ThyPeace

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About ThyPeace

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    Advanced Member
  • Birthday 10/04/67

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  • Gender
    Female
  • Location
    Suburban Maryland
  • Interests
    Family, leadership, reading, gardening, fun

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  1. So the weekend actually held two bike rides. One was a flying craziness with my husband, trying to do seven miles before it got dark. (I'm slow. He's not. I was in front and still struggling to keep up. He even coasts faster than me!) Probably pushed it too hard because my knees were sore afterward. Sunday we did a calmer ride up to the track so DH could run. I stopped at Starbucks and got coffee on the way, so you know it wasn't hardcore! Once I got to the track, I decided to walk a little and found that it didn't hurt nearly as much as I expected it to. So I walked a half mile, then sat and drank some coffee, then walked another half mile. While carrying coffee to force myself to go as easy as possible. I had physical therapy on Monday. The physical therapist was all "You're awesome!" and "There's nothing wrong with you anymore!" and "You're 100%!" And I was all like, "I can't do a single step of running yet, what planet are you on?" Now, I will admit that I can do squats on a Bosu ball, planks with my feet on the Bosu ball and tapping down on each side, single leg squats with a slider thingy, and more weight on the leg press machine than any other current patient can do. Great. I'm strong. But I fall over when I try to do the single leg touches. I shake and get exhausted standing on one leg on squishy foam. I take an eternity to walk a squish balance beam. I am not 100%. And I can't run. Tuesday, I told the doctor all of this as he was testing me and said, "Yeah, still some weakness there" while I tried to hold my ankle inward against his push and couldn't. He suggested that I seek another physical therapist, even though the one I've been seeing is with his practice. I decided to take him up on it and called the physical therapy practice that advertises at the races I've been to, and where I went to the stride clinic back in February. They had had a cancellation and fit me in the next morning. So I got a fresh new evaluation from a new physical therapist yesterday morning. He seemed pleased with my overall strength, and instantly identified weakness in my left outer glutes. He said that is tied to the arch and we need to activate it to get the arch muscles activated. he also noted the different in the arch in my two feet (yes I know...) and asked about a dozen times "So... no one did an MRI?" It was pretty clear that he would not have done things the same way as they went in the last three months. But oh well, we all knew THAT by now, eh? He said that there's pretty clear evidence of a stretch injury, which is likely not the original injury but from one of the major tweaks I had after that. And the day when I felt my whole foot shift, he said was probably the tendon popping part-way out of the groove it's supposed to live in. When I later felt my foot shift back into place, that was probably when it had calmed down enough to go back into the groove. Interesting interpretation and different than the one I'd previously, which was that it was the ligaments being damaged. I have no way to judge which one's right, of course. The assessment involved checking the strength of various muscles in various directions. The key was using the glutes to hold the leg up (rather than the hip muscles) when I'm on my side but my leg is slightly behind me, where the larger muscles can't work. Turns out I can't do that on one side. He also had me do a mini squat on each leg to see if my arch engaged when I was doing it. Yes on the right, no (and falling over because of lack of balance) on the left. Ah ha! I think we have a new view of the problem. So after the assessment, he took an ultrasound machine to my ankle (after again appearing surprised that no one had tried it before). He said it was to improve blood flow in the tendon by warming it up, which seems to have been generally true; an hour later, the area was warm and a little puffy, and then it receded later in the day. Interesting effect, that. Then we looked at my shoes (Mizuno Wave Inspire) and inserts (SuperFeet Green) and he pronounced them an excellent choice for my current status. He also looked at my brace and said it's a good one. And he said we'd try some tape. I looked perplexed, so he got the tape and proceeded to tape my foot in a way that supports the arch. He asked me to leave it on until I had a chance to go back to the track and walk, to see if the tape would allow me to go a little further without pain. I said sure, I'll give it a go. He also recommended finding a combination of walking, stationary bike, and elliptical to get me back into cardiovascular movement "so I won't feel so much like a slug." Hey! He must be a runner -- he knows how I feel. Then it was on to the exercises. He gave me deceptively simple ones that are designed to engage the glutes and the arch at the same time. Stand on one leg, bend it slightly, engage the glutes and the abdominal muscles. From there, just pull a very light stretch band that's around the ankle (of the foot that's not on the floor) in and out. Easy! Except for the mental connection that I'm required to make between the glutes and the arch -- they have to engage at the same time. And that part? Hard. I'll keep working at it, but I will definitely need his advice on when I'm doing it right and when not. That exercise is to be done 2x20 times on both legs and in two directions, twice a day. And I'm to continue doing any of the other exercises that I found helpful. So, that's the doctor and physical therapy report. Next time, I'll report on .... (dramatic music here!) Going For A Walk. ThyPeace, how's that for a cliffhanger?
