There’s an old joke, I think told by Henny Youngman, about a man who goes to the doctor and reports, “Doc, it hurts when I do this,” as he raises his arm. “Well, then don’t do that,” the doctor responds.
That is kind of what happened to me. When I went to an osteopath who is a specialist in hip issues for a diagnosis of my hip pain. It was osteoarthritis, which I already had a decent idea it was.
He did some mobility and flexibility tests (he moved my leg in several directions for about 10 seconds while I lay prone) and watched me walk for about 3 steps. His counsel consisted of basically saying that if there was too much pain he could prescribe something or give me a shot (neither of which I wanted). When I asked him about physical activity he said what I already knew. Ease up. I told him I was a runner and he said I should stop running or reduce it significantly. I did get to see the X-ray, and he pointed out where the arthritis is. Like I could really tell. I guess I got my $35 co-pay’s worth. He spent less time with me than I did waiting for him.
On a contrary note, my family physician, who did the referral, called me to see how it went (actually left his cell number for me to call back). He knows I am an avid runner and that this was a big issue. He spent a fair amount of time talking to me and doing the preliminary exam.
The difference between the two is their sense of self. My family physician has deep pockets of knowledge, but he never assumes he knows it all. When he did the exam he asked a lot of questions and did more flexibility tests asking how it felt with each one. The specialist seemed to have a conclusion as soon as he saw the X-ray and responded with a set diagnosis. Whether I was a physically active runner or not didn’t alter his approach or comments. I felt like I was almost bothering him to be there.
As a result I am left with finding options on my own. Yes, I am starting to look for a different specialist who is more oriented toward sports, but unless you understand what motivates a runner, you really can’t treat them for something like this.
What am I doing?
Well, I’ve shifted a lot of my workouts to cycling. I am building those muscles back up. I hadn’t realized how much I had lost in the last 2 years when I focused mostly on running. The motion and alternate muscle use feels good.
I’ve been able to run 3-5 miles and feel pretty much the same afterward, but I can’t run every day. I often do 5-10 minutes of treadmill running after I do a bike workout. The warmup seems to help and the dual workouts give me a boost.
What does it all mean?
Well, I doubt I’ll be running any marathons in the future. That’s OK. I can live with that. I do want to get to the point where I can reasonably to 10Ks and hit a half a few times a year.
To get there I am looking for ways to help my body find a new path. I am taking glucosamine daily and some ibuprofin if it gets too much. I make sure to stay in motion as much as I can during the day and I’m finding information about specific stretching and flexibility exercises. I have also gone back to cushioned running shoes since most of my running is on roads, not trails, but I have kept my minimalist form. When I run I feel very little impact. The benefit is that now I can shop for different running shoes! I’m thinking these will be my next purchase.
I have noticed that the harder I work out, the better I feel the next day or so. That is a message my body is sending to me, although I am not totally willing to listen right now. I have a lot of faith in the human body. It can’t necessarily fix itself, but it can adapt if you work with it. Yeah, someday I may need a cortisone shot or even surgery. I’d like to see how far I can go without that. There is something inside me that says I can run again, like I used to. Maybe not as fast, but at least at distances that let me find the runner’s pleasure.
After learning to run again in a more minimal style, I am now going to learn to run again, period. Cycling has always been a love of mine, although not as convenient as running. These two movement exercises will help me find my path.
As always, Run Free!