The doctor will see you…soon

Today’s workout (elliptical): 40 minutes

I’m old enough to remember the days when the doctor would come to your house when someone got the sniffles. Besides the fact that physicians actually did house calls, it was remarkable that the doctor could be summoned on a moment’s notice. These days, I plan my doctor visits strategically, taking the first appointment of the day in hopes of “only” waiting an hour to be let in to the exam room.

It’s much harder to get in to see a doctor these days, especially if that doctor is a specialist. I was surprised that I was able to schedule an appointment with an orthopedist as early as next week. I’ve been careful not to aggravate my self-diagnosed piriformis syndrome, substituting the elliptical for the treadmill for the past three weeks.

I thought I’d try an easy run this morning to see whether things had improved. My pain has reduced, but it hasn’t gone away. I still have sciatic pain when sitting for long periods (i.e., my morning commute) and I was curious to know how my glute/hamstring area would respond to some easy running.

I started out slowly “running”, first at 3 MPH and then increasing  to 4 MPH. I felt okay, but noticed a little discomfort. Once I brought it up past 5 MPH, I knew I was borrowing trouble. I shut the treadmill down, walked over to the elliptical and did my workout there.

That experience made me realize that this problem will not resolve itself through patience. I looked online and found a sports orthopedist whose office is located five minutes from my house. I called them up, verified that they take my health plan and made an appointment for next Friday. I was shocked that I was able to do that. The last time I tried to meet with an orthopedist, the appointment had to be scheduled so far in the future that my injury went away before I was due to meet with him.

I’m encouraged to know that I’ll have a qualified person diagnose this problem and (hopefully) put me on a path to quick recovery. I’ve been dealing with running discomfort since last November and have concluded that enough is enough. I fear that the doctor may say that my injury is more serious than I thought, either requiring surgery and/or extended physical therapy.

But it’s better to know the cause than to continue this cycle of running, recovery, and re-aggravation. I just want to get back to running the trails.

Hard times on the short track

Sounds about right

Today’s run (treadmill): 3.2 miles

My current level of fitness is probably at its lowest since early 2010. Back then I was recovering from a bout of pneumonia that had me in the hospital for a week. My time away from running (after our treadmill failed) had an effect on my conditioning. More concerning is an injury that surfaced in early December. Things improved a lot in January but I made the mistake of pushing hard on a run one day and that re-aggravated the problem. Three weeks working out exclusively on the elliptical got me back in the game.

Things started going downhill after we got our new treadmill. I had three decent runs and concluded that I was back on track. I was having a great run last Friday and decided to step up my speed. That was a big mistake. I suddenly felt searing pain in the area between my glute and hamstring, Even though I stopped right away, the damage was done. The closest thing that I’ve found online that describes it is something called hamstring tendinopathy.

I was back to the treadmill on Saturday but I struggled to the point where I had to stop. I completed my workout on the elliptical and didn’t even attempt to run on Sunday (elliptical again). I hoped that a three day layoff since Sunday would allow sufficient time to recover. I felt okay at the start, even though the modest speed I’d set felt as fast as race pace.

Despite the challenge, I was determined to see this run all the way through. The pain started increasing after ten minutes and I decided I’d deal with it for as long as I could stand it. I hoped I wasn’t doing any damage and felt okay when I finally finished, but I’ve been very sore all day. I’ll give it another try tomorrow but I won’t be a hero. Reducing speed seems to keep the pain in check so I’ll see how it goes.

97% of a good run

Unhappy ending

Today’s run (treadmill): 3.3 miles

When does a tenth of a mile make all the difference in a run? Today it was in the final 10th of my treadmill workout. It’s been a lot of time since my last run because my business schedule is sucking up all my bandwidth. Today I worked from home and managed to get back to running, although I had limited time this morning.

