Small Steps

I ran Friday.  2 miles.  Slow.

It was my first run since my Achilles Tendon Time Out.  12 days off.  I have switched from training to rebuilding.

I realize that I have not detailed the injuries that have plagued me since December.  To be honest, I really did not take them seriously.  In the past, a day or two of rest was enough to banish the pain and regain my form.  I’ve never pushed myself to the breaking point.

But its been four months now, and I still can’t get back to my Happy Place.  I’ve had to cancel two races that I was really excited to run, and a third (NF Endurance 50K) is pretty much a lost cause.

So this blog is going to switch gears for a bit, because it’s important for me to chronicle these feelings and take notes during this time of rebuilding.

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I first noticed that something was wrong on November 26, 2011.  I had run the Turkey Trot 10K on Thanksgiving Day.  With my marathon base, I was happy to PR on an exceptionally hilly, difficult course.  I should not have been racing on legs that were still in recovery, but overall I felt strong.  Two days later, however, Jimmy and I went for a 9-mile run on the Appalachian Trail.  My knees, right hip, and ankle were all painful, and I had to walk a large portion of the route.  The next day, I stubbornly insisted on an 8-mile run up and over the hilly terrain of Western MD.

Over the course of the next two weeks, I went for my standard runs.  5-6 miles at a time, but my legs just felt dead.  I was slower.  I hurt more.  The joy was gone.  I managed a few long runs before Christmas.  The last, an 18-miler, was torture for the final four miles.  The pain centered on my right hip and ankle.   Femoral Stress Fracture?  Anemia?  Lyme Disease?  My doctors ran series of tests.  They ruled out fractures, iron deficiency, and illness and gave me my diagnosis – Piriformis Syndrome.

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I’d dealt with this when training for the Marine Corps Marathon in 2001.  A few PT sessions, and I was good to go.  My doctor referred me to a well know PT, who told me that I had overstretched my Piriformis muscle.  He told me to stop stretching, analyzed my gait and recommend a few changes.  It didn’t help.  A friend referred me to her guy, who had helped her get over a similar problem the summer before.  I started PT with him on February 5, just days before Holiday Lake.

Andy gave me the once over and determined that it wasn’t just my Piriformis that was acting up.  My pelvis was misaligned, my lower back had slipped out, and my glute medius was aggravated.  Over the next month, we worked twice a week to massage out the knots, heal the muscles, and strengthen my core.  And it was working.  Until we added lunges.

For some reason, as soon as I tried to do a left-side lunge, I felt a weakness in my left knee and left Achilles Tendon.  I’m not sure what happened, but the previous week (March 7th) I took a nasty spill during a trail run.  A few days later we took the girls hiking in Shenandoah National Park and I ended carrying 30 lbs of SweetBabyJ a mile & 1/2 up the side of the mountain.

The knee pain really didn’t bother me, but I started to notice a creakiness in my AT.  It was worst when I flexed my ankle, but it didn’t hurt when I was running.  I continued to train, with fair warning from my PT that I was on the edge of full-on tendonitis.

To be safe, I backed out of the Instant Classic Trail Marathon.  But a week later, as I posted, a triple-dose of runs caused the tendon to swell, and the rest is history….

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So here I am, in recovery mode.  After the 2 mile run Friday, I iced and wrapped my ankle.  I tried to stay off it for the rest of the day.  No major swelling.  Small Steps…

Saturday, I got on my bike for a hilly 6 mile loop.  My AT felt very similar to my run the previous day.  So I repeated the icing.

Today I’m resting.  The AT remains creaky with just a hint of tenderness.  I’ll run again tomorrow and see how it goes.

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I continue to do my core-strengthening routine every other day.  Crunches (2 x 50 each:  center, left, and right), Flutter Kicks (2 x 50), Atomic Situps (2 x 25), Back Extensions (3 x 30).  Plank leg lifts (2 x 10), Planks (1 min hold).  I also do leg strengthening:  25 forward lunges (both sides), 25 side lunges (both sides), Side leg lifts (w/ resistance band): 3 x 15 (both sides).  Eccentric Calf Raises (3 x 15, each side).   I feel like I need to up these numbers, as I don’t quite reach failure.  But it is so hard to motivate.

I took a Power Yoga class Tuesday and loved it.  It did a better job of working my core & legs, and I was sore afterwards – what a good feeling!

I’m trying out some supplements:  Glycine, Lysine, Creatine, Glucosamie Sulfate, and Vitamin E.

I have backed off the Ibuprofen.

I’m trying to drink more water.

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If all goes well, I will continue to run 2-3 miles every 2nd or third day.  I will only increase this mileage as my AT can tolerate it.  I hope to maintain my cardio base with spin classes, bike rides, and swimming.  I’ll do Power Yoga 1-2 times per week, as well as core & strengthening 3 times per week.

I want to give myself enough time to properly train for JFK, which means I have about 6-8 weeks to turn this around.

Wish me luck!

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