Showing posts with label peroneal tendon. Show all posts
Showing posts with label peroneal tendon. Show all posts

Wednesday, March 16, 2011

The Road to Boston is Paved with Good Advice (Part 2, Peroneal Tendon Injury)

First- Thanks to all of you who faithfully read and comment. I have been in a posting frenzy for the last 26 days and look forward to just reading other people's blogs and posting once or twice a week very soon!!

This is the second segment in a blog series about my Boston training, what went wrong and how I can use the experience to improve myself as a runner.
The following are some letters written (via email) between me and another runner about 10 years my senior:

I_____,

Thank you so much for your help and the awesome emailed comments/posts. It's very helpful.

I have only got one point under / behind my ankle that is pretty sore/tender. And sometimes it feels like it is a very low part of the achilles tendon or even on the bottom of the outside of that foot.  


So...you ran reduced mileage for 5 weeks before Boston. And did this PT after with just walking/biking (sorry..just trying to sift through the details)...and started some running in week 3? then ran /walked for 4 more weeks?


I got injured 8 weeks out from Boston ( I think i got in 2 20 milers and no 22 milers) and have no idea if I would be healed if I didn't run until the week of B (and then just see what happens)...or If I should be running through this...or what.

I haven't ran a full since Eugene last may- and that was my first. I am afraid of letting this goal slip away, but also afraid of being out most of the summer. How did you decide if you should proceed or not? I don't normally give up easily, but I am having trouble deciding if I should run through the pain and go for it at B, or just let this one go and start healing for the summer/fall.

I really appreciate whatever you can offer in regards to decision making and how to deal with this setback.


-R
***
from I____ :

Yeah, the PT was after Boston. I think I made it worse by running, but I really
wanted to run Boston. That's basically the choice you have to make.
I made a post in *the forum* with the title something like "Help me salvage Boston". Pretty much exactly a year ago. That's where I got the advice that if I could run a 16 miler 12 days out I ought to be okay.

My view was that I had already paid for hotel and airfare, and I was looking forward to meeting other *forum* runners and hanging out with the ones I'd already met, so I was going to go no matter what.


I decided that if I could not run the 16 comfortably I would either jog/walk it as a scenic tour, or just watch from the sidelines. My notes say: "Hurt a lot for first 4 miles, but eased up after and pretty painless after mile 8 or so." I don't think I actually decided to RACE until pretty much the week before. I did really want to run, though, because it's expensive and a hassle to get out there for me, and I didn't anticipate doing it again for years if ever.

I do think I made an error in that I was having so much fun and was so excited and it didn't hurt at all at the start (actually, it didn't hurt at all during the race) that I decided to just go for my original goal of 3:XX, which was a mistake. I was not in shape for that after the time off, and when I hit the hills I was hurting - not hitting the wall, but I slowed down by about 30 sec/mile and my quads were really sore. I ran a PR by over 4 minutes but I think with different pacing I could have improved that by another 2-3 minutes.

I think if you do run Boston you WILL have to adjust your goal. And yes, I was out all spring and for some of the summer. I got a lot better at mountain biking! I volunteered at two races in June I normally run. The next race I ran was a 5K in August, and I was able to race a trail race in September I always do, but yeah, it did cut into my summer. And like I said, I shelled out a lot for PT because of my high deductible health plan; I think without it it would have taken even longer to heal up.


***

from me:

Thank you so much , I___.

I have a lot of thinking to do. I mentally have already dropped my goal- like as soon as I had a week off. I am making the trip, either way, and will pick up my bib at the expo. Everything was booked long ago. Funny that this is my first travel race and I have no idea what will happen.

You give me a lot to think about and a really good first hand account. Amazing that you still were able to PR even. LOL that's awesome! I was hoping to do that too. Unless things change drastically soon I will save that for fall or winter.


Thanks again- enjoy training for something really amazing :):)
***

from I_____:
Good luck, R.
I hope you can figure it out. It is a fun experience, and it surprised me how many other runners were running it injured as a "scenic tour" - one of the women from *the forum* was recovering from a pelvic sfx and walked the whole thing (within the time limit!) which really impressed me. My roommate, who is in her 60s, decided last minute not to run and cheered us on instead, and one of the *forum* BQ girls got a cold and decided not to run also. It's still a fun weekend.
***
After this email, I decided to rest longer until I didn't feel any pain to the touch. It may have cost me in fitness and speed, but I am hoping to be able to cover the course uninjured.  At minimum, I hope to have my summer to train.
Reading another person's experience has helped me to sort out what is most important to me as a runner.
What it comes down to, is this:
YES. I love to race. I will pour my heart into training for one (As I did going up to my injury).
But, (my feelings at the moment are) I would rather run THIS race slower and be able to run all summer than be fighting this injury going into fall. I need to be able to run regularly. Racing all out at Boston or training through injury for B might cancel my summer running. It's not worth the sacrifice to me. Still...If I feel great on race day, I will give it all I have.
This is a new step for me. In the past, I have been so headstrong and unwilling to take advice. An injury really should be an indicator that something didn't go right.

