The Scots are coming but let's talk about the Irish first

A Beautiful Day

So much has happened in the last few weeks that deserves mentioning on this blog but before I do so I want to give you a recap of a race that I ran on September 14th, 2013. For some reason I never found the right words to put my experience on paper and kept postponing it until now. That one day in September has been the pinnacle in my very short race career. I ran the fastest ever. It was the Great Irish Fair 5k, an NYCRUNS 5k race on the boardwalk of Coney Island and I finished it in 20:52 minutes, a pace of 6:44 minutes per mile. I placed 10th out of a field of 176 finishers but awards were only given to the top three male and female winners. That's fine because we all got free food and beer at the Irish festival afterwards. From that race on things went pretty much downhill pace- and injury-wise because I started to run longer distances without training for it correctly.

Just as you would expect it from an Irish event it started rather late, at 11am, which gave me enough time that day to get down to Coney Island without waking up in the wee-hours. The race was a good one. It started on the Coney Island boardwalk right under the Parachute Jump and led us West for a bit, back East all the way to the Aquarium, and once more West to where we started. The board walk itself wasn't the safest ground to run on because of broken wood and the occasional nail poking out but as long as you stayed on the planks that are parallel to your running direction you were fine. To this day I am proud of what I achieved that day and I hope that I will be able to get back into even better shape. I don't think I reached my best, yet. After the race I helped myself to a cup of beer and a hot dog, and did one of the things I always wanted to do after a race: I took off my shoes and socks and walked in the Atlantic Ocean. It was perfect (with the exception of having sand all over and getting wet quite a bit) and I will sign up again once registration for the Great Irish Fair 5k opens up for 2014.

We all know what has happened after that and how I have been plagued with injuries in my knees and feet for the last few months. After the last half-marathon I developed an unpleasant clicking in my right knee that just didn't want to go away and I eventually decided to see a doctor and have it checked out. When ice and rest doesn't do much you better get professional advice. The doctor figured runner's knee but sent me off for an MRI which agreed with his preliminary diagnosis. In my case I am suffering from chondromalacia patella, degradation of the cartilage under my knee cap, that causes my bones touch each other, bruise slightly, and keep the tissue surrounding them inflamed. For the medically inclined among my hardly existing readership here is the official diagnosis:

• Focal degenerative complex along the posterior portion of the lateral tibial plateau, with full-thickness cartilage defect, and subcortical reactive marrow edema.
• Focal grade 1-2 chondromalacia of the medial facet of the patella, with accompanying focal marked synovitis in the adjacent medial joint capsule. There may be an underlying medial patellar plica at the site, but this is difficult to visualize.
• Mild to moderate "iliotibial band syndrome."
• Evidence of old Osgood-Schaltter disease with superimposed acute component in the distal patellar tendon, and in the superficial and deep infrapatellar bursae.
• Small joint effusion.
• Study negative for meniscal tear or knee derangement.

Phew. That was just as hard to type as it is to read. Well, my cartilage in my knee is thinning, things are inflamed, there are some leftovers from a condition that I unknowingly had when I was a child, but the tendons in my knee are in good condition. I assume the fact that my right foot is not parallel to my knee is not helping my condition especially when pounding the pavement during a run for a prolonged time. Nevertheless, it is not bad enough to require that I give up running but if we don't do anything about the current condition I may end up with knee replacement down the road. So, for now I will get an injection into each knee. Two injections per knee once a week for three weeks, to be precise. Sounds bad? Yeah, I am not looking forward to it but it is not supposed to be as bad as it sounds. What's going to happen is that the medication that will be injected will act as a lubricant to keep the bones from doing damage to each other. It is supposed to reduce the pain I would get from too much running and prevent further degradation of the cartilage. The bad thing: that medication is extremely expensive (almost $2,500 for one full treatment of both knees - 10% of which will have to come out of my pocket, health insurance will luckily cover the rest) and it needs to be re-applied every six months. I will definitely do a progress report over the next few months and talk about how things improve, if at all.

The other thing that I was prescribed was physical therapy to make sure other muscles in my legs take off as much load from my knees as possible. The first evaluation showed that my glutes did less work than they are supposed to, especially in my right leg. So we are focusing at the moment on getting my glutes stronger and make myself more conscious about the bio-mechanics so that I activate my butt and hips more when climbing stairs or running or walking. I must say that I do feel a lot better after my first five sessions and the only thing that is left is the clicking (which only shows when climbing up stairs and may not go away ever again) and a bit of ITBS left over from my last race. We are working on it. Today I got a gait analysis and I was told that my running technique is almost flawless. I just need to work a bit on my hip extensions - I tend to turn out my legs a bit too much when running.

This has been quite a long blog entry already but there is more! Because of my injury I wasn't able to run the Spring Fling 10k but since NYCRUNS has an awesome volunteering program I helped out with the race doing course marshaling and I got credit for the missed race that I will apply to a future race. Volunteer for a race and get $25 race credit and whatever swag they handed out to runners, including the food. You cannot beat that!

Long sleeves wasn't the best
idea. Photo by Marathonfoto

And then the NYRR Scotland Run 2014 came along. I paid for it, I would get a point for guaranteed entry into the 2015 NYC Marathon, plus my knee didn't feel that much off, so... I ran it. I even finished it and not in last position. It was hard, though, but not unsurprisingly because I haven't run for almost four weeks now and jumping right into a 10k took a lot of effort. The fact that I was able to finish it and was still able to maintain a better than 7:30 minutes per mile pace still shows that my fitness level hasn't degraded too much, yet. It is far off from the 7:10 or so I did in a 10k last year but I am confident that I will be able to get back into it. I mean, I was in the middle of a 10k training program when my knee acted up.

The race was one complete loop of Central Park. We started on the West side at around 63rd Street, went all the way up north, back down on the East side, all the way down south, back north and a little bit further than the start line. The weather was great and the atmosphere awesome. Thousands of runners getting together is always an awesome experience - especially when you are one of them. Thanks to my performance in the Dash to the Finish Line from last year I earned my lowest bib number ever and I started in the second start coral from the front. In the beginning of the race I was able to keep up just nicely but when the rolling hills started up in Harlem I lost a lot of time. I think I have to run a lot more often in Central Park. The hills, no matter how small they are, really got to me very quickly. The mile that had the most hills was my slowest mile. I recovered in the end a bit but I spent my very last dose of energy that I had. It was hard. I crossed the finish line in 1,229th place out of 8,067 finishers, 126th out of 571 finishers in my age group (40-44), and 19th place (out of 87 participants) for my running team. I am proud that I was still able to stay in the top-20% of the entire field. My net time was 46:18 minutes which equals to an average pace of 7:28 minutes per mile.

Today is Friday and I am planning on getting back into a much more relaxed 10k training plan tomorrow. It is supposed to be a gorgeous Saturday outside and I really need to get back out there and run my heart out. I will officially be training for a 10k in July but will run multiple 5-10ks during that journey. No more half-marathons until fall, i.e. the Yonkers or Philadelphia Marathons may be downgraded to halves for me this year. I am in no rush, am I?

I want to finish with what's coming up next. The next race will be the Dawg Dash, a 5k on Roosevelt Island, organized by the University of Washington Alumni Association. Then May's schedule has volunteering three times and racing twice. Considering the condition of my knee I may have to postpone my first marathon to 2015 and focus on half-marathons only for this fall. I think I really have to take it slow and get a lot more miles under my belt before I do anything crazy.

Keep on running!