Autumn Tidings

Forgive me for not updating this in four months! I can hardly believe how fast the time is flowing by these days. It’s been six months since changing jobs, and I don’t regret a single thing.

In terms of running, it’s been going okay. My knee is still an issue, and now my hip on the same side has been having some muscle stiffness on the outside. I took a few weeks off and restarted Couch to 5K this weekend. I had only been getting out once a week to run and focusing on cross training with speed walking and biking. Even biking still makes my knee hurt if I go too long. Despite everything, I’m grateful for at least being able to do some things. That said, I do want to do something with this knee of mine. It’s still far too much of a problem. The last run I did before taking a breaks was 2 miles, and I had major problems— all of them on my right leg. My knee was achy and swollen, my hip was mildly sore and quite stiff, my hamstrings, glutes, and calf felt strained, and even my ankle was trying to act up again, and that hasn’t been an issue in many months. I have no idea what to do. I’ve been really upset and angry about it. I’m sure if I see my doctor, he’ll want me to do PT for it again, but my copay will be much cheaper in the near year for that, so I’d rather wait a bit. I’m already doing PT for my shoulder right now (rotator cuff tendinitis), and that’s taking enough of my money.

Issues aside, I did run a 5k last month! It was the Halloween-themed run that I did last year, and it was even more enjoyable this year! I dressed as a female version of Mario and got some amazing compliments on my costume, and I got singled out by one of the photographers as I was walking by him because he wanted me to pose for a photo, so that was fun. I ran this race with two of my friends, and it was great. I actually didn’t do too badly, but I would love to finish faster one day. Again, I’m just grateful to be able to do it at all.

I also recently took a little bit of a bike trip about 30 miles south of me and rode on a trail that went through four different parks. It was ten miles out and ten miles back, and I stopped and chained my bike every so often and just wandered around. I packed a mini breakfast to eat halfway through; at the end of the path was a dam with a two story overlook. It sounds a little more grand than it was, but it was still really beautiful. It was on the chilly side that morning, so I didn’t run into a lot of people, which is the way I like it. I spent three hours just exploring all along that trail. I definitely want to make time to do something like that again at a new place.

All in all, things are going well. I can only hope it stays this wonderful through the end of the year!

5K Training

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!!

Hint of Success?

Well, it’s been a week and a half since I had my cortisone shot for my hip tendonitis, and I’m happy to say I’ve been feeling pretty good! It’s such a luxury to not have so much pain. I forgot what it felt like to get up in the morning and not immediately hurt. I have some stiffness and it causes very mild pain, but I’ve been trying to be diligent about doing the stretches I learned in PT this past winter so I can prevent anything else from happening. I was able to have a discussion with the PT who treated it last time and get some good advice from him. I’m so grateful that he’s always willing to answer questions even if I’m not actively being treated by him; it’s one of the reasons I will never go to another physical therapy clinic. Anyway, he told me I was good to start running again this week as long as I started with half of what I was doing before and slowly build back up. I asked him about running without my ankle brace and if that contributed to the hip issue since both times I ran without it I had trouble. He said that “things like that are rarely coincidences” (his words), but that he wasn’t sure, which I understand. In any case, I probably won’t try running without my ankle brace for a long time just in case it did contribute to me re-injuring my hip.

Tuesday was the first day I tried running and it went well! I spent a good amount of time considering how to start back up. Cutting the time in half was easy, but I was working an interval program before that, doing a mix of mostly running with a few walk breaks. I decided on doing 5 minutes of walking to warm up, and then the next 12-13 minutes are 1 minute run, followed by 1 minute walk, and alternating those so I’m not running more than 50% of the time. I did that same thing today, and I think I’m going to leave it at just two interval workouts this week. Next week I’ll do the same thing three days and if that goes well, I’ll tweak the intervals. I’m covering just under a mile (excluding the warm up), and I’m okay with leaving it like that for up to four weeks depending on what my body tells me. I have 4 months until the Halloween 5k, so that’s plenty of time to increase distance. I’m going to take things slower than I was last time. Any efforts I can take to prevent another injury will serve me well. I don’t need to be the fastest person at that race; I just want to be injury free so I can try. I’ve had to postpone attempting a race three times this year, and I really don’t want to have to again due to injury. Covid might be another story, but October is still a long way off, so who knows what might come of that. Worst case scenario is that I’ll measure myself a 5k route and sign up for a virtual race that offers all the swag of a real race. I want a bib and finisher’s medal to be able to display after everything I’ve had to deal with the last year and a half.

June Letdowns

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!

