Category Archives: plantar fasciitis

A Year in Review: 2013 – Part I

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Since today is the last day of 2013 I should probably start my Year in Review posts. Hmm… I’ll keep this one to more of the highlights and photos. But, 2013 was a good year. It started off a bit rough, but ended with many good things happening. I can’t complain.

January

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January was a month of ups and downs. I just finished my MPH degree in December and began my job search. Some decisions made by my boss at work made me extremely stressed since I wasn’t sure I was going to have a job. This caused me become sick often, which hindered a lot of my tri training, which began on the 1st of the year. Things at the gym were also unusually slow so professionally and financially I was stressed. However, I got my degree in the mail so it made things more real!

February

Picking the pace up!

Picking the pace up!

I ran the annual Mid-Winter Classic 10-Miler again. It went way better than my disaster of 2012 race where I ran sick and came really close to DNFing. However, I still treated the day more of a training run than anything because I was learning I lost all my running aerobic fitness over my Fall running hiatus due to plantar fasciitis. I also learned important lessons in time management. Working three jobs and training for an Ironman is not fun or easy to do.

March

My mother, my sister and I (1989)

My mother, my sister and I (1989)

Azul and I celebrated our One Year anniversary. I love that bike! I also celebrated the 4 year anniversary of my mother passing, which is never easy to do. I miss her everyday.

April

Done!

Done!

I started April off with a bang! I ran the Race the Runways Half-Marathon again, this time as a training run. It was insanely cold and windy, but I had great company throughout the race. The next day I developed a 102 fever and was out for a couple of days. Go figure! Towards the end of the month I began to develop a bit of a twinge in my right knee. I also went to the USAT Level One Coaching clinic and became a certified coach!

May

Tammy, Myself, Marisa, and Beth - all taking home hardware after a great race!

Tammy, Myself, Marisa, and Beth – all taking home hardware after a great race!

That twinge in my right knee developed into full-fledge IT-Band issues that plagued me for the rest of the summer. I managed to race the PolarBear Tri… barely. Miraculously, I placed 3rd in my age group.

June

Okay, not from my rides this week... but from the Patriot Hald Aquabike

Patriot Half Aquabike

My run training was extremely limited. I saw my chiropractor at least once a week to help heal my IT-Band issues. I dropped down from the Half-Ironman to the Half Aqua Bike at the Patriot Half. I had a good day, pacing myself like I would at Lake Placid. However, I almost ran over both turkeys and geese on the bike.

 July

IMLPfinishline

I became an Ironman! I celebrated yet another epic 4th of July with my favorite family and began my final build to the big day. My Ironman day went as planned. My knee held out to mile 18ish of the run before I was forced to walk the rest of the way, but I finished my goal, and that was to become an Ironman.

August

Enjoying a day at the beach

Enjoying a day at the beach

August was a recovery month. I spent a lot of time with friends and family. Towards the end of the month I began running again slowly just to rebuild my horrible running fitness. I had several promising job interviews. I also left my job at the gym I was working at to go off on my own to start my own business.

September

An example of pubis symphysis seperation - clearly an extreme case (Source)

An example of pubis symphysis separation – clearly an extreme case (Source)

I finally got offered a job! A great deal of stress was lifted off of me. I continued running easily until my pelvis decided to twist itself again. Awesome. I then began another running hiatus and began my yoga addiction.

October

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Hot Yoga Time!

I became addicted to hot yoga and it was fabulous. I saw my chiropractor at least once a week to convince my pelvis not to split into two. I was happy as a clam at my new job and I joined the Junior League of Portland, Maine.

November

One of my favorite quotes of the year!

One of my favorite quotes of the year!

I continued with my yoga binge, loving every minute of it. I was slowly cleared to return to “normal” training. I mostly rode my bike, but ran a few times. It hurt.

December

Skiing at Shawnee Peak

Skiing at Shawnee Peak

I skied for the first time since my mother died almost five years ago with a friend. More to come of this in the next week or so. I’ve slowly been building my aerobic base again, mostly through cycling.

~ Happy Training and Happy 2014!!

A Happier “Unhappy” Pelvis

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A few weeks ago I wrote about my “unhappy pelvis,” which of course you can read about HERE.

I’ve been seeing my chiropractor on a weekly basis for the past two months. We’ve become quite the BFFs. Okay, maybe we were before since she is the one that keeps my body from completely falling apart…

Last week we had a breakthrough! ALLEHUJAH! My pelvis has settled down a bit and has finally managed to stabilize itself. Now that my pelvis has stability and isn’t playing the hokey pokey (and moving all-about), we can begin to focus on regaining mobility. ALWAYS train stability before mobility… that’s my take-away message today. You can thank me later.

Casey has determined that my right hip lacks internal rotation due to the fasica tissue surrounding my gluteus medius, semitendinosus, semimembranosus and adductor magnus. Being the total anatomy geek that I am, I started doing some research on the topic. There isn’t a ton of research out there on the topic because hip and groin injuries in athletes are less common than injuries in the extremities. However, when they do occur, they can result in extensive rehabilitation time (Anderson et al., 2001).

Fun fact – loads of up to eight times body weight have been demonstrated in the hip joint during jogging, with potentially even higher loads in more vigorous athletic competition. So, if you are a 200 pound man then you could have up to 1600 lbs of force working against your hip joints. Yikes! But, the hips are uniquely adapted to transfer such forces (Anderson et al., 2001). The body’s center of gravity is located within the pelvis, anterior (front) to the second sacral vertebra. The hips are essentially a series of arches, which according to Wikipedia (obviously a completely reliable source 😉 ) resolve forces into compressive stresses and, in turn, eliminate tensile stresses.

The major ligaments of the pelvis and hip are known to be some of the strongest in the human body and are well adapted to the forces transferred between the spine and the lower extremities. The iliac crest has multiple muscle origins and insertions, including the internal and external oblique, latissimus dorsi, paraspinal muscles, and fascia from the gluteus medius muscle. The gluteus medius (GM) is an important muscle during movement.

Source

Source

A significant amount of GM muscle activity has been reported during the midstance and terminal stance of gait to provide pelvic stabilization during a single normal gait. The GM is generally referred to as a primary hip abductor (leg moves away from the center of the body); but, research has indicated that it most likely plays a more effective role as a pelvic stabilizer (Schmitz et al., 2002). The anterior fibers of the GM also play a role in hip internal rotation while the posterior (back) fibers play a role in external rotation. Lack of internal rotation of the hip has been linked to lower back pain (Vad et al., 2003) in several studies in athletes.

