Thursday, April 30, 2015

A ruptured disc is an Annular event

Workouts this week (hybrid fitness machines): 3 sessions, 8 miles total

Well I'm back to weekday workouts and I feel better than I have in months. I suspect one reason for that is because I've added three more workouts to my weekly schedule. I've been testing fitness equipment and those sessions are providing me a lot of of additional energy. Committing to this testing forced a level of discipline that I really need right now.

Another reason I'm feeling good relates to the recovery progress I'm having with my disc problem. I finally had a conversation with my orthopedist who read my MRI and confirmed both a ruptured disc and torn annular ligament. The rupture may not completely heal, but the inflammation seems to have abated. The soreness is almost gone and I have no ill effects when or after using these alternative running machines.

I've done workouts (treadmill, elliptical, test units) almost every day for the past two weeks. Last weekend I had success running on pavement and on the track. Not quite where I want to be, but it was a big gain over the previous weekend. I'm planning to do a neighborhood run tomorrow morning and hoping to see even more improvement. I won't say much about the testing I'm doing except to note that the experience of running is very hard to duplicate on a machine.

Sunday, April 26, 2015

Timely track run

 
Today's run (track): 3.25 miles

My son competes in Long Island science fairs because of an advanced research project he is doing in high school. Although most of these fairs are held during the school week, he had one happening today. That meant we needed to take him to the high school at 7:00 AM to meet the bus to the event. Usually my wife manages these logistics, but I volunteered to do it today.

It may seem like I was doing this to give Mrs. ER a well deserved break, but my motivation was more selfish than altruistic. Having to get my son to the bus forced me to get out early. I can be an awful procrastinator when it comes to getting ready for a run, but this worked out well since I was planning to run at the high school.

In the days when I'd run before work, I was on a split second time-table. I needed to allow time to get dressed and run my distance in time to get to my preferred train. Without that immovable deadline, I would have have taken twice as long. When I run with my friends, or have a race, I manage to get out on time. When it's a lazy Sunday morning, time usually slips by.

After I dropped off my son, I went to the track behind the school to start today's workout. When I arrived, I saw the usual suspects - 30-something women walking in a group, an older couple (also walking) and a middle aged man run-walking. It's always different people, but the mood and the rhythm is usually the same. Today I played the role of the middle aged man running slowly.

Yesterday's neighborhood run was a confidence booster. Although my running felt awkward, I ran relatively pain-free. I hoped for the same thing today. I did have some abstract soreness when I started, but no real pain, I tried to force a more natural stride but felt constrained throughout the first half of my run. I wore my Virratas and didn't experience the the shoe issues that I had with the Kayanos and Triumphs. I guess I'll be sticking with them for now.

I picked up speed with every mile and I think that was due to warming up enough to open my stride a little. The only negative was near the end, when I could feel some discomfort in my upper thigh as I ran. It was in the same place that I felt the stabbing pain last week. Today it wasn't painful, more like uncomfortable tightness. I reached my goal distance and stopped the run before that got any worse.

Well I definitely made progress this weekend, but I still have a long way to go. The important thing is that I can run without much discomfort or doing any further damage. I'll be spending a lot of time on non-impact fitness machines this week. I'm pretty sure they're helping me recover.

Saturday, April 25, 2015

Passing the pavement test

Following the flattest route possible
Today's run (street): 3.1 miles

If my orthopedist correctly diagnosed me as having a herniated disc, I must be having a remarkable recovery. Based on what he told me, I should be having a lot more pain when running. That's not the case and I'm thinking of getting a second opinion. I'm still waiting to meet with this guy to go over the results of my MRI. It's taking a lot longer than promised, because he's canceled my last two appointments. This is the place that canceled my original appointment but didn't let me know until I showed up for it. I've just about had it with this office.

I've been using our elliptical machine at home and have also been testing hybrid running units at a different location. These no-impact workouts have helped me maintain some fitness without aggravating my disc problem. I'd felt incremental improvement in terms of pain prior to my run last Saturday, only to have it return in a big way during that run. Yesterday's one mile treadmill session was a test to see whether the pain was still present while running. I ran slowly and my gait felt awkward, but the stabbing pain from last week was gone.

There's a big difference between running on a level treadmill and hard pavement. I had hopes for a painless outdoor run, but feared it was too soon to expect much improvement. The temperature was only in the high 30's when I headed outside. I dressed accordingly and felt comfortable with the gear I'd chosen. Once my Garmin showed ready, I was off.

I wore the Kayanos rather than the Saucony Triumph ISOs this morning. The Triumphs made my feet feel squished at the front during last Saturday's run. The Kayanos did the same thing today. It's clearly related to my current stride and foot strike. Although I've continued to work out despite these running problems, ellipticals don't provide the same level of intensity as a treadmill. Due to that, I'm feeling some conditioning gaps when I run.

