Jodi's Running Blog

Gotta keep going…

Pubic ramus stress fracture update – nearly two years later191

Posted by jodi in Injuries (Wednesday February 27, 2008 at 11:17 pm)

In the late spring of 2006, I posted this entry to my blog after sustaining a stress fracture of my left pubic ramus in the process of marathon training. I am posting a follow-up entry now because I have been amazed at the number of emails I have received from some of you out there about this topic. I don’t mean I’ve gotten hundreds or anything, but probably about a dozen or so since I wrote about my own experience.

As you may have read in subsequent posts, I had a baby in July 2007, a little over one year after the fracture. I became pregnant about five months after the injury, and about one month after feeling that it had recovered. I had initially wondered if the pain from the fracture would return as the pregnancy progressed, but it never did. Even at the end of the third trimester, I never would have known the fracture existed – it was a non-issue.

Another question I receive with some frequency is what I did to get better. The answer: I removed myself from all exercise for three months. It was irritating, because at the time I was quite fit from training, but every time I would attempt to do anything even as low impact as using the Elliptical trainer, the pain was back within minutes. Riding a stationary bicycle doesn’t help, because it requires sitting on the affected area. I finally had to use crutches for several weeks to keep weight off of the left side because it just was not healing.

This does not seem to be as uncommon of an injury as I initially thought – now that I’m aware of it, I have met many people who have friends or acquaintances who have had the same injury. I have not yet met a man with the injury – it really seems to hit women.

I have not run a marathon since the injury, but this is more for reasons of time and motivation than anything. I think I will wait until after I am finished having children and they are all done breastfeeding before attempting another one. 🙂

I think that’s all I have to write for now about this. Please feel free to email me if you have further questions.

Another Stress Fracture Update0

Posted by jodi in Injuries,Portland Marathon Training 2006,Ramblings on Running (Wednesday September 27, 2006 at 9:21 pm)

I am appalled that I have not posted to this blog since July – the pubic ramus stress fracture has taken me out of commission, and I think my interest in running plummeted as a result. I spent much of August growing more depressed until mid-September, when Evan invited me to ride my bicycle to Ballard with him (a 19 mile roundtrip ride). It was the first real exercise I’ve had since training for the marathon last spring – and it felt terrific. I could feel my spirit rekindle just challenging my muscles and increasing my heart rate. Cardiac output is a wonderful thing.

The stress fracture is much better – I can ride my mountain bike without pain, and can even walk around in heels now without feeling it. Yesterday, as I was getting out of my car at 3:30AM after having been at the hospital during the night, I could feel a slight throbbing in that location, but it’s the first I’ve experienced in several weeks. With this in mind, Evan and I are going to attempt the Salmon Days Rotary Run 5k in Issaquah on October 8th – going at a slow speed, walking part of the way, and just seeing how things go. I had a terrific 10k experience during this race last year and look forward to returning, albeit at a much slower pace.

As for the Portland Marathon – well, I still have vacation that would enable me to participate, but I will be a spectator for this one. Evan and I are meeting Josh in Portland on September 30 and will cheer the runners on! I’m sure we will find time for good food, maybe some wine, and a short run of our own.

I am encouraged by speaking with my current neurology attending today. He and his wife participate in triathlons (and from what I can gather, they are both quite impressive athletes). After singing her praises, he was relaying to us that she is currently injured. Later in the conversation he mentioned a past injury of hers. I suppose my feeling for the past few months was – maybe I’m prone to injury and shouldn’t be running distances. But it seems injuries are par for the course when sports are a passion.

Jodi has a stress fracture6

Posted by jodi in Injuries,Ramblings on Running (Thursday July 6, 2006 at 6:45 am)

I have never had a fracture of any sort in my entire life, but yesterday when I finally got in to see a sports medicine doctor about my groin/hip/hamstring? pain, I got the bad news. Recap: while running on the treadmill on June 8th, I was gradually hit with worsening left groin pain. A few hours later, it felt more like medial hamstring pain. Ice and heat did not help, and NSAIDs only minimally. Once the inflammation settled a bit over the next few days, it felt more like bony pain, and this time in the groin/gluteal region. I was having difficulty pinpointing exactly which muscle could be causing this, and then I became worried that there was something wrong with a bone.

