Perfect Carma

"Your backpack's got naked people on it!"

Someone from my party at the Run Wild for a Child race has called me out for something that I realized this morning. The backpack that I received for running the 2008 Napa Marathon has a bottle of wine with a coed couple streaking on the label. The backpack was the right size for today's race, and it elicits a string of comments about stripping, going green by going nude, and Bay to Breakers.

We stay fully clothed, but reluctantly peel off our long outerwear in the brisk morning air. The weather is beautiful but enjoyed better with more layers. With 25 miles to be run between the five of us, shoulders, arms and legs are exposed twenty minutes before race time.

Suzette Smith (at left) drove the group of us, which includes her son Tim, Jane Watson (second from right), Debra Cramer (on the right) and myself. We carpooled in Suzette's Prius, which must give our fivesome one of the smallest carbon footprints at the race. Thanks to Suzette I was able to enjoy what I consider one of the most spectacular entrances to any city, the westbound Bay Bridge emerging from the Treasure Island Tunnel. I've made this commute daily for 10 years. I tried to include a clip of it here, but the video file was too large.

The girls run the 10K and the guys the 5K. This is a tough field, and I finished fifth last year when I was in better shape. I would have placed in last year's 5K, and given that I haven't run anything longer in four months, I decide not to torture myself. Tim has run once in the previous three weeks, so he's not going to exert himself either.

I start fast and pass two Impalas whom I planned to pace against. As with most 5Ks there's not much to talk about. Fatigue hits about halfway through the race and one of the Impalas, Liz Gottlieb (F334), passes me and wins the women's race in 18:05. I finish in 18:30, 17 seconds slower than at the Primo's 5K in October, but good enough for third in my age group. I never seem to run well in Golden Gate Park, which is a shame since it's such a great setting.

The course may be a bit more difficult here, and last year's 10K was only six seconds better when adjusting for the distance. My knee and foot held up better than in any race since the Run to the Lake in July, and I ran the first mile only five seconds slower than normal. My main problem is that I am a bit out of shape, and can't sustain a max effort over much more than a mile.

My brother Martin greets me at the finish line. His wife Kathy is running the 5K as well. The last time I saw Kathy was at the St. Michael's Day Dash in St. Louis on September 27. This time Kathy has different attire, as she's dressed as a Lego block for the costume contest.

The women in our group clean up in the 1oK. Jane (F45) takes third in her age group in 43:56, Suzette (F54) is second in 46:21 and Debra (F52) is right behind Suzette in third. The medal winners all had pretty similar performances when adjusting for age and gender. Suzette's run ranked 76% (of the world record) in the age-grade scale, and the other three of us were within 3% percent of her. We're pictured below with our medals. Tim, the glue that holds us together, is right in the middle.

My medal was the 13th of the year, a new high. It was also the 50th since I resumed running in 2004. The big winner was Kathy. She won two nights at a swanky hotel for finishing fourth, first among individual competitors, in the costume contest.

Great weather, friends and family, great place for a race, and tons of fun. Perfect carma.

Learning to Run

Physical therapy, that was the answer. Rest, orthotics, swimming, stationary cycling, wearing a sock that pulled my toes toward my ankle while I slept, acupuncture and consultation with an orthopedic specialist didn't work. Physical therapy has been very effective. The other methods have their strenths, and I would suggest that anyone with an injury pursue any of these methods to see what's effective. Cycling and to a lesser extent swimming helped maintain a floor of running fitness. Acupuncture brought the most immediate relief, but didn't sustain. My podiatrist and orthopedic specialist recommended physical therapy, so their suggestion proved correct.

My first visit was not unlike those with other medical professionals. I described my symptoms, which the practitioner found puzzling, and then I was given a hypothesis. In my case my physical therapist Imee said the muscles in my legs were too tight and she observed that when I walked my foot didn't rest on my heel as much as with most people. She suggested that I focus on landing on my heel, advice that I have not followed, at least consciously. I figure I know how to walk.

A lot of research indicates that stretching brings no health or performance benefits, although there is not a consensus on the topic. I followed the practice of avoiding stretching for more than five years, and felt that soreness and tightness in my legs indicated that I was working hard and getting fit. Assuming that tight muscles equaled strong muscles, I only stretched after really lng runs when I made time for it, or before some races.

Other than changing my walking gait, I strictly follow everything Imie says. I'm a very good patient, and motivated to get better. She prescribed some stretching exercises at first and said that I should not expect to run for five weeks. My second visit she massaged the back of my right knee. She was looking for the source of my pain, and she found more pain than I could by myself. This ordeal feels like nails in the soft tissue below the knee. The shoots of pain caused me to break out in sweat, a response that she still triggers whenever she tells me to lie on my stomach.

On my second visit Imee prescribed strength training, including leg lifts and clamshells, both while lying on my side, and leg presses and hamstring curls at the gym. My third visit was an epiphany. Imee observed me running on a treadmill. It was my first run in several weeks, and I really enjoyed it. More importantly, I ran two miles with no pain. Imee discovered that I was not following through on my right leg. I was speeding through the right side, almost like running on a crutch. She also noted that I seemed stiff as opposed to fluid, and that my back kick was abbreviated on both legs.

The session went so well that she said I could run five miles at a time. She said I should focus on her observations. Even better she said that I could skip my next semiweekly sessions with her. That week I ran three five-mile sessions 100% pain free. The next week was three six milers.

I reported back to Imee at my next visit. It was amazing to not expect pain while running. I do have some residual sensations of injury in the knee, so I know I have to ease back into my routine. Imee said my plan to increase mileage about three miles a week seems reasonable, but to back off if it hurts. She gave me another break from visits, and I'll see her the week after next. That will give me a respite from breaking into a cold sweat.

I have to give credit to my colleague Anne Selting for suggesting Physiotherapy Associates, where I get my treatment. They are very close to the office, which eliminates the biggest obstacle to my frequent visits for therapy.