I started today's run along my usual route. The first left off my street goes about a quarter mile up a 2% grade. It's enough to notice, but usually not an issue for me. Today it felt like I was running up James Street during the Great Cow Harbor 10K. If you're not familiar with Widow Hill, it's the stuff of nightmares. For me anyway.

There was no real pain during the run, but my stride didn't feel very natural. I ran slowly to avoid triggering a problem. My plan was to do my distance and then evaluate both my fitness and my readiness for increasing mileage and pace. For a three mile run, it felt like a lot of work, but I'm very pleased that the soreness hasn't returned.

I'm going to add 10% more distance tomorrow and I'm thinking about going to the track to take advantage of that soft, flat surface. Someday, I'd like to go there to run intervals. Tomorrow my hope is to do a little more and hurt a little less.

Friday, April 24, 2015

Somewhere between running and not really running

Running-ish
Workouts this week (running fitness machines): 60 minutes 
Today's workouts (treadmill): 1 mile plus (elliptical): 20 minutes

I'm very fortunate to have the opportunity to participate in a test of fitness machines that mimic the motion of running. Unfortunately, I can't share the brands or models until after the study is completed. At this point I'm thinking that the only fitness machine that actually makes you feel like you're running is a treadmill. However, if you keep an open mind, these machines can provide a great workout.

The concept of running comes up a lot in discussions about the test subjects. It's probably more accurate to look at these fitness machines as variations on an elliptical trainer. If you don't like ellipticals, your opinion won't change much when using this new design. Runners who do like elliptical machines will probably appreciate the key differentiator: user controllable stride length.

I've had orientation sessions using three different machines that have provided distinctly different experiences. On the positive side, the lack of impact produces a pain-free workout. Each machine approaches the motion of running differently and my acclimation to the "running" process varied greatly, based on the design. Not so positively, I've noticed a slight pain in one heel and at the side of one knee, although this may not be related to testing. I had a stand up desk installed in my office and have been on my feet a lot more this week.

High stand-ards
The pain from my herniated disc has noticeably diminished but hasn't disappeared. My orthopedist has once-again canceled my follow up appointment, so I need to look into finding a different doctor. The improvement I've been seeing is encouraging, but I suspect that it may still hurt if I try another road run,

I decided to test the waters with a one mile treadmill run this morning. The forgiving and flat surface provided the best possible scenario for protecting my injured disc. I feared that the pain in my upper thigh that made Saturday's run a torture session would reappear. The pain didn't return, but my gait felt awkward throughout the entire session. I followed the treadmill run with 20 minutes on the elliptical, making it a well balanced, moderate workout. I may hit the road tomorrow and I hope it doesn't hit back.

Sunday, April 19, 2015

Running without gravity

Can't resist ('cause there's no resistance)
Today's workout (elliptical): 36 minutes

After yesterday's difficult run, I was worried how my leg and hamstring would feel in the morning. I'd violated my doctor's no-hills rule and expected at least some soreness. Surprisingly enough, I felt great. That encouraged me to consider another run today. Mrs. ER debated the merits of doing that and suggested that I use the elliptical. I agreed and had a decent, pain-free session that didn't produce any post-workout soreness.

Today is my birthday and while I generally don't like to make a big deal of it, I do like our family tradition of celebrating with a nice lunch. I'm not talking kindai maguro at Le Bernardin. More like Japanese Pan Udon at Noodle & Company. It was a nice simple meal on a beautiful day.

After lunch, we stopped by SA Elite because I've been looking for a pair of lightweight track pants to replace my six year old C9's that were ugly when I bought them and have not improved with age. There were few options that fit the bill (or my size) so I ended up taking a pass. I'm participating in a test of "running machines" - hybrid fitness equipment that supposedly provides a "zero gravity" running effect. I wanted new track pants so I wouldn't have to wear shorts in an office environment.

I'll be curious to see how close these machines come to simulating real running. I'm really hopeful that it will provide that experience while providing protection for my current disc injury. I won't be able to provide many details until the results of the testing have been published, but I will report on whether it's helping with my recovery.

Saturday, April 18, 2015

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.

Friday, April 17, 2015

Buzzing, banging and recovering

This won't hurt a bit
My longstanding soreness has taken a turn for the better lately. For a while, the pain accompanied me on every step I took. I felt stiff and unbalanced when I walked, especially after my 90 minute commutes to my office. When I did try to run, I'd feel acute pain in my hamstring. I haven't run since I tripped and nearly fell a couple of weeks ago. Extended rest has always led to healing for me and that may be true in this case.

I started my day with an MRI. With all this progress toward recovery, I questioned whether I needed it. That thinking was quickly corrected while I changed for the scan, I twisted my leg slightly in the process and felt a surprisingly sharp pain. I'm not out of the woods by any means.

