Friday, November 27, 2015

Post-surgery Final Week.



For the complete story please review my previous blogs on this subject:


Final Week Post-surgery

Day 85 (Thur) – Today was my final post-surgery doctor’s appointment, with Doctor Tingey:  He’s released me to return to living the running life (cautiously at first of course).  The doctor was initially very concerned that I’ve walk raced the last few weeks, far too soon to be exerting myself he said, but Charlene reminded him that I’m on day 85 not day 65.  He told us that he thought this was my 2 month checkup, not the 90 day final check.  He told us that I can begin running again, slowly at first, preferably on a run/walk program of some type until I rebuild my strength and conditioning. 
He also told us, after I asked specifically, that I do not necessarily have to have surgery on the right hip:  The femur head is misshapen, just as the left one was, but that alone does not mean that my right labrum is or ever will be torn.  He wants me to pay attention to how the right hip feels as I begin running and training but for now we aren’t going to mess with it unless it begins to hurt or somehow bother me.  If it does end up hurting I will have to meet with him again, get an MRI on the right side, and then decide if surgery is necessary.  I asked if we would positively have to get a new MRI on that side, they are very expensive, he said that he won’t operate without a clear picture of what is going on; I can’t blame him there. 
We discussed my physical therapy; how I felt about it, and whether or not I believed it helped.  I told him I am still getting a lot of benefit from it and that I am trying to be very diligent about doing it 3 times a week (2 at home, 1 at the Physical Therapy facility).  He was pleased with my time and work with the Physical Therapist, and recommended that I continue to go to PT until my insurance company stops covering it for this particular issue.
After we finished with the appointment, Charlene and I drove to Anahiem to begin our weekend adventure:  She had a day of Disney fun planned, my first run after surgery on Saturday, Charlene’s Avengers Half Marathon early Sunday morning, and then our quick return to Vegas for the Rock ‘n’ Roll Las Vegas 10k. 
Day 86 (Fri) – While Charlene enjoyed her day in the park I walked around the local area a bit to warm up for my session of physical therapy in the hotel.  I couldn’t do all of the things I would have done at home but I simulated as much as I could.  I had to get creative a few times as the “total gym” door mounted resistance device I brought wouldn’t actually fit on the hotel room doors.  I was able to get a good workout so I can’t complain.
Day 87 (Sat) – ChiRunning lesson 8, titled “I’ve Got Rhythm”, actually relating to helping a runner keep a consistent cadence as opposed to anything dance related (thank God).  As I return to running I don’t doubt that I’ll need to pay attention to this again.  It’s very easy to waste valuable energy speeding up and slowing down when you aren’t paying attention to what you’re doing, or you don’t yet know what you’re doing.  Danny recommended we use a metronome app (or buy a physical unit) to take with us on runs, I’ll have to dig out the one I bought from the ChiRunning website a few years ago.  I used it during my first 3 Boston Qualifying marathons; I can tell you first hand that it helped a lot.  I still chuckle when I recall the races I participated in with the metronome running; some runners liked it and even fell into pace with me for a time, and some didn’t appreciate the noise (the beeping must have clashed with their playlist).  One of the more valuable lessons I learned over the years, when running with a it, was to set the beeping interval to a beat-pattern based on 3 as opposed to 1 or 2:  A beat pattern of 1 monotone beep per foot strike got monotonous and my mind would drift away rather quickly, a beat pattern of 2 (still 1 per foot strike but alternating between 2 different beep tones) would sometimes lead me to strike harder on my dominant foot as my body and mind became attuned to the pattern.  My preferred setting is the pattern of 3 (1 per foot strike with two beeps of one tone and then the third beep of a different tone): It ensures I don’t have a singular focus on one foot, the tones rotate due to the odd number.
I finally got to run for the first time since just before the surgery, it felt freeing.  Charlene and I found a small family park in one of the local neighborhoods near Disney; nice and grassy but also had a sidewalk that followed most of the perimeter.  We stretched and planned out the run while in the shade of a nice big tree:  She and I would run together at a slow, comfortable pace for the first lap (I on the grass and she where she felt most comfortable) and then I would finish up the mile running and walking at 1 minute intervals alone.  The second mile I would continue with 1 minute intervals but this time on the concrete pathway.  That way I’d start out with the cushion of the grass for a warm up and then get the feel of “street” running to finish it off (street running is my most common race setting).  I didn’t have any unusual pains or pulls during the run; there were some tight areas right around the surgical sites but nothing I didn’t already expect. 

