Thursday, October 2, 2008

RICE makes you fat


Things are not going well in Claire country. They are not going well at all. I'm stuck in a bureaucratic nightmare where my driver's license has been revoked. It's a long, long, frustrating story and basically boils down to a policy that the DMV has that they don't properly notify you of payments due. Let's just leave it at that. If I tell you the story I might cry again and that won't help matters any. The point is, it's been upsetting me.

On top of that, horror of horrors, I'm injured. It seems incredible, after all the shit I've put my body through over the past year that what put me over the edge was a 3-mile easy run. Monday I was running along at about 10-minute mile pace just thinking about life, flowers, butterflies, stars, puppies... when I started to get a bit of an ache in my left foot. It wasn't too bad, and things ache all the time only to feel fine the next day, so I finished my run (hey, I had to get home, didn't I?) not too worried about it. I ran some cold water in the tub and soaked my feet for a few minutes, and then forgot about it.

The next day it didn't hurt in the morning, and I forgot about it. I forgot about it on the walk to work. I forgot about it while at work. Then I remembered about it on the walk home from the train when it started to ache a little bit. But I'd just found out about my driver's license, and I really, really, really needed to run and I needed to run HARD. And anyway, if I were injured, I would get some warning before I really fucked it up, and I could back off. So I put on a different pair of shoes and started running. I was doing half-mile repeats up a slight hill, and while I was running fast the foot didn't hurt, but running slow back down it ached like hell. So it's not running FAST that fucked me up, it's running SLOW. What the fuck?! I hoped it would go away as I warmed up, but instead it got worse with time: it was fine on the way up, but killed on the recovery run back down. So after three repeats I turned around and hobbled home. I paid special attention to exactly where it hurt, and where the pain radiated through so that I could look it up when I got home.

Immediately I sat down at the computer and searched "anatomy of the foot" and found what seemed to be the culprit: the Peroneus Brevis tendon, a tendon that goes from the lateral head of your gastrocnemius (calf muscle), under the bump on the outside of your ankle, and tucks under your foot to insert at your fifth metatarsal (the bone mid-foot behind your pinky toe). The alternative is a stress fracture, but I do not have a stress fracture because there is no cure for that other than total rest for 6 weeks, which probably means crutches.

Fuuuuuuuuuuuck! I'm supposed to be running the Hartford Marathon next weekend! I'm supposed to be running all this fall and finally becoming a fast runner! I'm not supposed to be injured.

If I get an overuse injury, shouldn't it be in one of the big muscles or joints? Not the tiny little peroneus brevis tendon that is responsible for "plantar flexion and eversion" (curling your foot and rolling it outwards). I do neither of these in road running. Sure, I turn my ankle all the time when I'm running on trails, but I haven't run on trails since last Wednesday. It certainly didn't hurt then. Come to think of it, if this were an overuse injury, why wouldn't it start to hurt when I WAS on a trail with my ankles rolling all over the place??? If I'm going to be taken down, I want it to be something dramatic, not the inflammation of some tendon no one's ever heard of. I feel I'm entitled to something really badass that includes exclamation points at the end, like Exploding Gluteus Syndrome!!! You know, something that involves sparks and maybe a bang, or at least a pop or a crack.

But no.

I have a pretty good idea of what caused it, the same thing that causes most sports injuries: overuse. I haven't bought new shoes in a long time. In fact, one of my pairs of shoes is over a year old (although they haven't been in the rotation for much of that time).

On top of that was my decision to run more in order to run faster. I figured I'd train like a runner, running every day with easy 3-mile runs on the "off days" instead of bike rides. So I ran Saturday and Sunday, Monday I ran easy and it started to hurt, and Tuesday it got worse. What's really frustrating, though, is that I broke none of the 3 commandments of running: I didn't go too far (it was a short run that killed me), too fast (it was slow running that did me in), or too soon! I have done similar running volume and similar intensity many times before with no ill effect. And too soon? Come on! Certainly I have enough of a running base in me to be able to handle an easy 3-mile run!

There's no use in seeing a doctor for now (although I finally have health insurance again!!! yippee!), since what he is almost certainly going to do is tell me to RICE it: Rest, Ice, Compression, Elevation until it gets better. I don't need to pay a copay and lose several hours of work to hear that. And anyway, doctors hate distance runners. They're worse than fat people. They can't WAIT to tell you that running is "bad for you".

I'm doing everything I should, staying off my feet, icing them, taking Advil (right, Judi?). But I am grouchy. I'm back in that place where I can't drag myself out of bed in the morning to go to the gym. I'm bringing healthy lunches, but going out to buy pizza and cookies instead. I'm eating all kinds of high GI foods, processed foods, and crap I would never normally eat. I'm getting fat.

Which brings me to another point: Rest. I hate rest. It makes me grouchy, depressed, and frantic. I know you need rest, but I prefer to take the "active recovery" option, the one where I sit in the back of the lane and just swim easy, or where I ride my bike easy with slower cyclists and enjoy the ride. Complete and total rest has dire implications for me. What if I get fat? What if I lose my fitness? What if next year I don't have the drive to get in as good shape as I am this year??? I mean, if you're just going to sit around on the couch, you might as well do so with drink in hand.

