Tuesday, 23 August 2011

Brief update (nothing to do with pants)

The last week has gone pretty well.

It took me until Thursday to truly get back into the swing of things. For the first few days the intentions were good and I managed 3 trips to the gym but I tended to lapse with food either because I was out with work or because I'd eaten too little during the day.

Since Thursday I've been spot on and have also been slowly upping the cardio element at the gym. I'm now starting off with 35 minutes on the Concept2 then do 35 - 40 on the cross trainer. Its not running but I'm hoping its enough to maintain stamina.

On the running front advice was to drop the running for ten days and temporarily wear heel lifts to allow the tendon to heal more easily. It also means I've had to drop the habit of wearing flip flops or being bare feet a good deal of the time. The lifts and ban on being barefoot lasts for 4 weeks.

This advice came from a podiatrist I went to see. His view was that the switch in shoes was too sudden and almost certainly was the cause of the problems. He couldn't see any issues with regards to range of motion, leg length discrepancy or similar and said that I would be a natural mid-foot striker with a fairly rigid foot (sometimes incorrectly described as a supinator) and that I should always avoid any sort of support shoe. Ironic that in years gone by 'specialist' running shops have advised me to go for support and even motion control shoes.

So, fairly happy but there's a challenge the next few days in that I'm staying away tonight (therefore evening meal in the restaurant and cooked breakfast to contend with) and then Sue and the kids are away for two nights following that. I'm also hardly at home between now and Thursday evening and have an awful lot of work to fit in between. Today's train journey may afford some time to work out some strategies to meet those challenges.

Sometimes I cope really well with the temptations of being away but other times I fail spectacularly. What do others do?

Monday, 15 August 2011

2 weeks in Barbados?

Sorry, I haven't been around for a few weeks.

Initially this was because everything was going along swimmingly. After the 1 mile run I did as the physio had advised and did runs on alternate days of 2, 3, 4, 5 and then 6 miles. All without any noticeable increase in stiffness/pain in the achilles. Sure, the runs felt shockingly hard - I described the 5 mile run as feeling more like a 20 mile run by the end - but the fitness was returning as I could see my heart rate dropping with each run despite the increases in distance. In addition I was eating very well, seeing (unreported but notable) changes in weight, resting heart rate and body composition and was at the gym probably 5 days out of 6.

Then, on the 29th I finished work to begin 2 weeks off.

We can't afford to go anywhere again this year so I knew it would be 2 weeks at home but I had a loose idea of how I expected it to be: sunny with days spent by the outdoor pool at the gym, nice walks in the dales, the odd meal out, maybe day trips to York or the east coast, lots of exercise, some nice little runs. It would still be relaxing, rejuvenating and healthy.

It started well. Over the first weekend I went to the gym twice and did an hour on the cross trainer with each visit as well as doing another 6 mile run on the Sunday and some weights. Two days earlier the physio had 'discharged' me on the basis the achilles was steadily improving. Weather wise there were a few brief sunny interludes amongst the light greyness.

On the Monday I did a shorter gym session then had a rest day on the Tuesday. I went to the library and got 4 new books (yes - a trip to the library really was a highlight of my 'holiday'). Also on Tuesday I had an hour or so sat in the intermittent hazy sunshine by the pool before the rain started.

I ran again on Wednesday first thing though I cut it back to 5 miles as I seemed to have a hint more soreness on Monday and Tuesday. The weather that day was dull, gloomy and grey and my mood followed its lead. I spent most of the day lying on the bed reading.

Thursday wasn't much better in weather, mood or activity and this wasn't helped by by achilles feeling sore once again - which worried me and pulled my mood down further.

On Friday I got up and decided to cut the run to 4 miles as a gesture to the previous day's pain but as soon as I set off everything ached and my achilles had me hobbling. I stopped after about 20 metres; went home and went back to bed.

I felt really depressed and whilst Sue and the girls spent the day by the pool (with the sun making a brief appearance in the afternoon) I wallowed in my pit thinking about injury, weight (my diet absolutely fell apart as soon as the weather/mood changed) and the fact that I was half way through the annual 'big' 'holiday' and the weather had been poor, we'd been nowhere, I hadn't been more than 3 miles from home and the resumption of running had been snatched away. I felt like the previous week had been a waste of holiday and a waste of time.

