
I’ve recently completed the first major stage of my recovery from a hamstring injury. This was a persistent injury, something more than a little beyond what it should have been. It has taken me a full year to completely regain my day-to-day functionality, and I’m just beginning to ride my bicycle in any real way again.
The doctors and physiotherapists agree that the recovery time was several standard deviations outside normal for the original injury. What has been so difficult, and what seems to be so difficult for many people facing physical therapy, is managing the constant evaluate-and-adjust process, walking that delicate line between over-straining and over-resting.
At my most recent appointment, my orthopedist finally said something that lit up the switchboard that is my mathematical brain. He explained that the irritation and strain, which has at this point become chronic, is dependent not on my level of activity, but to the change in my level of activity. As long as I am holding the level of daily use of the muscle at a constant, the strain will gradually improve. As long as I am slowly increasing my level of activity as I regain my ability to do the daily activities and exercise I once did, the strain will remain constant. If I quickly increase my level of activity, the strain will worsen.
So the trick is to very gradually but consistently increase activity while maintaining a low level of irritation, until one’s desired activity level is reached. Then, by maintaining that level, the strain will gradually heal. My error, early on in my injury, was two-fold: first, to initially push too hard too fast to recover, increasing the irritation quite badly; and then, in reaction to the sudden worsening of my condition, to cease using the hamstring altogether, in an attempt to “let it heal first.”
This complete cessation of use (I used crutches to avoid walking on it) did let the hamstring begin its gradual healing, but in the meantime my whole leg (quadriceps and other muscles) atrophied and I had set the level of use so low that it took months and months to work myself gradually back to daily use at the pace the strain would allow without worsening.
Mathematically speaking, there was an upper limit on my rate of increase of activity (which, if exceeded, would cause the strain to worsen). So once I set myself back to zero (no use), it took a long time to get back to normal (high use). Once I understood this, the use-or-rest game became much easier to sort out. All along, I had been trying to correlate pain to activity, and the data I was getting was contradictory. As soon as I tried to correlate pain to rate of change of activity, it all made perfect sense.
And that, my friends, is calculus. The rate of change is more often called a derivative.
~~~~~~~~~~~~
[Note 1: This is the first in what will probably become a series of posts in which you (my family and non-mathematical friends) are lulled into complacency only to be ambushed by mathematics. I'm hoping you'll develop a liking through this sort of forced exposure.]
[Note 2: I saw a number of doctors and physiotherapists while trying to figure out what to do with my hamstring injury. The orthopedist who was finally able to help me learn to heal myself, and who was articulate enough to explain things in a way I finally understood, was Dr. Khaund, of University Orthopedics on Butler Ave. If anyone is in Providence, RI, and looking for an orthopedist, he comes highly recommended.]
Recent Comments