Knee Rehab Week 11: And We're Done!

I passed my final post-op assessment, and just like that, knee rehab has come to an end.

Even though I'm done with PT, I still have strength work to do, so I promptly signed up to take three SurfSet classes over Winter Break. I'm planning to steal ideas from class to do at home to hit those "need work" areas according to my Skulpt Aim measurements.

Runs: 37.3 February miles

Tuesday - 3.15 miles
The plan: run 30 minutes

The cold weather and snow piles are still chasing me inside to the treadmill, but at least I am enjoying the time.

Thursday - 4.3 miles
The plan: run 40 minutes with 20 minute tempo

mrC and I put on our outdoor running gear with plans to run downtown after his appointment, but it was so cold and cloudy that we decided to just go home. Allie over at Running on Peanut Butter blogged about her tempo run, so I decided to give it a try. The tempo speed I selected was a little slower than it's supposed to be, but now I know where to go the next time.

Sunday - 5.08 miles
The plan: MRTT group run - 5 miles

I had to get outside for at least one run, even if it was colder than they said it would be. There's nothing like a few miles and good company to take your mind off the cold though! It was a flat out and back route early enough that the traffic was light.

Weekly Workouts:

Monday: FAB ab day 23 + SurfnTone + final PT assessment

Tuesday: FAB ab day 24 + run + arms

Wednesday: FAB ab day 25 + SurfnTurf

Thursday: FAB ab day 26 + run + arms

Friday: FAB ab day 27 + arms + legs

Saturday: FAB ab day 28 + SurfnTurf

Sunday: MRTT run + arms

Challenges:

I finished up FAB Ab February, one of my favorite 30 day challenges, and am feeling so good that I began MAD Abs March. Give me something to cross off and I'm a happy camper.

Even though the pRana #TakeTheLeap yoga challenge is coming to an end, I'm going to continue to do daily poses and try to limber up! Here are some of my favorites from the week.

What did you finish last week?

Knee Rehab Week 8: No More Intervals!

HELLO! from another very snowy day in New Hampshire.

While I love snow days, I'm actually having a love-hate relationship with the weather.

Three weeks in a row of winter storms. That makes it easy to do at home workouts, but harder to get in an easy, safe run outside. Despite the bad weather, I had a great week of running without intervals!

Tuesday - 2 miles
The plan: run 20 minutes

I was doubtful about running outside since the roads and sidewalks were still a mess, but then my PT called to see if I could come in earlier. Problem solved and I ran at home on the treadmill.

Thursday - 2 miles
The plan: run 25 minutes

The day started with an additional 5+ inches of snow falling mostly during the morning commute. My afternoon was wide open since I went to PT during my free period, but somehow I forgot that I wanted to run 25 minutes instead of 20.

Sunday - 4.4 miles
The plan: run a 5K

Too snowy for the MRTT Frozen Booty 5K run, so I hopped on the treadmill instead. I felt so good that I decided to run my new age! This was my longest post-op run.

Weekly Workouts:

Monday: PT exercises + #tightercore + FAB day 2 + hip hugger set + walk on treadmill

Tuesday: #tightercore + FAB AB day 3 + PT + run

Wednesday: #tightercore + FAB AB day 4

Thursday: PT + run + #tightercore + FAB AB day 5

Friday: #tightercore + FAB AB day 6 + PT exercises

Saturday: #tightercore + FAB AB day 7 + PT exercises + walk on treadmill

Sunday: #tightercore + FAB AB day 8 + treadmill run


My goal when I joined the #NoExcuses #TakeTheLeap challenge was to use yoga to help with my stretching routine. I'm trying to find poses that will help loosen my tight TFL. I'd love to hear your suggestions!

Here's a look at some of my poses from the week.

I post all of my daily yoga pictures on Instagram and get great feedback from experienced yogis (Thank you!), so I know moving forward that I need to make adjustments to my form.


Tell me something great about your week!
What are you working on?

Knee Rehab Week 7 - 1:4 Intervals

Another title for this post could be "playing games with the weather." We'd been having a rather mild winter until last Tuesday when Juno pushed into New England. The week became a game of getting runs in before or after the crazy weather! And it continues today with another big storm bearing down on us.

Monday: 1.90 miles
The plan - walk 1 minute, run 4 minutes, repeat 4x

Usually I run on Tuesday, but a winter storm warning meant a change of plans. This was my first time running back to back days since before my surgery (I also ran on Sunday) and it was my first 1:4 interval. I was nervous at the start, but quickly knew that my knee was going to be fine. I could definitely feel my lost fitness. Running 4 minutes as opposed to 3 minutes seems like such a small thing, but my body was telling me I still have work to do!

Thursday: 2 miles
The plan - walk 1 minute, run 4 minutes, repeat 4x

One thing I love about exam week is that I get an hour for lunch. It was a cold day, but the sun was shining which made this an awesome winter run. I turned my watch off at 20 minutes (per PT instructions), but when I saw 1.94 on the display, I had to run a little more through the parking lot to get 2 miles. Why not, right?

Sunday - 2.18 miles
The plan - walk 1 minute, run 4 minutes, repeat 4x

I put off the run until Sunday hoping the winds and temperature would be more reasonable, but ended up staying home for my first post-op treadmill run. I was nervous: would running on the treadmill bother my knee? How would I know the right speed for the intervals? In the end, my knee felt fine. I picked 3.5 for the walking, and went from 5 - 5.4 for the running.

Weekly Workouts:

Monday - run + #tightercore day 3

Tuesday - #tightercore day 4 + PT + swim

Wednesday - walk on TM + #tightercore day 5 + PT

Thursday - run + PT session + #tightercore day 6

Friday - #tightercore day 7 + walk on TM

Saturday - PT + #tighercore day 8 + Hip Hugger

Sunday - #tightercore day 9 + FAB AB February day 1 + run


It's not always easy to live with #NoExcuses. Week 3 of the challenge was a true test of not letting the excuses get the better of me. Pushing through the moments and staying focused feels even better when I get to #SundayZenday.

Super Bowl, favorite sweater, and snow day tomorrow = #SundayZenday #SweatPink @fitapproach #NoExcuses

A photo posted by AmyC (@runningescapades) on Feb 1, 2015 at 3:48pm PST

Did you watch the Super Bowl?
How do you get your zen on?

#HolidaySweat Week 5 Update

It's hard to believe that I am already three weeks and a couple of days post-menisectomy. With two more PT sessions under my belt, I have been able to increase my exercises and do more at home with increased confidence.

The bonus point challenge for the week was to walk/run a 5K. My PT did not give me permission to run (haha) or even walk the 5K, but he did give the ok to walking one mile per day (yay). {Friday} my oldest stepdaughter walked with me and the dog {Saturday} I recruited mrC, two kids, and my brother-in-law to take a walk after lunch at my in-laws and {Sunday} after driving 2+ hours back to NH, mrC and I took Booney for a walk to stretch our legs.

Having a smoothie everyday helped me meet the fruit and veggie goal, but the added protein and amino from GNC helped my muscles recover from PT and all the walking I was able to do this week.

My water in-take for the week was another success and I added another plant to my "garden." The only downside to drinking so much water is the number of trips I take to the bathroom. Jeez!

It's time to get started on the final week of the challenge!

What will you be doing this week?

Meniscus Surgery

Thursday I had my third and hopefully last knee surgery.

Trying to wake up in recovery

It all began in February of this year, when I started having knee problems. After visits to the high school trainer, chiropractor and my PT, I was sent to see an orthopedic.

X-rays showed the remnants of my old knee injuries, screws, staples, and some arthritis, but it wasn't enough to explain the painful clicking and clacking that I was experiencing.

Eventually a MRI confirmed that I had a longitudinal tear in my meniscus. Since then I have been getting cortisone shots every couple of months and running/working out relatively knee pain free.

