Showing posts with label steroid injections. Show all posts
Showing posts with label steroid injections. Show all posts

Monday, May 30, 2011

Spring Roll

Wow! Coming back from my morning pace run, I realized that it has been three years since I ran my first marathon, the Mad City Marathon in Madison, Wisc.

I ran a respectable 4:36 that first time out. I also met elite marathon runner Chuck Engle, who's always encouraging his running friends on Facebook to run more.

Six months later, I ran my second marathon, the Space Coast Marathon right here in Brevard County, Fla., my home for the past seven years. I improved considerably, pulling down a 4:06 -- my PR to date.

This anniversary got me thinking about another anniversary that looms ahead like a laughing skull: Labor Day Weekend, when I ran my last marathon two years ago. I blew out my hip at Mile 20 and haven't been the same since.

Eventually, I found a doctor who recommended a series of epidural steroid injections right into my Sacro-Ilial joint. That treatment plus regular visits to the chiropractor and massage therapist, have made running possible. But I am going to need physical therapy to deal with some ongoing joint dislocation issues if I ever want to run another marathon.

And that is the goal. I don't want my sad, tragic performance at the Tupelo to be my last.

But every now and then, life throws you setbacks. The gall bladder surgery set back my training by more than the two weeks it took to recover. Before surgery I was running sub-9 minute miles. Now I'm lucky if I can run two miles straight at a 9:30 pace. But I'm improving, cross-training with bike and swim to rebuild those thigh muscles needed to bring a spring back to my gait.

Spring is all important. You want to strike mid-sole or on the balls of your feet, push your feet off the ground and lift your knee forward, driving ahead with a slight gravitational tilt for maximum efficiency. It's something my running coach taught us over 30 years ago, and it still holds true today. Check out this video on the New York Road Runners website. It is the same technique my cross-country coach at Northport High taught us back in 1974 and I am glad to see it still holds true. I like to call it the Spring Roll.

Form is so important to avoid injury while improving pace and endurance. Run more.

And run like hell.

Sunday, April 3, 2011

Raising the bar

At some point along the road to recovery, I knew I would have to get back on the horse and enter a 5K -- a real bona fide, sanctioned, timed running event.

I was putting it off until my pace had improved. I didn't want to run the risk of entering a 5K and finishing in over 30 minutes.

Turned out I had nothing to worry about.

Yesterday, I ran the Downtown Melbourne 5K, a charity run for The Haven for Children, a home for neglected and abused kids managed by my favorite shoe store, The Running Zone.

It was my first in two years. And I did it with brand new shoes: a pair of Brooks Ghosts.

I finished in 26:00.6, not my PR but a respectable 8:23 pace. I actually blazed the first mile out in 8:02.


I rewarded myself with a therapeutic massage after the race.

Frankly, I was surprised I did as well.

I'd been running e months for about four months following the steroid injection therapy into my SI joint, upping the mileage each week, trying to quicken my pace and gauging the pain afterwards.

I was afraid I'd never be able to run faster than a 9:15 pace. Glad I was wrong about that.

Next step, to up the ante. Get my pace down to 8 minutes per mile by the Melbourne Springtime Arts Festival 5K at the end of the month. My goal is 24 minutes.

See you at the finish line.

And now, here's Placebo doing their kick-ass version of "Running up that Hill."

Thursday, February 17, 2011

Manhattan Marathon

Running around Manhattan for four days must have been just the cross-training I needed because the second day I got home I ran 9 miles at a solid 10-minute pace.

That was the good part.

The downside of all this is that about eight hours later I was having a blazing muscle spasm in my left hip.

That was odd. I've spent the last 18 months recuperating from an injury to my right hip's SI Joint, culminating in three months of steroid injections.

So what's this?

Fortunately, the spasms hit toward the end of the work day. I managed to get through the last hour, walked out to my car and popped a Tramadol and a muscle relaxer. By the time I got home, the pain was subsiding a little bit. Two glasses of Cotes du Rhone later and the pain was gone.

This morning, I feel like my old self again. Which is to say, a little sore but ready to run.

Maybe I'm ready for a half-marathon, after all.

And now, here's The Stranglers, with "Something Better Change."