  2. Another week, another week of the same workouts. Nothing too interesting and definitely no running. I am noticing that I am craving carbs quite a bit at the moment, which is not helping me with my continued quest for a healthier lifestyle. I keep thinking about what I'm going to do to improve my diet and life overall, and keep coming back to "Meh. Things are fine. I'll improve later." This is probably not a good answer. I note two things about my body composition. When I look at myself from the front, I see a belly that is rounder than it was two months ago. I attribute that to not running, though my weight has not changed much in that time. And when I turn around and look at myself (thank you, mirrors) from the back, I see that my back seems much more muscular than the last time I looked at my back closely, probably six or eight months ago. I'm noticing that my upper arms and shoulders are more muscular, too. Can't quite figure that out, since I'm not actually working those parts of my body (unless you count two sets of planks twice a week, which I don't). ThyPeace, looking forward to a bike ride this weekend. I need the peace and quiet.
  3. Still doing the same workouts as described above. The physical therapy assistants who follow me around while I'm doing it tend to get really big eyes somewhere along the way in the workout. Apparently they are more accustomed to the older people who are recovering from hip replacements and things like that, rather than someone who wants to go back to being really active afterward. Speaking of afterward, I'm in far less pain than I was two weeks ago. I still can't imagine running or jumping. Instead, I -can- imagine walking without a brace. That's a good step. I skipped the brace yesterday to allow my foot to recover from the injuries it does (bruises and pressure spots, mostly), and today I'm not too sore. I had to go back to wearing it, though, so you know I'm still not healed. This week I have a regular PT appointment, a PT evaluation, and an orthotics fitting. I have a feeling I'm going to be really tired after all three -- and two of them are on the same day. I'm wearing my new shoes today to get them broken in a little bit before the orthotics appointment -- the pedorthist asked me to buy a larger and wider shoe size so that the orthotics would fit well. And he told me I really would be better off in the larger size anyway. I haven't don't any real exercise other than the PT in weeks. I did go for bike rides both days this weekend. It felt good to get a little exercise in -- just light 40-45 minute rides both days, tooling along at maybe 7-8 miles per hour, so nothing intense. Once I'm finally cleared to get a little more exercise, I'm going to have a lot of catching up to do in terms of cardiovascular fitness. I'm building muscle nicely at the moment, though. Even my biceps, though the only things I'm doing to strengthen them is planks and holding the stretch bands when I do my ankle exercises. ThyPeace, likes having muscle, but not as much as I like running. I think.
  4. I'm glad you figured it out, Meiyonce! And yes -- I think your body will tell you what it needs, if you listen. I am not so good at listening all the time, but luckily it pretty much keeps telling me until I get it. ThyPeace, sometimes it takes a smack over the head...
  5. So... no one answered, which I'm sorry about, @Meiyonce. Hope you're doing well. I thought about making some specific suggestions, but at this point you're far enough along that you've probably tried everything I would have thought of. So instead I'll just ask -- how's it going? ThyPeace, has been away a lot lately.