I've been through a couple of MRI's and knew what to expect. Although I had to stay completely still for 45 minutes while a large white appliance buzzed and banged inches from my face, it wasn't too bad. It may have have been the noise, but I developed a sizable headache by the end. I took care of that with ibuprofen, but I remained a little dizzy and tired throughout the day.

Tomorrow I plan to join the Runsketeers in progress as they take on five or six miles along the Bethpage trail. On the advice of my doctor, I'm limiting my distance to about three miles and will try to avoid hills. It's impossible to miss them on this trail so I'll do what I can. It's been months since we've all got together and that's the important thing about this workout. I won't be able to keep up with  my friends on the path, but I'll match them cup for cup at Starbucks later on.

Sunday, April 12, 2015

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.

Thursday, April 9, 2015

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.

Sunday, April 5, 2015

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.

Saturday, April 4, 2015

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.

Friday, April 3, 2015

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.

Sunday, March 29, 2015

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.

Saturday, March 28, 2015

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.

Friday, March 27, 2015

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.

Friday, March 20, 2015

The doctor will see you...soon

Today's workout (elliptical): 40 minutes

I'm old enough to remember the days when the doctor would come to your house when someone got the sniffles. Besides the fact that physicians actually did house calls, it was remarkable that the doctor could be summoned on a moment's notice. These days, I plan my doctor visits strategically, taking the first appointment of the day in hopes of "only" waiting an hour to be let in to the exam room.

It's much harder to get in to see a doctor these days, especially if that doctor is a specialist. I was surprised that I was able to schedule an appointment with an orthopedist as early as next week. I've been careful not to aggravate my self-diagnosed piriformis syndrome, substituting the elliptical for the treadmill for the past three weeks.

I thought I'd try an easy run this morning to see whether things had improved. My pain has reduced, but it hasn't gone away. I still have sciatic pain when sitting for long periods (i.e., my morning commute) and I was curious to know how my glute/hamstring area would respond to some easy running.

I started out slowly "running", first at 3 MPH and then increasing  to 4 MPH. I felt okay, but noticed a little discomfort. Once I brought it up past 5 MPH, I knew I was borrowing trouble. I shut the treadmill down, walked over to the elliptical and did my workout there.

That experience made me realize that this problem will not resolve itself through patience. I looked online and found a sports orthopedist whose office is located five minutes from my house. I called them up, verified that they take my health plan and made an appointment for next Friday. I was shocked that I was able to do that. The last time I tried to meet with an orthopedist, the appointment had to be scheduled so far in the future that my injury went away before I was due to meet with him.

I'm encouraged to know that I'll have a qualified person diagnose this problem and (hopefully) put me on a path to quick recovery. I've been dealing with running discomfort since last November and have concluded that enough is enough. I fear that the doctor may say that my injury is more serious than I thought, either requiring surgery and/or extended physical therapy.

But it's better to know the cause than to continue this cycle of running, recovery, and re-aggravation. I just want to get back to running the trails.

Saturday, March 14, 2015

Good news, selfish reaction

Work sweet work
Today's workout (elliptical): 55 minutes

My professional life has shifted a bit this week, with a mixture of good news and selfish disappointment. After leaving my old company in 2013 after 20 years, I'd hoped to enjoy a long relaxing semi-retirement. My plan was to take on consulting engagements that interested me and enjoy a far more flexible schedule. That worked fine until last April, when I was offered an extended project that would put me back into a regular working and commuting routine.

I accepted that project role and have enjoyed every minute of it. Work stress has been near zero, because I haven't had to worry about politics or long term issues. I was supposed to finish up by June and looked forward to returning to my open consulting schedule that would give me time to run every day.

That will not be the case because I've just agreed to become a permanent employee. It's good news because I like what I do, and I'm fortunate that fitness and health are a big part of the organization's mission. I'm a little disappointed that I won't be returning to the easy life in June, but I work from home on Fridays and have a lot more time in the evening compared to my old job at Time Inc.

I'll be spending a lot of time working out at the office over the next six weeks and I'm hoping that will help prepare me for springtime running. I didn't even attempt to use the treadmill this morning because I've learned my lesson about pushing too hard during recovery. I may go on it for a few minutes of easy running tomorrow to see if things have improved. This morning's elliptical workout was pain-free and the soreness has reduced overall.

I still plan to see a doctor to get the problem diagnosed. In the meantime, the recovery is going very well and I don't plan to make the same mistake as last time.

Sunday, March 8, 2015

The race to recover

Ready to return
Today's workout (elliptical): 50 minutes

Racing used to be big part of my running life, but I've definitely decreased the number of events I do. It's not that I don't want to race. Races are fun and few moments in life are better than the feeling you get after you've crossed the line. I only participated in few races last year, the last one being the Jingle All The Way 5K in December that I ran with my run buddies. They're the other reason that races are fun.

