Showing posts with label injury. Show all posts
Showing posts with label injury. Show all posts

Saturday, January 6, 2018

Race Recap: Falmouth Sprint Triathlon 2017

If you read my last post, you know that I am attempting a return to blogging after a lengthy, unplanned hiatus. As part of my return, I'm pumping out some race recaps from 2017. They're out of date, but I'd like to maintain a narrative record of the events I've participated in. I won't be able to recap all of them, but I'm going to cover as many as I can. Starting with the Falmouth Spring Triathlon from July 2017:


When sciatica and IT band injury sidelined me from running this winter, I turned to biking and swimming. The training shift was partly for rehabilitation and cross-training, but mostly to feed my endorphin addiction.


I signed up for swimming lessons at the YMCA. I bought a swim cap and goggles. I learned to love the meditative state brought on by the repetition of paddling back and forth along the twenty yards of the odd basement pool and the rumble of the Red Line trains passing through Central Square underneath me.

photo by Racked Boston

I bought a bike with gears. I took it out for adventures.


And then, I registered for a triathlon. The Falmouth Sprint Triathlon on Cape Cod, July 16, 2017.

Lead up to Race Day
I didn't follow a triathlon training plan, but I tried to work in 2 swims, 2-3 bike rides, and 3-4 runs each week. I put together a few "brick" workouts with back-to-back swimming and biking or biking and running. I completed one dress rehearsal complete with an open water swim in Lake Champlain. There were so many lake weeds wrapping around my ankles. It went very terribly.


As race day approached I developed increasing anxiety the ocean swim. I imagined myself coughing and sputtering and getting kicked in the face and being dragged out of the water by lifeguards.

I drove to the Cape with Duncan on Saturday morning. After a quick shakeout run to soothe my nerves, I headed to the race hub at Surf Drive beach to pick up my bib and get the lay of the land. I opened my envelope and withdrew a fortuitous bib number. Deja Vu. 3:32:33 was my finishing time for my first marathon, and 3:32:32 had been the time I'd needed to get accepted into the Boston Marathon.


I got home and wrote myself a detailed race day timeline. There is a whole bunch of gear to pack for a triathlon.


Race Morning
On the morning of the race, I arrived early. Competitors were asked to park about a mile away from the transition area in town lots. I used the bike ride from my car to the transition area to make sure my bike felt just right. I spied on my neighbors and imitated the way they set up their bikes and personal items in the transition area. I felt like an obvious greenhorn. As I laid out my shoes and carefully arranged my helmet and sunglasses on my handlebars, I watched curiously as the man across from me filled a tupperware box with sea water and set it down next to his towel. He explained that this was to wash the sand off his feet when transitioning from the swim to the bike. Well, that sure would've been a good idea. The race organizers marked my arms and calf with my bib number and I was set to go.



Each athlete was given a colored swim cap to indicate his or her division and swimming wave. I noticed that several of my fit looking neighbors had purple "First Timers" swim caps. I looked down at my own "Female Under 34" swim cap and felt a slight pang of anxiety. As a novice, I had the option of starting with my age group, in the 4th wave of swimmers, or starting with the "First Timers" wave at the very end. I asked a few purple capped folks about how they'd made their decisions, weighed the pros and cons of each option, and opted to swap caps for the "First Timers" division. I could start in Wave 12 or Wave 13. This meant I'd have only other novice triathletes around me and that the lifeguards would be paying closer attention to me, but it also meant I had to wait and watch 11 waves of athletes, each spaced 5 minutes apart, before I could enter the water.

The Swim
I took a quick dip in the water and swam a few strokes to loosen up and get acclimated to the ocean and decided to ditch the wetsuit I'd borrowed from a friend. I was wearing a triathlon suit and the water was above 70 degrees. I'd not practiced swimming in the wetsuit and wagered that the benefits of floatation and warmth were outweighed by the potential discomfort of swimming in an unfamiliar costume and the time sure to be lost by attempting to peel it off my body while running out of the water.

