Sunday, June 30, 2013

4 Weeks Post Op!

“Life takes on meaning when you become motivated, set goals and charge after them in an unstoppable manner.”
~Les Brown

It has been four weeks since the surgery and to be honest, everything is going great (knocking on wood).  I did not see my PT this week as he feels I am progressing well enough with the current workouts I am doing along with the exercises he has provided for me.  I do have to pay better attention to my energy levels as I think I am pushing the workouts more in the beginning of the week and I tire out by the middle of the week.  Some adjustments in my workout schedule should fix that pretty easily, along with reminding myself that rest is just as important as active exercise.  One minor milestone accomplished this week is the ability to cross/rest my right ankle on/over my left quad/knee.  Previously my range of motion did not allow for this and I caught myself constantly trying to do it and then having to stop prior to getting my leg up and over.  Also, I am now able to drive, albeit short distances and lengths of time, but at least I have some freedom and I'm able to get to a full-sized pool.  I had another massage today, and again, it was SO beneficial to workout any muscles that have been used for compensation of the non-weightbearing leg.  There are still days where the road seems so long, but I just keep my mind and focus on the goals I have, and just drive forward.

Tips:

  • Get a massage or two.  Your muscles are compensating for not using the effected leg, and they will need some relief as well.  Plus it is just relaxing!
  • Get your rest!  I know this is repetitive, but I even find myself wearing down by the time Wednesday night or Thursday rolls around.  Try to balance your workout routines so that you have an equal amount of effort being applied everyday...AND TAKE A REST DAY OR TWO.
  • By this point, most people will be driving to some extent and able to do some things by yourself, if you haven't already, get a handicap tag for your car!  Driving will tire you out, and you will have to crutch around wherever you drove to, so no need to crutch any further than needed.
My current weekly workout schedule/routine:

  • Monday/Wednesday: Stationary cycle with low resistance 2x20 minutes, 1200-1600 meters freestyle swimming, leg exercises given to me by PT
  • TuesdayThursday/Saturday: Stationary cycle with low resistance 2x20 minutes, 4 sets of 1:00 planking, 15 push-ups, 40 crunches and 5 pull-ups (maxing out on last set), 10 inverted rows all with NO to MINIMAL rest between exercises or sets, and leg exercises given to me by PT
  • Friday:  See Monday/Wednesday, but may drop the swimming depending on energy levels
  • Sunday -cycle 1x20 minutes and leg exercises given to me by PT




Thursday, June 27, 2013

Breathing Techniques While Running

So I figured it was time to start writing about my passions and offering up tips and advice based on my own experiences and references from experts and well respected sources. The first topic I will touch base on is breathing while running. Now I know I am biased, but I truly believe that running is the best activity for for fitness and weight control...plus it is fun and it is pure. It is the first "sport" that all of us participated in, and most of us did so with a huge grin on our faces. However, for many newbies, or those returning to the original sport, their faces turn into contorted, strained messes when trying to breath. Just when it seems like they are getting going at a comfortable pace, they begin to feel like they are running out of air, they start huffing and puffing, and their legs begin to feel heavy and cramped. After an experience or two like this, it is no wonder that many give up or become frustrated with running, as opposed to embracing it. So, what to do? Just like you would train yourself to run at certain paces and certain distances, you need to train yourself to breathe. This takes practice, and sometimes this is more easily done with a little background knowledge on breathing and respiration and how they are incorporated in exercise.

Breathing is the act of taking in and expelling air. Respiration is the transport of oxygen from the air taken in during breathing to the cells of tissue and on the flip side, the transport of carbon dioxide out of the tissue. Oxygen is key in exercise as it is the key ingredient in converting fuel sources to energy, also known as aerobic metabolism. If you do not take in enough oxygen, or expend energy more quickly than the oxygen-fueled energy you create, you will then venture into the realm of anaerobic metabolism. This results in lactic acid build up, or the burning and heavy sensation you experience while running. So then, the goal is to take in enough oxygen to fuel a sustained effort while running, and learning how to breathe properly will help accomplish this.