So, what does this mean for my hip? Well, it means that my chiropractor can beat the hell out of my hip musculature. Last week she broke out her graston tools and left me with major bruises on my hamstrings, piriformis, and GM. Though, I wanted to cry while she stuck her metal tools in my GM, it made a world of difference in my hips! All week I felt that I had a whole new hip.

We have now isolated the problem in my hips through the process of elimination. My GM is so much better now and most of the “bad” fascia tissue has broken up leaving me with more mobility in that muscle. Cue the theme song to “Happy Days.”

My chiropractor has identified that the lack of internal rotation in my right hip is due to the semitendinosus and semimembranosus (medial hamstring muscles) and my adductor magnus muscles. The adductor magnus muscle is actually an external hip rotator muscle, but it was playing a major role in pulling my pelvic symphysis apart a few weeks ago. The issue is isolated at the muscle origins, where each muscle attaches to the ischial tuberosity (sit bones). It is not actually my muscles causing the problem, but the fascia tissue surrounding each muscle that is restricting the muscle from flexing and moving correctly. Thus, stretching and yoga are not effect methods to “fix” the problem. Stretching and yoga certainly help, but myofascial release is the best method.

The Guilty Parties... (source)

The Guilty Parties… (source)

My hip issues have been prevalent for the past couple of years and I feel like I am making process in finally determining the root cause of the issue and resolving it. I know that training and completing an Ironman on an injury was not the smartest move. My goal this year is to be smart about training and listening to my body. It’s hard for me to step back and take a break from training, but I know in the long run that it is a worthwhile investment to my health and my performance. I mean, it’s not like you would put a second floor on your house if you had significant cracks in your foundation making it impossible for the foundation to support a two-story home, right?

~ Happy Training!   

 

References

Anderson K, Strickland SM, Warren R. Hip and groin injuries in athletes. The American Journal of Sports Medicine. 2001; 29(4): 521-533.

Schmitz RJ, Riemann BK, Thompson T. Gluteus medius activity during isometric closed-chain hip rotation. Journal of Sports Rehabilitation. 2002; 11:179-188.

Vad VB, Gebeh A, Dines D, Altchek D, Norris B. Hip and shoulder internal rotation range of motion deficits in professional tennis players. Journal of Science and Medicine in Sport. 2003; 6(1): 71-75.

An Unhappy Pelvis

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My pelvis is an unhappy camper. She’s always been a wee bit of a crooked fellow, but over the years she has usually just stayed mute. However, since 2011 she’s been making a bit of a racket. And she has taken no mercy this Fall!

I’ve recently been doing a lot of research about hip injuries and fascia tissue. A friend shared a really great article last week about fascia tissue on Facebook. Check it out here if you haven’t read it yet. I found one point very interesting: old accidents that we think have healed can reek havoc later in life. A couple of years ago I saw a sports chiropractor about a nagging shoulder injury and he mentioned it was due to an old injury. I pondered for a while what that accident was that could have caused that injury.

It took me awhile, but then I remembered my old horseback riding accident that I had when I was 12 years old (actually I don’t remember much of it…). I got bucked off a horse and fell on my right side, hitting my head so hard that I knocked myself out, had a seizure, and ended up in the hospital with a contusion to the brain. It was great fun. Side note: WEAR A HELMET!

Even though my accident happened well over 14 years ago, I still have lingering issues. But, I think the main culprit to my hip issues is actually the severe frostbite I got on my right big toe in January 2011. I was lucky that my tissue was able to return to “normal” and the doctors didn’t cut it off. And of course, me being the idiot that I am some days, I tried doing too much on a damaged toe. Due to the fact that my toe was so swollen and the nerves were not functioning for several months, I walked very funny, which obviously led to a major gait change. I didn’t think much of it at the time, I just wanted to resume normal training again and I succeed to train for multiple races, including my first half-ironman. Towards the end of my half-ironman training, I was getting a lot of piriformis pain. A friend suggested that I see my current chiropractor. Boy am I happy that I did!

So, in a nutshell, my pelvis issues are due to a couple of old injuries that just don’t want to heal. My pelvis has a tendency to get twisted, thus causing a whole host of other injuries linked to the hip. Plantar fasciitis? check! IT-Band issues? check! Piriformis syndrome? Check!

Currently, my right adductors and hamstrings are so tight that they are pulling my pubic symphysis apart. Major ouch! The problem lies in the fascia tissue and not the actual muscles. Recent science is beginning to realize that most injuries are actually fascia-related versus muscular or tendon-related.

An example of pubis symphysis seperation - clearly an extreme case (Source)

An example of pubis symphysis seperation – clearly an extreme case (Source)

Unfortunately, no matter how much I foam-roll or roll on a lacrosse ball, the fascia tissue will not release. I had 90 minute massage a couple of weeks ago focusing on my right hip region… all without the use of massage oil… Let’s just say I could have used a rag soaked in whiskey…

I’ve been doing a lot of yoga lately, which has helped a bit. I mostly use it as my current strength training regime, since I can’t strength train or run currently. I was cleared last week to ride my bike finally!

Hello bike trainer!

Hello bike trainer!

My latest pelvis issue is nothing short of frustrating. I hate not being able to do the things that I love. However, I think this injury has really confirmed my decision that this coming race season will be a light race season so I can focus on getting my hip healthy.

Do you have any nagging injuries?

~ Happy Training!

Post Ironman Honeymoon

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After two weeks the honeymoon is over. I certainly made the most of it. From ice cream to beer to spending the day at the beach. It was weird to do completely nothing for a while. I must admit that I did enjoy it, but I’m ready to get back to work with a few goals in mind.

Enjoying a day at the beach

Enjoying a day at the beach

After IMLP, people either asked me if 1) I was happy with my time and/or 2) will I do another Ironman. The short answer to both is yes.

