Showing posts with label Injury. Show all posts
Showing posts with label Injury. Show all posts

Tuesday, October 4, 2011

HUGE Medical Breakthrough!!!

Usually if I just give it the "Evil Eye" 
long enough, it just feels better
I self-diagnose injuries on the Internet.  Don't judge me ... y'all do it too!  Mainly because in the year 2011, information of all types is more easily accessible than ever.  Of course weeding through all the misinformation can be a little challenging too.  But also, I'm a guy ... and I'm NOT going to the doctor unless I literally have to carry the body part into the hospital with me.  Occasionally I'll have a little ache or pain from running that I can't figure out myself.  In fact, last week I told Michael that I was "considering" going to a sports doctor type person to figure out the consistent pain I experience during the fall & winter months behind my left knee.

The pain is NOT knee pain, it's connective tissue pain ... really more between the top of the calf and the "inside/bottom" of the knee.  It's the tendon that connects one of the hamstring muscles to the inside of the leg ... I think anyway.  And I don't really seem to notice it other than when the temps start dropping below 50 degrees outside.  It's not horrible ... just nagging.  But it bothers me every year.  This year it started about 3 weeks ago.

But late last week I think I may have found the solution.  So, of course ... I WILL NOT BE GOING TO THE DOCTOR anytime soon!!! I'm a HUGE BELIEVER that most aches and pains from running can be fixed with a process ...

Jack recommended a puppy massage!
1. Isolate the pain & determine what muscles support the affected area
2. Strengthen the supportive muscles around that area
3. Stretch, stretch, and re-stretch the areas
(DISCLAIMER ... I am know I am an idiot, and obviously not a doctor!  I am completely aware of this fact.  OF COURSE if you are suffering any type of serious pain, you SHOULD go to a doctor and get it checked it out.  I don't go because I AM AN IDIOT!!!) 

YES ... I understand that I'm not a doctor and really don't know squat about it ... save it ... I get it!  But I can tell you that I have ran almost 10,000 miles over the past 5-6 years, and THIS process has kept me relatively injury free and feeling pretty healthy.  Of course I'm not talking about serious pain or an obvious injury ... I'm just referring to those little aches that are indicators we are doing something wrong during training, or a certain muscle group is a little  underdeveloped.

For this specific pain I've been dealing with, spending a little more time rolling and focusing on the Biceps Femoris Muscle seemed to remedy the problem.  When I used the roller pad on this area alone, the pain behind the knee seemed to be instantly relieved.  It seems that when the supportive muscles to a specific tendon are relieved of their tension, many times the tendon pain goes away.  It was a great find!  I think I'll probably be nominated for a Medical Grammy - or whatever award they get - for discovering this!!!

All I'm sayin' is this stupid pain has bothered me quite a bit over the years, and I'm really excited that I finally found some natural relief for it.  And hopefully this will be one of the things that make running more enjoyable in the winter months!  Have a good one ... Dr. J-Dub out!
... be great today!

Thursday, September 1, 2011

"Slowly" Awesome!!!

Most of you read my wife Michael's blog, Slowly Tri-ing!  And while she's not in my league as far as humor, wit, and satire ... she clearly out-shines me in almost every other facet of our lives.  Most of you also know her as a painfully honest writer who spells out exactly what she's feeling regarding working out and her Triathlon life.  But what you might not know is just how much she inspires me every day!

Michael will be the first to tell you that she was not blessed with speed.  I mean, she dedicated the title of her blog to this notion.  (She really sells herself too short in this area.)  But what she lacks in seconds on the clock, she makes up for in determination, heart, and a "don't give up" attitude ... and it motivates me to do the same!  

For some reason I have been blessed with good genetics and never really suffer from any long term injuries.  Sure I ache sometimes, and it can be a chore to push  myself - but it's usually nothing more than typical muscle soreness.  Something I probably take for granted way too often.  Michael is exactly the opposite.  For whatever reason, her body just doesn't respond well to all the training.  I know many times she is really hurting during a workout.  And I know sometimes she wants to quit ... but she never does!  She keeps churning and pluggin' away and always accomplishes her goal.

But yesterday she got word from the doctor's office that she had to come in for an MRI to take a closer look at her shoulder, which she injured about a week ago.  It seems as though there might be a bigger problem than originally anticipated.  They think the bone is rubbing against bone, with a potential tear in the tendon.  She was devastated.  She has her first Olympic distance Triathlon in a few short days in Des Moines, IA and this really puts things in doubt.  There's really a lot up in the air right now about whether or not she'll be able to compete.

