Found on Facebook

While perusing through Facebook today, I came across an interesting posting from the Hospital for Special surgery: a Q-and-A interview with my hip surgeon, Dr. Struan Coleman.

Dr. Coleman answered five questions regarding torn hip labrums — he repaired the two that I had – among them: Will a hip arthroscopy fix a labral tear or will it eventually re-tear? What are some complications that can occur with a hip arthroscopy? (The short answers: yes, and future tears are unlikely; and complications are usually rare.)

If you’d like to read the full interview, just click here.

A PT Big Milestone

I bid adieu to my physical therapist this past week. And while I really did like him, I hope to not see too much of him. (Except for an occasional tune-up, or maybe if my right knee keeps bothering me.)

I’ve been in physical therapy on and off since December 2010 – after injuring myself while training for the New York City marathon and withdrawing from that race.

I spent the first four months in PT being treated for what everyone thought was severe tendonitis, and I was doing quite well, actually, until I reinjured my hip joint at home doing something stupid. A subsequent dye-contrast M.R.I. (finally!) revealed a torn labrum in my left hip that required arthroscopic surgery to repair.

My second round of PT, last summer, was to help recover from the surgery. During that time, however, I also discovered that I would need the same surgery on the right hip. And so, after a few weeks’ hiatus, began Round 3 in December.

I learned quite a few things in PT: that I haven’t been cross-training enough; that my core muscles are weak and need strengthening; that I’m not stretching enough after running or cycling; and that I haven’t been paying adequate attention to whether my body is properly aligned. Now I have an arsenal of PT exercises to combat these shortcomings.

And so my journey from injury to recovery moves on in a different direction. I’ll keep you posted.

Training to Run Again

Exactly 16 years ago, I was up in the Boston area running my very first marathon. (Yes, that one!) It was the 100th running of that fabled race, and to celebrate the occasion, the Boston Athletic Association, the race organizer, opened up 5,000 spots to a lottery. So running novices like myself could race alongside the world’s top thoroughbreds. (I had the good fortune of getting in through connections at work.)

I finished the 1996 Boston Marathon with a great big smile on my face, and since then have completed eight more marathons and one marathon relay. It was during the training for what would have been my 10th marathon, in New York City in 2010, that I encountered the painful hip injuries that resulted in two arthroscopic surgeries (the first in July and the second in December) and sidelined me for about a year and a half.

It would be nice to some day do another marathon. (O.K., maybe half marathons might be more appropriate.) But today I am back to basics: I am learning how to run all over again.

My “training” began only three weeks ago on the treadmill in physical therapy, where I would alternately run and walk for 10 to 12 minutes. Each time I would slightly increase the running portion. I have had to make a few changes in the process, like modifying my gait so that I land more on my mid-foot than heel. (Heel-strikers, like myself, are more prone to injuries than runners who land on their forefront or mid-foot, as pointed out in a recent New York Times article.)

Trying to unlearn years of bad habits is tough, though equally as difficult (and disheartening) is building up endurance again. In my first trip to a local track, where I am now training once a week, I found myself “winded” after just a quarter of a mile. (Only a couple of years ago 10 miles was a snap.) But I am improving, thanks in part to the weekly spin classes that I am also taking. This past weekend I managed to run just over a mile without needing to stop.

I just need to remember: slow and steady. Like my very first marathon.

 

Happy Easter and Passover … and Spring

 

Whatever you happen to celebrate enjoy these glorious days with the special people in your life. And stay healthy, and injury free.

 

 

An Unexpected Complication

As I become active again – I took my first spin class in nearly four months last weekend – I continue to experience the typical aches and pains that come with adjusting to doing more.  Sore quads. Tight hamstrings. Calves in need of stretching. Phantom knee pain that comes and goes.

But I never expected to have a hand issue. (Actually, it’s the carpometacarpal, or CMC, joint of the thumb.)

My right thumb is now in a splint – partly the result, I was told, of having to use crutches, not once, but twice in one year, after my arthroscopic hip surgeries in July and December. The constant texting and game-playing on my iPad probably didn’t help, either. Nor did the thinning cartilage.

How common is it to have hand problems after hip surgery? Common enough apparently for my hip surgeon to have the names of two good hand specialists readily available when I saw him for my 3.5-month checkup recently.

The first question the hand doctor and the physical therapist who fitted me for the split asked was: “Were you using crutches?”

So for the next two to three weeks, I expect to be on anti-inflammatories and wearing my new black hand accessory.

Thank goodness it won’t affect my running.

Postsurgical Update

Fifteen and a half weeks since my second arthroscopic surgery, on my right hip (the left was scoped in July) and I am thrilled to report that my surgeon has given me the go-ahead to resume all normal activities. That means running (oops, I’ve already been doing a little bit of that), outdoor cycling, spinning, yoga and swimming. With one caveat: I’m to engage in these activities gradually and slowly. “Just don’t overdo it,” he said, noting that my range of motion is nearly normal in both legs, but the level of strength has not yet fully returned.

Both the doctor and his assistant said that I should be prepared for little aches and pains to surface as I increase my activity. (Shin splints are a common complaint among runners, they said.) “You just have to come full circle,” the assistant said, which means a year for each surgery. Which is about four more months for my left side and eight months for my right.

Inspiration

God, grant me the serenity to accept when I cannot run; the courage to run when I can; and the wisdom to know the difference.                                            - Josh Cox, American record holder in the 50K

I found this nice little twist on the Serenity Prayer online today. I always had trouble with the first part: accepting that I needed to slow down or take a break from running, especially when I was injured. (Which was partly how I ended up having two arthroscopic hip surgeries in one year.) Now as I continue to recover from surgery and begin to run again, I am somewhat fearful and perhaps in need of a shot of courage. I wonder if I will ever be able to run the way I used to. And I worry, too, about re-injuring myself.

If you had arthroscopic hip surgery and are running again, we’d love to hear from you.

 

Getting to the Core: the Bosu Ball

 

A big part of my physical therapy (Round 1, 2 and 3) has been core strengthening. The core includes the gluteus maximus, a k a butt; abdominal muscles;  hip flexors and  abductors; and the illotibial band on the outside of the leg. Runners are notoriously weak in this area. But I’ve learned that a strong core will improve my alignment and make me less prone to injury after I resume running.

My PT exercises have included plenty of stackable steps, resistance bands and weights. But, in my opinion, nothing bests the BOSU ball – that funny-looking half ball that you see at the gym but aren’t sure how to use (at least I wasn’t). In case you’re not sure what I’m talking about, this is what it looks like:

BOSU stands for “Both Sides Utilized,” or “Both Sides Up” and it can turn  ordinary exercise into more dynamic ones. My physical therapist, Michael Q. Cerrullo, of Optimum Orthopedics in Montclair, N.J., graciously agreed to  demonstrate three core exercises on the BOSU in a video I produced. Enjoy!

 

 

Another Milestone. Again.

Three months since my second arthroscopic hip surgery and I’m happy to report that I have started running again. Baby steps, mind you, but still running. Under the watchful eye of my physical therapist, and on the treadmill, I am alternating between running and walking for one-minute increments. (I felt really good, by the way!) Next week we increase the duration to two minutes, and so forth. As my therapist explained it: “You’re training to run.” I like that.

Happy St. Patty’s Day

If your plans include running in any of the many shamrock shuffles and other races being held this weekend, may the wind be at your back, as they say!