For about 1.5 years when I lived in Harrisburg, I mentored a group of runners, many of who were first-time marathoners. Whenever one asked me about an ache or pain, I would immediately encourage RICE – rest, ice, compression, elevation. For any runner in our group, the “R” was the worst thing to hear. I heard countless complaints about not being able to run. I would reply with the litany of other options they had available to them during their recovery period, such as cycling and swimming. These options were never met with real enthusiasm. As I listened to more complaints, I would ask myself, “Doesn’t he/she understand? If he/she doesn’t rest, the injury will never heal! It will only get worse. It’s only a few weeks/months, after all. I don’t understand what he/she is thinking.”
Well, now, I understand. You see, a month and a half ago, over Labor Day weekend, my left hip began to hurt. It hurt in a concentrated area adjacent to the bone. I could feel the pain every time I stepped with my left leg. I didn’t think much of it, so I kept running. When it really began to bother me, I took a week of rest, praising myself for recognizing that my body needed some rest to heal and recover. After all, I was following the same advice that I gave my past mentees.
After a week, however, I got antsy. I went back into my old routine of about 25-35 miles a week. The pain persisted, but I didn’t care. I kept running. I tried to relieve some pain through ibuprofen, stretching, ice, and compression.
Two weekends ago, I ran the Hershey Half Marathon. I didn’t think much of the race beforehand. My base mileage typically allows me to run half marathons any time I wish. The race was fine. My time was slower than usual, but I wasn’t too bothered. It had been a great day with perfect weather and a lot of hugs from old friends I hadn’t seen since I moved to DC.
After the race, I sat in an ice bath for 20 minutes and took some ibuprofen to ease any inflammation I thought might crop up in my hip. I vegged out on the couch for an hour. When I rose from the couch to get some laundry done, I realized I had so much pain in my hip that I wasn’t able to climb the stairs. Thankfully, after a few doses of trusty Naproxen, I was moving around just fine.
Last week, I finally decided to see my PCP about the hip pain. After examining me, she said that she thought the pain was a result of an inflamed IT Band near the insertion site at my hip. I was relieved. IT band issues are common in running, and fairly easy to treat with a little bit of rest, stretching, and ice. She wasn’t 100% sure of her diagnosis, though, so she referred me to an orthopedic surgeon.
I had my appointment with the orthopedic surgeon today. After some scans and an exam, he verified that the problem was with my IT Band, but, to my surprise, he mentioned that it wasn’t just inflammation. Over the past 1.5 months, I managed to tear fibers of that muscle and my consistent running was making the situation worse, causing a nice case of bursitis as well. The first recommendation he had for me wasn’t a surprise: the big “R.” During that period of rest from running, he recommended at approximately 2 months of physical therapy and, if that doesn’t work, a cortisone injection.
Now, the mentor in me should’ve agreed to the ~2 months of rest and PT that he recommended. Instead, I blurted out “Now, I promise I won’t be a bad patient, but what if I put off this treatment for a few months?” He, of course, being the experienced orthopedic surgeon he is, asked if I had a race planned. Of course I do – a marathon in January. He pointed out that I’ve already put this off for 1.5 months and that if I continued, I would further inhibit recovery, tear more muscle fibers, and likely have to suffer the consequences of scar tissue that won’t form quite correctly. So, I took the prescription sheets from him and promised to call PT for my 2x/week appointments.
Rather than calling PT, though, I thought about the next few months. Then it hit me, I WON’T BE RUNNING. This will, by far, be the longest stretch of time without running for me in at least 7 years. And, for the first time ever, I won’t be running a marathon that I’ve already registered for.
This hit me hard. I figured out what running actually is to me. It’s not just a hobby. It’s my stress reliever after work. It’s my justification for the occasional cookie I eat when someone brings a tray into the office. It’s what gives me time to myself to think about everything I need to think about. It’s always there for me. Anytime I needed a run, all I needed was a pair of sneakers.
I’m sure that the shock will wear off in a few weeks, and I’m sure that my attitude will improve. But for now, I realize I’ve gotten a taste of what my mentees were feeling when I ordered them to rest and questioned why they weren’t heeding my advice, even if it was for their own good. I know that rest is good for me. My orthopedic surgeon reminded me that, by doing what I need to do now, I can still likely run at 40, 50, 60 years old. Hearing him say this reminded me of a few Green Day lyrics:
“Do you know what’s worth fighting for?
When it’s not worth dying for?”
Now, granted, we’re NOT talking about a case of life and death here. if I keep ignoring this problem, the worst case scenario is permanent damage and a permanent hiatus from running. But it helped me understand that it’s not worth fighting through a few painful months of training for my next marathon when I am well aware of the negative consequences that are bound to come if I do.
So, with that, I’ve started to look for sports clubs and community centers in my neighborhood that have indoor pools so I can swim to my heart’s content for the next few months. Who knows? Maybe this experience will lead me to my first triathlon when this is all over.