  6. Just a brief stop-in. My vacation was nice but frustrating. Going to a water park when you can't run around is hard. I did play mini golf once and spent time in the lazy river. I had bourbon with my brothers and stopped at a biergarten one of them started a few weeks ago. And the one slide I went down was because my 2 year old nephew wanted to go with me for his very first water slide ride. Hard to turn that down! And I tripped while walking (apparently that wasn't a place someone with a bum ankle should walk) on the second night there. It hurt badly enough that I ended up crying on my husband's shoulder after we went to bed. The next day, I realized that the pain of that encounter was not all that much worse than PT had been. It really made me think hard about PT. I rested as much as I possibly could after that. Spending a lot of time in the water, where I was putting no pressure on my ankle and foot at all was really nice the last part of the trip. I came back with the swelling and pain significantly reduced. This week has been a slow increase in aches and pains as I have gone through physical therapy and just getting back into my routine. I backed off on the thing that was really hurting my ankle the first time back to PT, and the next day, amazingly, wasn't crying in the shower. I think the several days off from PT was also helpful. And so today, of course, I got a whole new set of exercises. Here are a couple of pictures -- note the emphasis on balance -- that demonstrate one of my new exercises: https://www.meyerpt.com/airex-balance-beam Fiendishly hard. I didn't start with that, I started just standing on one foot on the stuff. Ugh. Then there was this exercise, the sliding side (and also back) lunges: See how he keeps his foot in the same position the whole time? I can't do that. But I did 20 of the best I could. And last but not least, we now have planks with my feet tapping down from a bosu ball. That was hard. I did two sets of ten of these (one rep requires tapping down with both feet). With the leg press, calf raises, one-legged leg press, and Bosu ball squats, I'm getting a pretty good lower body and core workout twice a week. No cardio or much upper body, though. Sigh. ThyPeace, who really just wants to go out for a nice long run-walk.
  7. Okay, so on to the orthotics fitting. That was Tuesday. It was a really interesting process. The pedorthist ("a professional who has specialized training to modify footwear and employ supportive devices to address conditions which affect the feet and lower limbs," thank you Wikipedia) had me describe what had happened and what shoes I was wearing in more detail in far more detail than anyone so far. Of interest was that he said that he was seeing quite a few people come in with injuries after wearing the Brooks Adrenaline shoe. He attributed the problem to walking in them, rather than running in them. The design that prevents over pronating in a runner seems to roll the ankle outward too much when walking. That then leads to the muscles tightening up to try to compensate, which then leads to everything on the inside of the ankle also tightening up. Over time, that leads to the type of injury I have. It got exacerbated when I tried to run on it, not realizing the problem. The lack of stability, combined with the force, damaged the ligaments between the ankle bones as well as the tendon. And because I continued to wear those shoes after I was injured (thinking hey, new shoes, probably better for my feet, and they're larger so the brace fits better!) means it just continued getting worse. Maybe that's why the first PT session, when I was still wearing those shoes, was such a horrible experience. Sigh. Live and learn. So anyway, he went on to check my feet and ankles carefully. Apparently my feet are slightly inverted, meaning they point inward somewhat when in a neutral position. In addition, I am asymmetric. On the left side, my big toe doesn't fully hit the ground. On my right side, it's my little toe that doesn't quite get there. Which is why the left ankle got hurt more. And my toes are straight. This is apparently a good thing. After he looked at my feet, it was time to do the imaging of my feet. They do a 3D image instead of a plaster cast, and the way they do it meant that I had to stand on one foot with my other knee on a chair for a couple of minutes each side. I really, really should have asked to put my brace for that part. Standing in that awkward way put a huge amount of pressure on my ankle, and I was really tired and sore by the end. We also talked about my PT. His assessment was that I have been given an extremely aggressive PT regimen. He wasn't convinced it was a good idea (he is also a physical therapist in addition to being a pedorthist), but said only that he'd talk to my PT about it. And then .... I wait five weeks (!!!) for the orthotics to come in and "then you can start healing!" or so the pedorthist said. I wanted to hit him over the head for that. I darn well