It was my fourth run on our new treadmill and I continue to appreciate it compared to the old one. The Freemotion running experience is far better than the Sole’s. Besides the much quieter motor and stable tread that doesn’t jerk underfoot, the Freemotion unit feels more substantial and the running less tedious. The time – and mileage – seem to go by a lot faster.

So I had 97% of a great run and 3% of a really bad one. It was my own fault. The three weeks I spent exclusively on the elliptical helped heal my chronic sciatica. My return to the treadmill last week re-aggravated that injury. I hoped resting from Monday through Thursday would reverse the damage and, to a degree, it did. But I pushed too hard today and that set back my progress.

I only aimed to cover three miles and felt good running at a moderate pace. With half a mile left to go, I began increasing my speed. Everything felt fine and I decided to cover 3.25 miles. By the time I was on the last quarter, the speed felt challenging. At the 3.2 mile point I felt a searing pain in my upper hamstring/glute region and I knew I’d pushed too hard. Y’ouch!

I thought I’d seriously hurt myself. I immediately reduced my speed and stopped the treadmill. Walking felt painful and I hoped it was a temporary situation. I took Ibuprofen and hit the shower. I certainly did myself no favors today. After living with the result all day, it doesn’t seem as bad. I’ll see how it feels tomorrow morning. I may substitute a run for an elliptical session rather than further aggravate the problem..

Close encounters on the trail

 

Today’s run (Stillwell Woods): 3.5 miles

This morning I went out for a trail run at Stillwell Woods for the first time since late November. I’m still dealing with pain from sciatica and hoped that running on softer terrain might provide some relief. The temperature was in the high 20’s and Stillwell’s trails were mostly frozen mud. Even so, it provided a more forgiving surface than pavement.

When I arrived I saw a few groups of high school aged runners entering the woods. I wondered if I’d run into these speedsters on the trail. I ran by the first group who were standing around planning their workout. I followed my usual route, going north before turning southeast. When I came around the bend, I saw a couple of guys sprinting toward me on the narrow path. That was disconcerting because the protocol is to follow that section of trail in the direction I was running. I’m glad I heard them a second before they appeared so I could move over and give them room to get by.

I had a few other situations when my path crossed a group, but had no more close calls. I was disappointed that the soreness I’ve been having was present throughout the run. The pain was minor and my concern was more that running (instead of resting) was enabling the problem. But a runner’s gotta run, run, run, run, run so I decided I had to shake it off.

I’ll be resting tomorrow and going out next on New Years day with my buddies for the LIRRC Hangover Run. In the meantime, I’m putting heat on the source of the problem and using the massage stick often. Next week I return to work and that will mean a reduction in volume. Usually I’d be unhappy about that, but I realize that it’s probably the best thing for me right now.

Acquitting the Kayanos

Not guilty

Today’s run (street): 3.4 miles

I’ve been worrying all week that my persistent soreness might be caused by my new Kayanos. In the past, I developed an injury that related directly to a pair of running shoes. In that case, the shoe had almost 700 miles and the outsole was worn down to the point of imbalance. Although the Kayano is a stability shoe, (which should probably help a problem like this) adapting from more minimal trainers could still cause an issue.

In terms of pain, I’ve been reading an article in Running Times (RT) that says soreness lasting more than 72 hours could signal a chronic injury. I’m going on two full weeks with mine. This morning I had to make a choice to try to run or find some other form of activity. All week I’ve been using the massage stick and doing both dynamic and core stretching. I had less pain when I got up, so I figured I’d try a run.

I wore the Opedix Knee-Tecs that promote stride alignment and also provide warmth. I needed the former to help with my injury and the latter to deal with the chilly temps. Due to my concerns about the ASICS, I probably should have worn my Virratas. I opted instead for the Kayanos to see if the problem got better or worse after the run.

I felt trepidation after my first few steps. The pain was radiating back to front but not to the degree where I had to consider stopping. The RT article said if pain decreases during a run, the injury is probably less serious. I hoped the pain would minimize once I began to warm up. At the half mile point I began to feel some pressure on one of my arches and started to question the shoes again.