I am happy with my time. I’m not jumping for joy over the time, but I’m content. When I started to train for Ironman back in January I was hoping to go much closer to 13 hours or even sub-13, but then I was hit with a lot of stress from work, which led to me being sick a lot. Plus, the whole hip/knee/IT-band issue that plagued me for much of my training didn’t help my case. Back in April when the IT-band/knee pain first appeared I wasn’t even sure that I would toe the line in July. Luckily I have an amazing chiropractor who helped me get my pelvis back into alignment and work her magic hands on my IT-band and overactive quads. Going into the race I didn’t have a real time goal. I just wanted to finish. Secretly, I did hope to go sub-14, but I knew going into the race that my limiter was my knee. When my knee gave out then I knew it would be time to walk, crawl, or roll myself across that finish line. I lucked out that my knee finally gave out at mile 18 of the run. I was impressed that it lasted that long. I also knew my bike fitness was lacking from the previous year, which was a total bummer, but it is what it is.

IMLP 2013

IMLP 2013

I will absolutely do another Ironman. The soonest, however, that I will do an Ironman will be 2015. I need to take a year off from Ironman to heal and fix my hip that has been causing all my IT-band, knee, and plantar fasciitis issues for the past couple of years. Someday I would love to qualify for Kona. I know that my chance of actually doing that is about the same chance I have of winning Powerball (in other words, a snowball’s chance in hell since it would require me to actually buy a lottery ticket!). However, I really enjoy the Ironman distance. I had a feeling that I would, but I want to be smart. I intend to be in this sport for the long haul so I need to step back and focus on healing my body to reduce chances of future injuries and also prevent mental burn-out.

I also need to step back and focus on my career. My professional life has been nothing shy of stressful this year and I really need to put myself in a positive and challenging new career path. Now that I have some more free time I have been taking opportunities that will help me reach my ultimate goal. I’m also looking forward to taking on new clients and athletes for personal training and coaching. (HINT HINT!) 🙂

This past week I have begun to add more structured workouts into my week. However, for the month of August I just plan on doing what I feel like each day, whether it’s running, cycling, swimming, yoga, or even just walking my dog. I rode my bike yesterday for the first time. Only 25 miles, but holy cow were my quads on fire throughout the ride! Last Wednesday my chiropractor put my pelvis back into alignment, which took away a considerable amount of pain away from my hips and right knee. She has “prescribed” me several hip opening yoga poses each day for the next two weeks to help loosen up my hips. My hamstrings are super tight and are one of the root causes of my hip issues so hopefully with some yoga they will loosen up and help relieve some pain.

Reunited and quads still burn from IMLP!

Reunited and quads still burn from IMLP!

So what’s next? I haven’t completely decided. Much of my Fall plan is contingent upon my knee and hip. I’m hoping to run a couple of half-marathons and then begin marathon training for the Maine Coast Marathon in May. I also want to focus on building up my power again on the bike, since it dropped rather drastically from last year to this year. Note to self: don’t take a 4+ month break from your bicycle before beginning Ironman training. Opps! Lesson learned.

~ Happy Training!

Muscle Imbalances – What You Need to Know!

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In order to fully understand muscle imbalances, let’s first look at normal muscle function. There are three types of muscles in the body: smooth, cardiac, and skeletal. We, of course, are investigating skeletal muscles – or the muscles that move our bodies through the swim, bike, run movement patterns. Normal muscle activation is a combination of contraction and relaxation of muscle fibers. The technical terms are called facilitation (contraction) and inhibition (relaxation). When muscles contract, they get tighter and do more work. When muscles relax, they do less work and allow their opposite muscles to contract better. Muscles in the body generally work in pairs.

Let’s use the examples of your biceps and triceps. Let’s imagine that you are sitting on a bench with a dumbbell in your right hand about to do a set of biceps curls. What happens when you move your right hand towards your shoulder? Place your left hand over your right bicep. In the rest position your biceps is pretty relaxed. The same with your triceps. Neither should feel tight or loose. Just relaxed. Now move that dumbbell up towards your shoulder and do a biceps curl. Now feel that biceps in the top hand position. Feels pretty tight now doesn’t it? The biceps muscle is contracting to pull the dumbbell towards your shoulder. Now feel the triceps. The triceps muscle should feel loose because it must relax in order for the biceps to contract. Now lower the dumbbell to the start position. The biceps muscle should be relaxed (loose) and the triceps contracted (tight). The same thing happens as you are running. As you lift your leg to propel yourself forward, your quadriceps (front of tight muscles) must contract to lift your knee forward and the hamstrings (back of thigh muscles) must relax. When the muscles are balanced in the body, they have the right combination of inhibition and facilitation during movement.

Wikimedia Commons

Wikimedia Commons

If muscles lack the right combination of inhibition and facilitation during movement muscle imbalances can occur. Muscle imbalances may lead to injuries, biomechanical inefficiencies, and wasted efforts. Muscle imbalances can also occur due to poor static posture, joint dysfunction, and myofascial adhesions (think “knot” in muscle). These altered length-tension relationships between muscles may lead to altered muscle recruitment patterns (altered force-couple relationships). This is caused by altered reciprocal inhibition. Altered reciprocal inhibition, defined by NASM, is the process by which a tight muscle (short, overactive, myofascial adhesions) causes decreased neural drive, and therefore optimal recruitment of its functional antagonist.

Let’s look at an example of this. A majority of people work 9-5 desk jobs in front of a computer. Thus they tend to have tight hip flexors, or iliopsoas muscles. Tight psoas muscles decrease the neural drive and therefore the optimal recruitment of gluteus maximus (your butt muscles). The gluteus maximus muscles are the prime movers for hip extension and an important muscle in running. According to a 2006 study in The Journal of Experimental Biology, the gluteus maximus works primarily to keep the torso upright during movement and it is involved in decelerating the swing leg as it hits the pavement. Since the glute is a hip extender muscle, it also functions to extend your hip-joint as your foot pushes off the ground to propel your body forward. Weaknesses in the gluteus maximus can lead to compensation and substitution by the synergists (hamstrings) and stabilizers (erector spinae). This can ultimately lead to potential hamstring strains and lower back pain.

According to one study, over the course of any given year approximately two-thirds of runners will have at least had one injury that has caused an interruption to their training. For those training for marathons, the rate as been recorded up to 90% of runners. The most common running injury involves the knee. The most common running related knee problems are patellofemoral pain syndrome, Iliotibial band (IT-Band) sydrome, tibal stress syndrome (spin splits), and plantar fasciitis. Guess what? These common running injuries are overuse injuries generally caused by muscle imbalances!

