It was during the first Covid lockdown in 2020 when I, like everyone else in the country, decided that I would step up my fitness regime. I started using the treadmill every day, and I ordered the most beautiful looking mountain tricycle from trikes.ie. As time passed, I felt frustrated that I didn’t seem to be getting any fitter. The more I walked and cycled, the more pain I was experiencing in my right leg. Admittedly, I didn’t think much of it at the time. I just put it down to not having cycled properly in years, maybe being a bit rusty. Then in September 2020, I fell backwards while crushing some plastic bottles under my foot for the recycle bin.
For nearly five years, I thought that this was the moment that changed everything dramatically, for the worst. Now, it seems it may have happened long before this, and I didn’t realise it.
As a wobbly walker, I fall over so often that it’s rare that I remember it. My body sports cuts and bruises that I don’t recall acquiring, never mind how I got them. A few weeks after this fall, I realised that the pain wasn’t subsiding, and that it was going up and down my leg. Sometimes, my knee felt like it was giving way below me. Other times, it felt like a trapped nerve. That was the diagnosis the physiotherapist gave me in July 2021: that it was periformis syndrome. Being me, I googled it, and learned that it should ease within a few weeks, provided I adhered to a religious physio regime.
It didn’t ease. In fact, it got worse, and soon I was getting no more than two hours’ sleep a night. The doctor referred me to Tallaght, but the specialist there couldn’t identify the source of the problem. One doctor prodded me in the back, and because I jumped, agreed with the physio that it must be periformis syndrome and nothing could be done, unless…. It was at this stage that I heard the words “pain injection” for the first time. However, getting a steroid injection into your periformis is a risky procedure with no room for error. I didn’t care. This was the end of 2022. I was sent home and was told that they couldn’t find anything wrong.
In July 2021, I was offered the opportunity of a lifetime – I won a place on the Play It Forward Programme, an initiative headed by Skein Press, The Stinging Fly, the Arts Council, and, in my case, Independent Living Movement Ireland through a bequeathment from founding member of the original Center for Independent Living, Declan O’Keeffe. I’d never met Declan, but I felt that I owed him the decency of making the most of this opportunity. Meanwhile, the pain would not abate. I lay awake every night, trying to get comfortable and wondering where I’d gone wrong, both with my body and with my career. I had a fantastic mentor, the talented David Butler, but I just couldn’t manage to put in the work required to complete my novel. Ideally, the end product of the Play It Forward programme for me would have been a bestselling debut, but obviously this wasn’t the case.
Every day, I scolded myself for wasting such a wonderful opportunity. I didn’t make the most of it, and it is only now that I accept that this was because I couldn’t, not because of laziness. I considered emailing everyone involved in my bursary award and apoIogising for squandering their money, but I knew that emotion was clouding my judgement. Instead, I went to the doctor and told her that I was having non-stop pain and depressive thoughts. The doctor explained that sometimes mental illnesses can manifest in physical ways. I wanted to scream.
This was January 2024. I had been in a depression spiral since September 2023. I was exhausted and paralysed by a pervasive sense of failure. I didn’t recognise myself. I withdrew from disability activism. I got some proofreading and editing jobs during this time, but not enough to earn a living. I stopped texting and calling friends, though some particular friends refused to be pushed away. The week before my daughter’s confirmation, I went to my doctor and told her that I was having dark thoughts and that I didn’t think I could carry on. She prescribed Sertraline, which I never took.
I never took it because I knew that it was the pain that was messing with my head. It was ruining my life. All I seemed to do was complain, and I was so sick of it. As I grew more tired, I felt more useless, like I was a burden on those who loved me. I was too tired during the day to write, or to find work, or do anything other than scroll or watch nonsense on YouTube. Taskmaster became my comfort blanket. This is coming from someone who once would rather read or listen to radio or do anything other than sit and watch a TV programme.
In February 2024, still on a crusade for answers, I went to Neurology in Naas hospital, where the doctor there again gave me hope that I could get a pain injection into the periformis and made a referral to have it done. I should point out that, at this stage, I’d only had a back x-ray, which showed up no abnormalities. We were planning on going to Australia in July 2024, and I wanted desperately to be able to enjoy it pain free. Unfortunately, that wasn’t to be, as I’ve written before. On 7 June 2024, we travelled to Tallaght and I was all ready for my injection, only to be told (a) that they couldn’t find my sciatic nerve, or any sign of damage, on the scan and (b) that they thought my pain was likely the result of a “contusion”.
i.e. That they thought it was impact pain from the fall, that I’d had four years previous.
Are. You. Fucking. Kidding. Me.
