Living at PT

In my last post, I mentioned that continuing physical therapy would be left up to my PT and I to discuss. Considering my desire to get back to running and considering I still need some help strengthening my muscles and loosening them up, along with my crazy work schedule that doesn’t leave me time to properly rest my affected injuries, we decided to continue on a week by week basis for now. I attended two sessions this week, and I’m honestly not sure what to think about my progress because a new issue started trying to pop up. I don’t have as much pain as I did when I started, but now my IT band is getting tight on the side where I already have the gluteus medius tendinitis and trochanteric bursitis. Given this new development, my PT decided that giving ASTYM a try would be worthwhile. Those of you who have been following along with this blog might remember that I had this done on my Achilles tendon this past summer and it’s what ultimately helped me recover from that surgery. I had my first ASTYM session for my hip/IT band today and I was really dreading it because I remember how much it hurt last time, but to my surprise it wasn’t as painful in that area as it was on my Achilles tendon. The worst part was having to wear shorts, which I hate because I hate my legs. I actually only had one pair from before I lost 70 pounds, and they’re huge on me, but they worked pretty well for ASTYM since my whole leg had to be exposed. I just changed back into my capris when it was time to work on the exercises so I didn’t end up losing my shorts on the floor xD

I left this out last time, but I started to get elbow pain last week that is very persistent and bothers me when I do pretty much anything. Doing some of my own research, I think it’s tennis elbow (lateral epicondylitis). I have an appointment with my primary care doctor in a week and a half, so I’m hoping to get a definitive diagnosis so it can start feeling better. I feel like I’m living at my physical therapy clinic. Every time I feel like I can escape, something else happens. I hope I don’t have to attend sessions for my elbow, but I won’t know until I see my doctor. I’ve also been getting tingling in my fingers on both hands, which hurts enough to keep me up at night sometimes, so it’s just a matter of time before that needs treatment, too. Having a physical job is doing me no favors. I feel like the only way I might convince the powers that be to get us a real manager is if I show up with my arm in a sling, which may very well happen considering my shoulder on the same arm is also bothering me (not as much as the elbow, though). Maybe once there’s some outward sign that I can’t do 80% of the work alone, things might speed up. I’m tired of working overtime and being in pain. I want to be able to get back to running. I’m planning to start training again in 5 weeks, which would put my first 5k race the last week of April, or first week of May, but that’s assuming everything stays on track. With the way things have been lately, it’s hard to say. I’m going to work as hard as possible at PT; if I can get back to running, that’s the first step to getting back to tennis, which I really miss!

A Hard Start to the Year

This week has been extremely challenging. Work is basically a nightmare. Half our staff is gone and I’ve worked overtime the last three weeks. While I have no problem working extra once in a while, to expect me to run that whole place without a pay raise is unfair. I can’t physically handle the extra work and it’s really taking a toll on my body. I don’t have enough time to do everything I need to do, and I feel like I’m drowning. I know that sounds a little dramatic, but this is more stress than I thought. We still have no boss, and I haven’t heard if there’s an estimate. I refused to work 6 days this week to let my body rest, and I guess the boss two levels over me didn’t mind. I had told her I was having difficulties with injuries, so I guess she understood. I’ll do 6 days next week since I’m off on Saturday because it won’t seem so bad having just had a bit of a break, but I’m hoping that will be it. We should be getting a part time assistant manager in soon, and that should make it possible to have a better schedule. She used to work for us before and wanted to come back, so even if I have to work longer shifts twice a week to get two days off again, I’m okay with that. She may not be able to start next week, but the week after I’m hoping everything will be finalized and I can feel a little better physically and mentally.

The worst thing that happened to me this week was that doctor’s appointment for a second opinion about my foot. I wrote before about how the surgeon who did my Achilles tendon thinks it’s arthritis, and I’m just not sure that’s all that’s going on because one of the places it hurts is too superficial and not in a joint. I wanted to hear someone else’s thoughts on it because I’m just not willing to undergo another surgery after I worked so hard to get to the point of being active again after the last one. This new doctor, I’ll call him Dr. E, was something else, and not in a good way. For the two hours I spent at the office (part of that was waiting for x-rays), I saw him for all of ten minutes, if even that long. He didn’t ask any of the usual questions any other doctor asks, like what the pain feels like, what makes it worse/better, etc. He looked at my foot and compared it to the left and declared that he saw nothing wrong. He said my bad foot had good strength and movement, but I wasn’t having a particularly painful day when I went because I had that day off from work. It was still visibly swollen and tender to touch, so I don’t know how he thought that was okay. The only thing he told me he could try was a very restrictive brace that wouldn’t let my ankle move at all, but I’d have to wear it for four months. I just can’t stand the thought of giving up biking and running for four months after fighting so hard to gain those things back last year. I’ve tried immobilizing it before with no success, so I guess I really don’t see the benefit of going through that again for such a long time. I wouldn’t mind trying a supportive brace that would allow me to still be active, but I was basically shut down any time I tried to ask a question. He told me he was sorry he couldn’t help me and left the room. No follow-up, no trying to figure out a plan, nothing. I cried most of the drive home out of sheer frustration.

