I’m sure many of you can relate… It’s early morning. Your soft alarm goes off and you groggily click it off. You yawn and stretch and roll slightly, feeling creaks and pops in your joints that you don’t recall being there before. You make your way out of bed and slowly walk to the shower, noticing the chill on the morning soaking through to your bones. Once under the shower head, you let the warm water revive some articulation and relieve some of the aches from the previous day. You slowly trudge through your morning routine with the same amount of speed as a sloth trying to climb a tree. Sound somewhat familiar?
I often look back fondly at my twenties and remember the almost surreal ability I had to train for absolute hours on end, sweating and core temp skyrocketing… Performing line after line of full contact shadow boxing up the length of the dojo, doing dozens of katas, one after another, staying on my knuckles for 20 minutes at a time or in a horse stance for half an hour without missing a beat… This was usually followed by grabbing a shower and hitting the town, either for a game of pool with friends or a quiet coffee and soup at the local coffee shop while making my way through the latest book in the “Wheel of Time” series. The speed, reflexes and ability to recover I maintained was almost supernatural, despite being Type-1 Diabetic AND despite my blood sugars never being quite as well balanced as they are today. By the light, times have changed…
In the past couple of years, I’ve come to acknowledge a couple of hard truths; that I can’t maintain fitness to the level I did twenty years ago, which should go without saying, and, it takes me far, far longer to recover. While the stubborn part of me would love to knuckle down and say “Hell no, we won’t go,” and keep pushing just as hard as I always have, that’s just not a fair reality for me anymore. I recognize that I’m saying this while simultaneously remembering that Sensei is in his 70’s and easily puts me to shame, in the physical activity department. But I digress… The point is, I’ve grown older and as we grow older, the body’s ability to heal and recover effectively begins to diminish. This is why adults will often complain about the cracks and pops they never noticed there before. None of this has been quite as obvious as it has been for me, over the past few months.
AT some point earlier in the year, and I can’t recall exactly when, I started to notice a twinge in my right shoulder. It was subtle, at first. A bit of difficulty scrubbing my back using that hand, or a slight pain when I would reach a high cupboard. I chalked it up to having slept wrong or just tired muscles. MOST workouts were reasonable uninterrupted as a result. But over the course of a couple of months, the pain worsened and mobility in my right arm depended, to the point where I actually ordered a shoulder brace for some of those more extreme workouts. As an aside, the shoulder brace I found was one designed specifically with sports and martial arts in mind. It’s made by a company called Anaconda Fightwear, and their stuff is pretty good. If you’re interested in a braces for almost any of your joints, you can check out their website here. My shoulder brace has been a life saver, especially when I’m performing a lot of the circle blocks or techniques that I need through karate.
Once I recognized the need for external support just to do the things I’d been doing for decades, I started to contemplate the usual; appointment with the chiropractor, massage therapist, acupuncturist, etc. Anything more extreme or medical would come as a second step. But as is often the case in adult life, time passed and busy schedules dominated and I didn’t get to the chiropractor until about three months ago. Now, chiropractic medicine gets a bad rap from a lot of people. Some of this is born out of fear of having one’s joints (especially the neck) cracked. Some of it is because of one-offs where someone with something pre-existing may have had it aggravated by a chiropractic adjustment. Whatever the case, I’ve yet to have a chiropractor’s visit where I don’t feel better afterwards. The first time I went to the chiropractor was back in 2010. The relief that flowed through me after my adjustment almost brought me to tears. But once I again, I digress…
My point is, my shoulder was examined and it was determined that I may have weakened muscles in the shoulder that are limiting my mobility. Not an uncommon thing for a decades-long martial artist who is getting up there in age. Although not yet what one might consider a senior, my body’s ability to heal is less than it was, even a few years ago, so here we are. The solution? A set of simple body movement exercises to try and build back some strength in the stabilizing muscles of the shoulder. That lasted all of a couple of weeks. Towards the end, the exercises themselves became too painful and I needed to find an alternative. Going back to the chiropractor a few weeks ago, a deeper, more extensive examination of my shoulder was done. It was determined that I had a condition called “frozen shoulder.”
So, what the hell is frozen shoulder? Well, according to an article by the Mayo Clinic, whose web link I’ve conveniently lost, frozen shoulder, also called “adhesive capsulitis,” is a condition where the connective muscles and tissues in the shoulder thicken and tighten around the shoulder joint, causing limited range of motion and pain. While it’s not exceptionally rare, people over 40 and who have certain conditions like, oh, say, DIABETES, are at higher risk. Great. Thanks, T1D! One more issue on the checklist. The treatment is pretty simple; movement. yes, you read that right. Range-of-motion exercises, working the shoulder and on occasion, some pain-numbing medications injected into the joints. But, it does take years for it to completely recover. The article goes on. To explain that it’s unusual for frozen shoulder to come back to the same shoulder, so I guess THAT’S good.
Why do they call it “frozen shoulder?” As described in the article from Mayo, which I managed to find here, it hits in three stages:
- Freezing stage. Any movement of the shoulder causes pain, and the shoulder’s ability to move becomes limited. This stage lasts from 2 to 9 months.
- Frozen stage. Pain might lessen during this stage. However, the shoulder becomes stiffer. Using it becomes more difficult. This stage lasts from 4 to 12 months.
- Thawing stage. The shoulder’s ability to move begins to improve. This stage lasts from 5 to 24 months.
When looked at from this perspective, it paints a long, bleak picture of recovery. While this falls under the category of “this could be worse,” y’all know just how much I love hearing THAT. If you do the math on this, I’m looking at nearly four years to recover, bearing in mind that everyone is different. The good news is that I appear to have passed the freezing stage. After that initial chiropractor visit and the subsequent working of the joint and the pain it accompanied, I head a couple of weeks of limited mobility in the shoulder and neck that saw me walking around like a fucking robot. You don’t realize just how much you need the supportive muscles in your neck until you can’t use them. Sitting, lying down and even rolling over in your sleep becomes an extremely painful prospect. And when every movement during the night jolts you awake in pain, your rest goes to shit, so your recovery is lengthened even further. But i seem to have a fair mobility back in most areas, with only a bit of limited mobility in the shoulder with very little pain. Looks like I’m at the frozen stage. Yay.
Growing older is a part of life. There’s no getting away from it or getting out of it. That’s why it is so critically important to maintain one’s physical fitness, nutrition and getting proper rest. That will go a long way towards ensuring that you can ride off into the sunset with some reasonable constitution left, as opposed to a lump of scarred, immobile old man crankiness. I mean, let’s be honest, I’m still ticking that very last box with the crankiness but that’s a whole different thing. Next week, I’ll be starting a form of vibrational shock therapy that will help to break up any potential scar tissue and potentially help with the healing process. While I’m looking forward to it, as one would expect, I’m not a fan of the whole “shock” aspect. But I’m sure it’ll be fine. Stay tuned for updates as this treatment progresses. In the meantime, I take solace in the fact that even while having had Type-1 Diabetes for 43 years at this point, my organs are in great health, my blood sugars are phenomenal and even my eye injections have been spaced out to fourteen weeks. Not too shabby. I’d say I’m doing quite well. ☯️