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The Kneehab Diaries

This is the last of the kneehab diaries. I'm writing this up for other unlucky cyclists who break their patella. Unfortunately, it will probably be pretty useful! Broken kneecaps seem to be a common cycling injury.

A short recap (long version here): I was in a car accident in early January. I broke several ribs and fractured vertebrae, and my kneecap broke into three pieces. It was surgically repaired immediately after the accident. I've been in physical therapy since late January, and just started riding on the road again (the first road ride of the season was March 13, 2008).

Star-divide

I was allowed to ride again starting in March. Last March (2007 season), I rode a total of 18 hours and burned 12,500 calories. This March, following the knee injury, I managed to ride a little over 6 hours, and only burned 2,700 calories.

During March (3 months after the accident and knee surgery) I basically started to explore the limits of my knee pain, leg strength and endurance. I found that I could really work my bad leg on flat stretches of road. My good leg did almost all the work on climbs. That really limited the volume of hours I could ride, since I would become exhausted after 90 minutes to 2 hours.

I was not able to stand up out of the saddle and pedal until March 30. I still can't really push hard when I get out of the saddle, now (April 11).

By the end of March, I was back into my "normal" training routine. The snow on the one flat stretch of asphalt near my house finally melted, and I was able to work the bad leg a lot harder by doing intervals and focusing on my pedal stroke.

Now by mid April, I am completely back into the swing of the cycling season. My weekly training volume and intensity is comparable to last season. I actually managed to hang in the "B" field of my local training race and even took turns on the front chasing down a breakaway. Several of my peer riders were dropped!

Of course, my fitness is considerably diminished from last season (down about 33%), but it's not nearly as bad as I thought it would be. It's improving quickly, and I have some new secret weapons in the training tool kit thanks to my physical therapist.

I still have lingering issues with the knee, namely pain when it's held in a bent position for longer than 20 minutes or so, and still have a couple of sessions of physical therapy left. But I should be done with this chapter of my life this by May at the latest.

If you're currently sitting in a recliner with your leg in a brace, possibly dozing and drooling all day long, and your bike is gathering dust don't be too worried! I went from sitting in a recliner 24 hours a day, barely able to move to racing in less than 4 months.

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Great news, Kevin
I've been following your rehab, and privately using it as a metric for my own rehab. My injury wasn't as severe as yours, but some things are common.

I was on the road a bit sooner by virtue of the scope of my injury compared to yours. As a result, my fitness wasn't as bad as yours, but it was down about 20%, judging by my powertap data. I had the advantage of being able to ride a trainer fairly soon (3 weeks) after surgery. A torn ACL seems to be a better option for a cyclist.

Everyone keeps telling me to hang in there, the fitness will come. I'm sure you hear it too. But damn, I hate the feeling of not being able to perform to the level that I know I can. Or could, if it weren't for the injury.

I'm surprised to hear that you will be ending PT soon. I expect to keep it up for a bit longer. Perhaps that is due to the nature of the injuries. I will just now start working on lateral jumps, etc. Up till now I've been working on strength, and some lateral agility. A few weeks ago I started using the slide board to simulate skating. Just last week I started doing small hops one-legged, on the mini-tramp.

Anyway, it's great to hear of your progress. Thanks for posting.

by johnw on Apr 11, 2008 2:12 PM EDT reply actions   0 recs

lost fitness
Yeah, that's really irritating. It went away much more quickly than it is returning!

I'd be dropped instantly on any sort of hill or a course that required sprinting out of corners. I am guessing I'll be back to where I was last year by the mid summer.

We're scheduling PT sessions on a week-by-week basis, now. I have one more doctor visit next week, then I'll be able to start weight lifting. I think that will bring the power back quickly.

There will be some sessions after that to get me started with strength training, running, jumping, etc... But after that, I'll be on my own.

I would guess that there is quite a bit of variability in the courses of physical therapy, from both the particulars of the injury, and just the approach of the therapist.

-K-

by KevinK on Apr 11, 2008 2:43 PM EDT up reply actions   0 recs

Glad you're both on the mend - persevere
Though when I first looked at the diary title I thought it said The Keebab Diaries.

Mmmmmmmmmmm, lamb keebab..............

"Only those who are in top condition can say that the Ronde is not hard. For everyone else, it's the Way of the Cross." -Andrea Tafi

by Drew on Apr 11, 2008 2:30 PM EDT reply actions   0 recs

drinking
already?
Experience is what you get when you don't get what you want. -Randy Pausch

by nikki on Apr 11, 2008 2:33 PM EDT up reply actions   0 recs

keebab
that sounds good! time to make some dinner plans!
-K-

by KevinK on Apr 11, 2008 2:44 PM EDT up reply actions   0 recs

76 today
Did 76 today. Man, was it a scorcher in SoCal. It must have been up around 90, with a monster wind.

I'm beat.

Knee is on ice. Beer is on ice. :)

by johnw on Apr 12, 2008 5:01 PM EDT reply actions   0 recs

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