Runner’s World

Raining and running along the bayou.
Raining and running along the bayou.

I’ve been a longtime believer in exercise as a means of keeping sanity. I’m vegan. I prefer to live without prescription drugs whenever possible. If you’ve been reading this blog, you know these things already.

Some of you have asked to know more about Fibro Athlete, so here’s your answer. I’m in the online edition of Runner’s World. Check it out if you’re interested, and keep running, friends! 🙂

Physical Therapist and Chiropractor to the Rescue

I sometimes undervalue the effectiveness of physical therapy and chiropractic work. In my latest bout with back and hip pain, I was reminded of something that I ironically tell my patients and friends regularly: non-invasive treatment can be the best kind of medicine.

After my sacroiliac joint pain progressed into gluteal spasms and a rotated pelvis, sitting became impossible. I stood for as many hours of the day as I could, and laid prone with a pillow under my hips for the remaining hours. I couldn’t sleep because of the pain, and I finally had a “duh” moment. I work at a spinal rehab clinic. My bosses are a top-shelf physical therapist and an awesome chiropractor. Time to ask for help from the best.

I’m sometimes too passive in asking for help because fibromyalgia makes me feel like I need help way too often. But when I couldn’t sit or sleep, it was time for intervention. My boss /physical therapist put me through a thorough evaluation, and I started treatment two days later. It can be a little strange to be a patient in my own clinic, but the tradeoff is knowing that I’m getting great treatment. The decrease in my pain, progress in flexibility and mobility, and renewed ability to sit (and sleep) are testaments to how well chiropractic care and physical therapy can work together to heal even chronic pain suffers.

I’ve been to two PT/chiro sessions this week, and am currently able to sit pain-free on the floor. I had no idea how important sitting is until I couldn’t do it for a few days. I ran 6 ½ miles on Monday and was able to concentrate on the blue sky over the beach rather than the pain in my back and hip. Tuesday, I could do light weightlifting at the gym and actually sit down for dinner rather than standing through meals. Today, I ran 5 miles, walked the dogs, and was able to sit for 15 minutes in the hot tub without feeling like my sacrum was about to stab through my skin.

Forgive the pun, but fibromyalgia is a pain in the ass. I think the best way to sum up fibromyalgia to people who don’t understand it is to say this: it’s not just a cluster of random and sometimes unexplained painful symptoms (although there are definitely those). Normal injuries happen, but the aftermath is abnormal. The consequences from a healthy runner falling on a trail run are usually some bruises and scrapes. The consequences from a fibromyalgia-suffering runner falling on a trail turn into weeks of muscle spasms, misaligned bones, and exhaustion. It’s like fibromyalgia makes a worst-case scenario out of every situation.

The longer I live and the longer I fight chronic health problems, the less faith I have in pills and surgery. While those things are good options for some people, I prefer to stay as minimally invasive and drug-free as possible. Luckily, I have access to extremely competent and like-minded health practitioners who can stretch, massage, and manipulate my body into a good enough place to keep me out of the pill bottles and out from under the knife. I’ll never again underestimate the power of a physical therapist and a chiropractor—or the convenience and comfort of sitting.

Sacroiliac Dysfunction and Exhaustion

I ran 10 miles on Sunday and felt like a million bucks. I drank sips of sugary tea every 20 minutes and was able to maintain a pace of 8:40 per mile for all 10 miles, which is pretty fast for me at that distance. I was on top of the world that night and felt motivated and energized for more.

The next morning was a different story. My right sacroiliac joint felt off, and my back was stiff and extremely sore. My walking gait was awkward, and sitting was very uncomfortable. I went to my boss/chiropractor/friend for an adjustment, and he confirmed the problem in my right SI joint. He had to use a lot of force to get a proper adjustment, but the relief was immediate. However, so was the fatigue.

I barely managed 15 minutes on the elliptical that evening, and today, I’m totally wiped out. My back is holding its position, which is great, but I feel like I’ve been run over by a bus. The actual SI joint is majorly inflamed and has palpable swelling, and when the alarm went off for my 6:30 a.m. run, I opted to stay in bed with an ice pack instead. Work was pretty torturous the rest of the day, and I laid down as soon as I got home.

We all know that fibromyalgia causes fatigue. My questions are these—has anybody else experienced SI joint dysfunction along with fibromyalgia? If so, has extreme fatigue come along with it? Have any other fibromyalgia patients had massively increased fatigue after chiropractic adjustments? Thanks for your input! I’m going back to bed with an ice pack.