Monday, October 20, 2014

Please! Not Now!

I'm injured... 

For about two months, I 've been having some trouble with my right knee. Weird kind of trouble. It was slight at first but now it's really an issue. It doesn't hurt when I run at all. But after cooling down, it starts to act up and hurt. By the next morning, it really hurts. Then, it gets better to the point that I venture another run (usually the day after) and the cycle begins all over again.

Two weeks ago, I went on an 8 mile long run and then on Monday, I could barely walk. The Philly Half Marathon is in 1 month now as of this writing. Time to go to the doctor.

So I went to the Doc and after an X-Ray and a check up, and after telling me not to worry too much, he told me two things that raised an immediate red flag in my head:

1) He prescribed Cataflam, an anti-inflammatory and pain reliever. I've never taken Cataflam but I know of it. My Mom, who has had chronic back issues most of her life, calls them her "knock out pills". My Mom is one tough lady so if this is what she takes, it must be strong stuff.

2) He also prescribed an MRI. Never had an MRI either but I know this: That's what Doctors tell football players to get right before they tell them their season is over. Not a good sign.

Oh yeah, pending the MRI results and my next appointment with him, I can't run. My reaction:


I calmly tried to explain that I was running a Half-Marathon in November and that I was concerned the "don't run" indication was going to be a problem. He explained that the MRI was just to discount a few theories and that before taking any action he wanted to be certain of what was going on... blah blah blah...

Look, the guy is awesome (I've visited once before) and he actually operated my Mom, one of my cousins and an uncle so he comes very well recommended but all I heard was "You can't run." With the Half so close, I'm freaking out a bit. It's not so much that I can't run. It's the race, for which I already paid airfare, hotel and registration. The knee, I can deal with. Traveling to Philly to be the World's most expensive race spectator... not so much.

The MRI results

So I get the MRI and subsequently, the results which I don't really understand, of course but I read some stuff that seems to be good news. The L's are OK! Or as the results say, "unremarkable". You know the L's right? MCL, ACL... the stuff that gets pro athletes in trouble. Every time I hear of serious injury to the knees, these are usually mentioned so in that regard those are good news.

Further down though, some concerns. I see the words "tear", "cyst" and "defect". All these related (I think) to the meniscus. Now, you can't "tear" a meniscus (it's a bone right?) but you can tear stuff related to it. Maybe I shouldn't be jumping to conclusions and let the professional tell me where I stand.

Well, I hated the appointment. First, he looked at the MRI results and said there were several problems then I got the kind of ambiguous doctor talk I hate to hear but it boiled down to this:

1. There is a meniscus issue but it is very small. He doesn't think its the cause of my pain.

2. There are some degenerative issues that are causing the pain and discomfort. The Doc recommends lower impact exercises like cycling or swimming. Long term he could perform surgery. A kind of "cleaning" (his words) of the knee area.

3. It's not that I can't run anymore, but putting too much stress frequently on the knee will not help the situation. Cross training will be very important. (See #2)

4. Losing weight will help. (duh)

Based on what I know of the situation here is my take on it:

1. Up to this point in my running journey, I didn't have any major issues. The advantage of being a slow runner is less impact on the knees. Since my focus had been on just finishing, there were no problems.

2. This year, I vowed to pick up the pace. Many of you know that my goal for Philly was to run a sub-3 Half Marathon. As I increased my mileage while running faster, that's where the problems began.

Obviously, the Doc doesn't know how much I love running so I can't blame him for the way he looks at it. He just sees an overweight guy that runs and the solution is to not run and try something else to keep losing the weight. But I want to keep running.

He told me to take it easy with the training and run the Philly Half and if a couple of weeks from the race I was having too much pain, to go to his office and get an injection. Not exactly what I wanted to hear but I'll take it. With so little time left, there is no room for a new strategy. I just have to suck it up and run but the prospect of a sub-3 is looking grim. Long term, I'm gonna have to restructure the entire way I look at training and weight loss will have to happen faster. At least if I want to keep running long distances.