Although the weather remained overcast and dull I picked up a little by the Saturday afternoon, chiefly because we'd collected a dog that we are looking after for 2 weeks. I took him for a couple of walks and that helped lift my mood. I confess I was quite excited as I'd never walked a dog before! I always wanted a dog as a kid but my parents wouldn't let me have anything other than a budgie! Sue always had cats.

Unfortunately the lift was short lived and the next 5 days saw wet, windy, dark days that mirrored my mood. My abstention from the gym continued, as did my comfort eating of all things sweet, sugary and fatty. Gradually my legs/achilles felt better but I didn't try to run and still spent most of the days lazing around reading. Aside from trips to the supermarket I didn't leave the house. I didn't feel at all rested or de-stressed from work and the feeling that this was a complete waste of my 'holiday' pervaded - the fact that the weather had been the worst of an already disappointing summer and that this would prevent trips out somehow felt preordained.

For some reason things changed on Friday. I think I just felt that whilst the fortnight had largely been a waste I at least wanted to end on a high of some sort. It was still grey and it was still intermittently wet but we made a packed lunch and all headed off about 20 minutes north to do a short walk through/around some forest.

For the rest of the family it wasn't a success. Sue doesn't like walking through forests at the best of times and after all the rain it was incredibly muddy which had Sue and Bethan moaning most of the way around. This probably wasn't helped by the absence of signs in the forest and there being far more trails than those marked on the map (but we only got lost once and briefly at that) and Bethan having lots of pain from wearing boots that were too small.

For me though it was good. I do like forests, especially densely packed ones. There's something about them appeals to my psyche - they're dark but there's still a soft light, they're still, completely quiet, peaceful, dry. In them I feel hidden and safe. How about that for a window onto my state of mind? I also like mud and as we walked I thought how nice it would be to run there.

When we got home I quickly showered and zipped over to Bradford to get a new ( and far larger) pair of trail shorts, then we all went out for a huge Indian meal which everyone really enjoyed.

On Saturday morning I proposed to the family that if we walked on both days at the weekend we could go out for a similar meal on Sunday (so my fortnight ended on a high). Unfortunately Bethan raised objections but a trip to Go Outdoors to get her some new boots (her feet have suddenly grown a size and a half unbeknown to us) did the trick and we went out to Nidderdale for a pleasant 6 miles. Even the sun put in an appearance mid-way round leaving me with a burned head!

Yesterday probably got better still. I was up just after seven AM and went back to the scene of Friday's walk - this time with my new shorts and trail shoes! It was only 4 muddy miles and I did get lost several times on dark forest trails but after the first half mile the achilles felt fine. When I got in I changed and went to the gym for the first time in nearly 10 days. After that we did another 6 mile walk, this time near Grassington, before another excellent meal.

Today the achilles feels OK. Nothing too bad. I seem to have put on 8.8 pounds in 16 days (all that I'd lost in the preceding 2 weeks) but I hope a little of that is just water/food from last night's meal out. The return to work and routine will hopefully allow me to get back to the pre-holiday health routine.




Wednesday, 20 July 2011

I'm a Runner (again)

I hope I'm not being like David Cameron's father should have been (premature) but I think I'm putting yesterday's mile down as a success.

It was only a nine minute mile jog along a straight stretch of canal towpath but it felt fine during the run. Mind you, jogging for even a mile felt shockingly difficult after so many weeks off.

Maybe more importantly than how it felt during the run, it felt no worse than normal after and the same can be said for this morning too - a little stiff, marginally sore but nothing that isn't there every morning. As I also did 80 minutes on a cross trainer and my additional achilles strengthening exercises yesterday its particularly pleasing.

So, rest day today (if a 6 hour drive and 2 hour meeting can be seen as rest) and only a swim in the evening. Tomorrow or Friday I'll push the boat out and go for 2 miles!


Tuesday, 19 July 2011

Physio's view on progress

Thanks for yesterday's comments. It seems you could work out the physio's advice before I got it - especially Jess's comment on the tendon being painful to squeeze for a long time after being able to run.

To cut a long story short she feels its 'making progress' but that it will be slow, so I need to keep reminding myself of what it was like 4/6 weeks previously. The exercises will continue for another 10 weeks minimum. I am to carry on with the current exercises but add in 2 different types of jumps from a step and carefully try gentle static hopping as long as it doesn't cause a notable increase in pain. The pinch test isn't deemed an important one as she warned that it might be that it will remain sore to the touch permanently.

