Monday, February 7, 2011

Labral Tears: A year later

I had someone email me the other day asking where I am at now almost one year later... so I though that I would give a quick synopsis and update on how Zane has helped me get back on my feet and running. My first MRI showing a labral tear on the right hip was in November 2009. This MRI showed that it was due to the way the bone was structured (FSA) coupled with poor running technique. In February I started having significant problems with the left hip . No amount of ART could fix it. I had a second MRA completed in March. At the same time as the MRA I had a cortisone injection. The results showed an extensive tear on the left hip. The MRA did not show FSA. The cortisone shot finally allowed my hip to stop freaking out to protect it. I was told at that time to not expect to be able to run that season let alone race.

After two consultations with Surgeon I opted to not undergo surgery. The outcome is not guaranteed. The only guarantee was that I would be out for at least 6 months. I was encouraged to learn how to manage the labral tears if possible. Zane started the process 5 minutes at a time to have me relearn how to run. He also incorporated a lot of core work to solidify my hip movement. I also had to really work on my flexibility in my hip flexors.

It has taken me a full year of complete diligence to say that I have completely changed my running form. I honestly wouldn't know how to run like I used to anymore. I am absolutely a forefoot/midfoot striker at this point. I have increased my turnover and am leaning forward more. Zane reminds me that I have not got it perfect especially when I start to get tired but I don't collapse in the core nearly as much. I do think about it though on every run.

The other key to my success in 'managing' labral tears is the work I get done by Kevin Trybalski, my massage therapist. I notice it tremendously if I miss one week of massage therapy and don't having my gluts worked on. I really can't do without. While I was in Canada I missed Kevin tremendously as did my body. Due to very bad weather I missed 3 weeks of massage therapy (that is some bad luck). My body is still trying to recover from some issues I developed - plantar. Again if Kevin is not on it then I start to fall apart...

So a little luck to have a coach who just knew I could do better, an incredible team at Advanced Rehab to rehabilitate me, core work, a whole lot of Kevin and complete diligence on my part to run with good form and I am still going. This year we will see the results of actually being able to run in the base period of my training. Thus far though it is looking really good, really really good.

On another note - back is better and I am up and running again. Thank goodness.

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