Cautiously Optimistic

This week, I have taken advantage of March Break and booked a few midday appointments at Dr. Elliott’s clinic.  It is amazing how good eliminating the stress of getting to appointment before work or rushing to one at the end of the day feels.  So I have been there every day this week: for physio, for a massage and to see Dr. Elliott himself.  I think that I now deserve my own parking spot.

Better than my own parking spot, though, is the feedback that I have had this week.  On Monday, I realized that my hamstring is a lot stronger, so much stronger that we have eliminated the hamstring curl with my toe inwards, the exercise that makes me feel dorky.  Now my focus is on the glutes and building more endurance in them.

On Tuesday, on the advice of my physiotherapist and doctor, I had a massage.  It probably goes without saying that this was the last thing that I wanted to do.  But after thinking about it for weeks and realizing that a gentle rehab type massage could reduce some of the tightness and pain that I have been feeling in my lower back and legs, I decided to give it a go.
I booked one with Cliff, who also works at the clinic, as he has access to all medical files related to my injury.  I walked in nervous but left feeling a lot better, physically and mentally.  He didn’t touch the area near my Ischial Tuberosity but worked around it, as well as my legs, back, shoulders and neck.  It’s now two days later and nothing is bothering me, which is a relief. I will go back in a few weeks to try to help relax the muscles associated with my hips.

Yesterday, I met with Dr. Elliott to get some answers to my questions and squash some of the “what if’s.”  Dr. Elliott said that individuals are turned away from a PRP injection if it won’t help them, because they have already healed.   “So it doesn’t mean that my tendon won’t heal?” I asked.  It just means that it won’t make a difference in their healing.  By the time I have my injection, I should be almost healed and the injection will only strengthen the tendon.    I felt so much better after speaking with him.  All I can do now is wait.

Some days, I have found that it easy to get overwhelmed and start to panic. Staying focussed, being positive: that takes work.  But it is work that I am willing to do as I have to believe that I am almost there.   Psychologically, it is a lot easier to think about running again than about what will happen if I can’t.

 

 

Playing All of the Cards

On Friday morning, I went out for an easy 5 mile run.  Half way through it, I noticed that my right adductor was tight so I slowed down; by the time I got home, the front and back of my upper thigh was sore.  The next afternoon, I decided to go out for an easy run to make sure that my leg had recovered and I’d be able to handle my long run the next day.  I felt good for about 3 miles, but as I climbed a slight uphill, I heard the back of my thigh start to scream at me.  That’s when I thought my piriformis was source of my grief.  I got home, took the next day off and waited for Physio on Tuesday.

Since then, I have seen two physiotherapists.  One appointment was pre-scheduled to work on my diaphragmatic breathing but since movement was a huge issue, Tracy worked on my leg instead; the other, with Lisa, was a routine maintenance check, again scheduled weeks ago for today, and became a  “Let’s get Cynthia moving” appointment.  Both physiotherapists said the same thing: my right hamstring, right at the top of the leg where the hamstring meets the butt, was aggravated so the muscles around it (the other hamstrings, glute medius, sciatica) are tensing up to protect it.  Well, they have been protecting it for a week now, and I’d really like the hamstring to relax and settle down so that I can get back to my running.

Since I have time these days, I also went to my family doctor who agreed with the others.  I asked if he thought there was a tear because recovery has been so slow, but he said that my leg isn’t swollen enough and I’m not in enough pain for it to be a tear.   All three professionals agree on the diagnosis: hamstring strain.  Hooray, I think.

Meanwhile, I’m not running and I’m not happy about it.  I’ve been told to take it really easy for a few more days: walking and some gentle cycling if it doesn’t hurt.  I can go to yoga but I need to be careful to not overstretch.

Meanwhile, with Chicago only ten weeks away and the Canadian 5K Championships in mid-September, I am using every card in my hand to recover quickly.

A bit of acupuncture in my back to alleviate the tightness.

Card #1: Physiotherapy: My doctor agreed that this is a must for a fast recovery.  I have been getting ultrasound and acupuncture and my right hamstring is taped for a while.

Card #2: Anti-inflammatories: My right thigh is only 2.5 mm bigger than my left, which is not really significant.  However,  it has been a week with very little progress so we are being a little more aggressive through a prescription.

