Wednesday, February 26, 2014

Update on my leg/knee

I am slacking again! I am picking back up though as things have been going crazy.  I am preparing for a trip to Hawaii next week and all the logistics going into that are making me a crazy lady!  Anyway, I just realized I never did an update as to what was going on with my knee!

Last I posted, I saw the Sports Med doctor and he told me it was IT band but it, in itself, was not tight.  It would get tight in situations where my weak hips would tire, shift, and cause it to tighten due to lengthening.  He set me up to meet with a physical therapist and have a couple sessions for at home instruction and a biomedical assessment to check it was the only issue.  I found out a LOT during that biomedical assessment.

I went in and he twisted me in all sorts of directions, had me walk up and down a hall regularly, toes out, toes in, windmill and drop back step type exercises, etc.  A whole gamut of strange things and he told me a lot about why my leg is hurting.

I had a suspicion that it was NOT my IT band because the spot it was hurting was about 2 inches below my knee and not on the side of or above my knee.  It was hurting in a spot that your IT band doesn't even touch.
I was hurting more in the area of where the 8 is on that diagram.  Since it has been awhile, I will post the things I can remember him telling me are affecting my running.

1) My peroneus muscle along the outside of my left leg is incredibly tight.  To the point that it will randomly ache and feels ropey when it was manipulated.  Problem is, this is not really a muscle that can be stretched.

2) I tend to walk toed out a bit and am slightly bowlegged.  This causes me to land strange and alignment to be off when I am running.

3) My hips are indeed weak

4) my left hamstring and calf muscle are tighter than he would like them to be

5) I do not use my big toe like I should.  I tend to land on the ball of my foot up and hold my toes up like I have a hammer toe though I do not.  This causes my outside toes to go numb as well as  messing with the all important alignment while running.

6) My femur and tibia-fibular head do not rotate the way that they should.  The t-F head is where my pain was coming from.

I ended up going to PT twice a week for 4 weeks to deal with these issues.  He gave me shoe inserts to work on supporting my low arches as well as helping me to use my toes more efficiently.  I have not had the courage to run in these yet... I wear them during the day but the fact that my arch is not used to being held up yet causes some discomfort there sometimes.

I have a HUGE (or what seems huge) list of exercises that I am to do daily until I hit 10ish miles again and then I can split the list and do them 2-3 days a week after to keep things going.

He did a lot of massage and manipulation on that peroneus muscle to attempt to loosen it.  He told me that is likely going to be an issue for me forever and suggested a percussion massager to use after runs.

I am supposed to direct ice my T-F head after each and every run to the point of numbness to fight swelling and irritation in that area.

I do have to say that I am doing these exercises (not every day- BAD, Cassie) and I am now running pain free again! Last time I ran I went for 6 miles and had some pain, 7 miles and was almost unable to finish, and 8 miles that turned into 3 when I could NOT push through the pain.  I am back up to 5 miles pain free and though I am nervous it will come back this weekend, I have a 6 miler scheduled.  Hoping all goes well!

So, there it is! My stupid leg hates my running but it has to get with the program =)

Happy Running!

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