better be a lot more healed 5 weeks from now than I am today. That said, knowing that orthotics are helpful for this is a good thing. I may go find a running store while I'm on vacation next week and buy some more supportive shoe inserts than the ones I have now. And since I'll be on vacation, I can spend all my time in my supportive sneakers rather than in my somewhat less supportive dress shoes. The next day I had physical therapy again. I was tired and sore from Monday's PT and Tuesday's excitement with standing up barefoot for a long time. The PT itself went about like Monday -- elliptical (yay!), exercises (boo!), and Game Day were all the same. This therapist spent a long time doing a very gentle massage of the posterior tibialis tendon itself. It was knotted at one point, and her goal was to unknot it. Now, I know she was using the level of pressure that you might use when rubbing a baby's back to get her to fall asleep. I -know- that. However, it hurt like she was sticking a needle into me. Sheesh. Talk about a tough session. The Game Ready only helped some afterward, and I was icing my ankle all through supper time. The next morning (yesterday), I was in so much pain that I didn't do my exercises and could barely walk. Things steadily improved as the day went on, thank goodness, and this morning I was back to where I was on Tuesday morning. I don't quite understand everything that contributes to high pain levels, but I can tell you for sure that PT brings it on! I do think that if I could just get in more healing time between PT appointments, I might heal faster. However, the constant reminders that this is a long process are... good. I guess. Sigh. Tomorrow, we go on vacation for a week. It was supposed to be a fun active vacation with beach time, water park time, running, and other good stuff. As it is, well, I'll play mini golf and spend time in the lazy river. At least I get to see fireworks, my nephew, and drink bourbon with my brothers! ThyPeace, looking on the bright side as much as possible.
  8. Physical therapy is still progressing slowly. Last Friday I got to work almost the whole time with my physical therapist instead of starting with the assistant. That was really helpful because she actually corrects me and modified the exercises that I just can't do yet, rather than just watching me fall over the way the PTAs do. I kept telling her how much how much it my ankle still hurts, but she didn't start to believe me until I yelped when she happened to squeeze my ankle in just the right spot. Her whole demeanor changed at that point -- apparently I should NOT have that much swelling this far into the game. Her comment was, "Wow, you must really have done some ligament damage, too." I was in too much pain to say anything snarky. So I got to meet my new best friend, the Game Ready machine. It gets cold and compresses. And then relaxes, and compresses again, the goal being to reduce inflammation. And she told me to go get an ankle sleeve to reduce the swelling even more, and to ice every day (already am), continue with the ibuprofen (I was), and just keep trying (yeah, I know). I decided that over the weekend I was going to do Absolutely Nothing, and see how that felt and whether it helped. I slept 9 hours one night, 10 hours the next, and then took a 2 hour nap. Poor DH had to do far more work than usual to let me do it, but sure enough, by Monday morning, I was in a lot less pain and there was a lot less swelling. I was still a little tender, but not as bad. At PT that afternoon, I got to go on the elliptical for 10 whole minutes!! That's the most aerobic work I've done in weeks, and it felt fantastic. I was really careful with my ankle and was able to use the time to warm up the area really well, which led to less pain rather than more. That's a good thing. PT itself was just about as miserable as always, but I can still tell that there is some progress. I can do the Bosu ball squats without it hurting, for example. And I'm up to 200 pounds on the leg press (they started me at 120 pounds, but that's just silly; I weight 170, after all!). 120 pounds on the single leg press was hard. I could only do 17 reps instead of the 20 they asked for. Ah, well. I'll work at that no problem. The single leg touches (below) are particularly hard. I did ONE on the bad side. Nine on the good side. Sigh. The other exercises are all either easy (stand on something and rock my leg back and forth) or hard-but-not-painful (planks). More to come on the orthotics fitting, but for now must go back to other things. Have a good day and don't get hurt, y'all! ThyPeace, "be careful out there" is one of my favorite lines from Hill Street Blues.
  9. Not feeling like you want to throw up is a great start to any day. I was thinking about the difference between an RXBar and a LaraBar. Seems like the main difference is egg white. Have you tried cutting the RXBar in half and adding two egg whites, just to see what that mix does? ThyPeace, just guessing here.
