Pumping Irony

Craig Cox, EL’s managing editor and resident geezer, explores the joys and challenges of aging well.

Recently in Leg injuries Category

Experience Life Magazine

My Achilles Heel

When I decided to get back on the basketball court a few weeks ago, my main concerns involved sprained ankles, blown-out knees, dislocated fingers and minor heart attacks. I had no idea that my Achilles tendons would capture so much of my attention.

Out on the court the last three Mondays, these tendons — which run from the heel behind the ankles up to the calves — have just been killing me. It doesn’t affect my ability to run and jump (such as it is), but any running and jumping is accompanied by a sharp pain just above my heels. And the pain lingers for three or four days afterwards.

It’s not the kind of pain that demands a trip to the ER or anything. I’m pretty accustomed to the delayed-onset muscle soreness that comes with strenuous exercise. But, I gotta say I’m a little worried about pushing it. I’ve heard about people rupturing their Achilles tendon, and it doesn’t sound like a pleasant experience: The tendon basically detaches from your heel and rolls up the back of your leg like a cheap window shade and leaves you writhing on the floor in what I assume to be great agony.

So, I’ve been doing a little homework on this condition in hopes that I can avoid that result, and what I’ve discovered is not particularly surprising: Tight calf muscles can lead to a tight Achilles tendon, which can lead to Achilles tendinosis, which is apparently what I’m suffering from. The remedy is relatively painless, though: a little rest, while stretching and strengthening the calf muscles. The experts here suggest taking a week off between bouts of tendon-challenging exercise — an easy remedy, given that I’m only playing hoops once a week — while stretching your calves for 20 minutes each day and doing some regular calf raises to shore up the muscles in there.

A little massage is not a bad thing, either. I don’t have a foam roller at home, so I grabbed the rolling pin from the kitchen this afternoon, eliciting a quizzical look from My Lovely Wife, who does all the baking around here. “That’s no way to get the cat off your desk,” she said.

“It’s for my calves,” I explained. That took a little while to sink in. I laid the wooden cylinder on the rug in our office and was just about to roll it up and down along my expectant calves, when I heard her say, “I use that on food, you know!”

I promised to wash the dog fur and whatever else it might pick up from my massage experiment and spent the next several minutes trying to iron out the kinks. I can’t say I could tell if it made any difference.

Massage is kind of like stretching, in that I’ve never aspired to master either discipline, but I’m thinking now that I’m going to have to start taking these maintenance techniques more seriously. My weekly yoga session is certainly helping on the stretching front, but I’m a real neophyte about this stuff. It’s never really been necessary.

I’m not that bright, but I’m beginning to figure out that aging is all about bumping up against the limitations of your body and mind. And each of us gets to decide on these occasions whether we’re going to give in or push through. Going for it usually means we’ve got to learn something new or do something that’s never been part of our repertoire — without knowing whether any of it will work to our advantage. So, I guess I’ll learn how to stretch these grumpy old calves and see if that doesn’t make my Achilles tendons happier.

The other option, after all, is to put away the basketball. And I’m not quite ready for that.

Experience Life Magazine

Knee-Jerk Reaction







My knee has been
killing me lately — a result, I’m guessing, of packing and schlepping a
houseful of stuff from our former abode to our current home, a project that has
occupied me and my family since my last dispatch more than two months ago. That
and ripping carpeting, demolishing (with some regret) a basement full of knotty
pine paneling, painting walls, etcetera, etcetera. I’ve been staying away from
the gym, until recently, as well, since all of this packing and schlepping and
ripping and painting adds up to some pretty brutal workouts (thus the knee
problem). My Lovely Wife mentioned the other day that she’s lost more than 10
pounds since we embarked on this latest chapter (AKA “The Last Move”) in our
lives. That works out to about $20,000 a pound, based on the cost of our new
pad, but, hey — whatever works, right?

 

Anyway, my left
knee — the one that hasn’t been surgically repaired — has been swollen and
stiff for quite some time. I think I’ve mentioned the whole “baker’s cyst”
trouble I’ve had with this joint (it’s a form of bursitis, I think, though I’ve
never had it examined — see earlier post). It’s just more of the same, but it’s
lingering in a way that’s become annoying. I can’t play tennis, for example;
indeed, the only form of recreation that actually works is bicycling, and even
that’s a bit iffy.

 

It’s been so
annoying that I’ve actually briefly considered seeing a doctor and maybe
getting the thing scoped — just cleaning out whatever’s floating around in
there and getting back onto the tennis court. For all its flaws, one thing
Western medicine does well is repair joints.

