What Could It Be?

     So after last Sunday's run I contacted my physical therapist and gave her the bad news of how the run went.  She pretty much said what I new she would say and what I was thinking as I walked/limped back home, "you should have rested today and not pushed yourself".  She wanted me to rest on Monday and Tuesday, then attempt an easy 2 mile run on Wednesday.  

     I woke up on Wednesday and my hip joint area was aching a little bit.  I thought about not attempting the two miles, but I stretched out and went anyway.  I kept slow, around a 10 min pace and did fairly well, but I would get an occasional twinge of aching type pain.  Nothing to make me stop or want to stop, just reminding me that its there.  She wanted me to stop at the end of the first mile and do a few light stretches, so when I hit mile one I stopped and did the stretches and turned tail and headed for home.  At mile 1.66, that same twinge of aching type pain with an occasional sharper pain (nothing intense) would come and go much more frequently till I finished the full two miles.  When I was done, the aching pain hung around and lingered for awhile afterwards.  

     I contacted my PT and she decided it would be best if I came in for another session that afternoon.  She seemed concerned that the pain was coming on sooner and sooner with each run.  So after a lot of questions and the usual pushing, pulling and twisting the theory changed from a muscle issue to possibly being a tear to the hip joint cartilage know as the acetabular labrum or labral tear.  Basically from what I gathered on the Internet, that this is the cartilage that separates the ball from the socket in the hip join.  

     Obviously my PT wasn't making a diagnosis because the only true why to know if it is a labral tear is to have an expensive MRI, but based on the symptoms I have described to her she thought this to have a good probability.  According to her and what I read online, there are two main ways of treating this.  First is a non surgical option, which means a lot of physical therapy and strength training to strengthen the muscles around the hip to better support it and minimize the onset of pain.  The other is surgery which then would be followed by lots of physical therapy and no guarantee that the pain will end and running can continue.

     So where do I go from here?  Well because she is on the fence about it being a labral tear we decided for me to take one week off from all activities and completely rest it.  It was recommended, but not prescribed to take whatever anti inflammatory I am comfortable with taking and icing the area several times a day.  Next Wednesday we will talk and reevaluate our options.

     Part of me really wants to pay the money to have the MRI done just so I know for sure what I am dealing with, but the other part of me knows I don't really have the cash to pay for a test that could, even with my insurance, cost me 1-2 thousand dollars.  Mostly though, this is turning into a real test for my patience.  This could be a very small blip on my running life, but damn it, when you are going through it, it feels like an eternity.       

Hello are you there? It's Wednesday Weigh In

     Hello All!  It feels like forever since I have written a post, let alone a Wednesday Weigh In.  It is mostly due to my life becoming very busy and a little complicated lately.  A couple of friends of mine run a regional publication and due to some unforeseen circumstances need some graphic design work done to help them out.  Needless to say that has added to my responsibilities when I get home from work, which has left me minimal time for other things.  I had a little extra free time today and I had some great news that I wanted to share. 

    

     First though, let us get to my weigh in.  I don't want anyone to think I was hiding my weight because it was going up, but it did start to tick up and last week it was up to 177lbs.  It was nothing to freak out about, but I was getting pretty laid back with my nutrition and portion control.  I decided last week to really try to buckle down and get it right this week; combine that with how well my training has been going I was able to drop two pounds and get back to 175lbs.  Now if I can just get those last to freaking pounds to hit goal.

2/25/15 official weigh in

175 lbs

Change: -2 lbs

Total loss from heaviest:  142 lbs

Current BMI:  27.4 (overweight)

Change: n/a

Here are the weigh in pics from the last couple of weeks

 

      Now for the great news!  I was officially released by my physical therapist today!  She feels that with all my hard work I have put in at home and what we accomplished during our visits I have been able to correct the issues that were causing me all the knee pain.  Now just because I don't need to see her anymore doesn't mean my rehab is over.  To continue to run pain free I need to continue the work that I have already put in.  She has given me 7 new strengthening exercises and finished my training plan for the GCM Owens Corning Half Marathon.  It feels so great to be back to how I felt before all this came about.  I have learned so much that will pay dividends for years to come.  

     Anyone in or around the Toledo, Ohio area that is suffering from a sports related injury or is in need of physical therapy that is not sports related, than get in contact with Alisha at:

 Elite Sports and Orthopedic Physical Therapy

6919 W Central Avenue

Toledo, OH, 43614 

Telephone:888-294-1089

E-mail: Alisha@toledophysicaltherapy.com

   

Let The Training Begin

     Well here we go!  Training for the Owens Corning Half Marathon is officially beginning for me and with only 79 days till race day I don't have a second to spare.  I have been working very hard with my physical therapist to get back on my feet and get back to regular running.  I am by no means out of the woods yet and I still have some pain and tightness as I have increased my mileage for each run, but I can say my therapist has been very happy with my progress thus far.  

