Tag: prednisone

Adios prednisone

Last night while waiting to go into a movie, I could tell that the prednisone I had been taking was wearing off. By the time the movie was over, my left leg was aching every bit as much as it was before the steroids. When steroids wear off, it’s like a light switch. Pow. Welcome back to the pain party.

Today, with a lowered saddle, I rode my Cross Check a relatively easy 24 1/2 miles. There were a few small hills thrown in. I was surprised that neither my left hip nor the underside of my left kneecap hurt at all. After I warmed up, my stenosis pain went away too. Maybe I’m finally making some progress.

When I got home, I had a healthy lunch. (Okay, it was chocolate cake and milk. Cut me some slack here.) Then I did some work on my bike. While I was walking back and forth to my shed, the pain in my left leg came back. Big time. My left butt cheek has joined in the fun.

I hit the floor for some stenosis exercises. They didn’t do much. I did find that the pain completely stopped during bird dogs which is useful to know if I plan to spend the rest of my life as a display at Cabela’s.

So, I’ll be munching ibuprofen for a while. Unfortunately, this is beginning to look a lot like my ruptured disc episode of 30 years ago.

Happy new year.

The Big Finish – Part 3

Prednisone

Today was my final prednisone pill. It’s powerful stuff. It has interesting side effects. It makes you speedy, improves your mood, and boosts your appetite. Basically, you run around the kitchen eating all the Christmas goodies. It’s a dirty, lousy, thankless job but somebody has to do it. Oink.

Stenosis

After breakfast, I did a half hour of yoga for my back. Normally, I start by doing standing stretches, but today I did nothing but stretches and core exercises on the floor. Child pose is the bomb. I think the prednisone allows me to relax and stretch without muscle soreness. It’ll be interesting to see how my body handles some of these positions without the benefit of steroids.

Colonoscopy

Earlier this month I had a colonoscopy. The doctor found three abnomalities. He found one to be obviously innocuous. Two were suspicious. He biopsied the baddies and removed all three. Today, he showed me the results from the pathology lab. My two suspect polyps were adenomas, the kind of polyps that can develop into colon cancer. Had I not had this colonoscopy I might have been in for a rather rude surprise in 2020. Long story short, I’m good to go, so to speak, for another three years.

The Last Ride

After a 20-minute meditation session down by the river, I went for my final bike ride of the year. It was a 28-mile gentle meander on the Mount Vernon Trail aboard the Cross Check. My back did not much like the bumps on the trail. After the ride I lowered the saddle a couple of millimeters. We’ll see how that feels next time. (Later in the evening my hips and left leg were sore from stenosis. Hmm…)

Fleet Miles

I have four bikes. The end-of-year odometer readings are pretty cool. Clockwise from top left: Little Nellie, The Mule, The Cross Check, and Big Nellie. These are only outdoor miles. I put some miles on Big Nellie in the basement every winter so its odometer reading is probably short about 1,000 miles. Grand total: 135,050 miles since 1991.

img_3320

December Miles

In December I rode 667.5 miles. All but 44 miles were outdoors. I rode 24 out of 31 days. My long ride was during the Hains Point 100 when I did 37.5 miles.

2019 Miles

I rode a total of 10,618.5 miles in 2019, 2,978 of them during the No Name Tour from May to early July. During the tour, I climbed over 150,000 feet. I rode 188 miles indoors, evidence of a mild winter. I climbed 0 feet indoors. Boredom has its advantages.

chart

Miles by Bike 2019

2019 Events

In addition to the Hains Point 100, I squeezed in a few other bike events this year. I did my 11th Fifty States Ride, my fifth Cider Ride, another Great Pumpkin Ride (I can’t recall how many times I’ve done this one), a ride looking at murals in Alexandria, and still another with a George Washington theme.

A Decade of Riding

I rode 84,531 miles in the 2010s.

