Tag: Cycling

Observations of an Overweight Runner

On By LeraIn Life, runningLeave a comment

Running is one of those things that people either love or hate. There seems to be no middle ground (like pineapple on pizza, to which the proper answer is love). I was firmly in the ‘hate it’ category until a little over a year and a half ago. I wanted to take some time to share some observations and experiences I’ve had since becoming a runner, and hopefully encourage those of you who are thinking about running, but aren’t quite sure you want to yet, to give it a try. Running is hard, and it’s really hard if you are carrying a lot of extra weight. I’m looking to lose 72 more pounds, after having already lost 66. Sometimes I feel like I’ll never get there. I had always thought running was impossible for me. However, it is absolutely possible to be successful at running if you want it badly enough.

Who Wants to Run Anyway?

I started out losing weight by biking, which I absolutely adore. Back then, I never saw myself as someone who wanted to be a runner. NEVER. I had loathed it since being forced to run track laps in high school gym class, and that made me never want to run again. So, what changed? A couple of years ago, I had Achilles tendon surgery and started working with a physical therapist who made one of my recovery goals running 20 minutes pain free. My PT helped me choose a plan to follow, and while I hated it at first, a few weeks passed and I started looking forward to running. He eventually inspired me to try running a 5k after telling me about his experiences. It was something I had always thought sounded impossible, but it was a good goal for me to work toward. I followed the None to Run plan to get started running, which starts with very short run intervals in between longer walk intervals and builds you up to full out running for 25 minutes over the course of 12 weeks. This was a great way to start, and it really helped ease me in. It was hard for me to run 30 seconds when I first started, but consistency leads to progress, and before I knew it, I was running longer than I ever had in my entire life.

The First Step Truly is the Hardest— But it Gets Easier

The hardest thing about beginning running was taking that first step. It can feel like a huge barrier to cross. I was intimidated to be seen out in public running when I first started. I felt like the whole world was staring at me and judging me while I lugged my body down the street 3 days a week. It was really uncomfortable for me in those early days. I started out running very early in the morning or after dark in the evening to minimize how many people might see me. I was so afraid of someone saying something rude to me or making fun of me because I couldn’t run 30 seconds without feeling out of breath. It took many months to feel comfortable running and not worrying about what someone might think or say. It turns out all that worry was for nothing, though. I’ve encountered so many supportive people in the community on my runs. On many occasions, I’ve had strangers drive by me while I’m running down the street or pass me at the park and tell me I’m doing great or to keep up the hard work. Hearing those words of encouragement really lifts my spirits, especially on a day where I’m struggling.

Support Goes a Long Way

I absolutely don’t mind running alone, but running with other people is amazing. I started running the None to Run plan with one of my closest friends, and we met once a week or so until she moved out of the area. It was awesome sharing our triumphs, and having each other to lean on when we struggled. After she moved, I had no other running friends. I was told about a local running group by my awesome doctor, and I eventually worked up the courage to join. It was a game changer for me. I felt really out of place and slightly embarrassed that first day walking into the park because everyone looked so fit and I clearly wasn’t, but they welcomed me with open arms. I immediately had a built-in support system of people I could ask for advice and celebrate new milestones with. I never would have met any of my running friends otherwise. Even if a running group isn’t for you, I highly suggest a running buddy. It’s nice to have someone who understands what it’s like.

Judgement From Those Who Should be Helping

The hardest part of being an overweight runner is the judgement from the medical community. Most doctors I’ve worked with have been great, but there are always some that I know don’t believe me when I say I’m active 5-6 days a week. Last year, I saw a specialist for an injury that was still bothering me several months after it started, and even though I explained that it was from running, he told me I needed to join a gym, lose weight, and the pain would get better if I worked hard enough at it. I restated that I was a runner and cyclist, and the only thing he had to say to that was that he was glad to hear it because it would help me lose weight. It was at that point that I started to cry, right there in the office. It was embarrassing, but I couldn’t help it. His assumption that I was lazy and didn’t try to better my health despite having stated otherwise was hurtful. That’s not the only example I have, but I think it’s enough to illustrate my point. Now, I’m not saying suggesting weight loss isn’t an answer in the long term, but for an acute injury, I deserve the same treatment for it that someone who isn’t overweight would get. It’s really discouraging when some of the people you turn to for help treat you like you aren’t telling the truth because they think you can’t possibly be active at a larger size. Weight loss isn’t something that happens overnight. It takes time and consistency, and it’s extremely difficult to keep on track if you’re struggling with injuries that are limiting what you can do.

