Running Update #1 – Baby Steps and Toe Yoga

A few of you have been asking for an update on my knee, and some others have inquired about how my 2018 goal of returning to running is going — so I figured I would mush both of those questions into one update post. Here goes.

To read the last installment of “wtf is wrong with Syd’s knee” — Knee Update + Advice for Anyone Dealing with Chronic Injuries — click here.

Basically, my knee is still my knee. Which is to say, I have no idea how to answer these questions. At the moment — like right now this very instant — it seems to be happy. I’m starting to ride more after a few months focused on strength work, core stability and mental health, and, well, so far so good. I’ve been riding my dirt bike more frequently, and last weekend Macky and I snow-shoe hiked 3,000 vertical feet in three miles, which was pretty insane and something that in the past would have probably meant IMMEDIATE KNEE BLOW-OUT.

Got all the way up here on my own two knees.

Or, like, maybe not because my knee is notoriously unpredictable with these things. And therein lies the problem. I have a lot of ideas about what makes my knee irritated — front squats, long drives, walking on concrete, running, hiking downhill, standing in line for extended periods of time, telling someone my knee is better — but the reality is that those things only sometimes cause me problems. This results in a lot of anxiety and fretting over “should I do this” “should I do that” blother blather blither, not to mention a lot of 20/20 hindsight. And of course, ironically, avoiding all potential triggers for my knee has made it weaker and more likely to be triggered. KIND OF A LOSE-LOSE SITUATION, AMIRITE?

The point of the above paragraph is that I haven’t been writing updates on this issue because, while I am cautiously optimistic, I have no effing clue.

But in the interest of transparency and the hopes that maybe my process can help some others, here’s what I’ve been doing to get my knee ready to try running again:

1. CORE STRENGTH, STABILITY + MOTOR CONTROL — After my flare-up in November, my physical therapist Dane (from Revo PT and Performance in Boulder) and I decided to take a big step back to the basics with my strength program. Since starting to work with Dane in 2016, I had gained a TON of strength but unfortunately beneath all that strength I had some fundamental motor control issues, largely thanks to tip-toeing around my knee and toe issues for the past nine years. So for the past two months, I’ve been doing box jumps, lateral hops, step-ups and HEAPS of core work. The jury is still out as to whether this is fixing my knee, but it isn’t hurting it (and I’m not going to lie, i had some SERIOUS doubts about what would happen when I started doing jumps and hops, so this is good progress…).

2. TOE YOGA, INSOLES + CALF STRENGTH — For the past two years, we have spent a lot of time focused on my hips. My hip mobility was definitely a contributing issue to my knee problems, but now that it’s gotten a lot better, it’s clear that there is more going on. The next frontier? Ankle mobility, calf strength and toe dexterity. As Dane told me, most cyclists with anterior knee pain like mine can resolve their issues by improving hip mobility, but I’m special. I guess in this case being special is not great, but one positive is that I have learned a TON about body awareness and proprioception.

So I’ve installed some new insoles in my bike shoes, I’m doing some calf strengthening exercises and I’ve started a daily toe yoga practice. This is not as exciting as it sounds (er, does it sound exciting?), and mainly involves me staring at my toes and willing them to move in ways they are not inclined to move. But, you know, baby steps. Or in this case, baby toe twitches.

3. TAPING, STRETCHING + FOAM ROLLING — Basically, just continuing what I’ve been doing with a good stretching practice, daily foam rolling of my cranky quads and keeping my knee taped with RockTape to relieve some of the pressure on the patellar tendon. None of these are fixes in and of themselves, but they are all incredibly necessary. If I’ve learned anything from this process, it’s that the little things done consistently are actually the biggest things.

New kicks and rainbow rocktape!

Sooooo…..what about the running thing? I got the go ahead from Dane to start incorporating VERY short runs (like, 30 seconds of running, 30 seconds of walking), but it’s going to be a slow process. At the moment, I’m focusing on getting back into riding, continuing with core and motor control work, and adjusting to my new bike shoes and a few other set-up tweaks. Not much good can come from rushing this process, but hopefully I’ll have a running update for you sometime in the next few months.

Knee Update + Some Words for Anyone Dealing With Chronic Injuries

Pay attention. Keep paying attention.

That has been my mantra for the past few days…

When you’re struggling, PAY ATTENTION.

We all have different coping mechanisms when faced with injuries or a bad race or basically life not working out perfectly. Some people get angry. Some get mean. Others get depressed. Still others stick their heads in the sand and pretend it isn’t happening. No wait, those are ostriches.

