Born to Run with Plantar Faciitis

I wish it felt that good

Image from painscience.com

Today's run (street): 3.75 miles
Yesterday's run: (street): 3.4 miles
Friday's workout (treadmill): 35 minutes
Last Sunday's run (street): 3.3 miles
Last Saturday's run (street): 3.4 miles
Last Friday's workout (elliptical): 30 minutes

“One injury that I have always had that never seems to go away is plantar fasciitis..”

- Christopher McDougall July 20, 2010

I’m not really sure why our bodies punish us for doing things to keep it healthy, but it’s something all runners experience at some point. The ER family hosted some neighborhood friends on Saturday and, at one point, the discussion moved to running. It turned out that my neighbor used to run, but he stopped due to knee problems and spinal stenosis. Prior to that, he was a pretty active runner who’d completed a number of marathons, including two NYCs. I asked the question, if humans are designed to run, why do we get plantar faciitis?

If you are a fan of Christopher McDougall’s book, Born to Run, you might recognize that question because it turned out to be why he wrote that book. Plantar faciitis is a puzzling affliction. I went through a protracted bout with it in my left foot some months ago. Soon after that problem cleared up, I started experiencing similar pain in my right foot. The severity of this new pain is greater than with my left. That is no doubt related to recently doing nine runs in ten days while on vacation.

 I’d tried all the suggested approaches to minimizing plantar soreness, including using the CVS version of the Strassburg Sock along with another contraption that held my foot in place at the optimal position while I slept. Neither were pleasant experiences and I don’t think they helped very much. I switched to just using orthotics in my shoes and eventually the problem went away, only to resurface weeks later with my right foot.

 I resumed running on Friday on the treadmill after being chased indoors by a thunderstorm. It was probably for the best, because my foot pain had discouraged me from running very fast. After a while, I just gave in and moved to walking at a 1.5% grade.

I was concerned that Saturday would be a repeat of Friday. I was glad when I hit the pavement and saw that the pain was less pronounced. The plantar soreness was there, but manifested as a dull burning feeling rather than a sharp pain. I didn't love the experience, but I did get through my run.

This morning I wore my most cushioned running shoes and set out hoping for a less painful start. The pain was tolerable and I hoped it would decrease once my tendon warmed up. Ultimately it did, although the pain did not completely disappear. While running has been slightly painful, walking can be difficult. If I'm off my foot for more than five minutes, the next time I take a step I'll feel an intensely sharp pain in my heel. Fortunately, this measurably decreases after taking a dozen or so steps. It's good that the pain lessens, but it's unnerving that every time I get up from the couch I know will go through that experience again.

I expect that this problem will leave as mysteriously as it came. I'm unsure what I can do to help speed my recovery, since trying every Internet cure didn't really pay off the first time. I spent a little less time at my standing desk and more time working at my office table over the past month. That roughly coincided with the improvement that happened with my original foot. In the meantime I'll continue to put ice on the tendon when I can, and wear my recovery flats around the house.

I still don't understand why runners end up with these problems if we are truly born to run. The thesis of McDougall's book was that we are meant to run barefoot or, if we must, in minimal footwear. That craze has come and gone and I'll admit I drank the Kool Aid on the idea. I still prefer a lighter, less structured shoe and wear my NB Zante 2's most of the time. Yet this has been a year for plantar faciitis for me. The only positive is that, despite the affliction, even with the pain, I've managed to get through almost every run.

Run (painfully) interrupted at Stillwell Woods

Scene of the crime

Today's run (Stillwell Woods): 2.5 miles

I never saw the rock that took me down at Stillwell this morning but I knew it would be bad before I hit the ground. I'd been extra cautious throughout the run, scanning my path for roots and artifacts that could trip me up. The section where I fell was directly in front of a fork that I normally follow to the right, but I'd decided to go straight this time. Big mistake. I ended up with a bunch of bad cuts and scrapes and a slightly dislocated shoulder.

Today was supposed to be an easy trail run and I planned to follow that by watching the NYC marathon when I got home. Although the temperature showed 54°, it felt colder. The interior of Stillwell Woods is usually cooler than the general temperature. Knowing that, I elected to wear light track pants, a long sleeve tech shirt and a pair of running gloves. That turned out to be the best decision I made today. As bad as it was, it would have been worse with shorts, short sleeves and no hand protection.

I started off well enough and came through my first mile and a half ready to run another two. I encountered another runner whose path intersected mine as I came up a hill. I pushed a little to gain some distance from him and veered onto another trail to continue my usual loop. I stayed ahead of the runner, but took a loop trail off that path. The other runner reappeared when that loop connected back to the prior trail.

As we ran together, the runner asked me if he was going in the right direction. I said that depended on where he wanted to go. He needed to get to the high school and I told him he'd reach the main field in a couple of minutes and that the ring path would take him back to the main trail head. We said our goodbyes and I decided to do another small loop which led to my unexpected catastrophe.

