I have been making solid progress in regards to returning to a 'normal' training program. I'm now into week three and, generally, the hamstrings have been behaving themselves and I've been able to do some solid training. Last week I did 95k in total, with a fair bit of quality running. It's made it feel like a weight's been lifted off me and I've been feeling so happy and motivated.
Yesterday and today, however, were not good days. My left hamstring/tendon was definitely feeling something so yesterday I decided to swap Tuesday's track session with Wednesday's 14k run in the hope that an extra day away from the track would settle things down.
Unfortunately when I woke up this morning my hammie felt a bit achey and, as I feared, when I did the hamstring bridge to test things out I felt the slightest little twinge up under my butt. Just the slightest bit, and only for a split second at the start of it, but it was there. Not what I wanted.
So, in an effort to let it settle down completely, today was a cycle only day - as per my instructions from physio Brent that if there is any pain when I do a bridge I'm not to run (let alone to the track session I was planning on doing). I've been feeling very positive these last few weeks so today broke the spirit a little bit. I'll admit to having a bit of a cry this morning, then another one this afternoon when the Athletics NSW email newsletter arrived rubbing salt in the wound.
I just want this to disappear once and for all. I suppose I was naive in thinking there wouldn't be any setbacks when getting back into training. At this stage I suppose I'm prepared to modify my training every now and then to cater for any niggles but the worry is that I'll have to keep modifying it, and modify it too much, to the point that I'm not going to get the best out of myself.
Bah.
Showing posts with label HHT. Show all posts
Showing posts with label HHT. Show all posts
Wednesday, June 19, 2013
Friday, May 10, 2013
Ready... Steady...
One more physio visit to go. Only one more!
It's like looking forward to graduation. Or prison release. :)
J
It's like looking forward to graduation. Or prison release. :)
Sunday, April 21, 2013
Things are looking up!
The past week has been really promising and I'm starting to feel I truly am on the way to beating this injury.
I saw my physio nine days ago and he said it was time to start building up my kilometres to about 75-85% of my normal training load. He also said I could do one 'light' speedwork session a week. This was the best news I've had in ages.
I had some dry needling (which is apparently great for high hamstring tendinopathy) and we also talked about how important it is for me to consistently do strength exercises - glutes, hamstrings, hip extension. I've got a whole lot of different ones to do, some using body weight, some using weights and some using resistance bands.
I had two new 'toys' delivered early last week - a 'power band' to use for resistance work (rather than the makeshift things I've been using) and a 'pocket physio' that I can use to release some of the pain and tightness I get (especially after sitting and driving - I actually sit on it in the car).
I got these online from Sport & Physio Supplies - I have absolutely no relationship with this business at all and I want to say how fantastic the service was. I ordered on Friday night and the parcel arrived on Tuesday. The price of the band was cheaper (in some cases much cheaper) than other places I looked and the quality seems good. (See the end of this post for a video of an exercise using the super band).
I'm really pleased to say my body has handled the increase in kilometres really well. Greta (Garmin) has come out of retirement once again and is back recording distances. Over four days last week (Sat-Wed) I clocked up 70.13km, including one small set of 6x2 min reps (with 2 min rest) at the track - my first time doing anything 'fast' since November last year. I had no idea what to expect in terms of pace when I was at the track. Part of me was really afraid I wouldn't even be able to get to 4min/k pace. Thankfully it wasn't as bad as I feared. My fastest rep was at 3:16k pace and my slowest was 3:32k pace. I felt strong through my glutes and I played it a little cautiously. I was prepared to call it quits if my hamstrings/glutes started to feel 'wrong' but it all went OK (even though the daylight suddenly disappeared and I found myself running in near darkness and guessing where the lane was. I was worried I was going to trip over because the grass track I go to is in crap condition and there were also water bottles and rubbish all over it).
After a great start to the week, getting sick wasn't the greatest thing to happen. Every second person seems to have a head cold or flu at the moment, including me. I didn't run Thursday, Friday or Saturday and today I did a slow 22k. My legs felt good (which is why I kept going to 22k) but I had a cracker of a headache and a bit of a cough. Nonetheless, it was very heartening to be out running without pain.
I know I have to be careful not to do too much too soon, but I have gradually been building up the running (on physio approval) over the last few weeks. I am paying close attention to how my body feels - I'm not going to jeopardise the last few months and set myself back again. If everything goes well over the next fortnight I'm hoping to be able to start proper training with Sean again (modified proper training, but at least following a program and starting to work towards goals other than 'fix injury) in about the second or third week of May.
Finally, here's an example (from YouTube) of another strength exercise my physio has me doing with the super band. The guy in the video talks too much but put up with it and you'll see the hip extension work I'm doing. The only difference with me is that I start with my knee bent (not straight like him) so it mimics the running motion.
Keep on keeping on.
J
I saw my physio nine days ago and he said it was time to start building up my kilometres to about 75-85% of my normal training load. He also said I could do one 'light' speedwork session a week. This was the best news I've had in ages.
I had some dry needling (which is apparently great for high hamstring tendinopathy) and we also talked about how important it is for me to consistently do strength exercises - glutes, hamstrings, hip extension. I've got a whole lot of different ones to do, some using body weight, some using weights and some using resistance bands.
I had two new 'toys' delivered early last week - a 'power band' to use for resistance work (rather than the makeshift things I've been using) and a 'pocket physio' that I can use to release some of the pain and tightness I get (especially after sitting and driving - I actually sit on it in the car).
 |
| Super band. |
 |
| Pocket physio. |
I got these online from Sport & Physio Supplies - I have absolutely no relationship with this business at all and I want to say how fantastic the service was. I ordered on Friday night and the parcel arrived on Tuesday. The price of the band was cheaper (in some cases much cheaper) than other places I looked and the quality seems good. (See the end of this post for a video of an exercise using the super band).
I'm really pleased to say my body has handled the increase in kilometres really well. Greta (Garmin) has come out of retirement once again and is back recording distances. Over four days last week (Sat-Wed) I clocked up 70.13km, including one small set of 6x2 min reps (with 2 min rest) at the track - my first time doing anything 'fast' since November last year. I had no idea what to expect in terms of pace when I was at the track. Part of me was really afraid I wouldn't even be able to get to 4min/k pace. Thankfully it wasn't as bad as I feared. My fastest rep was at 3:16k pace and my slowest was 3:32k pace. I felt strong through my glutes and I played it a little cautiously. I was prepared to call it quits if my hamstrings/glutes started to feel 'wrong' but it all went OK (even though the daylight suddenly disappeared and I found myself running in near darkness and guessing where the lane was. I was worried I was going to trip over because the grass track I go to is in crap condition and there were also water bottles and rubbish all over it).
After a great start to the week, getting sick wasn't the greatest thing to happen. Every second person seems to have a head cold or flu at the moment, including me. I didn't run Thursday, Friday or Saturday and today I did a slow 22k. My legs felt good (which is why I kept going to 22k) but I had a cracker of a headache and a bit of a cough. Nonetheless, it was very heartening to be out running without pain.
I know I have to be careful not to do too much too soon, but I have gradually been building up the running (on physio approval) over the last few weeks. I am paying close attention to how my body feels - I'm not going to jeopardise the last few months and set myself back again. If everything goes well over the next fortnight I'm hoping to be able to start proper training with Sean again (modified proper training, but at least following a program and starting to work towards goals other than 'fix injury) in about the second or third week of May.
Finally, here's an example (from YouTube) of another strength exercise my physio has me doing with the super band. The guy in the video talks too much but put up with it and you'll see the hip extension work I'm doing. The only difference with me is that I start with my knee bent (not straight like him) so it mimics the running motion.
Keep on keeping on.
J
Wednesday, March 20, 2013
Another rehab video
Because I know lots of people have found this blog by searching for 'high hamstring tendinopathy' I thought it'd be worthwhile posting another one of the rehab/strengthening exercises I'm doing.
Because I'm not too keen on starring in my own video, I found this example on YouTube:
If you're a fellow HHT sufferer and you have any rehab, exercises or treatment you're finding is working, you're welcome to post a comment or send me an email at johp.mail@gmail.com - I'll add it to the stuff I'm doing to try and get over this bastard of an injury and I'll share it with everyone else.
Currently my right side is feeling good but my left side played up in the last few minutes when I went for a 40 minute run yesterday. And I'm unfit. It's not a nice feeling.
Because I'm not too keen on starring in my own video, I found this example on YouTube:
If you're a fellow HHT sufferer and you have any rehab, exercises or treatment you're finding is working, you're welcome to post a comment or send me an email at johp.mail@gmail.com - I'll add it to the stuff I'm doing to try and get over this bastard of an injury and I'll share it with everyone else.
Currently my right side is feeling good but my left side played up in the last few minutes when I went for a 40 minute run yesterday. And I'm unfit. It's not a nice feeling.
Thursday, February 7, 2013
PRP injections
I had my first lot of PRP injections yesterday.
The whole process was pretty amazing. My husband and I went to SSMC after work (he had to come because I wouldn't have been able to drive home after the injections, especially in peak hour traffic. When I went in to see Dr Kuah, he looked at my MRI scans and talked me through what he was looking at. He said it was what he expected from someone with high hamstring tendinopathy. He then talked to me again about the PRP injections and why he recommended them. I'd already done a lot of research on them after seeing Dr Kuah last time so I was prepared to go ahead.
One important thing I did ask was about shock wave therapy, which someone else I know has been treating HHT with and has been getting good results. Dr Kuah said shockwave therapy has a good result with calcific tendinopathy (which she has) but not with what I've got. Apparently with me it may have some immediate results, but wouldn't help the tendon long-term, which it what I want/need.
