Smartphone Avalanche Search Apps

Smartphone Avalanche Search Apps—A Review

James Floyer, PhD

Senior Forecaster: Canadian Avalanche Centre

Discussion paper: October, 2013

Introduction

Smartphones are popular—in Canada, around 56% of people use one1. Recently, apps have appeared on

the market designed to allow one smartphone to search for another in avalanche rescue scenarios. In this

way, users are given avalanche victim search functionality on their handheld device. There are currently

three apps available: iSis Intelligent (Mountain) Rescue System; Snøg Avalanche Buddy; and SnoWhere.

The iSis and Snøg apps are available for iPhone only. SnoWhere is an Android only app. Such apps are

referred to as smartphone avalanche search apps.

This paper presents a technical discussion of the operation and limitations of these devices. The suitability

of this technology is analysed from a public safety point of view. Existing literature was reviewed and app

developers were contacted to provide detail on how their systems work as well as test results2. Technical

and rescue experts were consulted for specific advice. No field testing was carried out as part of this

review, and details of how the systems work are gleaned in part through marketing literature, including

videos posted on developers’ websites, and in part through theoretical considerations. Note also, at the

time of preparation, no independent tests or reviews were available.

How they work

Smartphone avalanche search apps make use of various two‐way communication technologies including:

cell network; WiFi; and Bluetooth. Additionally, two of the apps make use of GPS signals. Each app uses a

slightly different set of technologies to communicate its location to another smartphone, which must also

have the identical app installed. Table 1 lists the technologies the different apps make use of.

When searching using WiFi or Bluetooth signals, a smartphone app permits searches in a similar way to an

older‐style analogue avalanche transceiver. Signal strength may be displayed as a number (SnoWhere) or

on a bar chart (Snøg), with an increase in signal strength indicating increasing proximity to the victim.

Signal direction is poorly resolved, as smartphones only have one antenna (per communication

technology), and the orientation of that antenna may not be known to the user.

The SnoWhere and iSis apps use GPS to aid search location. The location of the victim shows up on a

basemap, allowing the searcher to use mapping functions to guide them towards the victim.

Two apps also include functionality that notifies other rescuers of an avalanche incident either

automatically (iSis) or manually (SnoWhere). These features could be useful within the broader context of

search and rescue, including avalanche search and rescue. However, since this paper focuses on the victim

search functionality of smartphone avalanche search apps, these features are not considered further here.

1 Google Report: Our Mobile Planet – Understanding the Mobile Consumer. Ipsos MediaCT. May 2013.

2 Two of the three app developers: Piranha Stuff BV (Snøg’s developers) and Charcoal Frost Ltd (SnoWhere’s

developers) responded to our enquiries.

Table 1: Summary of search and communication technologies employed by three avalanche search apps.

App Primary search (Range) Fine search Notification

iSis

(iPhone 4/5)

GPS location sent by WiFi or cell

internet connection (1000 m claimed)

or direct via Bluetooth (45 m claimed)

Micro‐grid search

using Bluetooth

Automatic (using trajectory

analysis) alert from victim or

manual alert from rescuer

Snøg

(Android)

WiFi signal strength analysis (50 m

claimed)

Same as primary None

SnoWhere

(iPhone

3/4/5)

GPS location sent by Bluetooth (40 m

claimed for iPhone 3, 45 m for iPhone

4 and 5)

Map‐assisted

Bluetooth signal

strength analysis

Rescuer can share location

using email or SMS

Range issues

WiFi and Bluetooth signals are strongly affected by transmission through water‐based mediums, including

snow. Therefore, signal strength is reduced when the transmitting device is buried in an avalanche; this

effect is amplified if the debris is dense and moist—often the case for all but the smallest avalanches.

Signal strength is also affected by the presence of trees, rocks or the victim’s own body lying over the top

of their phone.

In their marketing materials, developers report ranges of between 40 and 50 m for WiFi/Bluetooth

searches. These ranges likely reflect best case scenarios for relatively shallow burials, or devices placed on

the surface of the snow. Snøg Avalanche Buddy developers have reported that forested terrain presents

difficulties for WiFi transmission. Effective range was reduced to around 12 m during their tests in

forested terrain. While independent tests have not been carried out, similar range reductions might be

expected for deep burials in avalanche debris, and/or when the device is shielded by a victim’s body.

