There’s NO PR Without Pain

“Someone once told me not to bite off more than I can chew. I told them I would rather choke on greatness than nibble on mediocrity”.

~Unknown

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There’s no doubt I ran OUC half hard with grit and pleasure on pursuing a big-time PR. I ran strong and everything felt in sync, except that my foot got tired of the 2.5 miles of brick road and wearing race/tempo shoes. As they say, there is NO PR without pain. So here’s how it went.

20-minute Post Race:

Just about 20-minutes after the race as my body is starting to cool off but still running high on runner’s high, I felt a flare on the lateral of my left foot. I told my husband I felt something sharp on my foot and I thought that perhaps it was from the edge of my Superfeet insole. I stretched and putting on my flip flops. The pain went away and I proceeded with the post-race festivities, visiting vendors’ tents, meeting IG friends and searching for some running friends until it was time to go home.

At Home:

At home I got to stretch a little bit before it was time to take a shower and head out with my husband to an introductory sesh of Transcendental Meditation course we wanted to sign up. I feeling very good, nothing really bothered me at all. After the course, we headed back home and I was finally able to relax, wear my compression socks while sipping on ginger latte to diminish any inflammation I might had.

By the evening time, my foot was starting to ache. I massaged and iced. By the time I started to settle-in in bed, the pain was intense. It did not stop. I had to take pain medicine to be able to fall asleep. By morning, my foot was really swallowed up, the pain was still sharp and localized in one spot. I was scared. I limped to the homegym for a stretching sesh and I barely could wrap the stretch wrap on my foot, much less use R3. All I could do was to massage my foot.

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I spent the entire day on the couch watching football while my foot was wrapped in a towel with ice packs. During that time, my foot seemed to feel better, but as soon as I needed to walk, the pain was right back. At night time, the pain usually got worse, especially when I laid down in bed. I just could not fall sleep as the pain tended to become intense. I had my foot elevated and wrapped with ice pack. It was another sleepless and painful night. By now I was petrified that perhaps I suffered a stress fracture; just because the way the pain was manifesting and intensifying without much relief.

I make my own Doctor’s Appointment:

Comes Monday morning and I was up at 6:00 a.m. with eyes wide open. I was on a mission to be seen by Dr. Mason, my podiatrist, and NO I did not had an appointment. I am an athlete and I just could not take a NO for an answer, so I went there, checked-in and waited to be seen. I said that I could wait for as long as I had to. I’m grateful that Dr. Mason is a kind doctor who is also a runner and cyclist. He knows me well, and if I was there, it was because it was a serious situation.

After a 90-minute wait, my name was called. I actually double-checked if Brian had called my name. I was thrilled. Dr. Mason entered the examination room surprised to see me, and for a moment, I was apologetic for showing up without an appointment. But he immediately started to take care of my foot and directed me straight to the X-Ray room. Thank you Heavens the X-Ray didn’t show anything, but because my pain was so unbearable, he ordered an MRI with a follow up appointment in 7-days. I was prescribed with anti-inflammatory meds but no cortisone shot because he wanted to make sure I was being treated for inflammation and not an actual stress fracture.

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I left his office feeling a little more relieved. I was still worried because the pain was still present and strong, but at least I had something to take care of the inflammation. At home, I was still icing it and drinking ginger tea and tart cherry juice to help out with my healing. Mentally, I was trying to stay as positive and calm as possible. Three-days after the race, and I was still limping pretty bad but it was only Day-2 on anti-inflammatory meds, which Dr. Mason predicted that I should be feeling better my Day-4. Day-4 after the race I was starting to walk normal. The pain was dissipating and my hopes were blighting up. On this same day, I had my MRI scheduled and I was happy to get it done. The week progressed with great results, inflammation and pain was fading and healing was at full-force.

Dr. Mason’s Follow Up Visit:

It was great to go back to see Dr. Mason without any pain this time. As he went over my MRI results, he was glad to have it ordered because the report mentioned “suspicious stress reaction”. I was happy to hear no stress fracture, but at the same time, I realized how close it was from actually being one or a stress reaction. He recommended no-running for another four days. Of course I cried by telling I was feeling better and that I was already on no-running for the past 9 days. He then changed his mind and allowed me to run easy on the next day. However, I was still uncomfortable with the idea.