There are many different opinions on the best breathing technique for running. Most all have one thing in common, belly breathing. Belly breathing is the result of engaging your diaphragm more fully, which increases the amount of oxygen one is able to take in during each inhalation. The best way to figure out how to be more of a belly breather is to simply place a hand on your abdomen and the other on your chest. Take in deep breaths and note which hand moves more. For most of us, the hand on the chest will move more. Therefore, the next step is to practice using your diaphragm more, or moving your hand you placed on your belly. Once you have managed to become more of a belly breather, the next task will be to determine the best "breathing pattern" to use while running.

Breathing patterns...this is where you will find many differing opinions, however, the underlying goal is still the same...to take the deepest breath that is comfortably possible. Generally, there are two pattern categories; even-numbered (2-2, 3-3, 4-4) and odd-numbered (2-1, 3-2, 2-3). In both patterns, the first number listed indicates the number of steps taken on the inhale, and the second number represents the number of steps for the exhale. Many experts, legendary coach Jack Daniels included, believe in the even-numbered pattern. In this case, your inspirations and expirations will occur on the same footfalls each time. The odd-numbered pattern has its supporters as well, most notably in Chi Running. In this method, you will inhale and exhale on differing foot strikes, taking in oxygen in an extended pattern while exhaling more forcibly and quickly. An example would be inhaling on left-right-left, and exhaling then on right-left, beginning the next breathing cycle on the right rather than the left foot strike.  Ultimately, you want to take the longest, calmest, inhales and exhales possible, thereby maximizing oxygen intake as well as keeping heart rate down...optimzing your effort.

So which one should you use? Well in my opinion, that depends...on you. Personally, for most of my running career I have employed the even-numbered system of breathing, usually 2-2 and then 3-3 more recently. After learning and researching the odd-numbered system, I practiced the 3-2 pattern for a bit prior to my surgery. It took some adjusting to relearn my breathing technique, and found that I most often fell back into the even-numbered 3-3 pattern. To be honest, I did not feel much of a difference, with the exception of the challenge in learning a new pattern. That is why I believe you ultimately have to decide which works best for you through practicing both techniques.

How to practice:

  • Lay on your back and focusing on using your belly breathing, count out your footfalls in your head.  If a constant inhale/exhale for 2 or 3 foot strikes is difficult, try breaking up each inhale/exhale into shorter bursts for the duration of the foot strikes (in-in, out-out, or in-in-in, out-out-out).
  • Once you feel comfortable with one pattern, repeat this while walking, mirroring the pattern to coincide with your foot strikes.
  • Once you have the walking down, time to progress to jogging and then to running with the pattern you chose.  
Through all of this, do not hesitate or be afraid to tweak the pattern you chose or try other patterns.  Again, I have found that in my experience, so much of what you do and what works for you will be different from others.  The ultimate goal with breathing techniques is to take in as much oxygen as you can and to do so at a slower, controlled rate, thereby supplying your muscles with all the fuel needed to sustain an effective, happy running experience.  Run on!

Helpful links:


Saturday, June 22, 2013

Three Weeks Post-op!

So Thursday was 3 weeks post-op and I had my third PT appointment with Charlie.  He was happy with my progress and threw me onto the bike right away and had me cycling for about 10 minutes, which felt great...no issues getting the pedal around at all.  Charlie definitely increased the ROM on the movements he performed on me and also included some resistance bands this week.  There was some tenderness on the anterior portion of the hip socket at certain positions, but it just felt like a tough stretch on a pulled muscle, nothing more.  He did not add anymore exercises to my daily routines as he knew that I had a follow-up appointment with my doctor's PA, Kyle, on Friday morning.  Other than that, we chatted about the upcoming Hawkeye football season and a possibility of getting a group together to head back to good ol' Iowa to do RAGBRAI some year once I am fully recovered.  Just another thing to add to my "bucket list", although this one is not so intense and therefore pretty likely.

Friday brought my second follow up at the CORE Institute, this time though it was with the PA Kyle.  I would say that he seemed very encouraged by my progress so far.  Below are some points that were addressed:

