Tuesday, September 18, 2012
I've been irritated lately by naysayers. In particular, people who will comment on my Facebook or SP status and caution me not to overdo it with my exercise, etc because I might "permanently injure" myself if I keep working out. Now, I am not angry at these specific people because I understand that they are just saying these things because they care for me and they are concerned that I will do harm to myself. Who could be angry at someone for LOVING them? Haha.
But I realized that I have not ever clearly explained what is going on with my ankle, so naturally, if I were an outsider and saw me working out so much WITH an "injury", I'd be worried too!
So, to clear up the confusion and for those who actually care, I'd like to explain my "injuries" and also defend my decision to continue to consistently work out and stay registered for my 10k and half marathon, which will take place in 2 weeks and 4 weeks, respectively.
My ORIGINAL injury (the one that required the non-weight bearing treatment and had me in a boot for 4 weeks) was a bone bruise on my talus (ankle) bone. This was caused by my fibula (big bone in my leg) repeatedly hitting the talus over and over for a few months whenever I ran. On average, when you run, your knees take about 3 times your weight in force (which means, my knees and ankle were handling over 650 lbs of force every run). This injury was a direct result of my weight and obesity. THIS injury is healed. It is gone and I have not had any recurrence of it.
The SECONDARY "injuries", for which I have received physical therapy and ongoing treatment are linked to each other: tendinitis (posterior tibular, NOT achilles) and osteoarthritis.
According to the interwebz ( www.ncbi.nlm.nih.gov/pubmedhealth/PM
H0002209/ ), "tendinitis is inflammation, irritation, and swelling of a tendon, which is the fibrous structure that joins muscle to bone. Tendinitis can occur as a result of injury (ding ding ding!), overuse, or with aging as the tendon loses elasticity."
"Symptoms are pain and tenderness along a tendon, usually near a joint, and pain that is worse with movement or activity
The goal of treatment for tendinitis is to relieve pain and reduce inflammation.
Rest or immobilization of the affected tendons is helpful. The application of heat or cold to the affected area can help. Physical therapy that stretches and strengthens the muscle and tendon is essential. This can restore the tendon's ability to function properly, improve healing, and prevent future injury."
The #1 treatment for tendinitis is....WEIGHT LOSS.
In my case this past week, I've been icing my ankle as much as I can, faithfully doing my physical therapy exercises and working out with other forms of activity that don't irritate my tendon. It is starting to feel better, but I will not run on it until it is 100%. I don't know about you, but I think a ruptured tendon sounds pretty dang horrific. I'm not a complete idiot. LOL.
Unfortunately, if it was as simple as tendinitis, I'd be one of a multitude of runners and many other athletes that deal with this same issue on a regular basis. My problem, though, stems from another issue that is much more chronic.
(full text here: www.emedicinehealth.com/osteoarthrit
"Pain, stiffness, and crunching in the joints: these are the typical signs of osteoarthritis (OA). It happens to most people when they get older, and some are already having joint problems in middle age.
If you have painful osteoarthritis, it can be harder to get enough exercise and you may gain more weight. And if you gain more weight, it could make the OA worse.
Our joints take a lot of wear and tear during our lives, and this becomes noticeable with age. As we age or if we have had an injury in a joint (hello!), OA will often develop. If you have OA in a joint, it means that some parts of the joint have been damaged, especially the cartilage. The cartilage is a tough kind of tissue at the end of bones where they meet to form a joint. This can cause pain and problems with movement in the joint. And when the cartilage is not able to work as it should, other parts of the joint and the muscles have to work harder to try and manage movement. Cartilage itself is not sensitive to pain, but the muscles and other tissues in and around the joint are."
AND THIS IS THE REASON I AM NOT GOING TO LET UP ON MY WORKOUTS:
"Other than getting older, being very overweight (obese) is the biggest risk factor for OA developing or getting worse. There is a complex relationship between OA and being overweight. Being very overweight puts a lot of strain on the joints. And it also often slows people down and makes it difficult for them to move. If overweight people also have OA, and they are stiff and in pain, they might get even less exercise and put on more weight.
On top of that, being more inactive makes your muscles less fit and other parts of the joints stiffer. When the muscles around the affected area get weaker, it is another risk factor for OA getting worse.
SO WHILE SOME PEOPLE MIGHT THINK THAT EXERCISE ITSELF ADDS EXTRA WEAR AND TEAR TO THE JOINTS, IN FACT BEING OVERWEIGHT AND INACTIVE IS MORE OF A STRESS. IT MIGHT NOT SEEM SENSIBLE TO EXERCISE A DAMAGED JOINT, BUT WHEN THE DAMAGE IS DUE TO OA, IT IS ACTUALLY NECESSARY TO KEEP THE JOINT MOBILE AND TO KEEP YOUR WEIGHT DOWN.
