Everything hurts and I'm dying

Two weeks ago, while Ian was at hockey practice, I walked out of the rink and crawled into the back of my SUV to lie flat on my back. My entire left upper quadrant was in pain. I had strained my shoulder doing squats earlier that day in the gym. I hurt my shoulder on Leg Day.

I called Shrop in tears. There wasn't anything, in particular, he could do other than come over and rub CBD oil into my deltoid. I sobbed to him that since my pain tolerance is so high, I'm not even sure how bad this pain is. It could be debilitating to others, but I was still driving my kid to hockey and cooking dinner. I just hurt the entire time.

I left an emotional voicemail with a local physical therapy group. I got an appointment for the following Wednesday.

I met Laurie, the clinic director. She asked if I could touch my toes, and I flat palmed my hands on the floor. She actually recoiled. "That's not what we want. Your hips didn't actually move that much. You're just stretching everything else to get to the floor. You might even be able to touch the floor below this one." We also discovered I could fold my thumbs down to my forearms. Those were some of the tests on the Beighton Score to measure for Hypermobility Spectrum Disorder.

Two examples from the Beighton Score. One showing a thumb folding back and touching the forearm. The other showing a woman bending over with straight legs, bend elbows, and flat palms on the floor

She can't technically diagnose me as hypermobile because it requires a blood test, but she did say I'm definitely extra-mobile. Other symptoms include slow healing, easy bruising, poor coordination, jaw pain, and joint dislocation. Additionally, some people have comorbidities of fibromyalgia, myofascial pain, and arthritis.

Her goal was to give me stability. Because my connective tissue is too stretchy, it can't keep my joints together as well as it should, and I can very easily get out of alignment.

I told her I lift weights and do yoga as well as receive deep tissue massages. She told me I shouldn't do yoga because it will make me too stretched out. She said lifting weights is bad because my body will use the wrong muscles and I can do damage. She also said the deep tissue massage may feel good for a few days but won't correct the issue, so I'll rebound and feel worse later. This was all very discouraging. All the things I enjoy don't help me and possibly do me damage.

Ceramic plaque outside Laurie’s exam room: “Everybody’s entitled to a little hissy-fit now and then.”

I got on the exam table and she tested my hip movement. It was almost non-existent. She could put her thumbs on the side of my left hip and push, but nothing moved. It was like I was nailed to the exam table.

She started with a hip extension exercise for me. I put about three pillows under my left hip and then draped myself sideways over them for five minutes. Tears of frustration streamed out of my eyes and down into the little face hole on the table.

Hypermobility is a chronic condition, adding to my other chronic illnesses of diabetes, hypothyroidism, and Hashimoto's. I have to remain vigilant regarding how I move and perform regular maintenance on my body. Even with these measures, it's a giant hassle. The smallest misstep causes me so much pain for so long. I had done a lower pec exercise about three weeks prior and hadn't been able to sleep on my left side since then, despite not having pain at the gym.

After two and a half hours at the clinic, I was set free with a hug from Laurie, some exercises for home, and a schedule to come back twice a week. I could come three times a week, but only if I wasn't doing any other exercise. There was a lot of concern about my breaking something. I felt like a rag doll with loosely sewn seams.

Out of stubbornness, I decided to keep going to the gym, but not go hard. I went to my second physical therapy appointment two days later on Friday and met Michael. He did a lot of cupping on my upper back and a little on my lower back. The lower back didn't react much, but the upper back really brought out the octopus attack look.

Image of Genie’s upper back covered in 3” diameter purple dots from cupping.

I felt better after that visit. My hips are twisted. My left hip is forward and down; my right hip is backward and up. It's cute in a dance move, but you're not supposed to stay that way 24/7. Since my ligaments are made of warm Play-Doh, I end up staying in that position, and it affects my upper body. The twisted hips explain why my left trapezoid and lats are trashed, and I can barely turn my head to the left.

There's a joke about how bisexual people can't sit in chairs correctly and I'm living that stereotype. I noticed over the weekend that when I slid up into the Suburban's passenger seat, I never finished getting in the car. I just stayed on my left hip, twisted towards the side mirror as if this were a reasonable way to sit. If I felt fancy, I'd tuck my right foot up onto the rigid side door pocket or under me. It’s a miracle I can use any seating device properly.

Instagram image from July 26 showing a sketch of what a “Bi-Chair” would look like. “Designed for people who can’t sit straight.” Done by mamatiazi and shows and example of how the person would sit with right arm at shoulder height, left leg tucked …

The good news is, I'm making progress! I've done some basic hip exercises and I'm starting to straighten out! Laurie told me today that I've gained a lot of control and stability.

We worked on a particular exercise this afternoon that made me pull my left hip back and down. I would do the movement, but it wasn't engaging the right muscles. My right leg was determined to do all the work. We finally got me adjusted precisely how I needed to be so that I could feel the correct muscles engage. And it's better!

Laurie asked me how I was feeling today. I told her I was much better. "Overall, I'm at about a two in pain. My biggest complaint is my right elbow. I hurt it untying my shoe last night." Because that's totally a thing to damage oneself untying your shoes.

She dug her fingers into my elbow for a bit and that helped. Then she dug around in the space under my right clavicle and above my top rib for about 10 minutes. Eventually, it gave up, allowing me to turn my head to the left more.

I was in a lot of pain two weeks ago. One week ago, I was utterly overwhelmed with data about yet another chronic thing for me to manage. Today, I'm feeling better. The physical therapy is helping. I have some friends to help me with resources and support (hi Jenica and Lisa!).

