Monday, January 14, 2019

knee fix

I'm in Colorado at the Steadman Clinic, US Olympic National Medical Center to get my meniscus repaired.  My exam with Dr. LaPrade went well, he answered all my questions.  I was extremely impressed with him and his team.  He seemed like a quiet genius, adeptly going through the images on my MRI, showing me the damage, telling me specifically how he was going to repair it.  He seemed very confident that my repair would allow me to pursue my athletic goals of returning to track training, possibly full scale by fall, and competing in the 2020 season.  Dr. said I'd be running by mid-late summer.  He seemed confident that a reinjury would be unlikely.

I initially was going to add PRP and stem cell therapy, but decided to not go with the stem cell therapy since Dr. LaPrade's own research indicated that it wasn't especially effective and would only contribute perhaps 3-5% toward healing.  I really didn't want to deal with a huge needle in my hip to extract bone marrow for the procedure.  PRP therapy yes.

This place is quite impressive.  The walls are covered with framed photos and jerseys of professional athletes including Tom Brady (NFL), Rob Gronkowski (NFL), Liu Xiang (110H WR holder '08), Yao Ming (NBA), Mario Lemieux (NHL), and many many more skiers, ballet dancers, mountain climbers, tennis players, wrestlers, etc... athletes of every kind.

The main 'therapy' for post op meniscus surgery is protection to allow for healing.  Logistically, this has been expensive and complicated... and I know that my trip back will be difficult, and painful.  (It's $817 to stay 3 nights in Vail).  I decided to stay an extra day so I can go back on Sat night and get an extra day of PT.  The trip back involves: driving 90 miles to rental car return, taking shuttle to airport, going on airport train to terminal, getting through security, to the gate, flying 3 hrs, getting through the terminal in Nashville to parking shuttle, shuttle to car, then driving 90m home.  Should be home by 2 or 2:30 am Sunday.  Doing all this with a backpack and crutches.  Can't be too doped up so I can drive.

Looking forward to being fixed, not the process so much.  However, I have 2 days here in beautiful Colorado with a nice SUV to enjoy some sightseeing.  Driving I-70 through the high country is spectacular.
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Wednesday, January 2, 2019

Masters Track Career Summary - through 2018

This is a first draft, a preliminary summary of my Masters Track career, (not including the season of 5k road races).   I've looked back through all my races and have come up with these totals:

247 total races 
114 track meets including 54 NCAA college meets

Event breakdown - races not including relays:

55m/60m - 18
100m - 21
200m - 87
400m - 82
800m - 2

I like stats, so I'll at some point expand this post with more info.

I think this would be double what an active college track athlete would do in a 4 year career.  Averaging over 8 years, this would be more than 14 meets a year. 

Season break down - races including relays

2009 - 1
2011 - 28
2012 - 41
2013 - 9
2014 - 47
2015 - 30
2016 - 40
2017 - 29
2018 - 22
Personal Bests  (M50 - M55)
400m - 55.11 (2015), 55.17 indoor 200m track (2017)
200m - 24.48 (2015), 24.65 indoor 200m track (2016)
100m - 12.17 (2012)
60m - 7.75 (2015)  / 55m - 7.25 (2015)



Wednesday, December 26, 2018

Meet list 2018 - season in review

My annual summary.  2018


- USATF National Indoor Silver Medal M55 400m 

- #1 Rank USA M55 indoor 400m - 57.02  (#6 in World)

- #3 Rank USA M55 outdoor 400m - 56.65 (#10 World)

- #5 Rank USA M55 outdoor 200m - 25.30

- World Championship M55 Team USA 4x100m relay, WMAC Malaga

Season PRs in Blue

--INDOOR--


1/13 - Nashville -  Commodore Invitational (flat 300m)
  • 400m - 57.02

1/28 - Birmingham Crossplex, KMS Invitational
  • 400m - 57.71

2/3 - NYC Armory - Millrose (200m banked Mondo)
  • 4 x 400m - 3:51.21  1st (57.7 split)

2/11 - Atlanta, Dunamis Meet
  • 400 - 59.03 (foot injury)
3/16-18 - USATF Masters Indoor Championships
  • 400m - 58.57 (Silver)
  • 200m - 26.36 (prelim)
  • 200m - 26.30 (4th - injury)

--OUTDOOR--


5/27 - Atlanta Relays 
  • 400m - 57.30
6/2 - Birmingham - SE Masters Championships 
  • 400m - 56.65
  • 200m - 25.30
6/9 - Rome, GA - USATF GA Assoc.
  • 400m - 56.82
  • 200m - 25.32
7/27-29 - Spokane, WA - USATF Masters Nationals
  • 400m - 57.50
  • 400m - 57.43
9/7-16 - Malaga, Spain WMAC World Masters 
  • 200m - 25.72
  • 200m - 25.70
  • 400m - 57.00
  • 400m - 57.54
  • 4 x 400m - 3:51.31 (Silver) 56.6 split
  • 4 x 100m - 47.40 (Gold) 11.40 split
9/30 - Nashville, district meet
  • 100m - 12.22 (h)
  • 200m - 25.62 (h)


Totals
11 meets
7 races indoor
13 races outdoor
22 - total races including relays

2 - 100m (1 relay)
7 - 200m
13 - 400m (2 relays)

compare:
2017: 12 meets / 29 races
2016: 18 meets / 40 races
2015: 12 meets / 30 races
2014: 19 meets* / 42 races) *not including 3 fall senior games meets 

Considering one of my worst seasons as a masters, to still be top 10 in world is an accomplishment... I guess.