Similar range reductions are expected for Bluetooth signals.

GPS accuracy is insufficient for precise victim location. SnoWhere developers claim a “best reported

accuracy” of 5 m with an iPhone 4/5. Accuracy values of 7.5 to 15 m are probably more realistic for

devices buried under 2 m of snow, since GPS performance degrades rapidly with burial depth3. Searchers

will still have to switch to WiFi/Bluetooth signal search mode for the fine search phase. If the GPS is not

already switched on and tracking (which requires considerable battery power), it may take some time to

acquire a signal when buried, if it is able to do so at all.

GPS technology offers, at best, a coarse search feature to bring the searcher to within approximately 10 m

of the victim. At worst, if a GPS location were incorrect, searchers could actually be led away from the

victim, believing they were moving closer towards them.

Compatibility

International standards4 dictate avalanche transceivers transmit and receive at a frequency of 457 kHz.

Regardless of brand, all current avalanche transceivers are compatible with each other. Compatibility

3 Schleppe, J. and Lachapelle, G. GPS Tracking Performance under Deposited Snow. ION GNSS, Sept. 2006.

4 ETSI EN 300 718‐1 V1.2.1. Electromagnetic compatibility and Radio spectrum Matters (ERM); Avalanche Beacons;

Transmitter‐receiver systems; Part 1: Technical characteristics and test methods. European Standard

(Telecommunications series). May 2001.between transceivers is a fundamental tenet of avalanche rescue; even older analogue transceivers5

operate on the 457 kHz frequency and are compatible with more recent digital models6.

In contrast, smartphones do not transmit at 457 kHz and therefore do not (and cannot) adhere to

international transceiver standards, regardless of what software is installed. They are not compatible with

457 kHz avalanche transceivers.

Further, smartphone avalanche search apps are not compatible with each other. This means all members

of a backcountry party must use the same smartphone platform with the same software installed to have

a useable rescue system. This creates heightened potential for someone to assume they have a

compatible smartphone device, while in actual fact they have a different and incompatible device to the

ones used by their companions. This incompatibility with existing avalanche transceivers and lack of intercompatibility

between the apps makes these applications, at their current level of development,

particularly inadequate from an avalanche rescue perspective.

Battery life

Battery life is another critical limitation with the current state of smartphone technology. International

standards for avalanche transceivers dictate that devices should be able to transmit for 200 hours at

+10°C and then still have enough power to search for 1 hour at ‐10°C. Many smartphone batteries do not

last for a full day of use on one charge, especially when power intensive features, such as GPS location,

Bluetooth or WiFi communication modes are employed. Battery drain is higher in areas with no cell

coverage, as phones constantly seek a signal. The effect of the cold further reduces battery life. Many

phones (including iPhone models) do not have user‐replaceable batteries.

SAR groups report rescue victims frequently have trouble communicating with rescuers at the end of the

day as their smartphones run out of battery power. AdventureSmart, Canada’s national SAR prevention

program, recommends users switch their phones off to conserve battery power in case of emergency

situations. Users of smartphone avalanche search apps potentially face an unacceptable choice: switch

their phone off to conserve battery power for communication but disable their avalanche safety device, or

maintain power to their avalanche safety device but run the risk of not having effective communication

for emergency rescue use.

Robustness, reliability and ease of use

International avalanche transceiver standards include stringent drop and immersion tests that must be

passed before any device comes to market. Additionally, devices must include a carrying system designed

to guard against being ripped off during an avalanche. While some smartphone models are reasonably

robust, many are not, and may be susceptible to water ingress or shock. While smartphone operating

systems are generally good, software crashes do occur, sometimes requiring a reboot; these may be

caused by other installed software and not necessarily the avalanche search app itself. If this were to

happen during a rescue, valuable search time would be lost. Phones are not supplied with a carrying

(457 kHz was adopted by the International Commission for Alpine Rescue (IKAR) in 1986. Some models

manufactured before that date operated at 2.275 kHz and are not compatible with 457 kHz transceivers.

6 The Canadian Avalanche Centre recommends the exclusive use of 3‐antenna digital transceivers (with no brand

preference), due to their increased performance in a range of burial scenarios)system, increasing the possibility of the device becoming detached from the victim during an avalanche,or dropped in the snow during a search.

