Steroid Shot Round Two

I had my ortho follow up yesterday. I did get some relief from the steroid injection into my knee joint last time. It gave me some off my range of motion back and helped with some of the pain, but it didn’t help with everything. I remain unable to bend my knee all the way, or straighten it all the way, so trying to do some of the stretches the doctor gave me hasn’t been going well. It’s still too painful to attempt a quad or hamstring stretch, but I’ve been able to do most of the strengthening ones pretty decently.

Given continuing symptoms at my appointment today, the doctor injected my distal IT band to see what that does for me. I’m still getting lateral and posterior pain, and walking still isn’t comfortable, but biking has been feeling a little better. I’m having less pain and stiffness after a ride as long as I keep it slow. Although any amount of pain is still too much, it’s at least a step in the right direction.

If this steroid injection doesn’t fix the problem and get me starting to run, I’ll be discussing surgery when I go back in 6 weeks. Hopefully it won’t come to that, but that’s the very last option. I’m not crazy about the idea of surgery when we don’t even know for sure what’s going on, but I’m pretty sure arthroscopy can aid in diagnosis, and they can fix the problem if they find something right at the same time, so I’m trying to be as positive as I can. The doctor mentioned possibly releasing tension on the IT band, but that’s assuming that’s the cause. The area where it hurts isn’t the same as where I had IT pain before; that was a little higher up on the knee and this is lower. He still doesn’t think it’s likely to be my meniscus even though it is torn since it’s on the medial side, which is the opposite side of my knee. I also have a Baker’s cyst that could be the cause. Basically, we’re both just crossing our fingers and hoping we can at least narrow down what’s going on. Unfortunately, it could be one or all of those things.

I felt pretty good when I woke up this morning (waaaay too early at 2:45 am thanks to insomnia being a side effect of the injection), so I took myself out for a walk at 6 am and managed to hit two miles. I was really slow, but only mildly sore while I walked without a noticeable difference in pain later on, so that’s a good sign. If I can get the pain while walking to disappear over the next two weeks, I’ll try slipping in a couple tenth mile intervals into a walk. I don’t want to rush back into trying to run and make it worse again, but I also need the information for when I go back for my follow up. If I still can’t run, I’ll let them cut me open and see if they can find the problem. I’m far too young for this to be the end of my running, so I’ll give it a try if I have to.

I’ll let you guys know how things continue to go as always!

May Flowers

Okay, so this really has nothing to do with actual flowers (although I did enjoy my tree’s cherry blossoms this year!), but I get bored titling everything with the month and the word ‘update’. I’m going to touch on my injury progress later, but I want to start with work first.

I started my new job a week ago, and I think it’s going to be soooo good for me. I love having a set schedule. It’s nice knowing that unless it’s my turn for a late day (which is shared and usually only an extra hour and a half max), I’ll be gone at a certain time. I’ve made plans to do a workout at a wooded metro park once a week, a run Saturday morning at a different park, and there are weekly glow rolls Saturday nights all summer long I want to make it out to once in a while. I love having a schedule that lets me plan events and have evenings and weekends off to see people much more easily. I’m already feeling a lot less lonely.

Next, my knee. It’s not 100%, but it feels so much better now that I’m not on my feet all day long without a break. The pain is minimal, but I do still have trouble with running. I’ve only been doing three sets of 5 minute run/ 2 minute walk when I go out, but I do get some pain at the beginning of my runs. At this point, it’s more the patellar tendon that’s giving me trouble, and a little bit is coming from my hamstrings on the same side. The sports medicine doctor I was seeing said I didn’t need to come back unless the pain got bad enough to want an injection, or unless my knee is swollen for two or more days despite rest. He said to just work on continuing to strengthen it and to try to be less fat (not how he said it, but that’s what it comes down to). He said there isn’t anything I can do with my knock knees, so I have that working against me forever, but strengthening should at least help downplay it a little. I still lack so much strength in my right leg that it feels like a never-ending battle. I still can’t do a single leg calf raise or single leg squat, which means I still can’t jump rope. However, I haven’t had very much trouble with biking unless I overdo it, so if I keep it reasonable, I have little pain afterward. Honestly, my biggest issue is stiffness, and I think a lot of that has to do with sitting all day at work now, so I need to start stretching more. I did find out Friday that the desks all convert to standing desks, so I’ll be going back and forth standing and sitting throughout the day.

