Learning to walk again
Recovering from a broken pelvis and broken ribs has been one of the most challenging periods of my career, both mentally and physically.
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Recovering from a broken pelvis and broken ribs has been one of the most challenging periods of my career, both mentally and physically.
It all came about after I crashed on stage 5 of the 2011 Giro d’Italia in a mass sprint 100m from the line.
This was the medical description of the primary injury: “Rochelle sustained a linear fracture of the acetabulum (roof and anterior wall) at the right hip and an underrated fracture at the right pubis bone. MRI also showed a bone bruise at the right ischio-pubis branch and acetabulum.”
After the accident I stayed the first night in a nearby hospital at Firenzuola and had X-rays of the hip and back, and an ultrasound of the hip. The next day I was sent home to Northern Italy after just one night in that hospital. The hospital gave a misdiagnosis: possible broken ribs and no broken bones in the hip or back region.
During the next two days at home I developed a fever, nausea, dizziness and severe pain in the hip and ribs. I was very scared. Maybe I had a slight concussion. I felt that I should have been in hospital. I was lucky that my personal doctor from Belgium was able to monitor my condition over the phone and give me confidence that I wasn’t going to die.
Six days later I still couldn’t put any pressure on my right foot without severe pain in my groin, I couldn’t even take one step. Every day after the accident I tried with determination to walk, as I was assured at the first hospital that nothing was broken.
On the sixth day I took a taxi to the nearest hospital, Feltre, which was one hour away. I demanded a CT scan on my hip. From that, two fractures were very clear. You can imagine how upset I was with the first hospital for the misdiagnoses.
I’d lost six days of healing time as trying to walk delayed the healing process.
The specialist in Feltre advised me to stay immobilised at home for 20 days, this meant that I needed full-time care and couldn’t even move from the couch to the toilet. The only unfortunate and uncomfortable alternative was a bed pan.
Fortunately my Mum, someone I’m comfortable around, offered assistance and full-time care. What a generous and considerate act. Seriously, I couldn’t do one thing for myself. My mother couldn’t have a moment to herself. I was impressed. That job, 24/7 for 20 days was a massive commitment. I’m so grateful that I was not cared for by a stranger offered by my insurance company.
I cannot express how tough this period was mentally. Not knowing if I could walk, wanting to attempt a step, looking at my bike wanting to try a little spin. It was so tempting and difficult to resist - but I did it.
During the first 20 days of immobilisation I believe the EXOGEN Ultrasound bone healing system/device really increased the rate of my healing. I used it for 20-40 minutes a day on the site of my pain in the groin. It’s difficult to know how effective it was but in the end, I healed in record time.
Twenty days after the crash I was transferred by medics to Milan in order to start full-time rehabilitation at the PhysoClinic.
The next 10 days was an amazing experience. I had a serious, committed and confident specialist controlling my rehabilitation and progression, Dr Gianluca Melegati. I believed in my specialist and followed his orders to the letter.
During my recovery post-accident I kept constant communication going with my personal doctor and orthopaedic surgeon in Belgium for reassurance. Fortunately for me, all doctors agreed on my plan, program and progression.
Rehabilitation Day One Twenty-two days post-crash I was asked to walk into the pool with my crutches and then pass the crutches away. I stood there unassisted (OK, a little assistance from the water). I was then asked to start walking in the chest deep water. My mind was going crazy, I wanted to step forward but fear was stopping me. I felt like a two year old anticipating his or her first ever step. I wanted to but I wasn’t sure if I’d fail and crumble. I was scared.
After all the hesitation I did it. The right leg was very unstable and wobbly but I was making a small step without any pain. As I gained confidence and momentum I started to walk. I walked forwards, backwards, sideways and marched through the water for 30 minutes without any pain. I was smiling the entire time.
Before moving on to exercises in a warmer pool I asked if I could try a few steps on dry land. I put the crutches away and experienced all the same feelings, mainly the fear of failure and hesitation.
Eventually I took a step then another one and another one until I was walking. After about 10 normal steps my fun was ended by the physio saying “that’s enough”. Back on your crutches for another 15 days. Fifteen more days on crutches? I had no pain and I could walk. I respected and obeyed my physio’s and doctor’s instructions, but it was so frustrating.
My program at the rehab clinic for the next 24 days was very similar to day one, only the exercises became more difficult until the point where I felt like I was in a full-on gym strength-training phase.
Each day I’d start in the pool for one hour to gain range of motion through the hip and to do some warm-up exercises and stretching. Then I’d move into the gym to increase muscle function, size and strength of the right leg. I was then able to take a short nap in the clinic and grab some lunch before my afternoon session of physio, massage, ultrasound, electro stimulation, etc. The day always ended with an appointment with my specialist.
My days became more and more challenging but it wasn’t long before I could start doing rollers before and after rehab. My first spin was in the water 25 days after the accident on an ergo designed for in pool training/rehabilitation. I then commenced with roller training just 27 days after the accident. Thirty-one days after the accident I was doing one hour on the rollers pre and post rehab. At this point I felt ready to start on the road.
