So the Podiatrist says…

I had my feet x-rayed and answered the usual onslaught of questions. I had time to look around the doctor’s exam room while I was waiting for him. I felt stupid sitting there in my tie and trousers with my bare feet sticking out over the edge of the exam table. I was hoping he wouldn’t come in and say, “wow! you’ve got hammer toes!”

I looked at his various diplomas and foot-expert certificates lining the walls and then focused on the big chart which showed a bunch of figures (drawings, thankfully) of jacked up feet and how they are cured with various screws, pins and plates. I located the hammer toe area and saw how they can be fixed by inserting what looked to me like those pins you truss up a turkey with straight through the toe. Lengthwise. Presumably, I reasoned, these would be installed by drilling holes straight down the longitudinal axis and voila! insert turkey pin. I looked back at my toes and then back at the chart. They looked exactly like the ones on the chart (pre-turkey pin).

I was settling into a funk. It was time, I decided, to affect an air of what comes will come nonchalance, so I put my head back against the exam table. Then the doc walked in. We exchanged the usual pleasantries and he asked, “So how are you doing?”

“Stressed, but good” I replied.

“Stressed? But you were sleeping when I came in!”

“No”, I said, “that was a false air of nonchalance.”

Then we got down to business. He showed my the x-rays on his iPad (cool) and explained after some probing that he thought I needed some high speed custom orthotics but that was basically it. “Well what about that?” I said while pointing at the turkey pinned toes. He explained at length why I wasn’t a candidate for that as long as the orthotics worked, which he seemed pretty sure of. I described my athletic pursuits and to my delight he didn’t say “maybe it’s time you gave up running”. I related how I was actually told that a few years ago by a doctor, but not a podiatrist, and he scoffed at it.

So the next step is to take my scrip up to Bethesda to get the orthotics measured. Then after I get them and have worn them for a week or so I’ll head back to the doc. This is a plan. I like a plan much more than I like uncertainty, and I am very excited to know that surgery is not in my immediate future. That means the return to running will be much faster than it could have been. I’ll have to take a pass on the half marathon I was supposed to run in two weeks but oh well. The long view looks ok from here.

A Special Promotion

Last week I attended a Marine’s promotion from Lance Corporal to Corporal. I find that as a retired Marine witnessing these events helps keep me charged up and helps remind me why I work the day job.

Promotions follow a fairly established ritual. There are usually some opening remarks from the promoting officer, then it’s “attention to orders” as the promotion order is read. Then the old insignia comes off the collar, usually removed by a loved one or fellow Marine, the new insignia goes on, there’s applause all around, and finally the newly promoted makes some remarks. This promotion deviated a bit from the usual script.

After his new insignia was on, one of his relatives came forward to read something. “This is a story from your grandfather”, she began. The story was written some years ago. Some time later his grandfather died but wanted this story to be read at the appropriate time. The story began with grandfather watching two bald eagles locked in combat over a lake on the reservation. One eagle got the best of the other and the vanquished fell into the lake, dead. Grandfather got in his canoe and paddled out to fetch the eagle. He brought it back to shore and saw the the eagle had been banded. He reported what happened to his tribal elders and called the game warden who came to pick up the eagle.

After being identified appropriate paperwork filed, the eagle was returned to the reservation and given back to grandfather as was the custom. Some of the eagle’s white tail feathers were streaked with the eagle’s blood. Dried and faded but still visible, grandfather, himself a former Marine, decided what to do with one of these feathers with the blood stripe.

He saved the feather for some years until one of his grandsons was 13 or 14 years old. He gave the blood stripe feather to the boy and said “you don’t know what this means but some day you will.”

When a Marine gets promoted to the rank of Corporal he is now a non-commissioned officer, or NCO. He assumes greater responsibilities and may be placed in charge of other Marines. It is a significant step. What is also significant with the promotion is a change to the uniform. A red stripe, or blood stripe, symbolic of former Marines’ loss of blood in battle, is added to the seam of the dress blue trouser as a reminder and symbol of that sacrifice.

When the relative had finished reading grandfather’s story, another relative produced a red felt bag and removed from it the same feather, and again gave it to the young man, now a Corporal of Marines. After another round of heartfelt applause and hugs from his relatives, the Marine related his side of the story. He said he remembered his grandfather giving him the feather and not having any idea of the significance except that he knew his grandfather was a Marine. He also had uncles who were in the Marines. He shared that he didn’t think joining the Corps was is path until after a year in college. When he was home on summer break he saw his uncles, talked about the Marine Corps, and eventually decided it was his path. And now, speaking quietly to the group he closed by thanking us all for attending.

Semper Fi, Marine.

The Next Step

Of the manifestations of denial, I’m guessing that walking to the locker room with constant foot pain, thinking that going out for a run is a good idea, is a prime example. And so it was last week on Thursday when I attempted my first run since the preceding Friday. They both ended prematurely and poorly.

Springtime is a heady time for those of us amateur athletes looking forward to applying their consistent, hard won off-season work towards ramped up training volume and summer races. Bringing the train to an unforeseen, sudden, and unwelcome halt because of an injury is unsettling stuff. But there you have it. In my case I believe it is less of an injury than a manifestation of a chronic condition which has hovered under the radar for some time… but then again, let’s not borrow trouble.

