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Click to view Wendy S.'s profile Pro 80 posts since
Oct 11, 2007

Dec 26, 2007 4:36 PM

Herniated disk & continuing to train for a marathon

After two rounds of physical therapy, an MRI which revealed a slight herniated disk at S1/L5 and an ineffective cortisone injection, I've embarked on a third round of PT with a therapist who is McKenzie trained. While the stretches I've been given give me temporary relief, I still have a lot of burning/aching in my lower back and mild sciatica. My therapist told me that my running is probably not the cause of the herniation, and that continuing to run may not cause more damage to the herniated disk. Well, I'm continuing to train for the Chicago Marathon (conservatively by stopping every two miles to do my McKenzie stretches and alternating one minute of walking every few miles) but each time I go out, within two miles, the burning in my lower back begins again.

Should I listen to my physical therapist who's given me the green light to continue to run? If I'm having this much trouble during my 6-10 milers, I worry that 26.2 will be impossible! I have 100 days until the marathon and really want to do this, particularly since I'm an American Cancer Society charity runner and have raised a lot of money already from folks who want me to run in memory or in honor of a loved one. My legs, heart and lung are strong and so is my willpower HOWEVER, I really don't want to do more damage. Will I??

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WendyCity
http://interwovendesign.com/kick/userdisplay.php3?username=WendyCity[/URL" target="_blank">

http://This message has been edited by WendyCity (edited Jul-16-2007).
Click to view ForceD's profile Legend 523 posts since
Dec 14, 2007
1. Jul 17, 2007 9:31 AM in response to: Wendy S.
Wendy,
I too have had lower back/disc/sciatic problems. I?m 46 now. When I was 27 I had surgery (laminectomy-discectomy) for a bulging disc at L4/L5. I?ve recently been diagnosed with another major bulge on the disc between L5/S1. It?s been there for years I know because I?ve had frequent sciatic flare-ups. So, I?m scheduled for surgery on August 3rd to remove the bulge. My docs and physical therapists have said essentially the same thing about running and my back/disc problems. ?Although running doesn?t help it, it isn?t the cause of it. If you feel good doing it, continue.? In fact, the doc that is going to perform the upcoming surgery said that being in good physical condition over the years has probably kept me from experiencing more pain. I?m sure that, like me, the non-runners in your life try to convince you that the constant pounding of running is to root of your problems. But running has not caused any of my disc/sciatic problems.

Dan
Click to view ud's profile Amateur 28 posts since
Apr 16, 2007
3. Jul 19, 2007 1:02 PM in response to: Wendy S.
I had a herniated L3L4 disc - it was a nightmare - the pain was insane - as I am sure you are aware. My doctor encouraged me to try everything possible before surgery. two things helped me more than anything:
1) Yoga (in a heated room with an instructor)
2) Book - titled - Back Rx by Vijay Vad

Good luck
Click to view littlewaywelt's profile Pro 181 posts since
Apr 1, 2005
4. Jul 19, 2007 1:23 PM in response to: Wendy S.
had surgery l5s1 laminotomy & discectomy and couldn't run for about a year. finally ran again and reherniated in a marathon or just after. had surgery again. can now run & live pain free.
do cortisone first and pt, yoga, etc. surgery works, but there are plenty of horror stories out there about it making things worse.
Click to view deg005's profile Rookie 1 posts since
Sep 29, 2003
5. Jul 19, 2007 5:15 PM in response to: Wendy S.
wendycity - i've always heard you should let pain be your guide. i managed to run a fair amount of long runs and halfs with similar issues (see below) - did that provoke current flareup? who knows...the doctor certainly doesn't seem to!!!

related question:

i'm currently dealing with the same thing - hernia at L5-S1 and deteriorated disc at L4-L5. ignored pain for months (kept running of course, but had to reduce) and finally saw a dr about 3 weeks ago. anti-infl. didn't work, now trying oral cortisone. started PT this week but it hurts me way more than running did!!! but the dr told me in no uncertain terms not to run for the forseeable future. this is annoying as running never actually hurt! the pain comes the next morning, but i haven't noticed it as being any different than any other morning.

i've been assigned to WALK, swim (which i know i won't do because i hate being indoors and swimming laps), or cycle. has anyone else tried to replace running with walking? how much do you try to do, and how fast? i've been trying to walk as far as i usually run (4-6 miles), and use my garmin to keep me speedy. the problem is, i actually hurt just the same afterwards as i do when i was running!

i'd appreciate any thoughts from anyone out there who's dealt with this... i told my PT that my eventual goal was to return to running and she said "why would you want to do that?"...i immediately thought that i was with the wrong PT...

but i'd like to avoid surgery - so i'm willing not to run for a while i guess...although the other day i ran up the street to catch up with a friend and it felt sooooooooooo gooooooooooooood...