This week I also had a follow-up with the doctor treating my hip injury, and that appointment went much better. He said it’s healing a little slowly, but that doesn’t surprise me considering the hours I’ve been working. The doctor told me that it takes about three months to fully heal this kind of injury and that I didn’t need to come back for another appointment unless things started bothering me more. He also told me I still shouldn’t run for another six weeks and that he’ll leave the decision of more physical therapy up to me and my PT to discuss on Friday.

So there you have it: not exactly the greatest week, but at least the hip is moving in the right direction. I’ll take slower progress over none any day.

New Year, New Goals

Happy New Year to everyone! This is the time of year most people set new goals for themselves, but I’m still working on my goals from last year. That’s not to say I haven’t edited them a little bit, though!

I want to talk a bit about 2019, first. Those of you who have been following me know that it was a hard year for me. I had a long and challenging recovery from insertional Achilles tendon repair that forced me to constantly push my goals back. Then, when I thought I was doing okay (save for the mysterious foot issue unrelated to my Achilles tendon), I hurt my hip while working toward my goal of running a 5k. Then there’s work, which I can’t go into too much detail about, but I can tell you that my boss took a new job and his last day was the day after Christmas. Since then, it’s been total chaos and it hasn’t even been two weeks. I’m expected to act like a full manager without the benefit of more pay, and I’m not going to stand for it much longer.

Given everything, to say I’m looking forward to a better 2020 is an understatement. I’m trying not to get my hopes up so I don’t get disappointed, but I feel like this year should be a good one. Last year I had a pretty good bike year despite everything, and I rode 1,766 miles! That’s not even for a full year since I only was allowed to ride again in April. I think I can do better this year, though, and my goal is 2,100 miles. Since I live in Michigan, the weather can be unpredictable in winter, but so far I’ve been able to get out a couple of times a week. I expect things to take a turn eventually, but I’m certainly enjoying this mild winter!

My first ever 5k was supposed to be February 15, but I’m probably not going to be able to run it. I’m going to discuss the practicality of it at physical therapy Tuesday, but I don’t think it’d be a good idea to push myself too much. I’ll probably have to wait until March, so I’m already bracing myself for the bad news. I have a follow-up appointment with my doctor for my hip in a week and a half, and I’ll be sure to ask about resuming running.

Moving along, I’ve still been having trouble with my foot, and I have an appointment set up with another doctor for a second opinion. I still don’t accept that it’s only arthritis going on when at one point that same doctor thought there was an impingement of some kind. I got the name of this new doctor from my physical therapist, so I’m hoping he’s good. He’s published research about foot/ankle issues, so I feel pretty good about seeing him. My PT originally had suggested I see someone about an hour away because that surgeon also has a degree in PT and is supposed to be amazing, but he’s not taking any new patients. If that changes in the future and I’m still having problems, I’m definitely calling for an appointment. I just wish I knew what was still wrong with my foot. Last week, my PT tried taping my ankle so my fibula didn’t move so much, but I’m not sure it helped much. I wouldn’t mind trying again on a day where I’m going to work after my session instead of a day off. In other news, I started wearing a heel lift to correct my short right leg. I had worn one when I was a kid, and then again temporarily about ten years ago, but not since. My PT says he’s hoping it will help my hip settle down, and it seems to be helping a little bit.

I feel like this update is a little disorganized, but that’s what my life feels like right now. Having no boss at work means a lot of extra work for me since there are only a handful of reliable people there. I am struggling physically with the increased demands of the job, not to mention the stress is giving me mini panic attacks. 2020 is starting out as a struggle, but things are bound in improve from here. I’m hoping to do a semi local 30 mile bike ride this year, run at least five 5k races, and maybe pick up martial arts at some point this year if I’m ever able to. I’ll have an update again after my appointments mid-month, so until then, take care!