As athletes in the more elite waves set off, I watched attentively from the beach in hopes of gaining some insight about how to approach this daunting swim. I felt somewhat comforted by the fact that most of the swimming was done parallel to the shoreline and that the water was quite calm. Even still, my knees literally knocked together on the beach and I thought to myself, "What the f*ck am I doing here?" 

Finally, waves 12 and 13 were called. The race director gave us novices a short speech about how not to panic out there, which mostly just made me feel more panicky. I waded in with the other athletes for the water start and listened to the "Ready. Set." and a long loud BEEP.

Swim, swim, swim. I sloppily thrashed my way forward. I remembered the advice of veteran triathletes and looked up between strokes to sight the buoy. I was on track. In spite of my vision of swimming a steady, classy freestyle, I found myself alternating between strokes so I could just keep moving forward. A little freestyle, a little side stroke, back to freestyle. When I looked around, I felt relieved that many other swimmers had adopted similar sloppy, survival swimming styles. I wasn't panicked, but I found that I didn't care about how I looked or whether I was neat. I just wanted to move forward to the next buoy. The lifeguards yelled out, "everybody okay?" And I was!

I saw the final buoy on my left and made a tight turn in toward the shore. Swim, swim, swim! Suddenly, my fingers grazed sand. I stood up and emerged from the ocean. As I hit the beach, I felt completely elated. I'M NOT DEAD! I HAVEN'T BEEN DISQUALIFIED! It had taken me a pitiful 13:12 to complete the .4 mile swim. I was 415th of 511 competitors. But my body was pumping with adrenaline now.

The Bike
My wobbly legs found their footing underneath me. I sloshed through baby pools which had been placed near the transition area to rinse the sand off my feet. It took a moment for me to find my bike, but once I did, I was all business. Helmet on, buckled. Socks and shoes on. Sunglasses. Sip of water. Let's ride! I ran my bike to the line where a sign read "mount bike here", hopped into the saddle, clipped in my shoes and started to pedal furiously.


As I rode down shore drive, winding toward the Falmouth lighthouse, it occurred to me that I'd never, ever taken my bike for a ride on closed roads. I was literally able to ride as fast as my legs would take me. With excitement pulsing through my whole body, I began passing cyclists. One, two, three, four, five. We passed the Nobska Point Lighthouse. We hit some rolling hills. With a big grin, I bombed downhill as fast as I could.  Sharp right turn, bike tilt. Shifting gears felt surprisingly natural.

This is actual footage of me riding my bike during the race:


When the beach and transition area came into view, I couldn't believe the bike ride was already ending! As I dismounted my bike, I could only think about how I wanted to keep riding. This was fun! At 205th/511athletes in the ride, I was moving up in the world. I racked my bike, pulled off my cycling shoes and laced up my sneakers. Hat on, bib on. Off we go!

The Run
The run was a 5K out and back on Shore Road along the beach. I liked that there was constant activity. Since we had all started in different swim waves, it was hard to know who I was in direct competition with, so I encountered runners of all paces along the out and back course. Athletes were really supportive, offering high fives and "looking strongs!" as we passed one another. I set a comfortable pace, guessing I must be running somewhere just below 8 minutes per mile. My watch beeped the first mile. 6:40? I felt great. I barreled on, picking off runners ahead of me one by one. I had just run a 5K race in Vermont a week and a half prior to this event and had felt terrible the whole time. I was still feeling cautious about my return from injury, so I had low expectations of my pace in this race. I focused on maintaining a "cruisey" feel, but felt surprisingly awesome. I hit the turnaround. Just needed to run back to the beach now. With 800 meters to go, I started to kick it into gear. The finish was on the sand, and I crossed the line feeling full of joy. My run was 21:08, faster than my 5K race in Vermont the week before and good for 21st/511 athletes.





My time was good enough for 3rd of all novice women, an accomplishment for which I was rewarded with a commemorative...bath tile?

Triathlon was such a scary and fun adventure, and the Falmouth Triathlon was well organized, on a great course, and super friendly for a first timer. My first love is still running, but I hope to find a way to get more triathlon in my life in 2018.