Thursday, February 10, 2011

Telltale Signs of Wear & Tear

The pool where I swim is one of those places where triathletes gather to train, shoot the breeze, compare performance times and trade war stories.

One of those triathletes is a friend I'll call Wolf. He's about two years older than me and had a hip replacement two years ago and has recovered marvelously. I see him running every now an then at a pretty good clip on the same street  run on, and he is swimming, biking and doing yoga.

Yesterday, I told him about my hip injury from the Tupelo Marathon a year and a half ago, the terrible time I had getting a proper diagnosis, and the steroid injections in my right SI joint that got me back on the road to recovery. Because of my lingering concerns about hip deterioration and thinking one day I might need hip replacement surgery, I asked him what sort of signals he was getting from his body before he needed surgery.

"I broke my leg running the New York City Marathon," he said He'd been running with a hairline fracture that broke clean through and left him laying on the pavement waiting for an ambulance.

The hospital repaired the damage with a bunch of pins, the hip got infected and after several surgeries he had the hip completely replaced.

His hip is fine, he said. Now it's his left knee.

"Sucks getting old," I told him.

We had a laugh about that but it got me thinking. What if I've been running with a hairline or stress fracture and don't even know it? I could be running merrily along when, Pow! My hip breaks, or my femur shatters and down I go. That feeling I had at mile 20 in the Tupelo race sure felt like something snapped.

Stress fractures don't show up on regular x-rays. You would need a PET scan, my chiropractor friend John said over drinks at the pub last night.

I'm sure that's not the case with me, just arthritis from age. As I told Wolf, it sucks getting old.

Which reminds me. Time to sign up for the NYC Marathon.

And now, here's "Duchess" by The Stranglers:

Saturday, January 29, 2011

Run For Your Life

So, what do I do after a day of wellness and self-indulgence? I go out and run 9 miles, setting a 10.8 minute pace, which translates into a middling 5.55 mph.

How do I know all this? I found a great website that calculates your caloric burn at Run The Planet: http://www.runtheplanet.com/resources/tools/calculators/caloriecounter.asp

I'm not crazy about the near-11 minute pace, but it could be worse. At least I am UNDER an 11-minute pace and I knew I ran faster on the first half going out than on the return leg.

Still and all, not bad for a 52-year-old guy whose doctor advised him not to run more than four miles a day. Heck, I didn't think I'd be able to run more than five or six miles in a single outing at this stage in my recovery. It's only been two months since the end of my steroid injection treatments.

I have to say, however, my SI joint and hip ball socket are on fire, and the right thigh is cramping. Ice and Meloxicam are the order of the day, with a side dish of Tramadol and a muscle relaxer, along with some good old-fashioned stretching.

And Gatorade to replenish those pesky electrolytes.

Speaking of: As I pulled a Gatorade out of the fridge after my run, I flashed on the scene in "127 Hours" where Aron Ralston, his arm pinned to a canyon wall by a medium-sized boulder, remembers the bottle of Gatorade he left in the back of his SUV. Great movie. Never leave home without your Swiss Army Knife, because a cheap-ass multitool just doesn't cut it.

Fish gotta swim. Birds gotta fly. I gotta run.

As far as the swimming goes, so far it's been very good for me, toning the abdominal and lower back muscles, working on my upper body. More than likely I will hit the pool later in the day for some laps.

As I close, I'm left wondering what to play for you. "Once in a Lifetime"? "I Wanna Be Your Dog"? How about "Lust for Life"? That seems appropriate.


Wednesday, January 19, 2011

Going the Distance

I like to run in the fog in the early morning before dawn. There is a quiet to the city, a stillness. Being the only one on the road as the fog rolled in this morning made me feel like the sole inhabitant of the universe.

At least until I hit the Melbourne Causeway and encountered several walkers and a few high school track runners.

By then the fog was thick, and the moisture suspended in its fabric like big fat raindrops

Maybe it was because of the fog I pushed the envelope a bit this morning, running 5.5 miles instead of the usual four. That qualifies as a long run for me, and the first run over four miles in about four months.

And it's the first time in months I hauled my butt over the Melbourne Causeway and back.

