Running Alzheimer's or Amnesia?

          It would be too easy to say that the only thing that runs in me is my nose, nor can I say that I like my eggs runny since I don't eat eggs anymore. In the past month since I've become unemployed, I've had the runs, or rather, I started running again. Not very much - just a couple of times a week on Tuesdays and Thursdays, plus a walk/run at Signal Hill on Saturdays with the Long Beach Area Walking Club. The weekday runs only lasts between 30 and 45 minutes which are substitutes for indoor cycling the rest of the week. I'm able to try running again because even though I might overstretch my ankle tendons, I don't have to go to work and dodge potentially violent psychiatric patients. Here is what I found out: all the muscle memory from decades of running has developed Alzheimer's Disease or at the very least, amnesia. My body has forgotten how to run and it feels like I have tired legs all the time. You know - the way your legs feel the day after a very long run or a hard interval workout. When I was forced to stop running due to PTTD a few years ago, my aerobic capacity was way ahead of the slow pace my legs were capable of doing. Nowadays even when I force myself to run the slowest pace possible, it still makes me breathless and I don't seem to be able to get into a steady state anymore. Maybe if I run a couple more times a week, I might get my running legs back but twice is all that my muscles would allow due to my year long statin-induced muscle pain. I'm not sure whether it's only my muscles that can't go longer or if it is my brain that gets tired more quickly. The mental toughness I once had when training for marathons is also now gone. Am I complaining about losing muscle and mental endurance? It's certainly understandable for me to lament it, but since I wasn't expecting much, I'm pretty content on being able to do my 30 to 45 minutes of the slowest possible jogging that my body allows. I don't foresee myself running in races anymore or training with the AREC running club, but once in a while I might challenge myself with a very long walk like the birthday walks I do, or maybe in 2014, it might be a run/walk combination. In the meantime, I'll ride this running wave as long as I possibly can.

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In The Company of AREC Runners

This appears like I'm doing some sort of duck walk with my butt sticking out, however it just shows how difficult it is to do the heel to toe walking technique. Looks funny, doesn't it? Photo courtesy of Dave K.

          Last week AREC running club members received an email saying that new t-shirts were available for those who haven't received this year's beach towel for being a member. I picked up my towel a couple of months ago but it had remained unused and sitting in my closet. I sent a message to Kevin B. who was distributing the new shirts to find out if I could exchange my beach towel for a shirt and he said yes. Thus the reason for me showing up at the AREC training run last Saturday morning. Having done a jog/walk last Thursday, I thought I'd just do a very brisk walk with the club for the shorter distance of 6 miles just like I did 2 months prior when I was able to cover the distance at a 13:05 pace (my fastest walking pace ever).

          So there I was last Saturday morning with the club, a walker amidst all the runners of which about 115 showed up despite the 4th of July holiday weekend. Man, this club is really going strong! Before the pre-run talk even started, I began my walk so as not left too far behind when all the runners finished later. Like I said, I was only planning to walk but started inserting some short jogs in between walking intervals. This soon transformed itself to slightly longer jogs with shorter walk intervals. In the meantime, I kept looking behind me to check if the runners were catching up. I stopped at Stephanie's water station and drank some Gatorade and thanked her for being there, then continued my walk/jog (now a jog/walk). About a quarter of a mile later, I felt a tap on the back and the two leading AREC runners (Brian C. and Dylan B.) had caught up to my early start. They must have started later than usual because I was almost at 4 miles at that point. Pretty soon more runners were passing me (Johan D., Mike S., Kate R., etc.) and even though I couldn't run continuously, it felt good to be among the company of runners. I even saw Jennifer S. whom I ran with about 3 times last year. Oh, I forgot. Stephanie's water stop was supposed to be the turnaround point for the 6 mile distance but I continued on and jog/walked up 6th street hill before turning around. The longer distance for the day was 10 miles but I didn't want to go that far, so when I reached the corner of Bayshore and 2nd Streets, I turned left instead of continuing to Ocean Boulevard. Since I wasn't following the exact 6 or 10 mile route, I had to make adjustments so I could hit at least 9 miles by the end. One thing I noticed at about 3 miles and around Naples Plaza was how the numbers or the Sole Runners training group had diminished dramatically, while the AREC group has grown.