Reporting to the Coach:

Well after receiving some good news, I had to share with my coach to have some running back on the schedule. To my surprise, Coach Victoria’s reply wasn’t what I was expecting. She didn’t schedule or clear me to run just yet. She wanted me to give more time for healing. I was emotional and worried that going on a 15-day streak without running, I was going to have to start everything from scratch like I did before. After some pep-talk and uplifting feedback, I came to realize that it was for the best. It was best to give more time for healing. If I were to lose some fitness, it would not be by much because I know I am strong and I do have untapped speed in me.

Focus on Recovery:

Recovery. Recovery. Recovery. It was not different this time; keep doing what needs to be done. I am glad that I scheduled my monthly chiropractor appointment with Dr. Sabrina a day after seeing Dr. Mason. I reported to her what happened, Dr. Mason’s and MRI’s findings and my coach’s recommendations. Dr. Sabrina did her usual thing of adjusting my body and providing incredible guidance on body mechanics and strength methods to work properly with my body mechanics. She concluded that my injury simply was a “circumstantial injury”. There was nothing I could have done based on the circumstances of the race and how hard I ran. The only difference perhaps was not wearing a race/tempo shoe on brick road, but that was too late. Moving forward, I will be focusing on strength routine for my beautiful peroneus muscles. Having graston technique done on my feet was something to be remembered for sure!

Do What You can So You Can Do What You Want to Do:

There is not a boring moment if you are runner. Even if running is not an option, there was plenty of other things to do that will supplement running. Stretch and roll is a must do every day whether I’m actively running or not. So on the days I wasn’t running, I was working to get ready for running. I did some yoga, core work, some weight work, rowing, sauna and I walked for 10 miles on Disney Day. Kurt and I have our annual Disney Day and between visiting Animal Kingdom, Hollywood Studios and Epcot, I’m pretty sure I logged 10 miles easily for the day. Too bad that my Garmin died at mile 6.65.

Get Back in Business 100% Healthy

I was so excited to get back into running again and very grateful that Krista didn’t mind going for a 3-mile run on Saturday. I felt good throughout my run, but at times, I noticed that my body was still trying to figure out what was happening after 15-days of no running. Krista acted as if I was on taper for 15-days and this run was my “race day” as she picked up the pace at mile 2 at 8:46 pace. It was a great run and I was still “on observation” as I was mindful on how my foot would feel after this run.

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First Run Post OUC Half Marathon

The following week started to look like a normal training schedule and I was gradually picking up where I left off. My husband and I made sure that Transcendental Meditation is now part of our lives and routine with two 20-minute sesh daily. I am in love with Transcendental Meditation! It’s the simplest thing ever. I was never able to dig into meditation and follow through, but practicing TM technique it is possible to follow through. I feel centered, grounded, focused, positive and calm. My running is becoming more relaxed, focused and breathing is more settled which helps me with my performance.

This week’s fartlek was fun and emotional at the same time. I exceeded the recommended pace and I felt that my body was ready to give me these paces; otherwise, I wouldn’t never pushed this much. I was watching Breaking 2 Special (again), but this time it felt different. I felt more alert and more connected with Kipchoge. I felt his moment of distress as he was pushing his limit, and yet, he appeared so calm and relaxed. And so I cried, as I was finishing up my 6 miles for the day with so much gratitude and humbleness. It is a beautiful thing to watch and feel someone chasing their dreams; knowing and feeling how hard it is. All of the sudden, I didn’t feel so alone chasing mine because it is just a matter of time until it becomes real.

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2 mile warm up; 6 minutes @ 9:00 pace; 4 minutes @ 8:30 pace; 2 minutes @ 8:00 pace
2 minute jog in between; Cool down to mileage

I am enthusiastic for the new year and to find out what my body and mind can do; where running will take me this time. But first, respecting the body and mind is a priority. Recover well, I must. That’s rule # 1 in chasing dreams.

Cheers!

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“Hope is a waking dream.”

~Aristotle

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Keep Calm and Get Your Nitrogen On

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‘You can only grow if you’re willing to feel awkward and uncomfortable when you try something new.”

~ Brian Tracy

 My first cryotherapy sesh was just as exciting as it was intimidating. At the time, I was in training for my second marathon, the Tomoka Marathon in 2016.  I was investing a lot of energy, time and resources to take on Tomoka; therefore, I was open to any recovery method to help me get through training and run Tomoka in one piece.

Thankfully, Orlando Sports Chiropractor is equipped with a state-of-the-art cryosauna chamber – this one is a partial body cooling where my head was out of the chamber. I usually get into the chamber wearing a sports bra, shorts, socks and the gloves and sleepers that OSC provides. That’s it! I did one session during training, one session three days prior to the race and another session two days after the race. I believe it offered great benefits to my performance and recovery time as I did not sustain any injury besides the expected soreness from running or training for a marathon.

