Knee Injury and Nutrition

Jolene Sirel • Aug 12, 2020

How I suffered the same injury twice but reduced my recovery time by over 2 years

To celebrate turning 40 myself and my husband entered the Scottish Coast to Coast Ratrace 2019. A two day running, cycling and kayaking event covering a distance of 105 miles. I couldn’t wait. The month prior we headed to France for our summer holiday during which we set out on a 2 day kayak trip down the Ardeche. Towards the end of day one I hit a boulder hidden under the water and capsized in the rapids. I caught my foot on a boulder whilst the force of the water pushed my body, bending my knee in a direction that wasn’t natural. It hurt. We gingerly made the final section to the campsite at the half way point. I slowly hobbled the 200 metres up the river bank to set up camp for the night and spent an uncomfortable night in the tent. I emerged from the tent the next morning with help from my boys, we packed up and got on our way for part two. Anything bigger than a ripple in the water filled me with dread so, where I could, I was helped out the boat and my husband would descend the rapids in the boat while I walked round as best I could. We finished the trip and, despite my injury, we thoroughly enjoyed the whole experience. It was a magical place to be even with a painful swollen knee. 

I spent the next 2 days convalescing in a hammock at the campsite, using a knee support and elevating the leg where possible along side self Reiki. Floating in the cooling waters of the river mixed with some replenishing sunbathing for that all important vitamin D really helped. Sleeping was sporadic due to not being able to move or turn over easily but one week after the initial injury I was able to climb a short easy via ferrata. I weighed up the risk of potentially damaging my knee further, however I wouldn’t have swapped this magical moment with my boys with a fantastic finish on a huge zip-line over the river. What a rush that was!

Returning home I immediately booked in with a great physiotherapist, Hayden, working out of the Nuffield gym in Nottingham. Hayden confirmed my suspicions of medial collateral ligament (MCL) damage and gave me some exercises to do at home. Sadly, the injury was too severe to contemplate attempting the event and with heavy hearts we pulled out. 

Ligaments are soft tissue that attach bone to bone. When it comes to tissue damage of this kind there are 3 basic processes. The first is inflammation which triggers the recovery process. The second is proliferation which is where temporary tissue is produced while the damaged tissue is removed and blood supply to the injured site is increased. Thirdly there is remodelling where the temporary tissue is removed and the permanent tissue repair and rebuilding is carried out.

The first few weeks were mainly rest and recouperation. I really honed in on my nutrition and hydration to support my body in repairing itself. I made sure to avoid inflammatory foods and drinks including alcohol, highly processed foods such as pasta and sugar. I continued with my “eating a rainbow” of fruits and vegetables as I would normally. Different colours provide different properties for the body. I also increased my omega 3 foods including oily fish, chia seeds (which I love anyway) and flaxseeds, eggs and grass fed beef. 

I made sure my protein intake was adequate. Protein aids efficient repair of connective tissues. The consensus on the correct intake varies but for my recovery I went with roughly 1.5g per kg of body weight. For me that is roughly 90g over 3 meals (30g per meal) which is more than I would eat in a normal average day at around 20g per meal.  

I included supplemental vitamin C which helps reduce MMP (Matrix metallopeptidases) activity. MMPs, in basic terms, are part of the proteases family and are capable of degrading the collagen extracellular matrix). Collagen makes up around 25% of the body and is constructed of amino acids. The structure of collagen is held together by an enzyme which requires vitamin C to do its job effectively. Hence the need for increased vitamin C in the body during repair and rebuilding of damaged tissue. Vitamin C helps spare collagen in connective tissues and also aids immunity. The immune system cells are the first to stimulate the body’s healing process so it is vital to support this when looking to aid any injury repair.

I also included glucosamine which inhibits collagen degradation, aids the formation of proteoglycans (which are essential for effective ligament healing) and can help prevent scar tissue. Proteoglycans are chains of amino acids that have side chains (glycosaminoglycans) that hold water and so are water-hydrated gel like substances and function as joint lubricants and structural components of tissue and helps dissipate forces put on the tissues a bit like the airbags in a car during an accident.
 
Magnesium was another. This essential mineral is great for tissue health. After some more research I integrated a collagen complex supplement which included zinc, vitamin C and Hyaluronic Acid. 

Now despite being less mobile I was conscious that my body would be demanding more energy to help recovery. As a result my overall calorie intake remained fairly consistent with what I was already consuming with maybe only a marginal cut. 

