Tag: recovery

April 2024 Update

On By LeraIn UncategorizedLeave a comment

Just going to keep this short and sweet since not a lot has happened since last time.

I had another follow up for my knee injury. It’s been trying to get better, so I opted not to talk with a surgeon at that appointment. It’s still limiting me enough that I’m still considering surgery, but I figured if it seems like it’s trying to improve, it would be best to hold off for now. The lateral knee pain has gotten better in that it’s not every day anymore, but it does still bother me if I stand with too much weight through my left leg, or it I have my knee bent a while and then straighten it. I haven’t noticed major issues with the lateral pain after I workout. The posterior pain is an ongoing issue, as is the joint as a whole feeling swollen after I run, and sometimes if I bike more than an hour. I’m usually good to run for a mile to a mile and a half without having pain later, but more than that and it isn’t pretty. I’ve pushed my running to three miles a few times, and while I usually feel okay during the run itself, I have pain soon after stopping and I hurt for the whole rest of the day, sometimes into the next day.

My doctor still thinks a lot of my issue is my IT band, but I’m just not so sure. When I get the lateral pain, it’s different than when I’ve had IT band pain. The pain I get now is lower. Back near the beginning of everything, I did have that very classic IT pain, but now I just don’t know. He explained that the IT band can cause pain where it attaches lower down the leg from that “textbook” area, but I’m hesitant to cut it until I feel sure. Still no clear idea of the cause of the posterior pain. May be my torn meniscus, may not be, especially since the area of pain doesn’t overlap the tear most of the time. If I have surgery, they’d look at everything first and then the plan would be to release some tension on my IT band and fix/cut out the tear in my meniscus, along with fixing whatever else they find while looking inside. It just scares me to mess with my IT band because what if it isn’t the problem after all and then it’s too lax? I don’t want to set myself up for future injuries.

I follow up with the doctor again at the end of May, and honestly if there isn’t ongoing improvement, I’ll likely just go the surgery route. The surgeon he wants me to see is very busy, so I assume surgery would be pushed out a couple months anyway. If in the lead up to it I feel things have improved, I could just cancel. It sucks to be at this point where I don’t have conservative options left and I’m just playing a waiting game. I’m having a hard time knowing what the right decision is here for myself.

One Final Push

On By LeraIn Cycling, Life, running, SurgeryLeave a comment

Had another follow up with the ortho clinic two days ago. I’ve had very minor improvement in my knee since the last injection, but I’m still getting pain with even walking still sometimes. I can walk farther most of the time before it starts bothering me, but I still have days where it just doesn’t like me to walk on it at all. After every activity that involves weight bearing, I have pain. I get pain after walking, after running, and even after standing twenty minutes to cook or greet people at the doors at church. Biking is almost normal, but I’ll still get pain after that if I ride longer than about 45 minutes, but shorter rides are okay 85% of the time.

All that said, I feel like I’m back to where I was before I injured myself further at the 5K race in November, but even before that I was still struggling with these same issues for 3 months. Now we’re at 7 months, and it’s not looking great that they will resolve without help. The doctor told me there’s still a chance that they can improve, but told me to look at it from the perspective of how much it’s limiting me from the activities I want to do. The truth is that it’s holding me back.

At my appointment, I had fully planned to discuss my surgical options, but I was so undecided about it. The doctor was really understanding about it and told me to take the next month and see if things improve, and during this next month, he told me (directly quoting him) to “beat the shit out of it as a field test”. He told me to increase my activities and see how it responds. Just based on how the weekend went, I think it was stupid of me to push surgery off another month, but I want to be sure I need it. I really don’t see things improving in the next month, but I’ll make suer I run consistently and keep doing my rehab exercises and see what happens.

Steroid Shot Round Two

On By LeraIn Cycling, Life, running, SurgeryLeave a comment

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

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

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

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

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

Knee Consult

On By LeraIn Life, runningLeave a comment

Today I finally had my specialist consult for my knee, which I was ridiculously excited for. I’ve been waiting for at least some answers, and while I didn’t get as much information as I hoped, just having some sort of plan in place right now is helping keep me grounded.

As I mentioned in my last post, I was scheduled to consult with a sports medicine doctor at an orthopedics office. The appointment began with taking x-rays, which I didn’t fully understand because I had an MRI done already, but I guess they show different enough information. After that, I went to a room to await the official start of the appointment.

