditching the iphone but I probably won't because I like to record my rides on Strava, I can do so much with it to be fair. That said, data is another one. Who needs it? Do I need to record my distances? Who for? Who's counting? Nobody. In the old days I used to go cycling and that was it. Keeping data on the rides is pointless and, of course, it leads to fretting, unless I can get paid for the number of rides I'm doing, in which case I'd better monitor them. There was a time recently when, if my phone was low on power I'd delay the ride so I could record my distance even though I knew my distance, my destination and roughly how long it took me without switching on the app. Now, if my phone is low on gas and I'm not meeting anybody who might call me en route, I don't bother charging it, I just go and come back on time and get on with my day. The key is to reduce the amount of fretting that takes place constantly. I've got enough of that with work.

There's no real knowing what I did to my foot. I went online and started reading up on what it could have been; tendonitis? Well, that's what I went to the doctor with and there's nothing a doctor likes more than having the words put in his or her mouth. "Yes, it looks like it," he said, and that's it I was labelled as somebody with tendonitis. Except that I wasn't happy with that. The last time I had something similar (a swollen and discoloured foot and a lot of pain and unable to walk) I found out later that I had cellulitis and was given a load of antibiotics to take for around a fortnight. So I booked another appointment with a different doctor. I told him about the many different times that my left foot had caused problems and he wanted to know why. So he sent me to my local GP hub for blood tests and an X-ray. On the former, no problems. In fact he later said it wasn't an infection but an inflammation. Fine, that was good to know. I'm awaiting the X-ray results. It has got better. I haven't taken any Nurofen since Thursday (today's Sunday) and I'm kind of walking again, albeit with a hobble in my step. I'll probably take the bike round the block (six miles) just to get some exercise, which I've missed this week, but it's good to take it easy once in a while and I've been sitting here all morning writing this, drinking tea and listening to Stomu Yamash'ta (currently In Zen Music Vol.1 and a track called Drizzly Step – kind of appropriate don't you think?). Yamash'ta is where it's at. I would recommend that you listen to him urgently. I plan to listen to him a lot more. I heard him first on Night Tracks on BBC Radio 3 and it's the most chilled you'll ever get.

I need to get back to writing and riding and swimming. This enforced break through injury is a little annoying especially when I look out the window and realise that spring is here. I've just noticed that the clocks have gone forward and that means that summer is once again upon us. Hopefully it will be bring plenty of bike rides and happy times. 

Sunday, 18 January 2015

My left foot...

Late February 2012 was the last time I recorded there being anything wrong with my left foot and if there is any kind of pattern developing (assuming that cycling and the state of my foot are in some way linked) then it has to be steep hills and possibly pushing things a little too far. Back in 2012 Andy and I rode to Limpsfield village following an off-road route through the Titsey Estate. On the return journey we had no choice other than to ride up Titsey Hill to reach the plateau and Botley Hill Farmhouse. The following day I was in the same state I found myself in last Monday – unable to walk. In a nutshell all of this week I've been hobbling around. It started Monday and got progressively worse as the week progressed. It was so bad that I was quite literally dragging my left leg behind me and it took me an inordinate amount of time to get anywhere. Fortunately my wife picked me up each night from Purley station, saving me the agony of the longish walk home. I say 'longish' because any walk, be it a short stroll to the local shops, is like trekking across the Himalayas. It wasn't pleasant and night times were just as bad as a dull, mildly throbbing ache meant that it was difficult to get to sleep. I resorted to Nurofen but was clearly not taking enough. In fact, I ought to relate my Nurofen story. In essence, all we had in the house were Nurofen melts, which, for some reason, didn't really appeal. Now you might say that if I was desperate, surely any port in a storm and all that, but for some reason I wanted basic Nurofen. So, at 0200hrs, I hopped out of bed – and by 'hopped' I mean I hopped out of bed on my right leg, wary that as soon as I put any kind of pressure on my left foot I'd be in total agony. I couldn't even put a shoe or trainer on without shrieking with pain. Suddenly the peace of the night was shattered. Arrrrgggggggggggggggghhhh! In the end I resorted to wearing my slippers.

At the foot of Hesiers Hill – perhaps I was over enthusiastic.
This shot was taken in the summertime.
Outside it was cold and quiet and the halogen street lights created a kind of lunar landscape in a suburban setting. I limped to the car, jumped in and drove off, passing a couple of gas stations and pulling in to their deserted, brightly-lit forecourts to see if they were open. It was hard to tell and the last thing I wanted to do was get out of the car and try walking if there was no point. The pumps were on; I could clearly see the digital read-outs of the meters, the forecourt was ablaze with light but there didn't appear to be anybody in the shop. I drove out and later found another gas station equally deserted. There was only one thing for it: the 24-hour Tesco in Purley – which, in all honesty, was where I was heading anyway. The huge car park there was virtually empty so I drove to the nearest parking space next to the store and then limped off in the direction of the shop floor. Fortunately I was directed to a small counter selling Nurofen Express, which I figured were good enough (although why 'brand extensions' exist I'll never know). There were no cashiers, just self-service machines, which required me to limp for a few yards more to pay. Clasping my much needed drugs I limped to the car, drove home, took some Nurofen and went to bed. It was around 0300hrs before I fell asleep, possibly later.

The week was characterised by limping everywhere and by Wednesday I figured a trip to the doctor's was in order so I booked up and found myself waiting almost an hour in the surgery's waiting room. GPs tend to be pretty useless as they don't really know what's wrong with anyone, they simply ask a few questions and then suggest that it might be X or Y and that anti-inflammatories are the best bet to start with. "Come back if you've still got it next week," she said and I limped away.

The last time this happened (back in February 2012) I went to a doctor in Croydon, at May Day hospital, and asked them if they thought it might be gout. I was told no, not gout. If it was gout, she said, I wouldn't be able to touch it. Phew! But this time round the subject raised its ugly head again mainly because, over the Christmas period, I had stuffed my face with tangerines and oranges and other acidic fruits. I wished I hadn't mentioned it because it led to the doctor saying that perhaps I should consider a blood test. I hate blood tests. But she said it wasn't necessary so I haven't bothered. What she did say was 'no cycling', not this weekend at any rate, so I resolved not to go. Andy wasn't going on Saturday and, as it turns out, the rain was falling on Sunday, which meant it was likely that we would have aborted anyway. It was one of those damp mornings when everything had that wet look and the back lawn in particular took on a sponge-like appearance.

Fortunately, my foot is now better. I can walk virtually normally and I'm no longer in pain. There's nothing worse than being out of action for health reasons – in this case a dodgy left foot. It makes you realise the importance of good health at all times.

It also makes me realise how lucky I am to be able-bodied and how these things shouldn't be taken for granted. I'm levelling the blame for my left foot at Hesiers Hill on last Sunday's ride and, perhaps, I was overdoing it a bit. To be honest, I don't know the real cause, but that's the only thing I can attribute it to. Fortunately for me, it's over now. I'm feeling better, I'm not limping, I'm not in pain and I'll be back on the bike next weekend – weather permitting.