I'm not going to crow about my performance, running at just about a 10:45 pace. The important thing is I did it, without strain or injury to my back or right hip. That alone is worthy of a victory lap.

This week is another milestone: two months since my last epidural steroid injection into my right SI joint and hip. Two months and I feel better than ever. Not perfect, mind you. But if I can sustain this regimen and keep working on my pace, I should be close to my old performance standards in a few months.

On another note, had my annual physical. Everything is working great: Kidney function like that of an 18-year-old, great liver function, and a heart like a horse. Glucose a bit elevated, white cell count down a bit. But nothing to worry about. Keep running!

And now, let them eat Cake!

Sunday, November 21, 2010

Hips Don't Lie

My body is an ever-loving mystery. All the aches and pains, the quirks, the routines I need to adhere to so I can get out of bed, straighten my back and walk into the kitchen to feed the cats and make the coffee.

As I get older, things happen that can only be explained by the phrase: "Welcome to middle age."

Case in point: I ran four miles this morning. No problem. Actually felt pretty good except for the depressing fact that it took me 45 minutes to run what I used to do in 35 or less on a good day.

Now 45 is a good day.

So I showered, dressed for the day and went into the kitchen to unload the dishwasher. And wouldn't you know it, my hip socket popped something fierce. Not "Ive-fallen-and-can't-get-up" fierce. But just the same, I had to go hobbling to the medicine cabinet for some meds: Metaxalone and Tramadol. 

After I threw down the meds, I hobbled back to the kitchen, pulled an ice pack out of the freezer and eased myself onto the couch for some R&R. 

And it set me wondering: how is it I can run four miles without a hitch, but when I twist or pivot from one side to the other, my right thigh bone feels like it's popping out of my hip socket.

My former primary care physician said it's arthritis, and that the only cure would be surgery.

I don't think so, and that's why he is my former primary care physician. I mean, what is it about doctors who think the answer to everything is surgery?

Now that I've had this series of steroid injections for my SI Joint, it's time to focus on the hip socket-thigh joint. Deep tissue massage has relieved the symptoms to a degree, but there must be something else going on. 

And don't tell me it's just middle age.

So now, for your listening pleasure, Shakira:

Friday, November 19, 2010

Master of the Universe

OK, so I am not the fastest runner in the universe. Never was. Not even in high school.

But I wasn't the slowest, either.

And as a middle-aged adult, I was putting in respectable times, 22-23 minutes for 5ks, finishing the first half of a marathon in under two hours, hitting a personal marathon record of 4.06 two years ago at age 50!

So when this hip injury sidelined me, I was bummed. I was on my way to breaking the four-hour marathon!

But I had to stop running for a year, until I finally got diagnosed with a Sacro-ilial joint injury and got referred to a specialist for steroid injections. He told me to stop running until he was through treating me.

After my last steroid injection, he advised that I could run again, but not all out like I used to run. Two-three miles at the most. He said my disks were so shot, running for me was akin to riding on the rims of a car after the tires had blown.

I wouldn't want to take a car like that out to Daytona, would I? 

I've got news for him:  I couldn't if I wanted to.

Now, I find myself running at a 10-11 minute pace, barely covering 3 miles in under 40 minutes. I suppose that is what my doctor had in mind when he said to "use it, but cruise it."

Today was my fourth run since he gave me the green light. I'd say my pace has picked up since that first run, and the pain doesn't increase after a run. Those are good signs. My goal is to slowly and steadily improve my pace to under 10 minutes a mile.

Ultimately, I want to get to where a 9-minute pace feels like cruising, not racing.

And I want to lose another 20 pounds. I reached 205 this morning, good for 6'1" but be better. I still feel like I'm holding a 20-pound bowling ball in my lap when I sit down.

Slowly, once again, I am becoming master of my own universe.

Now some Pulp:

Master of the Universe

OK, so I am not the fastest runner in the universe. Never was. Not even in high school.

But I wasn't the slowest, either.

And as a middle-aged adult, I was putting in respectable times, 22-23 minutes for 5ks, finishing the first half of a marathon in under two hours, hitting a personal record of 4.06 two years ago at age 50!

So when this hip injury sidelined me, I was bummed. I was on my way to breaking the four-hour marathon!