Guys, I’m an ostrich. When things go to shit, I bury my head six inches deep and keep up a resounding chorus of LA LA LA LA LA CAN’T HEAR YOU LA LA LA to keep the demons at bay. And then, when I finally get over myself and decide to face up to things — retroactively, of course — I write a dramatic blog post. (Do ostriches blog?)

It’s not the worst of coping mechanisms, but it’s still pretty bad. And this strategy has already failed me a few times with my current struggle — my knee. I know, I know. You’re really tired of hearing about my left knee. Believe me, I am also tired of hearing/thinking/talking/writing about my damn left knee.

That’s why this post isn’t entirely about that — it’s also about paying attention, even (ESPECIALLY) when paying attention sucks.

This is a metaphorical photo from last year, because rainbow.

Let me tell you a little story about last winter. I was in Scotland, having basically the best time ever. I was training a lot. Going to the gym. Writing regularly. Being really diligent with just about everything in my life. And then I blew up my knee with some dastardly combination of front squats and steep Scottish fire road climbs. It was not terribly surprising, nor was it the end of the world, although it rather felt like it at the time. But here’s the worst of it — I shut down. Completely. For like three weeks.

I was really upset, sure, and in a fair bit of pain (serious tendinitis is really underrated — I would rather break bones) but that’s no excuse. I just stopped doing EVERYTHING because it was too emotionally painful to think about my goals. I felt like I was going backwards and that my life was over and blah blah blah, so I spent my days reading novels and turning my brain completely off. I stopped communicating with my coach. I stopped writing on this blog. I buried my head in the proverbial sand, which in this case looked a lot more like $40 worth of mystery novels on Kindle.

I realized recently, now that I’m dealing with my knee again, that I have no records of that time. I have a vague idea of how long it took for the acute inflammation to die down, but I don’t really know for sure, because I didn’t deem that as important information to record. But damn, it would be really helpful to know right about now.

I have come a long way since last February. The 2016-17 off-season was a difficult one for me in a lot of ways, and most of my issues originated between my ears. I’m in a better place now, and I no longer see my knee pain as a harbinger of doom. While I’m fairly frustrated on a short-term level (as it’s ruining some fun plans for this week, for example), I’m not having an existential crisis, so that’s a step in the right direction. And, as I mentioned in my last post, I’ve gotten better at acknowledging when a flare is coming on and taking steps to mitigate it — so I’m cautiously optimistic that I won’t be sidelined for quite as long this time.

But, despite all that, I’m still really struggling to pay attention, to not check out. There is still a part of me that feels like if I ignore the problem that it will go away. And then there’s the fatalistic part of me that feels like acknowledging the extent to which my knee is bothering me — recording pain levels in my training journal, emailing my poor physical therapist for like the 40th time this week — is giving it too much power. I know that’s a little ridiculous, but there it is.

Here’s the problem — as athletes (and as human beings), we do ourselves a disservice when we check out the moment things aren’t going our way. I’ve been guilty of this many, many times and the irony is that that checked-outed-ness (#sorrynotsorry) usually ends up making me more unhappy than whatever the bad situation was in the first place. Because there is really nothing I hate worse than that feeling of not progressing, not growing, not caring.

Not caring is a coping mechanism — a shield for when caring is painful — but ultimately it ends up being a double whammy of negativity because, for better or for worse, I do care, and no amount of pretending otherwise will change that.

Recently, when I’ve been frustrated or sad or angry about my knee, I’ve been forcing myself to acknowledge those emotions instead of blocking out everything, and to get to the root of WHY I am feeling that way, and how I can use that as fuel, instead of an excuse to give up. In truth, there are plenty of things I can do right now that don’t involve riding but that will still contribute to making me a better athlete — and a big one is to try to use this time to figure out as much as I can about what’s going on with my injury, as frustrating and discouraging as that process is. Reminding myself that this time is not wasted, but rather, a necessary, if inconvenient, part of my growth as an athlete, has helped immensely.

So, the next time you’re struggling with an injury, try reminding yourself to pay attention. Take notes on how you’re feeling, both mentally and physically. It will help you put things into perspective — and be a helpful resource for the next time you find yourself in a similar situation. Then you’ll be able to tell yourself “hey, I always get massively grumpy on the third day of sitting around resting and doing nothing, this too shall pass.” I promise you, just knowing that will help.