Most smartphones rely on touch screens, which are not operable wearing thick gloves or mittens and may

not work effectively if the screen is covered with snow or water. The large size of screens creates

vulnerability, as they might be easily cracked. To their credit, app developers appear to have favoured

relatively simple interfaces for their software; however, it may still be necessary to navigate a menu

system, or turn additional software or phone features off to properly operate the avalanche search app.

There is the possibility for distraction from an incoming call, email or text during a search, which might be

less easily ignored if the smartphone is in use in the rescuer’s hand rather than stashed away in a pocket

or backpack.

Interference

Recent studies7,8 have analysed the effects of interference on avalanche transceiver performance for a

range of devices including cell phones. Based on these studies, the Canadian Avalanche Centre

recommends the following separation distances between an avalanche transceiver and other electronic

devices:

 Transmit mode (Send): 20 cm

 Search mode (Receive): 50 cm

It is not known for certain whether dedicated avalanche transceivers would experience additional

problems if used in proximity to smartphones running avalanche search apps. However, since

WiFi/Bluetooth frequencies (~2.4 GHz) are quite different from the 457 kHz frequency, the risk of

additional interference from the proximal use of these apps is probably low. (Note: as previously stated,

smartphone avalanche search apps are NOT compatible with 457 kHz transceivers. The discussion here is

whether the incidental use of such an app would have an impact on a search between two or more

dedicated 457 kHz transceivers.)

Interference between Bluetooth and WiFi signals has been documented and occurs because the operating

frequencies are close together. This should not pose a problem if only one communication technology is

used at any one time and the other transmitting mode is switched off. However, other installed apps, or

features activated by the user may turn WiFi or Bluetooth signals on, increasing the possibility of

interference. Other possible sources of interference are receiving a cell phone call and using the GPS

receiver and other Bluetooth‐enabled electronic devices carried by users, such as cameras, headphones

etc.—the effect of these on smartphone search app performance is currently unknown.

Marketing

Avalanche search apps are being actively marketed as software that turns a smartphone into an avalanche

transceiver. None of the developers claim the software/phone combination will adhere to international

transceiver standards. In fact, at least two developers have specific disclaimers that tell the user the

system is not certified and does not meet international standards for avalanche transceivers. Despite the

7 Barkhausen, J. The Effect of External Interference on Avalanche Transceiver Functionality. In Proceedings

International Snow Science Workshop (ISSW 2012). Anchorage, AK, USA, Sept. 2012.

8 Genswein, M., Atkins, D., Obad, J., Grady, E., Piche, M., Guyn, T., Whelan, R. and Brattlien, K. Recommendation on

how avoid Interference Issues in Companion and Organized Avalanche Rescue. 2013.

Box 2759, Revelstoke, BC V0E 2S0 ph: (250) 837-2141 / fax: 1-866-366-2094 info@avalanche.ca / www.avalanche.ca

disclaimers, the marketing intentions are quite clear from text, videos and discussions on developer’s web

pages, Facebook accounts, and other communications: these apps are being touted specifically for use in

finding buried victims in the event of an avalanche.

One marketing statement from the Google Play store about the Snøg Avalanche Buddy states: “Snøg is a

‘missing person tracker’ tool. A tool designed to quickly locate and find a victim, buried under an

avalanche.” SnoWhere developers include this personal avalanche connection statement: “20 years ago

our founder was buried in an avalanche within bounds in poor visibility. He only survived because he was

quickly discovered by a passing boy who thought he had found a hat. That experience inspired SnoWhere:

to help ensure no‐one else’s survival relies on luck.” iSis developers are probably the most aggressive in

pitching their app as a dedicated avalanche rescue system, and include a professionally edited video9

containing a mock avalanche incident with a group of skiers who have apparently left the confines of the

resort. The incident is complete with images of a skier triggering an avalanche and being buried by snow,

before his companions use their phone with the iSis app to rescue the victim.

Legal and ethical issues

While it is clear that avalanche search apps are being actively marketed as software that enables

smartphones to be used as avalanche search devices, the legal status of marketing/selling an app that

turns an otherwise compliant smartphone into an avalanche search device that does not meet

international standards is unclear. Additionally, it is not a simple matter to establish whether international

standards for avalanche transceivers are binding or voluntary in the Canadian context. Specific legal

advice would be required to establish these points in Canada.

