Blackmores Sydney Half Marathon - I'm back!

I wrote the first part of this post the day after the Blackmores Sydney Half Marathon. I had every intention of finishing it the next day but life, work and worries about the looming Melbourne Marathon got in the way. 

So, here it is now. The Blackmores Sydney Half Marathon race wrap up.

After a nightmare year, it is with enormous pleasure (and relief) that I can say I have finally run another PB.

I raced the Blackmores Sydney Half Marathon on 22 September - but kept it very low key because I was feeling pretty nervous about it. I knew this race would give me a good indication of what sort of condition I am in for Melbourne Marathon (three weeks after the half) and I was concerned that if the race didn't go well I'd blow any sort of confidence I had to smithereens.

Luckily, it was a good day.

I finished fourth woman in 81:28 - a PB by one minute and ten seconds. And it was a 'good' race. I felt in control the whole time, I settled down almost instantly and got myself into what felt like a pretty good rhythm. I hung off the back of the 80 minute pace group for a while - which wasn't an intended plan but once the race was underway and the group was there I thought it would be nice to keep them in sight. I lost them a bit every time I grabbed a drink but would catch up again until the rope snapped around the half way mark and I wasn't confident enough to try and chase them down - I was worrying about blowing up towards the end so I kept to my own pace.

To be honest, I couldn't tell if the course was easy or difficult. There were a few ups and downs and a fair bit of twisting and turning, especially in the second half, but I never got to a stage where I started to think, 'Shit, this is awful, I just want it to end.' I was in fifth place up until around 16k when I snuck into fourth. The position very honestly wasn't important to me - I just wanted to see if I could run a decent time and compare my form to where I was this time last year.

The worst thing about the race was probably the super-early race start - with the gun going off at 6:15am I was up to eat breakfast at 3:15am. My husband had gone out in the city the night before (while I stayed in at the Grace Hotel and went to sleep), so he was certainly a little worse for wear as we walked from the CBD, over the Harbour Bridge and to the start at Milsons Point. Actually, at one point he said, "It's just lucky I'm still drunk." Hmmmmm. I think he was half joking.

In all, it was a good race and it showed me I'm certainly much stronger and in decent form for Melbourne, which is now only four days away. From what I can figure out I think I will be close to hitting my goal time but it certainly won't be a given. I will have to really fight for it - and hope the conditions are absolutely perfect. I am hoping the extra strength I have gained through the months and months of exercises and rehab I've done to get over the high hamstring tendinopathy will mean I will be stronger through the second half of the marathon and maybe avoid slowing down as much as I did last year.

Big thanks to my coach, Sean Williams, whose program and advice has been invaluable in getting me back racing. Also thanks to the eternal pessimist (!) but best physio in the world, Brent Kirkbride, who was responsible for putting me back together when I was broken.

I'll post one more time over the next couple of days. Taper is in full swing right now and I am about to explode!

Ow, my bum

It's been a week since my second lot of PRP injections, and boy, has it been a long and difficult week.

Apparently I did too much after my injections last time so this time Dr Kuah said, very clearly, that I was not to run or ride for two weeks. I could swim but only if I used a pool buoy. He then wrote it all down and underlined the word 'STRICTLY' on it. He was serious.

The purpose of all this is to give the tendons the best possible chance to repair. It makes sense, but that doesn't mean it's easy.

Do you know that swimming using just your arms is boring? And slow?

To be honest, the main thing that has been hard to deal with isn't being told I can't ride or run - yes, that's not fun but I can see it has a purpose. The biggest hurdle I'm facing is coming to terms with everything I'm going to miss this year.

No Canberra Marathon. No SMH Half. No state road 10k. No SMC. No Woodford to Glenbrook (there goes the chance of winning five years in a row). Highly unlikely I'll be able to do M7 Cities Marathon.

It's a bummer alright and I spent quite a few days feeling really down in the dumps. And frustrated. And I probably wasn't the most fun person to be around. (Public apology to my husband and thanks to family who went on a 'cheer up Joh' campaign on Sunday).

Physically, I think the post-injection pain has been a little worse this time. I didn't bruise as much as the first time, but sitting in a car for more than 15 minutes really hurts it. When I'm working on my computer I move around a lot (the joy of laptops) so I'm constantly changing position. I joked with my husband that I think Dr Kuah must have done something different this time in order to stop me running too soon.