After a few weeks I also included acupuncture with Tony at the Magnolia Therapy Centre. I changed my exercise routine to include more body weight strength and core strength routines. I did some very gentle bike rides from around week 6 of injury. I also did some open water swimming using just one leg to start with and as my knee began to improve I started using it more and more. I refrained from running for a total of 10 weeks. Not easy, as I use running as my “me time” and head space. To get out the house for a while and lose myself. But I knew that if I wanted to fully heal I needed to be patient. But I also knew that it was important to gently stimulate the area with exercise and strength and then rest it to produce the stimulus and rest phases of good wound healing as stated here

It’s coming up to a year since I injured my knee and it is probably around 95% functional. I am able to run long distances on all terrain without any issues. Several years ago I had a very similar injury and my knowledge and awareness back then was almost non-existent. I didn’t do anything like what I did this time round. I continued to drink alcohol, I didn’t change my diet or routine and didn’t include any specific exercises or seek professional help. For around 3 years I continued to suffer each time I went out to exercise or move. I could only walk short distances before I would get pains through my knee. It took the enjoyment out of my days out in the mountains or biking etc. I didn’t know any better, but I do now. Knowledge is power and also enjoyment!
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A Balance of the Passions is Essential for Physical Health - Galen (A.D. 131–201) We are physical, emotional and spiritual beings. Where one of these aspects ends and the other starts cannot be truly defined. Without our emotions we are not human. Without our physical body we are not human. Without our energetic or soul component we are not human. This, for me, was evidenced by witnessing the death of a loved one. I was lucky enough to be with my grandma as she passed. As she took her last breath the emotional and spiritual being, that had characterised her as the person she was, disappeared. All that was left was the physical body. I knew in that moment that the body lying in the bed, although looking like my grandma, was no longer the grandma I cherished. That was just the vessel she used to exist on this physical plain. Years ago I read the book “molecules of emotion” by the neuroscientist and molecular biologist, Candace Pert. A fascinating and insightful read. Certainly one I will read again and one I highly recommend others to read if they haven’t already. This book was one of the catalysts that inspired my curiosity into the emotional and spiritual aspects of being who we are. How we feel the way we feel and how our thoughts and emotions affect our health. Through study, personal experience of delving deeper into myself and discovering who I am and also being a keen observer of others (which my husband hates btw 😂), I have developed the opinion that our bodies, emotions and souls are not distinct from one another. They cannot be separate, otherwise we can no longer be who we appear to be in human form. Our thoughts, emotions and experiences can make us laugh, cry, sweat, shake etc. These are all observable physical reactions to the emotions that came prior. One example Candace gave in her book really struck me, partly because I suffered terribly with this when I was younger. And it went something like this: “it’s through the emotion-modulating peptides that an embarrassing thought can cause blood vessels to dilate and turn a face beet red” . Therefore, the thought and feeling of being embarrassed manifested into an observable physical reaction through the face flushing. In my case I would then be highly conscious of my hot face. Inevitably, someone would point out that I’d gone “so red” and that would perpetuate the emotions resulting in close to what can only be described as a burning beacon of a throbbing, red hot face. My worst nightmare. In fact, thinking back, subconsciously this also impacted how I dressed. I hated warm clothes. Thick jumpers, polo necks and coats were out. Anything that could raise my body temperature and lead to feeling flushed, I avoided. I believed that if I could exist on the slightly cool side, I could potentially reduce the number of times or at least the intensity of my embarrassed face and be less noticeable to those around me. I’m talking highly self conscious here to the point where someone saying “hello” could set off the cascade of chemical reactions resulting in my red face. I digress. There is a name for this kind of study: Psychoneuroimmunology. It is defined as the study of the interactions between behavioural, neural and endocrine, and immune processes. Different emotions have different effects on the physical body. For example it has been shown that laughter can increase immune response and stressful life experiences and emotional states such as depression have a suppressive effect on the immune system . Stress has more recently been recognised by the medical community as having an impact on our health. But what about other thoughts, feelings and emotions. If stress can produce a cascade of biological functions that impact our health, especially chronic (long term) stress , then what other effects are felt by the body when the full range of our emotions aren’t being fully processed? With this in mind, how can we then treat any illness purely from a physical perspective when science shows us that all is entwined? One cannot be impacted without the other. The relationship is bidirectional of course. If we’re ill or