Sunday, December 17, 2017

2017 Reflection.


At the close of 2016, I resolved to write more. I promised I would submit at least one piece of writing for publication. Instead of doing either of those things, I stopped writing for pleasure all together. I've written plenty of occupational therapy evaluation reports, IEPs and progress notes. I've written research papers for class, grocery lists and workout plans and a grant proposal. But midway through the year, just as I began to move beyond my self pity cycle of injury and feel physically like my strong self again, without ever making a conscious decision, I simply abandoned my blog.
So why did I stop writing? Looking back, I recognize that I developed doubts about the identity and purpose of my blog. I lacked clarity about who I was writing for and what I hoped to gain from writing. Big, pressing, weighty issues in our country and world made me start to feel like my writing was trivial and self centered. I wasn't using my blog to make a difference. I wasn't sharing expertise or developing my professional network. I didn't have a product to market or incentive to monetize. I didn't feel like what I had to say was all that important these days. So what was the point?

Last week I was out on a cold, windy run along the Charles River when unexpected feelings started working their way up to my throat and then tumbling over in my mind. I thought about my defunct blog. I asked myself whether I missed writing and what, if anything, I had gotten or wanted to get out of the creative process. I felt strongly that this was an endeavor I wish to continue.

It's really difficult to pick things back up after a hiatus. There's an undeniable gap in the narrative documentary of this space that isn't easy to go back and fill in. And so, in the spirit of reflection that permeates the close of a calendar year, I am looking back on 2017 with the intent of moving forward into 2018.

Here's a glimpse at life in 2017:

At the beginning of the year, I struggled with a herniated disc, sciatic nerve pain and a blown out IT band. 


I moved through recovery and learned lessons from my experience with physical injury, like how to shift my passion to support others and how to persistently advocate for myself to get the help I needed to heal.

I took my first ever summer away from my occupational therapy career and picked up a gig hauling produce, recycling and compost by bike. Spoiler alert: I sucked at it.


I bought a new bike, signed up for swimming lessons, and completed my first triathlon in July. 


I traveled to Copenhagen, London, and Ireland with my loved ones.


I made my debut as a race organizer with the inaugural Parlor Sports Classic, raising funds for the Quell Foundation through the Falmouth Road Race.

I committed to a vegan lifestyle, eventually even giving up dairy ice cream. Thank goodness for FoMu


I joined the Heartbreakers Running Club and fell deeply in love with coached track workouts.



I started a new school year and invested my professional efforts into supporting social emotional learning for my students and developing my cultural competency as an educator.


I ran 5 half marathons in 3 different states (VT, MA, NH) and 1 foreign country (Ireland).






I was officially accepted into the Boston Marathon (!!)


I set new PRs in the Half Marathon and 5K.


And now, as 2017 comes to a close and I set my focus on the year ahead, I can genuinely admit:

I am documenting and reflecting on a part of my life that I value and that brings me joy. I am putting it in public space, which is kind of a weird idea, but the process is for me. It doesn't have to be big and important and world changing. 

I am writing this blog for myself. 

Friday, June 2, 2017

Morphing.

Much of my inspiration to write comes when I'm out on a long run. Somewhere along the banks of the Charles River or amid the hills of Somerville, my body finds a rhythm and my brain slows down enough for thoughts to flow with far less judgment and self consciousness.

Which, perhaps, is part of the reason why nearly three months have passed since I've written a blog post. That little injury I picked up on an ill planned long run in January? It snowballed into a four months, and counting, string of rehabilitation exercises, MRIs, injections, adjustments, massages, scraping, dry needling, cupping, and wallowing. A nasty IT band injury reared its head along with the lumbar herniation and sciatica screaming down my leg. There have been ups and downs in the process of healing, but not a whole lot of running.

Instead of racing through the winter and spring as I planned, I gave up my race bibs and cheered from the sideline. The transition from participant to spectator proved to be both challenging and rewarding.

