Soon after I got home from hospital, I thought to measure how much weight the right leg was willing to support. I measured it either by putting my left foot on the scale, and then trying to raise it, or by putting my cane on the scale, and seeing how much weight I had to put on the cane before the left foot would come off the floor. The answer in both cases was 30 pounds; that is, my right leg would support all but thirty pounds of my weight. And the interesting thing is that, with all my improvements in mobility and gait, that number hasn't changed. It seems very hard to explain that in terms of physical changes in muscles and ligaments. It seems to me that the answer must lie in the realm of neurophysiology.

Neurophysiology is the science that lies between neurology, the study of the nervous system, and psychology, the study of how the higher centers of the nervous system operate in conscious or unconscious thought. In between is the realm of neurophysiology, which studies how sensory inputs from all the body's sensors are processed when they first arrive at the brain, and how the conscious intent to move is translated into the electrical stimuli that cause the muscle cells to contract.

In medicine, the psychologist or psychiatrist is primarily concerned with abnormal thought patterns at or near the conscious level. The neurologist is primarily concerned with the diseases of the nerves - MS, Huntington's disease, Alzheimer's syndrome, etc. But nobody seems to be concerned with neurophysiology.

Perhaps the most famous of medical/neurophysiological phenomena are phantom limbs. It is common, in the case of amputation, that the amputee still feels as if the limb is present, and he feels that he can move it, and may feel sensations in it which are as "real" as any perception arising in a real sense organ. It is most distressing, of course, if the sensation from the phantom limb is intense pain, as there may be no medical treatment for pain in a limb that no longer exists.

I suspect that this spectacular phenomenon is just the tip of the iceberg. I believe something very similar is affecting my recovery from my broken right hip.

I can, of course, stand on my left leg just fine. I cannot stand on my right leg. When I try, it is neither pain nor weakness that prevents it. When I try to lift my left foot off the floor, it does not hurt, nor does the right leg feel weak and unsteady. The left foot just does not come off the floor. I can no more lift my floor than I can will the book off my table by telekinesis. It just doesn't work.

I theorize that deep in my nervous system, whether in the brain or the spinal cord I have no idea, there is an entity which has decided that my right hip has been injured, and that therefore it must be protected, in first order by arranging that it cannot bear my full weight. This little group of neurons has decided that it is a bad idea for me to lift the left foot off the floor, and simply forbids it. So I am stuck limping, without any good physiological reason. I dream of a medical neurophysiologist who has discovered a way to communicate with that group of neurons, to tell it "You don't have to worry too much about that hip, it is now securely screwed together with titanium. Can I stop limping now?"