Sadly, the instability and weakness in the left knee caused me to have a lot of other problems: in my calf and some tendinitis in my TFL. All three of the doctors felt that the torn meniscus was the root of my other injuries and the only solution was to get in there and clean it up.

My surgery was over in about 45 minutes. Dr. O performed a partial meniscectomy, chondroplasty of the femoral trochlea, and removed loose bodies. Sounds bad, but compared to my previous ACL surgeries it feels very minor.

I have been restricted to some simple leg exercises:

quadriceps contractions
straight leg raises
ankle pumps
heel slides

Starting on Monday and for the next few weeks, I will be rehabbing with Dr. Bri to get my full range of motion and strength back.

Have you had an injury that required surgery?
How did it go?

Training Truths: Coping with Limits

Last week I was able to comfortably complete some at-home short strength and cardio workouts, but my TFL test run did not go as I had hoped.

On Thursday, I was allowed to run after a two week hiatus. Run if it doesn't hurt, he said. So I did. Two miles with the high school Run Club. My TFL felt a little different, tight maybe, but it didn't hurt. At all.

Fast forward to my PT appointment about an hour after my run. Pain. It was back, just like the last time. Dr. Bri put me back on the no-running list, but gave me the ok to do cross-training as long as it doesn't cause pain. I went home after some Graston, ART, and another cortisone patch feeling bummed. Running is my thing. I don't want to give it up.

Friday I met with an orthopedic surgeon to discuss my torn meniscus - the root of all my problems. He recommended a repair. Seems like a good time since I can't run anyway. More on this later.

After seeing Dr. O, I had a sports massage from my favorite masseuse, Jeannie. She almost made me cry, but when I woke up Saturday morning, my hip was feeling TONS better!

I was feeling so much better that I decided to go to SurfSet. The instructors are great about offering modifications to moves during class for injuries and also different fitness levels. It's one of the reasons I love going.

SurfSet is a HIIT class mixing moves on the board with strength exercises using hand weights, kettle bells, and medicine balls. It was just what I needed.

I hate that I can't run, but my body has reached it's limit. So until my meniscus repair to fix the instability in my legs, I will continue to cope with my new limits with strength training and cross-training.

How do you cope when you can't run?

Training Truths: Staying Strong

Has it really been 4 weeks since I started dealing with my hip?

Last week I spent more time with Dr. Bri and worked on my strength (in ways that I could). At first that was just standard sit-ups, but as my hip pain lessened I was given the OK to do more.

So, after a couple of sessions of Graston, I was able to get back to my Tabata workouts that focus on core and lower leg strength. The only thing I couldn't do was side planks or anything else that caused pain in my hip.

By Sunday, I was itching for more and came across the Under Armour #SweatADay November challenge on Instagram. I've done the #SweatADay challenge numerous times in the past.  It helps me keep my fitness focus whether I am running or not and I find great new exercises. 

The weather was perfectly crisp for an outdoor morning workout following the challenge for day 9. Since I was getting a late start on the challenge, I also did a few of the previous workouts.

It felt really good to be outside working out. None of the exercises caused pain in my hip, but admittedly it felt…funny. Kind of tight, kind of tired? Not sure if the feeling in my hip is negative (pain-like) or positive (I've been used!).

Today I see Dr. Bri again and will hopefully get some more answers!

A Special Veteran's Day Gift for Those Who Protect Our House: 15% Off for Veterans & Service Members.

Training Truths: What the #TFL?

Another week has gone by and I'm still dealing with my hip mess. At the start of last week I thought I was making progress, but another painful two mile run told me it was time to see the professional.

Monday - I did my Tabata ab workouts and felt ok.

Tuesday - I went for a 2 mile run with the high school run club. It was bad. It was worse after. I actually went from the run to another massage appointment. She really worked on my legs, hips, and glutes, but my hip still hurt. A lot.

Wednesday - I woke up knowing that there was no way I could run with my Manchester City Marathon Relay Team on Sunday. Even if I were to try the shortest leg (instead of my 9 miler) it was going to be bad. So I made the call for a replacement. I wore my compression shorts under my work clothes. The snug fit helped ease the pain.

Friday - I was able to see Dr. Bri. He said the problem was my TFL.

What the TFL?

TFL stands for Tensor Fascia Latae.

Mine is not happy.

Turns out my (notorious) sartorius is not so scandalous after all. Dr. Bri was able to determine this because my pain is located on the side of my hip bone and not the front. (um ok, yea, whatever…how do we fix it???)

Although the TFL doesn't have a primary function, it does assist with hip flexion, abduction, and stabilization. When running it is active during the pick-up of the foot as well as the strike of the foot.

Dr. Bri suspects I'm suffering from the perfect storm of under active glutes, a weak left quad (thanks torn meniscus), and some over-pronating that is causing a strain on the right TFL at the insertion point on my hip bone. He performed some Graston (it was too painful to do Active Release) and then applied an electric cortisone patch.

The cortisone patch uses iontophoresis to deliver the medicine through the skin directly to the target area. Dr. Bri put the patch on my hip and then charged the little battery on top of it. This was a little uncomfortable because it felt like pins and needles, but it only lasted for a few minutes. I wore the patch for a couple hours and my hip felt better than it had in days.

So even though it feels like my injuries are taking me on an anatomy class journey, I am determined to overcome yet another injury and get strong again.

Since I didn't run this weekend, tell me what you did!

Training Truths: ZOOMA week 8 - Increase Intensity

ZOOMA training week 8 was supposed to be about upping the intensity of my training with more miles and longer training runs. Instead I increased my sensibility and took care of the tight calf that turned into a full-fledged shin splint with some days off from running, lots of icing, compression gear, and self-massage.

I also learned some other great tips for dealing with shin splints from my runner friends:

• pick up newspaper using your toes
• air-write the alphabet with your toes
• rub ice cubes in circles on your shin
• drink more water

Monday - REST + barre3 No Props: Legs + Core

Tuesday - REST + #FFWallSit challenge day 1

Wednesday - REST + barre3 Studio Strength: Legs + Glutes ---> lots of shaking going on! #FFWallSit challenge day 2

Thursday - REST + #FFWallSit challenge day 3

Friday - REST + #FFWallSit challenge day 4

Saturday - Changed up my long run to not un-do the healing of my shin splint from the week of rest. Instead of a 12 miler, I ran 7 and then rode my bike the remaining 5. It was warm and humid, but I took it very easy and felt ok. Felt a little tightness in the evening, so I know I still have healing to do. #FFWallSit challenge day 5

Sunday - #FFWallSit challenge day 6

ZOOMA Cape Cod is only 3 weeks away and even though next week is Peak Week in my training program, I'm going to keep things easy and let my shin splint finish healing.

I'm also starting some fun fitness projects at school with the students and faculty this week. I'm looking forward to sharing more soon!

Training Truths: Paper Plates, Crooked Knee Caps and KT Tape!!

Yesterday I ran half marathon #11. More on that in my recap post later. Getting to the starting line was questionable when my knee turned cranky just two weeks out following a 10 mile training run. Last week was another week of trying to balance getting ready for the race while taking care of myself.

Monday - First day of slider step backs to work on strengthening and controlling my quad muscles. These exercises were recommended by a PT for runners suffering from chondromalacia and are better than squats because there is little to no pressure on the knee cap. I don't have gliders, but found that a paper plate works just fine.

Tuesday - Another snow day spent waiting for the snow. Normally I would have jumped at the chance for a morning run, but since I was saving my knee for the fun run on Friday and the half on Sunday, I took myself for a nice long walk followed up with some more slider step backs. 

Wednesday - During my monthly maintenance visit to the chiropractor, I mentioned my crunchy knee problems. Intrigued by my story, he checked it out and announced that my knee cap was literally crooked! So while I have been working on keeping my knee cap IN alignment, it was actually OUT of alignment and STUCK there! Ugh.

Thursday - After my unexpected "knee cap adjustment" I was feeling SO MUCH BETTER. Playing it safe, I kept to my strengthening routine and fought the urge to go for an afternoon run in the balmy 40+ degree weather.

Friday - After a delayed start due to freezing rain and a wild Winter Carnival assembly at school, mrC picked up my youngest stepdaughter and I and we headed to Newport for the Newport Night Run. The athletic trainer at school taped up my knee with KT Tape so I could give it a try during this fun 5K. It felt stable and there was no pain during or after the race.

Saturday - After getting home from a gorgeous sunny day spent walking around Newport, I did my slider step backs and iced my knee for the big half marathon on Sunday.

Sunday - Met up with my step daughter to run the Half at the Hamptons. It was far more challenging than the first time I ran it, but we went in with a plan and made it to the finish with no knee cap issues! (I ended up wearing mrC's knee brace because the KT Tape pretty much unravelled before Sunday morning)

Now, it's time to take a break to let the crooked knee recover. Fortunately it's February vacation and I'm heading to Florida to visit my dad and stepmom, so my recovery week will be spent in the swimming pool! See you when I get back to NH!

Do you take time off after a big race? 

Training Truths: My Knee is Crunchy??

After reading through all the very helpful comments last week (thank you!), I learned that I am probably suffering from a form of runner's knee or I'm just getting old! So, it was a week of resting and icing the creaky old knee, but I didn't skip working out altogether. My workouts were focused on strength or light cardio that didn't require a lot of knee bending. By the end of the week things were looking up.

Monday - I used my Gymboss interval timer to do my favorite ab workout and then some burpee intervals  430/1000

Tuesday - Another round of the ab workout and burpee intervals 484/1000

Wednesday - More burpee intervals although my knee started to not like these either  538/1000

Thursday - Spent the snow day icing my knee off and on. I did some (awkward) burpees and a short resistance band workout designed to build glute strength. All I heard was crunch, crunch! 580/1000

Friday - Every time I straightened my knee, it would crunch - painfully. So after school I spoke to the athletic trainer to get some advice: can I work my way through this or do I need to see a doctor? She thinks I'm possibly suffering from chondromalacia or arthritis: I have had two knee surgeries. She recommended icing, wearing a knee brace/getting taped, and continuing to train if it didn't hurt. At home I found this sport's medicine video online that describes the causes of chondromalacia and some treatment exercises.

Saturday - After deciding that one more day of TLC for my knee wouldn't hurt, I switched my workout gear from running shoes to a shovel and helped mrC shovel snow leftover from the plow guy.

Sunday - My only run of the week and my first run in the hand-me-down knee brace from mrC was a pain free 30 minutes. I haven't worn a knee brace since my last knee surgery over 20 years ago, but if it helps I'll do it.

This week, I will stick to the TLC approach as I get ready to run half marathon #11 on Sunday with my oldest step daughter.

Which do you prefer, wearing a brace or getting taped?

Training Truths: Patience is my new BF

I do not consider myself a patient person. AT ALL. Dealing with this adductor injury is giving me no choice, so I have had to make patience my new best friend. Not really. Sandy, you are still my BFF!

It has been strange to hear my running friends make comments about how impressed they are with my resolve to wait out this injury. Playing the waiting game has been hard. No matter how much I want to, I know I must take this one day at a time. One run too soon or too long and I could be forced to the sidelines again.

So, getting back into my running shoes has been slow. Fewer running days, shorter distances, and slower paces. I'm ok with that as long as I keep healing.

Monday: 50 morning squats. 5K walk to the beach with mr.C and the dog after school.

Tuesday: Squats. Ran 2 miles on the trail. The run was ok. Some tenderness still lingered around the adductor, but it was progress. Strength work at home later.

Wednesday: Squats. More tenderness just walking around. Strength exercises. Finally tried an Epsom salt soak.

Thursday: Squats. Feeling much better. Strength exercises and another Epsom salt soak after school before I headed back to the HS for Open House night.

Friday: Squats before work. Busy day - school, mammy #2, and then a soccer game under the lights. Rest day was in order.