Baby, whatever you decide or have to do about the Triathlon, just know that I couldn't be anymore proud of you!  All of the hard work you've put in is an inspiration to me and not one second of it has gone unnoticed.  I can't believe the way you push yourself with all of the double workouts, and it makes me want to be better just from watching you.  I know this is a tough time ... but I love you with all my heart and you have my 100% support whatever you decide!  You inspire me to be a better athlete, father, and man.  I love you!
... be great today!

Wednesday, April 13, 2011

"You Would Have To Cut My Leg Off"

First off today let me wish my loving & beautiful wife, Michael a Happy Birthday! Woohoo ... You go girl! Love you sweetie! P.S. It's BirthDAY ... Not BirthWEEK!

I'm a pretty stubborn dude!  Not stubborn like my daughter ... but I can dig my heels in with the best of 'em.  And sometimes this unwillingness to stop and listen, combined with a fair amount of mental and physical toughness causes prolonged healing and unnecessary pain.

Take my body for example ... that's probably where this bull-headedness is most evident.  On several occasions, Michael has encouraged me to go to the doctor to get something checked out.  Most recently a leg issue.  But I always insist, "Nah, I'll just run through it."   When she pushes me a little, my stupidity driven stubbornness answers, "You would have to cut my leg off to get me to stop running!"  The conversation usually ends there by Michael concluding, "Okay idiot, limp around for the rest of your life!"  Then she says something mean like, "You're a broken down, slow, old-man anyway!"  Now that's just uncalled for ... love you honey!

It's probably just the way I was raised.  I'm small-town, old-school baby!  And "The CODE" says TOUGHEN UP!  I've been an athlete all my life ... football, basketball, baseball, and now marathoner.  I've had it drilled into me since I was five, "Walk it off!", "Tough it out!", "Don't be a wussy!"  Heck, once when I was 25, I tore some ligaments in my ankle and drug my foot behind me untreated for about 3 months because we didn't have insurance.  Did it hurt ... a little!  But I'm tough baby!
"My first baby came out sideways ... I didn't cry or nothin'!"  

So today, at 42 years old, when my leg is killing me, what do I do ... run on it until the pain is gone!  Now before you judge me and start a "comment section lynch-mob" about going to the doctor, hear me out.  This has obviously been a successful approach!  Is it the smartest?  Probably not!  But I'll never be confused with the most brilliant of minds.  And I'll bet if you were really honest, most of you who are serious about your sport do EXACTLY THE SAME THING!  It seems like most of the time ... heck 100% of the time to this point ... I WAS RIGHT!  It all eventually goes away.  Sometimes I have to slow down a little.  Sometimes I have to limp.  But for some stupid reason I look at seeking a professional opinion as "surrendering". 

So I guess the "question of the day" is this ...
Do you do the same thing?  Or are you smarter about your body and know when to have it checked out by a trained professional?

I know which one I am.  And like my grandpa used to say "If ain't broke, don't fix it!"
(Disclaimer ... Jim's actions should in NO WAY be taken as the right way to do things.  If pain persists, please seek professional medical attention ... seriously!)
... be great today!

Thursday, March 24, 2011

Injury v. Performance

A little over 24 days until the Boston Marathon, and I gotta admit ... I'm worn out!  My legs are pretty beat up and ready for a much over-due break.  So far in 2011 I've racked up more than 700 miles, finished 7 long runs of 20 miles or more including 28 & 25 mile jobs, ran the Austin Marathon, and continued weight training ... and it's not even April yet! 

Of course I'm looking forward to our journey to Massachusetts, but after the race I'm also planning on taking a week or two off from running to fully recover ... and I'm almost as excited about the rest.  I just wanna get completely healthy for a while - and I'll need it.  I intend on setting a PR in June at the Fargo Marathon, and then I'll start getting ready for a back-to-back test in October with the Kansas City Marathon on Saturday, and the Des Moines Marathon the next day.

Now this issue of health is something we all deal with daily.  And I guess the question always becomes "How far can you push yourself without injury?"  I know there are a few doctors who stop by this blog occasionally and I can probably guess what their take would be on over-training and rest ... safe and sane opinions to be sure.  I'm not saying I'm "PRO" damaging your body ... but it seems like there is very fine line between over-training to the point of injury, and squeezing out every last ounce of performance. 

Even with all the all miles I've put on this year, overall I feel tired, but pretty healthy! Like everyone, I deal with a few nagging pains here and there. Nothing serious, mostly a sore left ankle that I fear could turn into a stress fracture, and two light bouts of tendonitis in different areas around my knee.  But as an athlete, I don't want to leave anything on the training table.  I don't want to stand at the starting line at a big races this summer wishing I had done more.  But that's just it ... I wanna be standing at the starting line, not laid up in bed somewhere nursing a broken bone or something.

