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Wednesday, January 30, 2013

MRI results

Picked up my MRI results today. Why is it that the medical profession try to keep you from finding out what's going on in your body by sealing everything up tight and marking it, "Confidential. To be opened by referring doctor"?

I don't think so. If I pay a fortune to have a scan done I'm opening the results. So, taking no notice of aforementioned sticker, I tore the big envelope open to have a look.

FINDINGS: No oedema in the femoral head/neck. No oedema in the proximal femur. There is a tiny amount of hip fluid on both sides. No oedema in the muscle but there is substantial oedema at the hamstring tendon origin bilaterally moderate on the right and moderated to severe on the left in keeping with the suspected diagnosis of tendinosis at this site.

That's the whole shebang. It's less than was written last time I had an MRI for the same injury (2011), which I'm hoping is a good thing.

From these results Dr Kuah will determine if I need PRP injections in one or both legs next week. I don't care either way - I just want to be fixed.

Things are definitely improving, which is making me very pleased I followed the instructions of Brent and Dr Kuah (well, almost all of them. I did do a couple of runs when I shouldn't have but overall I have been incredibly compliant).

I had my longest run since November on Sunday - 72 minutes. I have no idea what pace I was running or how far I went because I have hidden Greta (Garmin) in the cupboard until I am running properly again. I have no pain up under my sit bones now, although I'm pretty sure if I started to push things to quickly I'd break again. It doesn't feel quite stable, although it's definitely feeling stronger.

I'm developing more muscle on my butt, which I need if I'm going to avoid this happening again. My Mum called me laughing hysterically the other day while she was watching Serena Williams in the Australian Open. Apparently she and Dad were trying to imagine me with a bum like Serena's. Serena's an incredibly powerful, muscular and fit woman and I really admire her, but somehow I can't see myself getting a booty like her, no matter how many butt exercises I do.

Had a massage today. Michael said my body was in the best condition he's ever seen it - not in athletic/race-fit terms but in terms of how tight and stretched/stressed everything is (or in today's case, isn't). I guess the body might be benefitting a bit from having some time away from strenuous training.

It better not get used to it because I'm getting back to training as soon as I'm given the go ahead. 2013 isn't going to be a dead loss if I have anything to do with it.

Saturday, January 19, 2013

Injury really sucks

Life has been difficult and pretty dark these past few weeks. Every day I've been seeing my goals for this year slipping away and it got to the point I was struggling to find motivation to do anything. I felt really, really lost. It was made harder by the fact that so many of my friends are athletes which meant it was very hard to avoid talk of training and racing.

Thank you to everyone who has sent messages or posted comments on my blog. It really is appreciated. I know I haven't been updating this blog very regularly but I hope something on here may help someone else suffering High Hamstring Tendinopathy. I've had messages from a few people who, like me, are frustrated and desperately searching for an answer.

I had more than two weeks off work over the Christmas-New Year break and usually this is my absolute favourite time of the year.  Therefore, it sucked to find that some days I'd wake up and couldn't be bothered dragging myself out of bed because I felt I was going to achieve nothing that day. 'FML' became a common phrase. On Christmas morning I thought, bugger it, and went for a run. It was probably too early in my recovery but mentally I really, really needed it. I then had to put up with sore calves for the next couple of days because my body was out of shape!

There have been ups and downs I guess. Or, on second thoughts, maybe not many ups - I won't lie to you - I've been feeling pretty shit. I have continued riding and swimming as well as my rehab work, physio and massage with Michael from Complete Body Dynamics (who has been really wonderful and has been looking for different ways of treating the injury). I've been able to do some short, slow runs (Brent approved). I've tried to tell myself that complaining or getting depressed isn't going to make one ounce of difference so I may as well just get on with what I can do rather than constantly thinking about what I can't do.

I had my first appointment with Dr Donald Kuah at Sydney Sports Medicine Centre in early January. He is one of those doctors that fills you with complete confidence and after only a few minutes with him I felt I was in good hands - he was really thorough and honest.

Dr Kuah basically backed up what my physio, Brent Kirkbride (also at SSMC) had told me - 2013 is pretty much buggered in terms of competing at a very high level. Hearing this was like receiving a punch in the stomach. But what do you do, huh? Crying won't change it. Yelling and screaming won't fix it. So after some discussion about options Dr Kuah booked me in for Platelet Rich Plasma (PRP) injections in the first week of February.

I had an MRI on Wednesday and I go back to see Brent next week.

But in recent days, things have been looking up. I have noticed definite improvement and, although I am feeling incredibly out of shape, my ability to run is getting better. At this stage I still haven't attempted pushing any sort of pace but I am able to run pain free a lot of the time. Slow, yes, but pain free. It's a start.

It may be a coincidence, but I am putting this improvement down to a strength/stability exercise I've added in. Instead of trying to describe it I thought it'd be easier to find a photo online (source: Body and Soul):
This is pretty much it (but I think the woman in this picture is letting her butt drop a bit). I lift one leg at a time and I concentrate on using my hamstring and my glutes and keeping my abs switched on. I've really started to think this is a magical exercise. 

I know this is only early stages - Brent and Dr Kuah both told me I could easily get back to being a recreational runner. It's getting back to being a competitive runner that will put the tendon under stress, so I really have to make sure it's repaired before I start to push things. Slowly, slowly - I keep reminding myself that after making it this far I don't want to rush things and send myself back to square one again. 

Having said this, I haven't given up on achieving a strong marathon this year. My plans have obviously changed (I was originally aiming to go sub 2:50 in Canberra in April, then improve from there) and I am now hoping to be in top form for Melbourne Marathon in October. It seems so far away, but it's better than nothing, right? 

Now I feel I've come out of the dark cave I disappeared into for a while, I'll be keeping this blog updated more regularly. I'm really hoping to fill it with a lot of positive news as things progress.