Saturday, February 20, 2010

throwing me a S-curve ball


As you loyal readers know I have been fighting a running injury for several months now.

It, literally, is a pain in my butt.

It “reared” its ugly head sometime in June and has been my constant running companion ever since.

It is not good company.

At its worst, it would linger on days that I did not run and cause me discomfort in my everyday tasks such as driving, climbing stairs, and standing still. On its good days, I would feel pain and tightness when I ran, especially speed work and hills, but would not be felt at any other time.

When the bad times started to exceed the good and it became my “off” season, I finally decided that enough was enough and medical attention was sought.

I contacted a physical therapist with the hopes that a little time off, stretching, and therapy would heal all my woes.

Progress was slow at first as I am not a very patient person. I stopped running for an agonizing 6 weeks in hopes that time off and attention would heal my wounds. I did all of the stretches assigned and the exercises requested. I was more diligent about my recovery than dressing my children in clean clothes for school. I was sure this prescription work and I could pick up right where I left off.

Soon the 2010 season was upon me and training needed to start, so I began to run once again. The pain showed up to run with me the first time I laced up my trainers after my “healing hiatus”. As I was still in physical therapy some new hip and buttock exercises were added with the speculation that those parts were weak. (Personally, I wondered how I could have weak hips. I birthed four children)

A few weeks later, physical therapy and I broke up. I was not seeing progress and the time commitment was too much (in addition to the copays). The physical therapist said that the major inflammation was gone, but I would probably always have some pain when I run.

I could not accept that.

I gave it a month of running to see if it would improve. It did, but the pain still lingered, and the thought that it could possibly get worse was always droning in my mind while I ran.

So, I decided that I needed to try another method of healing.

Maybe it was skeletal rather than muscular?

After talked to several people and getting several recommendations, I made an appointment with a chiropractor.

My initial visit was a discussion of my symptoms, lifestyle questions, expectations, and purpose of my visit. Next there were several tests performed including nerve conductivity, examination of my feet and stance, and finally a full set of spinal x-rays. The results of all of these tests were to be discussed at my next appointment.

I came to that appointment looking forward to finding answers to why I hurt when I run. I also was a little apprehensive as I might find out why I hurt when I run.

Good or bad, I was ready.

What I got was a curve ball I didn’t expect.

First, the chiropractor put up the x-ray of my skull and neck and a control x-ray next to it. She asked if noticed any differences between the two. Immediately, I answered that I jut my head out from my shoulders. When I was in therapy for my swimmers slump, I was doing exercises to bring it back into alignment. (Man, I am really falling apart this year!) She indicated that I have lost the curve in my neck and without that curve, the weight of the head increases three times. With the proper curve the head only weighs 10 to 15 pounds to carry around, without the curve 30 to 45 pounds. (Wow! that must explain why I always feel the weight of the world is on my shoulders.)

Next, she started putting up the full x-ray of my spine and without her even saying a word, I stared at the lighted x-rays and exclaimed. “I have scoliosis!”

(My sister has scoliosis and as a child I was screened multiple times, by various doctors and specialists. My right hip has always been higher than my left and it was just speculated that I had one leg slightly longer than the other.)

There it was lit up clear as day – “mild” S curve. The first kink was right below the shoulder blades. The second kink is one or two vertebrae right above the tail bone. Those kinks correspond exactly with where my muscular problems have been – my right shoulder and my right hip.

My first question for the chiropractor was since I have been like this all my life, why am hurting now? Then, my mind raced immediately to my two girls and now the fact that I need to be extra vigilant about their screening for scoliosis, almost to the point that I want to them to get x-rays as adolescents.

Now that I have had time to process it, I have more that I need to ask:

Does this explain my pain in my shoulder and upper back that I always have?
How will treatment relieve this symptoms if there is always going to be muscular pressure?
Which people (obviously my doctor and pediatrician) is it important to disclose this information?
Will it get worse and cause problems for me in the future?

I also have some questions that I would love to ask by probably will not. Most pressing on my mind –

How much taller would I be if my spine was straight?

1 comment:

M said...

WHAT THE - ?!?!?!?!

This is the craziest post ever. What did she say about how this impacts running? Is there anything she can do for it? Is it supposed to get worse?

Oh my gosh.