Archive for the ‘recovery’ category

I’m injured, but I’m not out

February 19th, 2010

I have a case of what appears to be hamstring tendonitis in my right leg. At first, the injury led me to drop running from my training, and replace it with aqua jogging, while continuing my training with swimming and biking. However, at the end of last week, it became painfully (literally) clear to me that I would have to also drop the bike and aqua jogging. My coach took it a step further and said: no kicking while swimming. My first response: SERIOUSLY?

I found it impossible to be optimistic and find the silver lining at first. This news simply wrecked me. I spent Sunday afternoon sulking, icing and saying, “I don’t want to talk about it” every time John asked me, “How are you doing with this news?”

As I laid on the couch last Sunday, elevating my legs, and shivering from the large bags of ice I had placed all over my lower body, I felt completely helpless. I felt pathetic. I felt weak. How could I possibly finish an Ironman in July if I can’t even train properly? Who the hell am I kidding? I had lost my mental focus and the momentum that I had been building in my training. I had just come off a great 3.5 bike ride on Saturday (despite the injury), and now I felt like I couldn’t even get off the couch.

I spent most of Sunday and Monday secretly, inwardly freaking out. I tried not to verbalize my feelings because I felt like that would only increase my defectiveness, my weakness, my brokenness. I tried not to concentrate on the injury, but really, that’s been a futile exercise, made especially difficult by the fact that I have had a fairly constant dull ache in my hamstring. Pleasant.

When I got into the pool on Monday, I grabbed the pull buoy and placed it between my legs. No kicking. How the hell could this even count as a workout? Instead of thinking about swimming, I thought: I will gain weight. I will lose fitness. I will lose strength. I’ve worked so hard to get to where I am, and now one injury would ruin it all. My thoughts zeroed in on nothing but doom and gloom. So, suffice to say, that Monday morning swim was not effective for my training. My head was not in the game. I might as well have stayed under the covers for all the good that did me.

I realized I needed to be more pro-active, that I couldn’t just sit around icing and flailing around in the pool. First, I called a chiropractor, Dr. Reed Lerman, who had helped me with a minor case of hip bursitis I had last year. He uses laser therapy (sort of like ultrasound therapy) to help improve recovery. After two treatments last year, my hip bursitis improved within a week. So, I thought, perhaps this will help with my hamstring? I had a treatment on Tuesday morning, and by the afternoon the bulk of the pain in my hip area had lessened. More importantly, just the idea that I was doing something helped to improve my mental state.

And, this mental improvement, helped me make better use of pool time. By the time I got in the pool on Wednesday, I was ready to focus again. Instead of concentrating on what I couldn’t do, I thought about what this injury has “freed” me to focus on. For example, swimming with the buoy allows me to concentrate singularly on my stroke, in particular making sure I pull my arm all the way through the entire stroke (back near my hips), and ensuring proper body rotation so I don’t have to lift my head out of the water to breath. Guess what? This resulted in greater efficiency in my stroke, which was evidenced by decreasing lap times.

And, because I can’t bike, run or do lower body strength training, all of my strength work has been concentrated on my upper body and my core–which are my weak areas to begin with. I’ve included core work every day this week. If I had full use of my lower extremities, I wouldn’t be able to spend as much time on my core. Yet, a strong core is the KEY ingredient to triathlon success–it’s also important to help prevent injury. Hmmmm.

Yesterday, I had an appointment with my primary doctor, a sports medicine guy. He allayed my fears that this injury was some type of chronic condition, assuring me that based on his assessment of the hammy, there is nothing ACUTE about the problem. Just my body saying: Whoa, lady, we need to chill for a minute. He also gave me a script for physical therapy, that will also include some strength training. I have my first PT appointment today. I’m excited to be officially ON THE MEND.

I might have a temporary problem with my hamstring, sure. But, don’t count me out. In a few weeks, I’ll be rested, recovered, and ready to start kicking some a$$. SERIOUSLY.

