7 days post-op: brief update

Here's a short video update of my recovery and what was discussed during today's visit to the doctor's (first post-op appointment). I will be posting more detailed updates on how my first week post-op went, in addition to posting pictures from the surgery where you will see the damage to the cartilage and the tendon release.

5 days...

...to D-day and I'm freaking out. Copious amounts of alcohol will be consumed this weekend.

Oh I might have something to say after all

Geez I feel like a visitor on my own blog now. Before I started this post, I took some time to scan through all my previous blogposts and sadly noted that all I've written about since December 2009 is my injury. It's been that goddamn long. So many things have changed since then. I relocated to another continent, went through months of adjustment anxiety, quit my job because it was stressing the f*** (sorry) out of me, and felt quite shitty about not being able to run even half a mile before I clutched my leg in pain.

No, I still don't have a friggin clue what this injury is all about. I've been meted out many different diagnoses and have obediently followed every rehab advice each doctor has ever given me. I have been injected with cortisone several times and nothing except for a short 3-week phase of normalcy when they got my hip joint (let me tell you, a shot in the hip joint hurts like hell). Those were the most awesome 3 weeks EVER. But I was acutely aware that this meant something is not right with the joint.

Assumed analysis is labral damage, along with psoas tendon impingement. Assumed because my MR arthrogram shows none of this, but my doctor assures me that arthrograms are only 98% accurate. 98%??? Seriously, I have got to be one of the unluckiest people in the world. That's just awesome.

So the logical (more like the only option) next step is arthroscopic surgery. Mine will include psoas tendon release and poking around to check for labral tears, bone condition, and anything else that might look not normal around the hip area. Although I'm glad this procedure is not as invasive as open hip surgery, I'm also convinced it's not that small of a deal either. 3 inch and a half incisions and psoas release mean 4-6 months recovery time. If they do find labral tears, recovery will be more complex.

Fingers crossed. Let this be the end of it. Please.

Really??

"So it's not hamstring tendinopathy...hmm, your iliopsoas tendon looks swollen, hip tendonitis. Let's give you a cortisone shot."

Dear doc, can we please not play the guessing game and get this over with? It's been over 2 years for Christ sakes and my patience is running thin.

PS: I refuse to believe that a soft tissue injury can set someone back 2 years. Another round of MRAs are scheduled...please let it be a stress fracture so I'm not embarrased by all this time off running *prays*

This is harder than I thought

Between not being able to run for a while, temporarily living at a friend's place, working/Facebooking all day everyday, and depending on the hubby for everything, I admit to having screwy moments when I just want to go back to India. Just had to vent.

Same old same old

I know I haven't blogged in a long while, but unfortunately since I have temporarily halted running, there seems to be nothing interesting to write about :( I made this decision after a recent vacation (involving sitting long hours on airplanes) made the butt/leg pain come back ten-fold. Good thing is that I now have insurance and will be seeing my first doc on the 28th June. After that, I will decide whether to call the Toronto Lakefront Half quits or not. Not looking so good at the mo.

In the meantime, I haven't given my quest for a self-diagnosis and turns out I may not have piriformis syndrome at all. Ischial tuberosity/ischial bursitis is a big possibility. Anybody know know/hear anything about this?

In other news, I'm happy to report that my diet has changed for the better. Of course I'm still learning portion control but I think I might have overcome the 'fat hurdle'...nuts, fish, and even string cheese every now and then! I think this country is spoiling me.

Weighing in on the cholesterol

This morning, hubby woke me up at 5.30am to get ready for a mandatory health check-up at his workplace. I had been waiting to do a blood test forever just because I was super curious about what my cholesterol levels were. I was pretty sure I was well within the normal range, but it’s good to know anyway. Here are the results of the health check-up:

Weight = 120lbs (117 when I arrived in the US. Nobody believes me when I say I can put on a pound a day.)

Body Fat% = 18% (17% when I arrived. This is not looking good.)

Blood Pressure = 102/72 (Normal)

Cholesterol (total) = 141 (Good)

HDL = 33 (40mg/dL or lower indicates a major risk factor for heart disease. Crap, this is scary.)

