To quote the famous Canandian philosopher/woodsman, Red Green, this has been the winter of our discount tent. Nothing is more boring than talking about the weather unless it's talking about one's infirmities and injuries so I'll be as brief as possible:
1. Did the JFK. Got beat up by it.
2. Caught the flue or the grunge or the mange or some crap that wrung me out and wouldn't let go for a month.
3. Started crawling back after the first of the year with the knowledge that Boston was coming up and Comrades was a month after that.
4. Went out on a cold, rainy-ass, miserable March day (Is there any other kind? I've forgotten) and did 18 hard miles on all hills.
5. Developed a pain below my left knee that hurt like a mother.
6. Went back to the doctor who did a scope surgery on my left miniscus two years ago.
7. Got x-rays and an MRI. No miniscus problem, no stress fracture. So, what is it?
8. Consider several things. Feels like stress fracture. Did they miss it?
The rest is covered in the e-mails below exchanged with Jim:
From: jim
Sent: Saturday, March 26, 2011 11:07 AM
To: Cory
Subject: broken but unbowed
Hey, Dude,
Have you gotten confirmation of your self-diagnosis? (Having all of your multiple personalities agree doesn't count as confirmation.) If so, what practical advice did your doctor have? By "practical", I don't mean "stay off of it"; I mean, "resume full training after __ weeks of the exercise bike."
I went out to the Fort yesterday for a long workout, and was reminded that 56 miles of uphill is a slog, plain and simple. I'm about to go onto the interweb to research "reversable lobotomies." I'm pretty sure that's the way to go. And maybe "reversable" isn't that important.
By the way, Immanuel Kant defines being a moral human being as incessant toiling that puts one on the path of progress from bad to better. (Yeah, a really cheery philosophy.) Anyway, I hope that, in your physical character, at least, you are finding yourself on that path.
Jim
From: Cory
Sent : Saturday, March 26, 2011
Subject: Broken but unbowed
Well Dude, here’s the story. After rejecting the theory of Patellar Tendonitis because research indicated it would be more centrally located and higher on the leg I came back to the theory that it was a stress fracture because of the location and the symptoms. I exchanged messages with the doctor’s staff and asked them if they felt sure the MRI had been read correctly or maybe it focused too much on the knee joint because of the earlier surgery. They got back to me and said they re-read the MRI and called the person who originally read them to consult and they were sure there’s no stress fracture. I had mixed reactions to this because in some ways a stress fracture would be good because the recovery time is fairly finite whereas if I don’t know what the problem is it’s hard to predict how things are going to go. Fortunately, the re-reading seemed to reveal something new or, at least, something that wasn’t in the original report which was some inflammation in the Pes Anserine Bursa, which, as everyone knows, is located under the Pes Ansrine or “Goosefoot” tendon where the Sartorius, Gracilis, and Semitendinosus tendons join and insert into the medial surface of the tibia, about two to three inches below the joint, on the inside of the knee.
This problem is most commonly caused by overuse of the hamstrings, “especially in athletes with tight hamstrings. Runners are affected most often. Improper training, sudden increases in distance run, and running up hills can contribute to this condition.” You will not be surprised to learn that the NPABA ( National Pes Anserine Bursitis Association) has named me as it’s 2011 Poster Boy.
How do you treat this tragic condition, you ask? Well, with major doses of common sense. Yes, indeed, I am a dead man. Nonetheless, I have done the research and here’s what they say: “Reduce the strain on the injured tissues. Stopping the activity that brings on or aggravates the symptoms is the first step toward pain reduction.” (Now that was unexpected advice). “It may be necessary to modify some of your activities.” Long-term, improving flexibility is key. The hamstrings have to be taught a lesson in flexibility.
The good news is the big PAB (Pes Anserine Bursitis) “usually responds well to treatment” and “athletes may return to sports or play when the symptoms are gone.” DUH. One site actually says “ If the symptoms don’t come back, the athlete can continue to progress to full participation in all activities.” DOUBLE DUH.
Fortunately, there is, in addition to the futile admonition to employ common sense, a medical approach. The doctor called in a prescription for a Medrol Dose Pack, proper name: MethylPrednisolone. This is some kind of steroidal britzkreig which is supposed to knock the snot out of inflammation. You take decreasing doses for six days until the medicine, and hopefully, the inflammation is gone. I’m on day four and it seems to be working. I have also been going to acupuncture and taking Chinese herbs I get there and to massage, where I have been given holistic creams, emoulents, and more hands-on contact with a woman than I’ve had in years. Tomorrow, I’m going to sacrifice a chicken and bury it in the backyard.
In the meantime, I continued to work out on the bike and the stairmaster hard every day (total of 3 hours today) and I’ve added some upper-body weight training and a lot more core work and stretching to my routine. I have resolved to “get tough” with the thought being that I’ll be able to run when the time comes but I’m going to miss a lot of running in preparation. I haven’t ruled out Boston but, if I do run it, the goal will be not to beat myself up so bad that it threatens Comrades.
Well, that’s the scoop. How you doin’?