Thursday, December 13, 2018

Change of Plans

I called off my Friday surgery. It was too soon and I had some reservations about this surgery. I have confidence in my Nashville Dr. but I think I am going to go out of network to seek the treatment of one of the world experts on this procedure at the Steadman Clinic in Vail, Co. Dr. R. LaPrade has apparently treated masters sprinters successfully before and has numerous published articles and clinical trials on this specific procedure. I sent him a personal email asking him if I could contact the masters sprinter he worked on cited in this article. I was surprised that he responded personally to me and said he couldn't remember the guy's name but he may have been from the NY area and if he is still competing would be M60 now.

Telling Dr. LaPrade I was going to have this surgery in Nashville he said this surgery is "pretty complicated" and ... "-make sure he does a big release and pulls your meniscus back into the joint or the surgery may not restore your cushion well enough to return back to running."

 From what I have read, if anyone can do this surgery successfully, LaPrade can. So, I am trying to arrange a date for the week of Jan 14 to see him and have it done. Not to say my Dr. in Nashville can not, but I think LaPrade has researched this procedure perhaps a bit more extensively. He certainly has published a lot on it. And the fact that he has treated masters sprinters before is a plus. I was pretty much a basket case about having surgery tomorrow. Wasn't mentally prepared.

 I do feel a huge debt of gratitude toward Steve, Burton, and the team at Elite Sports Medicine in Nashville for their understanding, expertise, care, and scheduling me so quickly.

 I do not want to do anything at all that might contribute to a poor out come so I'm going to shut down all workout activities involving legs, save for some casual bike riding. I don't need to extrude the meniscus any worse than it is.

Wednesday, December 12, 2018

Friday

I committed to Dr. Elrod for surgery Friday.   Doc said he'll know when he scopes my knee how he'll approach it. He said due to the ACL reconstruction I had almost 28 yrs ago that it makes me a bit more susceptible to this type of injury.   Repair of a meniscus root tear is not always successful.  Stats show anywhere between 50-70% full healing of such repairs.  If after scoping it he decides to not attempt the repair, I may go out of network to a specialist in CO.

I'm considering the good possibility I may retire from masters track.  If the repair is done, it's possible it might not heal or might be reinjured.  So, more chances for negative outcomes.

I never thought at the time that this injury would be as consequential, because unlike a ligament, it's not really painful and I can do pretty much anything except sprint. 

I just hope for the best and hope this decision works out.

My head tells me I should retire from track, but my heart tells me to try.  Funny, I still have a pair of brand new Hoka training shoes with the tags still on I had earmarked to get me ready for Poland.  I have kept my beloved Puma track spikes in good shape, epoxying the soles when needed.  I've hoarded dozens of spike risers to last me what I thought would be for a decade or more.  Little did I know. 

Monday, December 10, 2018

rowing and biking

Past two nights I've done the same workout pretty much, and I'm challenging myself to work harder.  Have brought my time down on the rower considerably.

Here's the most recent:

2000m - 8:29 Concept 2 rower 
10 x 15 sec sprints w/ 45 sec rest - Cybex stationary bike 
250 lbs x 50 - glute machine
Abs - inclined situps 

I meet with my doc Wednesday to discuss and perhaps schedule surgery to fix this meniscus. 

Saturday, December 8, 2018

The long 'off season'

This will be my longest 'off season' and who knows, it may be forever.  I don't expect to be on the track again til summer, depending on the knee fix.  It's hard to stay motivated for me without the metrics of sprint training... i.e. intervals at a specific time goal, timed rest.   There is NOTHING that burns the calories and is as intense as long sprint interval training.  There is nothing you can do in 6 minutes that compares to a 4 x 200m w/ 1 min rest set of intervals on the track.  However, I've settled into a regime of rowing on the Concept 2 machine and 'sprint intervals' on the stationary bike along with glute machine and various other exercises.  I'll do this likely until the surgery, depending on what Dr says Wed.

2000m row - 8:59  Concept 2 rower 
8 x 15 sec sprint w/ 45 sec rest - stationary bike 
50 x 250 lbs - glute machine

I'm exploring 3 possibilities for this meniscus root repair surgery, my local Dr. Elrod, probably the likely choice, the Steadman Clinic at Vail, CO, and the Mayo Clinic that is doing a clinical trial on this exact procedure  (they asked for my MRI after I inquired).  Sooner the better.  Before end of Feb., preferably sooner.

Looking back, I sure did a lot... 103 meets, probably 250+ races.  In a typical track career, most healthy college track athletes would only run 50 - 70 races in a 4 yr track career, running both indoor and outdoor seasons.  I've done triple that, after age 51.  So, a few injuries are to be expected I guess.

When I have a date for surgery, I need to try and get in as good shape as possible going in.