I thought about how unfortunate it would be to discard these $160 running shoes (which I saw for $99 at Sports Authority last weekend and actually bought for $64). As I ran further, the pain had reduced to minor discomfort and the arch pressure had gone away. The big question was how I’d feel when I got back home.

I finished the run and concluded that the Kayanos did no further harm. I used the massage bar, iced the tender area and was pleasantly surprised to find that I felt better than before I left. So far so good. I’ll try to step up the mileage tomorrow and I hope to continue seeing improvement. After some success pushing speed last weekend, I’m anxious to get back to faster paces.

I think I have a syndrome

So far, December has been a very low mileage month. Some of that has to do with my schedule, but this week it’s mostly due to a persistent soreness that may or not be sciatica. Sciatica’s root cause points to scary sounding things like lumbar spinal stenosis, isthmic spondylolisthesis and Piriformis syndrome. As bad as they sound, most relate to disk compression or misalignment. I think Piriformis syndrome, when the sciatic nerve is irritated by inflammation, is the most likely culprit.

I bought a massage stick and have used it frequently since Sunday. It helps me put pressure where I feel the most pain but I suspect that I’m not really getting to the source of the problem. I get relief immediately after using it, but the next morning the soreness returns. Despite everything, this ache hasn’t lessened much since the last time I ran. That’s frustrating because I want to run tomorrow, but I’m very concerned that will worsen the problem.

If I was smart I’d take this opportunity to shift to a form of cross training that provides cardio benefits without aggravating my injury. But that would require me to use weights or do push-ups or something. The elliptical is a possibility, although my hope is that I’ll wake up tomorrow pain free and ready to run.

Paying the price for running too fast

 

Today’s run (street): 4.5 miles

Yesterday afternoon I started experiencing muscle pain from my left side glute down to the hamstring. The pain isn’t sharp, but it’s noticeable. My first thought and concern was that the new Kayanos were throwing off my gait. I realized that was unlikely because my only prior run in them was on Friday, when I covered a scant 3.3 miles. I took ibuprofen before bed last night and hoped the ache would be gone in the morning.

That wasn’t the case. When I got up, the pain was there. No better or worse than last night, but it was enough to notice. I’ve been injury-free for over a year and I was puzzled by this condition. It felt more like sciatica than a muscle or tendon tear. However, if that was the source then analgesics should have helped.

My opportunities for running are skewed to the end of the week and the weekend, so missing a Sunday run for rest would have an effect on my weekly volume. I decided to go for a very easy run and carefully monitor the pain. The last time I had something like this, it quickly went from moderate discomfort to bad pain. So bad, in fact, that I needed to abandon a run after a quarter mile and limp back home.

I wore the Kayanos again because they have stability features that would provide a correction for a pronator like me. I generally ignore that need because I prefer a neutral trainer. My old Brooks Adrenalins, which had a firm medial post, would do a great job of solving issues related to gait.

I took off with a conscious focus on the sore muscle and soon realized that running wasn’t going to exacerbate the problem. At the same time, my quads and hamstrings felt tighter than normal and I knew I had no chance of matching yesterday’s speed. It was then when I realized the pain I felt was probably due to those episodes of fast running during yesterday’s workout. It’s been a while since I’ve pushed my pace so hard for so long.

Nice weather we’re havin’

The other factor that worked against me today was the weather. According to Garmin Connect, conditions during today’s run were 37° temps with a 23 MPH wind. The wind chill made it feel like 26° and at times I felt like I was running last year’s Long Beach Turkey Trot. I had no illusions of meeting my performance target. Besides that, the purpose of this run was recovery.