But I had to stop running for a year, until I finally got diagnosed with a Sacro-ilial joint injury and got referred to a specialist for steroid injections. He told me to stop running until he was through treating me.

After my last steroid injection, he advised that I could run again, but not all out like I used to run. Two-three miles at the most. He said my disks were so shot, running for me was akin to riding on the rims of a car after the tires had blown.

I wouldn't want to take a car like that out to Daytona, would I? 

I've got news for him:  I couldn't if I wanted to.

Now, I find myself running at a 10-11 minute pace, barely covering 3 miles in under 40 minutes. I suppose that is what my doctor had in mind when he said to "use it, but cruise it."

Today was my fourth run since he gave me the green light. I'd say my pace has picked up since that first run, and the pain doesn't increase after a run. Those are good signs. My goal is to slowly and steadily improve my pace to under 10 minutes a mile.

Ultimately, I want to get to where a 9-minute pace feels like cruising, not racing.

And I want to lose another 20 pounds. I reached 205 this morning, good for 6'1" but be better. I still feel like I'm holding a 20-pound bowling ball in my lap when I sit down.

Slowly, once again, I am becoming master of my own universe again.

Now some Pulp:

Wednesday, October 27, 2010

Roadkill Reboot

OK. It's been two weeks since my major setback, when my neurosurgeon/radiologist told me to stop running while he continued the SI Joint injection steroid treatments. Let the medication do its job. Let those bone spurs dissolve, or whatever it is they're supposed to do.

So I did just that. I waited it out for two weeks, did some yoga, rode my bike, walked, ate painkillers and muscle relaxers, did physical therapy stretches, and somehow managed to lose a few pounds. I even rode about 12 miles on Sunday. It felt good.

Then last night, feeling antsy, I walked. And my hip joint flared right up again. Today my hip and piriformis muscle were in agony. But that didn't stop me from doing yoga this morning and taking a long walk after dinner this evening. I've got to do something to stay in shape.

Anyway, since running is out of the question until the end of this year, I had to rename my blog and shift the focus since I can no longer write about running and recovery. This is strictly about recovery now. Playing the Waiting Game. Hoping the treatment will heal my injuries so that I can truly run again. Without crippling myself.

But who am I kidding. I feel like roadkill, like something that's been trampled on, just like the slogan for the Tupelo Marathon that did me in a year ago Labor Day weekend predicted.

And now, "Dead Skunk In The Middle Of The Road," By Loudon Wainwright III. What did you expect?

Wednesday, October 13, 2010

Bone-spurs on the saddle

This is depressing. I was doing great. Really enjoying building up my running regimen to about 20 miles a week.

But now I have to put a kybosh on the running, for a couple of months, anyway.

When I went in this morning for my second steroid injection for my SI Joint inflammation, my doctor and I discussed my running, how much of it I was doing, whether it was causing pain. He showed me a whole mess of bone spurs along my sacro-ilial joint. Strenuous exercise, pushing too hard, causes those spurs to jangle.

"Your injury is related to high levels of pounding," he said, preaching moderation in all things. "Although I suspect you and I have very different ideas of what moderation means."

Well, yeah. For more than two years I was training for and running in marathons. I was going through a new pair of training shoes every three months. So the idea of running three to five miles a day, with one nice 8-miler thrown in on the weekends didn't seem unreasonable, and it didn't seem to be hurting.

"The medicine I'm giving you lasts 4-6 weeks," he said, during which time I might not feel the pain that would normally register from my injury. Once the medication wore off, I'd be going around saying, "Like, hey, where did that come from?!"

Point taken: I'm still injured. His goal is to correct the injury, get me back to health and keep me from doing anything that would make that injury permanent. Pain has a way of following pathways, he said. If this had gone on for another year, I'd be owning this pain for the rest of my life.

That's why I'm here, I told the doc. Stop running, he said.

Do things that don't pound the joints. Stretch. Bike. Swim. Walk. Do yoga.

But for the next two months, he said, do not run.

That is going to be very tough indeed. Because these boots were not made for walkin'.

Now, here to ease my pain is "Blood on The Saddle," a classic Tex Ritter song done to death by The Dropdead Beats (with a lead singer channeling Tom Waits):