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.

Of Asthma and Running

February ended with a challenge. As you all know, I had started back running and went a few times with little trouble. Then the unexpected happened: I had an asthma exacerbation. Ok, so it’s not unexpected per se since I have a few each year, but this one was a lot more stubborn. I switched daily controller medication at the beginning of the month and started taking Flovent. I’m not sure if it was just the medication change that made my asthma flare up or if it was running in the cold air and not being used to it (even though I bike in the snow, running stresses my lungs more). Either way, I ended up having to make a same day doctor’s appointment to try to get my asthma back under control. I tried letting it calm down on its own and just treating it with my rescue inhaler, but I was having to use my inhaler every few hours. The day I called for an appointment, I woke up feeling really short of breath. I was glad I was able to get in to see my doctor that afternoon, because otherwise I would have had to go to an urgent care clinic. Things are better now. I finished my five day burst of prednisone yesterday and my doctor had me stop Flovent and go back to what I was taking before, which is Advair. I go back at the beginning of May to discuss my asthma, at which point I may move back down to Flovent, but I don’t want to switch medication before my race, which is a little less than two weeks after my follow up appointment. I lost an entire week of training last week, and I don’t need anything else getting in the way of my goals. I’ve had enough bad luck with injuries; I don’t need my asthma getting in my way either. I am going to meet my goal of running a 5k one way or another. It would just be nice if obstacles didn’t keep getting in my way.

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.

A Hard Start to the Year

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.

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!

Another Update

I had another appointment with my surgeon yesterday. My Achilles tendon is holding up pretty well, but the unknown issue on the outside of my ankle is still troublesome. The steroid injection only lasted a few days, which seemed to perplex my doctor. He said it should have lasted longer than that. Of course, my problem is apparently really unusual because he still doesn’t know in full what it is. Some of the pain is probably due to the arthritis I have in my subtalar joint (that’s right— I’m old at only 32 years of age), but there’s still something else not right around the area where all the ligaments are. He presented me with a list of options to try, which all focus more on the joint, and I’m just not convinced that’s all that’s wrong.

First up, I am trying a daily prescription anti-inflammatory until my follow up appointment in a month. I’m hoping that ends up helping. If that doesn’t work, I have four other options he presented me with. The next step would probably be another injection, this time with ultrasound guidance, which would take place two months from now. I also could get a brace custom made, but it would be restrictive and not allow me to run. I brought up that concern with him and he said we could wait a little while to try it since I’m training for my 5k. I wouldn’t mind wearing something like that for work, though, since I’m on my feet all day. The only other options he brought up besides the ones above were both surgical. He could either do a surgery to clean the joint up a little bit, or he could do a subtalar fusion. I really don’t want another surgery any time soon, especially a fusion because that would limit the activities I finally have hope of performing in the near future. The only way I would consider surgery again is if that’s the last option and the pain gets so severe every day that I can’t take it anymore.

For now, I’ll just keep doing conservative treatments. Even though some days the pain will get to a 5 or 6 out of 10, it’s not every day and usually not even all day. It’s definitely worse on days I’m working. I’m trying to find a less physical job so I can get some relief, but that’s been a challenge so far. In the meantime, I’ve still been running three days a week. I feel like I should be doing more, but I will not cause myself anymore injury by overdoing it. I have four months until my race, so that’s plenty of time to be conditioning my body once my endurance improves.

Putting My Best Foot Forward

Today was a much deserved day off work. I’ve been covering for my boss while he’s out of town and it’s been hectic. Yesterday physically kicked my butt and I woke up with some pain and swelling in my bad ankle. Nevertheless, I decided to test it on an interval run this morning and it held up. Lately, I’ve been training with a friend once a week, and it’s a lovely change of pace from going alone. I think the extra motivation and having someone to help push me when I get tired is really helpful. After today’s adventure, we went to our favorite cafe for a bubble tea. It was a great way to cool off and relax a little.

After she went home, I took a quick shower and went to get some dedicated running shoes. My physical therapist gave me a referral slip to a locally owned running shop where they assess your gait and foot type and help you pick out exactly what you need. I tried on about a dozen pairs before I found the shoes that felt best. My right foot (the one with the issues) needed to be corrected with extra support, and I felt the difference just walking in them in the store. I’m really hoping they feel just as good when I run in them for the first time. I’ve been having more pain today than I’ve had in a while, so even though I was planning to run tomorrow, I’ll have to see what the morning brings. It would probably be wiser to hold off until Sunday. Either way, I’ll get to try my new shoes soon, so I’m trying to be patient. It’s nice that I look forward to the next day I can train; I’ve never been a runner before, but I’ve been enjoying it for the month I’ve been doing it (even though it wears me out almost as much as work).