In terms of running I can start...







...with one mile of straight line jogging (!), and if that feels okay during, after and the next day I can carefully progress; then go back again a week on Friday.

With the achilles taped up with garish blue and pink tape, I shall head out for my jog later on today.

Monday, 18 July 2011

A very pleasing week

One week down and sixteen to go.

After months of being able to do well for 2 days then blow it all (and then some) for the next 5/6, this last week has been surprisingly easy.

I've kept to within 100 kcals of target (either side) each day from Monday to Saturday, then yesterday we went for a family meal out and thanks to exercise and slight moderation during the meal I suspect I stayed within 200 of maintaining - though the nature of what I ate made it impossible to accurately capture.

I can't say that I have found it particularly challenging thus far either. Long may that continue.

On the exercise front its a similar story.

I went to the gym each day, doing a workout on 6/7 and just doing some gentle swimming on the other day. I've very much enjoyed what I've been doing and can see and feel the benefits very clearly already.

Achilles wise its not so clear cut.

On the plus side I've (mainly) been doing the concentric as well as eccentric strengthening, which puts me ahead on the achilles exercise front; and there's been no major aggravation from using the cross trainer. On the minus side it still feels a bit stiff and occasionally a little painful and is certainly still very sore if pinched even slightly.

One sobering moment was when I'd been doing some lunge walks on the running track. At the gym there is a small but useful indoor running track that I'd earmarked as perfect for running drills and plyometrics, so, flushed with endorphins I decided to try hopping along it on my uninjured side and then stupidly did the same on the left. Sore during and instantly very sore afterwards.

I think there's still some way to go.

Off to the physio this morning and it may well be that she'll tell me I'm OK to run. Part of me hopes she does but part of me is frightened that if she does I'll struggle and make the injury worse. Its not often I feel frightened to try something but this time its certainly there.



Tuesday, 12 July 2011

Explanation & gym programme

Its a two parter today - I'll give a bit of feedback on my (always appreciated) comments from the last blog entry, then I'll give a little account of the programme I was given (or at least my thoughts on it).

I've just had a quick look up of yesterday's comments so hopefully I won't miss any out!

Overall there is method (or methods) in my daily measurement madness.

I'm monitoring RHR daily, partly to establish the current level but then to watch for any hint of over training and alongside the RHR I get the blood pressure measurement so may as well record that.

I've tracked daily weight changes before and I'm very relaxed about how the numbers change: that there's never a uniform loss, and for me I'll often get several days staying the same or rising before a sudden large drop. Knowing that variance exists puts me off weekly weighing as the isolated figure is dubious without the context of the days that preceded it but also I can find that a weekly weight check can lead to my feeling tempted to switch off for a couple of days and try to play catch up before the date.

More importantly though, whilst the statto nerd in me wants a comprehensive body of data to analyse after the next 16 weeks I'm not setting myself any weight/measurements/RHR targets. Sure, I know the sort of level I'd like to get the weight to but I deliberately haven't worked out when I might expect to get there. My only commitment/target is to log my food intake and to exercise 6 times a week - I'm comfortable that if I concentrate on the process rather than the results all will work just fine. If I log food 90% of the time and exercise on 5.5 days a week then that's a success. That's how I'm defining it.

Regarding measurements though - spot on. My instinct is to measure monthly, but I do want to measure after one week solely because I suspect my belly will shrink through lower food volume and I'm curious to see if I'm right. Measuring after a week but then monthly disturbs the symmetry of the plan so I suspect I then went for weekly to maintain it (what would I psychologist make of that?). However, I'll tear myself away from weekly but reserve the right to use more colours in the plan to hide it!!

I definitely like the cross trainer. I could happily spend an hour or more on one whereas I cant do anything other than short intervals on a treadmill, and even that under duress. As for the exercise bike, I find that about as pleasant as repeatedly stabbing myself with a fork or watching a few minutes of Top Gear.

Anyway, yesterday I got my first programme from the gym.

Beforehand I was rather naively expecting to get something like 3 separate programmes based on 6 days training a week, a decent emphasis on cv work to supplement the shortfall in running, a very running specific set of weights and core exercises and a good running specific flexibility programme.

Hindsight tells me that was an unrealistic expectation from a gym instructor and that to get that I'd probably have to get something from a Personal Trainer or even a running coach.

