Tuesday, August 27, 2013
Went to the physical therapist this morning. As planned, I had one and only one session of run/walk intervals between the last session and this session. Between either wisely taking time to rest, or foolishly being short on sleep and low on motivation (take your pick), my feet had got back to not quite totally pain free.
PT is mostly routine at this point, but I did have a good conversation at the end of the appointment. The intermittent pain in my left foot has migrated from where it lodged back to where it started. I wondered if this was a good sign or a bad sign. The answer was that my pain isn't the pinched nerve kind of pain from back issues where movement is an indicator; we just need the pain to go away. As minor as the foot pain is, we need it gone.
The point of doing calf raises isn't as much strengthening the arch muscles, as I had thought; it's more to work on range of motion. Better range of motion should help with the foot pain. Okay, I can do that. It's a small adjustment.
I'm down to one PT appointment per week. Before the next appointment, the PT wants me to get in two running sessions, which we both understood to me run/walk intervals. But not today, because I was just in therapy. Tomorrow would be good.
I thought my feet felt good enough to do intervals this noon, but it would be foolish to pay for the PT's professional expertise and then ignore her advice. So this noon it was walking. Tomorrow is a day in the office, and running won't conveniently work into the schedule. So I tentatively plan to lift weights tomorrow evening, and do run/walk intervals Thursday noon.
We talked about lightweight versus heavily cushioned running shoes. The PT does not have a strong opinion one way or the other, except for a concern about glass on the road. I have the same concern, and will never be a barefoot runner. But I have to try lightweight shoes for myself to see if they work for me. I have been using my Saucony Mirages for the run/walk intervals; I may as well continue to do so.
Those of you who have been telling me to run slower won't be surprised that the PT agrees with you. Faster than a 7 minute mile is too fast. So I need to work on a slower pace while doing intervals. It might be easier to work on a slower pace in a group, but running with a group entails more time overhead from scheduling and driving somewhere else to get routine exercise. Realistically, that's a non-starter for me. So I'll just have to work on it the best I can alone.
Progress is slow, and it is not monotonically upward. But there is progress. There is a plan. The plan may need to be modified as I go along, but that's okay.
The key virtue for rehab is patience. I'll have plenty of opportunities to practice it.