Lastly, I’ve been having some shoulder troubles. I think it’s leftover from my last job, so I’m hoping it will eventually go away, but it’s been lingering for a good 6-8 weeks now, so I’m going to ask my physical therapist if he’ll look at it for me and at least give me an idea of what it is so I can try to work on it on my own until I can get in to see my doctor. I don’t think it’s major because it’s just sore enough doing certain things to be annoying, but given that I’m not stressing it at work anymore, it should start to go away soon. Fingers crossed.

I’ll do another update in a few weeks in regards to work, but I might post something else in the meantime if something is worthwhile so these don’t always end up so long.

“Back” to Pain

Hey y’all! It’s been a few weeks since I posted an update. My running hasn’t been progressing too well since I ran that 5k distance last month. I was talking to a much more experienced runner about it and he said it might be wise to back off the training a bit. Having hit two PRs last month left my body feeling tired, and I began struggling to complete a run. Even a mile left me feeling like I was breathing too hard. I switched back to run/walk intervals for the time being—5 minute run and 2 minute walk. I’m going to do that for a bit and gradually increase the running time back up, first to 8 minutes, then to 10 minutes, and keep my 2 minute walk breaks for those new times and see how my body responds. I’m going to increase my total workout time from 35 minutes to 50 minutes gradually with the help of the run/walk intervals, and reassess after that. In a few weeks, I also want to add a 4th run day where I simply run a mile and try to get progressively better times.

That said, I haven’t run in 8 days, unless you count the 3 minutes that I attempted Tuesday. My left back started hurting near my lower ribs 5 days ago, and I just assumed it was a strain of some sort since it hurt with movement or deep breathing. I was content with just treating it on my own until the pain worsened and I felt like I was being stabbed. I made an appointment with Dr. S and he said it could basically be a dozen different things since there’s no other symptoms (he also told me it was too early in his day to have such a tricky problem 😂). I had a test done to rule out kidney stones and that was normal, so for now I’m trying several days of prednisone to see if that calms the pain down any. If so, I’m good to go, and if not, we discussed potential next steps. Hopefully the next time I have to see him will be at the 5k race we’re both doing in August and not sooner. I want to get back to my training plan!

Even though it hurts too much to run this week, I can still bike since once I’m in position, my back doesn’t really move. I rode for over an hour today and it felt glorious to get outside and move. The only bad thing is that a bracket on my bike seat broke in a place that can’t really be replaced without major hassle. I have it duct taped in place for now since it isn’t going to be a safety issue when I’m sitting on it, but I did order a new seat tonight. Chances are if one part broke, others are weak. My bike gets a lot of use! I also need to get a new tire for the back at some point, which in hindsight I should have also ordered tonight. Oh well.

Lastly, I baked some cookies for my physical therapy clinic and dropped them off this morning. It’s been six months since I’ve had to go there, which is the longest I’ve stayed away in the last two years! That’s amazing for me! It’s all thanks to them always going above and beyond to help. If they hadn’t suggested Frankenshoe (getting a 1 inch full sole lift built into my everyday shoes and my running shoes to even out my leg lengths), I doubt I would have gone this long without a major issue. I’m so grateful to have been able to work with people who care so much.

A Busy Past Month

Well, it’s been a heck of a month since I last wrote! As usual, this update will be a bit of a mixed bag of good and bad, but that’s just life for you. Sorry that this is so long! I really need to make it more of a habit to write more than once a month.

I finally got my bike back on July 9, after about 5 weeks at the repair shop. It was a long wait! It’s nice to have safe, functioning brakes again! I almost threw myself over the handlebars on my first ride because they were so responsive. However, I’m not a huge fan of the tire they put on the bike for me because it’s so heavy, but considering I had no other options, I’ll take what I can get. I can always switch it out at a later time. My speeds are slower than they used to be by 1 mph, which isn’t a huge difference, but it puts me back in the light cycling speed bracket 😦  Once the tread wears down a little, I might have more luck.

Next, the early success with the cortisone shot is fading. I still feel better than before, but I’m thinking when I go for my follow-up in two weeks, I’ll be back at physical therapy. I’m not even sure if it’s the same muscle (my left gluteus medius) that’s bothering me, or if it might be my TFL. Both are on the side of the hip where it hurts, and I did have tightness in my TFL when I was doing PT in the winter. I also am 99% sure I have a proximal hamstring injury on the same side, but I need it properly diagnosed by a doctor. Lastly, I’m also having trouble with my right hip flexors and some very slight occasional pain on the side. I’ve been stretching daily to try to relieve everything, but nothing is working to resolve the issues. I ordered a smaller diameter foam roller since the one I have is too big to get all my muscles well, so I’m hoping that might help. Despite all this, I have been able to run, but my pace is really suffering most days. It doesn’t hurt more while running or immediately after, which is the gauge I was given by PT to measure whether I should stop, so I’ve been trying my best to work through it.