The scariest part of my fall was feeling my shoulder go out of alignment when I hit the ground. I'd dislocated that shoulder years before playing hockey and later during karate training, so I wasn't surprised that happened. I was concerned about being able to move under my own power, but my shoulder reset itself. I had no idea how much I was bleeding so after I established nothing was broken, I continued on. At that point I only wanted to make it back to my car that was parked almost a mile away.

Red: cuts & scrapes, blue: shoulder injury

The fall deflated my energy level and I struggled to get through the remainder of my run. Oddly, the Garmin data showed that I covered the post fall distance at my fastest pace of the day. Sure didn't feel like it. I got home and took a hot shower before my wife dressed my wounds. I elected not to show a picture of the damage, but the above illustration shows all my impact points. I tried to watch the marathon but my heart wasn't in it. I still have it on DVR so I might watch some highlights tonight.

Pre-run generator attack

Now I have two reasons to hate this thing

Today's run (street): 3.5 miles

It's never a good sign when you get injured before you even run. That was the case this morning when I was preparing to go out for a few miles. I stepped outside and turned on my Garmin to get a GPS signal before walking to the end of my driveway to get the empty recycling bin. As I put the bin back in the garage, I caught the edge of my reviled generator, opening up a 1" gash on my knee.

The wound looked serious and I ran inside to dress it. After dousing it with rubbing alcohol and Calahist lotion, I put on a large bandage and secured it with surgical tape. My wife had just finished her treadmill run when I came upstairs to get the tape. She saw my bandaged knee and said, "Did you trip again?" I explained that it wasn't running related and headed out the door.

The temperature was mild and the sky was overcast, nice conditions for this time of year. I wasn't motivated to do a long run today, so I did a variation of my regular route. I had initially thought about heading to the high school to run the track, but I didn't want to deal with people clogging up the lanes. Happily, my neighborhood streets were quiet and I only saw a couple of walkers and one cyclist.

My knee held up fine and I ended up with my third run this week, along with Wednesday's elliptical session. While they were all under four miles, there's something to be said for frequency. Later in the afternoon, my son and I did a long walk around the neighborhood. By then the weather had turned rainy, but we wore our hooded running raincoats and stayed dry and comfortable.

We wrapped up our walk by cutting through the middle school and came upon the scene of an accident. A minivan must have hopped the curb and taken out a street light. I don't think anyone got hurt (just a bored looking cop, tow truck and no ambulance) but it was a weird thing to encounter. Tomorrow is the last day of Thanksgiving break. If I feel up to it, I'll put in some longer distance.

The highs and lows of running shoes

Kayano & ISO (L), Virrata & Kinvara (R)

Today's run (street): 3.5 miles

I've fallen down on my plan to continue my weekday workouts. Three weeks of testing alternative running machines made it easy to stay on schedule. I did those sessions at the end of my work days and left the office immediately afterwards. I did surprisingly well with those afternoon workouts and they really energized me for my long drive home.

I'd done no workouts since Sunday's Runsketeer run at Bethpage so I went out this morning for a loop around the neighborhood. The weather was surprisingly cool - not even 60° - so I put on a fluorescent orange long sleeve running shirt and shorts. I wore my Saucony Triumphs to compare my last experience with the Kayanos.

I like both pairs, but I'm still preferring the lower, more minimal design of the Kinvaras and Virratas. SIOR, who is switching to ultra cushioned Hokas, pointed out that my flat arches better match low drop running shoes while higher arched runners like her prefer a wider variance between forefoot and heel heights. I feel it's wasteful to invest in new Kinvaras while I have two pair of almost-new high end trainers, but I'm going to run in my well-used Virratas this weekend to see if I do better in them.

My disc issue is almost completely gone, although I still have a slight flexibility issue in my left hamstring. That's causing me to land off-center on that side, resulting in slight mashing of my foot near the front. I'll be curious to see if that condition appears with the low platform Virratas.

My run this morning went fine, although I did feel some aerobic challenge throughout the run. It's hard to believe it was just a year ago that I managed through the Brooklyn Half. I have a long way to go to get to my 10K base.

It's a three day weekend and that will provide time to string together three more runs. I really need to get out of the 3-4 mile rut and start edging closer to five or more. My orthopedist discouraged trail running while recovering from my disc injury, but I may be ready for a return to Stillwell at this point. I'll be happy if this cool weather continues on Saturday. I want to enjoy the spring as long as I can.

The five dumbest things I've done running

This week's workouts (Hybrid running machines): 60 minutes total

I'm running smarter these days, carefully easing into runs on my local roads and doing a majority of my workouts using non-impact fitness machines. I haven't always exercised good judgment when running and that has led to some bad outcomes. Here are the five dumbest things I've ever done while running.

5. No warm-up full-on sprint at the track. I had only been running a few months and I decided to see how fast I could run 100 meters. I don't remember my speed, but I do remember waiting over a month to get over a groin pull.

