Tuesday, June 7, 2011

honesty time

Sigh.


So I know all my posts have been HAPPY JOY EATING DRUNK VACATION YAYZIES for the past month or so.  And that's been going on, but that's not all that has been going on, and I guess I have to talk about the crappy stuff too.


I'm not better.


I got hurt in March.  Healed through March, started running again in bits and small pieces at the end of April.  Did a 70.3 - not the greatest rehab strategy ever, but I did it - and then took a week off from running.  I did a couple of very short and slow runs while on vacation, and when I got back last week I started going back to track workouts.  I only did a miniaturized version of the workout, but that alone was enough to piss off whatever in my body was getting pissed off way back in March.  My psoas is so tight it is visibly sticking out of my stomach, my IT band on that side is tight, 843 tiny little hip muscles are tight, my adductor once again has a death grip on my leg, and it's all starting to pull on my butt, which is what bothered me all winter in the first place.  Welcome to the land of Not Better.  I should also probably mentioned that I was out of alignment every other day from the time I did the race - not surprising - until about a week ago.  Now I'm only going out every third day.  Not encouraging, after 3 months.


When I hit the PT office after my body totally lost its shit back in March, it was determined that the lower part of my core wasn't holding my sacrum in place, so I was given lots and lots of exercises specific to strengthening that part of my core.  I have done those exercises, increasing their difficulty every week or so - about 15 minutes worth - at least once a day since March.  So that's not it.  It was also determined that my gluteus medius had never worked a day in its life, so I was given an exercise to strengthen that, which I have done almost every single day since then.  My PT said that she could tell from looking at some race pictures that I had weak glutes.

So what she see is that my knees knock together.  They do this because my hips are collapsing inwards (harder to see).  My hips collapse inwards because my gluteus medius isn't pulling them back with as much strength as my hip flexors are pulling them forward.  This is also why my hip flexors get tight, because they are doing all the work (I get pissy when this happens at work too).  And it also contributes to my pronation (in the upper right picture you can really see the stress of the plant of my foot).  This all makes complete sense to me. 


But apparently it is still happening.
I'm frustrated.  The pisser of it all is that it honestly doesn't bother me one bit while I am running, which makes it even harder to deal with, but the tightness/pinching/weirdness that goes on while I'm not running is not ignorable.  And I fear that if I just let these things slide like I did in the winter, they will snowball into another actual kind of devastating injury.  But I'm tired of wasting hundreds of dollars and hours upon hours in physical therapy.  I'm not really sure where to go from here.  A friend suggested a gait analysis, which I think might be a good step, but I want to track down someone who SUPER DUPER kicks ass at it and can give me the how and why to fix it.  I also made an appointment at an injury and performance sports clinic to see what they have to say.  What I don't need is to be back in PT 3 times a week.  I think I know my body well enough by now to not need to check in that often, and I definitely know I'll do the work on my own.  


So there you go.  No snowballs and bluebells of joy today, just garden-variety complaining, friends.  

30 comments:

  1. Structural integration, dude. It's worth a shot.

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  2. When PT didn't work for my back issue, I stopped going and started acupuncture. I can't claim it cured my issue, or if it was healed by NOT doing PT exercises and.or the passage of time.
    What I can tell you is that it definitely produced good changes in my body. Most weren't quantifiable, but one I can tell you about is when I would show up with cramps, by the time the hour was over, they had vanished.
    Acupuncture was also a lifeline when I felt I had nothing left to try and was wondering if I would ever heal.

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  3. It makes me beyond sad to read this update. I am sooo sorry that you're having to go through this.

    Everything your PT said makes sense and I've actually been studying about common over & under compensations for my personal training cert. So much cycling will put your hip flexors in a constant state of flexion too.

    A gait analysis is a great idea!

    I know that this is a bit out there, but have you thought about taking a more minimalist/natural running approach? You'd have to start from square one with conditioning and relearning form & build up really slowly, but it could help you work on not compensating. Newton Running has great videos and the book Natural Running by Danny Abshire is spot-on. If you have any questions about it, drop me a line!

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  4. Oh my friend I understand I understand all too well and it totally totally sucks. Sometimes thouhg unfortunately PT is the answer. But is your PT the answer I don't know? It may take a long time to get where you need to be, especially given the 70.3...do you hate me if i say patience and maybe a second opinion, or one more recommended Come visit us in MA and at least you can be assessed by the best PT ever (lol, sorry but we always love visitors!)

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  5. If we are being honest here, I want to kick your injury in the face and tell it to "suck it"

    I hate "watching" you struggle with this. Hope you can get this corrected once and for all.

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  6. FWIW, I was thinking of getting my gait analysis done here: http://www.ssptdc.com/services/running-assess.asp

    Another option would be Kevin Maggs out in Gainesville. This is the guy that George had talk to us a month or two ago -- I really liked him, and am debating whether I liked him enough to schlep out to Gainesville. http://activespineandsport.net/staff/kevin-maggs/

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  7. I hate to hear this and totally get your frustration. Not that it will make you feel one ounce better but I have the hip-dip way worse than you in my running pictures. I've been strengthening for almost a year and it's most definitely still there. Can't wait to hear about the clinic and gait analysis!

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  8. bummer man :( fingers crossed you figure this stoooopid thing out. in the meantime, you can dominate the swims and bike!