injured this can effect our emotional state. However, it is also the case that our emotions can produce ill effects on the body . There are pathways that have been studied, highlighting the effect of stress and other emotional factors on our physical health. Notably, the central immunological mechanism serving as access for a range of "age associated diseases and the dysregulation of pro-inflammatory cytokine production" (cell signalling). Cytokines impact our autonomic nervous system and can result in physical symptoms such as fatigue, loss of appetite and lethargy. As a result, negative emotions can produce early signs and symptoms of active disease states before more diagnostic signs appear. We are emotional beings. That is what being human is. We love, laugh and cry. We get angry and feel hurt. We laugh so hard our sides hurt and tears roll down our face. However, we seem to be growing daily in our need to suppress these emotions. We’re being told that feeling strong emotions shouldn’t be tolerated and therefore these feelings should be suppressed with medication. I’ve seen friends put on antidepressants for the break up of a marriage or the loss of a loved one. These life events are hugely challenging and certainly take their toll on us. But ultimately, don’t we need to process and fully grieve in order to begin to heal? It’s a perfectly natural human experience and one that should be fully supported not suppressed. We need to feel the whole spectrum of emotions and be able to fully lean into and process them. If we don’t, we potentially risk our long term health and vitality. We will ultimately have to deal with them at a later date as nothing can be held down forever. But by then the emotions and physical symptoms are usually dissociated from the life event that originally caused them. The two scenarios are separated by time and therefore the dots are not connected and we’re given a diagnoses of some medical label. The body keeps score, even if we don’t.
Energy Connection via the electromagnetic field of the heart
By Jolene Sirel 25 May, 2021
Have you ever walked into a room and instantly felt more energised or uplifted? Conversely, have you ever turned up to a friend’s house after they’ve had an argument and can sense a tense atmosphere even if they are acting as if everything is fine? This all relates to our connections via energy or field interaction. Energy is everywhere and it is the one thing that connects us all. In the early 19th century new physical phenomena were “discovered” which led to the concept of a field. A field being described as a condition in space which has the potential of producing a force. I put the word discovered in speech marks in the last paragraph to make a point. This wasn’t really discovered. It’s like saying Christopher Columbus discovered America. I find it hard to accept something can be “discovered” when there are quite clearly others that knew about it before. In the case of the Americas there were already many humans living there. In the instance of field discovery many traditions and cultures have understood, known of and worked with these energies for centuries. It’s just that scientific equipment is gradually becoming more precise at being able to record these invisible forces. Science was beginning to be able to show how individuals affect others at a distance through senses beyond speech and sight. I’ve always been sensitive to others energy and their imprints. I remember getting home one day from work and on entering the house alone, I had this real strong sense of someone else’s energy (other than my own) in the house that I wasn’t expecting. I went round the house checking all doors and windows, anticipating a break-in. Seeing no obvious signs, I went to make a cup of tea and noticed a tool case on a stool in the corner. It turns out my father in-law had let himself in to drop off the case earlier that day without my knowing and I had picked up his energy imprint left behind. On another occasion, I was out at a gig with a couple of friends. As the warm up act began I had this overwhelming sense that someone else I knew was going to be there. I had a glance around the room but it was full of hundreds of people and the lighting was low. There was no chance, unless this person came to sit next to me, that I would be able to see if they did in fact attend the same gig. In the interval before the main act, I had this energy hit my heart/heart chakra. I knew instantly that this person had just entered the room/building. The feeling was so strong. But again looking around the room I came to the conclusion that I would not be able to confirm this inner knowing with a visual sighting. It was too dark and there were too many people. As I waited for the main act to start, my eyes naturally rested looking down onto the seating below and into my line of vision walks the person I had “known” to have entered the building. They then went to get their seat out of sight of where I was sat. I’m still trying to process this and I don’t really know why or how I tapped into this person’s energy. I’m continually learning and widening my knowledge. However, as the saying goes “the more you know the more you realise you don’t know”. Without a doubt this was a field or energy connection. This ease of connecting with energy I have serves me well when it comes to Reiki healing. Whether through hands on (contact) or distance Reiki I am able to connect to a person via their energy and help balance the flow of this life force (also referred to in other traditions as ki, chi, qi, bio field or prana). Our energy field is linked to our physical body via chakras. There are 7 main chakras that align down the centre of the body. Each chakra