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!

Feeling Like Giving Up

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.

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!!

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.

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!

It’s May?!

Hey everyone! Let me just start by saying that I didn’t intend for two months to go by without posting an update. There’s been a lot going on lately and it’s hard to believe that it’s already May. I might break some of it up into separate posts just so this isn’t so long.

First, I finished physical therapy for my hip in early-mid March. It’s still not all the way better, but I reached a point where I wasn’t benefiting much from going. I was able to do a lot of the stuff at home. My PT told me that as long as it wasn’t getting worse, he wasn’t worried about it. In the two months since I’ve been there, it’s stayed about the same. I don’t know what to do about it. The main problem is that it gets very stiff, which makes it painful, but no matter how much I stretch it, I can’t seem to get much relief. It’s letting me run, though, so I’ve just been trying to deal with it the best I can. With the COVID-19 pandemic, everything has been upside down and doctor’s appointments are hard to come by right now for something that isn’t serious. Now that things are setting down a little, I might make an appointment with the orthopedic doctor who was treating it and see what I might be able to do about it. I had hoped the heel lift my PT gave me would have helped more than it is, but so far, not much luck. I’m just trying to focus on being diligent with my stretching several times a day and hope that eventually things loosen up.

Next, my tennis elbow is being extra stubborn. It hurts every day, I can’t straighten my arm all the way sometimes, it’s starting to affect my shoulder, and even simple things like brushing my hair are painful. Worst of all is how it feels if I spend a lot of time on my bike. That’s the final straw; I can’t let it get bad enough to get in the way of my biking. My doctor and I discussed options for helping it, and I was told that I could try an injection if I wanted to or I could try physical therapy. I know that doing steroid injections isn’t always the best answer right away, and it’s not as though the pain is severe, so physical therapy made the most sense, and that’s the way my doctor said he would go if it was him. It figures that I finally finish PT and have to go back. This is starting to become a trend. I don’t have anything set up yet because my appointment was a phone appointment yesterday and my doctor said his office staff would have to mail the forms to my house (not sure why they couldn’t be faxed to the clinic I always go to). I do know from when I was there last and discussing the possibility of having to come in for my elbow that I’ll be working with a different therapist. I think she’s an occupational therapist, so she does more upper extremity things. I follow up with my doctor in three months, and if at that point things are still unchanged, I have to see a specialist. I’m really hoping that physical therapy will help; it’s been four months and I’m ready to be done with it.

Now for some good news: at least my carpal tunnel is feeling a lot better. I’ve been wearing splints on both wrists at night and I feel so much better. I still have problems with numbness and tingling sometimes, but I would say things are 90% better than before. I didn’t realize how little I was sleeping because of the pain, but the splints have been a lifesaver.

Finally, things at work are better. They weren’t immediately; we did finally get a new manager, but one who was morally corrupt. I asked for a transfer after only two weeks of working with her (it was that bad) and everything has been so much smoother since then.

I know this post has been largely focused on my health issues this time, but there’s just too much to cover all at once. This post would have been way too long for anyone to want to read. I do have some other things that I want to share, but they’ll be waiting for another day. I don’t plan to wait so long to write next time.

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.

February Update

A few things have happened since last I wrote, and I thought I’d fill all of you in. First, I had my annual appointment with my primary care doctor (Dr. S is the absolute best) to re-evaluate my asthma, and we decided that I could try to step down on my daily medication. Now, instead of a combination inhaler with a steroid and long acting bronchodilator, I’m trying just a steroid inhaler. I’m actually a little nervous about how it will go because I didn’t do well when I tried that three years ago. I’ve had excellent asthma control for the last few years, though, so it makes sense to see how I do. If worse comes to worse, I just go back to taking the combination inhaler and we try again at some point in the future.

While I was at the doctor, I asked him to look at my elbow, and I was right: it’s tennis elbow. He said he knew almost immediately because my case was so textbook, which never happens with me (usually I have weird issues). He told me to try a brace on it, ice it, stretch, and use ibuprofen as needed, and if that doesn’t seem to help, we can try physical therapy. I also brought up the issue of my hands tingling, and he said it’s bilateral carpal tunnel syndrome. He gave me braces to wear at night to keep the nerve from getting compressed. I’m hoping it helps and the problem resolves. It’s really annoying trying to hold a fork or spoon, pen, or crochet with my hands tingling and going numb. Bloodwork was ordered just to make sure it wasn’t a systemic issue, and everything came back normal, so it’s just overuse like everything else. I follow up with Dr. S in three months to make sure everything is on track.

Getting quite the collection of braces going.