Regardless of legal state, developers do have an ethical obligation to ensure products they bring to market

do not have a negative impact on public safety. For a lifesaving device with mission‐critical operating

parameters that relies on successful communication with other similar devices, independent testing in

real‐world scenarios is imperative. None has been made available to us, and to our knowledge none has

yet been carried out. The numerous and serious flaws in the current state of smartphone avalanche

search app technology give justifiable cause for concern that public safety may be compromised by the

introduction of this kind of avalanche rescue device.

Conclusion and discussion

The CAC does not consider any of the existing apps discussed here to be viable devices for avalanche

companion rescue. There are serious concerns and vulnerabilities with a range of important aspects of the

technology. The most critical of these are:

 lack of compatibility with existing avalanche transceivers

 lack of compatibility between different operating systems and software brands

 smartphone battery life

 range concerns in real‐world scenarios (i.e. when buried in avalanche debris)

Additional concerns are: system robustness; smartphone reliability; ease of use; interference issues; and

the possibility of distraction during a search.

9 http://www.youtube.com/watch?v=qpqnszYXdmg&feature=player_embedded

Box 2759, Revelstoke, BC V0E 2S0 ph: (250) 837-2141 / fax: 1-866-366-2094 info@avalanche.ca / www.avalanche.ca

There are good reasons for having in place international standards for avalanche transceivers. Of course,

standards may change and evolve with time to reflect new technologies. But this must be done in a

transparent, collaborative manner that maintains at its core the best interests of public safety. Present

development of smartphone avalanche rescue apps appears haphazard, is unregulated, and is potentially

dangerous to end users, who may confuse this technology with legitimate avalanche transceivers. The

option to spend only a few dollars on a cheap app in place of spending several hundreds of dollars on a

dedicated avalanche transceiver may be tempting to many, particularly novice users. However, the choice

to use such an app as a safety device when entering avalanche terrain could imperil all members of the

user’s backcountry group.

Some may argue that the ubiquity of smartphone devices might make up for the shortfall in performance

of avalanche search apps. Under this pretext, the likelihood of an avalanche victim being without any form

of avalanche rescue device is lower, which compensates for any reduced search performance. This

argument is invalid for the following reasons.

 First, the critical issues of cross‐compatibility, inter‐compatibility, poor battery life and range

under avalanche debris preclude any kind of benefit from smartphone ubiquity.

 Second, apps must be manually installed and activated, so smartphone ubiquity does not equate

to a ubiquity of avalanche search devices.

 Third, on account of the urgency of avalanche companion rescue with target rescue times (i.e. the

combination of searching, pinpoint location using a probe and extrication by digging) of 10

minutes or less10, substandard avalanche search devices are likely to have a considerable negative

impact on victim mortality.

 Fourth, there is potential for a significant negative impact on users of dedicated avalanche

transceivers by the presence of smartphone avalanche search app technology: that is the

possibility for people who would have otherwise purchased (or borrowed or rented) a dedicated

avalanche transceiver to be tempted to download an app onto their smartphone instead. These

people may not be aware their smartphone search app is not compatible with other group

member’s dedicated avalanche transceivers, so putting themselves and their companions at risk.

Recommendations

In light of the deficiencies of current smartphone avalanche search app technology, the Canadian

Avalanche Centre is implementing the following strategies:

1. Maintain the prevailing culture of using dedicated 457 kHz avalanche transceivers during winter

backcountry recreation by continuing to promote the Canadian Avalanche Centre’s and other

partners’ existing awareness campaigns that recommend the use of dedicated avalanche

transceivers, probes and shovels for all group members.

2. Discourage the adoption of smartphone avalanche search app technology in place of dedicated

457 kHz transceivers. This might take the form of targeted education campaigns directed at

specific user groups. Campaigns should highlight the benefits to users of dedicated 457 kHz

transceivers over smartphone avalanche search apps.

10 Haegeli, P., Falk, M., Brugger, H., Etter, H‐J. Comparison of avalanche survival patterns in Canada and Switzerland.

Canadian Medical Association Journal. doi: 10.1503/cmaj.101435. Mar. 2011.