Re-injured

As the title hints, I’m having an issue. Tuesday I went out for an interval run, and hit a personal best mile time of 13:31, which is still slow, but considering the long road I’ve been on since my surgery a year and a half ago, and then an injury 7 months ago, I’m proud of it! I felt amazing when I finished Tuesday’s run. I took yesterday off and ran again this morning. It was the same exact workout, and I was only 8 seconds slower today. Everything was fine until the last 10 minutes, and then I felt that old familiar ache in my hip–the same hip I injured back in October. The pain was mild, so I finished my run, but the pain increased during my cool down walk. By the time I made it back home, it was a bit difficult to walk. I definitely feel like I strained my gluteus medius all over again. It wasn’t all the way healed to begin with, but back in March when my PT discharged me, he told me I was allowed to run as long as the pain didn’t get worse during or after, and even though I had mild pain after working all day, I had no issue running since then until today. I really hope that some rest and stretching will help it on its own, otherwise I’ll have to return to the doctor and see what I’m supposed to do. I feel like I’m just not destined to become a runner sometimes, but I refuse to let this setback stop me. It may take longer, and I may be facing having to postpone my first 5k yet again, but I will do whatever it takes. In the meantime, at least I can still bike to keep in shape, although biking isn’t as good of a workout for me as running is, but it’s better than doing nothing for a few weeks while I let myself heal.

First Run of 2020

It takes a lot of gear for a cold weather workout!

It’s been four months trying to recover from my gluteus medius tendonitis, and I’m not sure if it’s 100% better yet. I’ve been stiff and a bit sore getting out of bed for the last week and a half, but my physical therapist told me I was allowed to try running again. I finally got to do it today! Full disclosure: it wasn’t just straight running. I’m working on intervals of running and walking for now, gradually increasing my running time each week. My PT told me I had to go slow and keep the distance short, so I only went a mile and a half, but it felt so good! Also, biking does not serve to keep me in shape for running, but some of the breathing difficulty could have been from my asthma just not liking cold air. It was only 27 here today. I plan to try running again Saturday when it will be 50, and I think it should be easier. I really hope my hip holds up; I want to be back running so badly! My plan is to keep it slow and listen to my body, along with being diligent about doing my home PT program.

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!

Battle Plan

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!

November Update

I’m having a day where I’m feeling pretty low. I had a follow-up appointment with my surgeon today to see how taking the meloxicam every day was helping me. This past month was the least amount of pain I’ve had in a very long time, which has been nice, but I was out of medication three days ago and I can already feel the difference in my pain level. My doctor offered to let me keep taking it if I was getting blood work done occasionally by my primary care doctor, but I declined for the time being. Apparently it can cause kidney damage with chronic usage, and that’s not something I really want to deal with. I’m young and healthy, so the chances of that would be low, but I don’t want to risk it. I would rather get to the root cause of the issue my foot is having than just masking it by taking medication all the time. He said to call if I changed my mind, so at least he’s leaving the option open.

In other news, I still don’t know what’s going on with my foot. I just can’t believe that all of this pain is from the tiny bit of arthritis in my subtalar joint. It just doesn’t feel like joint pain. I feel like something is being pinched, and there seems to be some soft tissue swelling in my right foot over an area where there’s an indent in my left foot. I’m not saying the arthritis isn’t causing some mild pain, but I still don’t think that’s the whole story. Now I don’t know what to do. My doctor just told me to come back as needed, but if he isn’t going to explore any other options, then I don’t see the point. I obviously don’t have the level of expertise that he does, but the fact that the joint injection I had a while back didn’t help more than a couple of days tells me that there’s something else happening, especially since even the doctor was surprised by it. I have the option of trying another injection if I feel like I need it, and I might try it again shortly before my 5k.

An unintended consequence of the meloxicam was how much it was masking my true level of hip pain from my gluteus medius tendinitis. I’m feeling more pain in the last couple of days than I was while I was still taking the medication. I’m diligently working on the stretches and exercises my physical therapist gave me and icing my hip a couple of times each day, but if this hasn’t started to improve by this time next week, I’m going to have to call and ask what to do. I’m still hoping I can avoid formal sessions because I want to get back to training, but if I do have to do them, it’s better to start as early as possible. It’s already been three weeks since I hurt myself, and I really miss running. I’ll do whatever I have to in order to get back to it.

Well, I suppose that’s all I have for now. Hopefully the next time I write, I’ll have some good news to share with all of you.

Tendinitis Again

I had my physical therapist look at my hip today and he said it was likely gluteus medius tendinitis/muscle strain. I got lucky and don’t have to do formal sessions again, but he gave me some stretches and exercises to work on for the next couple of weeks at home. If those don’t make the injury better, then I’m supposed to call and let him know, but I’m hoping they do the trick. I can’t run until the pain is almost gone or I risk it becoming an ongoing issue. The good news is that I can bike as long as it doesn’t hurt, so I’ll keep doing that in the meantime. Hopefully I’ll be back to pounding the pavement soon!