Some researchers and sports medicine professionals have argued that triathlon, as a multisport event, causes less overuse injuries than single sports, because of the more even distribution of loads over the body’s muscluar system. However, triathletes still suffer from a high degree of overuse injuries. One of the most common is actually lower back pain. Triathletes tend to be over-developed in larger muscle groups, such as the quadriceps, hamstrings, and shoulders. Triathletes tend to be weak in the smaller stability muscles, such as the lower back, core, adductors, and abductors. Again, these muscle imbalances are caused by movements that we do in each sport. For example, many triathletes, especially if they come from a cycling background, will be overdeveloped in the quadriceps region, but have these tiny, underactive hamstrings. This is a muscle imbalance caused by cycling. Runners are very weak in the hip stability muscles, such as the gluteus medius, tensor fascia latae (TFL), and adductor complex, which leads to weak lumbo-pelvic stability and the potential development of common running injuries. The sport of triathlon is conducted in one plane of motion – the sagittal plane. We rarely move in the frontal and transverse planes. Many of the hip stability muscles are targeted by movements conducted in the frontal and/or transverse planes.

Wikimedia Commons

Wikimedia Commons

Muscles can be divided into two types: postural and phasic. Postural muscles are used for standing and walking; whereas, phasic muscles are used for running. During the gait cycling of running, there is a double-float phase during which both legs are suspended in the air – one at the beginning and one at the end of the swing phase. Running biomechanics requires efficient firing patterns from the postural muscles while the phasic muscles do the actual work of propelling the body forward. Since the postural muscles are constantly be activated in the body to fight the forces of gravity, these muscles have a tendency to shorten and become tight. The postural muscles that tend to become chronically tight in runners are: gastroc-soleus, rectus femoris, ilipsoas, tensor fascia lata, hamstrings, adductors, quadratus lumborum, piriformis, and satorius. Phasic muscles typically may remain in an elongated or weak state. Common phasic muscle that have a tendency to be weak or become inhibited in runners are: the tibialis anterior, vastus medialis, long thigh adductors, and the gluteus maximus, medius, and minimus.

So, key points from this post:

  • Muscle imbalances are caused by the lack of the right combination of contraction and relaxation of paired muscles
  • Common triathlon and running injuries are generally caused by muscle imbalances, mainly in the lumbo-pelvic region
  • Postural muscles tend to become short and tight; whereas phasic muscles tend to become weak and inhibited
  • Stretch your psoas muscles! 🙂

Now, how do you identify muscle imbalances? Well, I did a post a while ago on why functional movement screens are important. Go read that! Or go see a sports medicine professional, such as a chiropractor or physical therapist. This is especially important if you are dealing with a common running-related injury. Then find yourself a good personal trainer to help set you up on a good strengthening routine to correct those imbalances. Remember, I am certified to help you correct muscle imbalances. Of course, you should always seek permission from your doctor before starting any new exercise routines. Stay tuned next week on some good hip stretching and strengthening exercises to help you prevent those pesky running injuries.

~ Happy Training!

PS – Feel free to contact me with any questions at katelyn@bigskymultisportcoaching.com

References

1. Maffetone P. The Big Book of Endurance Training and Racing. New York, NY: Skyhorse Publishing. 2010.

2. Clark MA, Lucett SC. NASM Essentials of Corrective Exercise Training. New York, NY: Wolters Kluwer Health. 2011.

3. Liebermna DE et al. The human gluteus maximus and its role in running. J Exp Biol. 2006; 209: 2143-55.

4. Manninen JSO, Kallinen M. Low back pain and other overuse injuries in a group of Japanese triathletes. BR J Sports Med. 1996;30: 134-139.

5. Fredericson M, Moore T. Muscular balance, core stability, and injury prevention for middle – and long-distance runners. Phys Med Rehabil Clin N Am. 2005;16: 669-689.

Shakira was Right – The Hips Don’t Lie

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Yup, the Colombian bombshell was right – the hips don’t lie!

Argh! My It-Band/knee issues have migrated back to my hips again. Last week I did have some success with my running. It was far from fast, but I was able to actually get my mileage in. Last Wednesday I had my long run – 90 minutes. I wasn’t sure if my knee would hold up for the entire time and when I mentioned it to my chiropractor she suggested to split my run in half. Run 45 minutes in the morning and the remaining 45 minutes in the evening. Brilliant! I had considered running what I could outside on the pavement and then “running” the rest in the pool. The thought of splitting my run in half never even occurred to me. It makes complete sense though because you get your mileage in for the day but with a lot less fatigue and damage to the body. This is obviously very important for me at the moment due to my injury.

Yesterday at the chiropractor I asked my chiropractor what is causing all my hip issues. I had a good feeling what the root cause was but I wanted her to confirm my suspicions. The perpetrator – muscle imbalances. Just as I had predicted. Unfortunately I had the imbalances for a long time. As a Freshmen in high school I had major patellofermoral pain syndrome cause by, you guessed it – muscle imbalances. My entire swim season was ruined because of my knee problems. Months of bi-weekly physical therapy “fixed” my problems and my hips were good for a long time. However, over the past couple of years focusing on long-course triathlons, my body, more specifically my hips, have taken a massive beating by the same repetitive motions leading to the overuse injuries that I have been battling with – plantar fasciitis, IT-Band issues, and piriformis syndrome.

Over the past year I have spent a lot of time learning about the human body and movement. Working in the fitness industry as a personal trainer and coach requires me to understand the fundamental elements of human movement. Through my own research and education I have begun to understand what my own body is doing during movement and where my body is compensating because of my muscle imbalances. To be completely honest, I have known about my issues for a while now, but haven’t really focused a ton of time fixing the issue. That small crack in my foundation has now caused a major rift in my foundation causing my whole house to shift. Yikes!

So what are muscle imbalances? I plan to have a post dedicated more to this topic later this week, but I’ll give you a little tease right now. Muscle imbalance occurs when muscles lack normal muscle activity – a combination of contraction and relaxation. Triathletes tend to become overdeveloped in larger muscle groups, such as the quadriceps, hamstrings, and shoulders and weak in the smaller stability muscles in the lower back, core, adductors, and abductors. Imbalances may lead to injuries, biomechanical inefficiencies, and wasted efforts.