4. Tripping on the edge of my driveway at 4:30 AM. I had finished my morning run and came off the road where my toe caught a slight rise and I hit the ground hard. Lots of cuts and scrapes, a possible hairline fracture of one finger and scars on my knee that didn't fade for three years. As bad as that was, I was running again the next day.

3. Getting completely lost on a trail run. I was running at Muttontown Preserve when I found myself caught behind a large fence that separated me from the trail leading to the exit. It was freezing and snowy and I had to bushwhack between thorny bushes to get to a barbed wired fence that I was able to climb over and then jump down six feet to the ground.

2. Running a half marathon with a knee injury. I'd hurt my knee the week before the LI Half and decided to run it anyway. My knee was sore at the start and getting sorer every mile. I considered dropping out at the four mile mark but chose to continue. I had a bad race and spent months running on that injured knee. If I'd DNS'd I would have avoided a long, frustrating recovery period.

1. Continually re-aggravating my current disc injury. I'm not sure if I caused my original problem by "racing" a neighbor who was also doing a neighborhood run. I have no other explanation but every time I was close to recovery, I managed to do something to make the injury worse. Usually that involved turning a good run into a bad one by pushing my speed too far. I'm hoping that cycle has finally been broken.

I've had two decent workouts this week. Today's session (on a hybrid machine) came the closest to running that I've ever done on a piece of gym equipment (not counting a treadmill). Tomorrow I plan to do another outside run. My hope is that my form will continue to improve and the residual discomfort will lessen.

Two runs and a Trailview hike

The view from Mt. Olympus

Yesterdays run (street): 3.25 miles
Today's run (street): 3.4 miles

The first story I saw on the local news this morning was a feature on the LI Marathon/Half Marathon. The race happened today and if it weren't for my current injury, I'd probably be participating in one of the races. One year ago, I was in my last two weeks of training for the Brooklyn Half Marathon. That turned out to be a disappointing performance, but it was a really fun experience. These days I feel like I'm a million miles from doing that. 13.1 anyway.

I'm trying to maintain some perspective in terms of my current running expectations. Three weeks ago I would have been thrilled to run a mile without experiencing acute and constant pain in my hamstring. Last weekend I made great progress with my recovery with a couple of slow but mostly pain-free workouts. I've made further gains this weekend, although they weren't as dramatic as last week's.

I also hoped to improve my speed over Saturday's and got off to a good start. There was residual discomfort and tightness in my leg but no real pain. I moved along well and tried to focus on opening up my stride and getting more power off my back leg. Like yesterday, it felt like a tough workout. After mapping today's run, I calculated my pace. My improvement over yesterday: one second per mile!

Another carved tree in Trailview

The weekend weather has been superb so my son and I decided to visit Trailview park for an early afternoon hike. We like Trailview for its simplicity and the fact that it has a few technical sections. A couple of minutes into the hike, we saw a large oak tree with the word PROM carved into it in six inch high letters. We were flabbergasted, disgusted and saddened to see that someone had carved a swastika inside the letter O. There was more vandalism in other trees. My son said we shouldn't let someone's hate and ignorance ruin our experience.

We continued our hike until we reached "Mount Olympus" and watched from that overlook before turning back. I did pretty well on the steep sections and I think the uneven terrain gave my quads and hamstrings some sorely needed work.

I may not be ready for a Half Marathon or even a 10K right now, but I am glad to be running outdoors again. Three more workouts on the test machines next week will further help my fitness without providing any aggravating impact. My motto these days is, "No pain, my gain."

Runsketeer reunion: first spring run!

Our traditional selfie, courtesy of a random Starbucks customer (photo credit to TPP)

Today's run (Bethpage State Park): 3.6 miles

Take a look at the picture above. Why is this man smiling? Is it because he ran 3.63 miles today, his first run in two weeks? No, definitely not that. The reason for the smile comes from the people to his right and left. While I suffered through a difficult and painful run this morning, I ended up having a great time today. I will admit most of that happened once we hit Starbucks.

I've been feeling good about my recovery. I've still experienced pain in my left hamstring that's likely caused by my recently diagnosed herniated disc. I've tried a few easy strides along the halls of my office to better gauge my progress. Things have felt pretty good and I was both encouraged and excited to run with my buddies this weekend. But when the (blown and carbon) rubber hit the road, that familiar feeling of being stabbed in the leg with every stride was clear and present.

Our plan was to start out in our usual place, just north of Haypath Road. SIOR and TPP wanted to run longer than my planned 3 miles, so they arrived earlier and ran south for about 1.5 miles before turning around. I texted them when I arrived and SIOR texted back suggesting that I head their way so we could meet up on their way back. After just a few steps, I realized that this was going to hurt.

