Posts Tagged by psoas tendonitis

The Importance of Proper Running Shoes

Brooks Adrenaline GTS 12

I’ve been wearing Brooks Adrenaline for the past 3 years and I have always loved them.  They are comfortable, supportive and seemed to fit my feet perfectly.  That was until recently.

I was fitted for these shoes at a great running store called Fleet Feet in West Hartford, CT.  They put you on a treadmill equipped with a camera at “foot level” to record your stride.  This helps the sales person find the best shoe for you.  I tried on numerous pairs of shoes and found the Brooks Adrenaline to be the most comfortable.  They were a great fit and got me through many miles.

This past September I bought my 3rd pair of Adrenalines.  Instead of getting fitted at a running store, I just went to Dick’s Sporting Goods store and bought the most recent model thinking these were the perfect shoes for me.  My serious race training began in October and these shoes were still working really well for me.  It wasn’t until I got injured in January that I thought there might be a problem.

I continued to train in them, even though it was minimal, and I even ran my first half marathon in them.  But still, something was off.  I felt like I was walking and running on the outsides of my feet and it wasn’t comfortable.  This was something new.  So I decided to get refitted and see if I should change up my tried and trusted Adrenalines.

Yesterday, I went back to Fleet Feet (now almost an hour from my new home, but totally worth it) and told the salesperson that I wasn’t sure if I needed new shoes, but something just didn’t feel right.  He had me take my shoes off and walk down the length of the store.  When I turned around, he was literally lying on the floor looking at how I walked.  No one at Dick’s will do that, or even knows what they’re looking at in terms of your stride.  He immediately said that the Adrenaline was too much shoe for me.  He also said that it was my shoes that caused my injury…say wha?!?  Apparently, the more you run, the more your stride changes.  I no longer needed the full support of the Brooks Adrenaline and needed to go a step down to a more guidance-based shoe.  He also said that my shoes ABSOLUTELY caused my psoas injury.  Things I wish I knew 2 months ago!

Saucony Guide 5

I first tried on the Saucony Guide 5.  I really liked this shoe.  It was light and felt very comfortable.  But then I ran in them.  There was something that hit across the top of my mid-foot that felt very uncomfortable.  If I felt that just from a jog down the sidewalk, this was prime for chafing on long runs.  I wanted to like these…I wanted to love these!  But that one little piece of fabric was making me skeptical.  Plus, you should try more than one shoe, right??

Brooks Ravenna 3

On to the next pair…Brooks Ravenna 3.  Ooooh these were fabulous.  Lightweight yet still cushiony, these shoes felt super comfy.  I went outside for a jog down the sidewalk and I felt faster than I’ve ever felt before.  I was sold immediately after trying them out.  I’m still on a 2-week hiatus from running on strict orders from my physical therapist, but I can’t wait to go for a run in my Ravennas!

I’m still going to physical therapy twice a week fro my psoas tendonitis and I’m feeling better everyday.  I’m currently under strict instructions from my PT to stop running for a few weeks to let myself heal.  This is very hard to do, but I haven’t run for a week now.  Surprisingly (or not so surprisingly) I feel really good.  The PT and the rest are both working, so I’m going to stick with it for at least another week.  Pushing myself to keep training obviously wasn’t working.  Instead, I’ve started doing other cross training exercises, such as spinning to keep my cardio up!

So what to take away from this story?  Listen to your body, go and get fitted for proper running shoes, and take a rest every now and then…no matter how hard it is.  Now that the weather in the Northeast is cooperating, it’s incredibly hard to restrain myself from going out for a run, but I know it will be worth it in the long “run.”  I’m also fascinated on how the body adapts to training.  When I first started running, I needed more support, but now that I’ve been training more, I can scale down a bit.  I don’t think I will ever be a Vibram Five Fingers runner, but I’m hoping to get to a more minimalist shoe like the Brooks Pure Cadence.

My last tip is to go and find a local running store to get fitted for proper running shoes.  Then make sure to go back to get fitted every 300-500 miles you put on your shoes.  Trust me, you’re body will thank you, as this is the best way to avoid injury.  Visit www.runnersworld.com for many good articles on running shoes.  This one is particularly helpful on How to Buy the Right Running Shoes.

So what shoes do you wear?  Have you found that you’ve had to change shoes over the course of your “running life”?  Leave many comments…I’d love to hear your stories!  Happy Running :)

It’s All in the Hips

Sexy Shorts

I bit the bullet and went to see my orthopedist, Dr. I, this morning to have him take a look at my leg.  The pain has not been getting any better and if anything, it’s worsening.  I tried to walk on the treadmill yesterday and couldn’t even go for a minute without serious pain.  After putting on these very fashionable disposable shorts and chatting with the nurse, I went in for some x-rays. I was really hoping this wasn’t going to be some sort of fracture that I had to let heal for weeks or even months.  Dr. I came in, looked at my x-rays, moved my leg all around and did some strength tests.  Good news…it’s not a fracture.  Bad news…it’s Psoas Tendonitis.

What’s a psoas you ask?  Well I had no idea either, so I’ve been scouring the interwebs all afternoon trying to gather more information.  First of all, the P is silent.  I don’t want you looking silly if you mispronounce it.  I did.  The psoas tendon is under the psoas muscle, which runs from the lumbar spine into the pelvis.  It is attached to the iliacus muscle, which lines the pelvis.  So the tendon is often called the iliopsoas tendon.  These muscles are needed for sitting, walking, and most importantly running.  Psoas tendonitis is an inflammation of the area surrounding the tendon, and can be caused by running, particularly uphill.

Well this makes sense since my run on Sunday included 3 inclines.  I have to admit that most of my training runs have been on generally flat surfaces or gradual inclines.  The area around Crescent Lake in Walt Disney World has numerous steeper inclines to go over the waterways.  This was something new for me.

The treatment: steroids for 6 days and physical therapy for a few weeks to learn stretches for my psoas.  I need to rest and can’t run or do any form of exercise for a few weeks.  Lower impact activities like biking and even swimming use this muscle, so neither will help.

Steroids...

This leaves me in a quandary for the Princess Half.  I’m definitely still going to do the race.  I’ve paid the fee, have plane tickets and an awesome villa booked with my friends.  The question is do I run or walk?  I guess we’ll see how the medications and therapy help, but I’m still concerned about my cardiovascular strength since I can’t do any exercise for a while.  I’m really disappointed since I have put so much time and effort into training for this race, and now I’m just sitting stagnant.  I never thought I’d say this, but I really miss running and can’t wait to get out there again.  A lot can happen in 3 weeks, so I’m going to focus on the positive!