So yeah… muscle imbalance are not fun. Just about every athlete, especially triathletes, have some degree of muscle imbalance. All my clients have some sort of muscle imbalances too because of their lifestyles, ie. home or work environment. Luckily, muscle imbalance can be corrected relatively easy through corrective and strength exercises at the gym amd/or home. We’ll discuss this later.

My little word of advice – “pre-hab” is way better than rehab so don’t forget to do your core and hip strengthening work folks! 🙂

~ Happy Training!

One Bad Knee

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Last week began with some pain that I haven’t experienced since my freshmen year of high school – major knee pain. In middle school I experienced a lot of knee pain, but my doctors kept telling me it was just growing pains. Then as a freshman at McAuley I joined the swim team. Now, every doctor will tell you that swimming is a great form of exercise if you have joint issues. Well, apparently my body is ass-backwards because swimming actually exacerbated my knee problems. I mean to the point that both my knees would swell to the size of bowling balls. Finally, my doctors acknowledged that something wasn’t right and then referred me to a othropedist and then to a Physical Therapist. I spent months in PT to strengthen the muscles surrounding my knees. In nutshell I had patellofemoral pain syndrome, which is common in young girls undergoing puberty. As the hips widen it tugs on the muscles surrounding and supporting the knee join causing pain. As the muscles surrounding my knee strengthen the pain went away and I haven’t really had a problems since.

The problems I have been having in the past couple of years surround my hip. My right hip gets out-of-place and my pelvis will twist. Mostly the problem affects my piriformis (that evil little deep butt muscle that I would just like to evict!) and I have a tendency to get plantar fasciitis in my feet as a result too. I see an awesome chiropractor that keeps things at bay. My hips have been quite good for many months until now.

Last week I started getting some pain in my right knee. I knew my hip was out and I had an appointment with my chiropractor as soon as she returned from vacation. By last Wednesday I was in quite a bit of pain and as soon as I walked into my chiropractor’s office she knew something was wrong because I was limping about. She put my hip back in place and worked her magical skills, aka, Graston, and worked out some tightness in the piriformis and the adductors. My knee was quite sore for the rest of the day, but my knee did feel better on Friday.

I decided for once in my life that I would follow my own advice and play things safe. I told my coach that I was going to skip my long run on Saturday. Normally I would just trudge through my workouts and just deal with the pain, but I am thinking long-term now. Missing a long run now to avoid further knee problems is more beneficial to my Ironman training then doing the long run and causing more pain and risking possible injury. Instead I rode my bike on the trainer. Sunday I did my 3-hour long ride with no knee problems, but the 20 minute transition run afterwards was quite painful. I managed to run 15 minutes and then walked the last 5 minutes. Again, not risking injury. Be smart Katelyn for once in your life…

I am scheduled to race my first triathlon on Saturday. Unfortunately, I can’t defer the registration to another race in June so I am still planning on racing. And by racing I mean I will race the swim and bike to the best of my abilities and then play the run by ear (or should I say knee?). I will see how the knee is feeling. If it feels good then I am going for it. If it doesn’t feel good then I will try my best. If it feels like shit then I will just DNF after the bike and not risk the potential injury.

I want to be smart. As much as I want to race and kick butt this weekend, the race doesn’t mean much in the big picture. My goal this year is to become an Ironman. In order to become one then I need my knee to run (run/walk?) the 26.2 miles of the race. I’m going to continue to play things safe this week and I am currently crossing my fingers that this little glitch in training will go away very soon. I’d really like my knee back please…

~ Happy Training!

 

 

 

 

 

 

Weekend Wrap-up: The Goo Goo Dolls Edition

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I spent Thursday and Friday in Short Hills, NJ for my USAT Triathlon coaching certification clinic and didn’t arrive home to my bed until 2am Saturday. Unfortunately, it was also an early morning. I had a personal training client at 8am and then a few more throughout the day. There was definitely a lot of yawning going on!

One of the lectures at the clinic was on run training and I was super pumped for my run on Saturday to work on some running drills during my 45-minute run. We talked a lot about run gait analysis so I really focused on proper run form throughout my run and I actually felt pretty good with it. If any of you have ever seen me run I have the “marathon shuffle.” It’s not a horrible gait to have, especially if your niche is long-course, but I do want to focus on improving my gait so I become more efficient and also prevent future injuries, i.e. stupid plantar fasciitis that I have a tendency to get every year.

Goo Goo Dolls at the State Theater

Goo Goo Dolls at the State Theater

All last week I was looking forward to Saturday night because the GOO GOO DOLLS were playing in Portland! You have no idea how excited I was. Iris is my absolute favorite song and I can listen to it over and over again. I couldn’t wait to hear it live! The concert was awesome! They played a good mix of old songs (which tend to be my favorites) and some of their new stuff that will be on their new CD coming out in June. They ended their set without playing Iris. I was starting to get a little upset when they came back for an encore. Thank God! They played a new song and then they played it! They played my absolute favorite song! And guess what? It’s AMAZING live! Totally made my life at that moment. Okay, maybe finishing an Ironman will do that too in a few short months!

As you might guess, I slept in on Sunday. I was physically and mentally tired from a long week. I caught up on some TV shows while eating breakfast and moved quite slowly all morning. I had a 3 hour ride plus a 25 minute T-run on the schedule. It was sunny in the 50s and windy. I honestly was dreading the workout. Part of me what to push it to Monday, but I didn’t want to mess with my schedule too much since I know there is a rhyme and reason (no pun intended 😉 ) to my training plan. By 1 pm I knew I had to get out on the road so I bundled up and pumped Azul’s tires up to finally hit the road. I had an idea of my intended route, but nothing set in stone. I headed up towards Standish and was planning on riding up Route 25 for 1.5 hours and then turning around and coming back. I made my way up Route 25 and then in Baldwin decided to take the right onto Whaleback Rd. If you like hills and climbing then you will love Whaleback Rd. It’s a slightly shorter version of the epic Mooseman climb. It’s definitely a badass hill to train on for Lake Placid. Once I got to Route 113, I decided against my normal route and headed back up Route 25 towards Gorham while hitting some nice Lake Placid-style hills. I climbed over 1500 feet over the course of 43 miles. Not bad for my second ride outside for the year! The last 20 minutes or so of my ride was rough. The headwind picked up a bit and my legs were getting tired. I was barely crawling at 10mph. I was convinced someone tired a cement block to the back of my bike. I actually stopped at one point to check to see if I had a flat because I couldn’t figure out why I was moving so slow… Finally I made it home.

