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I was born with spondylolisthesis, meaning a bottom vertebra that parted from the other vertebrae, struck out on its own, rebelled. (It's the main reason for my pigeon-toed walk.) With this one vertebra out of sync, there's less room for the nerves inside the column of my spine, and with the slightest movement the nerves feel that much more crowded. Throw in two herniated discs and a bone that won't stop growing in a futile effort to protect the damaged area, and those nerves start to feel downright claustrophobic. When the nerves protest their cramped quarters, when they send out distress signals, a pain runs up and down my leg that makes me suck in my breath and speak in tongues. At such moments the only relief is to lie down and wait. Sometimes, however, the moment arrives in the middle of a match. Then the only remedy is to alter my game—swing differently, run differently, do everything differently. That's when my muscles spasm. Everyone avoids change; muscles can't abide it. Told to change, my muscles join the spinal rebellion, and soon my whole body is at war with itself.

Gil, my trainer, my friend, my surrogate father, explains it this way: Your body is saying it doesn't want to do this anymore.

My body has been saying that for a long time, I tell Gil. Almost as long as I've been saying it.

Since January, however, my body has been shouting it. My body doesn't want to retire—my body has already retired. My body has moved to Florida and bought a condo and white Sansabelts. So I've been negotiating with my body, asking it to come out of retirement for a few hours here, a few hours there. Much of this negotiation revolves around a cortisone shot that temporarily dulls the pain. Before the shot works, however, it causes its own torments.

I got one yesterday, so I could play tonight. It was the third shot this year, the thirteenth of my career, and by far the most alarming. The doctor, not my regular doctor, told me brusquely to assume the position. I stretched out on his table, face down, and his nurse yanked down my shorts. The doctor said he needed to get his seven-inch needle as close to the inflamed nerves as possible. But he couldn't enter directly, because my herniated discs and bone spur were blocking the path. His attempts to circumvent them, to break the Club, sent me through the roof. First he inserted the needle. Then he positioned a big machine over my back to see how close the needle was to the nerves. He needed to get that needle almost flush against the nerves, he said, without actually touching. If it were to touch the nerves, even if it were to only nick the nerves, the pain would ruin me for the tournament. It could also be life- changing. In and out and around, he maneuvered the needle, until my eyes filled with water.

Finally he hit the spot. Bull's-eye, he said.

In went the cortisone. The burning sensation made me bite my lip. Then came the pressure. I felt infused, embalmed. The tiny space in my spine where the nerves are housed began to feel vacuum packed. The pressure built until I thought my back would burst.

Pressure is how you know everything's working, the doctor said.

Words to live by, Doc.

Soon the pain felt wonderful, almost sweet, because it was the kind that you can tell precedes relief. But maybe all pain is like that.
Excerpted from Open by Andre Agassi. Copyright © 2009 by Andre Agassi. Excerpted by permission of Knopf, a division of Random House, Inc. All rights reserved. No part of this excerpt may be reproduced or reprinted without permission in writing from the publisher.

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