(That's Meb running the Boston Marathon)

BP crushing Boston Marathon


Steph finishing strong at Newburyport River Half Marathon
Three half marathoners
I've balked at doctors who recommended drugs to ease my pain. When a spine specialist confirmed via MRI that a herniated disc in my low back was responsible for the radiating throb, stabbing sensations, stinging, burning, and cramping down my left leg, I reluctantly agreed to an epidural steroid injection because I hoped it might allow me to sleep more than two hours per night. It did not work. It did confirm my opinion that a traditional medical approach of a belly full of pain pills and a body full of steroids is not for me. Instead, I've become rather adventurous when it comes to experimenting on my body with alternative treatment approaches.

Here's a sampling of the methods of rehabilitative torture I've dabbled in:

I've seen three physical therapists. The first was not a good personality match for me. He admitted to being an anti-runner. The second was a better fit, but our hours didn't line up and he prescribed the same clamshells and hip lifts I've been doing routinely for years. Then, my mother-in-law urged me to make a trip out to Hopkinton to see the physical therapist who'd helped treat her injuries. It was a long hike down the Mass Pike to get to her, but Kim gave me the Ah ha! I needed. "You're plenty strong," she explained, "but your hips, glutes and IT band are seriously tight." Strengthening to correct imbalance would be important, but she wanted me to first focus on targeted, sustained stretching after exercise to help things loosen up. So I stretched and stretched. Every day. Within a week, my poor, lopsided pelvis felt decidedly less crooked and the constant sensation of tightness was slowly easing.

Duncan supervises stretching time
A chiropractor has been scraping my low back, butt, and leg with a variety of metal spatulas using the Graston Technique, a self described "form of instrument-assisted soft tissue mobilization that enable clinicians to detect and effectively break down scar tissue and fascial restrictions". It's felt modestly effective and mildly medieval.

Image result for graston technique


Every three weeks or so, Liv, the amazing yoga teacher and orthopedic massage therapist has been using her magical hands to work out the tight junk and helping my body get more relaxed and evened out. In our most recent appointment, we gave cupping a try on my IT band. This therapy/experiment involved placing glass jars on the skin of my left upper leg. Using a handheld pump, Liv suctioned the air out of the jars to create a vacuum, drawing underlying tissue partway into the cup. The idea is that this works like the inverse of massage. Rather than putting pressure on the muscles to urge release, the suction pressure lifts the tissue upward, theoretically allowing for enhanced circulation in areas that are gummed up. It looked gnarly (warning, gross picture below) and left me with some epic leg hickeys. But it felt pretty good.



A physician specializing in Physical Medicine & Rehabilitation (PM&R) has been using trigger point dry needling on my wickedly tight glutes, outer hip, quad, and calf. Dry needling is a treatment for myofascial trigger points where fine needles are used to mechanically stimulate the trigger point, creating a local twitch response (LTR) within the muscle fiber. The idea is that the LTR sends a message to the spinal cord to let go of gripping and tightness in a muscle. Although evidence of efficacy in research is modest, this is the intervention to which my perception of relief and responsiveness has been the strongest. It is painful and intimidating at first, but when I feel the muscles twitch and fire there is a strong and real sensation of release. Dr. Bailey has been the most amazingly patient, thoughtful, and holistic physician I've ever worked with. If you're in the Cambridge area and are struggling with myofascial pain or a sports injury, Dr. Bailey may be able to help you too. I wish I had a picture, but I was distracted by my quivering calves and forgot.

Amid my parade in and out of the treatment rooms and medical offices, I've reluctantly decided to acknowledge that my body is asking (yelling) for some change in my approach to endurance training. So I signed up for swimming lessons.


And bought a new grown up bike. It feels fast!


I've had a lot more time to experiment with strength and endurance training mashups. In the early injury stage, I felt so lost without my runner's high that I sought out the highest intensity forms of cardio strength training I could find. This pseudo CrossFit approach to training certainly got my blood pumping and my muscles tired. Lifting heavy stuff while breathless is exhilarating, but I quickly learned that this approach should probably be delivered in modest doses if I want to prevent myself from even further injury and recover between workouts. So I'm balancing out with more traditional resistance training and lots of stabilizing exercises.