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Aqua jogging

January 24th, 2010

Last Sunday, I started having some trouble with my right ITB (iliotibial band) after only a half an hour of running. The pain was significant enough that I had to take frequent walk and stretch breaks just to finish. (I am much too bull-headed–or stupid–to cut a run short; plus, I had to get back to my car.)  I didn’t run again until Friday. I started ridiculously slow. Alas! The pain returned, again after about a half an hour of running. At that point, I resigned myself to the realization that I had a problem with the ITB, and got in touch with my coach Jeff immediately.

Even before I spoke with him, I knew what this pain meant: Stretching. Icing. Using the foam roller to lengthen and release the ITB. And, the worst part: no running for at least a week. So, what to do instead? Well, bike and swim, of course. But, I want to make sure I’m keeping my base running fitness. So, after consultation with Jeff, I went to the sporting goods store and purchased a flotation belt. Aqua jogging it is.

My training plan had a 2 hour run scheduled for today. So, I tentatively committed to aqua jog for 2 hours. To be honest, when I got to the gym and got in the pool, I didn’t think I’d make it the two hours. I thought for certain I would succumb to boredom.  I was also a bit skeptical that water running would be a suitable substitute for road running. But, my coach said that many professional runners do it, citing the legendary Joan Benoit, winner of the first women’s Olympic marathon. I had also read in Runner’s World that Paula Radcliffe used aqua jogging successfully to keep her fitness following an injury. So, I figured I would give it a try. In the back of my mind, however, I figured I would end up on the elliptical. Running in the water? C’mon, people.

A picture of the flotation belt used for aqua jogging

As I got in the pool, I felt sorry for myself. I was embarrassed. I felt weak. To counter these feelings, I decided I would swim a few laps first. You know, be a big macho swimmer. (Why the heck do I care what other people think? They are not even paying any attention to me!) Because I had to be a hotshot, I swam 500 yards freestyle first, and then begrudgingly put on the flotation belt.

I felt like a failure. I felt like I’ve been fooling myself, thinking that I could actually do an Ironman. All of my doubts attacked me at once. Luckily, I have a waterproof mp3 player. I just turned the music up louder and got to the business at hand.

It took me about 10 minutes to develop a technique that felt most like running. This technique involved leaning slightly forward with my upper body. This position allowed me to get my legs at just the right angle. Then, I “ran” by pushing my legs in circular motion (more like oblong), rather than simply just pumping up and down. I pushed my feet backward, just as you do when pushing off the ground. I pumped my arms with my legs. The more vigorously I pumped my arms, the more able I was to get my legs to move quickly–hence getting my heart rate into a zone that mimicked an easy run–high end zone 1. Once I got the hang of it, I could really feel it in my legs, especially my hamstrings. I could feel my heart rate pick up, and I was “running.”  I hope with more practice, I will be able to get my heart rate even higher.

The first 20 minutes weren’t too bad mentally, as I spent most of that time working on my form and making sure I was getting maximum benefit for my efforts. After that interval, I had to engage in some mental trickery to prevent myself from agonizing over my injury and feeling sorry for myself. My music helped. I have a song called “‘Till I collapse” by Eminem, which I first heard as the background music to a “pump up” Ironman video I watched on YouTube.

Here are some of the lyrics:

Cause sometimes you just feel tired.
You feel weak and when you feel weak you feel like you wanna just give up.
But you gotta search within you, you gotta find that inner strength
and just pull that sh*t out of you and get that motivation to not give up
and not be a quitter, no matter how bad you wanna just fall flat on your face and collapse.

[...]

Till the roof comes off, till the lights go out
Till my legs give out, can’t shut my mouth.

[...]
I’ma rip this sh*t till my bone collapse.

I’m quite far from an Eminem fan, but this song has great lyrics and a beat that makes you feel fierce while aqua jogging. Oh, yes, I said FIERCE. I started to visualize the Lake Placid run course (luckily John and I ran it last summer.) I went from feeling like a pathetic wounded wannabe to an Ironwoman, pushing the course, running past the signs of encouragement placed along River Road by families and friends for their athletes, running over the chalk cheerleading as I headed to the final loop along Lake Placid Club Drive, which hugs Mirror Lake. I could hear the announcer: “You are an IRONMAN.” I was THERE! I wasn’t a failure. I wasn’t weak. I WAS RUNNING! (Okay, just a little Forrest Gump…)