I saw Dr. S for my elbow again yesterday, which is better than before thanks to therapy, but it still bothers me at work most days and lately every day when I ride my bike. My arm has also been hurting in the triceps area (which seems unusual for tennis elbow judging by my doctor’s puzzlement) and sometimes up to my shoulder and down through my middle finger. It’s not like that all the time, but it’s enough that it’s a bit worrisome. He gave me a referral to a sports medicine office, but warned me that they don’t like to take his patients if they aren’t athletes. As someone who is an active cyclist and who would love to play tennis again someday or sign up for martial arts, I’m hoping to have some luck. He also put my right ankle on the referral, so maybe someone might be able to figure out what’s wrong with it finally. I gave up on the ankle after that disastrous second opinion back in January, so I guess it’s time to try again.

Also while I was at my appointment yesterday, Dr. S talked with me a bit about running and what might help with some of these ongoing injuries. He suggested doing a video analysis of my running form, but I can’t find any good information from the place he suggested. He said they did it for him at the YMCA in a neighboring city, which does have a specialized physical therapy clinic, but it looks like I don’t have insurance coverage there. I’m not sure if the clinic I always go to would, but at the very least they might be able to just watch me run and make suggestions. I’ll look more into that after my orthopedics appointment, because, like I said, I have a feeling I’ll end up back at physical therapy.

Lastly, Dr. S told me about a local Couch to 5k running group at one of the parks close by, so I did some searching and found the group on Facebook. It will be nice to meet some other beginner runners in the area. I’m not doing that particular program, but I am doing a run/walk interval training program similar to that, so I asked to join the group and was accepted. They do group runs a few nights a week, which I will try to go to on the days I don’t have the afternoon shift, but in the meantime, I can hang out and meet some people online in the group. They’re hosting a program graduation 5k that benefits an area children’s hospital, but I don’t think I’ll be ready in 5.5 weeks. I might see where I am and maybe I can do the interval thing to finish, but I’ll have to consider how safe it might be with my nagging injuries.

Back in the Saddle

It’s been just a few days shy of four months since surgery. It seems so unreal! I had another post-op followup today and I’m now allowed to transition into regular shoes! I have to wear a special padded lift inside the right shoe for quite a while, but it’s so nice to not have to wear the walking boot all the time. With the amount of difficulty I’ve been having with work, the surgeon told me it would be wise to use the boot at work for extra support if needed until I recover more strength and range of motion. I’ll be bringing it along to each shift just in case I need it; I can already tell it’ll probably still be a few weeks until I can really get rid of it for good. I just keep telling myself it’s a marathon, not a sprint, and I have to pace myself.

It’s amazing the difference a day can bring. I was feeling really low a few days ago, exhausted with being dependent on people for rides and not being able to do the things I wanted to do. I feel so useless at work because I’m only there 19-ish hours a week right now. I’ve been trying to push myself as much as I safely can because I don’t want to risk losing my job, but the amount that I can do is still not up to what I consider full standard. I’ve been praying for the strength to make it through the challenging days.

Then today happened: I GET TO RIDE MY BIKE AGAIN! I stupidly forgot to ask at my appointment this morning, so I had to call and get permission. I waited four long hours for the phone to ring with an answer to the message I left, and it finally did at 1:50 p.m. By 2, I was changed into my gear and pumping up the bike tires. The ride went pretty well, but my speed was awful because I have to ride in a low resistance gear. I still managed to ride 7.27 glorious miles in 41 minutes. It was cold and damp out, but there were a few moments of sun along the way. It felt amazing, like I was finally living again! I didn’t have any pain while I was riding, and I probably could have gone farther if I wasn’t sick with a slight cold. I’m trying not to do too much too soon, and I’ll ask at physical therapy how to judge what’s too much so I don’t hinder my progress.

Now if only the pain I feel with extended weight bearing at work would lessen, I’d feel a whole lot more confident about everything. I’m still ecstatic to be gaining some new freedoms, though. Things will fall into place eventually, and I’ll be ready when they do!