Rehab 101

So, now that I'm running again, and feeling better than I have in a year, I've got to resist the temptation to fall off the wagon so to speak, and go full out on my workout regime.


That's not to say I haven't pushed the envelope with a couple of longer runs, and one really serious workout this morning where I pushed up my pace, chugged up some hills and ran as hard as I could till I felt like hurling.


That being said, I realized that there are several really good rules to follow when recovering from an injury, especially the epic SI joint inflammation that I've been dealing with.


RULE # 1: Listen to your body. Respect its limitations. You can't just go from laying on the couch for a year to putting in eight-mile runs every day. Run your best, but when the piriformis pings or the knees ache, stop and stretch, walk a bit, and ease your way back into a comfortable pace.


RULE # 2: Drink. Lots. Of. Water. The muscles like water. They need to be bathed in fluid, according to an article read in a recent issue of Running Times magazine.For two hours after a run your body is still in recovery, even as the metabolic rate slows down, according to Julia Lucas. So drink up.


RULE # 3: Feed your body. You've just had an intense workout, and you've robbed your body of lots of nutrients as a result. I like taking a multi-vitamin after a tough workout.


RULE # 4: Take it easy. The hard part is over. Relax. Enjoy yourself. Do some gardening. Read a book.


RULE # 5: Treat yourself. After my nine-miler Thursday, I had a 15-minute deep tissue massage and a chiropractic adjustment. I allowed myself a full 48 hours to derive the benefit of that massage. The New York Times just reported on a study that shows one massage session can cause amazingly beneficial biological changes. As someone who had one of the most excruciating but most beneficial massages of my life, let me say, Om.


RULE # 6: Take your meds. I don't care what other doctors may have to say about the subject, but I'm a firm believer in a doctor-supervised medical treatment as part of any recovery program -- in moderation. The meloxicam (anti-inflammatory) I take every day works on the SI inflammation, along with the massage and the regular stretching exercises. If I need to take a tramadol or muscle-relaxer to ease that piriformis ping, so be it.


RULE # 7: Stretch. Always incorporate some kind of stretching as part of your recovery. I do a combination of yoga and physical therapy positions I've learned over the years. The worst thing you can do is sit around and stiffen up.


RULE # 8: Ice it down. If it aches, alternate ice with heat to reduce the inflammation. It works.


And now, "Body Rock," by Moby:

Like A Sauna In Here

Running this morning, started at the crack of dawn to avoid the heat. Still spritzing like crazy.

Feeling well enough to tackle the causeway, and just as I'm heading up the eastern incline, two or three dolphins break the surface of the Indian River Lagoon, their black-purple backsides glistening like eggplants in the orange dawn.

Ancient Greek mariners read it as a sign of good fortune when dolphins followed their triremes out of the harbour. I look on their presence as fortuitous as well. Only one song I know of uses the word triremes, by the way, and that's "Deeper Down," by Wilco.



I logged 7.5 miles this morning, got lapped by the high school cross country team and sweated like a whore in church. I guess it's the humidity after all.

Capped the morning run off by chasing down a meloxicam  (15 MG) with a mango/strawberry smoothie. Yum!

Tomorrow's the day I'm scheduled to get a steroid injection in my SI joint. Can't wait. Hope to give the meloxixam, tramadol, and skalaxin the big kiss-off.

This morning's running song is "It's So Humid,"  by 2 Live Jews. Enjoy. And Mazel Tov!

1

Blue Light Special

Living on the east coast of Florida poses two serious challenges for long-distances runners: terrain and climate. It's flatter than a surfboard, and the heat index is off the scales.

Training for a marathon in the subtropics is downright crazy.

No escaping the heat. You just have to run before the sun gets up, because as soon as the sun crests the first yardarm, it's already into the high 80s with the humidity ratcheting up the heat index several more degrees. We have two temps: what it says on the bank thermometer, and what it feels like. There ought to be a third category: what it feels like running.

Finding a place to get in some decent hill work isn't easy, but if you live along the Intracoastal Waterway like I do, you go for the next best thing: a causeway.

The one I run is the US 192 Causeway, or the Melbourne Causeway. The official name for the span is the Ernest Kouwen-Hoven Bridge, named after a Dutch man who emigrated to Florida, and liked to build bridges and grow timber. He built the original Melbourne Causeway in 1919, and the Florida Legislature named a subsequent bridge after him in 1977. Nobody locally calls it by its proper name, and very few people who grew up here even heard of Kouwen-Hoven. My friends who grew up here call jokingly call it Mt. Melbourne.

Yesterday I ran to the blue light at the top of old Ernie's bridge, stopped and turned around, making a nice 5.5 mile run on a hot-as-balls Saturday morning. Here's the song, "Blue Light," by the band Bloc Party.

That's a big milestone for me, because it's the first time since injuring myself in the Tupelo Marathon that I was able to exceed 15 miles in one week. Not that I'm setting any land speed records yet.

Also, it marks the second time I tackled the causeway since I began running again three weeks ago, after a year of suffering from a back injury I got running the Tupelo Marathon. I call this route The Blue Light Special because of the blue navigational signal at the crest of the causeway, which I suppose serves a two-fold purpose: it lets boaters know where the channel is at night, and keeps planes from flying into it.

But it doesn't keep people from jumping from the top of the span, 55 feet above the Indian River Lagoon. People have died doing it, and a brass plaque right near the blue light serves as a reminder of what happens to fools who dare to dive off the bridge at their own peril. Don't wind up like "Doug Bob" commemorated here -- born in 1986, died 2002 -- you do the math.

Anyway, I think I hit another milestone that comes with old age -- erm, make that wisdom. When it hurts, stop. Which is why I stopped at the blue light and turned around. I could have kept going across the two-mile causeway, and done an eight-mile run instead of 5.5. But the heat was getting to me, I'd run all out and was pretty spent by the time I hit the top of the causeway.

And my SI joint was pinging something fierce, along with a little pain tickling the piriformis muscle. I knew it was time to quit, that my body had had enough for the week and I should be happy with what I'd accomplished reaching that 17-mile mark in one week, without dying of heat stroke.

Maybe I'll double-down and hit the Blue Light Special twice tomorrow, the day before I go in for my steroid injection.

OK. Now for a cool running song, the one that was pounding in my head while bopping down the causeway: Step On, by Happy Mondays: