Friday morning, I went in to see my sports medicine physician to officially "be cleared" to begin training for the marathon this week. I hadn't seen her since my first appointment back in January---honestly, I wasn't sure if I was supposed to or not? My physical therapist claimed to be keeping her updated on my status and he expressed no need for me to follow up with her after our final session. I mentioned that off and on I'd still been feeling some throbbing and pain, but nothing consistent. So making this appointment was purely my paranoid and overcautious decision...I was even half-prepared to ask for another MRI just to have proof that I was 100% healed.
I came out of the meeting feeling a little better about training but still a bit concerned. Beforehand, I'd prepared a list of questions regarding how I should proceed the next few months, which was super beneficial given how fast she talks and then moves on. First, she noticed that I still had a lot of tightness in my right foot and leg that she asked that I have worked on by another physical therapist. There goes more money...no one said being healthy and fit was cheap! Also, I'm to do no more than 5 days of high-impact exercise and/or running for the time being. And she recommended I start taping my arch (navicular taping) to help keep it neutral (tightness is currently preventing this some). Other answered questions:
- One day recovery is still enough for after my long runs (Saturday mornings).
- Choose to do some anaerobic cross-training rather than SEAL Team workouts on non-run days, the best ones being 1) water running or elliptical, adding in some resistance intervals, 2) swimming (good for core strength), 3) cycling (not a top choice since you're sitting most of the time and not engaging the same muscles).
- The PT should take care of and prevent any compensating injuries from the stress fracture.
- Bad symptoms to look out for are throbbing and a "hot spot" feeling in a particular area; if when I bend my toes upward, a swollen lump appears anywhere on the top of my foot; pain that gets worse and doesn't go away throughout the run.