Saturday, December 25, 2010

Having the Right Doctor - Part 2 of 2

Photo by Jordan Fischer
The next part to my recovery was going to a physical therapist. In the initial consultation him to gauged the strength in my entire left leg and study how I walk. The physical therapist I went to is also a marathon runner, so he took the time to study that shoes I wore when I broke my ankle and the shoes I purchased to continue my training. He showed me how the clearance-rack, Reebok “running” shoes did not have the support I needed for my overpronation by folding them in half. He then tried to do that with my Mizuno Wave Alchemy 10 shoes. He couldn’t even make a crescent shape out of them. He explained that because of how I walk, I put stress on the outside of my ankle, and without the extra support in my shoes, running creates excessive trauma.

He then had me do several exercises to test the strength in both of my legs and core. He discovered that my right side was slightly weakened too and that I needed to strengthen my core at the sides. All of these muscles are related and each affects other. If the muscles are not strong then extra stress is placed on the bones. So running requires not only cardio training, it also requires strength training. He gave me several exercises to complete each night.

The key to making physical therapy work is to complete the exercises as often as prescribed. The exercises are not difficult nor do they require much time. The problem is that it is so easy to talk yourself into skipping one evening, but then that one evening turns into a second, and so on.

As my strength returned, the physical therapist gradually increased the frequency and distance of my runs and suggested several cross training possibilities for my non-running days (I’ve sign up for a water program for runners). He also completed a gait analysis to make sure that nothing else in my running style would contribute to further injury.

What a concept. Treat the current problem, but also look for the cause of it and take preventative measures to avoid future injuries! Who would have thunk it?

The final prognosis is I am healed and able to start my regular marathon training schedule.

The physical therapist was kind enough to provide me with a copy of my gait analysis and walk me through it. I’ll post that video and explain what he told me in a separate post. First, I have to figure out the video editing software.

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