A Wrench in My Plans

May 28, 2013

“The best laid plans of mice and men runners often go awry.”
~Robert Burns (with editing by rUnladylike)

No matter how well we plan things; there is always room for the unexpected. In other words, I put together the best laid 10K plan, and a wrench has been thrown in to send it awry.

If you’ve been reading runladylike.com for the last few months, you may remember that I’ve had some ongoing issues with my feet since March. Here’s the quick CliffsNotes version to bring you up to speed:

  • In mid-March, I had some pain on the outer edge of my left foot after a long run on the treadmill. I took some time off, obsessed like a crazy maniac that it might be a stress fracture and thankfully found out it was not. I completed the rest of my half marathon training plan with no problems.
  • Then, after the Divas Half Marathon last month, I experienced some pain in both feet after the race (felt nothing during the race). This consisted of incredibly sore arches and the same pain on my outer left foot. It hurt to walk around following the race. After a week of no running, it all went away and I was back to normal.
  • During the past few weeks, I’ve ramped my speed work and tempo runs back up. I haven’t experienced any pain while running, but when I walk after sitting or sleeping for long periods of time, my feet and ankles ache until I am warmed up and moving around. Additionally, there has been a tender spot on the top of my right foot between my third and fourth metatarsals.

So that brings us to today.

Although I don’t feel injured or have a specific injury per se, I know things are just not right with my feet. I never take any chances when it comes to injuries, because I want to be able to train for life – not just for the next race.

This morning, I finally went to see my sports medicine doctor.

At the doctor’s office this morning

He spent almost an hour with me and delivered both good news and bad news.

The good news is: I don’t have a stress fracture, I can continue running and he doesn’t think I have anything serious that a few weeks of specific attention won’t fix.

The bad news is: He doesn’t want me to continue with my speed and tempo work during the next 4 weeks, which means saying sayonara to racing my Peachtree Road Race 10K in 5 weeks with the performance I would expect of myself.

Yes, this could be way worse. I know that. But if I’m going to train and race, I want to do it 100 percent, not just at 70 percent. However, my upcoming 10K is not a goal race, so I’m keeping my eye on the next most important thing: Being 100 percent healthy for Hood to Coast.

So what is my treatment you might ask?

Here’s what I learned from my doctor today, and what I’ll be doing to tackle these issues during the next 4 weeks before going back for a reassessment:

  • I have low arches. He said on a scale of 1 to 10, with 1 being a completely flat arch, I’m a 3. He wants me to wear inserts with good arch support in my shoes. But not just my running shoes – all of my shoes. He said it’s great to have good support while you’re running, but if I’m getting poor support every other hour of the day; I’m not really helping myself. So I now have a lovely pair of blue inserts I’m sporting. (Side note: I used to wear custom orthotics. To make a long story short, I donated some old running shoes to charity and accidentally left my very expensive inserts in them when I gave them away. I’d rather not talk about it. Ha!) My doctor did say he’d love for me to go get re-evaluated in my running shoes at my local running specialty store to make sure everything is looking good with the inserts, which I’ll do this weekend.
  • I have what my doctor calls ankle instability, which is looseness and instability of the ankle joint. To strengthen my weak ankles, my doctor has prescribed a number of ankle exercises and stretches for me to do every day during the next 4 weeks.
  • I need to increase my flexibility. Just by touching my feet and calves, my doctor noted that these areas are incredibly tight, along with my hamstrings and hips. He wants me to do a lot more stretching and said more deep stretch yoga would be good as well. I knew I shouldn’t have skipped yoga this entire last month!
  • I have to reduce my speed. Because my bone scan in March did show somewhat of a hot spot on the top of my right foot (I was experiencing pain in the left foot at the time of the bone scan so this wasn’t seen as an issue), my doctor doesn’t want what could be a stress reaction to become a stress fracture. So I have to back off all my speed work. As in, replace all my speed work and tempo workouts with easy runs. Boo hiss. Bye bye fast 10K time, hello fun run.
  • Biking and swimming get the stamp of approval. I can continue biking and swimming, along with strength training as normal in my plan. This will help keep up my endurance and power during the next 4 weeks as I back off running speed.
I did my first long bike ride outdoors this season during the Memorial Day weekend. It felt good to be back outside after many months of indoor training. Looks like I’ll be spending even more time on the bike during the next 4 weeks.

So what is the moral of this story? Yes, there actually is one.

  • The best laid plans don’t always get executed. We need to be flexible and adjust for the unexpected. Replace old goals with new ones, and do the best you can.
  • Racing isn’t everything. Being healthy is. Do what you need to do to be healthy and injury-free in the long-term. Do not run through pain. When in doubt, always go see a medical professional for aches and pains.
  • Things could always be worse. Much worse. Be grateful for what you can do today.
  • Running easy/slow is better than not running at all.

Want to read more about injury prevention? Check out my recent injury prevention series:
Injury Prevention Basics
Sports Massage for Runners
Running in the Right Shoes
Yoga for Runners
A Runner’s Story of Overcoming Injury and Coming Back Stronger

 

I want to hear your thoughts! If you were me, would you sell your 10K race number for the 4th of July or just run it for fun?

Comments

Jenelle

Just dealt with some foot problems myself. I have a mysterious pain on the top of my foot-xrays and MRI are negative for a stress fracture (thank goodness!!!) BUT, I have to take it easy and watch it. No speed for me either right now. Just running for some fitness and fun. I’ll take that over nothing. You have such a positive attitude about this, thanks for sharing!!

rUnladylike

We are in this together, Jenelle. Sounds like we may have similar issues. You may want to try the ankle strengthening exercises and stretching. Hope we’re both back to 100 percent soon! I’ll be thinking about you!

