Sexy New Footwear

After a couple weeks of waiting and spending a lot of time in the pool, I finally had my orthopedist appointment today.

The good news is that the MRI shows no evidence of a tear to the tendon. There could be a small one that would only show up if they opened it up surgically, but he doesn’t see any need to do that as I am still able to lift up onto the toes which indicates that the tendon is mostly still sound.

The bad news is, the tendon is still pretty inflamed. There is a lot of fluid around the tendon which is pushing on everything around it and making it sore, and according to the doc will probably take a while to subside. How long, he can’t say. It just takes as long as it takes.

He likes my plan of staying in the pool and doing the occasional spin class, and basically says that if it hurts, I should not do it. And no running until I can get through all my daily activities without any pain. When I am pain free, then I can start doing therapy band work and then work my way back into running.

I am still hoping to ease back into dry land running towards the end of the summer, but basically there is no way to plan for it because the ankle is in charge of the timing. So I will hold off on putting down those entry fees for the fall triathlons.

He doesn’t seem to think that I need an orthotic over the long term, but says I should go ahead and get some inserts like SuperFeet green to assist with the over pronation that is at the root of the problems I am having.

He also wants to immobilize the foot a bit more for the day to day activities while it is healing. So he gave me one of these lovelies…

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Ain’t she purty? That’s gonna look awesome with all my summertime shorts and skirts! I just need an extra large sandal to pull it off – maybe something gladiator-style would work?

I know you’re jealous that I have all the fun, but oh well. We can’t all be fashionable.

Your turn! What is your favorite summer footwear? Have you ever had a supposedly minor injury that would not go away? How did you cope? Tell me about it in the comments!

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Hurts So Good

I got my full Physical Therapy routine started at yesterday’s PT appointment. I’m going to Experience Momentum, which was recommended to me by a running friend who had used them.

They designed an exercise program to help with flexibility and hip strength, and to strengthen and stretch the muscles of the calf so that my posterior tibial tendon isn’t forced to work so hard. Most of the exercises aren’t too difficult except for two that directly target the area of my right hip that is the weakest. So although I can barely do them, I know I have to keep at it since whatever they do must be what I need to work on.

I also think it’s interesting how easy these exercises are on my other leg – major muscle imbalance between left and right side going on. Which I guess is not totally surprising given that I never have been able to walk or run in a straight line – on the treadmill I am always slowly meandering between the guard rails.

So far I’ve been impressed because the exercises they’ve given me and techniques they’ve used have already made a big difference. Last week, my ankle flexibility was so severely limited that I literally could not get my knee forward past my toe without a lot of pain – now I can get within a couple of centimeters of what the other ankle to do. That’s a lot of difference in a week. Now we just need to strengthen that hip so it can do its job a bit better.

Also might be nice to be able to walk straight – call that an added bonus.

In addition to exercises and stretches, yesterday’s appointment also included something called ASTYM. You can click to visit the website if you want to read the scientific mumbo jumbo, but what I was told is it’s basically a deep tissue massage of sorts that utilizes a hard plastic thingie that the therapist scrapes along the muscles and tendons that are causing your pain. The hard plastic thing supposedly helps move inflammation and scar tissue and also stimulates blood flow to promote healing.

It is rather uncomfortable but not excruciating – I yelped a little but mostly I laughed. I just tend to laugh at a certain level of pain. I know that makes me sound like a badass. But I am just talking about the level of pain where it also comes across as somewhat pleasurable because your body isn’t quite sure what the heck is going on. Like being sore after an extremely tough workout.

Of course, much past that level of pain comes yelping, then shouting, then tears. And kicking or punching if it doesn’t stop. We were at the laughing and yelping level, though, so the pain was of the hurts so good variety. The therapist told me she had only ever made a person cry a couple of times – laughter and the “hurts so good” sentiment being more common.

I was sad when she stopped.

Anyway, I woke up with my ankle feeling pretty good this morning, so either the technique actually works, or the placebo effect makes me think it does. Whatever the case, I’ll take it!

My New Best Friend

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My new best friend is a rolling pin, and I’m not even making a pie. In fact, I’m not doing any baking at all. I had my first PT appointment for the posterior tibial tendinitis this afternoon, and it was suggested that I repurpose a rolling pin to loosen up the muscles and fascia in my calves so that the posterior tibial tendon isn’t being constantly pulled on by the muscles above it.

I cannot believe that a) this actually works and b) it’s actually a thing. You can google “rolling pin massage” and find a bunch of videos of people doing this exact thing.

It works so well that after I rolled out my legs, I was able to stand on one foot, walk up and down stairs and all around my house, and squat down to the floor while keeping my heels on the floor with no pain. It’s been months since I could do any of those things. I am amazed at the difference this simple technique could make in just one day.

I had actually tried rolling out the calves before using my foam roller but it just couldn’t get in and release the right areas. But the rolling pin seems to be able to do the trick. Who knew they were good for more than just making pastry?

Better Every Day

Every time someone asks me how I am feeling since my surgery, I tell them I feel better every day. It wasn’t true at first, but it has been true for the last couple of weeks since I started back to walking at the gym. I am at 5 weeks today and am really feeling strong now. I occasionally have odd twinges of soreness, but for the most part my surgical stuff is not causing me any pain.

If only based on my recovery from surgery, I think I would be getting back to running pretty quickly. Unfortunately, the tendinitis I developed back in January is still bothering me.

Since I’ve already tried giving it a couple of months of rest and doing some rehab exercises I found on the Internet – a course of action that hasn’t quite worked- I decided to stop futzing around and actually go see a doctor about it today. He basically agreed with my Internet diagnosis of posterior tibial tendonitis, and recommended 2 more weeks of high dose Ibuprofen three times daily, some PT and some orthotics, and then see where we are. He also said I need to go back to Brooks when I go back to running as the Asics I switched to are probably not a stable enough shoe for me. Honestly, I can feel the squishyness of them so I definitely think it could be the shoes are at least partially responsible.

Anyway, If there’s no improvement in a couple of weeks, then we will do an MRI and possibly refer me to a podiatrist.

The good news for now is that he felt that I didn’t seem to be in enough pain for a stress fracture to be very likely, and that tendonitis was very consistent with what I told him about my training. A lot of mileage added quickly is a pretty textbook way to give yourself tendinitis, which I knew. What I didn’t know was how fast it would go from “no problem” to “big problem”. At the time I knew I was adding miles pretty quickly but had just hoped to get by with it for a few weeks. Obviously, I miscalculated. Lesson learned, I guess.