12 comments:

  1. Yikes! So sorry to hear you are having this trouble but it looks like you have a strategy to at least get you through the Philly half and then you can re-strategize from there. What I don't understand is the vicious cycle of running to loose weight, but then you need to loose weight in order to run efficiently and not get injured. I know it's the truth but it is a hard pill to swallow. My husband is also on a weight lose journey and I know things are tough for him because of the extra weight, yet that is why he is trying to run or exercise ( to get the weight off). Like I said, a vicious cycle! . You have been doing great though my friend and I will be rooting for a sub 3 for you at Philly next month!

    ReplyDelete
    Replies
    1. Funny I was just thinking the same thing about a vicious cycle. You gotta exercise to lose weight, but you gotta lose weight to exercise. Price to be paid I guess. Good luck to the hubby on his journey!

      Delete
  2. Oh Frank! I hate reading this! You know I've had knee issues in the past. It's never been serious though...my chiropractor always gets me back up and running...literally. But I definitely understand how you feel. You may not get the sub 3 at Philly but at least you can still run it. Rearrange your goal to run it for the enjoyment. And then hopefully the knee will get better. Hugs!

    ReplyDelete
    Replies
    1. Thank you for the support Mindy. I'm just gonna train the best I can with the time I have peft and just go there and try and have fun. Though this puts a bit of a dark cloud over things, I will look at the positive. Hey, he said to swim and cycle so you know what that means... Triathlon! LOL

      Delete
  3. Hi Frank, my first thought was "Maybe he can do triathlons," but it doesn't sound like you want to hear that right now... I'm glad that you can run in Philly, and as Fairytales and Fitness says, you can re-group after that. GOOD LUCK IN PHILLY! Lori from facebook.

    ReplyDelete
    Replies
    1. Actually I don't mind hearing that at all Lori! The more I think about this, the more enticing triathlon sounds to me. Thanks for the support.

      Delete
  4. Oh no! So sorry to hear about all this. I am glad you get to do the Philly half. Just realign your goals and go have fun! Gotta keep those knees nice and healthy! Hang in there Frank!

    ReplyDelete
    Replies
    1. You bet I'm realigning my goals. I'm just gonna have to look at cross training and diversify my workouts but I will not stop running that's for sure.

      Delete
  5. Any chance that a compression knee sleeve might help take some of the stress off the knee? Might not hurt to try and see how it goes.

    ReplyDelete
    Replies
    1. I was just talking to my wife that I found it a bit weird that the Doctro did not talk anything about that. No sleeves, bands, braces... nothing. But as you said, certainly wouldn't hurt.

      Delete
  6. Hi, Frank. It sounds like you are going through almost the exact same thing I am! I was about 240 lbs back in June, and committed myself (variations of the definition are acceptable) to running the WDW Marathon in January. I've done several Half Marathons and thought this was the time to go for it. I've been steadily losing weight and I'm down to 224. All good... except for the knee pain. I had MRIs on both knees last month, and found that one knee has a meniscus tear, but the doctor didn't see anything wrong with the other. The doctor suggested surgery (also to "clean it out"). When I asked about other options, he pretty much lost all interest in me. I felt like with each question, i was dragging him back into the room. He didn't push for surgery, but didn't give me other options, either. So, I guess I'm saying it looks like you at least had a better doctor. For now, I'm just trying to take it easy when I'm not running. The only time my knees actually feel GOOD is when I'm running. My hope is to make it through the marathon, and then I can revisit the situation (with possible surgery) with a different doctor in January.
    Good luck (to both of us)!
    Doug

    ReplyDelete
    Replies
    1. Yup, that sounds about right. I'm kindo of upset at the doc but at the same time I kind of get it. He either treats athletes or older people or overweight people. Its not everyday they get a person thats overweight (at the moment) that is also committed (you can take the double meaning too) to running. I guess it just confuses them.

      BTW good luck in January. I know it sound cliché but if could do it, I know you will too. It will be awesome.

      Delete