I’ve been having a really hard time since the 5k. Somehow, despite everything I try and all the effort I put in to following the advice I’m given to the letter, I can’t catch a break. At my last physical therapy session before the race, I was told that after it was over, I should take a break from my workouts for two weeks and rest. I had already decreased my biking for weeks before the race so I wouldn’t work my trouble spots harder than they were already working, which made sense and I figured the sacrifice would be worth it. I was at least able to keep training and run my race. My PT wanted me to decrease my biking even more, which knocked me down to just 3 days a week of only 20-30 minutes and absolutely no running for the duration of the break. During that time, I missed running and was anxious to get back to training for the next 5k, but I really missed biking. I was riding 6-7 days a week before, and between 45-90 minutes each ride depending on the day. Last year I was able to easily log 15-20 miles a day, and for the last month it’s been 5-6 miles on average. Biking was how I erased my stress, and I am really having a hard time not being able to bike as much as I want.

The two week break felt like it lasted forever, but my pain steadily decreased during that time. My first run back felt amazing, and most importantly, there was no pain. I thought I was finally in the clear. My second run that week went well, too, but my third one was when I knew I was getting my hopes up too high too soon. All of the pain returned near the end of that first week back, which was last week. Fast forward to this week, and it’s still here. I ran twice already and am planning to run again tomorrow. I decided to follow the C25K (couch to 5k) program exactly as laid out unless I need to make modifications. Even though I was able to do more a few weeks ago in terms of endurance, I’m hoping that keeping it easy and steadily increasing my runs with a progressive plan will help keep the pain manageable enough for the next 6 weeks until the race.

So, basically I’m stuck at what to do. I absolutely don’t see the point in taking time off if it isn’t going to help. No, 2 weeks isn’t a long break, but the time before this I took 5 weeks, and the time before that, 16 weeks. What’s the point in taking a break if it doesn’t even provide lasting relief? I could take more time off, but it’s not guaranteed to even work, and I can’t afford to miss any runs leading up to the race. I’m only running 3 days a week, so it’s not like I’m overdoing it. I’m keeping my bike mileage down for now. But what else can I do? I’m doing everything my PT taught me how to do, and the unfortunate thing is that he’s now on medical leave for a while longer and he’s the one that actually knows my case, not to mention that all my PT benefits are used up for the year and having to do self-pay is already going to limit how much I can go because it isn’t cheap. It’s certainly not something I can do more than once a week. I was thinking of calling the clinic and asking if I can do an appointment to come up with a different home plan to try. The rest of the staff at that clinic is awesome and I wouldn’t mind working with any of them, but I have so much going on that I fear whoever it ends up being is going to be overwhelmed with everything I have going on.

As of now, the exhaustive list is:

1. Left gluteus medius tendonitis and trochanteric bursitis
2. Left TFL injury of some sort based on the stretches I can feel for that area
3. Left proximal hamstring strain
4. Left piriformis tightness, which leads to pain
5. Left SI joint area pain when I run, and ocassionally with prolonged walking
6. Right hip flexor tendonitis
7. Right hamstring strain about two inches above my knee
8. Right ankle mystery problem (still no official diagnosis after 2.5 years)

It’s really depressing to see everything in a list, but it is what it is. I started having most of these issues after my surgery, but I thought it was related to 10 weeks of crutches, and a few months of wearing the walking boot. I know for sure my body wasn’t moving ideally for a long time after my surgery, so it easily could have been that. I’ve had gluteus medius tendonitis before, about 11 years ago, but it went away pretty quickly and didn’t come back until 11 months ago.

My PT thinks a lot of it has to do with my ankle not letting me walk properly. I’m sure that has something to do with it, but I have another theory. Personally, I think it’s mostly related to me having a short right leg (anatomical origin as measured in special x-rays). I’ve been researching a lot, and the pain pattern I have is common for that issue. I have a 1 centimeter heel lift in my right shoe, but it’s not enough to fully level my pelvis. Running really aggravates everything, but I don’t know what else to do for it. I can’t use any higher of a lift in my shoe without my heel slipping out. There’s only one other nonsurgical option, and that’s getting my right shoe built to the correct height to even my legs out. I don’t know if it would help, but I’ll certainly be asking about it at my next follow-up with my specialist next month. The only problem with messing with the sole of the shoe is that I don’t know if it would render the motion control useless. I really need a motion control shoe to keep my ankle mostly happy when I run. Without it, I had a lot of ankle instability.

Anyway, forgive my ramblings. I guess I just can’t keep it bottled up anymore and needed to complain in a way that wouldn’t annoy anyone too much. I’m hoping I have time for a PT appointment next week to learn some new stretches and exercises I can try and see if that helps. I certainly have nothing to lose.