Ride Elevation

Ride Elevation

I decided against my T-run because my right hip is out again and it’s causing some irritation in my knee. I don’t want to risk any injuries until my hip is back where it should be. I have spent a great deal of time the past few days foam-rolling the crap out of my lower body. Yesterday I hit up a yoga class and holy cow was my body tight. Yoga actually hurt. Any pose that involved stretching the right hip was painful. Thank goodness I see my Chiropractor on Thursday!

This week is a big week in training so crossing my fingers that everything goes well.

~ Happy Training!

Book Review: The Athlete’s Guide to Recovery

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Last month I read the book The Athlete’s Guide to Recovery by Sage Rountree. The book is all about recovery methods for athletes, primarily endurance-based athletes. Rountree is an experience yoga teacher and is also a certified USA Triathlon and Road Runners Club of America coach. She teaches regular yoga classes popular among athletes of all levels and is a frequent contributor to many publications, including Runner’s World, Yoga Journal, and USA Triathlon Life.

The Athlete’s Guide to Recovery is described on the back of the book as:

“The Athlete’s Gudie to Recovery is the first comprehensive, practical exploration of the art and science of athletic rest. Certified cycling, triathlon, and running coach Sage Rountree guides you to full recovery and improved performance, exploring how much rest athletes need, how to measure fatigue, and how to make the best use of recovery tools.

Drawing on her own experience along with interviews with coaches, trainers, and elite athletes, Rountree details daily recovery techniques and demystifies common aids such as ice baths, compression apparel, and supplements. She explains in detail how to employ restorative practices, including massage, meditation, and yoga. You will learn which methods work best and how and when they are most effective.”

I enjoyed the book, but I wished that it included a bit more scienitific study results. Of course as a biochemist by training I rely on peer-reviewed studies for my knowldge; however, Rountree wrote the book for a more general population so I understand why she did not bring a lot of studies into the book.

The first part of the book dicusses why recovery is an important part of the training cycle and ways to qualitatively and quantitatively to measure it during your training cycles. One of my favorite quotes from the book is “recovery is where the gains of your training actually occur, and valuing your recovery is the key to both short-term and long-term success, no matter what your sport” (page 4). Last year I really learned the importance of recovery during my training cycles. I have always been in the mindset that no pain, no gain or go hard all the time for the biggest improvements in my performance. However, I learned that is completely the wrong mindset to have. When working with my athletes and clients I always make sure to stress the importance of recovery. For the longest time I was under the impression that during workouts is when your body gets stronger and faster, but in reality it is AFTERWARDS during periods of recovery that your body repairs itself to make it stronger and faster. Rountree stresses this in the first part of her book. She states that “it’s the balance between the work and the rest that keeps us healthy and strong” (page 5). Rountree discusses the physiogologic adaptaion process well in laymans terms for those of us that may not be a super science nerd like myself. She also breaks down the perodization training cycle in words and figures for the reader to help them understand the concept easily and how recovery fits into each part of the cycle. One point she makes in the first chapter is that “your successful approach to recovery will depend on two traits: patience and faith” (page 13). I found this to be a strong point. Lord knows that I am one of the most impatient people. When I want something I want it now. I know as an athlete that I need to take the time and put the work in and I will see results. I will not become a top of the podium athlete overnight. I may never become one, but that doesn’t mean that I won’t put the work in and have a little faith that if I am patient that it will happen. You have to be patient with recovery and trust the process. Sometimes we all need a little time off. Certainly my body told me I needed time off this past Fall to heal from my nagging right hip issue and also the plantar fasciitis that results from that damn piriformis. Can I evict my piriformis yet?

Part two of the book dicusses recovery techniques. She discusses 12 techniques, which she breaks down into time, cost, accessibility, and confidence (she calls this “Sage’s Gauge”). Here is my take on each technique:

  • Active Recovery – is exercise at a low intensity. Easy, stand-alone active recovery workouts, such as an easy zone 1 spin or jog/walk, can elevate the heart rate just effort to increase blood flow to muscles to aid in recovery. However, these workouts must be light and easy enough to not tax the muscular and cardiovascular systems, aka 65-mile “recovery” rides are not really recovery rides. Who knew? Active recovery also includes proper cool downs during more intense workouts.
  • Stress Reduction – Let’s face it, we all live in a stressful world. Work, school, family, training, etc. According to Rountree the key to reducing stress is being aware of where it comes from. Okay, so my main source of stress is work. Mainly in the past month not knowing if I still had a job. Now that I know my job is a little more secure now my stress levels has gone down; however, I am prone to getting stressed trying to figure out how to fit work and train clients while completing my training all within 24 hours and then rinse and repeat. Welcome to being an age-group athlete, right?! Rountree suggests learning the ability to say no (definitely a major problem I have. I can be guilt-tripped into just about anything and I will probably regret ever saying that…), making realistic goals and periodically checking in on them, and planning a head.
  • Sleep – YES PLEASE! I think we all know how important good quality sleep is! Rountree suggests that we should sleep until you wake up satisfied without the use of an alarm clock. Naps are also a good idea. All great ideas but a little unrealistic for a majority of us real people working in the real world.
  • Nutrition and Hydration – Drink water and eat real foods. Enough said right? Recovery snacks are important for our bodies.
  • Supplements – These are designed to cover deficiencies in your diet. See above for what is really important in recovery, i.e. real foods and water! However, taking a multivitamin and a fish oil pill can help. Personally, I take a multivitmain to cover my bases incase I don’t have a good eating day and I don’t eat a ton of fish so fish oil pill a day is good for me. Fish oil has been shown to help reduce inflammation. NSAIDS, such as Ibuprofen can actually interfere with the body’s recovery process so it’s best not to swallow an entire bottle (or any at all) after a tough workout.
  • Cold and Heat – Ice bath party anyone? I started to use ice baths this past season after tough long brick workouts. I think they helped some. Mostly I felt like a badass sitting in a tub of cold water and ice cubes drinking my recovery smoothie (okay, sometimes it was a beer. Don’t judge me). Cold can be used to counter inflammation and to numb pain. Ice baths help with this and also to move waste products from the muscle. Some people also use heat. Rountree suggests eating a warm snack while sitting in an ice bath.
  • Home Remedies – Compression gear. I was interested to see what her stance was on the issue because it is currently debated in the scientific literature if compression gear actually works or if it’s more psychological. Either way, I like my compression gear. Rountree suggest based on studies that compression socks are more effective than calf sleeves. She also suggests that compression gear is more beneficial during recovery than while training or racing. That is my opinion also. However, compression gear intrigues me so I plan to look more into the topic.
  • Technological Aids – Got a lot of money? Yeah, me either! Thanks SallieMae! You can buy things like ultrasound and electrostimulation therapy or Normatec MVP boots.
  • Massage – Another, yes please! I think we all know that massages are beneficial to the body.Rountree discusses when massage should be scheduled in your training and racing cycles. During training she said scheduling will much depend on your budget. Once a month is probably fine for most people. Rountree suggests a good massage at least 3 days prior to an event would be good and then a really light quick massage after the race to flush-out muscular waste. A good deeper massage should be scheduled about a week later.
  • Self-Massage – Is your foam roller your best friend? Well, it should be!
  • Restorative Yoga – Restorative yoga is a gentler form of yoga and focuses on releasing tension in the body. Poses are held as long as 10-15 minutes. I’ve done one restorative yoga class. It was tough, but my body did feel good afterwards. Rountree gives pictorial examples of poses that are beneficial to the triathlete.
  • Meditation and Breathing – Similar to restorative yoga. Just taking time out of your day to relax and forget about the stresses of the day. Rountree states that the “goal of meditation is not to stop thinking; it’s to become aware of the thinking and to return to focus without getting swept up in thought” (page 168).