Clothes Do Not Make You, but Do Help the Confidence

Turning to something not quite so serious, the struggle to find good workout clothes in extended sizes is real. They exist, of course, but I’m talking about clothes that aren’t black or another dark color that are also affordable. A lot of stores don’t even carry extended sizes in their building, or carry only a handful and relegate the rest to online only. Hopefully this will change someday. Clothes obviously aren’t the most important thing about working out, but everyone wants to wear something that makes them feel comfortable and confident. Dressing in something that makes me look and feel amazing gives me a boost throughout my workout. It always struck me as odd that society at large wants overweight people to work out, but makes something as basic as finding quality, affordable activewear in bigger sizes resemble a scavenger hunt. Not only thin people want to work out! If I could magically just change my size, believe me, I would. However, reality dictates that I start where I am, not where I want to end up.

Imposter Syndrome at its Finest

Something else that I struggle with as an overweight runner is imposter syndrome. I’ve had a lot of people tell me I inspire them, and I never quite know how to react. Of course it feels amazing to hear something like that, but at the same time, I don’t feel like I’m qualified to inspire anyone. I’m just out there doing something I enjoy doing and trying to get better at it. There are many, many people better at running than I am. I’m nowhere near hitting the goals I set for myself this year. I’m not even “average” at running yet, and I can’t wait for the day that I am. I run so slowly that some people can walk faster than me (here’s lookin’ at you, speedwalker who beat me at my last 5k). I don’t have any special talent for running and I’ll never be the best. I just show up and give it my all. The truth is that I’m just too stubborn to quit.

One Last Word

I know that some of these things aren’t just specific to overweight runners, but as someone who still struggles with feeling insecure about my running, I hope I can help someone else not feel so alone. The hardest part about running isn’t the physical challenge, but the mental one. I have no regrets since I became a runner, even though it’s been a tough journey. I love it so much more than I ever thought would have been possible, and it’s really changed my life. I’ve gained confidence, met a lot of awesome people, and know that each and every effort I make takes me one step closer to my goals, even if it isn’t outwardly visible. I look forward to improving much more and finally celebrating the day I can run 5k in less than 40 minutes.

“Back” to Pain

On By LeraIn Cycling, Life, runningLeave a comment

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.

Feeling Like Giving Up

On By LeraIn Cycling, Life, running1 Comment

I had my followup appointment today for my hip tendinitis and I’ve been crying off and on all day. I’m so beyond frustrated with my orthopedic doctor. It was a huge waste of my time (and money). Both of my hips have been bothering me, but in different places. On the left side it’s my gluteus medius tendon and on the right it’s my hip flexors. My left side has been feeling better; it’s not perfect, but the pain is less most days. My right side has been unchanged. I figured my doctor might want to discuss how some of the things I’ve been trying at physical therapy have been helping, especially the temporary shoe lift on my right foot. I was curious to see what he’d have to say about it and if he thinks it might be a solution to getting all of my trouble areas to heal up and leave me be.

