Endurance Athletics with Arthritis: The Good, The Bad, The Ugly!

5 04 2012

People ask me all the time why I would participate in endurance athletics, they also ask me all the time how at 31 I can have and deal with arthritis. The answer to the first is that I believe the human body is a remarkable machine, and a gift to be taken care of. I want to see how far it can go, and how amazing it is. The second question can be answered as life is like a game of poker, you don’t know what hand you’re going to be dealt so you better know how to play the game. Your hand in poker is only crappy if you can’t play poker, or you give up before the next round. I choose to play life’s game of poker, and win as many hands as possible.

Once people find out that not only am I an Arthritis patient, that I’m and endurance athlete as well (or often times the other way around) people often then just give me the look of shock. Why would you run 13 miles with angry bones? I get this particularly from people who are healthy and don’t run at all. The answer is simple it’s because I can. No one knows their tomorrows so we should all Cherish the days we have, and part of that for me is pushing myself. Unlike many I’m realistic my days of this are numbered, and I don’t want to look back and say I should have done that when I could have. So I take every day one at a time and Cherish each run one step at a time through the good, the bad, and the ugly.

Being arthritic and an endurance athlete also have a lot in common. It also gives me some advantages in training, but I also have disadvantages as well. Again we have a game of poker. It’s not about the cards I have its about playing them to the best of my ability.

An endurance athlete’s power is not speed, agility, or common strength. It is the ability to endure and excel when others have quit far behind us. It is through pain, suffering, and persistence we see the beauty of completing a goal well sought.

An Autoimmune Arthritis patient’s strength is in endurance of pain. A pain that at times goes for days, weeks, months or even years. It is the ability if we are lucky to see past the suffering to what is beautiful around us. We learn to not accept defeat, but to see past it to what really matters. Chronic pain has the ability to do one of two things to a person: destroy them, or build them into a kinder better stronger person with the sight to see what really matters. Its through the love and support from others, and the fire within ourselves that we run our own endurance race within.

The similarity between the racing and the condition is simple both require endurance. The difference in the endurance is that racing is a choice, my bad days with pain and exhaustion are not. They both require the ability to see past whats happening to me right now to a better result. This mental fortitude has taught me strength comes from inside not from false supports you build on the outside. Anyone can curl into themselves and give up in either of these circumstances, its saying to yourself no I will not give up tomorrow is another day and I will get there that shows a strong core.

Now before we go further I want people to understand something very important I am Kamikaze! Endurance athletics are not for everyone, and they certainly aren’t the preferred activity for people with inflammatory arthritis. However I am lucky, because I’ve had good care and though my disease is dispersed through out my body it is low on the erosive scale. This means my bone destruction is happening much slower than someone with one of these diseases typically.

I personally believe that by pushing myself to remain mobile I’ve helped my condition. I feel better because of it. However I do have days where there just is absolutely no go-go juice inside. This is not the typical exhaustion from training that many racers get but the absolute refusal by my body to continue. My body is essentially a war zone inside my immune system got bored at some point and hungry. That immune system got so hungry it essentially became a zombie and now instead of attacking the pathogens that make me sick it decided that my joints were even more tasty. Exercise for me is therapeutic it helps me handle the stress in my life. Stress is not good with an autoimmune disease it causes flares. Exercise also builds strength, agility, and keeps my heart strong. inflammatory diseases go after organs including the heart too.

Being a chronic pain patient has its advantages in endurance training. The advantage is pain tolerance. That nagging tendon down there that’s agitated I can ignore that simply because I know it’s not an injury, the same goes for certain muscle cramps. I can power through many aches and pains that build because my body naturally trains me for this in its own sadistic fashion.