Box 2759, Revelstoke, BC V0E 2S0 ph: (250) 837-2141 / fax: 1-866-366-2094 info@avalanche.ca / www.avalanche.ca

3. Respond to media and public enquiries regarding this new technology, including being prepared

to respond in the event of an incident involving avalanche search apps, either in Canada or

elsewhere.

4. Advocate that new avalanche search technologies, especially those that deviate from agreedupon

international standards, be developed collaboratively, thoroughly and with transparency.

Developers must be reminded of their ethical obligation to ensure full and independent testing of

their rescue systems prior to going to market.

Avalanche Awareness Training Glencoe Mountain

www.Crankitupgear.com

Avalanche Awareness Training

Glencoe Mountain

28^th Dec 2013 04Jan 2014 18^th Jan2014

Please come prepared for a day skiing on the slopes. Even if winded off, with our portable beacon training park and equipment we can achieve much of the training aims of the day. A limited number of beacons (avalanche transceivers) are available for testing on the day. Places limited to six. £35per person (not including a lift pass). Please email crankitupgear@aol.co.uk to book. 

Training Objectives
At the end of the training participants should be able to:

ü  Read and interpret the SAIS Avalanche forecast

ü  Understand the basics of avalanches and their causes

ü  Know the pre depart steps required to plan and carry out a safe ski/mountain trip

ü  Identify warning signs of danger during a trip

ü  Make avalanche avoidance the top consideration and avoid “groupthink” and familiarity traps

ü  Carry out a rapid companion rescue if it all goes badly wrong

Meet and greet 09:00 Glencoe Mountain Base Cafe

·         Weather and Avalanche Forecast Interpretation

·          Types of Avalanche

·         Consequence Reduction

·         Pre Depart Equipment Checks

On Snow or Outside Scenarios, including:

·         Hazard Evaluation & Slope Safety Measures

·         Calling Help (MRT, Ski Patrol)

·         Beacon Searching, Effective Digging and Victim Recovery

·         Basic First Aid for the Avalanche victim

AVALANCHE RESCUE KIT OFFER

THE ZOOM+ AVALANCHE RESCUE KIT 

Taking pre season orders now.  This excellent package represents very good value for money.  email me on crankitupgear@aol.co.uk to place an order.

Safety Set for £225 

The Zoom+ avalanche rescue kit gives beginners an economical way to escape the hustle of the slopes and discover the backcountry. We chose the components to be highly intuitive so they can be easily mastered even in stressful situations. The included Safety Academy Guide Book explains the ground rules and reveals a great deal of background information on the complex topic of avalanches to help ensure that the transceiver, probe, and shovel are not even needed in the first place the ZOOM+ combines the simplest handling with the latest technology and the most advanced design. Reduced to two functional buttons, the ZOOM+ concentrates on intuitive usability. The focus on the clearly designed LED-display is on the on / off switches and the switch between transmitting and searching. Distances, directional arrows and information about several avalanche victims guide you in the fastest way to the refined search area, with the intuitive search acoustics making victims easier to locate. Equipped with the patented SMART-ANTENNA-TECHNOLOGY, avalanche victims are found much better with the ZOOM+. The device analyzes its position in the avalanche and automatically switches to the best transimision antenna. The latest digital 3-antenna technology is taken for granted at ORTOVOX just as much as the automatic switch over in case of a follow-up avalanche. 

ZOOM + Beacon

The BADGAR is a super lightweight aluminum shovel with an ergonomic, hybrid grip for maximum power transmission. Its sizable blade volume of 2.5 liters is backed up by robust design, pronounced center ridge and high side walls for full rigidity. Non-slip grooves on the top edge of the blade provide adequate traction when wearing boots. 

BADGAR Shovel

A centering aid in the shaft socket facilitates rapid assembly of the 240 Economic, the beginner's probe with a very low weight. With a 240 cm length the Economic weighs just 230 grams. This is achieved by an aluminum tube with a diameter of 11 mm. The probe is stretched classically with a screw cap, in which the Kevlar draw line is clamped. The burial depth can be read on the probe segments.

2.40 Probe

All three essential items in a box set with an excellent safety handbook.  A bargain and a must have for those entering the backcountry or off piste.  Training available also http://hosted-p0.vresp.com/578510/df9570941e/ARCHIVE

Look After your Back

I seem to have a bit of time on my hands as my back symptoms are troubling me again so bike time has become computer time for a little while. Back pain is so common yet so debilitating.  Like a lot of folk reading this I have had back problems for years. Some fair wear and tear, a lot from poor lifting and handling, and a bit from direct injury.