Instead, what I got was what I suspect is a fairly generic programme: some upper body exercises on a Kinesis machine, body weight squats and lunges, 3 abdominal exercises, very basic stretches and a whole 10 minutes HIIT on the cross trainer.

I was disappointed.

However, I've done the programme twice and with some adaptations it actually works well enough for now. I've added on some extra core work, added more CV work in addition to 10 minutes HIIT, added more stretches. If I can start introducing some running in addition, having the odd swim (there's a heated outdoor pool as well as an indoor one) and continuing to add to the CV element to supplement running then it'll all work well enough.

Further down the line (as the achilles heals/strengthens more - and I feel it already has started) I can use the indoor running track for some drills to strengthen and injury proof my legs and there's a running club/group that run on Wednesday evenings.

Everything looks rosy. :-)


Monday, 11 July 2011

Like Verbal Kint: I'm the man with the plan

Well, part of a plan anyway.

Actually, its not so much a plan as an objective.

In fact, not so much an objective as some objectives, plural.

But I can measure progress. To some extent.

With me so far?

No, me neither.

Let me start again, as vague though this all seems I do feel quite enthused.

Last week's news from the physio wasn't too bad and whilst doing the exercises since has made the achilles periodically sore, I'm managing that okay with ice. I do think its already getting stronger and I'm very hopeful that a week from now I'll be given a cautious green light to return to running. Beyond that, though, I don't know how quickly mileage will build or even if I'll avoid any relapse. Its all a bit unknown.

Without running I've struggled. I've struggled to maintain much in the way of fitness. I've eaten very poorly and gained a lot of weight. I'm sure my mental well being has taken a knock too. Its not been easy.

Obviously a return to running will help all that but as the speed and certainty of return are a bit vague I decided I needed something more. As a result I joined a very swanky new gym on Saturday, initially on a 16 week membership, and got very excited at being able to use that 16 weeks to make a really concerted effort at achieving something.

So, I thought a little of what I could do and began to imagine what 16 weeks hence could look and feel like.

My initial thoughts were very much running focussed. By that time I will have needed to make a decision on whether a spring marathon is achievable, and realistically that means I'll need to be running 40-45 miles a week, pain free, and be including some form of speed training by the end of October.

That seemed a pretty decent, realistic, tangible objective, as even if I started at 12 miles a week a 10% increase weekly would still take me over 45 miles by the final week. I soon expanded this idea to wanting to be as injury proof as possible and very much ready for the ramp up in mileage marathon training would entail.

That all started leading me towards a gym based programme geared up to support the running based objective. I hope that will be fine but on the basis that I don't really know how quickly I'll be able to increase mileage (the physio could very easily suggest 3 x 2 miles a week for 2 weeks before increasing to 3 miles etc) it might not be achievable, so I decided I needed to widen or supplement the objectives.

Building on the theme of getting injury proof I then came up with a seemingly vague idea that I wanted to be as 'fit' as I was at the beginning of April. Naturally, even at 45 miles a week I wouldn't have the same endurance as I did in April but maybe I could still be as fit by being 'differently fit', in other words stronger or more flexible, as well as getting my weight down to a similar level. It might also mean that my methods and objectives need to be flexible in line with rate of progression and injury rehabilitation.

On that basis, and starting from today, I'm recording changes daily in:
  • Weight
  • BMI
  • Body composition
  • Resting heart rate
  • Blood pressure
Then weekly I'll be taking body measurements, and Sue has taken some Usual Suspects style pictures of me which we'll re-do monthly.

There's little more that I can measure, and whilst I recognise that figures will go up and down I'd hope that over the 16 weeks they will all have moved very clearly in the right direction. Its wooly perhaps, but I think its as precise as I can be in the circumstances.

In terms of process I'm committing to exercise 6 days a week wherever feasible (i.e. unless I'm ill or incapacitated!). With luck the running element will slowly increase but until then I'm looking to do a fair bit of work on the x-trainers* (3 different types at the gym) as well as core stability, flexibility and strengthening work. The what and when should be decided this week as I have an appointment with an instructor this evening where I'm hoping she'll have a few suggestions so we can develop something together for the next 4 weeks (then review and agree a new plan at the end of that time).

How does that sound?

* I've done 40 minutes on the cross trainer on each of the last 2 days and it doesn't seem to have aggravated the achilles.