Their office works with a physician assistant coming in first and getting a history, asking questions, and doing a physical exam. I was fine with that since I was going to be seeing the doctor after that. However, this PA was so fixated on my X-rays showing the beginnings of arthritis developing that that was all he was focused on while he was talking to me. He made it sound like that was what he thought the cause of everything was, even though I specifically was able to point to it developing after a run, and specifically worsening when my knee snapped at my Thanksgiving 5k. There was no way I was about to walk out of that office with anyone trying to tell me arthritis was the cause of my problems. It’s nothing new to me when someone in healthcare sees my body still being overweight, sees something like that in an X-ray, and just can’t see past it. He also kept trying to tell me it would be better for me if I didn’t run and switched to biking or swimming.

Thankfully, the doctor listened to me a lot better and I felt like he actually heard my concerns. He also asked some questions and did an exam. He then pulled my MRI and X-rays up and showed me exactly what the findings in them looked like on the images and talked about why he wasn’t 100% sure that my meniscus tear was the cause of my pain and deficits. The place where my meniscus is torn is the medial side, yet I’ve had a lot more posterior and lateral pain. He did say the posterior pain could be from the meniscus, but also said it may not be and that rushing to do surgery on it may not fix it. I told him that I was willing to try conservative treatments first, and whatever it takes as long as I can run again.

We settled on trying a couple of injections spaced apart by a month. He let me decide if I wanted one that would help the pain in the back of my knee first or the lateral pain first. I chose to treat the pain the back first because he said getting rid of the inflammation in the joint, whether from the tear or something else, would help clear up the Baker’s cyst since it’s a result of too much fluid production from inflammation. I was hoping he would drain it, but he said this would work better.

So, I had the steroid injection done on my knee joint itself, and it was surprisingly mostly painless. It was a little achy when he was actually entering the joint, but very mild— much more mild than the pain I’ve been living with daily. The doctor said it would take up to two days to see full benefit. He also said that if this didn’t address the pain, he would try an injection laterally to see if it’s my IT band causing pain in a different spot than before. I at least appreciate his honesty that he’s not sure exactly what it is, but he’s willing to try a few things. He did say that if the injections don’t work, then it would probably be wise to consult a surgeon.

I go back for a follow up in a month. In the meantime, he gave me about a dozen different exercises to work on at home. I am allowed to try some walking and biking as tolerated after taking it easy the next couple of days to let the injection take full effect. Right now I can’t do either without pain, so we’ll see what happens in the next several weeks. My only fear for the long-term is that these injections do help, but it just puts a band-aid on a bigger problem. The steroids will help the inflammation and therefore the pain, but what if just masking the symptoms causes me a false sense of well-being and I end up injuring myself more? I don’t like thinking about something like that, but I also know that I’m extremely unlucky when it comes to injuries. At this point, it would be naive of me NOT to think of it.

As always, I’ll share with you guys when I know more!

November 2023 Life

On By LeraIn Life, running, weight lossLeave a comment

Hey guys! It’s been about a month since I’ve updated you, so here it is! I’ve been steadily working on losing weight. It’s slowed down to one pound a week. It’s frustratingly slow, but I realize that means I have a higher chance of success in keeping it off. I could always eat less to increase my deficit, but with working out, I need to make sure I’m getting enough nutrition, especially while trying to heal an injury. I am finally starting to fit into regular sized clothes, so I’m looking forward to having more options available for that. It was definitely the ego boost that I needed right now. Still, though, in the last 9 months, I’ve lost 48 pounds, which I’m thrilled with.

As far as my leg goes, I still don’t know what’s wrong with it. I feel like physical therapy was a waste of time for the most part. I think I would have been better off waiting for the clinic that was booking a month out because I think I would have had better treatment. I only did 5 sessions, which were once a week, all under 30 minutes, and all I did was the same exercises I was working on at home. The IT band area does feel better, so in that regard it wasn’t a waste, but I still have a lot of pain after a run a little lower down and around the back, pain so bad with kneeling that I can’t do that anymore, and there’s a lump there, so that’s going to need to be addressed when I follow up with my doctor in a few weeks.


