Showing posts with label foot pain. Show all posts
Showing posts with label foot pain. Show all posts

Sunday, May 6, 2012

Fort Yargo 6 Hour Race Report

I was a foam rolling fool leading up to this race.  On Monday, I happened to ask Carly what she was doing in gym, to which she responded, "Races -- shuttle run and the 50 yard dash."  I should have stopped right there, but had to ask her to show me the shuttle run.  Needless to say, she kicked my tail ... twice.  We then raced each other 50 yards; she had plenty of time to skip across the finish line. The next morning I thought both my hips were dislocated.  That was a "DA" move on my part, thinking I could go from 0 to 60 without warming up!

Fast forward to race day.  The foam rolling definitely helped and my hips were good to go after a warm up.  I took a look at the 1.5 mile paved start and the first bit of single track and then lined up just a couple rows back and waited 20 minutes.  It was essential to have a good start as there were 400 racers.

Ready, set, go!  I managed to avoid the Tour de France style pile up then occurred within the first 10 seconds of the race.  I also managed to hold my own on the pavement with my 32 x 19 gearing.  I was happy that my legs responded happily to the intense pace and I entered the single track about 40 riders back.

Lap 1:  On the opening lap, it is always easy to burn a match or two.  My body says, "Go, go, go!" and my mind says, "Settle, settle, settle."  Having a good start helped me to find my rhythm early.  There was only one train of 12 that I passed smoothly (but not quite effortlessly) on the double track Outer Loop climb.  I managed to snag the fastest lap award for the ladies, which netted me a set of Maxxis Exception Larsen TT tires ... for a 26" bike (argh!)

Lap 2:  That one was over before I realized it!

Lap 3:  My big toes really began to hurt.  On the descents that were "stutter-bumpy," it was like someone was jabbing a knife underneath my toe nail.  I was extremely concerned about a re occurrence of my metatarsalgia. This pain came and went throughout the remainder of the race, making it not as much fun as it should have been.

Lap 4:  The temperature was approaching 90 degrees, but I felt pretty good.  I had just chugged a Red Bull at the pits and was awaiting my "wings."  I must say thank you to the single speeder dude that I passed during a series of climbs and descents around mile 2.  As I passed him, he said, "Don't  LET me catch you on the downhill!"  Dem's fightin' words!!  I happily obliged him and never saw him again.

Lap 5:  I mistakenly did not drink much on the previous lap and that, combined with the heat, caused me to feel a bit clammy when I would notch it up.  So I backed off a bit on this lap, drank my entire bottle, and then some more at the pits, so that the last lap would not be catastrophic.

Lap 6:  Fighting through the painful toes, I managed to latch on to another racer that was setting a fast and consistent pace.  The legs were feeling the earlier efforts and the speed bumps (there is only 1000 feet of climbing per lap) soon became mountains.  I was glad to see the metal bridge around mile 8 because the course after that is fast and flowy.  I came through the finish line in first with a time of 5:33.

I managed to win another set of fine Maxxis 26" tires which I found a home for.  I also mentioned to the new owner, Rachel, that they were UST.  You see, she had an unnecessary pinch flat early on in the race.

But I also came away with this cool sombrero, in honor of Cinco de Mayo.  An exponentially better way to spend this day ... on a bike instead of in a drunken stupor!

Not for hire.

 Right after the race, my big toes were on fire.  So much so that I was seeing stars.  Thanks to Ursula, I found out that it was not metatarsalgia, but how I was trimming my nails.  So hopefully with the proper pedicure, I can avoid this pain at the next 6 hour race.  It seems that I have some mild ingrown nail issues that I can fix fairly easily (I hope!).

Thank you Dirty Spokes, YABA, and the rest of the crew for a wonderfully orchestrated event.  The Dri-Wicking T's in extra small, the cooler of ice water at the top of the long climb, the live band, and the pizza at the end were nice touches.

And a shout out to the Northwest Georgia SORBA gang who let us hang out (or should I say, let our stuff hang out) in their pit.