Triglycerides = 61 (Normal)

LDL = 96 (100mg/dL or higher indicates a higher risk factor for heart disease. Normal)

Cholesterol Ratio: 4.3 (3.5 or less is desirable. HDL is the culprit in my case.)

Ok, so the truth is that I generally keep my overall fat intake low, which means that I’m inhibiting intake of good fats as well. I will now admit that I have a problem: fatphobia. I think avocadoes, nuts, olive oil, and all other good things will make me fat. I think this comes from years of being overweight and having had tough times getting down to a normal size. Although I have read enough to know that good fats actually help keep the weight down, I can’t bring myself to eat them. That will somehow now need to change.

No sidewalk running for me!

One of the first things I noticed when I got to Milwaukee (this is the city I now live in) was that runners ran on sidewalks. What horrifies me about this is the fact that sidewalks are concrete and considering it is the hardest (and supposedly one of the worst) running surface! Back home in India, we're used to running on the roads, which are of course tarred. I know running on roads seems like a crazy thing to do, but Indian traffic is slow and therefore, safer. I wouldn't consider doing that here.

So my first outdoor run here in the US went something like this:
Map a n'hood route>run on sidewalks>stop at traffic lights>almost get run over>irrirate drivers>limp home

The infamous "leg pain" was back and I had to take 3 whole days off to heal it. Fortunately, I have now discovered the Oak Leaf Trail which is an (more than 94 mi long) asphalt bike trail that is super fabulous to run on! I did a quick 4 mi easy run yesterday along the trail and felt great!

On another note, considering the pain issues I've been dealing with, I think it's time to invest in one of these:

The CW-X Stabilyx. If anyone is using these at the mo, I'd love to hear about what you think of these!
PS: Funny how the crazy weather is the last thing on my mind right now...hmmm

A new beginning

Haven't blogged in a while, a long while. The last few months have been a roller coaster, both physically and emotionally. There is so much to tell. Let me begin by making two very important announcements...

• I am officially a Mrs.!
• I have finally landed on American soil and am here to stay.

So damn excited about this new life! Many stories to tell...

Hitched!

Wedding #1 is done and it was so much fun! More pictures when they arrive...

4 days to D-day...holy crap!

Butt shot ahead...seriously

Sadly, my oh-so-wonderful 6 mile run this morning ended up a total disaster. Post furious stretching and rolling on a tennis ball, I looked into the mirror to find this on my ass...

Ouchie...hurts like crazy!

Tomorrow, I get myself a massage and hope all goes back to normal.

*fingers crossed*



PS: Getting a half decent butt shot isn't as easy as I thought.

The calendar is marked

I'm so happy to have logged some decent runs these past few weeks that it's now time to set a date. December 6 is when I will officially start base building. If all goes well, that is. Till then, it's going to be a full month and a half of continuing to coax my hip into co-operating by rolling like crazy, strength training, and getting regular massages.

Oh and I have a wedding to get through too...mine that is! Yeah, November 28 is when I tie the first knot (we're having two ceremonies to honor both our religions) with the love of my life! I'm so excited and totally freaking out since there's still so much left to do and so little time. Needing to run more than ever now to keep sanity in check!

Getting there, one small run at a time

First of all, let me say that I'm totally in awe of all those who ran Chi-town last week. The conditions (from what I've read) were brutal and hats off to those who finished in spite of the odds!

Far from racing excitement, I've had some short and easy but good runs these past couple of weeks. "Good" by my definition meaning: with little post-run pain, that just about goes away after a solid 15 minutes of rolling and stretching. This is good news, but if there's anything I've learned from experience, it's to be cautiously hopeful.

Last week, in a desperate attempt to let go of my road-run phobia (I've had some traumatic limping experiences), I dragged myself out for a 4-mile test run. All good (well, almost) till at one point, I had to jump onto the pavement to avoid crashing into a fruit cart (one of the many joys of running in India). Jumping onto pavements = very bad idea. Thankfully, post-run rolling and stretching dulled out most of the pain...I'm almost sure that's a sign of improvement. Then again, I logged a short pain-free (yay!) 30-min treadmill run and a longer 60 mins on Sunday afternoon (hurty during the last 20 mins).