My “story” goes back to my early 20’s before Fiona made me use my brain and do some studying and follow through with something medical related.  Stacking 3 metre pulp as chainsaw feller (lumberjack) up to my arse in brash I soon developed chronic back stiffness. A particular injury was trying to turn a 2 ton 4.5m log with a “cant hook” to get at the branches that were embedded in the ground.  The lever snapped and I went back downhill landing on rocks and got knocked out.  I woke up with the rain on my face unable to walk.  A crawl to the road where workmates found me lying I was heaped in a van and taken home to the forest house we rented as part of the job.  Crawling up the path and into the house where Fiona found me lying on the floor a few hours later when she came back from teaching skiing.  I lay in bed for days and the local GP examined me and thought I had a pelvic #.  I couldn’t walk without pain for weeks and was on “Fortral” and “Temgesic” (spew in pill form!)  Later I was diagnosed with crushed lumbar vertebrae.  At this time I was well into climbing and windsurfing so within a year my core was strong but always a simple thing like getting up out of bed too fast and I would be locked up in pain from muscle spasm for days.

Next drama was mountain biking at Learnie Red Rocks where I jumped a berm at about 30mph and then woke up in Raigmore. Helmet smashed to smithereens and Ko’d the spinal X Ray was clear so I was let out that night.  Fish n’ Chips at Drumnadrocht and I couldn’t swallow as my throat had closed up.  A poor sleep and slowly progressing numbness up both arms I asked Henry Methold one of my work colleagues to take me to the Belford where good old BT sorted me out for an MRI scan back up the road and a Philadelphia collar to wear until the results were known.  Seems I had fluid around a cervical disc. That still bothers me as on the TT bike I struggle to look up, and any bump to my head causing neck flexion my arms go numb and my throat gets sore. That makes me hold back a bit on the MTB as it affects my thinking and I get flashbacks at speed and this has major psychological effect i.e. fecks with my head. Waking up fully packaged wondering how it’s going to play out isn’t easy to forget.  Maybe these injuries are why I used to fight for the packaging of injured skiers and climbers to be good and would get in trouble for arguing with aircrews doing a snatch rescue of someone that might have a spinal injury.

The Learnie Helmet

There will be a # under there then ?

I am not trying to be a pussy here as I still give it a go on the bike and don’t let it hold me back much.  It’s just that its fekin scary and sore beyond belief being on a spine board. I should add that at Learnie the Helicopter and ambulance staff were very, very careful when moving me.

This last back injury has probably been a long time coming.  Folk talk about having a slipped disc when they have back pain but let me assure you a prolapsed disc if you have one is amongst the worst possible injuries for pain. Having broken ankles, collar bones, fingers and toes a true slipped disc was/is a true 10/10 in the ouch scale for me.  For the last few years I have had transient nerve jabs down my legs so probably a lumbar disc has been bulging.  Ironically I have always worked hard on my core stability and flexibility but maybe it was left too late to make a difference.  Start lifting correctly when you’re young and do core workouts before you get injured folks!

January 1^st this year Ski Patrolling up at Glencoe doing avlx control work I got taken out by a small slide that buried me up to my waist and pulled me down 50 meters.  My bindings didn’t release and I got out just fine if humbled,  but my back definitely took a hit as for the next six days I couldn’t get my socks on without help, and each day started face down on the floor. In my wisdom(?) I decided to do the Barcaldine XC Race which those who did it will know involved ducking under and over fallen trees, bog mashing, getting tree’d and was general anaerobic hell.  It hurt but by God it cleared the lungs.

Next day I woke up with my right leg having a workout of its own.  A walk with Fiona and I noticed I couldn’t lift my leg as easily, but we kept walking up the woods to look at a new trail we were going to make.  Above Glencoe Lake/Lochan my right foot got caught under a branch and I went to step forward and it was like being shot or stabbed in the back. Instant pain at level ten unbearable and writhing on the ground.  After 15mins of this Fiona mentioned calling out the rescue team and I got on my feet but couldn’t walk.  Freddie Gatting was called and came up and between them in an hour or so they got me to the car. The passing walkers were all pretty alarmed at this screeching nutter between two women.

