In a couple weeks it will be two years since I had my peroneal tendon repair surgery. I decided that running the Provo River Half Marathon, which is 13.1 miles, would be an excellent way to celebrate this anniversary. I ran this baby years ago, before I hurt my ankle, but since my injury made running more than about half an hour too painful to stomach, I haven’t even considered running it since. It therefore seemed like a very fitting way to commemorate my ankle being back in the big time.

I have been training for the last few months with Jason for this race. We started our training by jogging our usual 3 mile runs and then upped the distance we traveled each run by about a mile roughly every week. This strategy seemed to work very well though I did get a few complaints from Jason when we progressed to 9 and 10 mile runs; he had never attempted to run anything that long before. Although a half marathon is a somewhat daunting undertaking, surprisingly we were able to find a few crazies interested in running this long race with us: my dad, his friend Steve, and my friend Fran.

Looking down from the hills above

Looking down from the hills above the runners were a beautiful stream of color.

The Provo River Half Marathon was last Saturday. We had to meet at the finish line at 5 AM to catch a bus up the canyon to the starting point. Man that was early! The bus drop-off, which was at the top of South Fork, was already crawling with many of the 2,000 race participants by the time we got there.

I saw a couple of unusual things while we were waiting for the race to start. First, a deer that wasn’t afraid of the masses of people at all was wandering around and actually trying to get people to pet it. Never seen that before. I also saw a man turn around in a field that was just off a section of a road where over 1,000 waiting runners were clumped together; he pulled up his shorts on one side and urinated. Sure, I don’t think anyone got a good view of his parts but come on! There were trees everywhere so all he had to do is go a few more feet into the trees and no one would have been able to see him. Seriously dude, no one wants to see you taking a whiz. Have some dignity man!

The race started at 7:00 and the first 10 miles down the canyon were lovely. There was a nice cool breeze and the sun was still hiding behind the mountains so it was very pleasant running weather. The last few miles things got a lot more challenging. At that point the sun started blazing down, the wind stopped, and it became very hot. The increasing temperatures combined with the strenuous ten miles I already had behind me resulted in some serious dehydration that last stretch so when I finished the race I wanted nothing more than a tall glass of water. I have been a runner for many years, certainly long enough to know from experience not to drink a whole bunch of liquid after a tough and dehydrating run like that. Unfortunately, my thirst won over my common sense and I pounded down a bottle of Gatorade a few minutes after I finished the race even though I thought it would probably make my stomach hurt. To my surprise I felt fine after chugging it…until I got home about half an hour later. Then, all of a sudden, my stomach started severely protesting its lot in life. This wasn’t the first time I’ve felt sick after a run though so I thought it would pass. I guess in a way I was right because it did eventually pass but only after I had thrown up almost all of the Gatorade I had stupidly drunk.

Besides the last few miles being a crap fest and my post-run vomiting episode, which was a first for me, the race was an enjoyable experience and I don’t think I would be opposed to doing it again. I was about 10 minutes slower completing it this time than I was the first time I ran it but I was a lot less sore afterward this go around. I may be older and slower now but I guess my muscles are tougher.

All the determined

All the determined people I ran with did excellent! Jason was the fastest. With his long legs he came in at 2 hours and 6 minutes. Everyone else finished within 10 minutes of him, except for me. I completed the race at 2 and a half hours almost exactly.

How did my moody ankle hold up? It handled the race pretty superbly. I had very little issues with it while I was training and during the race itself it didn’t complain at all. After the event it started swelling a bit and it is still a tad more swollen than normal even now, days later. The overexertion also made it achy for a couple days after I put it through that race madness but all in all I’m happy with its performance. This race reminded me just how much my ankle has improved. It is much more resilient and content than it was last summer when I was training for just a 5 mile run. Now, a year later, I’m able to run 13 miles with no pain and just a few days of swelling and tenderness afterward. That may seem like a hollow victory to those of you who have two fully functioning ankles but from where I’m coming from it seems like a pretty sweet success.

So final ankle analysis at the 2 year mark? The doctor told me all the swelling in my ankle should go away after a year or two. Here I am two years out and it is still swollen, though less so than it used to be. My ankle also doesn’t have its full range of motion back yet; it continues to get that rubber band feeling when I stretch it from side to side. But I’m playing soccer again with very little discomfort and running longer than I have been able to in a decade. So, although I wish my repaired ankle performed and felt like my other one, I am so grateful to not have any restrictions on my activities anymore that I don’t mind a little aching or inflammation now and then so much.

15
Jan

Brace Yourself

   Posted by: Rachel   in The Trouble with Tendons

I just hit the very last marker, at least of those outlined by my doctor, on the road to recovery from peroneal tendon repair surgery: the obsoleting of my ankle brace.

Ah, the ankle brace…annoying to get off and on, hard to fit into shoes, yet a reassurance and a necessity. Every time I’ve exercised over the last 14 months my brace has been there to restrict and support and now it’s no longer needed. Is that a call for celebration or a painful separation?