I’m currently training my body to run a sub-2 half marathon, and eventually, get down to 1:45; subsequently to work on a full marathon and BQ time. As my training and mileage have intensified, it has taken a toll on my body and time to adapt. Since suffering an Adductor strain on my left leg mid-March, I have taken a more proactive and consistent approach to recovery methods. I see my chiropractor once a month and I do a sesh of cryotherapy once a month.

So far the concept of once a month cryotherapy has been productive. I tend to schedule my sessions in the first week of the month. This way my body will recovery from the month that has passed and receives a boost for the new month ahead. I started with this approach in May and I have been doing since then and seeing great results for the past months. The month of my injury I was only able to log in 40 miles. April was still a recovery month and I logged even less than March with only 34.2 miles. In May, I closed the month with 60.4 miles – a huge difference in improvement, healing and recovery from the past two months.

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In order to keep the rhythm going strong and steady, I continued with my recovery methods on the first week of June. The weather was getting hotter and more humid by the day and missing a cryotherapy session on the first week of June was not an option. At the end of month, I hit my first 100 mile for the month and over with 102.1 miles. I have never felt so strong and my recovery period from one workout to the next were a lot steadier. So if you ask me if it works, I’d have to say:  it is working for me! But I’d say it is also a compilation of many other things that I do as part of my recovery process and methods as I mentioned in my previous blog entry.

So, what is cryotherapy?

Cryotherapy was originally developed in Japan in 1978 for the treatment of rheumatoid arthritis and it is a hyper-cooling process using liquid nitrogen that lowers a person’s skin temperature to approximately 30 to 50 degrees F for a period of up to three minutes by enveloping the body with extremely cold air at temperatures ranging from -100 to -274 F.

Thermoreceptors in the skin send signals to the brain to send the blood to the core to maintain body temperature with a process called vasoconstriction (narrowing of blood vessels). At this point, toxins are flushed from peripheral tissues and blood is enriched with oxygen, enzymes, and nutrients. The body activates all of its natural healing abilities and releases endorphins for further benefit. As the body warms up again, the enriched blood flows through the body through a process called vasodilation (the widening of blood vessels as a result from relaxation of smooth muscle cells within the vessels walls). Thus, cryotherapy is very effective for athletic recovery and muscle repair, reduction of chronic pain and inflammation, and overall enhancement of health and wellness.

Some of the benefits from cryotherapy include:

  • Faster Recovery from Exercises – because of better blood flow, joint and muscle strength is increased and cryotherapy is effective against delayed onset muscle soreness (DOMS). And unlike ice baths, muscles don’t need time to recover after cryotherapy. I feel that it is the biggest benefit for me. After suffering an adductor muscle strain, I have been able to go over rehab and strength training with great recovery while slowly building up my mileage. In June I ran 102.1 miles – that’s my record for the month, and I have to give credits to my body’s acceptance to several methods of recovery, especially stretching and cryotherapy.
  • Happiness Boost – that’s because the procedure releases endorphins into the bloodstream. Immediately after a session, I feel a sense of well-being and happiness. I feel at easy and relaxed. It truly feels like I spent an entire day at a spa.
  • Decreases Inflammation – it’s known that ice when applied to a specific area of the body, reduces inflammation. Cryotherapy is helpful in a sense that targets the entire body not just a specific area. I found that cryotherapy has helped me a lot with body aches and with limiting the feeling of body tiredness and increasing the feeling of being fresh again.
  • Increased metabolism – a two to three minute session of cryotherapy takes a lot of energy to reheat the body which burn approximately 500 to 800 calories; therefore, when the skin is cooled to around 35 degrees F, it requires a lot of energy to reheat it to our regular body temperature. Immediately after a cryo session, I have to wear a light cardigan and I feel that it takes about 12 hours until my body temperature is less sensitive to the cold. However, I feel refreshed.

I am sure there are articles out there pointing out the “not-so-good” or risks of cryotherapy. After some readings, I found that as long as you don’t go into the chamber with damp/wet clothing (risk of frostbite) or decide to get into the chamber when nobody is around, the “risks” are very minimum.

The most I have been able to handle is -245 F for the whole period allowed of 3 minutes! But within 2 minutes, I started to feel pinches on my skin, especially the legs. How long you’re able to stay in really depends on the level of relaxation you are in and the number of times you’ve experienced cryotherapy. Mental preparation throughout the week also plays a big part on the length of time you are able to endure. Overall, I’d say it really comes down to how relaxed you are during the sesh.