Saturday: I was finally was able to sleep in and it felt awesome!! Strength exercises and squats followed by a two mile easy run. Felt much better on this one. Might be the downhills that are aggravating the adductor. Epsom salt soak and ice for 20 afterwards.

Sunday: 50 squats and then in preparation for the Bengals game, I did a little stretching and some squat jumps so I'd be ready to celebrate some touchdowns!

What do your running friends say about you?

Training Truths: Switching Gears

Last week should have been a taper week for the ZOOMA Cape Cod half marathon, but instead it was another injury-induced-no-running week. I haven't become a couch potato during my time off though because I'm hoping to bounce back enough to be ready for my next running event in just two weeks!

Monday - My 50 squats a day streak continued first thing in the morning and after a chiropractor adjustment, I did some touchdown lunges.

Tuesday - Morning squats and a 5K walk along the New Boston Trail with mr.C and the dog. Threw in my challenge workout while we were there: superman pulls.

Wednesday - Morning squats and another 5K walk with mr.C and the dog. This time we went to the beach and when we got there I did some dolphin walks on the dock.

Thursday - Morning squats and a quick walk after school on the Goffstown Trail before heading to my step daughter's soccer game. Does jumping up and down while cheering count as exercise? I think so! For my evening workout, I broke out the PAPER PLATES for some gliding saws.

Friday - Morning squats and then we were off to Cape Cod for the ZOOMA weekend. We walked around Falmouth after lunch doing some sight-seeing and some shopping.

Saturday - Spent the morning working the ZOOMA Cape Cod race handing out personal best medals. In the afternoon, we went exploring on a 15 mile bike ride along the Shining Sea Bikeway from Falmouth to Woods Hole.

Sunday - Started the day with a little yoga and a walk on the beach before leaving Cape Cod and heading home.

Have I mentioned how much I love the Under Armour September Challenge? Every day there is a new exercise that pushes me to try something new. As much as I have enjoyed focusing on some strength work the past 6+ weeks, I'm ready to put on my Mizunos again and go for a run.

Training Truths: ZOOMA Week 10

Another week has gone by and I'm still not back to running. Instead of training for the ZOOMA Cape Cod half marathon, I downgraded my registration to the 10K (in the off chance that I might be able to run 6.2 miles just 2 weeks from now).

For now, it is more PT, lots of strength, and testing the hamstrings on smaller runs. I am again using challenges to help keep me motivated and focused while working to get back into my running shoes. Another thing to love about challenges is that some have prizes. Like this great Brooks Running hat I received from the #AugustCoreFocus challenge with Kat.

Monday - 50 squats and I broke out the weights for single leg dead lifts.

Tuesday - 50 squats in the morning. My afternoon workout consisted of horizontal pull ups, the 4 minute ninja ab workout and the knee strength workout I mentioned last week. Then I tried a new one from the Lorna Jane Challenge: Good Morning Circuit.

Wednesday - The usual morning 50 squats. After work I had to get a physical and then went straight to  PT. I was tired, so it turned into a rest day.

Thursday - 50 squats. After work I did some reverse table top crunches, single leg squat jumps, planks, and a slow, tender two mile treadmill run at the suggestion of my PT. As much as I wanted this to be pain free, I'm realizing that the healing process cannot be rushed.

Friday - My hamstrings were tender following my short run, but I still did my 50 squats in the morning. When I got home from work I did the Love Your Legs workout from Lorna Jane before heading to another session of PT.

Saturday - I started the day with happier hamstrings and 50 squats. Later I did some planks and jump rope jacks. My PT told me to take it easy after the ART session we had on Friday. I'm not taking any chances!

Sunday - This was rode trip day to Connecticut for a soccer clinic with my step daughter. Before we left I did my 50 squats and a handstand challenge. While at UNC, we walked around campus for a bit to stretch out our legs from the 3 hour car ride.

Off to PT now and hopeful for some more improvement. Maybe I'll even try another run tomorrow!