Having tried out various combinations of time, pace, incline, and surface, I've come to realize that I might still need to do most runs on the treadmill, stick to 30-45 minutes (maybe do 60 mins once a week), keep the incline at no more 1% and an easy pace. Of course, I'll be doing outdoor test runs every now and to gauge my progress (and eventually transition). So that’s that. Far from where I would like to be, but still hopeful that some day, I can join in the racing fervor. Yes, progress has been slow, but I just might be able to pick up the pieces once again. There's a faint bit of light seeping in through that pinhole...

Superfood from the Indian backyard

Finally, I’ve gotten down to doing a food review I’ve wanted to do for a long time. Since I am currently in weight-loss/recover-from-injury mode, I’ve been forced to re-evaluate my diet and I’m happy to note that I’m making some really big changes in this department.

So here’s what’s on the plate today: amaranth seeds. This gluten-free seed (it’s not a grain, very similar to quinoa) is probably not much heard of outside of a few cultures, but in India, it’s a big part of our diet and tradition. Here, the air-popped seeds are mixed with jaggary, peanuts, and cardamom, and shaped into confection balls or bars.

Some interesting amaranth facts:

• The Aztecs believed that amaranth gave them mystical, supernatural powers. Warriors and runners ate it for strength.
• The seeds are high in protein and contain high amounts of lysine and methionine, two types of amino acids, making it a more complete source of protein than most grains (30% more). Using them in combination with wheat, corn, or brown rice equals the protein content to fish, red meat, or poultry.
• Amaranth seeds are also high in fiber, calcium (twice as much as milk), iron, potassium, phosphorous, and vitamins A, C, E.
• Amaranth is super-easy to digest (90% digestible) and because of this ease of digestion, it has traditionally been given to those recovering from an illness or ending a fasting period (very common fasting food in India).
• Amaranth has a low glycemic Index (2.4), keeping you full, longer.

Although you can use the seeds (popped or unpopped) any way you like, I prefer to make porridge of it. It’s super easy and FAST!

Here’s how I enjoy my amaranth porridge:
 

Warm milk. Hot is best since the seeds soak in more readily.



Add popped amaranth seeds. More or less depending on the consistency you like. 



Mix and let it stand for about 2 minutes so that the seeds soak in the milk and it gets creamy.

Garnish! I sprinkled sugar, melon seeds, raisins, and prunes. Other great-tasting garnishes: bananas, peanut butter, almonds. And it’s ready…YUMM!

Nutritional Profile (based on ¼ cup dry grain)

Calories = 182

Total Fat = 3.25 g

Saturated Fat = 0.75 g

Cholesterol = 0 mg

Sodium = 10.25 mg

Carbohydrate = 32.25 g

Dietary Fiber = 4.5 g

Protein = 7 g

Gluten Free  

Oh well

I may have spoken too soon. I ended last week with a super fun spin class, but which turned out to be so not fun the next day. I sort of knew that was going to happen since, sometime towards the end of the class, I could feel the sciatic nerve being pulled. Anyways, that's that and I'm having to get back on the cross trainer. Which honestly isn't so bad once you've figured out the interval and hill programs, and the fact that you can make it as hard as you want it to be. I had a great 1 hr interval session this morning on the AMT machine at the gym and was mighty pleased with how hard I pushed myself!

Some other things I discovered this week that don't work well for me...

1. Wine on a weeknight. I had one glass of red on Sunday night and woke up the next morning feeling dehydrated and really sick! I think I might be getting too old to do this stuff...shites. No more drinks during the week for me.
2. Licking yogurt off the cup. Yes, for some reason, I just cannot do without licking the yogurt off from under the foil cover, but I cut my tongue real bad today and spent the next five minutes spitting out a LOT of blood. Yikes!

