Thursday, March 31, 2011

Running the Dream: TBR Dream Marathon (Part 2) -- Training and Plantar Fasciitis

There was exactly one month (thirty days) until race day when I received my Dream Card and confirmation letter for the Bull Runner Dream Marathon 2011.  I could barely contain my excitement then, but I wanted to keep my plans low-key in hopes of avoiding the pressure and panic.  But being the ENFJ personality that I am, I already had plans in mind.

At the time my longest run was my 21k-turned-24k at the Quezon City International Marathon, which I finished in decent time.  I figured I needed at least one long run before race day, so I decided I would run an extra 10km or so after my Unilab Run for Wellness 21k race to be held in two weeks.  My marathon shoe would be my one-month old Brooks Ghost 3, a well-reviewed neutral cushioning shoe.  I'd be full accessorized with a comfortable top, bib and water belt, compression pants, blister-prevention socks, and visor.  I would go on diet so I'd be lighter by race day.  I would faithfully attend the weekly Wednesday sessions of AdiNation of Runners Ortigas in addition to weekly easy runs around the village or UP Diliman to build up enough mileage.

The bright orange Brooks Ghost 3 was my projected marathon shoe.


I achieved about 18 km of mileage during the first week of my training, and lost about three pounds immediately during the first few days of my diet.  I was elated; things were going well.  One day after an enjoyable aNR session, I had a chicken dinner with my friend Xander, along with Irish and Pedz, fellow aNR members.  I met Pedz during the aNR 5th Sunday Run in January where we both ran under the aNR Ortigas banner.  I've admired Pedz since that event; I knew him to be a speedy runner/sprinter who has achieved podium finishes a number of times.  During our dinner, however, I learned that he hadn't been too visible in the running scene in the past months since he'd been inflicted with plantar fasciitis, which he described to be a painful inflammation of the foot that tends to get worse unless treated.

It didn't strike me immediately, but after a day or so I realized my right foot was experiencing the exact same symptoms he'd described.  I couldn't remember for how long; I thought they were normal post-run foot pains.  When I read more about the condition, I became scared and more convinced that I was indeed suffering from plantar fasciitis, but I wasn't sure I wanted to see my doctor given the possibility he would tell me not to push through with my marathon plans (and knowing I skipped my followup appointment with him...guilty).  I decided I would put off going to the doctor but simmer down training a bit, sticking to spinning sessions to avoid exerting pressure on my feet.

I decided to do "internet diagnosis."  Plantar fasciitis is the inflammation of the plantar fasciia, a ligment that connects the heel to the sole and the toes, and causes severe pain on the bottom of the foot. Picture taken from http://www.foot-care.org/plantar-fasciitis/.


That wasn't my only problem.  Given how I never manage to stick to my diet, my first days of decreased food intake worked wonders.  Before it had lasted a week, however, I began to experience the effects of not eating enough to satisfy my voracious appetite.  I felt so weak and clumsy that I decided to call the diet off.

When I ran the Unilab Run for Wellness about a week after, I became convinced that I needed to seek medical advice, more so when my doctor friend Rich told me I did seem to have plantar fasciitis and that it would be best to see an expert regarding my condition.  Reluctantly and resignedly, I scheduled an appointment with my sports doctor the following week.  This wasn't the first time I'd suffered an injury, and the last time I did, I knew it helped me a lot psychologically when my doctor assured me everything would be okay.

Most people visit doctors to be treated; in my case, I visited my doctor hoping he would dispel my fears of not being able to run the Dream Marathon.  When I finally did, my doctor confirmed my fears; I did have plantar fasciitis, and he advised me to get started on self-therapy exercises as well as anti-inflammatory medications immediately.  But there was good news: the plantar was either in its very early stages or just starting. My x-ray was normal, there was no serious injury, and my symptoms weren't particularly alarming, so I didn't have to stop running.  He did, however, tell me I probably needed to change my shoes, because the injury is often caused by inappropriate shoes.  (I didn't see it as a problem; it would have to spend, of course, but it gave me an excuse to get a brand new spankin' pair of shoes!)

X-ray normal! :)

After finding out about all of this, however, I was confronted with new fears.  I couldn't put my foot under too much stress, and in fact I'd already been lying low during the past couple of weeks ever since my suspicions arose.  I needed new shoes, which I might not be able to break in time; all my other shoes were racers, which were not only inappropriate for anything above a half-marathon, they would mean torture since I would be subjecting my feet to merciless pounding.  I was out of shape and severely lacked training, faced with the question of whether I would rather risk being overtrained (due to my plantar) or undertrained (I chose the latter).  I couldn't cram if I didn't want to cause trauma to my foot, and there were only ten days ago.
My new marathon shoe: the Mizuno Wave Creation 12, the first shoe I'd bought in ages without a discount or gift certificate.

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