The one race I've run every year without fail is the Marcie Mazzola 5K in Huntington. It was the first race I did after returning to running in 2008 (at that time it was a 4 miler) and I have a sentimental attachment to both the event and its cause. Two factors that will cause me to miss it this year include my current soreness issue and the fact that the date coincides with a visit with weekend guests.

A year ago, I was preparing for the Brooklyn Half Marathon and used the Marcie M as a speed workout as I got closer to the date. I had every intention of following Brooklyn with my usual set  of races: New Hyde Park, Dirty Sock, Cow Harbor, TOB Supervisor's, Run for the Warriors, etc. I ended up skipping them all. I'd lost interest in racing after a grueling experience in Brooklyn and I needed to recapture the thrill of the race.

Now the spirit is willing but the glute is weak. I'm anxious to return to the road and start training for something. Spring is almost here and I'm going to get out there as soon as the roads are safe. I'm encouraged by the fact that I can already do long, pain-free elliptical sessions that will allow me to maintain a level of fitness while my body repairs whatever damage I've done to it. I plan to visit to a sports doctor if I don't see fast improvement. I have a good record for recovery, but I'm not so good at staying recovered.

Saturday, March 7, 2015

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.

Thursday, March 5, 2015

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.

Saturday, February 28, 2015

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.

Friday, February 27, 2015

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..

Saturday, February 21, 2015

Treadmill running is almost like real running

Same same
Today's run (treadmill): 3.6 miles

I downloaded my Garmin for the first time since January and saw that my last run before Friday happened on January 31 (not January 25th as I'd thought). Still, it was three full weeks between those runs. Over four weeks since I ran outside. So far the transition from elliptical to treadmill has been seamless, but it will likely be a few weeks before I can run outdoors again.

I was wondering about the difference between treadmill and road running when I came upon an article on the ABC News website called Myth or Reality: Treadmill Just as Good as Road Running. The point of the story was that most of the differences between indoor and outdoor running are small:

- Treadmill running requires less force from the knees and hips but not to a significant degree.

- Calorie burn is about the same until you get down to a 7 minute pace.

The article goes on to say that transitioning from the treadmill to the road puts you at risk for calf strains, plantar fasciitis and Achilles tendonitis. I'll need to keep that in mind when I return to outdoor workouts. I'm sure that, once I'm back to the street, I'll want to stay outside for my runs.

Today's run was a little longer and a little faster than yesterday's. I am trying to limit the time I spend on the treadmill while I transition back from the zero-impact elliptical. Again, the time went by quickly and I was pleased with the airflow from the two large fans that sit below the console. I suspect that the challenge will increase as I add more time and speed to my running.

Unlike warm weather days, I don't need to think through my venue options for a Sunday run. Like yesterday and today, tomorrow will once again be a treadmill day. And that's just fine.

Friday, February 20, 2015

First run: Freemotion 850 & Saucony Triumph ISOs

The new new things
Today's run (treadmill): 3.3 miles? I forgot to check!

I listened to the weather on my way home from the office last night and was disheartened to hear that we'll be facing below-zero temperatures and more snow this weekend. But then I remembered that we have a new treadmill and suddenly all was right in the world. I was very happy after that, and even happier when my wife reminded be to swing by Panda to pick up our Chinese New Year dinner.

With all the snow and ice we've had this year, options for running have been limited. This was made worse with the failure of our treadmill. The only choice I've had this month has been the elliptical machine. While I've come to really appreciate the workout, I've missed running a lot. I work from home on Fridays and that gave me my first opportunity since January 25th to actually run. Not only would I be using this treadmill for the first time (the minute I spent on it the day it was delivered doesn't count), but I'd also have my first run in the Saucony Triumph ISOs.

I was curious to see how I'd do after three-plus weeks away from running. Did the elliptical sessions preserve my fitness, or would I find myself overtaxed? I plugged my phone into the sound jack and started up a podcast. The very large built-in speaker amplified the voices well enough to clearly hear over the motor. This is so much better than earbuds, which I despise. I stepped up on the new machine and immediately appreciated the quiet, shriek-free experience.

The Sauconys felt good underfoot. They are well cushioned but don't feel heavy. The Freemotion's deck suspension feels more responsive than the Sole's. I took it fairly easy to avoid aggravating muscles that are not used to running. Running felt surprisingly good and the first mile went by quickly. I thought the Triumphs felt more comfortable and ran a lot better than the Kayanos.

It's really great to be able to run again after almost a month and I was pleased that I got through today's workout without feeling like I've lost fitness. I may find it a bit tougher when I finally return to the road. Overall, I should do fine. I know I'll eventually disparage the idea of treadmill running, but for now, it's great to have that option again.
 

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