I took it slow but every step was painful. At least I could run. My doctor said I should avoid hills. Unfortunately, there are quite a few on this path. I made it to the top of a short, steep hill where I saw my friends coming from the other direction. We exchanged hugs and hellos and headed north together. There was no way I could keep up with them today (could I ever?) but they stopped periodically to allow me to catch up.

I had neglected to restart my Garmin when we met up. Fortunately I discovered my error at the point where I started so all I needed to do was double the initial distance to get my true mileage. We continued together but soon I watched my buddies disappear into the distance. I was not enjoying myself and it wasn't just the pain. I realized that the combination of fewer workouts and less intensity (the elliptical can't match the treadmill) has taken a toll on my fitness.

Somehow I made my way through the run and, as I approached my endpoint, I saw that TPP and SIOR were waiting near where I'd parked, talking to a person dressed in white. As I got closer, I realized that this person was on a bike and I was happy to see that it was TPP's paramour, JC. We caught up briefly and JC suggested that steroid shots may relieve the pain from my disc issue. I'm really hoping it doesn't come to that.

Happy birthday to me - thanks SIOR!

We left JC to his ride and the Runsketeers started a convoy to Starbucks. I led the way which involved Route 135, Old Country Road and South Oyster Bay Road. At one point, SIOR texted me asking if I was lost. She thinks she is funny. When we got inside Starbucks, SIOR presented me with a birthday gift - a SPIbelt - one of the best things you can give to a runner. Mine is getting old, ripped and frayed and I rely on it a lot. I'm happy to have a new one that I don't have to worry about breaking on a run and dumping my credit cards, cash and cell phone on the street.

SIOR also bought me coffee. I should have birthdays more often! The three of us hadn't got together since the morning of the Hangover Run  (Jan 1) so we had a lot to catch up on. They patiently listened to me describe my job and company and we recounted our various adventures in travel. SIOR wins hands down with her transatlantic crossing via catamaran from South Africa to Brazil.

As usual, we ran out of time long before we ran out of conversation. Despite the painful run, I ended today's workout in a fantastic mood. The Runsketeers cannot go another four months between our runs! My current injury will make it hard to keep up with my friends for a while, but we know it's the non-running part that puts the smile on our faces.

Wishing SIOR a great race tomorrow at the MORE Half Marathon in NYC. I tease her about it being a woman's-only event, but I really do support it. It was a little less than a year ago when we all ran the Brooklyn Half. A lot has happened since then in terms of my running. At least I'm seeing an orthopedist and just had an MRI, so I can understand exactly what's causing this pain. What to do about that will be another story.

The lost workout

Onion volcanoes and warm sake -
Emerging Sister-In-Law (L), Mrs. Emerging Runner (R)

Today's workout (elliptical): 45 minutes

In the almost-seven years that I've been running, I've prided myself on my meticulous process to record workout metrics. I can look back on Garmin Connect to see the detail about every run and elliptical session that I've done since early 2010. If I want to go back further than that, I can look at MapMyRun stats, or see my earliest running data on the Nike+ site. I also have years of Daily Mile records that capture different information like shoe mileage.

In addition to all this, I can look at the Emerging Runner archives for measured mileage on every run. All this data recording takes time, and over the last year my record keeping has gone from meticulous to casual. I stopped recording my runs in Daily Mile last July and most of the time I don't even wear my Garmin when I'm on the elliptical. It's because of this that I cannot remember whether I did a workout on Friday.

I've been on vacation this week, but my time off has been more busy than relaxing. On top of that, I needed to go into my office on Wednesday. That made this vacation more like a couple of long weekends. Friday afternoon my brother and his family came to stay for a few days and my dad and his wife came out on Saturday afternoon. Later we went out to a local hibachi place and had a great time, but I don't recommend the lukewarm sake administered via a squeeze bottle.

With all that going on, I didn't have the opportunity to do a workout on Saturday, because our guest room is also our fitness room. It's also my office. Maybe we should take page from the local elementary school and call it the multi-purpose room.

So I may have done an elliptical session on Friday morning. I know I did a workout this afternoon. My pain from the herniated disc has been manageable, although it does give me a small zap if I move my leg in a certain way. I've been applying heat and that seems to help. It's no worse after today's elliptical session than it was before I started.

My biggest concern is that I'm returning to a week of commuting. That means three hours a day sitting in a driving position. I'm convinced that driving has been a factor in this disc compression. My standing desk (or as they put it, "stand up desk adaptation") gets installed on Monday. I'm hoping that will help me counteract all that drive time. I'll know more about the problem on Friday after my MRI.

Disc error

I discovered I'm not a diagnostician after meeting with a real orthopedist this afternoon. He shot down my piriformis theory in about two seconds. I went to the same office that screwed up my appointment last time because it's five minutes from my house and convenience counts. This time the doctor was in. I was curious to find out the true cause of the sciatic pain that I've had since early December. After chilling (literally) for 30 minutes in the freezing checkup room, the doctor came in and started asking questions.