As I'm often reminded on this blog, (both by myself and others) it's not just about running fast, but I do have a couple of speed related goals for later this year.  And the older I get these formulas seem to hold true...
train more = more soreness = potential injury = faster races
train less = feel better = healthier body = slower times

I just wish there was a simple formula where "x" number of miles and rest equal a certain finishing time.  But it really seems to be an ongoing process of figuring out how much pain your body can handle, without completely tipping the scale and breaking your body.  I dunno???  Back to lab I guess!
... be great today!

Friday, February 25, 2011

Morton's Neuroma

courtesy Gravitydefyer
I am very fortunate right now to be in the midst of long stretch of good running health. And almost everyday when I lace up my running shoes, I thank God that I don't struggle with Morton's Neurmoa anymore.  Never heard of it?  Most people haven't.  But my guess is that many have struggled with it, but don't know what it is.  In 2007, it plagued me for almost a year, and almost ended my running career before it even seriously got started.  Here is a look at what it is, how it feels, and what I did to fix it.

Morton's Neuroma
"Morton's neuroma is a painful condition that affects the ball of your foot, most commonly the area between your third and fourth toes. Morton's neuroma may feel as if you are standing on a pebble in your shoe or on a fold in your sock.  Morton's neuroma involves a thickening of the tissue around one of the nerves leading to your toes. In some cases, Morton's neuroma causes a sharp, burning pain in the ball of your foot. Your toes also may sting, burn or feel numb.  Morton's neuroma may occur in response to irritation, injury or pressure. Common treatments for Morton's neuroma include changing footwear or using arch supports. Sometimes corticosteroid injections or surgery may be necessary." (from http://www.mayoclinic.com/)

Many doctors describe Morton's Neuroma as simply an inflamed or enlarged nerve.  The pain experience is caused by irritating the nerve and surrounding area.  In most cases it can be relieved by prolonged rest or various arch supports and orthopedics.  But in some cases, surgery may be required to repair the damaged nerve.

Looking back now, I know that the Morton's Neuroma I experienced was most likely caused by wearing shoes that were too small for running.  Many women experience this problem due to high heeled shoes that confine their toes.  I am naturally an 11-1/2 depending on the manufacturer.  But in a ill conceived effort to buy "lighter" shoes that fit my foot snugly, I often ran in 10-1/2 & 11's.  Don't ask me why ... not the best of ideas, I know.  As the toes were confined in the tight shoes, the inflamed nerve became cramped and irritated by the surrounding bones, causing severe pain.

How it felt
I first noticed the symptoms after long runs. In those days, a long run consisted of about 3 miles.  I only experienced it on my left foot, but the pain was literally crippling. Remember, this is an inflamed nerve that is being irritated.  When I bent my ring finger toe and my middle toe, or applied pressure to the outside ball of my foot, there would be a "stabbing" acute pain, like an ice-pick poking in that area.  And I literally could never walk around barefoot without experiencing this feeling. 

The pain would come and go, but at it's most intense, I would lose feeling in those two toes, and it would be constant, not just after runs.  I began to modify my stride, walking and running on the outside of my left foot, and striking almost exclusively with the heel.

Remedies
For immediate relief, I iced my foot after runs, and unfortunately took lots of ibuprofen.  But in the summer of 2008, I did a couple of things that changed my running completely that I still use to this day.

First, instead of buying shoes a little too small for my foot, I went a size bigger.  I started buying 12-1/2 & 13's depending on the manufacturer.  The larger toe box area allows my toes to spread out during running, without becoming cramped and confined.  The foot will naturally swell when running long distances, partially because of the continuous pounding, but also because gravity causes blood pool at it's lowest point ... the foot.  The larger shoes also help accommodate some of this swelling.

Secondly, I read several articles indicating that elevating the arch a little would reduce stress on the nerves between the toes.  I tried several inserts, but none did the trick.  Finally I found New Balance Pressure Relief C.  (I think they have changed the name to Pressure Relief PR).  These soft foamy insoles have an elevated pad in the middle that lifts your center arch, relieving tension on the toes.  They aren't cheap - about $40-$45, which increases the cost of a new pair of shoes.  But often I can reuse them when I get a new pair.  To this day, I don't know what I would have done without them.

I would eventually like to ween myself off any insole, for health and expense reasons, but for now they have helped me run thousands of miles and 9 marathons to date.  They literally changed my running.