AmyC

I think all my runner problems go back to tight muscles and not enough stretching…ugh!

I would definitely run for fun!!

Lisa @ RunWiki

You have an incredible attitude and because of that you will probably heal so much faster than the average bear. Giving yourself time to heal is so important and yes, being healthy is so much more important than any race is… except HTC that race is more important LOL, jk! love you so much!!

Nicole

Boo sorry to hear about this! You have a great attitude about it and the good news is you can still run!

PS based on the photo you posted I thought you were going to say you were pregnant? Ha I don’t know why …

Kat

I’m sorry about the news girl, but you kicked butt at Divas and you are being positive about the approach to this situation!

Sarah @RunFarGirl

oh noooooo!!! Jes, I’m so sorry. I totally went through this kind of thing in the fall/winter when I was coming back form having a baby and was dealing with pelvic floor weakness. It drove me crazy. But I’ve worked my tail off (quite literally..haha!) to strengthen my weaknesses and it has paid off. You’re right racing isn’t everything being healthy is!

Mark V

Happy to hear that it’s nothing serious but to bad you can’t continue your speed work.

Since the Peachtree is not a goal race but you said that the race holds a very special place in your heart, you then need to answer one other question. If I don’t run the PeachTree this year, will it upset be so much that I will regret it for months to come? If I had a very important relay or race that I wanted to be able to train for I would skip the up coming race even though it would be very disappointing. Just my opinion.

Catey

So frustrating! I’m still trying to process letting go of my marathon time goal a week and a half ago…it’s hard to let go and readjust when you’ve trained so well. You have an amazing attitude! Hoping things reaping well to all of your efforts and you at back to 100% quickly!

Ramona S

If it was me, I would run the Peachtree for fun. I also will be participating in it. That is one race I look forward each year after I finish. Lol. I also have done it every year since 2005 so it’s something I just have to do

Asia

Nicole sent me the link to your blog bc your foot pain sounds just like my foot pain! I’ve had it on & off since August. Time off from speed work, stretching my hips, and ART sessions have helped. Also inserts…which I don’t always wear so your post was a good reminder. Maybe run your race for fun if you feel up to it & can actually take it easy! What are some good ankle stretches?

rUnladylike

Hi Asia! Thank you so much for stopping by! Sounds like we are foot twins. I’ll shoot you an email with some of the stretches I’ll be doing this week.

Alison

I had something similar – nothing could be detected on the MRI or X-rays except some inflammation. The doctor told me to go to physical therapy and it made it worse. Long story short, I wound up staying off my foot and not running for four months, per the doctor’s orders. I finally went to a deep tissue massage therapist who healed me. It turns out the pain stemmed from my hips and calf and was not in my foot at all. I know you’re local to Atlanta, so I’d be willing to email you the name of the massage therapist if you’re interested in seeing her.

rUnladylike

Hi Alison,
I’m sorry to hear about your issues. Often everything we deal with tends to stem from the hips and legs. I have an amazing sports massage therapist I use in ATL. At the end of this post, you can read my recent post on injury prevention and sports massage. He gives some great advice in the post. I’m so glad you are feeling better! Thanks for sharing your experience.

Rebecca@RunningFoodBaby

Your foot issues sound a lot like mine – I’m borderline flat footed and have to have well supported shoes and inserts now too. I’ve been pretty much injury free since – BUT I know I have to do more stretches and stuff as I start getting faster

rUnladylike

Glad to hear the inserts helped. I recently started using a product called Pro Stretch Plus made by Medi-Dyne. I’ve found it really helpful for aiding in stretching of calves, ankles, and hamstrings. We just have to make more time for stretching!!!

Beth

Bummer on the prognosis but you are right to be conservative. I’m just like that whenever I feel any pain. Enjoy those fun runs and then come back swinging.

Christine @ www.idratherbesweating.com

Any injury is never fun to deal with: so sorry. Run it for fun! No pressure on you to worry about time and you can take it easy.

Kristen L

Glad you are able to still do some running, even if not the sprints/ speedwork. Hope you continue to feel better for HTC!

David Pittman

Do the foot & ankle exercises! And don’t just do them “till you’re better.” Do them … forever. You want to train for life, so you have to prepare your body for just as long.

Good luck!

Raina

Wow. Just stumble upon this post and was interested to read about your injury. I have also been dealing with some soreness on the outside of my left foot and back to the heel. Also no SFX, But i have very high arches. Never thought I’d say this, but I’m looking into yoga a bit now. Hope your foot starts to feel a lot better soon!

The 4th is such a fun day for racing. I would maybe wait until you are a bit closer to decide about the bib. Maybe your foot will get a lot better soon and you could enjoy the race as your first speed workout post-injury. ?

rUnladylike

Hi Raina! Thanks so much for stopping by! Sorry to hear about your foot pain. It sounds like you could be experiencing some peroneal tendonitis. A quick google search will show you the symptoms and spots where this is common. I’ve had that before and icing, rest and rolling with a tennis ball all helped. Thanks for your thoughts and for reading the blog! Have a great week.

Shi

Hi,

Your issue reasonates so much like mine. I have Low arch and had prescribed orthotics which I wore almost every day when I’m out. I did a half marathon before and the aftermath was so painful to the knees. I had a very bad ankle sprain in 2015 and til now I still feel the stiffness in my range of motion. I tried going back to playing Badminton but then always had a near miss whenever I train. I Guess I’m having phobia of sprain and is just difficult to get back to the agility and flexibility that I once had. I hope to be able to run another half marathon but worry that it might be too strenuous on my ankle. What kind of ankle exercises did you do to strengthen them?