Here is an image of the pubic rami with a box outlining these structures – they are the rings at the base of the pelvis.

Pubic ramus

An x-ray confirmed a stress fracture in the left pubic ramus, not the most common site for a runner (unlike the foot or tibia), but seen from time to time. So the bad news is, not only can I not run for a while, but I have to minimize weight bearing, and given its location, I cannot use the elliptical trainer nor exercise with a bicycle either. It looks like it may be time to get that pool membership…

Horrible week for training2

Posted by jodi in Injuries,Portland Marathon Training 2006 (Tuesday June 13, 2006 at 9:02 pm)

Sorry to be so negative in my title, folks, but it has been a downer of a week for training. Please refer to my previous post for a clue as to why I might feel this way.

In brief – the hamstring was injured on 6/8/06, last Thursday. The following day I was sent home from an on-call night at work because the pain was so severe I was having difficulty walking. Saturday was not much better. On Sunday, Evan was to run the Furry 5k at Seward Park in Seattle. I was actually able to park the car and walk five blocks to the event. However, this did not work out so well either – not only was Evan’s asthma acting up around thousands of dogs, but the last registration bib number was given to the person in line in front of him, so the registration person gave him a “sorry” with a shrug.

So far this week, I’m better able to walk and climb stairs, but it still hurts like crazy to lift my leg into the air in order to put a sock on. I spoke with a physical therapist at work who was kind enough to show me some stretches and exercises to assist with healing. Unfortunately, she told me these injuries can take – get this – MONTHS to heal. I absolutely refuse to believe this injury will require that much rest. An injury kept me from the London Marathon in 2005, and this time I was so much more careful, built mileage very gradually, and yes, I included speed work, but was not doing anything extreme the morning of this latest injury. I’m on call again tomorrow night and post-call on 6/15. The following day I am going to try getting on the elliptical trainer to see if I can tolerate it. If it reproduces the pain, then the next step is to obtain a membership at a facility with a swimming pool to maintain my fitness level until the muscle heals. If you have any other suggestions, feel free to send them this way.

Anyway, my brief week in review for the running I was able to do – ran a total of about 15 miles prior to the injury.

I suppose the bright side is that the marathon is not until October 1st. This is currently Week #9 of 24 in training, and while this is definitely a set-back, I believe there is still time to prepare for race day. I will likely cut out the speed workouts in favor of just getting the mileage under the belt. I’ll keep you posted.

That Inevitable Training Injury…1

Posted by jodi in Injuries (Friday June 9, 2006 at 6:19 pm)

Yes, ladies and gentlemen, we have our first marathon training injury for this training cycle! Yesterday, during a steady run on a treadmill, I threw in a couple of fartlek sprints. I felt fine, but when I went to mark my split time for the completion of the fourth mile, I thought I felt some pain in my groin. By 4.5 miles it was a terribly persistent, 6/10 pain and had generalized more to the back of my leg. I stopped prematurely (was supposed to run 5 miles, but didn’t feel it was worth pushing the extra half of a mile), stretched without relief, and went home. I sat on a bag of ice and took ibuprofen, but still no relief. I went to work, had a difficult time with walking, stair climbing, etc, came home early, pretty much sat on ice on and off throughout the day, continued with the NSAIDs, and still no relief.

Today I am supposed to be on call, but (fortunately, I think) my chief resident sent me home and brought in a replacement as the pain had become excrutiating by mid-morning. So again, this is day 2 of NSAIDs and sitting on ice. The pain is even more localized now to the medial portion of the back of my leg and runs up in that same medial path to the insertion at the ischial spine. I have been reading about sports injuries on Injuredrunner.com and Emedicine, which have both been helpful with suggesting strengthening rehabilitation exercises. I was supposed to run a 5k this weekend, but I’m sitting it out until next week when I may try some gentle runs again. Fortunately, the Portland Marathon is still sixteen weeks away, and my level of fitness is good – I’m going to try to maintain that through the weekend on the elliptical. We’ll see how it goes.