I expected to cover about 4 miles – less if my pain grew worse. Since that didn’t turn out to be the case, I hung in for an extra half mile. When I was done I was ready for a nap. Hours later, my muscle soreness remains, but it’s no worse than when I got up this morning. Rest has always been my best approach to injury, so I’ll be doing that for the next couple or days (at least). This doesn’t seem to be the same type of pain I had last time. I hope so, because that injury took me off the road for over a week.

Deflated by my run

I know that feeling

Today’s run (street): 3.4 miles

Yesterday I wrote about my tendency to always get sick at the end of the year. I made the mistake of saying that I’ve avoided that situation over the last few years. This morning I woke up with a painful migraine-like headache that has kept me exhausted throughout the day. No amount of analgesics, decongestants, running or showering has helped the situation. All I can hope for is relief after a good night’s sleep.

We have guests staying with us this weekend and this headache hasn’t helped my sociability. I’m doing the best I can under the circumstances. I thought a run might help the situation, but when I went out this morning I immediately regretted the decision. After a half a mile I knew it would be a struggle to get through even a three mile run. I had the opportunity to cut it short when I looped around to a road that’s close to my house, but I couldn’t bring myself to head home.

I ran as fast as my leaden legs could carry me. My head was pounding and the relief that I thought might come from aerobic breathing never materialized. Along the way I noticed how many lawns were covered by deflated Santas and snowmen. Apparently these large balloons are the new decoration standard. I’m guessing that people wait until dark to inflate them as part of their Christmas display. It amused me to see house after house with what looked like colorfully dressed people passed out on the lawn.

I was happy to end the run, but I felt no better after the workout. In fact I felt worse. The rest of the day has been filled with activities and my participation has been on the low side. I regret the timing of this annoyance because I only see our guests a few times a year.

The Ho Ho Ho Holiday 5K happened today and, because of our schedule, I’ve had to miss it. I guess that worked out in its own way because I would not have been in shape to race this morning. The Petite Pacer ran it today and I’m betting she had a much better running experience than I did today.

This stick is a real pain in the neck

Great gift indeed

Today’s run (tempo): 3.2 miles

Yesterday’s workout wasn’t that intense, so I decided to step it up a little this morning with a tempo run. I woke up with a neck ache that I’m sure was caused by my Brookstone Shake Weight. This is a weighted balanced stick that you shake to (supposedly) build muscle via “dynamic inertia.” I used it a couple of years ago but started getting back aches. I grabbed it out of the closet the other day thinking it might be a good way to work on arm strength without weights.

Whether it was the shake stick or something else, my neck was in pain. It felt like a pinched muscle but it didn’t hurt so bad that I couldn’t do my run. In deference to the discomfort, I decided to keep it fairly short. I started the tempo about a minute slower than training pace and held that for about 15 minutes, gradually increasing every quarter mile until I finished near my current 5K race pace.

After I’d completed my run, I took an Aleve. Even after putting some heat on it, the pain is still there, although it’s not as intense as it was this morning. I’m hoping that a good night’s sleep will get rid of it for good. I’m excited to be doing the GLIRC Clubhouse run tomorrow morning with my running friends, the Petite Pacer and SIOR. I’m really excited about that. As for the Shake Weight, it’s either back to the closet or bound for the trash.

Race report: 2013 Long Beach Turkey Trot

The new boardwalk

Today’s run (Long Beach 10K Turkey Trot): 6.2 miles – 1:00:53 (clock time)

Dear Long Beach Turkey Trot,
There’s no easy way to put this, so I’ll just say it. I don’t think I should run you anymore. I know we’ve had great times together, including a few 10K PR’s, but your behavior today was unforgivable. It’s not your fault – blame climate change – but it just isn’t working. You’ve come back strong since hurricane Sandy and I admire you for that. And this doesn’t mean we can’t still hang out. I still plan to run the Long Beach Snowflake race in February. But for now, I think it’s best that I do other races. It’s not you, it’s me. Actually, it is you.
Sincerely,
The Emerging Runner

Okay, that might be a little over dramatic, but today’s Long Beach 10K was the definition of difficult. The weather people were reporting temperatures in the high 20’s with 25-29 MPH winds resulting in conditions that felt like 11°. I wore a base layer with a heavier half-zip and compression pants with track pants over them. I double layered my socks, wore mitten-gloves and a warm hat. This, with a winter coat, kept me comfortable enough in the five minutes it took to pick up my number and race shirt.