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  9. I am so sorry you are having a pissy time. It really does suck...

    I am coming off of 6 week break from PF.. And It is a slow easy process and my foot hurt yesterday during the run. What the heck!

    I think a gait analysis is a great idea..

    Hang in there Girl :)

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  10. Sorry Katie, you should hook up with Cris and go out together to Gainesville for a lookie. I will say that the first two years of really running, (I know you've been at it longer), but I felt like I was constantly awakening things and getting one thing fixed to only have another hit me. Like my body was tweaking and figuring it all out. Then once it figured it out, it was only little things.

    Get the analysis and Kittee's right, hang in there.

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  11. I think gait analysis is a really great idea. The guy that George had talk to us (see Christina's comment) seemed really good. Or at least spoke a good game. Its probably hard for a PT to really analyze you when you're not actually running. Good luck!!!!

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  12. when you find the answer, let me know. i have the amazing collapsible hip as well, it super ugly in pics! hope you get some answers and solutions soon!

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  13. Katie--What to say? Totally, completely, sucks. And I get it...I have run all of 6 weeks this year. It's really, really hard to feel like your body is failing you. And PT can plain and simple be a big ole frustrating pit sometimes. When we don't fit in their boxes of diagnoses, they're at a loss. Can't blame you one bit for giving up on that for now.

    Heal, heal, heal!!

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  14. This does not make me feel all warm and fuzzy inside. :( I'm hoping you find some answers soon girl... I def get the feelings. (obviously) Hugs.

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  15. So frustrating! I am so sorry you are going through all of this! I hope that you can find the solution soon and that your body will heal quickly!

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  16. I'm sorry to hear you are still dealing with this! I don't have any experience in this area, but I would think that a gait analysis could be pretty useful since you've tried a lot of other options.

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  17. That must be so frustrating to not have real answers. And I agree that you are smart to try and address this before it snowballs again. I don't really have any advice, but I am thinking of you.

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  18. Oh no, this is no bueno. I know you know this, but I'd strongly recommend you go to a chiropractor - those always seem to be my savior.

    I hope you feel better soon!

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  19. Boooo! I know nothing I say will make you feel better :( But I really hope you feel better soon

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  20. I credit my chiropractor to helping me get back to full health in the past six months. I highly recommend you try that route. Other doctors or PTs may say otherwise, but in addition to myself, I've seen other bloggers and people on Twitter get back to full strength fairly quickly going the chiro route.

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  21. Sugar, from one girl who has a weak ass to another, this SUCKS. I don't know why this happened or why it isn't getting better. You are doing all the right things. You are listening to your doctors. It sucks and it's not fair.
    Ugh.
    I don't have any words of wisdom. None. But just know that I'm pulling for you and praying for you. Cause if anyone has the heart to overcome all this crap, it's certainly YOU.
    Hang in there sugar. We've all got your back.

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  22. You can do the "right" exercises and still get the same symptoms. From working with a ton of runners I have noticed a funny trend. Why do runners with knocking knees and really weak gluts get stronger and not incorporate them into running? Well I think it is a running issue more than a PT issue. (it is hard to say as a PT, lol) You see if your running is not efficient, you will get these symptoms. Stride rate, running rate, and biomechanics seem to be more of an issue. If you are running in over-prescribed shoes in a inefficient manner the force has to go somewhere. For some it is foot pain and for others it is hip pain. I would say your PT is in the right ballpark but you need some more intimate details. I am not sure if you running analysis can produce that but it seems like a logical choice. Shoot me an email if you would like to discuss it!

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  23. I am so sorry to hear this:( I also am dealing with not being better (and was injured before and I guess during the HIM). I feel so bad that you don't really know what the problem is, though. That is so frustrating! It's so terrible to not really know how to make yourself better. I wish I had some amazing suggestion for you, but I don't:( It sounds like some of your other readers have some, though, so I hope you can get it figured out soon! Good luck!

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  24. I am so sorry you are still hurting :( You must just be beyond frustrated. I hope you can find some answers soon.

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  25. You're already doing the most important thing you can do: Listening to your body, and trying to follow its cues. I haven't run since the Bolder Boulder, because even though I "should" be fine running now, my knee hurt during the race, and my hip hurt after the race, and I know if I pretend it's fine, I won't be racing for a looong time. Hang in there, and keep listening to your body's whispers, so it doesn't start yelling at you (which is sooo inappropriate).

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  26. This totally sucks. :( Sorry to hear you're still having trouble.

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  27. I've been out for 6 months due to injury. After seeing several different types of doctors and getting really frustrated with my physical therapist, I finally went to an Active Release Chiroprator. I was not really confident going into this, but it's made a huge difference and I'm looking at taking my first running steps in a very long time.

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  28. I'm sorry you are still not getting answers and are still dealing with. That being said, you are even more amazing/inspirational/motivating me to get my ass off the couch that you still finished your 70.3

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  29. When I was going through my injury last year PT and ART eventually helped. I also switched from a extremely heavy shoe to a more lightweight shoe at the suggestion of some people who said I didn't need such a heavy shoe. I guess I will never know what exactly ended up curing it because I dont know exactly what was wrong (but i did have pain in my butt like you as part of it) or if it was just the passage of time (I was not able to run at all for a few months and I probably started to force running too quickly). I definitely sympathize with you and hope you get it figured out. Injuries suck!!

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