The dermatologist saved my leg

Yes, I know this sounds crazy but that is exactly how it happened. Well, let me start be recapping my sob injury story. I’ve been dealing with acute piriformis syndrome, along with excruciatingly painful sciatica that would often cause my right leg to go ‘uncomfortably numb’. Also, as I discovered a few months ago, another trigger point was the right groin muscle that would hurt like hell every time I rolled it out. Needless to say, I have been put out of all sorts of running action for the past…10 months! 10 freaking months of pain, popping ibuprofens through the day, missing work on occasions, no solid answers from any doctors or therapists, and dealing unsuccessfully with rapid weight gain (I’ve figured that when I don’t know how to deal with pain, I eat).

So then, a few months back, to my great horror, I found out I was losing hair. Not just a few here and there, but they were coming out in bunches every time I showered or tried to comb them out. Great, now I can be fat AND bald. Sadly, this was the time I had to give in to my hairdresser’s advice: go short so that the lack of hair isn’t so obvious. While I tried my best to enjoy the new do, sadly my hair problems were getting worse. My head got real itchy and I had this crazy funk coming off of my scalp! That was when I made the trip (roughly 1.5 weeks ago) to the dermatologist who, well, saved my leg.

After examining my scalp and striking all infections off the list, the dermatologist decided it’s probably an iron/B complex deficiency. Really, her treatment is a trial and error one and she wanted to eliminate an iron deficiency before moving into other tests. So after that visit, I went home with a strip of iron and B12 capsules and a Rogane-like solution. What happened over the next few days is nothing short of a MIRACLE for me.

After only a few days of taking those capsules, the sciatica vanished! As in ‘gone’, ‘disappeared’, ‘not here’!!! AND it arrested like 70% of the hair loss. AND I don’t feel exhausted every morning and miss gym. AND I last through the day without coffee. AND I want to cry because life feels so darn good right now, I’m having a hard time believing it.

So now, since something isn’t right about this hair loss and sciatica, of course I had to go Google. Turns out, B12 not only helps to form red blood cells but also maintain the nervous system by metabolizing fatty acids found in the myelin sheath (the nerves coverings). This is why it is often prescribed for sciatica and other nerve problems. Which of course makes me wonder why the neurologist I went to didn’t think of this possibility…?

And that’s how it all happened. After 10 months, I finally fee almost 'normal’ again and I don’t quite know how to react to it. Strangely, being normal is sort of weird to me now and I’m just about trying to get used to it. And trying not to get to excited, you know, just in case…*fingers crossed*

So what now? Of course I’m already thinking of race training and other such utterly wild things! But first up is getting rid of the last bit of lingering piriformis pain and losing all the excess baggage I’ve collected over the past months. I can finally exert myself enough to see some positive results (my weight is exactly the same as I mentioned in my last blog). After that, there’s Chicago 2011… :)

Rock-bottom and beyond

I've officially fallen off the wagon. So what's out of line, you might ask. Well, everything really. This is how the past few weeks (or months) have progressed:

Piriformis syndrome > stop running > cross train > pile on pounds > bored of gym > skip gym > diet astray > pile on pounds > run outdoor track > severe sciatic pain > cross train > pile on pounds > hide from the world.

As you can see, the only consistent item in my routine is "pile on pounds".

And now, I'm going to do something that's so NOT easy...

121 lbs (up 7 lbs)

There, I've said it and I feel miserable. But hopefully, I can now start digging myself out of this sorry existence. To this effect, here is what I'm starting with ASAP:

Get a personal trainer.
I've had one for most of the past few years and I know it helps. Darn expensive at this new Gold's Gym i now go to but 3 months to begin with and we'll see where that goes.

Document the diet.
I've NEVER kept a food/calorie log and honestly, since I'm pretty good at 'what to' and 'what not to', I've never needed to. But this time, the problem is with the portions.

Kill this injury.
It's been around waay too long! Although, I've understood that this is something I'll probably have to live with (yes, they say that piriformis syndrome never really goes away), I'm positive I can get back into training at some point.

Blog more often.
Seriously, this confession mode is helping. And the fact that reading about other running lives helps me keep that focus. Thank you bloggers!

Go shopping.
A little retail therapy doesn't sound so bad right now. I've been thinking about summer dresses all week. I think I'll give in.

