New Episode! Back in the Saddle: The ABCs of coming back after an injury

There are two kinds of cyclists: those who have crashed and those who will crash. Injuries happen, especially if you’re competitive. Wahoo Sports Science coaches Mac Cassin and Suzie Snyder are no strangers to crashes. In this episode, Mac and Suzie talk about the ABCs of how to properly ease back into training after an injury. From the importance of a positive mindset to how soon you should start back, this episode will help you get back on track should you find yourself on the business end of an injury.

Listen Here : The Knowledge Podcast

8 Likes

Just broke my collarbone and 4 ribs in s criterium this week, and this episode was a great way to reframe what recovery shoild look like for me…

5 Likes

Michael! Sorry to hear about your injury. I bet you have quite the story about what went down in the race and how it happened. Please share if you feel up to it. Also since you have some recovery time, what are some other topic or interest that we might talk about? Id be happy to talk to Neal and the team about incorporating some episodes specific to your situation and to help ease your recovery!

All the best

Eddie

Hey Eddie, I’d be happy to share my story with you.

I started racing in the mid 1990s but work and family commitments put the bike on the back burner until COVID. Without a commute or shuttling kids to activities I had ample time to train, and I chose Sufferfest after checking out Zwift.

The fitness I gained through structured plans and regular FF testing convinced me to line up for some races.

Last year I did some early season criterium races at the State fairground. It was super fun to go fast and ride in a pack. At 54 I was riding against guys half my age (and actually beating some of them). I also started doing gravel races. Totally different vibe but also a ton of fun and great scenery. I was able to get in almost 5000 miles and over 100k feet of climbing and have never felt better.

This past winter I again did structured training with Sufferfest and used Nordic skiing as an additional training activity for variety (I’m in MN andcwe had PLENTY of snow). I committed to doing regular core and yoga exercises. I also managed to lose about 12 lbs of excess weight.

It’s been a cold, miserable spring here but for the first Tuesday crit we had a brief heatwave and I had a blast riding in a field of about 30 or so. Felt strong and confident in my bike handling through the corners.

The following week was cooler and windy, but I got a better jump off the line and gained 7 places over the previous week.

Last Tuesday was a much bigger field (45?) and though I lined up near the front I knew there would be a fight to get to the first corner (which was only a couple hundred meters from the start line).

I clipped in at the gun and ramped up my speed out of the saddle, keeping my head up as we neared the corner to take a good line into the turn. A guy to my left must have touched wheels and over-compensated to try to stay upright. He plowed into my left side and I went flying over the bars, coming down hard on my shoulder, back, and hand.

My head hit (cracking my helmet) but not hard enough to knock me out. I did get the wind knocked out of me and stayed in the fetal position till the race first aid folks came over and stabilized me. One of them realized right away that my collarbone was broken and they called an ambulance.

ER X-rays confirmed segmental clavicle fracture and 4 broken ribs.
I spent three days managing serious pain with Oxycodone. After that I’ve been getting by with ibuprofen and ice.

Saw an orthopedic doctor today who said I could let the collarbone heal on its own, but that because of the nature of the break it would take a while and would likely lead to some deformity.

The other option is surgery, which will stabilize the shoulder by connecting the bone segments with a metal plate. This should guarantee a better, faster recovery so that’s the direction I’m choosing.

Here are some topics that have been on my mind as I think about coming back:

  1. What are good technique drills or other workouts to do that won’t stress my system too much as I recover?

  2. The psychology of returning to competition–how do you line up at the start again after a bad crash?

  3. Recovery nutrition: what should my diet look like to maximize healing and minimize weight gain? Are there any supplements that help (collagen, calcium, etc…)

  4. What is the best way to assess my (carbon fiber) bike for damage after a crash to determine if it’s safe to ride?

Feel free to use any/all of this as you see fit. Attaching my xray for your viewing pleasure (horror?)

Best,

Mike Robertson

6 Likes

we really need a dislike button here! Ouch. Heal well!

1 Like

So sorry to hear! Blessings on your recovery. I actually look for you often when I’m riding in Saint Paul - I’ve never seen you yet and guess I won’t now for a while :slight_smile: Hope you’re back on the bike soon after a successful surgery.

Those are excellent questions, btw, and I look forward to hearing some on them discussed on a knowledge episode.

3 Likes

Good call on the surgery, it’ll help in the long run I know mine did. Biggest thing after getting patched back up is to start moving it and keep moving it as much as you can. It speeds up the recovery process so much by doing that. If you do it enough on your own you’ll even get to skip the PT portion of the recovery.

I don’t know how you’re built but the only downside I have from mine is I don’t have a lot if meat on me in the shoulder area so heavy backpacks and the like can be a little sensitive on my plates/scar area.

For your other questions: I did a lot of recovery rides or a normal ride with the intensity at around 50-60% for a couple weeks after being cleared to ride indoors again. Some of those were ridden one handed which isn’t as easy as I thought it would be. Once they cleared me to go back on the road I had to really take it slow and easy. I thought “oh no problem I’ve been riding, I’ve got this” until I remembered the road vibration part of riding outside. That was probably the worst for me was getting over that. I don’t race so I can’t comment on how to line up again.

Best of luck recovering!

4 Likes

That’s a definite surgical candidate. After surgery, and with your medical team’s approval, get it moving. Not weight bearing though. That speeds up healing and will settle in the plate faster. I had a clean break and was able to heal without the plate.

2 Likes

Here is my story about a broken collarbone.

4 Likes

@Michael_Robertson it’s been a few weeks! How are you feeling and healing up?

1 Like


@Eddie.RogersTKP I had surgery 2 wks ago and am feeling quite a bit better. Ribs still hurt (and likely will for some time) but I have decent mobility in the shoulder and have been able to do some Z2 riding on the trainer (watching Giro stages) and take some walks. A bit of post concussion fogginess but that’s deveasing. 4 more weeks till I am cleared to lift anything heavier than a coffee cup and start PT…it has been a humbling experience but I have great support from family, friends, and colleagues. Feel fortunate to have good health insurance!

6 Likes


From Intervals.icu: The light blue line is “fitness” since my accident. I know I’ll gain the fitness back but definitely disheartening to feel like I’ve “lost” all the work I put in over the winter…

2 Likes

You will get fitness back, IF yountake it slow and steady.

1 Like

Also, i didn’t comment on the hematoma. Looking much better. The yellow color is great. Took about six weeks for the black areas to start clearing.

Yeah it’s getting better–3 weeks and I only look like I got hit with a bat! ; )

1 Like

I feel sorry for any bat that hits you!

1 Like

LOL @glen.couts! I appreciate your saying so…

1 Like

I have a photo of what i looked like after i fell down a mountain while hiking. It took about eight weeks for a chest hematoma to clear.

Update: follow up xrays show healing progress. A “callus” has formed at tge collarbone and ribs which i guess is a tube of collagen within which the new bone rebuilds: Broken Bone Pictures: Signs Your Broken Bone Is Healing.

The doc says i can now lift up to 5 pounds with my injured arm, start PT, AND ride outside! Got a brief spin in this evening and is felt great.

4 Likes

Congrats on the healing. Don’t overdo it, but enjoy the rides in the nice weather.

2 Likes