Part three of the book discusses recovery protocols. Rountree gives some ideas of how to string the techniques together along with training. Personally, I think everyone is different and different things work for different people, thus people should pick what works best for them. Overall, I did like the book and thought it was helpful. I personally would have liked to have seen more peer-reviewed studies included in more chapters, but I believe Rountree was targeting a more general population rather than the total trigeek like myself.

Have you read this book? What are your thought? What recovery methods work for you?

~ Happy Training!

 

2012: A Year in Review Part I

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Well folks, that time has come once again… 2012 is almost over! I’m so over 2012 and ready to ring in the new year!

I’ve reflected on 2012 about a million times by now and I’m sure that you’re all annoyed with me, but one last time! 2012 was a huge growing year for me. Perhaps because I hit that magic number of 25 and suddenly realized that I’m in my mid-20s and a “real” adult. For a long time I was rather unsure of what path I wanted to take in life. Throughout my undergrad years I really thought that medical school and becoming a physician was what I wanted to do for the rest of my life. However, the summer I was supposed to apply to med schools I panicked and realized that I really wasn’t sure what I wanted to do in life. I decided I would take a year off from school and try to figure that out. I finished undergrad a semester early in December and during the beginning of one of the worst economic recessions in the more recent years. That coupled with the fact that my mother was just diagnosed with a very rare and terminal disease left me a bit unsure of my future. My mother passed in late March right around the time I got my first “big girl” job. I worked at the large biotech company for 9 months as a temp and finally landed my current full-time job at the small biotech company I work for and have been there for the past 3 years. During those 3 years I started my course work for my Master’s in Public Health with the idea that I would go on to Physician Assistant school to become a PA. Throughout my coursework I became more interested in the obesity crisis plus I started to get more involved with the sport of triathlon. I have some issues with the modern medical system in the United States. I won’t get into details about it because I could easily go on for days on the topic, but in a nutshell, I don’t like how the system treats the disease by handing out pills when we really should focus more of preventing the problem from the start. Enter… the public health field which is more focused on preventative care.

To be completely honest, I get slightly annoyed when people ask me what public health is. It is a very valid question though. The field of public health is extremely broad and really one could do so much with a degree in public health. My interests lie in physical activity, nutrition, and chronic disease prevention. I only came to this realization this past year. That’s the reason that I pursued my certification in personal training. Personal training allows me to help people reach their health goals through exercise and nutrition. I realized as a personal trainer that I can help someone with nutrition needs, but not to the full extend that I wish to do. So, that’s why I want to eventually pursue more education (okay, maybe I just really like school) to become a registered dietitian. 2012 has been a great year in figuring out where my future career path will go. Now, that I rambled on about some things let’s look at 2012 by the months!

January

January 1st began my first day of training with a coach and an individualized plan to help me meet my goals. Previously I had trained with a wonderful group of women (and if you live in the Southern Maine region I highly suggest you check them out!), but with my goal of my first Ironman in 2013 and my big dream of someday qualifying for Kona, then I knew that I needed to work with a coach to develop an individualized plan based on my strength and weakness, my busy life with work and school, and also my race schedule and goals in mind. It was one of the best decisions I made all year. Certainly, it wasn’t a cheap investment, but it was extremely worthwhile and I made huge improvements in my training and performances throughout the year. January was also the time that I started to get really interested in nutrition and finding the best diet for me. One of the highlights in January was my heart rate test on the bike. You can read about it here!

I also did a lot of winter running and had to break these bad boys out a couple of times!

I also did a lot of winter running and had to break these bad boys out a couple of times!

February

I began the month with a nasty cold, which completely and utterly affected my 10-miler race early in the month. I have this stupid tendency to race while sick so I ran the Mid-Winter Classic sick. The first 4-5 miles I felt pretty good and was on target to meet my goal. Then half-way through it just went downhill – and downhill fast! I came really close to DNFing the race. It was not a fun experience and it only got worst later in the day when my clutch in my car went and I had to put over $2000 into fixing my car! February was not really a great month to say the lest.

I spent a lot of time creating puddles of sweat on the floor...

I spent a lot of time creating puddles of sweat on the floor…

March

March was a very tough month for my personally. The end of the month marked the 3 year anniversary of my mother’s passing and it affected more than I thought. I was also having some personal problems with a close friend so March was a bit of a roller coaster ride for me. However, I did have a huge 5k PR in March! I also got Azul, my new triathlon bike! That was by far the best part of the month! Who doesn’t want a fancy new bicycle! Happy birthday to me! 🙂

Ready for REV3

Ready for REV3

April

April was a month of a lot of running breakthroughs for me. I’ve always hated running. I was always under the impression that I just wasn’t meant to be a runner. Either you are a runner or you’re not. However, with some A LOT of encouragement from my coach I finally had that breakthrough run I needed. My inner running goddess broke through that barrier and my running potential was unleashed! Yay! I had a HUGE half-marathon PR, mostly because my first half-marathon I ran sick.