I really thought I was going mad. We went to Australia, and I relied heavily on painkillers and my TENS machine to get me through the trip. I couldn’t even walk around my sister’s bungalow; I needed the manual chair. I was so tired and frustrated. When we came home, I slid back into the Netflix binges, completely exhausted. Was this my life now, at the age of forty? No job, no prospects, a life overshadowed by tiredness and pain? What was the point of getting (two) university qualifications, and all those writing courses I’d done since 2014, if I couldn’t use them to build a career?
In January 2025, I rejoined Writer’s Ink, an online writers group spearheaded by bestselling author Sam Blake (Vanessa Fox O’Loughlin) and coaching guru Maria McHale, and I revisited my novel, once again fantasising about how the world needs to hear Rachel’s story. At first, things went well. I did a prompt exercise every day and before long I was discussing my would-be novel with literary agent, Simon Trewin, who seemed impressed. However, by April, I was exhausted again, struggling to get to the end of the day. Another frustrated visit to the doctor, another set of blood tests that showed everything was normal.
“Come back in,” the doctor said. “We need to get to the bottom of this.”
She was taking me seriously, possibly sick of my constant complaining. She brought up my files, and we went through the absolute shitshow that has been the last five years, going through the letters from the consultants, the lack of findings. Suddenly, she frowned at the screen.
“You’ve had a back x-ray. Have they ever x-rayed your hip?”
My hip? No.
“Okay, let’s do that next.”
I duly attended the “urgent” x-ray appointment, feeling I was wasting my time. A couple of days later, my doctor’s number flashed across the screen.
“It’s your hip.” She was excited. “Significant arthritis. It’s very shallow, by all accounts. I’d say you’re looking at a replacement.”
This was the 22nd April of this year. Nearly five years of looking for answers. And although it didn’t feel like it at the time, it was possibly the best birthday present I’d ever been given. I wasn’t going mad. I wasn’t a hypochondriac. I was suffering – and I use this word deliberately – from arthritis. Five years on, I finally had an answer.
Since that phone call, my life has changed so much. I now go easier on myself, knowing that I will have good days and bad. Not only am I paying more attention to my body, I know what exercises I have to do, how to look after myself properly. In June, once the reality of what lies ahead sunk in, I went back to the doctor to discuss my long-term options.
I need to be a good mum and wife. I need to get back to work. What way should we approach this?
She arranged an urgent appointment with an orthopaedic surgeon. When the appointment came in, my husband and I were stunned.
“Surgery,” he said. “That’s where we are now, and what you’ve fought for.”
I dismissed his words with a wave of my hand. “It won’t come to that.”
My dear reader, as it turns out, it may well come to that. On 4th September 2025, I foolishly attended the appointment alone, reasoning that I would be perceived more capable and confident if I asked the questions. And I was right, but the news landed like a lead brick. After half an hour’s discussion with the surgeon, during which he went through my symptoms and x-ray in detail, he handed me a leaflet – What You Should Know About Hip Replacements.
He said that although wear and tear might be a factor, my hip has possibly always been shallow and that many people (not just wobblies) have it and only discover that they have it when it plays up in their forties. He said that he has replaced the hips of at least four CPers. Best of all, he said that he would attempt a pain injection into my hip. Not just to give me relief, but also as confirmation that the hip was the cause of my pain, before cutting me open.
“Oh God,” I said. “Don’t dangle the dream. I’ve been here before.” I explained my journey so far, but he was confident he’d be able to do it.
He was right.
On Friday 17th October, with the help of an amazing medical team, I finally received a pain injection into my hip. It was relatively straightforward: I lay still enough, and the procedure took ten minutes. I burst into tears, because I felt so proud of myself for not giving up and persisting in finding the answers. I won’t know for sure until the end of the week if it has worked, but I do feel some relief already. I’ve had four good nights’ sleep – apparently, I didn’t hear Rupert barking the other night, which feels wrong – I always am the one to hear him and let him out. Last night, I was doing a crossword puzzle in bed, and I sat with my knees up and the book resting on them. John Paul remarked that I haven’t sat like that in years. Today is Tuesday, and I feel exhausted, five years of sleepless nights catching up on me. But I’m not in pain. It feels like being on holiday from my own body.
I know I shouldn’t get too excited. After all, it’s still early days and this injection mightn’t work long-term. And if I do need a replacement, recovery will be long and arduous. But for the first time in a long time, I feel hopeful that I can get back to myself and to who I was before all of this started.
I suppose I’m sharing this for two reasons. First, to apologise to the many people I’ve lost track of in the last five years, and to offer an explanation – not an excuse. Second, to give anyone who finds themselves in the same position some hope. I believe you. Please don’t stop looking for answers. I offer you love and light xx



