I'm gradually recovering from the arm injury I sustained on December 31, as described in my blog post of January 5. In this entry I'll briefly describe my journey so far.

At first, I had to carry out basic tasks like brushing my teeth exclusively with my left hand. More advanced procedures like flossing were put off with a flick and a promise.Followed by a swish and another promise. A week later, I had progressed first to brushing with my right hand, and then to flossing using both hands.

Getting dressed and undressed has been another challenge. I've been wearing clothes that are fairly loose and stretchy and have a bare minimum of awkward fastenings. To put on outdoor clothing like my ski jacket, I had to sit on an armless kitchen chair and manoeuvre myself into the right sleeve and then do the rest pretty much one-handed. Now I no longer need the chair, although getting dressed to go outside is still a slower process than it once was.

So I'm doing more with my right hand and arm than I could in the beginning . I have a greater range of movement in the arm, and with far less pain. I can get up from a lying or sitting position without much pain, just a slight twinge at times. Same for picking up something off the floor. I can tolerate a bit more weight on my right, although any moderate-and-above lifting still has to be done with my left.

I'm keeping up with the laundry. It helps that we have a front-loading washer and dryer, both on drawer/pedestals to minimize the need for stooping or lifting. This is something we put in place round about 2006-07, shortly after I was diagnosed with rheumatoid arthritis. I haven't had a serious flare-up of that since 2015 - it's under control with NSAIDs and DMARDs, which have likely helped with my recovery from the injury as well.

I've been able to get out of the house a bit too - around the corner to the community mailbox and for very short walks in the neighbourhood. I haven't been brave enough to take public transit yet - it would probably be OK, at least in off-peak times, but I'd be nervous about getting jostled on a crowded bus or LRT car or platform. But I'm OK with being driven around to get groceries and do basic errands, as long as I don't need to carry anything heavy.

I still haven't felt able to put my right arm up straight over my head, or all the way behind my back or at the nape of my neck, as I would normally do when putting on a hair elastic or putting on some N95 masks - these tasks I manage in an awkward, mostly left-handed way.

I tire easily. Healing is itself tiring and so is performing customary tasks in unaccustomed ways. But the good news is I'm on the mend.

And in a kind of cruel irony, the entire length of the Rideau Canal is now open for skating for the first time in years, even though skating is out of the question for me at the moment. Still, I I don't think BeaverTails or other Winterlude activities will necessarily be off-limits!
On the morning of December 31, I told my partner I was going out for a short solo walk, just to decompress a bit. The weather was pleasant - not too cold, not raining or snowing, moderately sunny. It was really the nicest day we'd had for a while.

The planned short walk evolved into a longer walk than I'd originally foreseen and I ended up walking from my Fisher Heights neighbourhood up to Hog's Back Falls. The rush of the falls in an otherwise quiet area was somehow calming, a kind of nature therapy akin to forest bathing, as described here:

​​​​​https://www.cbc.ca/news/canada/hamilton/nature-prescription-how-to-get-one-1.7421810?cmp=rss

If I'd merely stood watching and listening to the falls, or sat on a nearby bench in quiet contemplation for a while and then gone back home, all would have been well. But a path leading into the woods beckoned and I decided to wander on for a bit.

I was maybe halfway to being at the bottom of the Heron Road Bridge when I decided to start retracing my steps and head back up towards the Hog's Back Bridge. There was a kind of fork in the path where one part looked to slope fairly gently back upwards. I headed in that direction.

Soon afterwards, I put one tentative foot forward, stumbled a bit and fell. It wasn't a very long fall but it was my upper right arm, between my elbow and shoulder, that bore the brunt of the impact.

I got up, brushed myself off and assessed the situation. I ascertained that I hadn't broken anything. There was no blood. But my arm hurt like hell. It didn't help that just the day before, I had been required to bend that arm into various unnatural contortions while getting a mammogram and ultrasound on my right breast.

My legs were fine, so I proceeded to walk back home, keeping my injured arm in as comfortable position as possible.

Here, from a sports medicine website, is an accurate description of the injury I sustained:


Upper arm contusions

Contusions are also a common cause of upper arm pain. A direct blow to the front, back, or side of the arm crushes muscle against bone and injures it. The biceps muscle at the front or the triceps at the back of the upper arm could be affected. It may also occur in conjunction with an Axillary nerve injury.

Symptoms:

Pain on and after an impact.
Loss of full elbow extension (straightening)
Pain on trying to bend the elbow, especially against resistance).
Tenderness on touch.
Bruising.
Swelling.


And here's the recommended treatment:

Treatment:

Apply ice to reduce bleeding and swelling.
Elevate the arm and use a compression bandage.
Rest from any activities which cause pain.
Try to keep the elbow moving gently.
Once pain-free, gently stretch the biceps muscle to regain full extension.


I didn't use a compression bandage and instead of applying ice, I wrapped my upper arm in a large washcloth or small hand-towel which had been rinsed under the cold tap and wrung out. That eased the pain and helped reduce the swelling, but still allowed me some movement of the arm.

I've been rediscovering my left (non-dominant) hand and doing more things with it and my right hand has been reduced to second-in-command. I don't think I ever realized how many of the small muscles in my upper right arm come into play every day as I perform the day-to-day tasks of living. Like, say, doing just about anything on my laptop - manipulating the cursor, typing, clicking on a link, whatever.

Anyway, I'm recovering. I wouldn't be able to, say, raise my right hand in class to answer a question. I can't really put back my hair in a ponytail. But I can manage, although daily activities are kind of exhausting.

Just as well, since I shudder to think of how horrid it might have been to sit for hours in a hospital emergency department on New Year's Eve!
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