Race the Runways Race Report

May

I finally got my powermeter for Azul in May! One of the best decisions I made all year. Of course, the first one I received from SRAM was dysfunctional, but because SRAM has one of the best customer service experiences ever, I got my new and functional powermeter within a few days! Later in the month I did my first tri of the season. It didn’t go as well as I hoped. I made a lot of stupid rookie mistakes that I later kicked myself in the butt for. Oh well, the race was really for shaking out the cobwebs for the big half-Ironman in NH a few short weeks later.

Powermeter = LOVE!

Powermeter = LOVE!

June

June started out with a bang! I had my first Half-Ironman of the year – Ironman 70.3 Mooseman in New Hampshire. I wasn’t going to do this race originally, but the other Half I was going to do sold-out before I could register. I got sent into a panic over it and my coach suggested Mooseman. I was extremely nervous about the race because it’s one of the toughest courses in North America. The weather was sucky and that’s a understandment! Luckily it didn’t rain on race day! I had a decent race. I finished mid-pack in my very competitive age group (several of the podium finishers in my AG finished in the top 10 overall females for the day!) and I was pretty pleased with that result. I finished within a minute of my previous Half time from a MUCH easier course so even though I didn’t officially PR, I felt like it was a PR. At the end of the month I headed out to Ironman Lake Placid training camp with my fellow TriMoxie teammates and also athletes from Personal Best Multisport Coaching. It was one of my favorite experiences of the year. Not only did I get to meet some amazing people/athletes, but also got to interact with some great coaches and really decided if Lake Placid was going to happen or not in 2013. Camp was fun and a great learning experience. I learned some important lessons about Ironman training!

One important lesson = Be ready for thunderstorms with Hail in LP!

One important lesson = Be ready for thunderstorms with Hail in LP!

July

I started July off with a lovely summer cold, aka snotfest! However, I recovered and was able to race a local sprint tri in Norway. I ended up winning my AG and coming in 12th OA female for the day, even with a horrible run! I also rode the REV3 Half bike course for the first time as a recovery ride. However, I guess a 65-mile bike ride even at a slow aerobic pace is not considered a recovery ride. Sorry Mary! 🙂 The best part of July was volunteering at IMLP and cheering on all my friends and other local Maine/NH/MA athletes as they competed at IMLP and then signing up myself for the 2013 IMLP the next day! Although, I didn’t quite enjoy paying the almost $700 race fee!

1st AG W25-29

1st AG W25-29

Officially registered for 2013!

Officially registered for 2013!

August

August was a great race month for me. I ran my first 10k and first Beach to Beacon race. The race was executed exactly how my coach planned (which I totally didn’t believe her when she first gave me my pace goals) and I felt great overall despite the hot and humid weather conditions that left a lot of fellow runners on the sideline with heat exhaustion. At the end of the month, I raced my “A” race of the season – the REV3 Maine Half. I had a good race and finished 8th in my age group and finished top third-ish overall females. I’m slowly climbing myself towards the top of my age group, but I know that I have A LOT of work and improvements that I need to make over the years if I ever want to have a go at Kona and/or Vegas in the future. REV3 was my first real race – meaning that the goal of this race was to race for time and place and not just to finish. I think I did a pretty good job of that at this race; however, the race did show me where my weaknesses are in racing that I will focus on improving in 2013.

Beach to Beacon Finishline Sprint!

Beach to Beacon Finishline Sprint!

REV3 Maine Run

REV3 Maine Run

September

I entered the off-season in September. My plantar fasciitis and right hip problems came back after REV3. Honestly, I knew it was starting to come back before the race, but I continued to truck on my training and hoping that my body could hold out long enough to have a strong race. My original plan for September and the Fall months was to focus on running. Obviously, that didn’t happen with rehabbing my injuries. I spent a great deal of time focusing on strength training and yoga. September was a bit of a weird month for me. If you have been reading my blog for a while and/or know me in real life then you know that Bike Shop Boy was a big part of my life. However, somethings happened between us and we have gone our separate ways. I was really upset at the beginning because he was really a huge support system for me in my training and life; however, in retrospect, our parting was really a blessing in disguise. Of course, I truly wish him the very best in life.

Getting custom orthotics...

Getting custom orthotics…

October

Most of October was spent focusing on school finishing up my last class for my MPH and also writing my thesis paper. My advisor at school had warned me that working a full-time job and a part-time job and then taking 9 credits would probably be a bad idea. Of course, I have this little tendency to try to do everything at once and also do it well so I went about doing all 3 things. In the end, she was totally right that it was extremely tough, but I got an A in my last class and also on my thesis! Training wise I was still focusing on strength and yoga. I did get out for a couple of short bike rides and oh yeah, the Dempsey Challenge. That was a rather wet and cold 50-mile ride. I was suppose to ride the 100-miler, but due to the fact that my feet were completely frozen (despite the fact that I had worn heavy socks, plastic bags, and a set of toe covers and full booties!) my feet still got wet and cold. I also got a tattoo! 🙂

From the first class. I'm the second one in in the white shirt. Nothing fancy here...

From the first class. I’m the second one in in the white shirt. Nothing fancy here…

Hmm... looks like I need a pedicure...

Hmm… looks like I need a pedicure…

November

I began my new job as a personal trainer (and my third job!) on the 1st. I quickly worked up to having 7 clients at a time. When I began I wasn’t certified; however, I had been studying all year knowing that I did want to pursue becoming a personal trainer. When a trainer position opened at my gym I jumped on it and was quickly hired. I signed up to take my test and passed on the first time (which is rare for most people)! I also was focusing on finishing my thesis paper and working on my epidemiology project for my internship. November was a very busy and stressful month and unfortunately I know my own training suffered some.

Certified!

Certified!

December

Biggest accomplishment – I finished grad school summa cum laude and now have a MPH! One of the highlights of December was meeting Craig Alexander, aka “Crowie,” in Boston at his book signing. I’ve also been gearing up for some major changes in the new year, which you’ll all hear about in a couple of weeks!

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So, that’s enough for today. Part Two will come tomorrow with some of the biggest highlights of my race season and also some of the biggest life lessons I learned throughout the year.

~ Happy Training!