27/08/2020
I’m on the this week, a lot of fun and we talked at length about my leg injury. Promised to post these photos to go with it - DO NOT swipe left if you’re squeamish and would rather avoid seeing my injured leg!
As each of my ulcers opened, I covered them with a dressing so I didn’t think my injury was that bad. Medics tried to evacuate me twice but this was my second attempt, nothing was going to stand in my way from the Pole. Or as the psychologist I saw in hospital advised me, I convinced myself it was healing to get a free pass to continue. Same reason I couldn’t smell it either, and trust me I’m told it stank once I reached the Pole!
By this point I was well ahead of the WR pace and every day felt like I was flying, then a fall in a white out ended it all. I felt and heard as the inner thigh cracked open and what was several small ulcers opened into one big one. I skied those last two weeks in a level of pain that is very difficult to explain, I don’t know how I did it and the fact that I could worries me slightly.
The condition is called “Polar Thigh”, I’ve mentioned it before but not explained what it is, so here goes:
- It’s a non-freezing cold injury that anecdotally seems to affect women more than men and is common on longer distance polar expeditions.
- It isn’t frostbite
- There’s little scientific research into the condition and Doctors from different specialisms have differing theories as to what could be causing it. Previously it was considered a straight-up cold related injury, then perhaps an injury brought on by abrasion and more recently a type of severe chilblain.
- It was thought that wearing an extra layer in the form of a down skirt and the use of steroid cream could help avoid it. Wearing overly tight base layers was also thought to be a cause.
Until my surgeries, Doctors hadn’t had the opportunity to “look under the hood” and see the pathology of Polar Thigh. Winner - turns out it has been super useful in giving more insight into its likely causes.
Severe chilblains is our best way of describing the injury now. So what are the likely causes? (c’nued in Comments) @ Hampstead Heath