I was transferred out of Milan and onto the lake in Varese so I could do my first rides on a flat quiet road that I knew well.
Once again I was excited but scared. I was still walking on crutches but ready to attempt a one hour ride on the road. My first ride on the road was 33 days after the accident. The ride went well, no pain. I had to ask my mum to hire an electric bike in order to accompany me on my first 30km trip around the lake.
On the 34th day I rode for three hours without pain. I was finally back in training - until, day 37. I felt some pain in my right knee. I jumped on a plane and flew to Belgium immediately to see my knee specialist, Dr Dirk Petre.
I didn’t want to risk anything and as he is also an orthopaedic surgeon I wanted him to check out my hip ROM and stability. He gave me a lot of confidence by ensuring me that my knee was fine (a normal feeling post-crash, immobilisation and return to training.
He also confirmed that I had completely recovered from the fractured pelvis and would be ready to race on 20 August. I combined my quick overnight trip to Belgium with an interesting Honda Motocross PR event in Antwerp.
My training until day 45 post-crash, 18 of July, was slow flat riding as I was still not permitted to ride out of the saddle. I’d been riding to gain base fitness only. On day 39 post-crash I was allowed to throw the crutches away, at last. Originally I was told I’d be on them for 45 days minimum.
This was also the day I flew to London for the pre-Olympic Games test event, in order to review and study the London 2012 circuit. The city was closed off to traffic on the Sunday for a men’s official test event. Women from most countries travelled to the event to take advantage of the closed circuit and ride the course before the men’s official race.
I returned to road training one month after the accident and owing to strict orders from my specialist I rode for the first 15 days in the saddle only! It’s such a relief to now be standing up on the pedals.
My specialists all approved me to start racing at Trophee d’Or this week but given I had only just started riding out of the saddle on the day the tour started, I decided to skip the race and build slowly into intense training.
I’ve regained and improved on my original strength and stability through the hips, core and quads. I’ve worked extremely hard throughout this period of rehabilitation. I enjoy racing and I’ve really missed it so I can’t wait until I race again at Holland Ladies Tour (6-11 September).
So, there’s my long, detailed story about returning to training after a heavy fall that cracked my pelvis in two places.
While it was the toughest 45 days of my career, I can confidently say that I made it back, I’m healthy, somewhat fit and injury free, and sooner than anyone predicted. The key was staying positive and believing in my body’s capabilities. Nothing was going to stop me from having a shot at this year’s world championships on a perfect course with a perfect finish.
I’m happy, mentally fresh and extremely motivated, and looking forward to being back in the bunch soon.
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Comments (11)
02 Sep 2011 16:30 AEST
From: Brisbane
Thank you for sharing this story and your fast recovery. Anything is possible!
02 Sep 2011 15:23 AEST
From: Ballarat
Thanks Rochelle. I had a bad fall 10 days ago, required surgery 2 days ago on my right hand, I'm going to be in plaster for weeks. At the moment I'm battling two sorts of pain, the pain of busted bones and post-op, and the pain of knowing I'll be weeks off the bike and I'll lose all that fitness I've spent the season working on. Drugs help the first, and your story has helped with the second. While I'm still really depressed you've provided a glimmer of hope. You're a star. Rip em up Rochelle
02 Sep 2011 13:14 AEST
From:
Hi Rochelle, Thankyou for your inspiring story and yep! when I had my accident on Magill Road, I even was on my bike within two weeks and doing the Amy's Ride - all 100km of it and completed it!My mum also had a mishap and is now walking, walker and all and sometimes walks without it! Yes! Believing in oneself and knowing that your mother was there for you is truly great of her and all of your specialists, your family and friends - Great to see you are okay! Thankyou Rochelle telling story!
02 Sep 2011 12:06 AEST
From: Perth
Hi Rochelle, thanks for the post. Keep 'em coming
01 Sep 2011 17:40 AEST
From: Perth
Great story. It's the courage and determination of people like you that helps to keep us hacks out there for our daily commute and week-end bunch ride.
01 Sep 2011 15:30 AEST
From:
After reading this, I have to upgrade you from awesome to awesomest!. It took me longer than that to recover from scrapes and bruises!!
01 Sep 2011 15:09 AEST
From: Brisbane
Fantastic read of positive thinking & determination to return to the sport you love so much after such an injury. Your medical support team after the initial bad diagnosis was very impressive.A big thanks to Mum too.What would we do without our Mum, Hey! Keep moving forward with that determination & I'm sure you will achieve great rewards. Good luck
01 Sep 2011 11:16 AEST
From: Sydney
To be back riding just one month after such a serious injury is a testament to your determination and courage. It's unfortunate the initial X-rays didn't reveal the fractures, but it sounds like you had a great rehab team supporting you all the way. Best of luck for the rest of the year!
01 Sep 2011 10:10 AEST
From: Sydney
So sorry you got misdiagnosed at first. I know how tough that is, when you're doing what you're told and it's not helping. But it's great when you get the right diagnosis and a path back to health! Well done and good luck.
31 Aug 2011 22:34 AEST
From: Brisbane
Here's hoping you bounce back fitter and stronger than before! Good luck.
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