I’d love to say that this euphoria last for the entire 2 hours. It didn’t. I had moments when I looked at my watch, thinking, “How has it only been X long?” But, once I made an hour, I was committed to finishing the full 2 hours. And, whenever I wanted to quit, I just returned to River Road. I imagined signs my family would make that said, “You DON’T quit.” John’s parents also love signs that tell us we’re crazy. I saw those too.  I imagined cycling the screaming downhill into Keene; I saw the river as I cycled into Lake Placid along Route 86. I followed the lines that held the buoys in place along the swim course in Mirror Lake. Every time I wanted to stop, I reminded myself why I was there in the first place.

At the end of two hours, I was beat and ridiculously hungry. Aqua jogging is no joke. I feel confident that if I stick with it this week, I will be able to recover while also maintaining my running fitness. I am a skeptic no more. Of course, once the ITB heals, I can’t say that I’m going to skip the roads for the pool. :)

__________________________________________________________________________________________

Want more information about aqua jogging? Try these sites. I found them very useful to help me get started.

How to stretch your IT Band:


Hi, all,

For this week only, I have to make a slight change to my office hours on Monday and Tuesday. (Wednesday’s hours remain the same – 1:45-2:45 p.m.).

On Monday, instead of having office hours from 11-12, I will have them from 1:45-3:00. On Tuesday, instead of having hours from 12-3:00, I will have them from 1:30-3:30.

I hope this doesn’t pose an inconvenience for you. Please let me know if you have any questions or problems.

Maria

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I’ve got a cranky tendon

December 2nd, 2009

my footMy foot started with a dull ache on Thursday afternoon (Thanksgiving) as I was preparing food to bring to my brother’s house. It felt “tight,” so I tried some stretches. But, the pain lingered. And lingered. And then did some more lingering. It was lingering and lounging on the top of my foot, as indicated in this picture. (Notice, also, the use of dark nail polish to hide the black toenails underneath.)

If you read my blog regularly, then you already know I have a deep-seated paranoia about *stress fractures*. (Shhhh, say the word in your quiet voice…) So, I immediately thought the pain stemmed from a stress fracture in my foot. Then, I did what any paranoid person does: I googled, “foot stress fractures.”  I had every single symptom, sort of. Seriously? Why do I do this to myself?

When I woke up Monday, and still felt the ache, I decided it was time to call the podiatrist. Perhaps the first reasonable thought I had since my foot started to hurt. Dr. Demarco is a patient and knowledgable guy, who has run many marathons, completed a few ironmans and plenty of triathlons. If he was a general practitioner, he would be my go-to guy for all things doctor-related. Alas – he just takes care of the feet. (Side note: after the first time I went there, he sent me a thank you note. I have never received a thank you note from a doctor before. It impressed me.)

Even though I called on Monday, he was able to squeeze me in this morning (Wednesday). He took x-rays, and also asked me about the symptoms. On both counts, the verdict was: no stress fracture. Relief! He said that I have a “cranky” tendon, which is causing a bit of a rubbing sensation because it’s inflamed. Okay, I can deal with that. I can handle inflammation. My husband and I buy bags of ice by the 10 pound bags. I’m a real ice queen.

He also said that I need to take it easy, but–and here came the sweetest words ever–I could run easy. Okay, I won’t be doing a mess of running over the next week or two. I need to appease the cranky tendon. And, the cranky tendon much prefers swimming and biking right now. But, I figure that’s okay because, after all, I’ve got an Ironman I’m preparing for, and biking is my weakness. And, well, 112 miles is a long way to go on a bike when you are good. If you need experience, 112 miles might just be a lifetime. So, if I want to be optimistic, I could say that the cranky tendon is doing me a favor, of sorts.

You know what else the cranky tendon would like? Some donations to the Iron Scholarship. :)   Please consider contributing to this fund, which will help economically disadvantaged college students pay for the costs of school. ANY amount–truly!–would be greatly appreciated. I know times are tough right now, so your support means that much more. Here’s the link for more information: http://www.runningalife.com/?page_id=374.