Experts often recommend that people who are overweight and have OA try to lose about 10% of their body weight. If you can manage to do that within 3 months, then you could expect to considerably increase your mobility. But even after losing 5% of your body weight within 5 months, you can expect to notice a difference.
Many different kinds of exercises have been studied for people with OA, including brisk walking, aerobics, bike-riding and swimming. In general, these can help reduce the disability that OA causes.
Exercise is not a cure-all for OA and it will not solve all the problems that this condition causes. But losing weight and incorporating exercise into your life can help stop your joints from getting worse, and help you live better with osteoarthritis."
Anyway, I hope that helps for anyone who has been concerned. You see, I have an excellent sports medicine orthopedic doc and I also read quite extensively on all things related to my body and my training. I am in this for the long run (pun intended) and I hope to triathlon and run until I'm dead. Therefore, I will always listen to my body and I will never intentionally hurt it.
There are times when, in a race or competition, an athlete needs to make a choice between pushing through pain or backing off. I can't tell you that I wouldn't push through pain in a race situation. One never knows WHAT would happen in a scenario like this in any sport, but I will promise that I will not knowingly train on an injury if I KNOW it will worsen my condition or shorten my athletic career.
Anyone who is taking this lifestyle seriously will understand that we walk a fine line between caring for our bodies and pushing them just a bit further. Anyone who tells you they have this down to a science is a liar. Sometimes you take a risk. Sometimes you don't. It's life. And I'd much rather live my life to the full than cautiously waste away in fear.
Monday, September 17, 2012
Well, I've gotta be honest. This day really kicked the crap out of me. I came off a terrible night of sleep, awful dreams about hurtful people from my past, woke up late. Ugh. Seriously considered skipping my swim this morning and sleeping more...but, as I said in my status, I've never missed a scheduled workout and I don't intend to start making excuses now. Especially since this morning's workout was supposed to be a run, but I'm protecting my tendon until it feels 100% perfect. So I got my butt up and went to the YMCA.
The swim was grueling. I am not even sure how I eeked out my regular 30 lengths in 30 minutes, but I managed to do it...and add on two more extra lengths in the last minute. It was hard. I suppose I powered through mainly because I was aware that there was an Ironman swimming in the lane next to me (my friend, Sue, who is currently training for her 3rd trip to Kona Ironman World Championships). It always helps to have a hero one lane over, whose mere presence makes you push yourself harder.
My body felt wonderful, but I got to work and the exhaustion returned. Perhaps it's the gloomy gray sky out my window or maybe the 40 or so e-mails that were begging for my attention or the pile of paperwork from last week on my desk that was waiting for me patiently and demanding action. Maybe it had something to do with my boss's quick visit, where she expressed frustration with some of our records (which are in my care and it's my job to keep). She would never point the finger at me to make me feel bad, but she is also under a lot of pressure. I don't have negative feelings against her, but I pretty much started out my day feeling disappointed in myself.
The minutes and hours ticked away and I worked and worked and now the work day is over and I still feel defeated. I feel immense pressure to comfort eat. I will really really try not to tonight.
I just want to go home, eat dinner, ice my ankle, take a hot shower, cuddle with some kiddos, go to bed and start fresh in the morning.
Sorry to be negative. Just one of those days. If you were standing in front of me, I'd totally ask you for a hug.
Friday, September 14, 2012
Excuse me, Obesity? Could I have a word with you please? Thanks.
As you probably know, I've had some issues with my tendonitis flaring up since my last run. I've been bewildered by the feelings of frustration and anger that have been rising up inside of me.
Why am I angry? Good question. I'm so glad you asked because I've been dying to say this for a couple days now.
I'm so angry at you, Obesity. I loathe you. I detest you. I'm angry that you have a stronghold in our country and in our world. I'm angry that I had so little respect for myself that I let you into my life and allowed you to take control. I'm angry that you are not being labeled correctly by our media as a disease. I hate that you are a killer. I truly believe you are linked to cancer. And I hate that cancer has hurt so many loved ones.
See, I don't just hate the physical effect that you bring (like my ankle issues or heart problems or diabetes, which destroys so many lives). I hate the emotional baggage you bring. I hate that you make us hate ourselves. I hate that we feel powerless against you. I hate that you bring hopelessness. You are evil.
You have tried to destroy me. And I finally woke up and decided that enough was enough. But you wouldn't just slide away quietly into the night. You had to have your vengeance and inflict injury upon me. You knew my sweet, little tiny ankle bone couldn't handle over 600 lbs of pressure while running. Thanks for the souvenir.