He had no interest in any of that. He seemed almost offended that I went to my PT for help while I waited for my follow-up appointment and questioned how badly I was actually hurting. He told me I can’t just go to PT forever. I wouldn’t call a couple of sessions after 6 weeks working on a home program “forever”. All the doctor told me was that I should get a home program from my PT and work hard at it and everything would go away, never mind the fact that I’ve been doing that exact thing. I do my PT exercises every day, and on days where I’m hurting really badly, I stretch extra. He also told me to join a gym, lose weight, and work on diet and my pain would go away. I had to remind him that I’ve already lost a lot of weight (nearly 70 pounds), and that the hip issues started when I became a runner. The left side has been bothering me for 13 months and the right side for about 5 months. I really wanted to know what my doctor thought about my leg length discrepancy, and I didn’t even get a chance to ask him because he made me cry right there in his office. I agree with my PT about my leg length discrepancy being the cause, but it’s not a simple thing to just fix. Left untreated, my body develops poor compensatory patterns, which is why I have so many other areas that are hurting, which lately has been my right knee. Even treating a leg length discrepancy can cause problems while the body adjusts to its new mechanics if it’s treated too aggressively too quickly. I don’t know why my doctor didn’t want to talk about any of that stuff. Maybe he didn’t even read the chart. He sure didn’t seem to remember I was a runner until I told him I had a 5k this weekend I needed to get through, and his only response to that was that he was glad to hear it because it would help with the weight loss. It was at that point I started to cry. His last piece of brilliant advice was to tell me to call up the office and make an appointment if it didn’t get any better. I don’t understand how much “not better” it needs to be for him to care, but I’m certainly not going back.

I really don’t understand what happened today. My doctor was great about getting my left hip feeling better. Why is it different because it’s the right side that’s still bothering me? In the meantime, there’s not a lot I can do. My PT has been wonderful at helping me look for solutions, so I’m grateful I at least have someone who is interested in helping me. Him not being a physician limits that help, but it’s still been a blessing. He recommended I make the shoe modification permanent and told me of a place that should be able to do that for me in the next city over. The only reservation I have is if it removes the support aspect of my motion control shoes, and my PT wasn’t sure, so I’ll have a few questions I want to ask. In the meantime, the temporary ones are helping for now. I don’t know how much that will cost to modify my shoes, but if it will give me a chance at a pain-free life, I’ll try it if the price is reasonable enough. In the meantime, I’ll be taking a couple of weeks off from running after my 5k. I’ll also be taking a few weeks off from PT to work on a home strengthening program while I’m not running and see where that gets me.

I try incredibly hard to be positive and optimistic, but I’m struggling with that right now. I’ve been doing pretty well with my running considering all these injuries, and now with my asthma and the cold air for the winter season. It’s hard to see success on paper in my training journal and still feel like I’m somehow failing. The numbers may look good, but the way my body feels tells a different story.

Constant Struggles

On By LeraIn Cycling, Life, runningLeave a comment

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.

5K Training

On By LeraIn Cycling, Life, runningLeave a comment

Somehow yet another month has slipped by without an update. As predicted, I ended up back at physical therapy for all of my injuries. Better to work on them now before they stop me 100% from doing anything, which was the route I was headed down if I continued to ignore them. My PT knows my goal and how determined I am to meet it, so we’ve been aggressive at the stretching, and I started doing some strengthening this week. I’ve managed to keep running 3 days a week out of sheer stubbornness. Usually it hurts some, but no more than when I’m not running, so I’m going to keep at it. I absolutely refuse to stop again unless I’m told by a medical professional that I should. This is the third time in a year I’ve started trying to run, and I’m going to do everything I can to keep at it.

I decided to sign up for the 5k Dr. S told me about, which is hosted by the running group I joined. I can’t believe it’s only 12 days away. Considering I had to cancel the one in February due to injury, saying I’m looking forward to it is an understatement. I can’t even describe how ridiculously excited I am to finally be this close to that goal. I know I won’t be able to run the whole thing because I won’t be done with my training plan, but if I work in intervals, I should be able to run 80% of the time. I’ll push myself to do what I can, but I’m not going to stress out about it. I’ve also cut my cycling down for now to see if that helps the pain and stiffness in my hips and hamstrings. I think my every day bike habit is hindering my ability to rest well enough, so from now until the race, I’m only riding a few days a week and at a slower pace and less time than I’d prefer. It will hopefully be worth it come race day.

Lastly, I really love being part of a running group. I’ve mostly interacted with the members on Facebook, but I was able to make it to one group run so far, and it was awesome. Having some support out there makes a big difference, and there are a mix of beginners and non beginners, so there are people who understand the struggle to start running and people to look up to for future goals. Everyone has been amazing so far. I plan to do two more group runs this week, and I’m really looking forward to it. I’m learning a little about park runs and trail runs through them, and while I’ve only done one trail run so far, I loved it. Being in the woods surrounded by nature was refreshing. I just have to be careful I don’t roll an ankle on the uneven ground, which is why I haven’t been again yet. I do that enough on flat ground to the right ankle, which, as y’all know, already has problems. I don’t need another injury right before my race. I seem to be a magnet for them this past year, and enough is enough.