There are disadvantages too. I need more rest days than a typical athlete. My body is already angry so stressing it though it relieves some inflammation can cause my body to make more. This means I need warm up runs for long ones, and down days after them. It means that many training cycles have to be modified to allow my body to recover. It’s about the quality of the training I put in not the quantity. Many athletes learn this as they get older, I had to learn this lesson young. Another disadvantage is I don’t feel injuries quite the same, and when I get them they take longer to recover from. Last year for instance I broke my leg from running. I ran a stress fracture all the way through my tibia (shin). If I’d been a healthy runner I probably would have recognised the issue sooner, I also would have recovered in 6-8 weeks rather than spending 4+ months on a bone growth stimulator. The medications I’m on can also affect how I train and race. Some of them make me temperamental to the sun. Others cause me to need to hydrate and eat more than other racers. I am also slower than others, though I wont lie and tell you I’m a snail I’m still fast enough on a good day to place in my age group in some of the local races. I’m realistic though that 6 minute miles will never happen in my future, and though it makes me sad I accept that.

One of the hardest things for an endurance athlete is to know when to rest, add arthritis into the equation you’ve now raised it to at least the 100th power. It’s through time and training cycles that the athletes learn when to not train. For a long time I was stubborn and tried to just push through the bad days. It took a good doctor and wonderful people in my life to help me learn when to say no this is a couch day (the progression of my disease has helped kindle the fire too). However I think this very steep learning curve is a good thing. I’ve learned when to say no, and when to say this is ok you can push through this. That is a very fine balance in either scenario, in a combination of the two it can be a maze of confusion until you learn which signs your body gives mean red, yellow, or green and how to treat those signs accordingly.

I think the greatest thing endurance racing has given me though is the ability to feel in control on some level of something I really have no control over my disease. It has allowed me to learn how to deal with pain, stress, and exhaustion in a constructive manner. Sometimes for me running through the pain is the only way I can deal, other days I’ll swim or nap. Its allowed me to learn how to read my body better. Its allowed me to see great places, meet wonderful people, and find happiness. One of the hardest things about chronic pain at times is seeing past the negative and being happy. Though I in realities can’t control whats going on inside my love of fitness has allowed me to better know how my body works, and how to treat it.

An endurance race is not completed in a day, but over months of training. You teach your body how to function. You channel yourself into every step for miles. In the end if you’re lucky you fall in love with the hours of monotonous training and the ability to challenge yourself. You make goals, and grow. An endurance sport is not about a quick sprint to the finish, but pushing through the mental and physical anguish to see how far your body can go. The finish line is the prize and getting there is the journey well spent. You learn a lot about yourself in those miles spent training, and that finish line is one of the most emotional experiences you may ever have. That line represents months of pain, suffering, sweat, love, pride, and trials.

For me racing has allowed me to come to grips with my life. Its allowed me peace. I know that I wont be able to do this forever, but that makes every run I have something special. For me running is meditative its like flying. The fact it may all be gone someday makes me sad, but I know I have these moments now. When I can’t run anymore I’ll find another way, but for now I want to focus on what I do have. I have a body that though isn’t healthy, is in better shape than many who are healthy. Its my job to take care of it. I run for me, and for those who can’t. I hope that someday someone will run for me.

Endurance sports are not about what you can do right now, but what you can become, Arthritis is about cherishing today for what you have. I think having both in my life has helped me achieve a healthy balance of knowing what is important. Its allowed me to grow, and accept that sometimes you just have to let go.

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T-Minus 7 days Prep for the Cherry Blossom 10 Miler – AKA the Comeback Race

27 03 2012

I know I said I was going to write this blog about this weekend’s race preparations yesterday, but exhaustion got the best of me.  Monday is currently my rest day, and I took that opportunity to rest from exercise and exertion. Sunday though is a big day for me, its my first race since I broke my leg last July!

This week my focus is simple keep moving enough that I’m ambulatory for Sunday, but not so much that I agitate my system into being too sore/tired for a long run. This in laymen’s terms is typically known as a taper week, but I’m not exactly tapering anything due to finding I move best in races when I just keep moving. I’m just making sure I don’t overdo that movement in the process. This week I start with a 30-40 minute session today on a spin bike, Wednesday I will swim 25-30 minutes of laps, Thursday I will run 5k, Friday I will rest, Saturday Master Swim, and Sunday is the 10 miler. In the coming weeks Saturday or Friday I will add a second day of spinning before I officially start the half ironman training. This week however is not the week to do that and the second down rest day will allow my body to refresh just enough before the 10 miles of what I hope to be nothing but push Sunday.