feeds into different body parts and in turn are related to different emotional and physical states. Dis-ease in the body can occur when our energy becomes stagnant or blocked. The basic principles of energy healing is to bring a balance and alignment in our energetic body which in turn feeds our physical. According to the research by the heart math institute the heart sends more information to the brain (via the vagus nerve and electromagnetically and hormonally) than the brain sends to the heart. Fascinating right?!? It has been shown that the heart is involved in the processing and decoding of intuitive information. In my example above, it would seem I used my intuitive insights to connect to a field of information beyond my conscious awareness. On wanting to find out more about my experiences with the heart and/or heart chakra that I’d had, I did what I always do and started reading. I came across th is article and linked paper which really resonated with me and brought me closer to an understanding of what I had experienced personally. It is stated that the heart’s electromagnetic field extends several feet beyond the physical body. Some scientists state this could be much further but the lack of reliable equipment able to record this is the issue with really defining the true extent. Studies show that the heart is a sensory organ. It acts like an intelligent information centre enabling it to learn, remember and make functional decisions independent of the cerebral cortex. As a person who works with the energy systems of the body I wonder if these attributes go deeper than the physical heart itself and weave its way into the chakra system and obviously more precisely in this instance, the heart chakra. Food for thought. The heart chakra itself is the central chakra and connects our physical to our spiritual. Someone who is grounded and centred in their heart chakra follows their own path and purpose. Unconditional love is their centre. They are connected to the beauty of nature and look for the joy in themselves and in all things. They have compassion and empathy and are connected with their souls vision of the world embracing new adventures and a zest for life. When it comes to energy exchange between two people the eastern philosophies have long embraced these profound interactions. In many traditions the heart has been regarded as a conduit to a source of information and wisdom beyond our normal awareness. On going research seeks to show that intuition is a full body response based on the autonomic nervous system but ultimately incorporating all systems. Specifically it has been shown that the heart reacts to events several seconds prior to a stimulus being experienced. However, western medicine has discarded and actively seeks to re-direct awareness of these functions of the body through lack of detectable mechanisms explaining their exact nature. But numerous studies on energy healing have shown significant effects on wound healing rates, pain, haemoglobin levels, changes in DNA expressions and water structure as well as phycological states even if the exact mechanisms for this remain scientifically unproven. According to research by HeartMath the autonomic nervous system acts as an antennae which is tuned to respond to magnetic fields produced by the hearts of others. Studies show that it is possible for the magnetic signals radiated by the heart to influence the brain’s rhythm of another. However, this has not been studied at a distance of more than 5 feet. However, this does not mean that it can’t happen at greater distances. Like the gig I mentioned prior. There was well over 50ft involved and potentially a mile or more when I became aware of my initial instincts that this person may show up at the same place. It is stated that heart coherence between 2 individuals is very rare during normal waking states. Maybe my experience came about due to mutual respect and appreciation, a prior connection from another time. Who knows. I’m unlikely to ever find the true answer. But it has got me asking; “Is this purely about the entrainment of heart rhythms and their synchronicity? Or does it go beyond this and touch more metaphysical concepts?” One conclusion drawn from these papers states that if you’re a health practitioner, learning these heart coherence techniques can help build rapport and strong relationships between yourself and the client and enables the client to feel better heard and understood; A form of intuitive listening. I'll leave you with some poignant sayings regarding the heart: “ A loving heart is the beginning of all knowledge ” Thomas Carlyle “Pursue what catches your heart, not what catches your eyes. ” Roy T. Bennett “Sometimes the heart sees what is invisible to the eye .” H. Jackson Brown “Let the rays of your heart shine on all who pass by. ” Terri Guillemets “Wherever you go, go with all your heart.” Confucius “ Only from the heart can you touch the sky.” Rum i “The heart has eyes which the brain knows nothing of.” Charles H. Perkhurst “ When your heart speaks, take good notes .” Judith Campbell “Your heart is free, have the courage to follow it.” Braveheart References: Mccraty, R., 2003. The Energetic Heart Bioelectromagnetic Interactions Within and Between People. [online] Institute of HeartMath. Available at: . Mccraty, R., Atkinson, M. and Bradley, R.T., 2004. The Surprising Role of the Heart. The Journal of Alternative and Complementary Medicine, 10(1), pp.133–143. McCraty, R., Atkinson, M. and Bradley, R.T., 2004. Electrophysiological Evidence of Intuition : Part 2 . A System-Wide Process? The Journal of Alternative and Complementary Medicine, 10(2), pp.325–336.
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