After a quick check of the source of the pain, he said, "I think it's your back." He took some X-rays and we looked at the results that showed that my hips and pelvis looked fine. I must say I photograph well from the inside. Then we looked at the spinal view where he pointed out compression in my lowest segment - a herniated disc. The disc problem was putting pressure on the sciatic nerve that makes it feel like the injury originates from a lower place.

I asked the doctor if this meant no more running. He said that running wouldn't do any harm, but I should avoid hills. Yay! The doctor also suggested that I run on a soft, flat surfaces like the track or the treadmill. What he really recommended was to lay off running and focus on the elliptical for the time being. He showed me some stretches that would be beneficial and suggested I keep heat on my lower spine as much as I could.

I'm going back next week to get an MRI. I'll follow his orders, especially the one about not running hills. I think I can do that one really well. I told the doctor that I'd read that trail running helps injuries because the soft dirt and the constantly changing surface supports many different muscles. He said trail running's fine, but don't run hills. So much for Stillwell.

I have my heating pad working and I'll run through the stretches tomorrow. I'll stick to the elliptical for now and sneak a treadmill run in when I can. The good news is that I don't have any torn muscles, tendons, or - apparently - piriformis syndrome.

The sting of a million bees

Tools of recovery

Today's run (street): 3.75 miles

Whenever I go out for a run, I think about the things I should capture in that day's post. This blog has served as my running journal since November 2008 and it's been a handy resource for looking back throughout the years. Today I thought about how two people wished me happy Easter as I ran through the neighborhood (hey, what about Passover?!), how I could smell the the salty ocean air and how annoying it was to get gravel in my shoes from all the recent pothole repairs. Little did I know that the key item of this post would happen during the last second of my run.

Things started out okay. My nagging piriformis injury felt a bit more pronounced this morning than yesterday, but not by much. I had used both my massage stick and a tennis ball earlier to loosen up my sore muscles. I was hoping for more improvement. To understand how I felt, imagine how it would feel to have a skilled rolfer jam their index finger knuckle deeply into your left glute every time you took a step. It wasn't too comfortable, but it was tolerable.

After about ten minutes, the discomfort began to diminish and I started to feel more like my old self. My goal was to increase my distance 10% beyond yesterday's run and I knew that would not be a problem. I was less than a quarter mile from my house when I turned onto a road I'd literally run a thousand times and made my way over to the sidewalk. I typically end my runs by following this sidewalk that wraps up and around a couple of short roads before delivering me to my street.

Just when I was feeling encouraged by having completed two decent neighborhood runs this weekend, my toe caught a raised section of the sidewalk and I began falling toward the concrete. I know what it's like to take that fall and did everything I could to stay upright. My instinct was to pull up on my hamstring. When I did that, I felt the pain of a million bee stings along in my lower glute.

My first reaction was frustration that I was back to square one with this injury. I tried to take a couple of walking steps, but was warned off by the pain. Although I was only a minute's walk away from my house, I didn't feel like I could do it without making the injury worse. I called my wife and asked her to pick me up. It was not the way I'd imagined this run would end.

After the very brief ride home, I was able to walk more comfortably. That gave me hope that I hadn't done further damage today. I immediately began icing the sore area and I've continually rotated cold packs since then. It's uncomfortable, but I'm not getting the searing pain I expected when I move around. It's more of a heightened version of my previous sciatic pain.

I've taken a few "running" steps in the meantime and it's actually not that bad. I'm guessing that all the icing has helped reduce painful inflammation. What I don't know is how it will feel under non-iced conditions. I'm on vacation a few days next week and was hoping to get in some additional running. With today's setback, I may need to hold off. I will test the waters with an elliptical session tomorrow and see how it goes from there.

Oh, and you can bet I'm remaking that orthopedist appointment.

Reunion with the road and the wind

A sight for sore piriformis

Today's run (street): 3.4 miles

It's been such a long time since I've run outdoors that I was surprised to see that Milemeter has reverted back to being called Gmaps Pedometer. I realize that's an esoteric observation, but it shows that things have changed in the eight weeks since I last did a neighborhood run. Not much changed in the neighborhood except for a whole lot of tar and gravel being laid down to fix this winter's potholes.

I was excited and a little nervous prior to going out this morning. My cold is still present, but it hasn't gained much of a foothold. Despite some sniffles and nasal congestion, I've had no breathing issues doing indoor workouts. My concern centered on my self-diagnosed piriformis syndrome. I already knew what to expect when running on the flat, flexible surface of the treadmill. How would the injury feel when running on unyielding pavement over varying elevations? What will the longer stride do to my form?

The other thing on my mind was the weather. The strong winds were evident and the local station said they'd be increasing throughout the day. I knew I should get out early to minimize that effect. I procrastinated predictably, and didn't start my run until after 9:00 AM. I probably overdressed because of the winds, but never felt overheated during the run.