          When I reached 7 miles, I could feel my legs tiring which I attribute to the lingering effects of statin myopathy. Although my thighs and hips don't hurt as much, they still get tired more than usual. But at least they don't feel injured. It seem that the doctor reducing my Atorvastatin dose to 10 mg. three times a week has helped. At this point the duration of my jogs equaled the duration of my walks because my jogging stride started to deteriorate, and I did this until I reached the finish line.

          When I finally clicked off my GPS watch which I haven't worn in months until last Thursday, I didn't know what my pace was. I was thinking maybe around 12:30 because when I did a jog/walk on Thursday where I felt I jogged more than I walked (actually I jogged the first 2 miles and jog/walked the rest up to 4.69 miles), I ended up with 11:44 pace. So when I checked my average pace last Saturday for the 9 miles I finished, I was ecstatic to find out that I did an 11:25 pace, deteriorating stride and all! I would have never expected that and I can only attribute that pace to being in the company of the runners in my club. To tell you the truth, never mind the pace, after I finish these things, I still don't know how I'm able to cover these distances nowadays especially when they are over 6 miles. For that, I remain thankful.

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Statin Myopathy, Cholesterol Level, Diet, AREC, and Running

          

Photo courtesy of David K. - AREC President

          Normally, I'm overly excited about rejoining AREC's Long Beach Marathon training, but due to my most recent muscle problems, this time, I'm just elated at making it there at all.

          Backtracking a little bit to give you some history: I had to start taking Lipitor again three months ago because my cholesterol level went up when I stopped taking the medication due to muscle pains as a side effect. How bad have the pains been? Well, if I do the same type of workout two days in a row, let's say for example- using the recumbent bike, my leg muscles are more likely to hurt. Giving myself a few months break while taking Coenzyme Q-10 supplements relieved the pain and enabled my muscles recover somewhat. Even though I only took half the dose of the Lipitor (20 mg.) and only 3-4 times a week this time around, I began experiencing the muscle pains again after just 3 months, mainly on both thighs. So I requested a cholesterol level test from my doctor before visiting him and later found out that even the lower dose of medication taken roughly every other day decreased my cholesterol level from 220 to 178. More importantly, my LDL also dropped and my LDL/HDL ration remained good. So the good doctor recommended that I further reduce the dose of the Lipitor to 10 mg. three times a week in hopes that my muscle pains would disappear. By the way, I walked from home to the lab and back for my blood draw and that made for a six mile workout :-) We shall see if the doctor's recommendation is effective in a few weeks.

          A couple of days after the doctor's visit, I showed up at AREC marathon training not necessarily to train with them but mainly to pick up the beach towel which is what we get for being a member this year (last year it was a windbreaker). How often do I go to AREC runs? Well I saw a woman with her husband carrying a baby last Saturday. I never even saw that woman pregnant last year! Anyway, the workout for the day was either 4 or 6 miles and I opted for the longer distance, thinking it would take me about an hour and a half to cover it. Of course a few people after seeing me walking asked if I was recovering from an injury and all I can say is that it's just SNAFU (situation normal, all fu.... up). Nevertheless, my pace felt pretty brisk but since I was the only walker who was doing 6 miles, I was in last place. So much so that when I reached the turnaround point where the water station was, I suggested to Tina and Rosie that they could probably start packing up the supplies because I was the last one . About a mile down the road, good old Dave, the club president was still taking pictures and waiting for the last person. Thank you Dave, for being such a caring president :) I wended my way through the streets of Naples (Long Beach) in the last two miles until I reached the finish area at Joe's Crab Shack. When I clicked off my stopwatch, it registered 1:18:32. Hmm, that seemed quite fast for 6 miles but I couldn't calculate pace per mile out of the top of my head. See, I haven't been using my GPS watch lately. I had to wait to get home to plug in the numbers in a pace calculator before finding out that I had walked at an average pace of 13 minutes and 5 seconds per mile for 6 miles! My goodness, I've never walked that fast before, with or without muscle pain! That was pleasantly surprising since if I'm not mistaken, my previous fastest pace was about 13:40 per mile. I haven't exactly done any roadwork lately other than my futile attempts to jog a few weeks ago before my thigh muscles began being affected by the statins again. I guess those treadmill hill walks must be helping. And I should probably also thank AREC and it's members for the motivation they provided. And to think that I even forgot to bring coughdrops which I suck on during workouts to keep my mouth moist. Maybe not carrying 2 to 3 pieces of candy lessened my load which enabled me to walk faster :) Now if I can only learn proper racewalking technique...

Always appreciating Dave's photos :)

          Going back to my battle with cholesterol - taking psyllium and fiber gummies weren't working by themselves. In addition to the lower dose of Lipitor, I also had to do other things like cutting the cheese from my diet, bringing my own turkey sandwiches to work instead of eating the ham and cheese they give out for snacks, substituting fat free sherbet for ice cream, and using imitation crab meat or tofu instead of meat for my barley and vegetables concoction. Other things I've cut out are hamburgers, hotdogs, fried chicken, and peanut butter and jelly sandwiches except for an occasional jelly sandwich. One thing I can't let go completely though are the sweets, which is my guilty pleasure, and some of you may have already seen my dessert photos on Facebook.

          So two things to be happy about: being able to walk faster and lowering my cholesterol to healthy levels. To end this post, I decided to just focus on the things that I can do (like walking at a good pace) and be thankful for them rather than lament what I cannot do (like running).

Always try to look good when you see a photographer :)

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Three Weeks Missing

Yipee! After a 32 minute hill walk on the treadmill at 10% incline, I ran for 18 minutes on 1% incline thus completing a 50 minute workout last Thursday morning. It has been about three weeks since I injured my left thigh while out for what was supposed to be 12 mile run (http://aboutlifeandrunning.blogspot.com/2012/07/arec-training-7-7-12-oops-something.html). My very conservative rehab plan was not to start running again until the pain was gone, but sometimes plans go awry. A week after the initial injury, I tweaked it while exercising on the recumbent bike when I tried pedaling on a heavy gear. A week later the thigh felt as if was healing pretty well until I did a weight training workout called the clean and press. Wait, is that weight training or dry cleaning? Anyway, on the fourth set of the clean and press lift which of course involves the legs too, I felt a violent spasm on the healing muscle and fell backwards because of the pain. Fortunately my bed was right behind me and it made for a soft landing. With that spasm, it brought me back to square one. I had my thigh wrapped at work all night and developed contact dermatitis from it. With luck, we didn't have to chase any psych patients around that night.

I started hill walking on the treadmill just a few days ago as part of my rehab.  Previously I could only do the recumbent and spinning bikes on light gears and couldn't even use the stairstepper because of the pain. Today the pain is almost gone but still lurking. I can now do slow non-jerky squats on body weight. I might try running on pavement in the next few days and see how it feels and hope I don’t aggravate the muscle again. For now, I’m still missing from AREC training. Darn, I couldn’t even chat with my newly met running buddies L.

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What Has Gotten Me Running Again

So what has been going on in the past two years as far as running is concerned? Since I reached 10 miles last Saturday, what had I done differently? This is a brief accounting of what has happened. It was just two years ago when I gave up running and I actually bought a road bike to try to make cycling my main aerobic workout. Now and then I would make a foray into running but inconsistently. I even joined a walking club but they walked too slowly and I couldn’t find someone with the same pace as mine. After a summer of cycling in 2010, I didn’t take the bike out again because I found spinning indoors or using the recumbent bike, and even just walking uphill on the treadmill made for a more efficient aerobic workout and didn’t take a lot of time like riding on the roads did. During the times I tried running again, I always felt that my fitness level for the activity was close to what it was before and I tended to push the pace to reach that level. The result of course is making the condition of my ankle tendons worse. It was a vicious cycle.

So what changed this year? Let me think… pace, that’s it! Letting go of the pressure of trying to run as hard as I can. Accepting that being slow is ok, that running slowly is better than none. That and decreasing the number of times I run per week to two so the ankle tendons can recovery over 3 or 4 days. An evolution in stride change also helps. After making a conscious effort to alter it, I can now sometimes subconsciously run with a new but slower stride. Whenever I find myself going back to my natural stride, I pull back because that is the one that causes my ankle tendons to overstretch. It’s the push off of the foot that does it. My new stride is shorter and pulls from the front. Those explanations may be simplistic but it took a long time realizing them and those are what work at the present time.

I can’t assume that everything is now hunky dory because I was able to complete 10 miles. There are no hard and fast answers. With stage II and III PTTD (posterior tibialis tendon dysfunction), disaster can strike at any time with a tendon rupture just by taking an unfortunate misstep. I’m only taking it one run at a time – a midweek short run and the AREC training run on the weekend. Not an ideal training schedule and not something you will find in any training program. Well, that’s okay because I’m not training for anything anyway. It’s just exercise.

Other notes on the past 6 or 7 weeks of being able to run: A happy consequence of this twice a week activity? I noticed in the shower that I was  getting my running tan lines again. Since I’ve had these injuries, I no longer have balance if I try to stand on one leg. Whenever I put pants on, I have to hold on to something or lean on a wall. My stride, if you can call it that, feels more like a quarter lunge.

So everything was going well from mid-May to the first week of July when this happened: Oops, Something Happened On The Way to 12 Miles

I’m off the roads again trying to make my left thigh muscle recover. So far I can only do light gears on the stationary bikes without pain. Well, it was a good 7 weeks while it lasted.

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AREC Training 7-7-12: Oops, Something Happened On The Way To 12 Miles

Still OK past 1 mile

Well, I was writing about how I got back on the road and started running again the last few weeks, eventually culminating with a 10 miler last weekend, then as suddenly as I seemed to be getting better, disaster struck on the way to 12 miles this week, perhaps jinxed by what I was writing about. So what happened? Did I tweak one or both of my perpetually injured ankles? Did that developing knee pain from last week get worse? No and no. I consider this more of a freak injury and the same type on the left leg that stopped my every day running streak of 21 years several years ago. It seems to be a deep tissue muscular strain on the outer left thigh just below the hip that happened for no apparent reason. I wasn’t pushing the pace, or pounding the ground too hard, or bounding up 6^th Street hill at about 3 ½ miles when I felt it. I was actually having a decent run up to that point. One moment I’m telling pregnant Ellen “walking pace, right?”, and urging the walking Kenny (or Tenny) to continue running up the hill, then the next moment pain struck. A normal or sane person would have stopped and walked at that point but since I’m neither, I continued running hoping to work the kink out. Based on previous experience though, I knew it wasn’t going to happen, but still I pressed on until the pain became too sharp and unbearable at about 6 ½ miles. So I sputtered and walked back to the finish using a short cut on the course.

Just smiling for the camera at about 5 1/2 miles but I was already in excruciating pain

Since AREC training started this year, I’ve been running with other people, but last Saturday I did not.  In retrospect, I should have stayed back and ran with someone rather than going on my own. There was just too much separation between me and the next runner ahead that I should have pulled back and made the pace a lot more conservative.

