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Posts Tagged ‘running injuries’

I went to a new PT last week, and he did an evaluation in response to my lateral hip pain.  He did that thing where you lie on the side and raise your top leg laterally and try to resist when the evaluator pushes down on it.  He said that my right hip was rock solid , super-strong and he could “do push-ups on it” if he wanted to, which I think was a poor choice of words and I’m not exactly sure how that would work, but OK, so I’m strong on that side.  He also said that my left side abductors were “profoundly weak.’  But the right side is the one that seems to usually be out of whack with the weird rotation and the tendinopathy pronation and torn meniscus and whatnot.  So I’m not sure why it would be so much stronger, unless I’ve just been focusing on it more in my exercises.  Interestingly, this is the exact opposite result of a previous evaluation in 2013.   Then it was my right side that was weaker.  So either physical therapist evaluations have non-reprodicible results or I am slowly oscillating between being  weak on the right side and weak on the left side.  I imagine most people have a stronger side, but I can’t quite figure out why there would be such a dramatic difference.  It just get weirder and weirder.

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Yay, another theory of Achilles tendinopathy!  Jason Fitzgerald of Strength Running suggests in this article that it might be all about the big toe.  Apparently the big toe stabilizes the foot and keeps the AT from being twisted “like a wet rag”.  Toe exercises, here I come!  And luckily myrundoc has a video to help.   Soon my nightly exercise routine will be three hours long, and then I will be too tired to ever think of running.  Problem solved.

 

 

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So, I suppose it will be ironic if I finally have to filter the Pretzel City Sports race emails into my SPAM folder, not because of their sheer volume, not because of their borderline-offensive off-color jokes, but because it is just too depressing to get notifications of all the races I can’t run.   Or shouldn’t run.  Oh well.

Today’s events.

I run 4 miles in Mizunos and orthotics.   My running form has adapted to my injuries and re-adapted to the cushiony shoes.  I can’t be sure, but, I’m pretty sure I am running like Rocky.  Or like Dustin Hoffman in Marathon Man.  I’m using my upper body a lot, and breathing heavily.  I feel I should be wearing a Champion hoodie sweatshirt and baggy sweat pants instead of  lycra yoga pants and a girlie magenta fleece top. My knees hurt from the orthotics, but my ankle isn’t so bad.  Surprisingly, I am able to keep my heart rate at 121 for most of the run.  At the very end, I run through Pastorius Park (aka, the doggie park).  It is doggie rush hour,   the peak after-work dog-walking time.   A Bernese mountain dog woofs at me endearingly, and a hot dog in a little sweater sends the cute-o-meter into the red zone.  I feel energized by all the canine cuteness and accidentally speed up.  I check my heart rate, and it is 147.  All the dogs’ fault.  But I notice that my ankle hasn’t hurt for the last couple of miles.

After my run I go to PT.  Today is a Heather day.   I learn that Heather is a runner.  We discuss how much we hate ellipticals trainers.  We do ultrasound and iontophoresis.  This is my third visit and I can’t yet tell if it helping.  I will give it another week.

 

 

 

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MapMyRun is mocking me..it congratulated me on my “awesome workout”.  I logged a pitiful 4.5 miles on Saturday.  On flat ground.  Really, sloooowly.  Still having trouble keeping my heart rate stable in the target zone.  It jumps up to 130 when I start out, then settles down at 117-119.  It’s really hard to hit 121.

Back to the saga of the Achilles tendon.

Tuesday, Feb 19.  Unimproved but still hopeful, I arrive early at my PT appointment.  My PT today is Steve.  I learned my lesson and didn’t shave the ankle..and iontophoresis doesn’t burn at all this time.    We complete the iontophoresis, then move on to another modality, ultrasound.  That’s what the PT industry calls the stuff they do.  Modalities.  I figure, the more modalities the better.  Steve tells me I shouldn’t feel anything with the ultrasound.  Oddly, I do.   There is a certain spot where, when he touches it with the ultrasound thingy, I experience, err, ‘significant discomfort’ (I enjoy employing medical-type terminology.  It makes me feel like one of the “care team!”)  Anyway, this is interesting, and unexpected, apparently, so I am  hopeful that maybe those sound waves are penetrating the tendon and breaking up some sort of accumulated badness.  The PT asks if I’ve had an MRI.  He says I might have some tears in the tendon.  I ask if there would be any change in the treatment if that were the case.  He says no.  I say I’ll skip the MRI.    He asks if I have tried prolotherapy.  I haven’t.  I am excited because now I have something new to spend hours looking up on the Internet.  I leave, and stop and buy a bottle of Merlot before walking home.   Just another modality.  I’m pretty sure Merlot has holistic healing properties.

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