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Recovery Week

August 4th, 2009

I am nine weeks out from my next “A” priority race – the Bassman half ironman. I’ve completed 11 weeks of training that are specific to this race. This training has included 6 triathlon events that I’ve been using as part of my training regimen. Prior to beginning triathlon training, I spent my time training for an early spring marathon (Ocean Drive, March 30). Since the beginning of this year, I’ve biked about a 1,000 miles, run over 600 miles, and swum about 56 kilometers (almost 35 miles). The one thing I haven’t done enough of, however, is recovery.

As I reviewed my training log from the last three months of training, it seems clear that I have not been taking my recovery as seriously as I should be. I’ve taken some easy days, and even some rest days – but none of these days have come in a sequence long enough to constitute a “recovery week” – whether that be a short 4-5 day week or a full 7-day week. And, you know, I’m starting to feel it. My legs are tired, I’m getting a little bit irritable, I’m craving sweets in the middle of the day, and did I mention I’m tired? Hmmm - sort of sounds like what happens when you don’t allow your body to recover from the stresses of training.

I’ve read about the dangers and symptoms of overtraining and the value of a recovery week after each major period in a training plan. The science makes sense. So, this week, I’m taking advantage of the recovery week before I begin the next period of my training: base 3. I’m thinking this recovery is especially important since I’ve been a runner only. I just started swimming and road cycling in March of this year – introducing new stresses to my body. And, the increased training hours are also relatively new. I don’t think I’ve spent this much time training since I was in high school and I rowed crew.

According to my training plan, this recovery week includes less hours than I’ve been training – going from 10-12 hours per week to about 5-7 hours this week (depending upon some customization). I think it’s also important to mention that recovery week does not mean a week of all easy workouts. I’ll still need to fit in some mild speed work to keep my fast-twitch muscle fibers ready for the work to come in the following weeks. And, I’m signed up for a sprint triathlon on Sunday – I’ll count that as my speed work for the week.

I like to work hard, but I have learn that in order to be able to continue to work hard – recovery is a must. I’m going to go put my feet up now.

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I think compression socks are sexy

July 30th, 2009

compressionsocks

Okay, maybe not sexy, but I do think they are effective. Even though the science on the use of compression socks leaves room for debate, my experience using them suggests that they are great tools for enhancing recovery – particularly from long distance running.

When we were at the Lake Placid Ironman, we saw many of the athletes wearing compression socks – walking around in them the day before and after the race, as well as wearing the socks during the race. Oddly, I had forgotten about my socks, which I had purchased back in March. I hadn’t worn them in a month or so because I wasn’t running long distances due to healing from a minor bout of hip bursitis.

But, watching the athletes reminded me: Hey! I have a pair of those, too. I bet they would help my sore calves. I’ve been experimenting with barefoot running and trying to change my form to avoid being an impressively bad heel striker to being a light-on-my-feet midfoot runner. This change, however, has caused some pressure on my heretofore underutilized calf muscles. And, my last attempt at barefoot running was probably a little bit more than it should have been and probably a little bit too close to my toes as opposed to the midfoot. The resultant sharp pain and stiffness in my calves hadn’t responded to icing, biofreeze, stretching and so on–even after 5 or 6 days. I mean, there’s DOMS (delayed onset muscle soreness) and then there’s DOMS. I was decidedly experiencing the latter case.

When we returned from Lake Placid, I put the compression socks on for 24 hours, and when I woke up, the soreness and ice-pick stabbing pain was gone–completely.

Now, I realize there could be other variables that contributed to the pain dissipating. Time is one of those variables, after all, it had been 7 days since the pain began. But, the day before I wore the compression socks, I was still experiencing a great deal of stiffness and pain in my calves. The day after I wore the socks, the pain was completely gone. I was able to bike 50 miles and then run 17 without any reocurrence of the pain. This isn’t scientific proof, but it’s proof enough for me. I will keep wearing the socks after my long workouts.

I’ve never run or raced in my socks, as some endurance athletes do. But, given my experience with my sore calf recovery, I think I’m going to give it a try.

If you’ve used compression socks, I’m interested in reading about your experiences with them.

 A few articles discussing compression socks:

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