One Step Forward Two Steps Back - My Poor Foot!

After months of trials and tribulations with my left foot I saw a glimmer of hope in the last couple of weeks. I had a successful sprint triathlon a couple weeks back followed by a five mile run on the trail that went well. I had went in to my physical therapist the Monday after and he approved my adding in a second weekly run in addition to increasing the distance of one of my runs. This was serious progress and I was seriously stoked. Two weeks ago I had run six miles on my favorite trail followed by five miles that Sunday. Woohoo 11 miles that week - back to double digits. But the best part was the lack of pain!

When you're used to feeling at least some level of pain and discomfort for 12 weeks, suddenly becoming pain free is strange...in a good way of course. Whoa, my foot feels okay I thought. Awesome!

I was excited to get in my midweek run and decided to head out Tuesday night to the trail for a shorter three-loop run. The loop at Girdled Rd is 1.3 miles so I would get in 3.9 miles and then head home to start dinner. Pretty simple. And not so simple. The first loop went FAST! I looked at my Ironman watch and thought whoa I did that loop in 9 minutes maybe I should slow down a little. So I did for a few and hit the second loop at 19. I contemplated calling it a day but I decided to finish the 3rd loop as planned.


And then as in a bad movie scene a twist of fate quickly changed my situation. About half way through that 3rd loop I was coming around a right side turn as there are many turns on the loop and I twisted my left ankle inward HARD. Ouch! The pain was severe so much so that I had one of those blackout moments for maybe 15 or 20 seconds where I thought holy crap what just happened?! And then I thought ouch this really hurts and I don't know if I can run. I hobbled/walked for maybe 2 or 3 minutes and decided to run the rest of the loop back slowly. It actually wasn't horrible running on it. I finished the third loop in around 33 minutes  with the walking. 


I made it back to the car and called my husband to tell him what happened. It was achy but okay it seemed as is usually the case with a twisted ankle. When I got home I took some ibuprofen right away and soaked the foot in a bucket of ice water. 


Waking up and walking on it the next morning was not so fun. Again icing, taking ibuprofen Wednesday and Thursday. Friday I had a previously scheduled appointment with Dr. Joy at the Cleveland Clinic Ortho department to follow up on my stress reaction and have some things checked out. Dr. Joy was great and very thorough. As I described the pain she had me get a second set of X-rays on the foot to be sure I didn't sustain any additional trauma as in a fracture from the ankle injury. Luckily I hadn't. 

I was treated for an ankle sprain. They gave me an Aircast ankle splint. It's very stylish as you can see from the picture here! I am supposed to wear it for a couple of weeks as it heals. I am in fact allowed to run but have not as of yet as I wanted to play it safe with a race approaching this weekend. I am planning to test it out on the trail tomorrow with the hubby close by in case I need any assistance. Assuming that goes well I will race Fairport Harbor Tri on Sunday. It is a sprint so should hopefully not add too much stress to the ankle and foot. Aside from that, I will see my PT next week for rehab and move ahead. Dr. Joy says I should be able to get back to my normal 30 miles a week of running. Looking forward to it since I have my Rev3 races to train for!

Stress Reaction and Roadmap to Recovery

The Test: Did Not Pass!

After a very painful test run last week following the ART therapy, I decided it was time to see my Ortho doctor at Cleveland Clinic. The run was just a 2.5 mile test run to see if I'd be able to compete in the Nordonia Duathlon last weekend. I knew after the test that running was not going to be in my best interest. Within the first few steps, I felt that all too familiar initial twinge of pain that said "this is not going to go well". I moved along anyways as I had to see what my body could handle. Around 1.5 miles my foot was really hurting so I stopped to strech it and started up again telling myself that it was just one more mile. By mile 2.5 my foot was throbbing and burning. When I stopped to walk it was clear something was really off. I immediately soaked the foot in a bucket of ice and took some ibuprofen. Not a fun experience. Was I ready to run in Saturday's race twice? Not so much.

The Ortho Visit and MRI:

I was able to get in Monday to see Dr. Jones and he was concerned that I could have a stress fracture as was I. He ordered an MRI. Wednesday I went in for the procedure. If you haven't had the joy of an MRI yet let me describe what it's like. I also found a picture as well. To have your foot examined in an MRI, you lie flat on your back with your affected foot inside of a sort-of cast like area. The MRI tech provides you with headphones in an effort to try to drown out some of the disruptive noises of the machine's imaging process. They take a number of pictures of the affected area via image scan. Each scan takes anywhere from 1-4 minutes and makes some sort of alarming sound. It's really quite shocking. Since this was my second MRI, I was not quite as shocked as I was the first time.

It took approximately 40 minutes for them to take about 10 pictures. I received a disk with the images of my left foot. They look like the image here.

The Results:


Being the inquisitive person that I am I opened all of the MRI images on the CD that CCF had given me. Then of course I googled images of various stress fractures trying to figure out what was going on with my foot. I was hoping to hear from Dr. Jones yesterday since the results were in but I was unable to reach him until this morning. The results show that I have "stress reaction" in my left heel. So not a stress fracture but on the cusp of being a stress fracture.

The Treatment (Roadmap to Recovery): 

Dr. Jones said I do not need to be in a boot or take any specific amount of time off as with a stress fracture. Although I am to avoid running for at least 2-4 weeks until my foot is pain-free. I am allowed to bike, swim, pool run and use the eliptical as long as these are done pain free.

I will be seeing a running specialist to assess my running gait, shoes, etc to figure out what's going on. With this being the second season of injuring this heel in the same foot there must be an issue with something. One thing I can say is that I went minimal with my shoes both seasons. Aside from that I am not sure what else could be a factor. I am looking forward to learning and correcting whatever issues I have and getting back to being a strong runner again. Because running is my favorite and best sport of the three (although the bike is nipping at its heels - no pun intended) I am anxious to get back to good. Like that old saying when life gives you lemons make lemonade. I intend to do that with this injury.

The Schedule:

Last week I sat out of Nordonia Duathlon, I will be sitting out of Cleveland Marathon this weekend (which saddens me greatly) but I will be cheering for my husband and countless friends running! The Twinsburg Duathlon will now be a relay for Steve and myself. He will run and I will bike. So I am excited about that in a few weeks. I also had signed up for the Geneva Tri a week after. Right now the plan is to participate in the swim and bike and abort the run. This will at least allow me to get some tri race experience in June. I will likely not be able to run the Mentor Flag Day race either, which is also a bummer. I am shooting to be back on track by Milton Man and hope to compete in either the sprint or oly there. I will also plan to do fairport. I think I will be on schedule for Rev3 Dells 70.3.