That’s all I have for now! I’ll let everyone know how my race goes, and maybe even post some photos!!

A Busy Past Month

On By LeraIn Cycling, Life, runningLeave a comment

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.

June Letdowns

On By LeraIn Cycling, Life, runningLeave a comment

It’s been a heck of a month, especially since I don’t even have my bike right now. Three weeks ago, I was riding it and the front tire went flat. I had to walk it home about a mile and replace the tube. After I had it repaired, I rode just over a mile and it went flat again. I inspected the tire and saw nothing in it, which I expected since the flat was happening on the rim side. Last time that happened, it was the rim tape that needed to be replaced. I was tired of dealing with the issue, and the brakes needed to be repaired anyway, so I just took it to the local bike shop to let them deal with the issues. They told me it would be 2-3 weeks because they were really busy, which didn’t bother me all that much. Well, I called today (week 3), and they told me it would be a couple more weeks because they were waiting for a tire to come in, because thanks to COVID, there’s a shortage of them now. The guy told me the mechanic left me a message last week, but there’s no messages in my voicemail. I had him check my phone number just to be sure it was correct, and it was, so I don’t know what happened with that. All I know is that I’m going to lose my mind not having a bike for several more weeks, even though it may end up doing my body good.

As anyone who’s been reading this knows, I’ve been having trouble with my hip again, gluteus medius tendonitis to be exact. I took a month off from running and felt pretty good last week, so I tried a run, and I only got 8 minutes in before the pain was worse than it had been in a long time. I fought back tears walking home; I was beyond frustrated. Last week, I asked my past physical therapist about when a cortisone shot would be wise to consider, and he said, “Now.” I thought it over, and ended up scheduling an appointment with the doctor who treated it last time. I got really lucky and got an appointment for yesterday, his only opening until after the Fourth of July holiday. Someone must have cancelled right before I called. I’m so glad I didn’t have to wait three weeks to see him.

The appointment went well. I was 99% sure he was going to suggest a cortisone shot as the next course of treatment based on our discussion last time, and I was right. I know it has the potential to cause problems if done too frequently, but it was only my first one, so I wasn’t too worried about it. The shot was almost painless, which was a pleasant surprise because the size of the needle was huge. It was no worse than a normal injection. The doctor told me that if I didn’t have improvement in a week, he was going to give me a standing order for physical therapy. In the meantime, I’m working on my home program stretches. I wanted to ask my PT some questions today while I was doing occupational therapy for my elbow, but he wasn’t in the clinic this afternoon, so I have to wait until Thursday. I was curious about when it would be safe to start trying to run again, what other things I should be doing at home besides stretching, if adding strengthening to my program again would be helpful and when to do it, and what would happen if I did need to return to the clinic. I’m not sure that it will be necessary to return, but I want to know what kind of things we would be doing there since I can do 80% of it at home. I don’t want to waste his time. I’m getting ahead of myself, and I need to be patient and give the injection time to work. Today is my day off from work, so I won’t really know how it might hold up until later this week, and especially when I start running again. I was told at the doctor’s office that I could run in a few days, but that doesn’t seem safe to me. Maybe I’m just too afraid of hurting myself again, but I want to talk it over with my PT to know for sure. I really trust his judgment and he’s more familiar with my goals.

In other news, this week is going to my last week of occupational therapy. I have almost the same strength and flexibility in my right wrist now as I do in my left. The only deficit I have on my right side is that my strength with my arm extended is low because of the pain it causes at my elbow. At least I have one thing going right for me for a change. My shoulder is still sore at times, but I’m hoping that will eventually go away now that my elbow is improving.

