A Glimmer of Hope

For a little more than a month now, I have dealt with some knee pain that has prevented me from running.  I’ve had aches and pains over the years as a runner and for the most part rest and easing back into running was sufficient.  But not this time.  This injury seemed to be lingering and not getting better with rest.

I tend to self-diagnose, and I came to the conclusion that my knee pain was most consistent with “runner’s knee,” aka – patellofemoral pain syndrome.  But just knowing that alone, along with rest wasn’t cutting it for me, so I swallowed my pride and went to see my doctor.

I was able to quickly get an appointment to see my doctor’s physician assistant and she advised me to take a prescription anti-inflammatory and try some physical therapy.  So with the referral in hand, I went to get some “physio” as the hip kids say.

The first trip didn’t do much for me, she evaluated me, told me that I had no flexibility, and rubbed some cream on my leg and used some sort of ultrasound gizmo on my knee that made me roll my eyes.  But she advised me to come back on Tuesday and see another therapist to have my knee taped.

On Tuesday I was prepared for another “you’re not very flexible” lecture, but I could tell right away that this lady was going to get me on the right track.  I told her that I have pain with stairs and we tested that out.  Just stepping down a single step slowly was very painful.  I was ordered up onto the bench and the tape came out.  Of course, I was skeptical (I’m the biggest pessimist in the world), but she wrapped the knee up and explained the whole process to me.  After taping we tried the step-down test again and there was no discomfort.  IT WAS GONE!  I was surprised, but also kind of excited.  Although we were out of time for our session, she wanted me to go for a run and see how it felt.  That was all I needed to hear.

I drove from their office straight to the nature preserve and hit the trail.  I ran a hilly 3-miler at a pushed effort, and although the taping felt a little weird, there wasn’t any knee pain.  The muscles around the knee felt a little sore, but I haven’t run in several weeks, so that was expected.

The next day the air quality was so bad thanks to the Canadian wildfire smoke drifting down into the Chicago area, so I opted for a walk instead.  But two days after getting my knee taped, I went for another run/walk (2min run/2min walk) at an easy pace and it felt great.  I only planned for five miles, but when I got to four miles, I detoured my route to extend it and had no discomfort at all.  The taped knee was doing great!  I ended up doing 7.75 miles and have no lingering knee pain.

So, I will need to continue improving my flexibility through stretching, and foam rolling, and hopefully strengthen the appropriate quad muscles so that my knee actually moves in the spot it is supposed to move and then maybe I won’t need the taped knee.

My ultrarunning goals for the year may have been saved thanks to a knowledgeable physical therapist and some athletic tape!

8 Weeks to Boston

As I look back on my training for my first Boston Marathon, I was pretty surprised to see that half of it is over.  I haven’t done any writing about my journey to Boston, because it’s been very typical for the most part, taking it day by day and running the workout that the plan calls for.  I’m eight weeks into my sixteen week plan already, and I’m not sure how it went by so fast.  It had been going pretty well for the first six weeks, but a bothersome knee issue has made me very aware of how much time I have left, because not only now do I have to get in the remaining weeks of big miles, but I also have to do it without aggravating the injury and having it prevent me from running those important training miles. Or worse yet, not being able to run the race itself.

I have been able to run okay, even with the knee pain.  It hurts more afterwards, especially noticeable going up and down stairs.  Also, if I sit in a chair with my leg bent at a 90 degree angle, it will start to hurt.  The pain is right at the top of the tibia, and I don’t believe the knee cap is affecting it.  My son has suggested stretching my leg muscles more, which has given some relief, but I have also dialed back the miles the past two weeks as well, so at this point I’m not sure if the fewer miles or the stretching has been most advantageous.  I’ll keep doing the stretching, but I’m afraid to lose too many long, slow weekend runs.  I also retired my running shoes that were probably not really that worn out yet, and upgraded to a more cushioned shoe.  Today’s 8 mile run in them went okay, but I found them to be very stiff.  Not sure if I made a good choice there.

The first eight weeks saw a build to 12 miles in Week 6, but that’s when I started experiencing the knee issue.  I dialed it back to a mile or two throughout the last couple of weeks, mostly run on the treadmill.  Today was supposed to be a test of speed, with a half-marathon race built into the plan.  There was no way I’m ready to race anything right now, and trying to find a 13.1 mile race in the latter part of February in the midwest is nearly impossible.  I will now have to adjust my plan and reduce some of the big mile weekend runs that the plan has built into it.  I will drop each long run by two miles and skip the speed work in the plan until I feel confident that I can do it without pain or further injuring myself.

The one thing I haven’t resorted to yet is stopping the 3+ year running streak that I have going.  I may need to say goodbye to it if it means that I am doing myself more harm than good. I’m not going to jeopardize getting to the start line of my first Boston Marathon.  I worked too hard to get there.

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8 weeks to go!