Miles by Year - 2010 to 2019

 

Happy camper on a bike

For the last six days I’ve been taking a declining dose of the steroid prednisone to calm the irritated nerves in my back and legs. Prednisone pills taste gross but they are very powerful. My pain became tolerable after a day. Although I didn’t notice, they improved my mood and, my wife and daughter report, even made me chatty. As I said, it’s powerful.

Until I took prednisone, I couldn’t tell where in my lower back my nerve problems were coming from. Now I can feel tension above my left butt cheek. Hello, you little bugger. I’m coming after you.

The best part of this pill party is that I am riding my bike like it was the summer of 2018. I have nearly zero discomfort, I am accelerating like a boss, and can cruise 20 percent faster with practically no effort. In five days, I’ve ridden 159 miles. Each day I stop long before I get tired. I could easily have ridden 50 miles today but decided to err on the side of caution and quit after 36. The Mule abides.

My leg ache comes and goes and the hot spot outside my left hip is still there, but otherwise my body is so much happier. I go up hills without a care. My back, arms, and shoulder feel relaxed as I pedal.

All of this makes me wonder if my hip and knee problems have been a side effect of stenosis, rather than in addition to stenosis. If I’ve been in low level pain for months, it’s no wonder my riding has suffered. Not the mileage, but the enjoyment. Riding across Kansas this year was work; riding across North Dakota and eastern Montana last year was play.

While I have the pain at bay, I have been blending yoga with my physical therapy. Up until now I had been doing PT in a very regimented fashion. This many repeats. Hold for this many seconds, etc. The idea was to build strength in particular muscles, mostly in support of my hip and knee.

Now I am letting my body dictate what to do. I am flowing from one position to the next, concentrating on keeping my motions fluid.  The regimented aspect has been one of the reasons I hate yoga classes. (And don’t get me started on yoga teachers who physically move you into the “proper” position. Must not kill!)

Instead I’ll hold a position for as many seconds as seems helpful then go right into another one without stopping. If a posture causes something to ache, I stop and move on to another posture.

A typical sequence might be (PT exercises in italics):

  • Step over a horizontal pole for 25 repetitions (A warm up that helps me getting on and off the bike.)
  • Stretch hamstrings
  • Stretch quads
  • Stretch iliotibial bands
  • Runner’s calf muscle stretches
  • Shoulder scrunches
  • Add standing yoga positions
    • Rishi’s posture
    • Chest expansions
    • Deep breathing
    • Toe touches
    • Side bends
    • Trunk rotations at the waist
    • Neck rotations
    • Squats
    • Dancers posture
  • Lay on the floor and do
    • Open book shoulder exercises 
    • Pull knees to chest, first one leg, then the other, then both
    • Ankle over knee and pull legs toward torso
    • Sway back and forth with bent knees at the hip
    • Hurdlers stretches
    • Groin stretches
    • Neck pushes
    • Toe touches
    • Back bridges
    • Side planks with torso on ground
    • Side planks with legs on ground
    • Bird dog
    • Cat/cow pose
    • Planks
    • Cobra pose
    • Locust pose
    • Twist torso while lunging
    • Lunges
    • Child’s pose
    • Shoulder stand
    • Plough
  • Sit ups (or crunches)
  • Set of super six exercises on a foam roller

That’s over 30 different exercises. And I left a few out. I have all of  them written down but I tend to do whatever seems to make sense in the moment. If I’m doing a pose while lying on my back, I might pop into a shoulder stand, for example. Then I’ll gradually fall into a plough (legs extended over head while on my back) and roll out of the plough and do a back bridge.

I’m trying my best to be gentle and not strain. Some of the positions are a little beyond my ability right now but I’ll get there.

Hopefully, I can get this routine established quickly. I have only three more days of prednisone pills, and then the effects will wear off.  And they can wear off rather suddenly if my prior experience with oral steroids is an indication. Taking them for long periods of time results in side effects like osteoporosis, cataracts, and growing a second head. (Okay, I made that last one up.)

Cheers.