 

Or maybe not. I
read a piece in The New York Times
that called into question the wisdom of knee surgery. According to recent
research at Sweden‘s Lund University, physical therapy may be just as effective
as surgery in repairing a torn ACL.

 







Despite a widespread belief
that surgery leads to a stronger knee, the results showed that surgically
reconstructing the A.C.L. as soon as possible after the tear “was not superior”
to more conservative treatment, the study’s authors wrote. The findings
suggest, the authors concluded, that “more than half the A.C.L. reconstructions”
currently being conducted on injured knees “could be avoided without adversely
affecting outcomes.”

 

Talk about
getting your world view validated!

 

So, last week, I
told my acupuncturist about my problem, and she stuck some needles in the crook
of my right elbow as well as various other places, and I laid there on the
barcalounger for an hour while my left leg buzzed and tingled in an intriguing way.
When she pulled out the needles, the swelling had gone down noticeably. I was
astonished; she just nodded and smiled. I’ve read that acupuncture is
particularly effective against any sort of inflammation, but still…

 

I came home and
announced to MLW that I’d been cured, which was a slight exaggeration, but it
sure made any thoughts I might’ve had about going under the knife fade away.

 

(I should note
here that MLW is treating her chronic knee trouble — which is way more serious than anything I’ve had
to deal with — through a treatment program called Feldenkrais. Read more about
that here
.)

 

Buoyed by my
small needle-induced triumph, I returned to the gym last night and climbed on
one of the go-nowhere bikes and pedaled for a pretend 5 miles (about 20
minutes). Nothing too intense, mind you. Just a ride in the pretend park with
pretend scenery, the pretend wind at my back — it’s always at your back at the
gym; I like that part. No hills, either. Tires always inflated properly. Still
pretty boring, though. Then I lifted for another 30 minutes, just as a way to
get the endorphins flowing again, and left feeling pretty good. (Endorphins do
that.)

 

It’s a little
stiff today, but not bad. I’m beginning to think it’s actually on the mend. I’ll
get back to Dr. Needle in a couple weeks for another round of acupuncture intrigue, and
meanwhile continue trying to work out the kinks at the gym. I’ll keep you
posted.

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Experience Life Magazine

Taking It on the Shin







It’s definitely December
now (a balmy 24 degrees this morning), so I’ve parked my bicycle in the garage
for the next four months and will begin my day with a walking commute up the
street to the train station, across Hiawatha Avenue, through Minnehaha Park
(stopping to admire how the falls freeze from the bottom up), across the
Intercity Bridge and up the hill to the office. It’s a great way to begin and
end the day — so long as my knees hold out.

 

Actually, it’s
not my knees that concern me these days as much as my shins — or, to be more
specific, medial tibial stress syndrome. It’s a shooting pain just below my left
knee on the inside of my tibia. As the helpful people at athleticadvisor.com
put it, this is basically an overuse condition traced to things like “improper
footwear, muscle strength imbalance, muscle inflexibility or improper running
surface.” I’m guessing that it’s my lack of flexibility, as usual, that’s
causing the problem, because when I stretch out my left calf muscles, I can
really feel it.

 

Apparently,
what’s going on is some inflammation where the gastrocnemius, soleus and
tibialis muscles connect to the tibia. It’s not really debilitating — I played
basketball and tennis with it last week without any noticeable damage. But,
every once in a while, it flares up enough to get my attention.

 

The solution, of
course, is to stretch it out regularly and maybe work to strengthen those
aforementioned posterior and anterior leg muscles with some specific exercises
(any ideas?). Or I could back off a little on my weekly basketball game (I suck
anyway) and let it heal — not a bad option for the short-term, probably.

 

Meanwhile, I’ll
try to spend at least some time this week stretching it out. It can’t hurt,
right?

Experience Life Magazine

No Pain, No Gain?

OK, let’s see if I can do a little inventory of sore muscles this morning: lower back, check; both knees, check; right shoulder, check; quads, check; hammies, check; left ankle . . . . Maybe it would take less space if I listed the muscles that aren’t sore.

So, suck it up, right? Shake it off. Stop whining, etc. . . .

That’s what my tennis buddy, M.E., would say. And, a few years ago, I’d probably agree. But I’m not 18 anymore (actually the 40th anniversary of my 18th birthday is fast approaching), and an old guy has to be more careful.