2XU Compression shorts – hope they help.

Card #3: Compression shorts: Lisa suggested that I wear compression shorts all day until my hamstring has settled down.  Living in a house with ultra-conservative boys and men, I don’t own compression shorts.  Fortunately, I found a pair of 2XU shorts on sale at National Sport.  I think this may actually count as another “Hooray!”

Card #4: Rest: Of course, and I’m milking it.  I’ve told my husband that I can’t vacuum or do any housework that involves using my hamstrings (like cleaning the bathtub), and I can only walk Zeda if we go for a slow walk.  Yes, I am absolutely taking advantage of this!  Shhhhh…..

Card #5: Stay calm:  I’m not panicking.  I’m frustrated beyond belief, but I am trying to stay positive.  I have a solid base behind me so I’m trying to look at this a short period of forced rest to that I can be my best in the fall.   But, Hamstring, be warned: if you play this game for more than three weeks, I will become a force to be reckoned with (and that’s when you’ll hear my husband and kids complain).

My advice to anyone thinking about massage is to start establishing a relationship with an RMT during  your off-season, when a strange ache that might follow doesn’t matter.  The RMT didn’t know me; she didn’t know what I could handle.  On another runner or triathlete, the same pressure probably would  have been fine but, on me, it wasn’t.  Maybe I will go back to see her, but it will be after the marathon.  In the meantime, I’m going to keep playing the cards in my hand; one of the them has to be the lucky one.

Back to the Massage Table

The last time I had a massage I was training for the Toronto Goodlife Marathon – in 2012.  I’m not typically a touchy-feely person so I never really enjoyed going but, as I felt my body start to tire during the marathon cycle, I figured it was good for me.  And it was – until one Thursday night when the therapist went deep into my right ankle; it hurt while standing the next day, ached during my long run that Saturday, and resulted in three weeks of no running.  So I never went back and I have never re-entertained the idea of seeing a massage therapist again.

Until this year.  There are many times when I know that my body is tight – my back, my neck, my legs, my feet, pretty much everywhere – and I rethink that a massage would be good for me.  I regularly see a physiotherapist, mostly for maintenance,  but she can only do so much in the time that she has with me.   So, at the end of June, I began the daunting task of finding a massage therapist.

It didn’t take long before I realized that there are a lot of RMT’s locally and I had no idea where to go.  I asked for recommendations, searched Health and Wellness facilities online, read every single biography that I could find, and made several phone calls.  I wanted one who specializes in sports massage but also has a background in athletic therapy.  Location is important (it has be close to home) as is timing (must have evening appointments).   In the end, I found Amanda, who has a degree in Kineisology, a Masters in Athletic Therapy, is a registered massage therapist, does acupunture, works with several amateur sports teams, works two miles from home, and is hard to book an appointment with.  She sounded too good to be true.  After three weeks of waiting, I finally went to see her on Thursday.

I ran early on Thursday morning instead of later in the day, showered, changed and “Oh, wait! I need to shave my legs!”  After all, I wanted to make a good first impression and not show up looking like Godzilla’s long lost cousin.  So I showered, shaved, changed, and headed out the door.

TIght shoulders: teachers’ problems

Before we started, I filled Amanda in on my needs and my previous experience to make sure that she would not go too deep into my muscles.   My needy spots were obvious: my hips, my glutes and my neck (the evil aftermath of spending most of June marking and doing reports).  My calves, though, are “jacked.”  Jacked.  I spent all winter joking with my co-workers that I was going to be jacked by June because I would run at lunch when they went out for coffee.  Ta-da!  Jacked, I am.

I was glad that I ran in the morning because I didn’t really feel like it at night.   I felt great but I thought that a run would end up feeling sloppy so I ended up vacuuming my entire house instead: floors, couches (found 35 cents!) and beds.

I’m not completely sold on massage therapy and I am watching my body as it responds to Thursday’s session.  One glute, specifically the piriformis, is noticeably tight and sore, which it wasn’t before, so I skipped today’s long run as a precaution.  I’m hoping that it is just my body’s way of reacting to the pressure put on it and I’ll be back to myself in another day or two.  I’m staying positive that this will pass, and I am keeping the other two appointments that I booked because you’ve got to love a sports therapist who calls you “jacked.”