In other news, physical therapy for my hip is going well. I’ve had 3 ASTYM treatments so far, and I’m hoping that will resolve the last of my hip woes. My therapist told me he wanted to do it because other nearby areas were starting to get tightness in addition to the gluteus medius: the gluteus minimus, the tensor fasciae latae, and the IT band. I’m glad he discovered that before I start my running program up again. The last thing I need is another problem starting or coming back.

I’m counting down the days until I can start running again: 17 days left! I’m not allowed to run until the last week of February, but I’m going to ask at PT if I can at least do some really short interval runs (30 seconds at a time). If I can’t, that’s okay. I’ll do what I have to for proper healing. I was given the go ahead by my physical therapist to do a 5k in mid-May, so I’m doing the one the local zoo hosts. It raises money for conservation and I get free admission to walk around the zoo afterward, so it’s a really great event. The best part is that I have two friends who want to run it with me! I’m looking forward to it more than words can say. I really hope I can make this one! I plan to run at least 5 races this year, especially the holiday ones. One of the local orchards does a Halloween race, and then there’s the Thanksgiving turkey chase. Other than those two, I’m not sure which ones I want to do yet. There’s a women’s only one in the summer where each runner gets to go down a long flight of stairs individually at the start that sounds cool, and there’s a state border run that I might do, too. I have plenty of time to decide, though, so no rush!

Lastly, work is still ridiculous, but I made it clear I wasn’t able to work so much overtime anymore given all of my new injuries. I think we might actually be getting a manager soon. I was told they were doing interviews today, so I’m hoping someone can take over by next week. I really hope it’s someone who is easy to work with and can work around all of my upcoming appointments and race dates.

Injuries Galore

Hello, all. It’s been an interesting month to say the least. I thought when I graduated from physical therapy, I would be okay for a while, but a week and a half ago, I did something to my hip while I was running, or more accurately, it just decided to get angry at me for no reason 24 minutes into my run. It hasn’t gone away yet, so Monday I’m planning to call my physical therapist and see if he can look at it. Hip injuries are one of his areas of specialty, so I’m hoping he’ll be able to see me next week. Michigan is thankfully a state where I don’t have to get a referral from a doctor to see a PT, which saves me some time. I love my primary care doctor, but there’s usually a week or two wait for non-urgent conditions. The sooner I can get this injury looked at and treatment started, the better. I haven’t been running since it happened since just walking aggravates it, but at least I can keep up my conditioning by biking since that doesn’t hurt it. I was so close to my goal for easing my way back into tennis, and this is going to set that goal back probably at least a month, if not more. At this rate, I won’t be able to play until spring since I just play at the local parks and the snow will be here before too much longer.

In addition to my hip, I’ve got a few other areas that are starting to rebel against me, so being able to get some help from my PT should hopefully fix those before they become real injuries. The Achilles tendon I had surgery on is bothering me in a different place than it has been, along with my right hamstring just above my knee, my right hip flexor, the outside of my right leg (I suspect it’s the IT band), and both legs just above my knee on the front inside side. Everything but my hip is only bothering me occasionally, but prevention is key. I can’t say I didn’t expect problems after not having been able to run for more than two years, but I didn’t expect everything to fall apart all at once. I made it seven weeks on my running program (this would have been week 9), so at least I was able to start. Hopefully I can get back to it soon. I need to be race ready by February!

Other than all the “fun” injuries, the NSAID trial is going really well. I have a lot less pain in my foot now compared to when I started it. I’ve even had three days without any pain there whatsoever. It’s been such a luxury getting out of bed in the morning and not having pain right away as soon as I stand up, or working all day and having very minimal pain most days. My only concern is with long-term side effects, which I’ll be discussing with my doctor when I go back in a week and a half. I also worry that the medication is masking some of pain from the areas that are bothering me, and I’m hoping I’m not unknowingly doing damage to them.

Lastly, this month I’ve been dealing with jury duty. My local court has people on call for an entire month, so I have to keep calling in to see when I have to show up. Thankfully, I’ve only had to go once so far. Just when the judge was starting to interview prospective jurors, the man on trial decided he wanted to take a plea deal instead of having a trial. I guess he decided it was in his best interest since he showed up late and slightly drunk (a cop had to come do a breathalyzer test on him), and the judge told us all before we left he went to a four year prison sentence with the plea deal instead of risking up to life in prison. I don’t remember all the details, but if he had shown up on time and sober, his sentence would have been a lot less, but the judge said that he had the ability to add time for those reasons in addition to his crimes. Thankfully next week is the last week, and I’m hoping there’s no trial scheduled so I have more time to get some help for my hip. I’m working six days straight next week, so I need all the time I can to properly rehab this problem.