I wasn’t sure how my ankle would handle its brace graduation. After all, obnoxious as the brace was it did make me feel a little more stable and invincible. Would my ankle have separation anxiety after having such a constant companion for so long? Or worse yet, would this precarious advancement cause me substantial pain?

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The thrill of being brace-free immortalized

On my first run without the brace things felt amiss. Since I had not run brace-free for over a year the sliding motion of my ankle as I stepped felt unnatural and a bit disconcerting. It was like a screw holding my foot together had suddenly come loose; it didn’t hurt but it didn’t feel normal. Other than that the run was completely uneventful; my ankle handled the adjustment surprisingly well.

The day after that run a muscle in my bad leg was pretty achy from the top of my foot to mid-calf. My legs very rarely get sore thanks to years of being active (I wish I could say the same about the rest of my parts.) so I concluded that this muscle must be involved in controlling some of the movements my brace inhibited. Hence, it protested a little when it was returned to full duty.

Although my codependent ankle freed itself of the brace with minimal anguish it really didn’t gain full autonomy; it jumped right back into cahoots with another apparatus, one of its Xs. I wore a custom-made orthotic sole for a couple months before surgery in a futile attempt to appease my ankle without an operation, now that orthotic is back in my shoe and back in service. (Righty has been wearing its own orthotic since pre-surgery but the brace for lefty barely fit in my tennis shoe; there’s no way I could have squeezed in the brace and the orthotic at the same time.) According to my doctor, since I am at risk for further tendon damage I will have to wear that baby when I exercise indefinitely. My ankle acclimated to using it again pretty well; the arch in my foot hurt for a few runs but it was manageable.

I must admit that removing the brace from my routines went smoother than I had anticipated. There was no wailing or gnashing of teeth. My ankle didn’t cry, protests, or fall apart. A few strange sensations and a little discomfort were all that stood between me and a brace-free existence. Good job little ankle buddy! May all of you fellow ankle de-bracers fare as well!

A few weeks ago I posted about my ankle’s willingness to let me resume my status as a running fool, which is extremely exciting to be sure, but I didn’t give any details about how my ankle is doing in general, now that I have successfully survived my first year following peroneal tendon repair surgery. So for all you people out there with an ankle that currently looks like Gumby’s, here’s my eagerly anticipated, highly celebrated, one-year update.

Functionality? My ankle functions marvelously compared to how it used to, but not so great compared to my other foot. It’s much sturdier and more stable than it has been in years but still a little on the unpredictable side. I can now pretty much do anything on it I want, however, that doesn’t mean it won’t complain. My ability to do whatever I desire, not it’s whining, is what concerns me most though, so I’m pretty content with its current performance. I still have to wear my brace for the next couple of months while doing physical activities; I am very curious about how lefty will do when it doesn’t have the brace anymore for support and stabilization. I guess I’ll see in 8 weeks.

Mobility? My ankle’s mobility has improved greatly over the last 12 months but it’s definitely not as flexible as it was before surgery. There’s a limit to how much I can twist and angle it before I start feeling that unnatural tug of the tendon and its unwillingness to stretch any further. It’s not bad though, I don’t notice this inflexibility during most normal daily activities.

This is what lefty looks like now.

This is what lefty looks like now. My scar is still quite visible. I'm hoping someday it will lighten up a bit.

Swelling? Still swollen, though less so than a few months ago. But, since the doctor told me to expect some swelling for a year or two, I haven’t been anticipating much progress on that front just yet.

Stiffness and Achiness? Unfortunately, my ankle is still a little cranky. Every morning when I take my first few steps out of bed I can feel it resisting the movement. Some days it will hurt persistently for no apparent reason, which makes me feel like an old lady who can tell in her bones when a storm is approaching. But, although it is prone to fits of moodiness, most days it behaves relatively well. However, I am in no danger of ever confusing my good ankle with my reconstructed one.

Heels? Yes! I don’t don my highest heels much anymore but I can wear 2-3 inchers without any noticeable issues. So don’t worry ladies, you won’t have that sadly limited shoe selection forever.

In conclusion, my ankle is doing well. I don’t know if I can ever expect it to feel exactly like my normal one, probably not. For lefty, I suspect life will permanently be a little tricky. I’m sure it will continue to improve over the next few years but it will most likely always have some complaints. Honestly though, who cares? Now I can run, I can bike, I can board – I can do all the things I love. If that means having to put up with my ankle’s occasional temper tantrums that’s alright by me. So for all of you out there in your first year of recovery from ankle surgery, there is hope at the end of those initial terrible months. Maybe a perfectly blissful ankle doesn’t await you at the end of that road but, if you are like me, a pretty darn good one seems practically just as fantastic.

I just hit another huge milestone in the life of my ankle. It has now been a year since my surgery and I celebrated properly by running in a relay marathon race. After I hurt my ankle over eight years ago I wasn’t able to run for more than about 25 minutes at a time; the pain would become too overwhelming. I love to run so that was a hard reality for me to accept. That’s why I was very excited to pick up running again, now that my tendon repair surgery has hopefully corrected the longstanding issues with my ankle.