I’m hobbling around today courtesy of a Sunday afternoon tennis match with M.E., who is not the kind of guy who lets a little pulled muscle get him down. In fact, midway through our third game yesterday, he pulled up lame, clutching his Achilles tendon, and I suggested we call it quits. No way, he said. (I happened to be leading two games to none at the time — which I’m sure had nothing to do with his decision to play through the pain.)  He hobbled through the rest of the set, which I won 6-2, and pleaded with me to go two out of three.

I declined, but agreed to return a few practice serves, which turned into more volleying, which he insisted was helping to loosen up his achilles tendon, which would allow him to play another set. I finally persuaded him to go home and ice it, which he did — insisting that he wasn’t going to miss another match at 3 p.m. with some other guys.

Guys are hardwired, it seems, to push themselves until they drop. We just tend to assume that our bodies will adapt and recover like they did when we were teens. It doesn’t work that way, and I have the aches and pains to prove it.

I don’t know how my tennis buddy’s feeling this morning, but something tells me he’ll be ready for a rematch on Wednesday.

Experience Life Magazine

Shake It Up?

Mar09_FF_Squat2.jpgThis is fun. Really.

Lots of fitness experts suggest that you “shake up” your workouts so they don’t get boring. Well, at my age it’s hard to get bored by anything. (You know, you wake up in the morning pleased by the fact that you woke up. . . .) I make it to the gym, that’s a triumph. I do 30 minutes on the EDM, I’m da man! I add 10 lbs. to the clapping hands machine and still manage to get my hands together — well, I’m feeling good.

But, I read a lot about various fitness regimens in my day job, and every so often I’m tempted to try something new. A few weeks ago, I actually printed out some stretching exercises, concealed them in the pocket of my workout pants and made a half-hearted effort to mimic the moves in a room full of people who were too polite to break out laughing. And then, on Friday, I committed a couple of exercises to memory and took that memory with me to the gym. I am still recovering.

Here’s the deal: I am a faithful cardio disciple and dutifully log my 25-30 minutes on the EDM two or three times a week. This, I had until recently convinced myself, is all the work I need to do to strengthen my hammies and quads and glutes and whatever other mysterious sinews lurk beneath my waist. But, recently I have come across new information. OK, not new, but persuasive. I should be doing squats and lunges.

Not only do these moves build stronger muscles and such in the thighs and butt, (and who doesn’t want a stronger butt??), but they strengthen the core. Or so I’ve read. And, in the spirit of shaking things up, I took my weak-butted self down into the free weights area of the gym for the first time. (This is where the seriously ripped guys hang out, lifting megatonnage and comparing tattoos.) There, I looked for the dumbbells (yeah, yeah: just look in the mirror. . . . very funny, haha) and found an inconspicuous space in the corner and set about the work of hurting myself.

A little context: I never do squats. Really. Never. My knees are shot.

So, of course I grab a 17.5 lbs. dumbbell and, holding it in front of my chest like the big strong guy in the exercise photo (I blame this EL story about the Goblet Squat), I squat — back straight (sort of) — 10 times. Hmmm. That wasn’t too bad. So, I grab a heavier weight (maybe 20 lbs.?) and do 10 more. OK, still too easy. Let’s try 22.5 lbs. That should do it. And . . . OH MY GAWD!!!!!

I feel something pop above my right knee, which tells me that, yes, this is probably the optimal weight to be using, and — being the dumbbell that I am — I finish another nine reps just to embed the pain into my psyche. Ugh.

Now, most rational people (I’m not including guys here) would put the 22.5 lbs. dumbbell back in the rack and hobble home, secure in the knowledge that they have inflected enough pain on their body for one evening. But, I’m not always that rational, so I picked up another 22.5 lbs. dumbbell and, holding one in each hand, did some lunges: right foot out (ouch!), left foot out (hmm), right foot out (ouch!), left foot out (hmm). You get the idea.

Later, I hobbled back up the stairs to where people like me lift weights on the machines and ran through the rest of my “shake-it-up” workout a bit more gingerly than usual. My Lovely Wife picked me up in the Crapmobile when I was finished and suggested that I take some homeopathic Arnica Montana to soothe my pain before revealing that we were presently out of stock.

Saturday morning, I awoke a bit stiffer than usual, but was relieved that my right knee was still functional. And later that evening, MLW and I spent an hour and a half tromping through  Theodore Wirth Park with a small group of owl enthusiasts, hoping to get a glimpse of these shy raptors. No luck, but the trek actually seemed to loosen things up a little. It felt pretty good.

Until this morning. Today, walking up stairs is like a death march. Thought about going to the gym . . . . Maybe tomorrow.

I will get back to the squats and lunges. Really. Just not right now.