I know that you need to take time off, and also work rest into macrocycles with the off-season and so on. Rationally, I know this. This is what I would tell anyone else: that they need to take time off to rest. But deep down in the core of my being, I think it's a bit blown out of proportion (read more about it here). You need to let your fitness dip, sure, but get out of shape? Sit on the couch until I'm back to running 10-minute miles? Get fat? Sometimes I think I'd rather get my legs chopped off and continue training than be subject to that.

11 comments:

maria conley said...

Hi Claire, I love your blog. You are so funny. Tu blog me hace reir cada ves que leo. Sorry to hear about your foot injury. Being injured totally sucks. Hope you have a speedy recovery. Buena suerte.

Judi said...

Ok, calm the fuck down. You have a full on week to heal up, so you better just relax, and let yourself heal. Yes, on Advil, yes on ICE, etc. You will not get fat although I know exactly how you're feeling. Ride and swim lots for the next 4-5 days. I bet the pain is gone by then.

p.s. it takes at least 30 days of zero exercise to start losing muscle.

Trihardist said...

I would be happy to fly into Boston and use my long-dormant football player skills to tackle you, knock you on your ass, and give you an awesome injury so that you will HAVE to rest.

And you will not get fat. You will be perfectly capable of achieving the same level of fitness and even more next year. But you will not be able to do that if you fucking hurt yourself by ignoring a serious injury now.

Which you already know. Because you are awesome.

Take care, Claire.

Benson said...

Get new shoes.
Swim,
Aqua running,
Bike.
You know the drill, just do it.
You'll have a great marathon.

Coach Liz said...

OK,

Go to a Whole Foods or heathy food store and in there section of herbs, suppliment, and voo-doo witch craft find a tube of Traumeel or Arnica gel/cream and apply that stuff liberally to your foot and side of your leg several times a day to reduce swelling.

Find a sports doctor or sports Chiropractic doctor who does cool laser therapy treatments. In one or two laser sessions you should be able to run if it is not a stress fracture.

The laser is a miracle and it really does work. Hang in there and go rent Ironman and REST.

rocketpants said...

ummmm over use injuries...no good. New shoes? Stretch the calves. Buy that trigger point therapy book I talk about or at least go to Barns and Noble and look up where the trigger point is on your calf for your referred pain. I'd tell you, but well...i sent my book to my sister. Or go see someone who can do Active Release Therapy. That would also sort you out. Doctors can help...they can...just make sure you go see a sports specialist otherwise they will just tell you to stop running.

mindy said...

Hang in there Claire. You're doing all the right things, see what happens in a few days. As someone who just came back from a major injury, let me tell you that you won't lose your fitness with a few days off. Keep up with the active recovery to stay sane - if it doesn't hurt on the bike, then bike. You have a huge training base, a huge aerobic base - a little time down can only make you stronger and heal anything else that might have been considering giving you problems. There's an end in sight!

Bob Almighty said...

Pants I thought it was spelled "Barnes" and Nobles...we keep having issues with spelling between me with kool-aid or kool-ade...irregardless

Claire take the weekend of from high impact stuff, ride the bike ( common you love to bike) , swim just don't put sole to asphalt before Mon. since next week is a taper week do a 5k easy jog on Mon or Tues, with maybe another 3- 5k on Thurs. and see how you feel....

Angry Runner said...

Oh. My. God.

This post is like, totally, like...wow. I am so tempted to just blurt out so many things but...that would be wrong. I'll poke at your legs and feet when i see you next. Oh, and I hear you on the high GI foods too...ya.

Mind you, I did have a very annoying case of tendonitis in my Flexor Hallicus Longus for about 3 years, which is pretty much 4 toes over along the arch...similar physiology with the muscle under the gastroc and the tendon running through the ankle, etc. BUT...you don't want to hear how I cleared that one up.

The only thing i will suggest:

Omega 3's. Fish oil. Nature's anti-inflammatory. Consume lots of it. Don't question me, just do it.

Holding...tounge...must...not...speak...

M said...

Stop think in extremes, that all-or-nothing approach to this. Running is not the only thing that can keep you in shape, though I can completely rlate to the whole "but I'm getting fat!" thing.

My secret weapon? Swimming. After I had surgery following Ironman (like, 10 days after) I couldn't do ANYTHING for almost six weeks and OBSESSED over my lost fitness. But I could swim, and swimming kept a lot of that tone and strength (even if I didn't actually feel a sweat doing it).

So swim. And bike (if you can).

That's all I got.

GetBackJoJo said...

I'm not going to give advice, cause you won't take it anyway!
You will heal right up. You're smart, and you'll figure it out. You already know what to do.
You will have the best race ever at Hartford b/c for once in your freaking life you'll be slightly rested. right?