The Geek Streak

The Geek Streak

I love this action shot even though it turned out a bit blurry. baton

I love this action shot even though it turned out a bit blurry. It was taken at the exact moment I handed off our team baton to Jeremy.

Originally I had wanted to run in the Red Rock Relay at the end of this summer but, since I couldn’t find enough willing participants for this 2 day running madness, I settled for getting a team together to run the Utah Marathon Relay. In this relay race each team, consisting of 5 members, runs the equivalent of a marathon. This means each runner is responsible for a 5.2 mile stretch.

It

Since these are the Sabin brothers, don't ask.

Jason and I started training for this event back in June. While 5.2 miles really isn’t an incredibly impressive distance, it’s longer than my ankle has allowed me to run in nearly a decade so I wanted to ease into it. I am extremely pleased with how my ankle handled training and the race. I generally experienced no pain during my training runs. Each time I increased the length of my run my ankle would be a little stiff and sore for a day or two, but nothing I couldn’t handle. This stiffness was such a mild inconvenience compared to the pain I had become used to over the years that I barely even noticed it.

This is Fran right after the 4 mile marker. She did her run in an awesome 47 minutes and 37 seconds.

This is Fran right after her 4th mile marker. She did her run in an awesome 47 minutes and 37 seconds. Way to go!

My relay team, the Geek Streak, was comprised of me, Jason, his brother Jeremy, my brother Drew, and my friend Fran. We ran the marathon in 4 hours, 13 minutes, and 13 seconds. Yeah us! I made a goal for myself of running each mile in ten minutes or less and I met that goal exactly on race day with a 52 minute run. Jason’s brother, Jeremy, had never really run ever before he started training for this race. He trained regularly though and did a fantastic job on race day with a run time of 52 minutes and 3 seconds. I’m really proud of his perseverance! My brother Drew, unlike Jeremy, didn’t think training for this race was necessary. So we weren’t too shocked when he seemed a lot more fatigued than the rest of us after his run. His exhaustion must have made him delirious because he went the wrong way twice during his leg, but he did eventually find the finish line. Congratulations Drew on finishing even though you are apparently completely out of shape! (Little brothers need to be given a hard time. It reminds them that they are loved…and that they should run more than a few times when training for a race.)

This is what my brother Drew did after he ran his portion of the race.

After my brother ran his section of the race he crashed on the grass. I thought I might have to resuscitate him.

The race was a great experience! I’m so glad I now have two ankles strong enough for running! I look forward to my next race and my next milestone.

This is Jason in his final sprint for the finish line. He was the fastest runner on our team even though

This is Jason in his final sprint for the finish line. He was the fastest runner on our team even though he got the last, and hottest, leg of the race.

1
Jul

Ankle Update 10.0

   Posted by: Rachel   in Family = Fun, The Trouble with Tendons

Saturday marked ten months out from my ankle surgery and I celebrated by running in my first race since the procedure. Although this race was just a local 5K, I am still excited to say that my ankle performed beautifully. I had no ankle pain during the event and very little swelling afterwards.

Jeremy ran this race with us. It was his first race ever. Way to go Jer!

Jeremy, Jason's brother, ran this race with us. It was his first race ever. Way to go Jer!

I tried playing outdoor soccer a few weeks ago for the first time since the slice-n-dice and my ankle did not fare as well. Running on the field’s uneven ground caused considerable pain and I was swollen and stiff for days. I guess I shouldn’t have been too surprised since this activity was what caused my injury in the first place but I was hoping that jumping back into soccer would be a nearly pain free experience at this point.  After my disappointing soccer restart I was thrilled that I did not have similar frustrations from running the 5K.

Although my ankle behaved like a pro during the race, my good foot had some objections. It still needs some help adjusting to its new lifestyle. It doesn’t tolerate the orthotics I am now required to wear very well. It fell asleep during the event, something it does periodically when I go running. This made me feel like I was dragging a lead block, instead of a minuscule foot, for the last two miles of the race. I’m going to have to figure out a way to make righty a little happier with his orthotic buddy. But even with that slight foot malfunction, I was extremely pleased with my body’s cooperation in general. I’m so glad that my ankle has decided that running is an acceptable activity.

Our ragtag group at the finish line

Our ragtag group at the finish line

My ankle’s running tolerance has spurred a new plan of madness. I am in the process of trying to organize a team to run the Red Rock Relay in September. This 181 mile, 24 hour, relay race runs through some of the prettiest country in Utah. It starts in Cedar Breaks, goes through Zions National Park, and ends up in St. George just outside of Snow Canyon. Gorgeous! While I realize this relay falls into the “crazy Rachel plan” category, I am quite enamored at the prospect of it. I hope I can get a team sorted out. By the way, if any of you friends feel up to a little insanity let me know; I’d love to have you on my crew. Let the lunacy begin!