Time to pick up the pieces and get back on track...wow feeling better already! And yes, I'll be posting my progress report as often as I possibly can. I promise.

Running in a Straight Line

Well well, it's been a while and I have to say that I've missed this space. The last month has been chockablock with work, business travel, life plans, with a reasonable measure of general malaise sprinkled on for that finishing touch. But some good shone through as well and that more than makes up for this tedious phase. I have finally been able to reach the 45-minute running mark. On the dreadmill (0.5% incline...just for the record), mind you. But what the heck, I’ve gone from not being able to run 30 seconds to a full 45 minutes! That’s B.I.G. and I’m thrilled to bits. Of course, for every good day, there are a few bad ones (and damn it, I can’t sit 5 minutes straight without a pillow under my butt), but I’m anxious to see how the piriformis behaves the day I take it out on a “real” run. Soon!

On that note, let me digress and jump to something far more interesting. I’ve been asked many questions about what it's like to run in India and if I could put up some pictures. Well, the best account I’ve read on this subject is the one written by the BF during his early days in India. So without much delay, here he is, recounting what it’s like to run in India, with a few pictures (not mine but they are the streets I run) of the city we live and run in…

India : Running in a Straight Line
Finally, a spare half an hour. Time to lace up the new shoes attach the iPod and go for a run. With a little OAR playing in the background and a water bottle in my hand, I am off. It starts off easy enough straight out of my flat, good pace, good energy…maybe 3, maybe 4 miles today. "Johnny doubled up with a royal flush, I had 3 jacks and a pair of nines…" I am ready to go.

http://www.skyscrapercity.com/showthread.php?t=362317&page=56

http://www.skyscrapercity.com/showthread.php?t=362317&page=56

And then I hit the street, a quick turn to the right to avoid the rickshaw followed by a stumble and a near ankle turn on the uneven pavement. On to the main street, each step adjusted just before it is taken in anticipation of the chaotic crowd movement…right, right, straight, left, jump over the stray dog…sometimes finding the hole…sometimes choosing poorly. A turn off the main street, ahhhh some clear area. I open up into full strides…."who's up for game three, I can barely see…"

www.sepiamutiny.com/sepia/archives/2005_08.html

I start pushing a little harder until I catch a tennis ball in the side. I turn my head to see a group of local kids doubled over in laughter as I just ran right through their pick-up cricket match. I turn off the road down a path and through one of the local slums. I cut back and forth through the people while absorbing the observing eyes of the crowds. I make one more turn and there I am, at a dead end and exhausted. 3 to 4 miles, no, but in India's true nature, it challenged my mind and it challenged my body, and in the end I got what I needed. It just didn't look like what I had envisioned.

http://www.skyscrapercity.com/showthread.php?t=362317&page=56

There are a million experiences to write about after just a short time here. India will assault your senses with the mass of people, the poverty, the traffic, the extortion, the pollution and don't get me started with sitting in a government office for days. It will overwhelm your senses with the charm of the people, the festive nature, their loyalty, their spirit, the colors, and incredible ties to family.

But the most enduring of many incredible things about India is that it can teach the ego a profound and humbling lesson. No matter the education level, no matter how well traveled an individual is, if they think they have humanity figured out, my suggestion is go take a run in India. Nothing happens in a straight line.

Recovery: Week 2 day 1

Since I misbehaved on Saturday and my piriformis won't make peace with me, I decided to make up by keeping today's workout sober. It was lower body strengthening day in any case, so all I had to do was keep the running in check.

Here how the session went:

Treadmill: 20 minutes walk/run (14 minutes run)

Free squats: 2x15
Standing lunges: 2x15
Seated leg press: 2x15
Calf press: 2x15
Seated calf press: 2x15

Leg curls: 5 reps > crazy sciatic pain > abandon
Toe raisers: 3x15
Leg raises on decline: 3x15
Glutes on machine: 2x15
Hip adductor/abductor: 2x15

Stretch routine with some yoga asanas sprinked in.

Tomorrow is cardio day and I promise not to be silly.