I'm back doing rehab exercises and my right side is responding really well - I actually think the right side might have been OK with only one injection. As for the left side, Dr Kuah said he feels it'll probably need a third injection in four weeks, but Brent (physio) will test things out before that date and we will decide from there.

I'm hoping it doesn't need another one so I can start getting into some proper (if modified) training. Another injection means more time spent doing nothing (OK, pool-buoy swimming). Having said that, I'm obviously going to do whatever Dr Kuah and Brent recommend. They're the experts, they've got a lot of experience with high hamstring tendinopathy and I've got a lot of confidence they're giving me the best treatment and advice.

Oh I miss running. Miss, miss, miss it so much.

Injury really sucks

Life has been difficult and pretty dark these past few weeks. Every day I've been seeing my goals for this year slipping away and it got to the point I was struggling to find motivation to do anything. I felt really, really lost. It was made harder by the fact that so many of my friends are athletes which meant it was very hard to avoid talk of training and racing.

Thank you to everyone who has sent messages or posted comments on my blog. It really is appreciated. I know I haven't been updating this blog very regularly but I hope something on here may help someone else suffering High Hamstring Tendinopathy. I've had messages from a few people who, like me, are frustrated and desperately searching for an answer.

I had more than two weeks off work over the Christmas-New Year break and usually this is my absolute favourite time of the year.  Therefore, it sucked to find that some days I'd wake up and couldn't be bothered dragging myself out of bed because I felt I was going to achieve nothing that day. 'FML' became a common phrase. On Christmas morning I thought, bugger it, and went for a run. It was probably too early in my recovery but mentally I really, really needed it. I then had to put up with sore calves for the next couple of days because my body was out of shape!

There have been ups and downs I guess. Or, on second thoughts, maybe not many ups - I won't lie to you - I've been feeling pretty shit. I have continued riding and swimming as well as my rehab work, physio and massage with Michael from Complete Body Dynamics (who has been really wonderful and has been looking for different ways of treating the injury). I've been able to do some short, slow runs (Brent approved). I've tried to tell myself that complaining or getting depressed isn't going to make one ounce of difference so I may as well just get on with what I can do rather than constantly thinking about what I can't do.

I had my first appointment with Dr Donald Kuah at Sydney Sports Medicine Centre in early January. He is one of those doctors that fills you with complete confidence and after only a few minutes with him I felt I was in good hands - he was really thorough and honest.

Dr Kuah basically backed up what my physio, Brent Kirkbride (also at SSMC) had told me - 2013 is pretty much buggered in terms of competing at a very high level. Hearing this was like receiving a punch in the stomach. But what do you do, huh? Crying won't change it. Yelling and screaming won't fix it. So after some discussion about options Dr Kuah booked me in for Platelet Rich Plasma (PRP) injections in the first week of February.

I had an MRI on Wednesday and I go back to see Brent next week.

But in recent days, things have been looking up. I have noticed definite improvement and, although I am feeling incredibly out of shape, my ability to run is getting better. At this stage I still haven't attempted pushing any sort of pace but I am able to run pain free a lot of the time. Slow, yes, but pain free. It's a start.

It may be a coincidence, but I am putting this improvement down to a strength/stability exercise I've added in. Instead of trying to describe it I thought it'd be easier to find a photo online (source: Body and Soul):

This is pretty much it (but I think the woman in this picture is letting her butt drop a bit). I lift one leg at a time and I concentrate on using my hamstring and my glutes and keeping my abs switched on. I've really started to think this is a magical exercise. 

I know this is only early stages - Brent and Dr Kuah both told me I could easily get back to being a recreational runner. It's getting back to being a competitive runner that will put the tendon under stress, so I really have to make sure it's repaired before I start to push things. Slowly, slowly - I keep reminding myself that after making it this far I don't want to rush things and send myself back to square one again. 

Having said this, I haven't given up on achieving a strong marathon this year. My plans have obviously changed (I was originally aiming to go sub 2:50 in Canberra in April, then improve from there) and I am now hoping to be in top form for Melbourne Marathon in October. It seems so far away, but it's better than nothing, right? 