  10. Hi @RandiW! It seems to me that you already "started" because you have plenty of years working with your body already. If that seems like a good spot to be in to you, great! And -- do you know what your body is like when its fuel sources/hydration/sleep/stress levels are too low and too high? As a recent example for me, I didn't know that coming home so exhausted that I was weaving after a long run could be prevented -- until I changed my hydration and fueling. Then wow! I was feeling great! ... Until I learned later that afternoon that I was running in the wrong shoes. Sigh. Still recovering from that piece of it. ThyPeace, be slow and steady. It's really worth it.
  11. So, how did it go? ThyPeace, curious.
  12. Don't give up! And DO listen to your body. Going from gels and beans to anything else is HARD. So drink up, and yes, definitely have good fuel. You might try dates -- they're almost as pure a sugar as the beans and gels. And check your electrolytes -- do you need salt or potassium or magnesium? And get some sleep because, well, sleep is always good for what ails you. If you keep feeling awful, consider seeing a doc. For now, though, treat yourself well. The last thing you want (this I know all too well) is to get injured from pushing when you shouldn't. ThyPeace, injured.
  13. Depends on what you mean by "too much." Do you feel good? Are you meeting your training goals? Are you getting more fit? Losing fat? How do the jeans fit? My initial look at your meals gives me a "YUM!" answer. Your mileage might be different than mine, though! ThyPeace, if you're not where you want to be, then you might want to change something. Might be food..... or might be something else. Sleep, stress, training, time with friends, spiritual renewal...
  14. It's a week later and I'm still fighting the good fight. And I will admit feeling really sorry for myself for a little while this morning. The "this is never going to heal, it's going to hurt forever, I am never going to run again" sort of sorry for myself. Sigh. I've learned that the only thing that really mitigates the pain is very supportive shoes and the brace. Even then it hurts some. If I omit one or the other, though, it hurts a lot. Like when I had plantar fascia, I've started wearing my shoes All. The. Time. What I don't know is whether I am improving or not. There are immense daily variations. Last night I would have told you for certain that it was NOT getting better and in fact was much worse. ... And then I realized that I had made a terrible shoe choice that morning, had not had any ibuprofen all day, and had not used ice in 24 hours. If I had done that three weeks ago, I wouldn't have survived the day. The exercises are not necessarily getting easier very quickly. But maybe they are very slowly. Still, it's immensely frustrating. Next week I have an appointment to start the process to make orthotics for my running shoes. I don't know a darned thing about orthotics, so will have to do some research. Anyone here have any advice? And on a good news note, DH has finally recovered enough from his plantar fascia that he was able to go on a three mile run-walk yesterday. For him, that's not much. But it's been two months since the last time he ran more than a few steps at all, so this is a really big deal. I may be cheering him on at the half-marathon rather than running it myself. We'll see! ThyPeace, not giving up hope, but it's less than three months away now. Seems like running it may be hard.
  15. The places where I'd watch carefully are after your longest runs of the week, when you need to make sure you have had enough carbs to rebuild your glycogen stores. If you've done this three times before, I am sure you know more than I do about dragging around with no energy because you have no energy! Lots of folks will say that becoming fat adapted means that you still have to go through that, to which I say phooey. You can Whole30 and still get enough carbs to do distance training. It does take thought, though. Sweet potatoes and other root vegetables are good friends. I'd also make sure that you have a steady stream of protein at every meal. It's part of the template, and it's another area where, as a long distance runner, you may find that the change in diet makes a difference. Not enough protein will make your body repair itself more slowly, leading to a different kind of "I can't function" than the above glycogen mess. And if this is your first time without gels and electrolytes, do make sure to try it all out as soon as you can. Dates rolled in salt and potassium chloride if you are a salty sweater, for example, can really be good to know about long before the race itself. ThyPeace, and now I am completely out of knowledge about fueling and hydrating for distances.