cycling · fitness · illness

Back on the bike after a stroke (Guest post)

It’s Saturday morning in late September. I’m sitting in one of my favourite coffee shops enjoying a latte and trying to get the chill out of my bones. I decided to bike here this morning, despite the thermometer reading eight degrees. I love Ottawa in the fall: it’s one of my favourite times of year. The leaves are turning on the trees, but the Parkway is still reserved for cyclists on the weekends, which makes for some breathtaking rides. The Parkway hugs the Ottawa River, so it’s not unusual to run into hordes of Canada geese as you bike down the west-bound lanes. When the cars are away, everybody gets bolder, including the wildlife.

I’ve been a cyclist most of my life and in my twenties it was my main form of transport. A friend once described cycling as the closest humans every get to actual flight, and I agree. But I had an accident on my bike about a decade ago that left me fearful of climbing back on. While I still cycled every so often, I lost the joy I had had before my accident.

Then about six years ago I took the leap and bought a new bike: a bright red electric bike modeled after the wide-handled cruisers of the fifties that appealed to both my love of two wheels and my personal aesthetic. To my deep pleasure I rediscovered the joy of pedalling along the many bike paths this city offers. I could ride to work almost exclusively on paths. The five-kilometre trip was a pleasure every time and I resisted getting back on the bus until early December.

But last year in the late fall, I had a stroke. Hospitalized for the first time in my life, I spent two weeks answering every person who asked me, “What is your goal for recovery?” that what I wanted most of all was to get back on my bike. I didn’t know that this was a very unlikely and lofty goal. When you’ve had a stroke, people treat you like you’re not entirely compos mentis (which of course you’re not) and they don’t try to nay-say you. If I wanted to get back on my bike, nobody was going to tell me it was very unlikely.

But the first week I was back home, I climbed up on my stationary bike, which I had bought just before the pandemic hit in order to keep my biking muscles in good shape over the winter. I lasted five minutes. It wasn’t just the challenge of biking – even the act of getting on and off my bike was hard. I wobbled. I tripped. I cried a little. And I persisted. By January, I was on my stationary bike three times a week for 20 minutes. By March, that was four to five times a week for 30 minutes.

Then, at the suggestion of my massage therapist, I started upping the difficulty by twisting my upper body as I pedalled. Then I added hand weights. Then I closed my eyes, which forced me to try to balance more carefully.

In April, Big Red, my beautiful bike, came up from storage in the basement. In early May, I attempted my first ride on a real bike. It was a mere six kilometres over 30 minutes, but I wept with relief at the end of it. I had not fallen. I had not had to stop.

My balance was still shaky: getting on and off Big Red was not easy for me. If it had not been for the throttle that permitted me to get started without pedalling and let me catch my balance as I took off, I do not think this would have been possible.

The Ottawa River is seen through a copse of tress. In the foreground sits a red comfort cruiser-style bike with a helmet hanging from the handlebars.
Hanging out in a hidden spot on the Ottawa River with Big Red

Since that first ride, I have probably done 600 kilometres this summer. Weekends are my big ride, when the Parkway is open and I can pedal almost all the way to my coffee joint on a wide lane meant for cars, but I am on the bike paths several times each week. My Saturday rides are over 20 km.

I am stronger, better balanced and more confident on my bike. I have even survived a fall with relatively minor damage. But if it hadn’t been for the help having an e-bike gave me in the early days, I am not sure I would be back biking. Doctors and nurses have met the information that yes, I did get back on my bike with polite incredulity. And being back has helped me heal not only physically but mentally from the feeling of total incapacity I experienced last fall. I’m still here. I’m still pedalling.

I’m so grateful.

DJ Brown is a performer turned government wonk living and thriving in Ottawa.

cycling · fitness

First time back on the bike

It’s baby steps but I’ve been given the okay to get back on my bike on the trainer.

The goal isn’t some number of kilometres, a given amount of time, or to reach a certain power level

Instead, it’s something much more basic and fundamental. It’s all about regaining enough mobility so that I can make a full rotation of the pedals. It’s range of motion time, baby!

Various guides to knee replacement say to expect a 5 degree improvement in the angle possible for your new knee each week. You need 90 degrees to ride a bike. A goal is 120 if your leg size permits that. Not sure mine does. I was at 52 degrees last week, a few days after surgery, and 67 today eight days after replacement.

But all of these guides to knee replacement say don’t compare your progress to the progress of others. Different people take a different amount of time to get there.

It’s unlikely I’ll be able to that the first few times I try I’ve been told. So no expectations.

Also, even once I can I’m to use the trainer in a very spinny gear, no pressure at all on the pedals.

Whether or not you’re a cyclist the bike trainer is a basic rehab tool after knee replacement surgery. Surgeons and physiotherapists have to talk people who aren’t cyclists to give it a go. It’s easy when the patient’s first question is how soon can I get back on the bike (on the trainer to start.)

It’s all about passive range of motion. Here we go!

Sam on her trainer
accessibility · fitness · habits · injury · stretching

Recovery and why physio is so hard!

So I am the sort of person who is good at following the advice of physiotherapists. I’ve successfully rehabbed some serious injuries and I trust the professional advice of physiotherapists. I do what I’m told.

It’s also worth noting that I have exceptionally good benefits and they cover almost all of my physio costs. And yet, even for me, physio after knee replacement is tough and I thought I’d explore why.

First, advice about recovering from knee surgery can sound contradictory. The take home sheets from the hospital say to use your new knee as much as possible each day. It will help you heal faster from surgery and improve your chances of long-term success. But also it says to avoid pushing yourself too far too soon. So as much as possible but not too much. Yep.

And practically it feels like that too.

The knee feels good and so I go for a short walk. After that it swells up and is painful so it’s time for ice and elevation. I’m constantly moving between making the knee work and then helping it recover.

After I posted about going for a very short walk this morning, friends commented, great, now rest!

What’s as much as possible but not too much? There’s not really good intuitive measure at this stage since everything hurts a lot of the time.

Second, unlike other physio I’ve done this is really painful. It’s the kind of painful where you ice before and after and take pain medication around your pt sessions. Since you’ve just undergone surgery and things still hurt from that, you feel a bit like hiding on the sofa, covering yourself in blankets, and waiting until the pain goes away.

Third, it’s pretty time consuming.

Here’s a rough schedule of my days this week. Next week I’m hoping to be able to get on the bike trainer to help with my range of motion.

6 am breakfast, drugs, ice and elevation in bed

630 physio round one, basic stretching and mobility

700 more elevation and icing and getting ready for the day

Tiny walk

800 Breakfast round two, more pain meds, more elevation and icing

900 Physio round 2 mobility and stretching plus regaining strength

930 ice and elevation

10-12 free time for reading possibly napping

12-1 lunch

100 ice and elevation, more pain meds

130 Physio round 3, mobility and stretching and regaining strength

200 ice and elevation

230-4 free time for reading and napping etc

4-6 dinner etc

7 last round, 4, of basic mobility physio

Tiny walk #2

Bed with all the ice and more pain meds


That’s me on the deck post tiny walk, resting and icing, as friends and physio advised.

Patience my friends is going to be key.