This interruption will be a temporary one and that is the silver lining. At least, that’s how I envision it.

After my trip to the primary doc which I jawed about here, I was able to wrangle out of tricare a referral to podiatry. Armed with an electronic fistful of Angie’s list I trolled the web looking for a podiatrist who 1) was acceptable to tricare and 2) wouldn’t look at me and say, as one who shall not be named ‘doctor’ told me four years ago, “maybe your running days are over”.

I found one and have an appointment on Tuesday May 8th. This is progress, of a sort.

Meanwhile I continue to swim and bike and get some gym time in. On a happy note, today I swam 2,000 yds in 37 minutes and change. For me, this is a long ass way to go and keep a sub 2 minute per 100 yd average. I’ll take it.

In other news

If you like vodka and haven’t tried this give it a shot. You’re in for a treat.

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Mental Health Weekend

Maybe it was the foot pain induced aborted run on Thursday. Or the two job juggling resulting in near schedule overlap madness. Maybe it was the multiple meetings and off-hour commitments that forced the issue. Whatever confluence of events that drove this to be a do-nothing, relaxing weekend, I should be thankful. It’s late Sunday morning. Well, ok, it’s just after noon, and we’re out on the sun splashed deck with an intermittent cool breeze, bright fresh green leaves washed of pollen thanks to last night’s rain, a pitcher of lemon water, and nowhere to be.

Thursday’s run was a real downer. I had hoped a couple weeks of mostly uninterrupted rest had cured my foot but it was not to be. I got a half mile into the run when the burning pain set in. I turned around for the walk of shame back to the gym. The upside to the foot issue is I do have a referral in the system to see a podiatrist and all I have to do is wait for the snail mail letter saying I can go. Then I will get an appointment and we’ll go from there.

For someone who runs partly because it is a great stress reliever and thought gatherer, not being able to run pretty much blows.

Enough wailing. I have plenty to be thankful for and will concentrate on biking and swimming until we get this foot thing sorted out. I’ll also take a hiatus from publishing the Run Digger Run podcast for the same reason.

Meanwhile I will enjoy this glorious weather and breathe deeply.

I Love The Grill

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Hammer Time. Err, Toes.

I have hammer toes. This is not news, but is significant. Turns out they are playing a role in my latest foot problem, namely a soreness that has prevented me from running for much of the last three weeks.

I finally got to see the Doc yesterday, a very nice Asian man named Dr. Do (pronounced Doe). It was the first time he’d seen my feet. He said, and I quote, “Wow! You’ve got hammahtoe!” If you don’t know what that is you can look it up. I’m not going to put a pic of my feet here because it’s likely you want to keep your food in your belly as opposed to on your computer screen.  Then he poked around and looked carefully at the bottom of my feet. It was then that I was glad I had showered and checked for toejam.

He noticed that I have callouses in the center of the forefoot on each foot. After some more poking around and toe inspection his preliminary diagnosis went something like this. Because of the hammer toes, weight doesn’t get distributed as fully through the front of the foot and toes like it would on a ‘regular’, non jacked up, pointy ass hammer toe foot. That means the forefoot is taking much of the weight bearing load, making it more prone to irritation and/or injury.

He ordered an x-ray which I was able to get done on the spot, and when he got the images his diagnosis was confirmed. There were no stress fractures or other skeletal issues. I’m relieved and grateful for that. I related how I had pushed the mileage on a pair of shoes beyond what I normally do and he looked at me with that sort of parental ‘you’re a dumbass’ look but magnanimously said “You should change your shoes more often.”

He also said at some point down the road I will need to have surgery on the toes but that as long as the issue was manageable to put it off. Yes, thank you, no surgery for me, not just yet. I also found out I rate a custom pair of orthotics once per year so I signed up to get a referral to podiatry and get that done.

So, in summary, a pretty good news story and training will ramp back up accordingly as soon as the last of the lingering soreness is behind me. And yes, I’ve got new shoes. I’m also trying a new insole at the suggestion of Coach Beth. I’ve been a superfeet fan for ages and they’ve done well, but I’m trying a product called SOLES which you put in the oven to heat up, then place in the shoe and immediately put on so that it molds to your foot. I’ve tried one short run in them and they feel good. Onward!

Don’t call it a comeback

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3 mile tester… The foot is apparently mostly healed up. This is encouraging!

A Few Steps Backward

The last couple weeks have been marked by a significant decrease in training volume. Unfortunately there is something amiss with my left foot. It feels like a bruise in the forefoot. My guess is it may have been caused by pushing the mileage on an older pair of shoes. Usually I get about 250 out of a pair before I sense reduced cushioning and stability. In this case I went over 300 on a pair because it seemed like they were still doing ok.

I’m sure lots of folks get many more miles than that out of a pair of shoes but my history doesn’t support that. I have new shoes now but I think it is just taking awhile for whatever is going on to heal because you can’t really rest a foot completely unless you stay completely off it.

I have a doc appt this coming Friday with my tricare primary guy and will try to get a referral to a sports savvy podiatrist. This is normally a painstakingly slow process but we’ll see what happens. The frustrating part is the half marathon is a little over a month away and this is the time I should be pumping up the training load and associated speed work. Like I recently tweeted, “these are the times when it becomes evident not to take the gift that is running for granted”

Greetings from New Bern, NC

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Wish you were here…