These days, I'm spending more time on prehab and rehab exercises than I am on any sort of competition specific training. It's hours of foam rolling and stretching and stabilization and strengthening and balance and postural alignment and ice and sometimes just plain resting. That's the hardest part. I'm learning to be patient.

I am striving to make peace with my body, not to try to force it or control it or cajole it. I recently listened to Tina Muir's podcast interview with Amelia Boone. Amelia is an obstacle racing phenom, but she also happens to be right around my age and lives a human woman's life with a full time job. She spoke about her experiences facing serious injury.

"It's not about getting back to yourself," she said...
"To try and return to a previous version of yourself is ludicrous, so I tell myself to give myself permission to morph into a new kind of athlete."

The inspiration to write this post came to me on my first 10 mile run since January. It was slow and it wasn't easy. I'm not the same runner I was before, and I give myself permission to morph into a new kind of athlete.

Stay Tuned.

Saturday, March 11, 2017

Injury, Identity, Perspective


Forgive me. It's been a while. While winter in Boston has marched on, I've been busy wallowing in self-pity.

42 days with no running.

A lumbar herniation aggravated by a series of foolish decisions left me with agonizing sciatic pain in my left leg. I've grown pretty accustomed to my body doing what I tell it to do. Suddenly, it simply could not. I clung to the railing and winced my way up the stairs at work. I couldn't walk to the grocery store. I couldn't sit or sleep. I realized how completely I take good health for granted and began to imagine that constant pain was simply my new normal.

And the 42 days of no running.

Hyperbole and a Half

Running is my release. Running is a routine that grounds me. Running is a habit that gives me a sense of control when life feels turbulent. Apparently, Running is also a part of my identity to which my self-esteem is deeply tied.


In the first weeks after injury, I thought I was coping pretty well. In spite of feeling like a caged animal, I was trying hard to maintain a positive attitude. After all, this injury was not life-threatening and unlikely permanent. Just a small blip in the history of my active life.

I pedaled home from the grocery store on my bicycle one Wednesday evening in February with pain radiating up and down my spine and my left leg throbbing. My sister, husband, and friends were out together at a group run. I walked in my door, dropped my backpack and crumpled to the floor to find a position that provided some relief from pain. Before I knew what was happening, tears streamed down my cheeks. I gasped for air and wiped snot from my nose, feeling completely foolish and very much alone.

I found myself wishing for bad weather. If I couldn't run, I wanted everyone who could to feel miserable doing it. I sneered in contempt at carefree runners.


I felt guilty and embarrassed to admit that I was struggling. When I held up running next to the legitimate challenges so many people experience every day -- loss of a loved one, financial hardship, serious injury, homelessness, lack of access to healthcare or education, the list goes on -- my situation seemed trivial. But, trivial or not, I experienced this blow to my identity in a very real way.

On a Saturday morning when I typically would have gone for a cathartic long run outside, I instead hauled a water cooler, Gatorade, and snacks into the back of my sister's car on our way to set up a makeshift aid station along the Boston Marathon course. Carly works for Best Buddies, a nonprofit organization creating opportunities for one-to-one friendships, integrated employment and leadership development for people with intellectual and developmental disabilities. On this morning, it was Best Buddies' turn to host aid stations for Boston Marathon charity runners on their long training run. Carly recruited me to join her in volunteering. I poorly masked my jealousy as we set our table up at the run turnaround point on Beacon Street.



Runners began to approach our station, stopping to chat as they snacked on pretzels and refilled their water bottles. Many expressed relief when I announced that this was the point where they could turn around and run home. All all expressed gratitude for our support. The perspective from this side of the water table was surprisingly satisfying, and it filled me with appreciation. I thought of the many folks who've given up their weekend mornings to hand me a cup of water, point me around a turn on a race course, or yell for me from the sidelines. It was the least I could do to return the favor this one time.

I went for my first post-injury run one week ago. I'm cautiously optimistic, but it's going to be a slow return. It will probably have setbacks. I am grateful for my body, for my good health, and for my ability to take care of myself. I am going to be fine.

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