Saturday, September 17, 2011

Morton's Neuroma

Today, I saw my podiatrist, along with a bag of shoes, pedals, and foot beds.  After deep palpation of my 3rd inter-metatarsal spaces, which elicited a few whimpers, my doc said,  "I believe you have a Morton's neuroma in both feet.  I also had the classic gap sign between my third and fourth toes where the fibrotic nerve is so large it is pushing apart my metatarsal heads.

See the space between the 3rd and 4th piggies!

Radiographs ruled out any bony pathologies.  When he placed the ultrasound on the area of suspicion, he outlined the two neuromas.  Basically, the nerve that runs between the metatarsal heads is normally the size of angel hair pasta.  My neuromas, however, are the size of large green peas!  No wonder the pain was so intense!  

Doc then outlines different methods of treatment.  One is a series of 5 alcohol injections over 5 weeks to kill the nerve.  He sees a 50% success rate.  The other is surgical removal.  Two small incisions over the top of the foot, and cut out the offending portion of nerve. No real down time; I could be back on the bike the next day!  The only potential complication is a stump neuroma, which he said happens about 10% of the time.

For the short term, he injected the area with marcaine and dexamethasone, bringing about instant relief!  If you look closely at the picture above, you can see a needle mark on each foot at the 3rd inter-metatarsal space.  I love any doctor that can relieve pain without prescription drugs!

He agreed on all my methods of orthotic management with the wide toebox, the Specialized BG footpeds with the metatarsal bump, and the XTR pedals.  But he said that more than likely, until the neuroma is excised, I will have recurring episodes of pain.

He said the injections could help for 1 week, 1 month, 6 months, or maybe even a year.  We shall see, I guess.  But I am prepared to have those little bastards cut out if necessary.  As much as I am on my feet at work and on the bike when not, I will probably have to undergo the knife in the future.

Today was the first pain free day on the bike since TNGA.  I felt so good I almost cried!  I did not feel every friggin little bump and for once forgot about my feet.  I also tried out my modified Specialized MTB shoes.  I was able to move the cleats back 1 cm with the modification.

I was able to drill out the carbon sole and move the cleat plate further aft.

Riding my SS today, I really did not notice any difference in this new cleat position or power transfer.  It might be more noticeable when riding gears and staying in the saddle more.  I suspect I will have to make saddle adjustments and will defer to Eddie for that.

Thursday, September 15, 2011

Metatarsalgia

Otherwise known as hot foot, this condition was my undoing at Trans North Georgia.  15 hours in to the race and it had me writhing in agony on the climb up Hogpen Gap at 10 pm.

Two weeks later, with a week off the bike, it is still there, a constant source of burning, tingling, numbness which is beginning to take its toll on my sanity.  The pain is bearable now, more of a sense of intense pressure, but it is never ending.

I have spent almost every waking hour trying to come to some "light bulb" solution to end my misery and get me back on the bike with happy feet.  I have enlisted the aid of bike crack addicts Dave Byers, Lynda Wallenfels, Ruth Cunningham, and Eddie O'dea.

I have done all the usual things:  wide toe box, aft cleat positioning, wide platform.  All those were in place pre-TNGA.  Post-TNGA, Eddie  addressed pedaling technique.  Yep, after several rides, I figured out that I was pretty much following his advice during the race.

So two things are gonna happen ... soon.  Tomorrow, I am going to see my podiatrist, hoping that he has "the magic pill."  After much research and seeing how my hot foot has progressed over the past year, I am almost convinced that I have Morton's Neuroma.


Hopefully, the doc will give me some promising information with regards to surgery ... if indeed that is what I have.  Otherwise, I am gonna ask him to cut off both feet and attach artificial feet made out of carbon fiber!

In the meantime, I have put on my cobbler hat and started to alter a pair of old Specialized MTB shoes with carbon sole.  My intention is to move my cleats back another centimeter.

This plus


this plus

this will hopefully equal pain free pedaling!



I gotta run to Lowe's to get a 1/4" drill bit.  I hope to give it a go tomorrow.  As there are many of you out there that have this condition as well, I will keep you posted on my progress.  Being in pain and not being able to pursue your passion is NOT FUN.