Good:
  • I can start going up and down the stairs to our third level and thus, finally sleep in my own bed!  He just cautioned on the importance of not putting too much pressure on that leg still.
  • I have not lost any muscle mass/tone in that leg according to what he could tell, and was very happy with that.
  • He agreed with my PT that swimming and stationary cycling with minimal resistance will be my best friend over the next few weeks and had no worries with my level of activity pertaining to those two exercises.
  • He felt I should have no restrictions or concerns for our vacation back to the midwest coming up, and in fact should be fully able to cycle on the roads by that point, thus continuing my recovery full force while "back home".
  • I'm driving again!  Well, for short distances anyways...basically long enough to get me to swim practice at a 25m pool.  Only concern is just being in the exaggerated sitting position for a period of time and the discomfort that would come with that.  But at least I won't have to rely on others to get me and the kids to swim practice now.  Plus, I won't mentally have to deal with the feeling of total confinement, which is a relief!
Not good, but not bad either:
  • We weren't able to lock down a date or even a week for surgery on the other hip...was really hoping to narrow it down so we could start planning around it.
  • Weightbearing has grinded to a screeching halt.  Due to the extensive amount of bone removed and the microfracture procedure performed on both the femur and acetabulum, there apparently is still a fair concern of a fracture...so I am highly limited to the amount of weight I can put on that leg until 6 weeks post-op.  Normally, according to what I have seen, once you begin to put weight on the affected leg, you can increase it by 20% each week, so long as there are no pains, complications, etc.  In my case, however, I have to stay at 15-20%, which is a bit of a bummer, but a fracture would be disastrous...so I will have to just deal with it.  But after 6 weeks it will go to 80% and then 100% by week 8, so things will progress quickly then.
All in all, a good couple of days...I can feel progress being made, which helps with staying focused and determined.

Wednesday, June 19, 2013

Days 18 & 19

I am finding myself to have more energy everyday, and I am sleeping better every night.  It was just me and the kids on Monday and Tuesday as Sara was at work.  They do an awesome job of helping me out and making sure I have what I need where I need it.  We spent a lot of time in the pool and I was able to get a lot of laps in swimming.  I have to be careful of the kicking still as I do feel a little soreness if my kicking motion is too exaggerated.  Luckily, I have never been much of a kicker while swimming freestyle and tend to use my arms mostly so this was not a huge adjustment.  I am looking forward to getting in a full-size pool to swim some true laps, but this will have to do for now.  I also was able to get another core strengthening workout in doing push-ups, planks, crunches and pull-ups.  I am looking forward to using the trainer with my bike to get some cycling in starting Wednesday.  Basically my gameplan is to cycle and swim everyday if possible, and to do my core workout 3-4 times a week.  I feel better after getting workouts in, both physically and mentally.  Plus, I need to make sure I am as strong as possible going into the second surgery.

I was able to get to my kids' cross country practice on Tuesday night, put on by The City of Peoria and coached by my friend Nathan of Tortoise and Hare Sports.  It motivates me to get back to full strength and run with them again and help out at events like this.  I can't believe how driven they are all the while sporting a smile and enjoying the sport.  It reminds me of what running is all about, being a kid again.  Just you and your shoes, out enjoying your surroundings.  I truly believe it is the purest of all sports.

Tips:
  • Slow and easy -I find myself trying to move around more quickly than I probably should on the crutches.  As you begin to feel better and stronger, you have a tendency to try to "keep up" or at least not slow others down, at least I have.  The problem with this is that you sacrifice proper contact and alignment of the crutches.  Over the past few days I have found myself landing off balance or with too much momentum, forcing myself onto the recovering leg and putting way too much pressure, if not 100% weight on it.  NOT GOOD...so keep it slow and easy, it is not worth the risk of hip fracture and totally undoing all the good that has been done so far.
  • Water is your friend -both as keeping you hydrated as well as being in it to work out.  Think about it, no impact, light resistance, and if you lose your balance, no fear of falling and causing other injuries...just fall over and float and regain balance.  You have no idea how grateful I am to have a pool to keep active in.

Day 17 -Happy Father's Day!

Happy Father's Day to any dad's checking in.  I had an awesome day with the kids.  My son got me a new pair of boardshorts as he knows my affinity for the pool and casual summer clothing.  My daughter made sure to keep me styling by getting me not one, but two new pairs of sunglasses, and was proud to point out that one pair were "Hawkeye" sunglasses due to being black and yellow.  My wife treated me to a great cigar which I enjoyed with a Jack and Coke poolside while the kids did some night swimming in the dark.  I was able to enjoy some down time on the couch watching the final round of the U.S. Open...poor Lefty.  All in all it was a good day, but I was exhausted by all the activity by the end of it.  Hope everyone enjoyed their Father's Day as much as I did.