But, here's the deal. This is what's going to happen. I have two races to get through between now and October 20th. I am going to train cautiously and intelligently, using bike and swim to build my endurance if necessary. I'm not going to expect fast times or PRs on the next two races. I'm going to take it easy and finish, no matter how slow I am. I will no longer be a slave to you and give into fear and quit just because you're hanging around.
What's more...after these races are over, I have an entire winter to lose weight, heal, crosstrain and pretty much get you out of my life forever. And that is what I plan to do. So...you can flail around and give me your best shot for the next little while...but, rest assured, you are leaving soon. And I won't ever see you again once you're gone.
Even better...after you are gone from my life, I will make it one of my life's passions to drive you from every dear friend or family member's life that I come in contact with. I plan to do everything I can to disarm you and pretty much annihilate the fear and hopelessness that you spread over your victims.
You are going to be so sorry you messed with me.
Wednesday, September 12, 2012
OK, so I found Spark Article GOLD, friends...it's a detailed explanation of HOW SparkPeople calculates the calorie allowances in our Food Tracker. For those that don't trust anyone (like me)...or just curious minds.
I encourage anyone who commented on my blog yesterday and said you could relate to my struggle with the scale not moving to read through this and do the calculations step-by-step on your own. To be honest, I had heard of all of these concepts already and had done bits and pieces of all of them, but had never seen them put together in such a cohesive and understandable way.
Here are the facts:
I have been eating roughly 2,000 calories per day (mostly healthy stuff)
I burn about 2500 calories per week in exercise (yeah, I know...that sounded high to me too but I checked and re-checked and this is accurate. I'm insane...enough said.)
I want to lose about 2 lbs per week, with the hope of meeting my goal weight of 145 by July 6, 2013 (my 35th birthday). I've got 77 lbs left to go.
Using the calculations from this article (which I can say is backed up by several other sources that I've come across in research over the past few months), I should be shooting for a target calorie range of 1300 - 1600 per day.
WOW. I've been so far off! It totally makes sense now why I've been in maintenance mode.
It's simple math, at this point. I need to control my urges and stay within my calorie range. I need to make sure those calories are healthy, good fuel for my body since I'm using so much fuel for exercise. And I need to not miss any workouts. The end.
If I faithfully do this, I can expect to see my scale moving in the downward direction in within the next couple of weeks. My new mini-goal is to lose 10 more lbs before my half marathon on October 20th. I believe this is doable.
I'm done playing games and I'm ready to do whatever needs to be done to get where I want to be. Who's with me?
Tuesday, September 11, 2012
OK, so here's the long and short of it, folks. You KNOW I've been working out like crazy. I have been 100% faithful to myself in fitness and exercise. I am proud of myself for that...it's a huge accomplishment for a 200+ lb girl to get off her ass every single day and work her body. I don't minimize my effort in that area.
I am also proud of myself for the healthy food choices I've been making. I always choose whole grain breads and pastas, make sure I have vegetables and fruits in my diet, choose lean cuts of meat and avoid fried foods like the plague. I drink my 9 glasses of water every single day. I hardly ever have soda, and if I do, it's a diet soda. I've ditched my coffee addiction and I track my calories every single day.
But...I'm not losing weight. Why? It's not a mystery. I know why. I eat too many calories. Plain and simple. My calorie range is 1600-1800 per day and I consistently go JUST over that, by a few hundred calories. Every day. So, you see...I am maintaining.
It's true that weight loss is 80% diet, 20% workout. And I HATE it! I've said this before...I absolutely can't stand the thought that I'm working SO hard and not seeing any change on the scale!
In light of the fact that I KNOW what I need to do and I just haven't been doing it, I am resolving ONCE AGAIN to reign in my overeating. This time, I have a plan:
1. Let go of it.
I have held onto this mindest of "I'm not losing weight and I won't lose anymore weight" for the past month. Time to let it go and do what I've gotta do and trust the process.
2. Declare it.
OK, so now it's public. I don't know why it's so embarassing to admit this in writing. But it really is humiliating for me. I suppose it's because I'm showing some weakness and I'm supposed to be this "inspirational" Spark Motivator. Well, obviously, I haven't got it all figured out.
3. DO IT.
Simple. Just do what you know is right, Leah. Don't take away from it. Don't add to it. JUST FOLLOW THE PLAN. Is it hard? Aww...oh well. Is it frustrating? Yep. Get over it. Will it take time? Yeah...probably. So what? Time to get serious and quit disrespecting yourself!
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