Let’s Talk Recovery

As I’m patiently making way through this injury recovery what helps me is to approach it as I would a training block for a goal race. A healed bone and returning to running will be my “finish line”. I have to lay out my plan week by week. I need to listen to my body and make adjustments to the plan on the fly as needed. Most importantly, I need to prioritize rest, recovery and nutrition.

“Use Pain as Your Guide”
I despise this guideline. Pain is a 4 letter word. Using pain as a gauge is not very helpful and basically places me in a state of constant anxiety. Am I feeling pain or just discomfort? Is this feeling due to de-conditioning and then trying to use my right leg again? Is it just pulling and soreness from the muscles that had shut down and are now coming back to life? I don’t have a great track record when it comes to respecting pain. It’s very difficult to trust myself but I am trying…

I had a meltdown recently – the evening I first rode my bike outside. It felt great – no pain, not really any discomfort that I could tell. It left me feeling optimistic well beyond what I was expecting. Later that night as I got up to go to bed it hit me hard. I stood up and couldn’t walk properly – there was a lot of pain – it took me right back to where I was in May. I was lying in bed feeling stabbing pain and crying – not from the pain – from the feeling that I just fucked things up and would need to start all over. No. Freaking. Way. I told myself that in the morning I would get back on the crutches full time and figure out what to do next. Luckily when I awoke the next morning the pain was gone. I cautiously stepped out of bed and things felt back to “normal.” Phew. I really wanted to ride my bike again that day – the previous evening was the best I’ve felt mentally in 2 months. Instead I honored my recovery and erred on the side of yet another rest day. It shouldn’t be this hard, I know. I wish it were easier.

Progression
√ 90% crutches – non-weight bearing
√ crutch & touch – to slowly introduce minimal impact
√ upper body strength work while seated/core work
√ crutches outside of the house only
√ riding (w/o “pain”)
√ yoga without balance poses (w/o “pain”)
_ walking without crutches!!!
_ RUNNING!!!!!  🙂

I’m getting so close!!! My next MRI has been scheduled on August 14th and will be reviewed that day. Wish me luck…

Results
I had the following tested:
· CBC w/ auto differential
· Ferritin
· Comprehensive metabolic panel
· Magnesium
· Parathyroid hormone, intact with calcium
· TSH
· Alkaline phosphatase, bone specific
· Inorganic phosphorus
· Vitamin D – 25 hydroxy

The only level I was concerned about was Vitamin D as it was on the low side the last time I had fractures. Although there is always room for improvement (you will see how I’m achieving that below) it was at a safe level. I felt confident that everything else would be great but it’s always good to take a look. As expected, all of my levels were where they needed to be! (I’m not going to post everything but if anyone wants to see any of my results please let me know)

Next up was the bone density test. Although my T-Score puts me in the lower end of the normal range, I am still within that range and the Dr. is not concerned. The more important score is the Z-Score which compares my results to a person of the same gender and age as myself, and she was happy with this score.

With the results of these tests my physician confirmed that my fracture is most likely due to a combination of the following:
1) biomechanical issues (*I am fully to blame for slacking off in this area.)
2) long term damage from prolonged use of Depo Provera (*I have been off this, and all birth control for almost 9 years. Please DO NOT EVER use Depo.)
3) exercise/nutrition imbalance (*this is a big one that deserves way more attention but I will touch on it briefly.)

Nutrition
The first order of business was to add some weight. This is standard protocol when you have a stress fracture as your body needs to heal, and the best way to facilitate that is by providing it with abundance. Any hint of deprivation is stealing resources that your body can use to mend itself. I learned the importance of this after my last set of fractures 9 years ago and now anytime I am taking a break (or off-season) I make sure to put on a few pounds. It’s a healthy practice that everyone should incorporate.

Time for honesty – it’s not easy. I don’t feel comfortable putting on weight so while I am always willing to do so for my health I’m also anxious to take it back off (safely). When my physician said we couldn’t rule out “female athlete triad” my initial reaction was to defend myself and dismiss it because she doesn’t really know me. However I am seeing her for this exact reason – real talk and an understanding of female athletes. So I am not taking it lightly. My plan was to initially put on some weight while I heal, then slowly start to take it back off so that when I’m cleared to run again I will be back to my “comfortable” weight. My physician informed me this week that I need to continue focusing on weight. So I will.