Now I feel I've come out of the dark cave I disappeared into for a while, I'll be keeping this blog updated more regularly. I'm really hoping to fill it with a lot of positive news as things progress. 

High Hamstring Tendinopathy - uh-oh

Yep. It's back.

I was all set to go out of the year on a high - I was feeling great and I really felt I was on track for some good performances in 2013.

But once again the gods intervened. "No, no," they said. "We must throw a spanner in the works."

So they did. A big, ugly spanner that hit me on the backside. High hamstring tendinopathy - a real pain in the butt.

I had this condition a few years ago and I went through some really rough times. All up, it lasted about nine months - although I admit to trying to train and race (badly) through it (when I could run that is). It was misdiagnosed and therefore mistreated for a long time. I tried so many different things and nothing helped. Even when I had some power back in my legs I still suffered from pain in the butt - long car rides had me in tears a few times because there was nothing I could do to relieve it.

I've had an inkling something wasn't quite right for a few weeks - the first time I noticed it was after the weekend of 10-11 November. On the Saturday I rode for three hours then ran a little off the bike, testing how things were for Canberra 70.3. The next day I ran 30k, which felt fine. On the Monday both hamstrings felt tight, but I thought that was a result of the weekend's training. Ran OK that day and did an interval session on Tuesday - a few were off pace by one or two seconds but generally it was alright. I couldn't seem to loosen up all week but I put it down to the weekend as well as the fact I was working crazy long hours and sitting at my computer until past midnight, which is never good.

The next weekend (18 Nov) I was planning on doing a cruisy half marathon - not pushing it. Went round in 1:25 (and seconds) to get the win and although I didn't feel like I was pushing it hard my hamstrings were burning. Hmmm. I was starting to worry a bit. Had a massage on Sunday afternoon to try and loosen things up.

My main goal for November was the Central Coast Half Marathon on 25 November. I was looking to run this in about 1:21:30 and hoping to run pretty even splits. Very early on, I knew I was in for a tough race. There was no power in my legs at all - it feels like you're a car that has just skipped from first gear to fifth gear and no matter how much you try and accelerate there's just nothing there.

 I wanted to pull out, but I doggedly pushed on, seeing my kilometre splits getting slower and slower. Yes, it was hot and humid, but that certainly doesn't explain the time - 1:25:39 - SLOWER than the previous week and I felt I worked a lot harder to get it. Certainly nowhere near the target time. I managed to finish in third place but I was so disappointed with the race and I knew the injury had returned. I remembered the lack of power feeling only too well.

My coach recommended a physio - Brent Kirkbride at Sydney Sports Medicine Centre - and I immediately made an appointment,  crossing my fingers he'd have me on my way quickly.

My appointment was this afternoon and it was far from uplifting. High hamstring tendinopathy is relatively rare, complicated to treat and everyone's body reacts differently to the treatment so making a prognosis is difficult. There is no quick fix. For some people there is no fix.

Brent was thorough and honest and I left feeling that I was going to get the best treatment possible - whether or not that's going to make a difference remains to be seen. I've also got an appointment with a doctor in a month so we can look at PRP (platelet rich plasma) injections if the other treatment hasn't had any effect by then.

No running. No running until my body starts to work properly again and there's no pain in certain areas. At least three weeks to start with. Merry Christmas.

Tonight, when I got home from the appointment, I was upset. The tears flowed. I had been so, so happy with how the year had ended up - everything had come together in the best way possible. And then, KA-BOOM, it blew up.

I know this sounds overly dramatic and I know in the overall scheme of the world it doesn't rate as a problem at all. But for me, in my little world, it is a big thing. I desperately want to hit some good times in 2013 and that's only going to happen if I can train properly. I made the really tough decision to withdraw from Ironman next year so I could continue to build on the progress I've made since August, and now I'm afraid all that progress is going to go down the drain and I'll be back to square one.

Forgive this post - the emotion is still a bit raw. There's no point feeling sorry for myself - nothing's achieved by that - so after giving myself tonight to be down in the dumps, tomorrow begins mission "lets-do-everything-possible-to-fix-this".

Shit.
Shit shit shit shit shit.
Why can't these injuries go to people who don't want to run, huh?