I'm tilting my pelvis forward and "tucking my ribs into my pockets." My right leg is a little straighter. My "shoe elbow" is still sore, but it will get settle down eventually.

Walk before you run

On May 5, I went for a run in Georgetown. It was hot, more hilly than the flatlands of my home, and lots of concrete. My right foot had been feeling a little tweaked lately but I was just trying to stretch it. About a mile into my run something in my foot went "POP!" It wasn't excruciating, but I definitely didn't want to keep running on it. I did the walk of shame back to the Metro and then my hotel room. I didn't think much of it since I could still walk. The next day, though, I thought my foot was going to explode.

I spent about three weeks going to see my trigger release therapist. We did make progress but my foot still hurt. Finally at the end of May I agreed to see my sports doctor. Dr. Sam Wittenberg is awesome and a runner as well. He gave me a air cast boot to wear for three weeks and then said we would do physical therapy. I left a little frustrated but optimistic.

The boot on my foot came off June 18 right before we went to San Francisco. Dr. Sam said I could try running a mile three times a week and see how that felt. He said I should keep seeing my therapist Denise (who is amazing and I love her). I was chicken to do much of anything besides just walk around.

I saw Denise the day after the boot came off and was pleased that my foot was acting like a foot again. I saw her again on July 3 and decided I was feeling brave enough to try running.

I already do a run/walk method where I run for a minute and then walk for 30 or 45 seconds depending on the length of my run. But this felt like starting all over.

Two months after something in my foot went "POP!" I put back on all my running gear and walked out the door. And I didn't die. I walked a mile, then I did two miles of running for 45 seconds and walking for 60. It was incredibly slow but after my second running segment I was grinning like a fool.

I've now run three times this week. Each time with a mile warm up walk. Each time with these incredibly slow intervals. And each time with a huge grin on my face. My foot is doing ok. It's tight today but I iced it and keep doing my exercises, one of which is called "toe yoga" and feels amazing.

So blahblahblah running blahblah but the point is I spooked myself with an injury, got a little stubborn, did what the doctor and physical therapist told me, wore that damn boot religiously, learned that my foot can't heal if I never stop moving, gained an appreciation for our modern society where the rest of the clan wouldn't just leave me behind on a rock to die since I was too much of a burden, and am dipping my proverbial toe back into running again.

I have signed up for the Rock n Roll half marathon in Vegas this November. I have just enough time to recover my foot, train back up, and complete that race. But even if that race doesn't happen for some reason, I'm still grinning around my neighborhood for now.

Post run joy

Upon finishing my first half marathon

This is all about my running so feel free to skim unless that's your thing. I signed up for the Crawlin' Crab 5K over six months ago, but wanted to try to push myself a little bit. I can run a 5K but much further than that and my blood sugar will plummet. I couldn't imagine the rolling suitcase of snacks I would need to take with me for a longer run.

It didn't take much for Kimmie to convince me to sign up for the half marathon in addition to the 5K. It was called the "shell yeah" challenge and I would get a fancy medal if I did both in two days. I convinced myself I had six months, so I could figure it out.

And then Rich got sick. Memorial Day weekend I was only set to run five miles in my training schedule and from that moment hardly any running got done. As the summer wore on, though, I really needed something to bleed stress.

Dan at work convinced me to get a new Garmin watch that had lots of fancy features in it. It was a small fortune which pained me to spend, but I love this watch dearly. Dan (and Curtis) also convinced me to try Galloway's run/walk method to gain distance without the nasty side effect of hypoglycemic death.

And suddenly everything became clear. The reason my blood sugar was tanking was because I was over-exerting myself. My poor heart rate was way too high and that was trashing my everything. So now I run for a minute and walk for 30 seconds. Or sometimes I run for 30 seconds and walk or a minute. It all depends on what I'm trying to accomplish that day. I went from barely being able to finish a 5K, to running 10 miles around my neighborhood with no ill effects.

And this past Sunday, I finished my first half marathon. It took me three hours, seven minutes, and 28 seconds. I totally don't care about my pace because I finished with a blood sugar of 125 and never went low on the entire course. I also have no knee pain at all.

Running is supposed to be about improving your pace, but I don't really care (or at least I don't care very much). That's probably for the best because I was just reading that one can only hope to gain 3-5% in speed over a 16 week training cycle. That would mean my next half marathon would be eight minutes faster over the entire course. That's hard to get excited about. Nevermind that one porta-john stop could add those minutes right back.

So my metrics are all about my heart rate for the moment. I would like my running heart rate to be lower so that I can run for longer. That will improve everything.

I have noticed that my body is responding well to all this running. I have hip muscles now. I think they're called iliopsoas. I also have what I have defined as a "was butt". It might be the tensor fasciae latae but it's that little plum-sized dimple on the outside of your butt when you flex it, where you used to have butt until you flexed it away. I'm no medical professional, so I'm sticking with "was butt" for now. I did find a classical example.

wasbuttclassical

That lady on the right must have just finished a half marathon as well. They all just recently stripped out of their sweaty sports bras and shorts.

As for me, I am continuing my quest for a righteous "was butt", some sculpted hip flexors, and calves you can bounce quarters off of. Oh, and my feet are ridiculously strong now too, which I didn't even know was a thing. I'm doing the Harbor Lights 5K and half marathon on November 22-23 and I also signed up for the Shamrock 8K and half marathon in March. Wish me luck!

Calves of steel