Friday, November 23, 2012

The Emotional Stages of a Running Injury

I'm being a big baby!

It's true.  I'm being a big jealous baby!  Watching all my runner friends race and run long runs.   I'm so jealous!  I haven't even updated my blog OR taken many pictures with my iPhone.  One of those would be sad but both of them happening at once is TRAGIC!

Most runners I know are acutely aware that when hurt, runners get depressed.  I have experienced it many times.  My first stress fracture was no big deal, but before my second stress fracture I was getting my mileage up and training for a half marathon.  After that I had plantar fasciitis and took almost a year off.  The depression wasn't too bad as life was handing me some great things about that time.  Last years knee pain was frustrating but easily fixed.  This time around is serious.  Seriously frustrating, depressing and maddening.

Running without injury I was able to race and have fun and increase my time. I was loving loving loving it.  Then I got sassy and went to a low heel to toe drop shoe too fast and even took out my custom orthotics.  I was under some kind of impression that my feet were stronger.  I had done nothing to make them stronger, but the mind of the runner is a strange and scary place.  

I really wanted to finish the year of races but after the Vegas Ragnar the pain was just too great to keep running. Pain all the time.   I'm hoping for recovery before the Key West Ragnar, really hoping.  I've got my plane ticket, paid for the race and really want to run it.  I have low mileage so that will help.  

I won't be able to do the Winter Sun 10K in Moab, which means I won't get their special prize for running all their races in one year.  Bummer.  

I found an article in Runners World about depression and grief after injury.  It's just like any other loss, that's for sure.

GOOD GRIEF  (what a great name)

 The key is taking a purposeful approach. If you can recognize each stage of mourning, and work actively to move through each one, you'll heal faster. And that means you'll be back on your feet sooner.

I've listed the stages and my thoughts.  If you want to read the entire article just hit the link and read it.  It's very good.

DENIAL:

My favorite river, that's for sure.  
"Runners in denial know they're injured but won't admit it," 

Yeah, slight pain started in June and I ran on it until November. Three Ragnars, 3 half marathons and countless long runs.  Now not only do I have plantar fasciitis I have some sort of heel injury and nerve damage.  I was warned, but I thought I had it handled.  I really don't want this injury to take me out for a year, but I am going to try my best to be a realist.  

SMARTIES - listen to their body and spend a few weeks on the couch instead of months out of commission.  


GREAT time at the Wasatch Back.  Some soreness in my foot, but I was determined to run through it.


ANGER:

Last night I was angry at everyone.  I was mad because my foot was killing me after I did a TRX class (with no jumping and gentle foot movements).  I went to get dinner where my daughter works and it took me 3-4 steps after getting out of the car to walk like I wasn't having a seizure.  I blamed my doctors, my shoes, ibuprofen, my car and my last cortisone shot.  (Blame rarely makes sense) 

SMARTIES - The article suggests making a plan and staying focused on recovery.  

Research reports that athletes who use positive self-talk and set goals for their rehab experience "exceptional recovery." 

I have a couple of ideas to throw into the mix, since I don't really need PT at this point, but more rest and recovery.  My goals include keeping the rest of my body strong and focus on the things that I'm doing to help my foot get stronger. Icing, ibuprofen (hang in there, kidneys!!) massage, rolling will all be done.  I am resting and elevating it quite often, which seems to give me the most relief.  All exercise I am doing is adjusted for my injury.  (Thanks to my Pilates/TRX instructors)  Unfortunately hanging planks off the TRX does not affect my foot at all.   


These are pictures I took off the computer screen when I was doing my flight nurse learning modules.  They crack me up.  
Cranky/Angry Nurse and Sick Nurse
Can't be a good team member if your either.  


BARGAINING:

When injured athletes finally confront their injury, they sometimes become too gung-ho. "You think, I'll do more rehab, more often, more reps, more weights, and then I'll get back to running sooner," 

I don't know if I overdid it, but I definitely convinced myself  that I could heal my foot without rest.  I'm almost embarrassed.  Ok, I'm embarrassed.  Now I just need to accept the fact that I may need to find substitutes for my Ragnars next year.  Don't worry team, if your reading this, I've been a captain and I'd never leave anyone hanging.  

SMARTIES - Take their time and don't rush the recovery.  "you can't microwave recovery, you have to slow cook it"

DEPRESSION:

According to the article, the longer you are off for your injury, the more the depression will linger.  I'm hoping that I'm already at this stage, but who knows.  I may still be bargaining.  The article also states that the enthusiasm for physical therapy will fade.  Great.   

SMARTIES - 
Fill downtime with other activities that don't exacerbate the injury and stay involved in running by volunteering or supporting a friend during a race.  

I have been considering getting a swimming coach and learn to swim.  It could be a good cold weather activity that will challenge me.  


Beautiful sunrise while driving to work on Monday


ACCEPTANCE:

"This is when you are properly sticking with your rehab plan and you're seeing progress," Taylor says. You've accepted the injury, and also that you'll eventually be back on your feet. Coming to this mindset is critical to recovery. Research shows a direct relationship between stress and injury. Anxiety can cause muscle tension and suppress immune function, which can delay how quickly you get better. In this stage, you have a peaceful mindset that encourages healing.