There are several things I did wrong in my training that may have been contributing factors to this injury- and one might be genetic.
  • Too many speed sessions. I probably should have alternated between 2x a week and 1x a week, or just do one of the speed sessions a week as strides or V easy fartlek.
  • Running my speed work faster than my goal training paces. For instance, I had 3x 1600 @ 6:18 for a scheduled session, but was so driven to run a sub 6  mile, that I pushed it to two sub six miles and a 6:0X, with 10 miles total. That same week I ran a hard tempo and hills.
  • Consecutive hill sessions with tempo, or faster than easy paces.
  • Not taking a rest day when I felt a strange feeling under the outside of my foot, and under the heel.
  • Not getting enough sleep.
Anyhow....no boo-hooing about it now! Just making an observation and MOVING ON. :)

Tuesday, March 1, 2011

30 Day Husband Encouragement Challenge Day9, Day 10 & Boston training thoughts

If you are new to my blog or just coming back, I recently signed up to receive some daily emails as part of a challenge to be a better encourager to my husband.

Day 9
"Be swift to hear, slow to speak . . ." (James 1:19b)
We are often so busy speaking that we don't take time to listen. We are so quick to offer a comment--negative or positive--that we don't really "hear" our husband's heart. Remember, we have two ears and only one mouth. We need to listen more!

As you continue in your 30-day challenge, hear the Lord's admonition: "Be swift to hear."
If listening is a real problem for you, play a game with yourself. See if you can listen to your husband for one whole day, only speaking when asked a question. If your husband notices the difference, explain that you are learning to listen more--not only to God, but also to him.

One easy way to express admiration for your husband is to ask a question about something he enjoys, and then listen to his response. If it's an area of personal familiarity, keep asking questions until you learn something you didn't know, then tell him, "Wow, I didn't know that!"

Day 10
"Behold, you are handsome, my beloved! Yes, pleasant!" (Song of Solomon 1:16a)

We all crave appreciation. We want to know that we are valued and loved. Early love letters probably reflected your admiration of your husband, but if you're not careful, your spouse will forget why you were drawn to him. If you still have any of your old love letters, re-read them for clues to deepen your current level of appreciation for your spouse.

When we spend time criticizing our husbands, we lose time that could be spent
admiring them. As you consider various ways to encourage your husband, ask, "How can I admire him?"
Does your husband know that you think he is attractive? What was one of the
characteristics in your husband that first drew you to him? Was it a physical
characteristic, or something else?

Was it his gentle, compassionate eyes? Kindness or concern for others? An easy-going confidence? A steadiness that comes from trusting in the Lord? Strength of character in a culture that lacks integrity? Do you see at least a glimpse of that characteristic in him today? Whatever it is, tell him!

Boy, Day 9 is tricky. Keeping quiet is usually something I only do when I am trying to keep out of a fight. I am afraid that he might think I was giving the silent treatment, so I'd better give a head's up!

 ***
Training stuff:
Still riding the bike. Tested out a "jog" for about 400 M yesterday. Not totally pain free, but gives me some hope that I will be running again soon.

I did a little research on paroneal tendon injuries, and I still can't say with 100 % surety what I did to my foot. I have some ideas, though. I suspect I either got a really spot specific tendinitis that came on rather quickly, OR...I suffered a strain or pull to the paroneal tendons behind and below my right ankle. Either way, I am not going to go in and see someone for a sports injury (when all other aspects of my life are completely functional), so that's as concrete as it's going to get.

If you are really really interested in this injury stuff, here is a little more:
(from http://www.foothealthfacts.org/footankleinfo/peroneal-tendon.htm )

What Are the Peroneal Tendons?PeronealA tendon is a band of tissue that connects a muscle to a bone. The two peroneal tendons in the foot run side-by-side behind the outer ankle bone. One peroneal tendon attaches to the outer part of the midfoot, while the other tendon runs under the foot and attaches near the inside of the arch. The main function of the peroneal tendons is to stabilize the foot and ankle and protect them from sprains.
Causes and Symptoms of Peroneal Tendon InjuriesPeroneal tendon injuries may be acute (occurring suddenly) or chronic (developing over a period of time). They most commonly occur in individuals who participate in sports that involve repetitive ankle motion. In addition, people with higher arches are at risk for developing peroneal tendon injuries. Basic types of peroneal tendon injuries are tendonitis, tears, and subluxation.
Tendonitis is an inflammation of one or both tendons. The inflammation is caused by activities involving repetitive use of the tendon, overuse of the tendon, or trauma (such as an ankle sprain). Symptoms of tendonitis include:
  • Pain
  • Swelling
  • Warmth to the touch
Anyhooo....it's been a few days since I've ran and I have a LOT of thoughts about it. I have shed some tears. But, I am recovering. I am healing. I am learning.

I am just starting to realize that whatever God's will is for me in this race is really what's best. I know I have said that before - or meant to- but now I really mean it. Maybe before I just wanted to feel that way. Now I see that I don't have a choice.

In the last week I have had to really let some things go, emotionally, and surrender what I have been clinging dearly to.

Even now, I want to cry. I really wanted this to be a GREAT race, I mean a REALLY SUPER FAST, BEST RACE IN MY LIFE RACE.

Now that I am supposed to be in my peak mileage and am riding a trainer bike, I can look back and say, "You know. Lord. This race really wasn't going to be to glorify you." It was for ME. I wanted to glorify me, my perfect plan, the execution of the best race I could do. Where was trust in all of that?

Trust was misplaced.

Glory was misdirected.

Humility was absent.

I needed this. I really did.

Who knows now what God wants for this race. I don't...but He has my full attention.