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Goodbye to all that?

Andrew | 25 October, 2007 16:32 | (348)

I’ve recently been told that I should never run again. Naturally, I'd like a second opinion.

For now I’m playing it safe. I haven’t run a step for about a month. I miss it terribly, but I’m attached to my hip joint and I’d just as soon keep it.

I liked the hip specialist, Dr. James Vailas, despite his terrible tidings. He seems nice enough, and pretty sharp. Viewing my X-rays, he said that I could probably run again after arthroscopic surgery to pare down the bone.

Then he saw my MRI (complete with arthrography). Apparently, my hip is somewhat worse for wear.

As Southern New Hampshire Medical Center’s Dr. Robert Stitch put it, “MRI of the patient's right hip demonstrates thinning of the weightbearing cartilage superiorly with edema in the subchondral marrow of the right femoral head and small subchondral cyst formation. The femoral articular margin is remarkable for spurring, especially medially. The acetabular margin demonstrates marrow edema as well. There is evidence for abnormal appearance of the labral margin with a focal superior labral tear.”

 In case that wasn’t entirely clear, he added his diagnosis: “Superior labral tear with osteoarthritis of the hip and cartilaginous thinning superiorly. Associated subchondral cyst formation and subchondral edema is evident involving the weightbearing surface of the right femoral head.”

Here’s what that means in English: The top of my thigh bone is shaped funny, and it bonks up against the side of the socket. The cartilage that cushions the bone is shredded, and the top of the femur is battered.

If I keep running, Doc Vailis told me, I would completely wear out my hip inside of 10 years. Arthroscopic surgery would make my hip feel better for a while, he thinks, but it won’t make it last any longer. He suggested I wait and see if it doesn’t feel better on its own, after a few more months with no running.

He also said that it’s hard to say anything for sure until he goes in for a look-see. I cling to that faint ray of hope.

I'm not the only runner to experience this affliction. Cool Running has an 11-page thread on the topic.

Running is harder on some bodies than others, and it may be I’m just not built for speed. I ran my first race in the ninth grade. It was a mile, cross country, open to the whole school. I'd never been good at any sport before or since, but I came in first in my grade. I ran cross-country and track through most of high school. Sometimes my hip hurt. I didn’t give it much thought at the time.

I took up running again in the early 1990s, shortly before I managed to quit smoking for good. Last year, after training with a friend, I ran my first marathon, in Burlington, Vt. I liked it. I ran two more that year, both trail races. My hip started hurting last fall, but I figured I'd work it out. I kept running all winter, looking forward to more races. I ran the first five in the Western Mass Athletic Club's Grand Tree series this past spring, and I’d meant to keep going all season. After hobbling the last several miles at Soapstone, I decided I should see someone about my hip.

I started physical therapy, and did daily exercises and physical therapy twice a week. We loosened up the muscles, but the soreness stayed. Meanwhile, my first MRI showed a herniated disc to be the source of pain in my behind.

Doctors and my physical therapist, Mary Korslund, told me I should stop running, or at least cut back, but they weren’t emphatic about it and I’d already cut back. The more we learned about my hip, though, the more emphatic they became. Eventually, I stopped.

Sports as a metaphor for life is way overdone, but I can't help it: if I'd thought I had only one shot at all those races, I'd have tried harder. Still, I had a great time, and I did all right for a gimped-out guy. The friend who inspired me to start this blog is doing fantastic; she is currently the top-ranked woman and ninth overall in the WMAC “Stonehead” points rankings.

I started this blog with the intent of writing mostly about trail running, and now I guess it's going very much off track. I welcome writings about trail running from anyone who cares to submit them, but I won't be writing as much about it myself.

I can still hike, bicycle, snowshoe, canoe, kayak and swim. I don’t like to swim much, but at least I can do it. Snowboarding, dirt-biking, inline skating and cross-country skiing remain questionable, but not out of the question. I can walk pretty briskly.

I still hope to run again someday, but being able to get out and play and explore outdoors is more important to me. We only get one shot at life, so far as I know, and I want to give it my best.

 

Share and enjoy.

That sucks! [Reply]

Andrew - Sorry to hear about your situation. Clearly you love running on the trails, and so do I. There have been moments where I never felt more in tune and connected with the world than a good trail run. I cant imagine how sad you must feel Andrew.

I am 33, and injured my knee back in college (trying to push my car out of the snow). As I got more out shape in my 20s, the pain increased. It was so bad when I was 29, I was up at night with pain and saw a specialist. He said I needed to strengthen the muscles (I wasnt exercising), and to never **EVER** start running. So, at the age 30, I started trail running. I have never felt healtheir, and my knee problem is far gone. But, from XRays I know my knee is defective and like you I know the days are numbered. Also, I have the pleasure of being a friend with Rich Busa, and I can only hope that Im still on the trails when Im his age, but I'll never be half as charming as him.

When you are on the road (trail) to recovery, perhaps we can hook up for a run. Im not terribly fast, but I am in the top 30 of Grand Tree Stonehead points, and potentially one of the highest totals for a Clydesdale.

See you round - Mark

Posted by: Mark Kulacz | October 26, 2007, 09:31

I miss running! [Reply]

I too have recently been diagnosed with osteoarthritis of the R hip and pelvis. Likely the result of a car accident I had many years ago. I to have been doing therapy and will be getting an MRI soon to confirm any additional findings. In the meantime I've joined the YMCA to do some low impact cardio work. My doctor keeps telling me I'll run again but I can not imagine being able to. I was not a trail runner nor a marathon runner but I used to get in 25 to 30 miles a week before I had a baby. I was hoping this was going to be the year I'd get back up there but I am lucky if I can chase him around the yard. I am happy to hear you can hike and snow shoe, I was wondering if I would be able to do any this winter. I too enjoy the outdoors and was inspired by your comments; "but being able to get out and play and explore outdoors is more important to me". I've been a bit bitter and angry recently but I know I have to overcome this. Thanks so much for your inspiration!

Posted by: Cindy in Chicago | November 22, 2007, 11:11

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