I know that I'm not there yet.  I'm close.  I have some real anxiety inducing stressors in my life right now that are not ready for blog-time, but that are consuming me and I don't have my running outlet.  I don't think the stressors have caused the injuries, but haven't helped in my acceptance and recovery.  I do feel really good about the classes I've signed up for at my Pilates studio and the other things that I can do to take up my "mind time".  


Thanksgiving day.  Overtime.  On the way back to the airport I elevated my foot and it took all the pain away.  I'm learning what my foot needs to feel better.  I use to want a tight shoe to hold the fascia tight.  Now if it's too tight and I'm on it too long it just starts to ACHE!  If I loosen the shoe and elevate it then within 10 minutes the pain is gone and I can walk on it without much discomfort.  

Don't worry - my feet didn't stink and I don't think the cab driver saw me do it.  At least he didn't say anything.
My dogs were barkin!!

So here is to recovery and rehab!  I'd take a drink but I'm on the clock.

How have you best dealt with injury?

Blog on............



Thursday, November 22, 2012

Thankful

Today is Thanksgiving.  

It's the extra holiday for me.  It's been years since my little family has had anything really traditional.  Every other year we go to the family cabin and spend time with my brothers and sister, mom and dad and all the cousins.  This was not that year.  I wasn't feeling like doing anything this year.  

But I bought an all natural, never been frozen turkey.

Then I was asked to pick up a 24 hour shift today.  So I did.  

It's not that I wanted to avoid being with my family, but an OT shift on a holiday??  It's like getting 2 days of work for one.  Matt was a great sport and cooked dinner for all the kids that were in town.  I brought a ham up to the crew apartment and my medic, me and our 2 pilots had dinner.  It was nice.  We even transported a patient before dinner.  Really, it was during dinner but just finished making dinner when we got back.  

I am so thankful for so many things. 

Wish I had this for my shift tomorrow.


Especially grateful that I don't have to bring headwear to dinner!

Blog on............


Sunday, November 18, 2012

Showed that car who's boss

Pardon the blurry pics, but I wanted to document this experience and apparently I was in too big of a hurry to actually let the phone focus.


I didn't get to the gym today.   What I did do is get some stuff done!  I feel actually somewhat caught up.  There was cleaning, laundry some bills and then the major engine repair work. 

My daughters old car is a 96 Honda Civic DX Hatchback and it's been a pain in my butt since we bought it.  When the mechanic wanted another 400.00 to put a new distributor in I about pooped my pants.  I had it towed back to the house over a week ago and Matt and I rolled it into the garage at the first of this week so my son Daniel could fix it.  

Today it became obvious that Daniel fixing it was not going to happen. So I checked out the manual and You Tube and after 2 runs to Auto Zone I finally went to Pep Boys and was able to get everything I needed.  It probably took me about an hour to do it, but I had to find the tools and this was my first attempt at major car repair.  

BOOM!
Done and it started.  I took it for a spin around the neighborhood and it purrs like the POS it was before!   Now my son Jake is going to sell it for me.  I saved 200.00 doing it myself.  

When I finally got in the shower tonight I realized I hadn't combed my hair or anything the entire day!  Glad for getting things done and look forward to working tomorrow.  

My foot was a total bitch today.  Just being on my feet all day and it was throbbing by evening.  Ice, massage, ibuprofen and elevation tonight.  

Do I know how to party or WHAT??

Blog on..........

Oh the Mockery

Maybe it wouldn't bug me so much being injured if my life wasn't saturated with running stuff.
Blogs, friends, magazines, everything!  
I noticed every runner today.  It was beautiful and the weather perfect this morning. 

I think they are mocking me.

So I Google'd pictures of hurt runners.  



11.bmp





In this photo taken Thursday, April 19, 2012, Greg Farris takes a break while wearing a protective boot as he helps set up for a weekend triathlon event in Lakeland, Fla. (AP Photo/John Raoux)

I actually have this cast from a stress fracture a few years ago.



It would be unbearable if I had a treadmill.  Although it is gym day tomorrow.  I wonder if I could call ahead to have them cover them up for an hour.

Of course I couldn't resist checking out how all my blogger "friends" are.  Well, mostly I just stalk people.  

Shut up and Run had this picture.

injuredrunner

I won't bite though.  Kick some ass, but not bite.  I don't put random shit in my mouth...period.  

It could be worse.  I could spend my birthday at a certain steak restaurant that has you sit on a saddle while they sing to you.


I was unsuccessfully trying to be sneaky.
A 16 year old and an 80 year old.

I went to lunch with my great friend Chris and his son Hunter.   They are in town for the weekend.  We were amazed that we hadn't thought of a rolling saddle in our party days!

Plankapalooza was a great success and my sides/back and abdomen are all sore.  So I hung out with this gem:


Zoe really doesn't have anything to do with planks.  I can imagine that she would be sore if she did them - she is older then me, in dog years that is.

We drove across the valley to get an all natural/fresh turkey.  Zoe was cold so I put a towel over her and turned on my seat heater.  Spoiled old hag.

Love her to death!

How do you explain running and injuries to non-runners?

More then anything, people have laughed and wondered why I ran on my foot for so long.  It's almost impossible to explain.  THEN the shock that I am downright depressed about not running.  It's only been ONE week.  Lord have mercy....

Blog on.......