Day 88 (Sun) – This was a whirlwind of sights, sounds, and emotions for Charlene and I.  We started out very early, to get her to the Disneyland Avengers Half Marathon.  The morning was actually very nice for a long run; I don’t mind admitting that I was a little jealous.  The temps and wind were beautiful, especially compared to last year.  I’m proud to say that my sister had a solid run, good enough to earn 4th place in her Age Group.  She even held back a little so she’d have the strength and energy to run the Rock ‘n’ Roll Las Vegas 10k.  After she finished the half, picked up her personal gear, and stretched out, Charlene and I hit the road to get back to Vegas early enough to beat the crowds on Las Vegas Blvd.  The good thing is, we arrived plenty early enough to get a good parking spot and beat the bulk of the runners due to be there; that bad part was that we were in such a hurry that we didn’t really give Charlene (or I for that matter) enough stretch stops during the multi-hour drive.  We both found it rather ironic that the weather in Vegas was to be much cooler and windier than we’d just left in Anaheim, almost exactly the opposite of last year.
It felt very good to be back on the race scene, as a runner.  I did feel a bit nervous at the prospect of doing a 10k as my second run in 3 months but I had confidence that I could manage it with a slow pace and keeping the plan of comfortable intervals.  My plan for the race was for 3 to 1 intervals, 3 minutes of running and then 1 minute of walking.  During the test run on Friday I’d discovered that 1 minute intervals for both never gave me a chance to settle into the run and establish good form; the 3 minute run would allow for that and for me to feel like I was running again with the one minute of walking would keep me from overdoing it.
We found a nice open place near the 10k start line to warm up; stretch, dynamic warmups, short conditioning runs.  While I was doing my short warmup sprints I started feeling the all too familiar hip pain on my right side.  A part of me immediately started planning for the next operation, that was now sure to happen but I put the thoughts aside for the race and got back to letting myself feel as much like a real racer as possible.  Even if the pain is similar or familiar doesn’t mean it’s caused by the same thing.  I can’t ignore the fact that I’ve not run in a very long time, and there are bound to be a lot of complaints being logged by my muscles and joints. 
There are few races I could have picked that would have matched the fun and experience of the Rock ‘n’ Roll race day here in Las Vegas.  I’ve run the marathon and half marathon distances with this group (here in Vegas) in previous years, it’s always been a memorable run; visually stimulating, highly energetic atmosphere, and a great bit of fun.  I didn’t have any real nerves or butterflies while waiting in the corral, it felt a lot like being at my best friend’s house during a party; lots of people with similar interests, a lot of buzz in the air that is generally friendly and interesting, plus a few shout outs when we spot people we know but haven’t seen in a while.  I wish we could have heard the playing of the National Anthem from corral 1 just before the starting gun, it’s important to me (obviously, being a Vet), unfortunately the start line/arch didn’t have speakers or they weren’t functioning properly for us.  Still, when we did finally hear the Anthem the corral went nice a quiet and most everyone turned toward the music:  there wasn’t a flag at the arch either or at least I couldn’t find one.  I got a big kick out of the runner’s cheering at the completion of the Anthem, which is always a welcoming sound.
I allowed myself start a little fast when the gun sounded (no actual gun, just a racing expression), I didn’t sprint and I knew I could allow myself to “celebrate” with a quick start since I’d be finishing the first interval pretty quickly.   Charlene started running with me shortly after my second running interval and stayed with me the rest of the race.  I was more than happy for her company and my controlled pace was a good fit for her needs after having a half marathon several hours earlier. 
One very cool thing I heard on the course was at one of the first water stations:  One of the volunteers called out to the other volunteers handing out water cups to back off of the race course, get closer to the water table, so they wouldn’t crowd the runners.  After running so many races across the country I’ve seen that problem so many times; the anxious and friendly volunteers pushing themselves more and more into the race course, eager to help the runners not really thinking about actually being a hindrance.    
The wind and weather became rather crazy at times during the 2nd half the 10k race (after we returned to Las Vegas Blvd running south towards the finish line); we ate dirt and dust a few times when the wind surged and waned, and the temperature seemed to follow suit.  The 3 minute run portions of my intervals let me establish decent form for the most part.  It was kind of on and off at times but either I caught myself and corrected it or my sister would see me and tell me I was off.  Surprisingly enough I still had enough muscle and form memory did help keep a cadence at/near 180 steps per minute (my trusty Garmin reported later), that was pleasing.  That was my standard cadence before being injured, a sign of being able to establish a level of comfort again.  I did have to keep making myself (and Charlene by extension) slow the pace throughout the race to conserve energy and strength, I definitely needed that by the time the finish line came into sight so we could finish strong.  It was a great relief to cross that finish line at a run, and a happy bonus to have my sister at my side crossing it.  I finally felt like a runner again, like I’d be able to explore my capabilities once again.
My right hip complained a lot during the run, especially with the interval change from walking to running which has always been a problem for me, and it kept letting me know it was unhappy after crossing the finish line.  I was also very tired after the race, almost marathon tired to make a comparison.  The weather didn’t help at all while we were in the finisher’s area, it actually turned rather nasty; the temperate seemed to take a big dive, the wind gusts got stronger and the sustained winds were somewhat brutal, and then a downright cold rain started.  We were going to wait a few minutes for a mutual friend finish the half marathon but when the weather turned and I started to get very sore we decided to grab a few post-race snacks, get our event shirts, get my finisher’s medal engraved as a reminder, and then slowly make out way into the foyer of the Bellagio Hotel and Casino (I had no more hurry in me even though we were freezing by then).  Thank goodness for our Rock 'n' Roll Mylar blankets, they're life savers.  Sis and I stayed in the casino long enough to eat a little and warm back up; I have to thank the Bellagio Staff for allowing a bunch of us runners to mill about in the foyer, most of us wouldn’t be giving the casino our patronage but we surely needed their hospitality.  After Sis and I warmed up a bit we made our way back to the car and began the very slow trip out of downtown to the freeway and then home.  I stiffened up pretty bad during that drive because it ended up taking almost (or just over) an hour to through traffic.