I really hope July is a little more positive for me. I was going to run a 5k, but that’s unrealistic at the moment, so I’m going to a local lavender festival with a friend instead. It’s the same day as the race was supposed to be, so at least I still have something to look forward to. If I can get my bike back, I’ll be all set. I also started looking at a new 5k goal, and I think it won’t be until October, but it will be a Halloween themed race held at an orchard, and runners are allowed to dress up in a costume, so it’ll be fun to think about what to dress as. Given all that’s happening with my hip, I’m not sure trying to race any sooner than October would be wise. I’m going to be training slowly so I don’t have any other issues, fingers crossed!

A Hard Start to the Year

On By LeraIn Cycling, Life, runningLeave a comment

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

On By LeraIn Life2 Comments

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!

Battle Plan

On By LeraIn Cycling, Life, runningLeave a comment

My hip pain has not resolved despite it having been seven weeks. I talked to my physical therapist a couple of weeks ago and he recommended a new doctor to me who is good with younger active patients with hip injuries. I looked him up and he’s published a ton of research and is team physician to several area college teams. I had my initial appointment with him today, and he seems to be really good. I didn’t tell him what my PT thought was going on at first just to see if he thought the same thing, and he did: gluteus medius tendonitis and trochanteric bursitis. He’s having me do formal physical therapy (I was just doing stretches on my own at home) and he’s going to reevaluate in six weeks and if it’s not better by then, he’ll try a steroid injection.

I called my physical therapist as soon as I got home from my appointment and he told me he had a light afternoon and offered me an appointment 45 minutes from the time I called. I was really glad to be able to start today so I can recover sooner. The only downside is that if this injury had waited a month, my insurance would cover it because my benefits would have reset. That means I’ll be doing self-pay until New Year’s, by which time I’ll be almost done with my course of treatment if all goes well. My therapist and the office manager were really apologetic about me having to pay myself, but I honestly don’t even care that my benefits are used up. I knew that going in and I knew what the fee was from last time, so it was expected. I’m just glad to be able to get some help getting back to my normal activities and not being in pain every day. The cost is worth it to get my life back.

Today’s PT session focused on a thorough evaluation of my hip injury and setting up a plan. My therapist told me that we needed to try to figure out why my foot is still an issue because if I’m limping on it and not walking normally, it will affect other areas of my body. I was very happy to hear that because I would love to know what’s actually wrong with my foot. I have nothing against the surgeon who fixed my tendon; that’s 90% better or more than it was before surgery and I’m grateful for that, but there’s no way I’m having surgery on my foot again anytime soon until I feel absolutely certain of the problem.

Other than those two appointments, my day was filled with lots of phone calls and emails. The asthma inhaler I had been taking all year is suddenly not allowed to be filled at the local pharmacy anymore. Instead, it has to be filled through the mail because it’s a maintenance medication, which costs more sometimes. At the pharmacy, I was using a manufacturer coupon to get the copay reduced to $10/month. The mail order pharmacy doesn’t take coupons and the copay there is $63. I emailed my family doctor and asked to switch to something with a lower copay and he was nice enough to change it for me without me coming in for an appointment. The weird problem is that the generic version of what I switched to costs $40 more per month than the name brand, and the doctor sent the generic on the prescription because generic is always cheaper, except apparently in this case. I found that out because I called the mail order pharmacy and made them give me the copay amounts to make sure they matched what I was told they were supposed to be by the insurance company, and indeed the name brand inhaler is cheaper than the generic. So now the pharmacy is supposed to contact the doctor’s office tomorrow to get the prescription changed to the name brand, and hopefully that will clear things up. I bothered my doctor so much today with an email chain while we tried to work out the issue that I really hope tomorrow will be the last I’ll have to cause him trouble.

That’s all I have for now, and hopefully the next time I write I’ll have some good news. I’m benched from running for the next six weeks but I can still bike as long as it doesn’t hurt, so at least I can try to keep up my conditioning. I have major doubts that I will be making my first 5k in February. I wasn’t given a clear answer when I asked my PT, which I understand because it’s still too early to know. If I have to push it back, so be it. There’s no use stressing about something I have little control over. All I can do is put my best effort into PT and trust that God will let everything work out eventually. So, until next time, I hope everyone is doing well!