2013 Race shirt

I saw The Petite Pacer when I arrived and we hung out in my car to stay warm and free of the sand that was being thrown around by the heavy winds. We headed to the boardwalk about five minutes before the the start of the race and tried to keep warm as we found our way to the starting line. The start itself was loosely organized but we were sent off right on time.

The race started east to west and I naively wondered if it was intended to minimize how much exposure we’d have to the fierce winds. I figured they were running the old course backward which would have provided a mile or so into the headwinds with the balance of the race with the wind at our backs. Not quite, but it was nice to hope that was the case, rather than know what laid ahead.

The winds we encountered were so powerful that they played havoc with our balance. The noise of hundreds of fluttering, safety-pinned race bibs was deafening. I kept checking that my own bib was intact from the violent force of the wind. I reminded myself that once we were off the boardwalk, we’d have the wind to our backs. I came off the ramp onto West Broadway heading east and the difference in comfort was palpable.

The wind worked to our favor as we continued east. I was maintaining about a 9:15 pace and felt like I was on track for a decent time. I was expecting them to divert us north on Magnolia and then over and down Washington, so I was surprised that they had us continue straight. If we didn’t do that loop and instead had followed the old course backward, we would have come up a mile short.

Soon after passing mile three, which I reached in 27:50, I saw that they were wrapping us around and sending us west on W. Broadway. I thought, “Those bastards!” Suddenly I was facing a wall of frozen air that hit so hard that it looked like I was running, but it felt as slow as walking. I was hating the run at this point, but determined to make it through. I got passed a lot between miles 3 and 4. I couldn’t understand how these people were able cut through the wind resistance.

Although I knew I was losing time, I decided not to give up. As miserable as I felt, I kept telling myself all races end and this one will too. I was freezing and becoming increasingly exhausted. Surprisingly enough, my heart rate was locked in at around 87% of max, indicating that I had another gear to call on. Unfortunately, I couldn’t find it.

I was thrilled when I finally reached New York Ave. and ran up the ramp back to the boardwalk. I knew from prior races that just because I reached the final stage it didn’t mean I was all that close to the end. The wind was mostly to our backs at least, save for some unwelcome blasts that hit head-on in some sections. I put myself into autopilot and checked my Garmin to see that 9/10ths of a mile remained.

I recovered enough to step up the pace. My only goal at this point, besides reaching the line, was to finish with a pace under 10 min a mile (actual pace = 9:48). Happily the finish gate came within sight, but it seemed to take a very long time to get to it. About 100 feet before the line I saw the Petite Pacer in vivid neon and she ran the final 50 feet with me as I crossed the line. She’d finished about six minutes before me and was probably freezing waiting for me to come in.

The new course
Despite the wind, my cadence averaged 172 SPM

It was so great to finally stop. My face was so frozen that I literally couldn’t speak correctly. It took almost 15 minutes warming up in my car before I could speak clearly. After Petite Pacer left, I downed some more Gatorade and a banana and took off for home.

It’s hard to smile in a sandstorm

Later in the day, my family and I went to a food pantry where we volunteer on behalf of Island Harvest. My job was to carry boxes filled with canned goods to people’s cars. I’d done it a few times before but the combination of race exhaustion and the number of boxes I carried caught up with me. I reached a point where I could not carry another set of 30+ lb. boxes.

Those boxes are heavy, especially after a 10K

I certainly got a full body workout today and I’m really looking forward to my rest day tomorrow. Sorry Long Beach Turkey Trot. I think I’m going check out Garden City next year. I hope you’ll understand.