PT =

My PT is PT with my PT is turning into PT and PT.  Totally makes sense, right?  If you need help deciphering this message, here’s the key:

Personal Trial | Physical Therapy | Physical Therapist | Positivity Therapy | Patience Testing

As of Tuesday this week I have started my Physical Therapy for my achilles tendon injury.  After meeting with the Physical Therapist, there’s a very slight chance I might be able to run my marathon in late April.  One of my major downfalls is that I haven’t been keeping up with enough cardio exercises to maintain my aerobic capacity.  I was hesitant to do too much bike riding, wasn’t sure if the elliptical would be okay, and in performing HIIT exercises I have to modify most of them to not strain my ankle and achilles tendon.  My Physical Therapist told me on Tuesday that the elliptical would be fine (and is recommended) for this type of injury until I can get back to running again.

Dang.  I wish it didn’t take so long to get an appointment to see her because I could’ve been training on the elliptical all this time.  But now I know and will train as much as is safely possible from here on out.

I have had zero achilles tendon pain in over 2 weeks since I’m not running at all and I have been modifying all of my activities.  According to my PT that means I no longer have tendinitis, but am now in tendinosis.  What does that mean?  It means that the inflammation has subsided but the tendon is still damaged so I have to be extra careful from here on out so as not to rupture the tendon.  No pressure!

Apparently I can “fix” or better this and that is the focus of my therapy; to remodel the scar tissue that has formed at the tendon.  The average time to full recovery is about 3-6 months.  My marathon is in 6 weeks, so when I said there was a slight chance I might be able to run it I really meant that I probably won’t be running it.  However, the positive is that I will be able to run some by then, and should be able to run/walk a half marathon as long as I take it super slow and easy, and if I feel any pain or discomfort at all to stop.  I have been in touch with the coordinators of the run and they have the course mapped out such that I can make my decision to go all the way or half-way while I’m running!  So, no matter what, I will be running that race in April!  I will likely not be running 26.2 miles, but will hopefully be able to complete 13.1 miles at a super slow and steady run/walk.

As for the other runs I have scheduled prior to the marathon, I can still participate in both.  I will not be running the Tim Kennard 10 Mile River Run, but I will be participating in the 5K Fun Run/Walk and will walk most of it.  I will not be running the half marathon portion of the Run for the Animals this year, but I will definintely be able to run the 5K and maybe run/walk the 10K.  Thankfully I have until race day to decide which one I want to and will be able to do.

So there you have it.  I will be ultra-diligent with my PT exercises for sure, and will be utilizing the elliptical machines at the Y very regularly in the next several weeks.  Though I will not be able to perform the way I had set out at the beginning of the year, at least I 1) can still perform at all and 2) can heal and recover to come out even stronger next time around!

Never lose sight of what is truly important to you.  Choose to find the positive in everything; even if you have to search really hard for it, it is there…always.

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The Running Gods have something to tell me…

…and I’m not liking it.

I started training for the Salisbury Marathon early this year. Things have been going well, considering most of my training runs have occurred on the treadmill because I am a fair-weather runner.  Then I decided to do incline/hill work during one of my interval training runs.  When I finished that run, I felt a minor strain in the back of my right ankle.  So I took it easy the next couple of runs.  I didn’t notice any problems.

One night, while sitting around at home recovering from the day, I was fiddling around with my training schedule and trying to coordinate local runs with my training plan.  I hopped online and registered for both the Tim Kennard 10 Mile River Run and The Run for the Animals half marathon.  I had myself pumped!  Very much looking forward to both runs preceding the marathon.  About a week later, I got sick.

When you’re training for something like a marathon, you just don’t have time to get sick!  It was a severe upper respiratory thing, and I had to take a break from running until my lungs cleared of all the mucus so I could breathe.  I ended up taking 8 days off.  During the first week after recovering from my URTI, I eased myself back into the runs.  I shortened my scheduled training runs by about 25%.  The next week I was pretty close to being back on track!  Then that pain in the back of my right ankle started to creep up again.  It wasn’t severe or debilitating, but I do know that when your body is eliciting pain, it’s telling you something is wrong.  When I lift weights, the next day or two afterward I feel pain, but there isn’t anything really wrong going on in this case, right?  I (foolishly) took the same approach to the pain I was feeling in the back of my ankle.

I had a 12 mile training run to complete this week.  The weather was gorgeous on Tuesday so I decided to get it in since I had the day off from work.  I did my usual 10 minute warm-up which consists of a lot of dynamic stretching through yoga techniques.  I took it nice and easy since I had that slight tinge of pain in the back of the ankle, and by mile 6 or 7 I started to feel more pain.  At that point I started to add in some walk breaks.  During the walk breaks my ankle felt fine.  Then, almost immediately as I started to run again the pain came right back.  I had to make my way back home so continued my run/walk intervals.  I finished my 12 miles.  I did my usual post-run stretching, foam rolled and took a hot shower.  I teach SoulBody Barre Unhitched at our local YMCA on Tuesday evenings, so I needed to clean up and I continued to stretch and move around so as not to tighten up prior to class.

I felt good, and my ankle seemed fine, but there was a very minor dull ache.  When I started teaching class that night, as soon as I had to do a toe-point, I felt the back of my right ankle.  Then, while performing a plié jump, OUCH!  Yikes.  That really hurt.  So I modified throughout the rest of class.

When I got home I started to panic a little, not gonna lie.  So I did what we are ALL guilty of when something like this happens…I jumped online and posted in my running groups on Facebook for advice, then googled ankle/achilles injuries and how to handle them.  The more I read, the more freaked out I became.  I even pulled out my Netter’s Musculoskeletal Flash Cards.  I self-diagnosed myself with Achilles Tendinitis.  I am not going to be able to run my marathon, I feared in my head.

The Achilles

Conditions of the Achilles Tendon

 

Before you go on to chastise me for consulting with “Dr. Google,” like so many did in one of my Facebook running groups, I work in the veterinary field (and blog myself) and I know better than to take the advice of any web-based recommendation without first consulting with my Physician.  I was merely seeking advice from others who have experienced similar injuries, and I appreciated all of those who shared their experiences.

The next morning I called my Doctor’s office to get an appointment ASAP to get an official diagnosis and, hopefully, a prescription for Physical Therapy.  My appointment isn’t until Monday (I am writing this on the Saturday prior to my appointment).

In the meantime, I’m “on the bench” and not running at all until I get some answers.  I’m following the standard RICE procedure for injuries.  As I sit here writing this post, my right leg is elevated with a cold compress on the affected area.  I currently have zero pain, but I do have some swelling and a little “bump” in the middle of my Achilles.

If the running Gods do have it in for me, I’ll find out for sure next week.  If they’re just trying to challenge me, they’re doing a pretty damn good job of it!  I will (begrudgingly) take a DNS over a NRA.  Who knows, maybe I won’t have to worry about either!  Please feel free to share your running injury experiences in the comments, or whatever else you’d like share.  I’ll hopefully have some good news to report early next week.  Stay tuned…