I am achieving this by following the same nutrition guidelines I follow during training, just with slightly smaller portions. Since 2009 I have been following a “5 servings of healthy fat per day” rule and I continue to do that even though I am not training. Healthy fats are always my number 1 focus – avocado, nut butter, hemp hearts, seeds, nuts, coconut oil – are among my daily servings. Equally important for recovery is protein, as protein is called upon to rebuild bone. Again I’m eating the same things I would eat if I were training – tempeh, beans, lentils, pea protein powder – I am not cutting out any protein during my time off from training. The biggest change has come in allowing treats, because who doesn’t need some vegan ice cream when you’re feeling down? 🙂

Supplements
I am in great hands when it comes to receiving direction on what supplements I should take to ensure proper healing and am extremely grateful that Unived provides a lot of what I need to stay on top of my recovery. A company dedicated to athletes, run by athletes who devote so much time to researching and obtaining the highest quality ingredients. I consider myself very lucky to be a part of their family.

Morning
Blood Builder – I’ve been taking MegaFood’s Blood Builder since 2010. It’s my source of B12 while also providing a hefty dose of iron and folate.

Mid-Morning

Unived D-veg – each serving has 2500 I.U. of pure vitamin D3 derived from Lichen. D3 is a fat soluble vitamin, so it is mixed with coconut oil which aids in fast transport to the bloodstream and maximum absorption.

Afternoon
Unived Colox
Colox offers natural relief from joint pain and inflammation which is superior to and safer than OTC NSAIDs. It contains Boswellia serrata, Ashwagandha, and Curcuma longa extracts.
Curcumin – in addition to the Colox I am taking 500 mg of Curcumin C3 complex. Again this is a great anti-inflammatory which also helps increase the antioxidant capacity of the body and can even improve your mood! **Unived will be releasing its own highly bio-available Curcumin soon!
Cissus Quadrangularis –
clinically proven to accelerate fracture healing and reduce the recovery time.

Evening
Unived CalDVegI’ve been taking this daily prior to the stress fracture but a supplement for enhancing bone health is definitely a priority. CalDVeg is sourced from algae and also contains Vitamin D3, Vitamin K2, and magnesium which will enhance calcium absorption and utilization.
Unived Colox – dose 2 for the day
Magnesium –
I use a powdered magnesium fizz blend to assist with enhancing bone density through assimilating calcium absorption and activating Vitamin D. It’s also great for relieving anxiety and providing calm, which is why I like to drink it before bed.
Zinc –
zinc supplementation aids in callus formation, enhances bone protein production, and thus stimulates fracture healing.
Curcumin –
dose 2 for the day
Cissus –
dose 2 for the day Overall I’m feeling very optimistic about my results and progress, so now it’s just a matter of giving my bones optimal time to fully heal so I can come back even stronger!

Beyond this my focus is on relaxing – the biggest challenge of all – but it’s a good opportunity to spend quality time with family and friends, reflect on the mentality that broke me, set positive future goals, and most importantly be thankful for everything I have.

I hope everyone is having a great season of training and racing – run some stunning trail miles for me! 🙂

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#FridayFuel – Ultra Bites

This recipe features Unived Ultra Butter which has become a staple for me before races and big training days. Ultra Butter contains peanuts, cashews, virgin coconut oil, dried coconut, pea protein, dates, himalayan pink salt, cocoa powder, and vanilla flavor. It tastes great on its own and comes in handy packaging so that you can eat it on the run. I’ve also been enjoying it in my oatmeal, as a waffle topping, and with my apples 🙂

Ultra Bites

  • Servings: ~15 balls
  • Difficulty: easy
  • Print


Ingredients

  • 1 cup pitted dates, soaked for 10 minutes & drained
  • 1 packet of Unived Ultra Butter
  • ¼ cup vegan chocolate chips (or sub any add-ins like dried fruit)
  • 1 Tbsp chia seeds (or sub flax or hemp seeds)
  • 2/3 cup gluten free rolled oats

Directions

  1. After dates have been soaked and drained, pulse in a food processor until combined in a dough-like consistency.
  2. Add the remaining ingredients & pulse until combined. You want them to be chunky, so don’t overprocess.
  3. Scoop mix and roll into balls of desired size. Should yield ~ 15.
  4. Allow to chill in the fridge for at least 15 minutes. Store them there as well.

10 Loops around Caumsett Park

I stepped out of my car at Caumsett Park in Lloyd Harbor, Long Island. It was windier and colder than I was anticipating. No sign of the sun. 3 older GLIRC men were walking behind me towards the bathrooms. In a NY accent one of them said “a friend told me this course was flat, there would be no wind, and there would be cheerleaders on the course.” We all had a good laugh.

I felt pretty calm and relaxed at the start line. I didn’t know what to expect from myself today. It’s always hard for me to gauge at this time of the year. Winter has been rough, volume has been low, speed work even less existent. But overall I felt pretty good and was looking forward to testing my fitness. I had a fairly loose goal but basically just wanted to run strong and smart.

The first 3 of the 10 5k loops clicked off quickly and I felt amazing. I was running smooth and relaxed – it felt effortless. I felt in control. All 3 were sub-21 minute 5k’s – right where I wanted to be. The next 4 also felt good. They were all sub-22. I said to myself “I feel like I could run this pace all day!” That was a good feeling to have. At the end of loop 3 the winds intensified making certain sections of each loop challenging. Those winds were there to stay.