I hope you've never had to endure Morton's Neuroma, it's the single most painful running injury I've experienced.  But if you have, hopefully you found this helpful!
... be great today!

Sunday, February 6, 2011

Winter Running Shoes ... No Such Thing!

Single digit temps again!  And my bony feet rattling around in my rock-hard running shoes sound like a bag of hammers being dropped on the concrete as I "clink and clank" down the frozen blacktop.  Ya know how in the summer, sometimes you just glide along for miles ... like a well oiled machine ... like you can run forever?  Well in the winter, my running feels like one of the old westerns where I'm hog-tied to a horse, being drug through the desert ... the frozen desert!

I've been doing a little research lately on the ambient temperature effect on running shoes.  And I've found pretty much what we all know to be true ... shoes are drastically effected by temperature, just like we are.

It makes sense I guess ... I mean have you ever checked out your rubber garden hose after it's been left outside during an overnight freeze?  It's stiff as road-kill!  Or on the flip-side, ever tracked any of that black-tar stuff from the street in on your shoes on a 100 degree day?  Road tar is made up partly of rubberized-asphalt, and it melts when it gets hot.  It only stands to reason that the rubber on the soles of our running shoes will have a similar reaction to the dipping and sky-rocketing mercury.

I work for a chemical manufacturer that makes spray-on liquid rubberized-asphalt products for construction.  Most of them really begin to drip and run when applied at temps over 80 degrees.  Conversely, they are almost impossible to spray when it gets below 40 degrees.  Rubber is a great, versatile product, but it is very vulnerable to changing temperature.

Summer
I really started noticing the temperature effect on shoes in the summer months.  Typically I get about 300-400 miles out of my Brooks Trance 9 running shoes.  Now, understand that I'm 180-185 lbs, a notorious heel-striker, run almost every day, and average about 10-15 miles per run - with a long run on the weekend.  My shoes get more than a typical 3-5 mile, every other day workout.

But during this summer punishment, I noticed the soles would wear-thin in non-typical places.  As the pavement heated up, the rubber in my soles got softer and softer.  The cushioning was great, to an extent.  But I felt like sometimes it was almost too cushioned.  Like some of the support in this Stability shoe was breaking down.  Like I could feel every tiny rock or crack in the pavement through the soles. As a result, I really saw severe wear & tear at about 150 miles, but I usually made them work until the 250 mile-marker.  (hey, I'm not made of money!)

Winter
Fast forward to winter.  I seem to get much more mileage out of my shoes when all the leaves are off of the trees.  The rubber soles seem to stay much harder in the cooler temps, thereby not breaking down as quickly.  In 55 out of 67 days since December 1 in Kansas City, the temperature has been below freeing when I've started my run.  (partly because I usually start running between 4 & 5 am) The biggest problem when the temperatures are below freezing, is the lack of response from the rubber soles.  I swear, sometimes I feel like I'm running in hard-soled cowboy boots.  Like my old bones and joints are getting an extra dose of jarring with every step.  My body is stiffer and not as flexible because of the cold, and so are my shoes.

As a result of logging so many miles in these frozen rubber soles, I seem to have more connective-tissue soreness during the winter months.  The knees sometimes feel a little achy.  My ankles and arches are always sore.  And I've battled Achilles tightness at times.  I NEVER struggle with these problems in the summer months.

This winter, I mixed in a pair of Brooks Ghost 3's, which have a little more cushioning that the Trance 9's.  And in the past I have tried the Asics Gel-Cumulus 10, a pure cushion-type shoe, during the deep freeze.  These shoes were a little softer than my Trance 9's, but not much.  I've also used trail shoes, mostly for the additional traction on slippery roads, but they are stiff as well. I can never seem to get the added cushioning I'm looking for when I can see my breath.

There are shoes that are marketed specifically for cold temps.  The UK Gear PT-03 Cold Environment Waterproof Running Shoe is advertised to have an optimal performance temperature range of -4 to +50 degrees F.  They also have a "Desert Environment" version of this shoe that performs best at temps of +77 to +122 degrees F. (ummm, I'm not stepping out of the a/c at 122 degrees)  They were developed by the British Military and now marketed to runners.  But I have read user reports claiming the winter temperature range doesn't seem to be as advertised, and that these shoes are just as "clunky" in the winter as every other shoe ... but I've never tried them.

All this is just a long way to say that I just don't think running shoes are made for extreme temps.  They seem to function best at temps of around 50 to 75 degrees.  But then again, so do I!

What do you think?
Is there such a thing as a "Winter Running Shoe"?
Do you change shoes in the winter?
Do you suffer more joint pain in the winter?
...be great today!