I was taken to A/E and straight for examination by a junior doc with a really shitty attitude as when he examined me I had no sciatic symptoms but really, really sore legs.  The level ten pain was in my knees in which men with hammers were trying to break out and all the muscles in my right leg were break dancing on their own.  A spine X ray was inconclusive but showed a big synovial sack and impingement on my femoral head which might be causing the leg pain (the avlx?). I was referred for a hip MRI, given Diazepam and Diclofenic.

Best decision I made at this time was to see a good local physio who said my symptoms were definitely from a prolapsed disc. After three of the worst weeks of my life, not sleeping, sleeping curled in a ball, and unable to walk I booked to see a consultant  privately at the Nuffield hospital in Glasgow. I saw him two days later and was in such a state (some bladder symptoms) that he had the MRI scanner opened up (it was closed for servicing) and I had an MRI.  That got looked at and the anaesthetic registrar was called so I got a second MRI with contrast die. Within twenty mins I was looking at my spine in 3D and told I needed emergency surgery (private £4,000). The consultation was £160 the MRI £350 but I had a diagnosis of an extruded L4/5 with sequestration and a DVD of the scan to take to the NHS who I was then referred to. An emergency appointment was made at the Southern General neuro). Emergency appointment time waiting list two months or more!  So what to do?  Well I have to say Lochaber Sports Physio sorted me out.  A tailored programme of rehab for my back and hip.  My local GP practice was really helpful and the epilepsy med “Gabapentin” which gave me fantastic dreams reduced the muscle spasms in my legs, and lots of Tramadol and Diclofenic helped.

All that gunk is toxic and presses on nerves

I saw the neurosurgeon in May and he commented that based on the MRI he should operate but based on me as I had been on my bike, tried a TT, skied gently and been walking said that we should hold off as I was doing very well indeed.  I then saw an orthopaedic surgeon and found that I have an impingement in my right femur and a synovial sack and like most outdoor folk will require a new hip at some point,  If I run then maybe 5 years, if I stick with the bike and skiing maybe ten. It’s all a question of wear and tear and if you X ray most folk I know they will all be the same.

I am going fine on the bike but can’t do over a couple of hours yet as my back hurts.  I have slightly smaller right leg quads and that probably won’t change, but working hard on single leg pedal drills on the turbo I seem to be only about 10 watts different and can’t last quite as long.  I can’t do aero well on the TT bike so need to be more upright but I am within 10% of some PB’s and improving. I still suffer back pain and leg tremors, I am another few mm’s shorter (I lost a cm when I crushed my lumbar vertebrae) but overall consider myself very lucky. I know many folk with back problems who are both less mobile and in more chronic pain. Despite doing ok this has undoubtedly been the most painful and debilitating injury I have had, and having researched all the options only surgery might have done anything and even then it’s 50/50 with some folk worse off after surgery due to scar tissue on the cord. Rehab is hard work but it pays off if you treat it like training.

Something’s I learned from the experience:

Over the years I have seen an Osteopath and physios. The physios take a softer more gentle approach. Osteopaths have diagnosed everything from facet joint problems to piriformis syndrome and manipulated my back in various quite alarming ways all to the detriment of my wallet.  If I had gone to one of them with my recent back injury I don’t think I would ever have cycled again. Mucking about with someone’s back blind, with no detailed imagery seems so wrong.  The £500 quid I shoved out privately was a lot but got me a diagnosis and despite the NHS waiting list shortened my time to see a neurosurgeon by about 4 months. Well worth it IMHO.  

I got cycling this summer out of it and my physio new exactly what we had to work on based on the diagnosis. Tom Danielson’s Core workout for Cyclists is an excellent resource when you know what you’re dealing with.  A wobble board teaches the fecked nerves to your legs how to reconnect and without one I doubt I could turn the pedal over the 12 o’clock as for 3 months my brain and leg didn’t know how to do that, but the wobble board repathed these broken connections I feel.  Get physio bands and work all the accessory muscles to compensate for major muscle loss.  Despite a smaller right leg I am nearly back as strong on it by compensating.  Work hard!  I am seven months post prolapse and reckon it will take the full year to get back back to 98% of what I had. The new 100% is different but still damn fast and the full 100 might be possible if you keep at it.  I will tell you next season.