I knew within ten seconds that I'd be okay once I reached the road. The piriformis/sciatica pain was there, but it didn't bog me down too much. I did notice that it affected my gait and it underscored my need to get to an orthopedist. Overall it was fine and it proved I could run. Not real fast, but it was real running.

The strong winds hit when I rounded a corner around the half mile point. It felt like a huge invisible fan and the mild air suddenly became very chilly. My route soon changed direction and all was well, although half of the last mile was spent running against strong headwinds.

I didn't have my HRM for this run, so I can't gauge my real effort. My perceived effort was moderate and I felt I'd passed my fitness test. That said, I'd purposely kept my expectations low. I'm very aware that I tend to take recovery progress as evidence of readiness and I end up overdoing it the next time I run. Tomorrow I'll aim to go a little longer and, if feels okay, perhaps a bit faster. But not fast. I've learned my lesson with this injury.

A good run, all things considered

 

Today's run (treadmill): 32 minutes

I'm in the middle of a lot of change at work right now and it's affecting a lot of people. Do you know that people don't like change, especially when it involves how they do their jobs? When you are the person who's forcing all this change, it can create some tense moments. But deep down I know they appreciate my efforts and I'm sure they don't mean it when they tell me I'm ruining their lives.

I'm exaggerating a little, but it is a busy time right now. Just to make it interesting, I've developed a head cold that I'm hoping will be short-lived. My schedule isn't conducive to weekday workouts, so today was my first run since Sunday. Between the piriformis pain and this cold, you'd think it would have been a tough session. It wasn't great fun, but it really wasn't that bad.

I still haven't seen an orthopedist but the pain has lessened significantly. When I started today's run, I felt a mild jolt of pain. It wasn't anything that prompted me to rethink the workout, but I kept the speed moderate in the spirit of not doing further harm. I couldn't tolerate watching the news or listening to music, so I ran in silence. I kind of liked that.

Tomorrow is supposed to be mild (51°) but with 26 MPH winds. I'm aiming to run outside for the first time since February. The high winds don't sound too inviting but the idea of running on a non-moving surface makes me happy. I'm thinking that a trail run might be the perfect venue for my reunion with terra firma.

I'm running again, if you call this running

The 12/6/14 run that started it all

Today's run (treadmill): 3.25 miles

Recovery should happen slowly and in stages, and that's the plan I've been following over the last four weeks. Last year at this time, I was training for the Brooklyn Half using the Hal Higdon intermediate plan. That required some type of running workout nearly every day. It was a mixture of long and easy base runs, short and fast speed drills and 3-4 mile tempos. I could manage that because I was injury-free and had a very flexible schedule.

One year later, conditions are different. I have a long early commute four days a week and my running comfort has been compromised since December 6. That's when I let my ego get the best of me and foolishly overextended myself to prevent another runner from passing me on a long road. The symptoms I had the next day match the ones I have today.

It's been a roller coaster of recovery since then. A race in late December, along with the New Year's Hangover Run, reignited the pain and soreness. An icy and snowy January and an unusable treadmill provided time for healing. By the time we acquired our new Freemotion unit, I was ready to return to the run. So ready, that I did a high intensity workout that (unfortunately) produced some serious pain near the end. One week later, I suffered through an extremely painful three miler. It was the last time I'd run until yesterday's session.

Which brings me to today. After yesterday's encouraging experience on the treadmill, I considered taking it to the street this morning. It had snowed all day on Saturday and there was still a coating of powder on the roads. I opted for the treadmill and slightly increased both my speed and the length of the run. The soreness was there, but it was fully tolerable during the run. Like yesterday, it felt better as I went on and the soreness is responding to the massage roller.

So I've transitioned back to running, but I'm doing it a lot slower than I had before my injury. The things I like about running (fresh air, changing views and the sense of forward progress) that come from being outdoors, are absent. When the weather gets better, I'll run outside and take it easy. I think I've finally learned my lesson but I hope I don't get challenged to race anyone too soon.

Running without harm

 

Today's run (treadmill): 32 minutes

After yesterday's string of bad news and disappointments, I decided to take matters into my own hands and try a run. It had been 23 days since I last ran and I felt that I'd abstained long enough. The pain I experienced in the days since my last run have greatly lessened and I was confident that I could now manage an easy treadmill workout.

Primum non nocere, Latin for "First do no harm" is part of the Hippocratic oath. It's now my personal mandate when it comes to running. With that in mind, I set the treadmill 1 MPH slower than my usual pace. Running felt tolerable, but the soreness was there. My barometer was focused on the level of pain as I went through the run. If the pain increased, I would slow down (or shut down) depending on severity.

I ended up dropping my speed by another .2 MPH. It was a small difference, but just enough for me to feel protected. The pain (really an ache) was still there. As time went on, the soreness diminished. I wondered if that was due to the warm up of my injured muscles. My heart rate stayed at around 83% of max, exactly where I wanted it to be for this workout.