My second focus this week is nutrition. Lately I’ve been busy picking up muscle mass again, and as much as I’d like to be 3-5 pounds lighter for this race this is absolutely not the week to do it. I’m eating light enough that I don’t tax my body, but enough that I also keep glycogen stores and rebuild them from last weekend. Two of my meals a day are involving carbohydrates such as rice, gluten free pasta, gluten free bread, etc. One of my meals and my snacks have only produce, legumes, dairy, and lean meats. This is the way I typically eat, but this week I’m a little less concerned with my snacks and a little more concerned about how much fat I’m eating. Saturday night I will eat a nice carby meal, and Sunday morning will be carbs and protein.

Sunday’s run allowed me to make some final decisions on this upcoming weekend’s race. Last year the starting line was near freezing, and my finish it hit 56 degrees. I made the mistake of wearing a light jacket through the run and when the sun hit I actually overheated near the end. I will not be making that mistake again. This year the forecast is currently calling for it to be in the mid-40s in the morning with a high near 60 that afternoon. I’m hoping to start and finish this race before it hits the 50s. The concern I do have is my chest wall in the cold so I am considering buying a running vest to wear over a long sleeve dry-fit shirt. To remind any of you who do not know my story my arthritis moved into my chest last November causing costiochondroitis and though the acute phase is gone it still gives me nagging problems. One of those problems is air intake particularly in the cold; the other is chest pains from spasms due to the cold aggravating the inflammation in my chest cartilage. Last year’s run I had long sleeves and a light jacket which was way too much. I had considered arm warmers for this year with short sleeves until I saw the temps will dive into the 40s. My chest wall will need the added heat, but my arms and legs will not for this run. The temperatures also may also be accompanied by rain, so the sphere jacket I start with in the cold to keep me warm prerace maybe switched out if it’s raining at the start. Over all temps in the mid-40s if I keep my chest warm are prime running temps for me, and I will run with a skirt not pants. These temps actually make it possible for me to beat out my run time from last year of 1:32:33.

The next set of decisions I’ve made for this Sunday’s race are nutrition based during the run. The first one being my decision to forgo using sports drink during the race. I intend to drink on Thursday, Friday, and Saturday Sports drinks to help build my system’s salt levels prerace. I however have noted issues with sports drinks on my runs lately, they make me more thirsty and make my nutrition sit. Both of these factors make a huge difference on a run. I intend to bring the four bottle belt with water only. This should be more than enough water to get me through the course. I also intend to have Aric meet me at the finish line with both Vitalyte sports drink, and a bottle of Pedialyte to avoid the salt flushing I get with a race of this distance or greater. As to eating though I will be sticking with the tried and true Jelly Belly Sports Beans. I’ll pack 3 packs: 1 caffeinated and 2 un-caffeinated. Two packs should be enough to get me through the race but the third is for safe keeping since I do not tolerate most sports products due to the inability to process maltodextrin which causes my system to flush. I have been testing out a new sports gel made from dates by Vega Sport but I’m not ready to race on it yet. The consistency of this gel is thick and gritty; it’s like eating the inside of a fig newton. I really like them, but my stomach hasn’t quite gotten used to it as it’s heavier in nature than products I’ve used in the past. I think this gel maybe better for me on the bike than when running.

The nutrition Sunday morning will probably be 2 Kinnikinnick Gluten Free Chocolate Chip Muffins and milk, but I’m also considering making pancakes the night before and eating those with bacon in the morning. This decision will be based on time and energy Saturday. I’m not banking on the energy Saturday since I have to do master swim and the night prior I will take MTX which makes me like a zombie the next day.

Overall I’m extremely excited about Sunday! I don’t have a real time goal per say but I’d like to have a strong race. I’d be ecstatic if it was faster than last year, and really pleased if it’s below the 90 minute mark. Over all I just want to get my legs back, and enjoy time with my cousin who is coming to town. I am sad that the blooms will be gone for the race though. They were really beautiful last year and I slowed down at a couple points to take in their pretty cotton candy pink goodness. When in bloom this is absolutely the most beautiful race I’ve ever run. Now I need to just relax, and let the week drift by till the big day.

If you’d personally like more information about the Cherry Blossom 10 miler please go here: http://www.cherryblossom.org/

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