So how bad is it? The thigh hurts even just pressing on the clutch while driving and it’s going to hurt like the dickens when I do my cycling workouts. Certainly it will keep me off the roads for at least 2 to 6 weeks. It almost never surprises me any more when I get injured because that’s been my history in at least the last 5 years. It surprised me more that I ran 10 miles last week.

The Aftermath: Thigh bound in elastic bandage and ankles braced.

 Despite the protracted run and the weeks of rehab ahead, I’m still I’m grateful to have had 6 or 7 good weeks of running and met new people in the process. Old and new running buddies, please forgive me if I’ve gone missing and you don’t see me on the roads any time soon, but like a bad rash, I’ll be back.

p.s. I’ll post the blog about my running comeback (the one that caused the jinx) after this one.

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AREC Training 6-30-12 : Elation At 10 Miles

I’m Sexy Happy and I Know It - LMFAO

Can I run 10 miles? Should I be running 10 miles? I don’t need to run 10 miles.  I just ran 10 miles. For long distance runners, 10 miles is just a medium distance run. For a perpetually injured former long distance runner, 10 miles is more than what I can imagine being able to do. Heck, I’m not even training for any long distance race. So why did I run 10 miles? For the simple reason of being with people who enjoy the same thing I do.

I  was  very wary going out on Saturday’s run. Two years ago, the last time I ran 10 miles, I injured my right calf and was laid off from running for weeks. Last year, I didn’t even make it to 10. After running 9 miles, my ankles were shot and didn’t recover for awhile. After last week’s 9 miler, I felt some pain behind my left knee which migrated to the front a couple of days afterwards. It felt as if my knee had gone off track. Although I didn’t feel any pain during my sole mid-week short run, it still felt wobbly all week. Saturday’s run was going to be another test of my new strategy of not pushing the pace with my altered stride.

 I wore the singlet (tanktop) that I bought last week and ran in it for the first time. There were seams in the chest area and I was hoping that once the sweat starts flowing, it would lubricate the area and not cause chafing. It did not. That was one less thing to worry about. Before we started, I told Jennifer that we should pace with Bhavanna but she took off at the start and by the first mile Jen and I were already at least 45 seconds off her pace. We didn’t catch her until mile two and that was not because we picked up the pace but because she slowed down. Perhaps she just started out too fast. Ah, these young'uns are gonna learn pacing soon enough.

I hadn’t eaten anything substantial since 4 p.m. the day before so I felt I was not fueled adequately for the run, so I resolved to at least take some energy drinks at the water stations. Meanwhile, Jen was training herself in consuming energy gels while on the run. She is training for her first half marathon but she is already following the full marathon training distance (half marathoners were only supposed to do 6 miles). Her husband Mike who is supposed to have arthroscopic knee surgery in a month’s time had to make do with a 6 mile run/walk. Jen told me he usually runs around 8:40 pace. So we chatted about running, work, mom, life in general, while I gasped for breath after every other sentence. Oh, I shouldn’t forget to thank Tam P. and Jaymi C. for doling out water and Powerade at the 7 mile water station. I partook of their offerings coming and going. That helped a lot in refueling me. I don’t know the name of the lady at the 3 mile water station, but thanks to her too. It was about 7 miles that I felt my left knee hurting a little (the one that was not tracking properly all week), and a mile thereafter I started feeling the strain of the extra distance on my bad ankle tendons. I began to question my sanity for even thinking of attempting to cover 10 miles. With Jen providing a steady pace, I pressed on somewhat comforted with the fact that in slightly over 20 minutes, we would be done. I’ve done this course countless times in the past and I know for a fact that it’s slightly short of 10 miles. We had to rely on Jen’s new GPS watch at the end and ran another 2/10^th’s of a mile past the finish line to complete the full 10 miles. On one hand it’s exciting to be able to run that far, on the other, a concern arises on what further damage it may have done on the ankle tendons and the left knee. We shall find out how I recover in the next few days. In the mean time, please allow me to revel in my unforeseen achievement. Next week it’s supposed to be 12 miles. Oh my…

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