And if you are skeptical about doing your first sesh of cryo, be brave and do it! You only stay in the chamber for as long as you can handle. Remember, baby steps!

It is now July and guess what? It is time for another monthly sesh. So, let’s go and give it a try!

“Stepping out of your comfort zone is a great catalyst for success.”

~Leslie Cassidy

 

Run Rest Recover Rehab Prehab Repeat

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“Do what you have to do until you can do what you want to do.”

~ Oprah Winfrey

 Many times we do tasks that doesn’t bold well with our likes. They are necessary in order to get from point A to B; that is, if we really want to get to point(s) B, C, D and further. Bottom line is, whether we want to get from one point to another based on want or need, the tasks still need to get done, especially if such tasks are for a dream we chase.

Every day I am reminded that training to one day become a BQ it is not easy. The struggle is real – and it is not just the physical struggle, it is the mental struggle too. There are days that lacks motivation and energy, but when injury is added to the equation, it is even more challenging. It is then a time to really think and reflect, how bad do you really want it? Are you willing to do the extra work?

I came to a point once in which I doubted myself and wondered if my body was even made for this. At that time, I was starting to think that my body was not made for going single-digit paces because every time I pushed it hard or amplified mileage, something would set me back. And there I was, back in square one, only more frustrated than the previous time.

After taking time off from running, some meditation and an encouraging conversation with my physical therapist at the time I was injured, I picked myself up again. I was brave enough to try another half marathon and find out what I had left in the tank before I committed to working with a Coach again. Coach Victoria continues to train and teaches me that I can reach faster single-digit paces. She continues to work with me on my mental game and showing me ways to slowly get where I need to get.

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Easy run with my furbaby R2-D2 on a Saturday morning at the West Orange Trail

But none of this support will make a difference if I don’t apply it myself. Yes, I do want it really bad to BQ and run the Boston Marathon; therefore, there’s no doing half way training or recovery. As my PT said, “you just have to stretch more than other runners”. Okay then. That’s what I will do and more.

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The strained Adductor injury was really tough to get over with. It took more time than any other injury I’ve experienced. The pain was initially located on the left groin, then it was experienced on the hamstrings, quads, glutes and hip. It took about 4 weeks without running with the exception of some test-runs here and there at the end of week 2. This injury has taught me that my body needs constant help with recovery from a workout to the next. The best way to do it is through strength training, PT workouts, stretching, rolling and a sessions of AIS (active isolate stretch by a LMT). Also, icing, heat, tens units, Epson salt baths, ice baths, cryotherapy and chiropractor adjustments therapy are a must.

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Cross training on spin bike and rowing was what helped me stayed in somewhat cardio shape.

So here’s my plan to a steady rehab/prehab routine:

*Disclosure: I am not a doctor or physical therapist and this is not to serve as an advice to anyone’s medical treatment or condition.

   
MONTHLY

First week of the month

cryotherapy session

chiropractor adjustments, graston and ART

 

 
WEEKLY Once or more per week:

Epson salt baths and/or dry sauna

Pool therapy, ice and heat therapy, Tens Units

 

 
BI-WEEKLY Massage Sports Therapy

AIS (active isolated stretch) therapy by a LMT

Ice baths  (as needed)

Yoga

 

 

 
DAILY Active Isolated Stretch with resistance band or yoga band

Static stretch –free or with yoga block

PT workouts (Bosu, stability ball, resistance band)

 

 
3 or 4 TIMES PER WEEK Strength Training – weights, body weight (TRS), HIIT

Cross Training – spinning, rowing, walk, elliptical, swim

 
REST DAY

(Sundays or when needed on weekday)

PT resistance band workout

Stretching

 

 

That’s it! I’ve been on the plan for the entire month of May and it has been working for me so far. This is not to say that I will never get injured again, but I believe that it will help me to continue to build my body for stronger runs and perhaps lessen the time of injury. During injury month of April, I was only able to log in 34.20 miles. However, my hours of strength training, recovery methods and cross training increased significantly.

As I started to get stronger and run 98% pain free, my mileage for the month of May increased to 60.45 miles. This time around, my strength training hours spent was just 7 hours less than April, but my recovery methods hours increased to 2 hours more. My goal is to continue the practice of recovery methods to keep my body happy because you know, Summer is coming!

And here’s this post’s end quote with a bonus picture!

BB Do Your Job