Keep Asking Until You Get the Right Answer
Saturday, March 28th, 2009Monday: I literally couldn’t walk after my run – about 12.5 miles, including two long hills (one up, one down) and a short stretch of trail. My outer left ankle was throbbing and sharp pains radiated from my ankle around the bottom of my foot and up my leg every time I took a step, well, hobbled as I tried to put weight on that foot. Not good, to say the least.
No stranger to pulled muscles and sprained ankles, I sat down (Rest), and iced my ankle (Ice), wrapped my ankle (Compression), and kept it up on a chair or ottoman as much as I could (Elevation). The acronym for “Rest, Ice, Compression, Elevation” is RICE, in reference to the the standard care for a sprained ankle: RICE Guide. It felt better, but I couldn’t quite walk.
Tuesday: I stayed off my ankle as much as I could, and spent way too much time online trying to diagnose my injury and establish a plan for getting back on the road. After all, I have a race in less than two months!
My research suggested that: a) I probably had a sprained ankle, even though I couldn’t actually remember twisting it AT ALL during my run; b) if it wasn’t sprained, it could be tendonitis; and c) it could take a while (a couple of weeks – 18 months!) to heel, relying on standard medical practice. This was not what I wanted to hear.
Wednesday: I was feeling better; in fact, the more I moved my ankle, the less pain I experienced! So I decided to assume that it was (b) tendonitis, which does take a long time to heel; however, the worst I could do by running with tendonitis would be to create a chronic condition. Hmm…I ran. Just a slow 3 miles. The first mile was uncomfortable, but then I felt more or less fine. Until I stopped. The pain was much, much worse than on Monday. Yeah, I blew it.
Thursday: I talked to my primary care physician, who recommended RICE and asked me to come in on Friday. Then I called a chiropractor my sister strongly recommended (Orange Hills Chiropractic), but couldn’t get in until Friday. So I tried my acupuncturist. She helped me with migraines and asthma while I was pregnant and nursing and couldn’t rely on “big guns” drugs, so I was very hopeful.
She put a few needles in my ankle and hooked me up to this electrical stimulator and I rested for just about an hour. When I got up, I could walk!! She did tell me that I’d have to come back a couple of times a week for treatment until the joint was heeled completely and the pain was gone permanently. Standing firmly on both feet for the first time in three days, and reluctant to commit to ongoing treatments at $60 each, I said, “I’ll see.”
Friday: I went to the doctor. She didn’t even touch my ankle, just noted that it didn’t seem swollen and there was no bruising. She suggested I stop running for a couple of weeks and try swimming instead. Not the answer I was looking for.
So I went ahead with my chiropractor appointment. He palpitated, twisted, and in all ways manipulated my ankle, ultimately confirming it was a “classic” sprained ankle. He also explained that it’s very likely that I didn’t experience any distinct “trauma,” but rather “rolled” over my ankle in the course of my run without even realizing it. He confirmed that it likely would feel better when moved, if I could bear the initial pain. While he confirm that RICE is the standard remedy and WOULD work, in time (Rapid Recovery for Sprained Ankle), he explained that a really painful deep tissue massage (Deep Tissue Massage for Sprained Ankle)would have me back on the road in a couple of days. Now, THAT’S the kind of response I was looking for.
Make no mistake, it – the massage – really hurt! I was teary eyed. But I could walk! I could jump! In fact, I stopped at the rock-climbing gym later in the day to work with my kids a little bit, and climbed a couple of routes; rather than top out, or climb over the top of the rock at the end, I climbed back down, let go, and “jumped” down onto the mat PAIN FREE. I did sit with my foot up and ankle iced while I watched “Twilight” last night, just to control any swelling associated with the massage and exercise, but that’s it.
Saturday: My ankle is a little sore. Actually, it’s the outer edge of my foot. Regardless, I got out of bed and was downstairs before I felt anything or gave my ankle a thought. My long run is usually on Sundays, with a shorter “warm up” run the day before. I’m going to give it a shot now.


