With nearly two weeks having passed since my right leg
injury first presented, I figured now would be a good time for an update.
It is a bad news/good news scenario. The bad: the problem
has not abated as quickly as I had hoped and sometimes the pain can be rather
sharp. The good: I’m still able to run and my attempts at therapy are showing
some results.
But let me go back to the beginning.
As I mentioned in my last
post I had felt a rather painful, uh, pain, near but not actually on my
left knee as I completed a 75 minute run one evening. It was too low to be IT
Band syndrome, with which I am familiar, but it did hurt the way that does
flaring up more so on inclines than on the flats. Research into the problem
suggested very strongly a pulled lateral gastroc muscle.
My initial response was rest. In fact, for the next four
days I did nothing at all, just rested my leg and continued to apply heat and
take NSAIDS (specifically Aleve) as you can see by this conspicuous gap in my
training calendar:
I broke my rest cycle with a trip to the pool, and followed
that the next day with a strength work out. In other words, I let a week go by
without any use of my legs (I generally don’t kick during my swim workouts).
Last Wednesday found me back on the trainer for just over an
hour and my affected area actually felt fine during that ride. I was feeling a
little tweak in my hamstring so I cut it short, not wanting to pile one injury
on top of another.
The following day, the pain was back. Not as acute as it had
been a week earlier, but still enough to make me decide that running, as I had
originally planned, was perhaps not the best idea. So instead, I went back to
the pool and did laps.
By Friday of last week, the pain had abated again so I set
out to an easy our on the bike path near my house. It does offer a gradual
decline (which means climbing on the way back) but nothing like a steep hill.
Figuring out what is wrong and what caused it has been a
largely heuristic process.
I’m not totally unqualified to do a little self-diagnosis. I’ve been running
for years and I know my body better than anyone. That’s especially true when
determining what just an ache is and what a bona fide injury is. As I ran, a
new thought occurred to me. In the words of Mars Blackmon
“It’s gotta be the shoes!”
Last April, I switched from my ever-reliable but boring
Brooks Addiction to pair of Nike Structure. It was less of a motion control
shoe but still had stability. If the new paid did not work, I figured they
would tell me. Well, they did not. I went through a long season including two
half marathons, 5 triathlons (including a 70.3) a 10K and hundreds of training
miles with no issues. So naturally, when it came time to replace them, I bought
another pair. That worked well until I started upping the distance in
preparation for a full marathon this spring.
There’s rarely a smoking gun in a case like this, but I
believe the combination of more miles, an aging body, cold weather and yes,
shoes, are causing me a problem. Specifically, I suffer from supination as
depicted below:
A view of the soles of my shoe confirm as much. They show a
great deal of wear on the outside of each heel. Over time, this is causing
excessive pulling on the lateral muscles and ligaments. In other words, it took
over 500 miles and nearly 10 months, but it turns out that these shoes actually
are not right for me.
The solution: go back to the Brooks. These were the shoes
that carried me through my last marathon (way back in 2006) as well as
countless other races and miles of training with no more issue than the
occasional blister (which was probably not shoe-related).
My new pair are on their way, probably just in time for a
long run this Saturday. The remaining question is whether or not I’ve done
permanent damage in the mean time. My guess is: I don’t think so. The fact is
that the affected area only hurts some of the time—even while running. While
complete healing will probably take a few more weeks, I also think that I’m on
the road to recovery all ready.
In the meantime, the season keeps getting closer. In order
to take advantage of an early-bird discount, I have registered for the Rattlesnake Triathlon and will
probably end up signing up for the Loveland
Lake 2 Lake by the end of the
month to get their deal as well.
The lakes are still frozen, there’s snow in the forecast and
the sun sets just after five o’clock. Nevertheless, I can already get a sense
for what’s coming!
Thanks for reading!