I ended up running for about 32 minutes and didn't even bother to look at the mileage. I was just happy to be running. I finished up feeling good about my conditioning, but my concern shifted to post-run pain. Although I did feel a little sore, it was no worse than what I've been experiencing after my elliptical sessions.

It's been snowing all day, but it hasn't accumulated at all. I'll try another run tomorrow. If conditions are good, I may just take it outside.

Orthopedist appointment invokes Murphy's Law

 

I cannot remember the last time I've run, but it was at least three weeks ago. Since then, my workouts have been done on the elliptical machine. It's a fair trade-off, but not an equal one. I know I've lost fitness as a result. While I've wanted to return to running, I've been concerned about further aggravating what I'm calling a piriformis issue. I wish I could be more specific about the cause of this soreness. Unfortunately my opportunity to get a diagnosis today was taken away by an incompetent receptionist.

Most people are familiar with "Murphy's Law," the idea that if something bad can happen, it will. That law has been in full effect today, starting with news from our electrician that the cost to bring our pool electrical system up to code will be five times what we expected. And we'd expected it to be a lot. Next it was the plumber, who informed us that the cost to replace our leaky shower fixture will be double our expectation. We have to stop inviting these people to our house.

A little later, I received a message that the cool new fitness equipment that I'm helping to test (they're no-impact treadmill alternatives) will be delivered late. I was counting on having access to this gear so I could do workouts that match running intensity without inviting further injury. The stuff is coming, but I'll need to wait a couple of more weeks to start the program.

The worst of it was when I arrived at the orthopedist this afternoon, after waiting three weeks for my appointment, only to find that the doctor wasn't in. Apparently they'd tried to call me to reschedule, but the person who made the appointment had recorded my number incorrectly. So, after looking forward to some type of resolution of this problem, it's still a mystery. I still don't know if I should be running on it, but my patience has grown short.

I'm going to try a run this weekend, either on the treadmill or around my neighborhood. I don't think I've run on pavement since January and I don't expect it to be easy. I plan to take it very easy and stop if the soreness goes past moderate discomfort. I'll make another doctor's appointment and will hopefully be able to schedule it soon. But I'm going to lay low for the rest of today and let Murphy find someone else to bother.

The end of running, for now

Patience is a virtue

Today's workout (elliptical): 50 minutes

For now and for the foreseeable future, I am no longer a runner, emerging or otherwise. Like the old adage that insanity is repeating the same action but expecting a different result, I've concluded that running right now will only result in pain. I'm not as upset about this as you'd think. I don't plan to change the name of this site to "The Former Runner." I'm just hitting the pause button until nature fixes the problem.

Thursday's treadmill run was (literally) an exercise in determination. I was sure that getting through my three mile workout would somehow prove that I could always run through this problem. The bigger issue was that it hurt. First a little and then a lot. I knew that this was no way to handle things. I ended up skipping my workout on Friday because I needed to meet an insane work deadline that used up every minute of the day. An opportunity to recover somewhat offset the guilt.

I was still sore this morning and I knew that I couldn't repeat Thursday's experience. My strategy was to first do an elliptical session and then test the waters on the treadmill. The elliptical session went great. No pain during the 35 minute workout and no pain after I'd finished. I hopped up on the treadmill and set the speed to 4.1 MPH, hopefully fast enough to "run" without aggravating the source of my problem.

It only took a few seconds to realize that running at any speed right now will result in pain. I further backed down the speed and switched to walking for ten minutes, playing with inclines and declines between +/- 3%. Once done, I returned to the elliptical for 15 more minutes of pain free exercise. Stepping up my effort on the elliptical did not produce any pain. Better still, the soreness from my brief treadmill "run" was completely gone.

So today's lesson is that running hurts and ellipticals heal. I'm going to use the elliptical exclusively while my body works on whatever it is that's causing my running pain. I've decided to give it three weeks before I try another easy treadmill run. This is exactly what happened between the time when the old treadmill failed and the new one was installed. I did fine in that transition, but made the mistake of pushing my speed (and my luck) and that brought me back to square one.

If this plan doesn't work, I'll visit a orthopedist to get an MRI or meet with a physical therapist. They say time heals all wounds. Let's see if that's true.

Hard times on the short track

Sounds about right

Today's run (treadmill): 3.2 miles

My current level of fitness is probably at its lowest since early 2010. Back then I was recovering from a bout of pneumonia that had me in the hospital for a week. My time away from running (after our treadmill failed) had an effect on my conditioning. More concerning is an injury that surfaced in early December. Things improved a lot in January but I made the mistake of pushing hard on a run one day and that re-aggravated the problem. Three weeks working out exclusively on the elliptical got me back in the game.

Things started going downhill after we got our new treadmill. I had three decent runs and concluded that I was back on track. I was having a great run last Friday and decided to step up my speed. That was a big mistake. I suddenly felt searing pain in the area between my glute and hamstring, Even though I stopped right away, the damage was done. The closest thing that I've found online that describes it is something called hamstring tendinopathy.