All that said, my PT did tell me I could run short distances and try to build up from there. I had too much pain trying to run one mile straight through, but I split that up into walk/run intervals of 0.1 mile walk, 0.2 mile run until I hit 2 miles, and while I was sore the day after, it was less than running all the way through a mile. I ended up signing up for a Thanksgiving Day 5k, which I have wanted to do every year since I started running and have always ended up injured, but I simply don’t care this year and am going to go and do it anyway, even if I have to walk.

PT, a 5K, and Life

On By LeraIn Life, runningLeave a comment

It’s hard to believe the year is almost over already! In the month since I’ve updated you guys, I’ve finished physical therapy for the time being, unless my doctor decides I need to do some more. I don’t go back for my follow-up until January 5th, so for the next couple weeks, I will be working on my stretches and strengthening at home and seeing how it goes. If things get worse before my appointment, my PT said I could call and we could figure out what needs to be done. I’m not 100% convinced that I will be okay on my own yet because it’s hard to measure that when I haven’t been doing my usual running and biking. I’m still having some trouble with my knee. It had started to feel better, and then I had a work week that destroyed all of my progress and set me back. I still can’t function well at work unless I’m maxed out on ibuprofen. A physical job and an injury do not go well together. That’s why I have such slow healing times whenever I get injured.

Despite all that, I did do another 5K that was holiday themed two weeks ago. I was already signed up, so my PT knew I was going to try it anyway. I had originally planned to try running half of it, since my doctor told me I could run one to one and a half miles twice a week, but I didn’t even make it much more than a half mile. I felt so much like I failed when I had to walk almost that whole distance. Obviously I was being too hard on myself in that moment, but it was hard to not think that way. There’s nothing wrong with walking if you need to. I shouldn’t have beaten myself up about it while dealing with a known injury and not having been able to train properly. What helped pull me out of that thinking during the race was a group of 4 little kids just past the two mile mark standing in their yard and throwing leaves like confetti at all of us and cheering for us. They didn’t care how anyone was doing. They cheered for everyone going by them anyway.

After that race, I took two weeks off. My PT said I could ease back in to running by starting with a half mile run. That’s less than my doctor had said, but I. Think it’s for the best to take it slower after that abysmal performance I had at that race. When my PT asked me when my next race was, I told him New Year’s Eve at midnight. I don’t think he was expecting that because he just started laughing and called me “one of those crazy runners”. I told him I would be sure to take it easy and just run as much as my body felt comfortable with. I think I’ll be walking a little in the beginning to get my body warmed up some and then try to run about a mile and a half. I’m hoping in two weeks I can be close-ish to that. I did 10 minutes today, which was 0.2 miles more than the half mile I was supposed to do, but I was feeling okay and thought it would be good for me mentally to at least be able to do 10 minutes. It felt so hard after not being able to train much. It’s been at least a month since I ran over 30 minutes. Every other run has been 20 or less, and getting back to it after no running for weeks at a time was a challenge. I was very slow, but in a way that’s good because it will ease my knee back in, hopefully.

I probably won’t update this again until January after my next 5K and my appointment since life is pretty boring otherwise. I do have a week off starting December 21st, so I just have two more work days to make it through and then I can let my body and mind rest a little. It’s been so stressful the last couple of weeks. I’ve been stuck staying late every week on my morning days, which would be fine if it was once in a while, but not 3 weeks straight. And then yesterday, someone I work with massively took their anger out on me for a situation I couldn’t control and I had a breakdown. I was shaking and trying not cry while I was still at work, which was unsuccessful. At the point where it started, I only had one more hour to go, so I was able to hold most of it back until I got home. One day I just won’t go back. I can’t take many more days like that. I try not to take it personally, but I got yelled at and accused of “trying to get out of work” because a company we contract with had a weird situation occur and couldn’t deliver our product that day. It was out of their hands, and it was out of mine. There wasn’t anything either of us could have done about it. All we can do is wait for an alternate delivery date. To be yelled at about it was unfair.

Anyway, I hope everyone has a great rest of the year, and a great start to 2022!

“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.

First Run of 2020

On By LeraIn Life, runningLeave a comment
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.

Tendinitis Again

On By LeraIn Cycling, Life, runningLeave a comment

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

On By LeraIn Life, runningLeave a comment

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.