To start the PRP injections I had four vials of blood taken out of my arm. This was then taken away (to a centrifuge I assume) so the plasma could be separated. While this was happening I had a local anaesthetic in both legs (just under my butt), which Dr Kuah put in with the guidance of ultrasound. I found it fascinating to watch the screen and I wanted to talk to him about it but I didn't want to distract him and make him mess up so I stayed silent!
Dr Kuah then went and 'harvested' the PRP. While I was laying on the bed in his office it was very reassuring to see signed photos from gold medal Olympians and Comm Games athletes with messages saying, "Thank you for keeping me in one piece." If they trust Dr Kuah with their bodies, I certainly do too!
The PRP injections were painless (just felt a bit of pressure) and I watched them go in on the ultrasound. This time Dr Kuah talked to me so I figured I was able to ask him about what I was looking at on the screen. He pointed out different things (I was way off - what I thought was the tendon was actually the bone) and I saw how he moved the needle around.
After the injections Dr Kuah asked if I had any pain medication at home and recommended I get Panadeine or Panadeine Extra because things were going to get a bit uncomfortable. I nodded but had no intention of getting any - I rarely take any drugs and I figured I'd be fine.
About halfway home (in peak hour traffic) the pain started to kick in a bit. My husband said we were going to the pharmacy just in case. I acquiesced.
I ended up taking one tablet but it didn't really do much. The night was uncomfortable, as was today. I didn't do any form of training because I physically couldn't. I'm walking like the tin man, it's uncomfortable sitting on my butt and I feel like I really need to stretch. This was all explained to me and expected and I'm hoping it'll be greatly improved tomorrow.
In four weeks I go back to get my second lot of injections. In between now and then I've got to keep up all my physio excercises (once the pain from the injections is gone).
I hope it's not false hope but I'm feeling a lot more positive about things now. I'm pretty sure Canberra is a goner this year (which is a bummer because it would have been my tenth Canberra Marathon and I would have become a Griffin) so I'm looking towards making the M7 Marathon in July my first one for 2013. It seems such a long way off, but better late than never.
I AM going to run sub-2:50 this year!!
Ouch my butt hurts right now.
The whole process was pretty amazing. My husband and I went to SSMC after work (he had to come because I wouldn't have been able to drive home after the injections, especially in peak hour traffic. When I went in to see Dr Kuah, he looked at my MRI scans and talked me through what he was looking at. He said it was what he expected from someone with high hamstring tendinopathy. He then talked to me again about the PRP injections and why he recommended them. I'd already done a lot of research on them after seeing Dr Kuah last time so I was prepared to go ahead.
One important thing I did ask was about shock wave therapy, which someone else I know has been treating HHT with and has been getting good results. Dr Kuah said shockwave therapy has a good result with calcific tendinopathy (which she has) but not with what I've got. Apparently with me it may have some immediate results, but wouldn't help the tendon long-term, which it what I want/need.
To start the PRP injections I had four vials of blood taken out of my arm. This was then taken away (to a centrifuge I assume) so the plasma could be separated. While this was happening I had a local anaesthetic in both legs (just under my butt), which Dr Kuah put in with the guidance of ultrasound. I found it fascinating to watch the screen and I wanted to talk to him about it but I didn't want to distract him and make him mess up so I stayed silent!
Dr Kuah then went and 'harvested' the PRP. While I was laying on the bed in his office it was very reassuring to see signed photos from gold medal Olympians and Comm Games athletes with messages saying, "Thank you for keeping me in one piece." If they trust Dr Kuah with their bodies, I certainly do too!
The PRP injections were painless (just felt a bit of pressure) and I watched them go in on the ultrasound. This time Dr Kuah talked to me so I figured I was able to ask him about what I was looking at on the screen. He pointed out different things (I was way off - what I thought was the tendon was actually the bone) and I saw how he moved the needle around.
After the injections Dr Kuah asked if I had any pain medication at home and recommended I get Panadeine or Panadeine Extra because things were going to get a bit uncomfortable. I nodded but had no intention of getting any - I rarely take any drugs and I figured I'd be fine.
About halfway home (in peak hour traffic) the pain started to kick in a bit. My husband said we were going to the pharmacy just in case. I acquiesced.
I ended up taking one tablet but it didn't really do much. The night was uncomfortable, as was today. I didn't do any form of training because I physically couldn't. I'm walking like the tin man, it's uncomfortable sitting on my butt and I feel like I really need to stretch. This was all explained to me and expected and I'm hoping it'll be greatly improved tomorrow.
In four weeks I go back to get my second lot of injections. In between now and then I've got to keep up all my physio excercises (once the pain from the injections is gone).
I hope it's not false hope but I'm feeling a lot more positive about things now. I'm pretty sure Canberra is a goner this year (which is a bummer because it would have been my tenth Canberra Marathon and I would have become a Griffin) so I'm looking towards making the M7 Marathon in July my first one for 2013. It seems such a long way off, but better late than never.
I AM going to run sub-2:50 this year!!
Ouch my butt hurts right now.
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