I was back to the treadmill on Saturday but I struggled to the point where I had to stop. I completed my workout on the elliptical and didn't even attempt to run on Sunday (elliptical again). I hoped that a three day layoff since Sunday would allow sufficient time to recover. I felt okay at the start, even though the modest speed I'd set felt as fast as race pace.

Despite the challenge, I was determined to see this run all the way through. The pain started increasing after ten minutes and I decided I'd deal with it for as long as I could stand it. I hoped I wasn't doing any damage and felt okay when I finally finished, but I've been very sore all day. I'll give it another try tomorrow but I won't be a hero. Reducing speed seems to keep the pain in check so I'll see how it goes.

Shallow bins and recovery progress

Usability testing anyone?

Today's workout (elliptical): 40 minutes

I realize that there are many larger problems than this, but can someone please explain to me why the stuff holders on our elliptical and new treadmill are so shallow? I don't get it. Do the designers ever think about the fact that an 8" remote will probably fall out of a 4" deep console bin? This are the sort of things that go through my mind these days as I do my workouts without outdoor distractions.

Yesterday's treadmill run ended with an alarming jolt of pain as I pushed my pace beyond a moderate speed. Rather than signaling a new or deeper problem, I think this experience was a warning. Despite giving the injury plenty of rest, the root cause issue remains. If three weeks of no-impact workouts haven't resolved it, it may be time to see an orthopedist.

Today's workout was all about protecting the problem. Instead of running, I spent 40 minutes on the elliptical and followed that with ten minutes of (very) slow running on the treadmill with a 2.5% incline. It wasn't a particularly challenging workout, but that was the point.

I'll probably go back to a full treadmill workout tomorrow. The elliptical session seemed to reset whatever caused yesterday's pain and I'm feeling better. Just the same, I'll need to keep my speed in check tomorrow to prevent another cycle of pain.

97% of a good run

Unhappy ending

Today's run (treadmill): 3.3 miles

When does a tenth of a mile make all the difference in a run? Today it was in the final 10th of my treadmill workout. It's been a lot of time since my last run because my business schedule is sucking up all my bandwidth. Today I worked from home and managed to get back to running, although I had limited time this morning.

It was my fourth run on our new treadmill and I continue to appreciate it compared to the old one. The Freemotion running experience is far better than the Sole's. Besides the much quieter motor and stable tread that doesn't jerk underfoot, the Freemotion unit feels more substantial and the running less tedious. The time - and mileage - seem to go by a lot faster.

So I had 97% of a great run and 3% of a really bad one. It was my own fault. The three weeks I spent exclusively on the elliptical helped heal my chronic sciatica. My return to the treadmill last week re-aggravated that injury. I hoped resting from Monday through Thursday would reverse the damage and, to a degree, it did. But I pushed too hard today and that set back my progress.

I only aimed to cover three miles and felt good running at a moderate pace. With half a mile left to go, I began increasing my speed. Everything felt fine and I decided to cover 3.25 miles. By the time I was on the last quarter, the speed felt challenging. At the 3.2 mile point I felt a searing pain in my upper hamstring/glute region and I knew I'd pushed too hard. Y'ouch!

I thought I'd seriously hurt myself. I immediately reduced my speed and stopped the treadmill. Walking felt painful and I hoped it was a temporary situation. I took Ibuprofen and hit the shower. I certainly did myself no favors today. After living with the result all day, it doesn't seem as bad. I'll see how it feels tomorrow morning. I may substitute a run for an elliptical session rather than further aggravate the problem..

Good pain and bad pain

Here's a recap of my running since last Thursday:

Friday: 0 miles
Saturday: 0 miles
Sunday: 0 miles
Monday: 0 miles
Tuesday: 0 miles

Despite that, I'm extremely sore all the way from my hamstring to my upper arms. I'm fine with the upper body soreness because it's the result of exercise. I decided to act on my new resolution to add strength training to my routine and did a 45 minute workout on Sunday. Don't be impressed. I used two 10 lb. hand weights and barely broke a sweat.

I didn't want to overdo it, because the last time I worked with weights, I ended up straining my back. The fact that a light workout has resulted in so much soreness tells me that I need to spend much more time on upper body training. All the same, it's nice knowing that this discomfort is due to effort, not injury.

The soreness I'm feeling in my glutes and hamstring is not making me very happy. I've always coped with minor injuries by taking a few days off from running. A short rest usually had me back on the road within a week. The pain I felt during last week's Hangover Run wasn't debilitating, but it was a clear signal that I needed a lot more recovery time.

It's been five days since my last run and I think I'm going to take a sixth day off tomorrow. The pain has dulled, but a quick jog down the hall tells me more mending time is needed. I'll probably try an elliptical session on Thursday morning to gauge my progress. Depending on that result, I'll either plan for a Friday morning run or make an appointment with an orthopedist.