     My rehab up to this point has mostly consisted of stretching exercises to get my legs, my right leg to be exact, loosened up.  Along with a handful of strengthening exercises, performing a side plank while doing leg lifts in particular is my favorite, and getting into yoga has really helped progress the distance I am able to run to this point.  Oh and let us not forget foam rolling, you end up having a very special relationship with your foam roller while rehabbing this injury.

     Recently my therapist and I discussed my goals for the OwensCorning Half Marathon and my training history over the last two years.  To be honest I didn’t have a goal for this race because without her help I didn’t think I was ever going to be able to run again.  Sorry to be so dramatic about it, but that’s how I felt and I want to be honest about it.  I told Alisha, my therapist, that I would like to finish right around where I did last year, which was one hour fifty seven minutes and change.  However, I also said at this point I don’t care what the time is I just want to be able to finish the race pain free, even if that means slowing to a 2:30 finish or whatever.  I then shared with her how the custom made plans I made for myself was focused only on running and the miles I was logging, nothing else.  

     She gave me her input on how she builds training plans that isn’t so focused on total mileage because some of the runs are set to a time limit at a certain pace verses a mileage limit at a certain pace, which is what I always did.  Her plan includes more structured interval and tempo sessions along with long runs at the proper pacing and a recovery run that is designed to be done way, way slower than I thought was the correct way to run them.  She also folds in cross training that does not include any running and a half and half type day where you do a little light running and some cross training, oh yeah and yoga, can’t forget the yoga.  She shared that her other clients have had lots of very good success with her plans and feel very prepared for the race distance they are doing, so I asked her to work one up for me.  Being that I am technically still rehabbing an injury, she has designed a plan for me that we are taking two weeks at a time.  She wants to know how each day’s run feels and if I am having any pain or tightness in my right knee or leg.  As we go she will then make adjustments, if any, to the plan that will simultaneously prepare me for the race while continuing to rehab and strengthen my knee.

Here is what my first two weeks will look like:

Sunday – Rest day

Monday – race pace run / 20 mins cross train

Tuesday - 30 mins cross train & 30 mins yoga

Wednesday – long slow run (1-1:15 slower than race pace)

Thursday – Super slow recovery run / 30 mins yoga

Friday – intervals 20 mins

Saturday – tempo run with 1 mile easy warm up & 1 mile easy cool down

     At this point I am struggling to get the runs in because we don’t have a treadmill, we have had almost a foot and a half of snow dumped on us in the past week and temperatures have plummeted into the single digits and colder.  I could get a gym membership, but I don’t want to pay for one that I will only use for maybe a month or two until things warm up a bit and is safe to run outside again.  The local YMCA that I use to be a member at has day passes that are $1 to use the track only or $7 if I want to get into the area with the treadmills, stationary bikes and ellipticals.  This option isn’t the smartest option, but it looks like all I got.  I will just have to pick and choose my battles and any chance Mother Nature gives me to run outside I’ll have to take advantage of it!

Rehab run

     Up until Sunday, I have only tried a one mile run that didn't really go so well.  I made it to a mile, but just barely as my knee pain had started to return.  I attempted the run right after my first physical therapy visit and at that visit I asked her if it was ok to run.  She said yes, but I could tell she really didn't want me to.  After that run I could see why.  My knee pain had come back, it wasn't to severe, but enough that I decided I wouldn't run again till Alisha gave me the go ahead.  My second PT visit went quit well and it was obvious that Alisha thought I had made some good progress.  She instructed me to give a two mile run a try and report back to her how I felt.

     Do to the frigged sub zero temperatures I waited until Sunday when things got a little warmer out.  Its funny to say that 28 degrees was warm, but compared to what it had been, it felt like a heat wave.  I headed down the bike path for an easy out and back route.  Other than some jackass that plowed a pile of snow right on the path that I had to walk through, the path was pretty well clear of snow.  I kept the pace around a 10:30 for the first quarter mile till I was warmed up, then slowly increased my pace to right around 10:00 per mile avg.  I obviously have been obsessing over this injury, so my senses were hyper sensitive on this run thinking every little thing is the onset of pain.  The thoughts quickly died down and I was able to make it to the turnaround pain free.

     Once I was headed back, I got about a quarter mile in and I started to feel a little something.  If you asked me on a scale of 1 to 10 on pain it was a one, more of an aching feeling than pain.  I slowed my pace slightly and the aching went away.  This feeling would come and go as I finished the remainder of the run, the pain never getting above a two.  I walked a few hundred yards to cool down then headed in to do my Therapist prescribed stretching routine.

