Creswell left Tauranga in 2004 to live overseas and had planned a "summer adventure" cycling in Britain and the United States as a "last hurrah" before moving back to Tauranga.
It was day 25 of the Trans-American Trail when the accident happened. Creswell had stopped for lunch to eat his peanut butter and jam sandwiches.
He got back on the road and was approaching the highest point of the route at Hoosier Pass in Colorado when an SUV crossed into the shoulder of the road and hit him from behind at 88km/h, he said.
Seven months on from the accident, Creswell is trying to establish a working visa for his fiancee Nadia who he had proposed to last year.
"I wanted to propose at the top of the Mount at sunrise, but Nadia isn't particularly a morning person, so the alarm sounded at 5am each time before being swiftly muted," Creswell said.
Instead, when the couple was holidaying in Taupo and visited the Craters of the Moon thermal area, Creswell popped the question "among the steam and snow".
"She said yes, and we then went to the Wai-O-Tapu Thermal Wonderland to thaw out. I'll get her up Mauao some other time," he said.