In case you’re curious, these are the shoes I bought. Let me introduce the Brooks Adrenaline GTS 19. I also love the paragraph on the inside of the box, so I’ll share that as well. I’m hoping I can give these shoes plenty of adventures!

Graduation From Physical Therapy!

As the title suggests, I am officially done with physical therapy! I can’t even begin to express my gratitude to the entire staff at my clinic. I’m so blessed that I found a clinic where everybody goes above and beyond and where they refuse to give up until there’s no options left. If my therapist hadn’t been willing to try everything, I don’t think I would’ve made this much progress. ASTYM really made a huge difference for me and the progress that I was able to make, and I’m glad my therapist is one of the few in the area certified in it. He told me to let him know when I can run 20 minutes without pain, and he’ll give me some exercises to get ready for tennis. According to the running plan I’ve been following, that could be in as little as six weeks if all goes well. Even if it takes a little bit longer, I don’t mind as long as I’m not going to hurt myself by overdoing it. I’ve put too much work into this recovery to have a setback that I made for myself. It’s nice to know that even though I am officially done with therapy, I can still ask for help if I need it. The cup in the picture above was a gift from my clinic, and I plan to proudly display it on my bookshelf as a reminder of all the hard work recovery has taken, and will continue to take.

I’m really excited to have the green light to train for my local hot cocoa 5k run in February. I even have a friend training for it, too, so it’ll be even more fun! Running still feels challenging, but in a good way. I look forward to each day I can get outside and grow a little bit stronger. So far my Achilles tendon has only bothered me once while running, and not even enough to stop. The main problem now is the other undiagnosed issue on the outside of my ankle on that same foot. The steroid shot didn’t work as well as I had hoped and I was sore again a week later. I’m guessing when I go for the follow up appointment, I’ll be sent for some tests. For now, that issue is letting me run as long as I do a good warm up, so I’m going to keep going for it. My doctor and my PT both said it was okay to run, so unless things get worse, I’m going to keep going. It feels so good to finally have my goals move a little closer to my reach. It took me longer to get to this point than many others who had the same surgery as me, but I made it, and that’s what matters 🙂

A Spark of Hope

It’s been a couple of weeks since I started ASTYM, and it really seems to be helping. My pain at work is unchanged, but at least it doesn’t hurt as much to bike as it did before. I think work is the single biggest thing holding back my recovery, to the point where I’m going to have to start looking for a less strenuous job. Every time I start to feel better on my days off, the pain always comes back the next time I work. I can’t handle that many hours on my feet without breaks anymore. I’m so tired of living in pain every day and limping around the house when I get home.

For the first time in a long time, I feel like things are looking up. I started working on some new exercises at physical therapy which should help me to run and jump again someday. It’s amazing how hard it is to jump! My left leg does all the work, but I’m hoping the right one will step in eventually and remember how to do it. I think it probably needs a little more strength first, but I’ve been diligently doing everything at home. I’m probably one of the few people who actually likes to do the home program based on what I’ve heard other people say. I like putting on some music really loud (usually country or jpop) and working on fixing my body. It’s a half hour of my time well spent every day. On my days off work, I’ll do the program a second time before bed. If it will get me walking normally again, then running, then playing tennis, how could I not enjoy doing my homework? I’ve dealt with this injury for over two years, and while I had hoped recovering from surgery would be a little faster than it’s been, at least I’m feeling like I’m making some progress again.

My other concern as of late is that I think I found out what’s been wrong with the outside of my right ankle: sinus tarsi syndrome. I have to discuss it with a doctor, but all the symptoms match: pain on the outside of the ankle, swelling, trouble walking on uneven surfaces, degenerative changes at the subtalar joint and fluid collection (evidenced on my MRI from last summer), pain turning my foot inward… I’m not dumb enough to diagnose myself on the internet, but reputable sources say it’s often misdiagnosed, so it’s worth asking about so I can get started treating it if I do have it.. It also can weaken the Achilles tendon, which might account for some of my trouble healing. Here’s a link to the site I found with extensive information about it: Physiopedia: Sinus Tarsi Syndrome. It’d be nice to know for sure what the problem is because it’s holding me back as much as my Achilles tendon is, if not more.

Well, that’s all I have for tonight. I don’t have physical therapy this coming week because my therapist is out of the office and the other one doesn’t do ASTYM, but I’ll be picking back up again on the 29 of this month. Until next time, stay well!