Day 89 (Mon) – My quads and hamstrings were really sore and stiff all day long.  I didn’t really push myself beyond hard racing levels but my muscles were telling me plainly that I’d pushed it a little too hard yesterday.  I was just thankful that my right hip felt great all throughout the day, it didn’t twinge or give any pulling sensations.  Even my session of home physical therapy felt great after work, the muscles seemed to appreciate the resistance training. 
Day 90 (Tue) – My quads and hamstrings were still generally sore but moved easier than yesterday.  My hips feel completely normal; not even a hint of the discomfort I had Sunday night.  The weather turned rather wonderful by the afternoon so I was able to get in a nice 2 mile track run during lunch.  I increased my interval time to 4 minutes running and 1 minute walking, but kept my speed low to avoid straining my legs further.  The run was very relaxing and with the 4 minute interval I could go almost 2 laps without walking so it felt more like training last year.  I didn’t have any issues at all this time, with my hip, no complaints during warm up or during the run itself: That was a big relief.  I stretched, foam rolled, and iced after returning to my office.  Until I’m in true running shape I know that I have to stay aggressive with my recovery activities to keep complications at bay.
Day 91 (Wed) – To help ease the lingering tightness in my hamstrings I started using my tiger ball while working at my desk.  It normally helps loosen my legs up so this is a good time for it.  Tonight’s home physical therapy wasn’t quite as easy as Monday but it still helped my legs feel better by the end of the routine.  It’s very cool that tired muscles respond so well.

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