It was a very lonely race. From the start I never had anyone to run with. On a looped course with 2 races taking place there wasn’t a shortage of runners, but it was always a very brief exchange of pleasantries before I was back to my own thoughts. I had a lead cyclist the entire race but there was never any conversation between us. He kept a good distance. I admired his Cervelo P3 from afar. The constant sound of his Zipp freewheel and carbon brakes were soothing to a lover of bikes. That’s what I remember most – hearing that all day long. There were times I wanted to apologize to him for going so slow. There were times I wanted to tell him he didn’t have to ride the out-and-back section with me which was always quite congested. At one point early on I was going to ask if he wanted to play some music for us to enjoy. I was focused on how boring this must be for him. We traveled those 10 loops in silence. Once he said “you’re doing great” after he caught up to me following a quick break. Another time he slowed to talk to a runner he knew and as I was passing them both he told his friend “you’re being lapped by the lead female.” At the start of loop 9 he turned around to ask which loop we were on. That was the extent of our interactions. Thank you Mr. Lead Cyclist for being my quiet companion throughout the race 🙂

Loop 8 is where I started working harder. I still had a glimmer of hope that I could hold my pace but I knew it was going to get tough. The wheels were starting to come off. My legs were suddenly getting very tight. I was amazed at how they could go from feeling good to rotten so quickly. At the out-and-back section of each loop I would see the 2nd place female Gabrielle Russo. While my gap was ever-so-slightly building throughout the race, it was now starting to shrink. Heading out onto loop 9 I convinced myself to make it to that marathon mat, and then I only had a loop and a half to go. Two years ago I wanted to hit the mat for a sub-3 marathon. It didn’t happen. This time I wasn’t concerned about my marathon time – I just wanted to hold my pace and my position. But I thought that hitting that marathon mark would give me that “home stretch” feeling and maybe my legs would come around. That didn’t happen. My mental game was no match for my failing legs. I felt like either of my hamstrings would snap at any time. Finishing the 9th loop Gabby had really made up some ground on me. This was the moment when I knew I was going to be passed. I know it’s a terrible thing to allow defeat into your mind, but I was being a realist. Unless she suddenly blew up, which she showed zero signs of, my day was numbered. My legs were done racing.

I completed that 9th loop and the race organizers who had been so energetic and positive calling out my loop each time through were now even more excited as they yelled out “last loop – you got this!” But I knew I didn’t and it was eating me up inside. I responded “she’s right there – she’s going to catch me!” What’s worse than admitting defeat to yourself? Admitting it out loud. They responded with “well then make her work for it. Make it exciting!” They were right. I owed it to them, and to myself, to push until the very end. It’s not like I wasn’t going to anyway, but hearing that was what I needed. I hit mile 1 of the loop, no Gabby. Mile 2, still no Gabby. Where was she? My legs felt like they had knives in them and I just wanted to ease up, but I wasn’t going to stop pushing until she caught me. I couldn’t. I didn’t want to look back. Finally I heard her coming up behind me and I gave her major props as she flew by me like I was standing still with 1 mile to go. That last mile was the longest of the race – not just because it was my slowest 😉 Even when it means getting passed I always admire witnessing a strong finishing kick like Gabby’s – kudos to her!

I finished with a slight PR over my time on this course 2 years ago. Overall I was happy with my effort – just disappointed that my legs didn’t have the miles to deliver. Some of the highlights of the race: fellow Syracuse runner Chris Raulli also ran a strong race and earned 2nd Overall Male. Friends Stephen and Tiffany England raced the 25k and each won their race! It was great to see them out on the course.

This was my first time racing using Unived’s RRUNN line of sports products and they were great! Pre-race I used the Watermelon Energy Mix which offers a blend of high-glycemic & low-glycemic carbohydrates for instant and sustained energy. Post-race I used my favorite Coco Vanilla Recovery Mix. All kinds of good stuff in here for recovery – check it out. And that flavor… 🙂

During the race I fueled with RRUNN Salted Caramel and Mandarin Orange Endurance Gels. I’m loving them! These super-thin gels are so easy to get down, I really enjoy the subtle flavors, and they provide just the kick I need when I need it. I’m excited to add them to my race fueling plan this year.

I was pumped that the new Altra Solstice arrived just a few days before the race. I had one 3.5 mile run in them and immediately knew they were the shoe for this race. I was right! (also worth noting that Tiffany England won the 25k in the Solstice)

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Next up…trail time! I’m hoping this new snowfall doesn’t plan to stick around too long because I’ve been itching to spend less time on the roads and more time pounding dirt and rocks!

Finishing Time – 3:37:35
2nd Overall Female
1st Overall Female Master