     In previous running attempts the pain would get stronger a lot faster and my knee would ache badly for the remainder of the day.  This time no extended aching after the fact and I was feeling pretty confident I am on the right track.  I emailed my therapist with my notes and she sounded happy and encouraged at my results.  She gave me a go ahead to attempt another 2 mile run.  Now it may be awhile before I go out again anyway, we just got more snow and the temps are going to plummet again.  I really hate this time of year.

Wednesday Weigh In / PT Visit

     Hello from cold Cold COLD Northern Ohio. It's been in the single digits the last couple days and wind chills have been almost unbearable.  When its this cold I usually do something stupid like shave my head, but it's a new year so I felt like I needed a new look.  Actually I was just looking pretty shaggy and really need to clean it up some so instead of just shaving my head I headed to the local barbershop to get a trim.   I decided I wanted to continue to grow the top, but wanted to trim down the sides and the back.  I am digging the look and I think it will lay a lot better when it gets longer.

     

     As you know I haven't been running due to what I have self diagnosed as IT Band syndrome, or better known as "runner's knee", so it has been difficult trying to maintain the weight loss let-a-lone try and loose any. I had a slight up tick this week, but that is not bothering me at all.  With how my weigh ins have been going recently it doesn't shock me what the scale said today. 

1/7/15 official weigh in

176 lbs

Change: +1 lbs

Total loss from heaviest:  141lbs

Current BMI:  27.5 (overweight)

Change:+.1

     Today was my second visit with my physical therapist and I have to say it went very well. We reviewed my gait analysis, which gave a glimpse into what my problem is. Running itself without doing any other strength and stretching exercises can cause a muscle imbalance. For me, running is all I have been doing for two plus years now, so it was no surprise to my therapist as to what she was seeing.  Essentially, as things got tighter and tighter on my right side and my right leg was pulling inward and kind of crossing in front of my left. When my right leg would land it was putting torque on my IT Band and irritating it. Eventually it got to bad and my leg said "I give up" with pain on the side of my knee. 

     After we finished the analysis we moved on to the actual physical therapy part of the visit.  After a lot of stretching, bending, pulling, twisting and deep massaging she gave me my homework. I am still to continue my stretching and foam rolling 3 times a day, but she added 3 stability/strengthening exercises to do once a day. 

     As for my running future, she has asked me to attempt a two mile run and email her how I felt.  If things go well she will allow me to attempt 3-4 more runs before our next visit in 2 weeks. If things continue to progress positively then at my next appointment we will talk about where my training will go from here.  

Wednesday Weigh In / PT Visit

     Well Happy New Year to you as I type this at 1:32am January 1st 2015.  As you all know I have been in a bit of a funk lately with my binge on cookies and buckeyes, my IT Band issues and my weight gain last week.  Today, well actually yesterday, I finally felt like I was on my way back up from the depressed lows I have been feeling.  I managed to have a solid week of eating my usual stuff without any major slip ups.  I also tried an apple for the first time in years.  It was only about a quarter or a little more, but that is more than I have ever eaten before so I call that a success.  The scale snapped itself back to where I was hoping it would be.  I really think the gain last week was more of a fluke than a true weight gain, but the scale is all I have to go on right now.  

12/31/14 official weigh in

175 lbs

Change: -4 lbs

Total loss from heaviest:  142lbs

Current BMI:  27.4 (overweight)

Change: -.6

     As my regular readers know I have been battling a horrible case of IT Band syndrome.  I have been doing a lot internet research and trying to solve the problem myself with no luck.  After talking to Hilary, my Ragnar teammate, she suggested I visit a sports physical therapist for some professional help.  I did some research and found a place in Toledo, Ohio that has impeccable credentials and she is geared to athletes of all skill levels.  I had an appointment next week, but I was really getting impatient waiting so Monday I asked if she had an opening on Wednesday and she did.

     With my first visit Alisha made me very comfortable and asked me what seemed to be all the right questions that helped her narrow down what might be causing my issue.  After a physical exam of stretching, twisting, pushing and pulling she had me running on a treadmill while video taping me for a gait analysis.  She gave me her initial diagnosis and a few stretching and foam rolling things for me to do till my second appointment next week.  At my next visit, we will review my gait analysis in detail and go over my treatment plan and time frame for it.

     I know it has only been one visit and I have to be realistic about this, because this injury takes time to fix, but I feel so much better about my situation.  I need to be diligent and do all my "homework" that she gives me, add in some prayers and time and I think I'll be back to running long distances in no time.

     To add to what I wrote last night, I got up this morning to a very cold and windy new year.  The temp read 30 degrees, but with the heavy winds the wind chill made it closer to 15 degrees.  Alisha has allowed me to continue running but I am restricted to no more than 1 to 2 miles as long as I don't have pain.  After seeing everyone getting out and running today on Facebook I felt compelled to get all bundled up and head out, even if it was only for one mile.