deg
Click to view masrun's profile Amateur 30 posts since
Mar 31, 2007
6. Jul 19, 2007 8:17 PM in response to: Wendy S.
I am recovering from a herniated disk in L5 / S1. My back never really bothered me much except when lying on my sides in bed. It was the sciatica into my left leg and foot that caused problems. 6 weeks later, it has improved greatly but still have some weakness and numbness, especially in the foot. Anyway, the neuro-surgeon I went to basically said to keep running. Running was not the cause nor will running cause additional problems. You cannot do anymore damage to your back then has already been done by the herniation. Funny thing he told me was that PT would do nothing more then to entertain me as PT will not heal the disc any faster. It just takes time and everyone is different. Cortisone and surgery often create new problems and complications so these should be avoided if possible.
Click to view littlewaywelt's profile Pro 181 posts since
Apr 1, 2005
8. Dec 26, 2007 4:36 PM in response to: Wendy S.
quote:<HR>Originally posted by masrun:
You cannot do anymore damage to your back then has already been done by the herniation. <HR>


That's not necessarilly true. Relapses happen in ~5% of ppl that have had surgery.
I had L5S1 laminoty & discectomy and had a recurrence (which req'd additional surgery) at the same level about 2 years later during or directly after a marathon.
Running could in theory increase the amount of herniation.


WendyCity,
...that said, I'd listen to your physician & pt person before listening to anyone (including me) on the internet.

http://This message has been edited by littlewaywelt (edited Jul-20-2007).
Click to view ForceD's profile Legend 523 posts since
Dec 14, 2007
9. Jul 20, 2007 1:58 PM in response to: Wendy S.
quote:<HR>Originally posted by deg:
has anyone else tried to replace running with walking? how much do you try to do, and how fast?<HR>


deg,
The recent flare-up that cause my current pain?which is resulting in surgery scheduled for August 3rd?happened at the end of April. I was already entered in the Indy Mini Marathon and had my airfare. I didn?t want to miss it. On the other hand running was still a bit painful that soon after the flare-up. I decided that I?d walk it with my sister. This sounds funny: Running that far isn?t a problem. But, I didn?t know if I could walk that far. So, a week before I flew out to Indy I went on a ten mile walk to see how it?d be. I walked it as hard as I could. I ended up going almost exactly half as fast as I?d run that distance and felt like I got just as much of a workout. Be advised thought! The muscles you use, and how you use them for walking is different than running. Then next day my legs we much more sore than if I would have run 10 miles.


quote:<HR>Originally posted by masrun:
6 weeks later, it has improved greatly but still have some weakness and numbness, especially in the foot. Anyway, the neuro-surgeon I went to basically said to keep running. Running was not the cause nor will running cause additional problems. You cannot do anymore damage to your back then has already been done by the herniation.<HR>


masrun,
The surgeon that?ll be doing my surgery is a neurosurgeon too. He said almost the same exact words to me that yours did. Others have also told me their docs say it too. But, try telling a non-running spouse that running has no bearing on your back condition. Flare-up and reoccurrences do happen?like littlewaywelt suggests. But, in my case, running has never ever caused a sciatic flare-up for me. I can always trace it back to incorrect bending, lifting, or twisting in awkward positions and not taking my back into consideration before I do it.

Dan
Click to view angrek's profile Pro 127 posts since
Aug 14, 2007
10. Jul 20, 2007 2:25 PM in response to: Wendy S.
quote:<HR>Originally posted by WendyCity:
I've been told that herniations eventually resolve on their own but it's been nearly 8 months already and it's summertime, time to run and jump around! <HR>


I did a couple stupid things years ago and ended up with upper and lower damage. I think I had like 3 upper that I damaged then during a move and 2 lower lumbar from a cliff diving accident a few years previous. Couldn't even walk straight for about a year and I'd randomly just get dropped to my knees or go down for a good face plant on occassion. Those were fun. It became very comical to me at the time. It took a few years, but they all worked themselves out. (didn't have health insurance at the time so I didn't have much of a choice) I've been completely (ok, 99.9%) pain free for about 3 years now. Took about 5 years total. Probably took a little bit longer for mine to heal because I didn't just have a single herniated disk, but everything did heal on its own. Back pain is for the birds.
Click to view angrek's profile Pro 127 posts since
Aug 14, 2007
11. Jul 20, 2007 2:28 PM in response to: Wendy S.
quote:<HR>Originally posted by ForceD:
masrun,
But, in my case, running has never ever caused a sciatic flare-up for me. I can always trace it back to incorrect bending, lifting, or twisting in awkward positions and not taking my back into consideration before I do it.

Dan
<HR>


That's about my experience with it. I could run or bike a couple miles just fine but reach into the fridge for a pepsi the wrong way and I'd drop like a brick.
Click to view angrek's profile Pro 127 posts since
Aug 14, 2007
13. Jul 20, 2007 10:07 PM in response to: Wendy S.
quote:<HR>Originally posted by WendyCity:
ACCKKKK!!! I cannot take this anymore!!!! I've been in so much pain the last three days that I've scheduled a second cortisone injection (even though the first one didn't work for more than 4 days.) I'm at my wit's end! <HR>


Well, if you're in that much pain and it hurts to run, me personally? I'd back up and punt. There are always races to be run. Fixing your back though... Don't get me wrong...I'll run through pain and injuries, but after 4-5 years of severe back pain, that's one of the few things I won't try to run through. Just my thoughts on it. Funny name btw. My dad grew up in Rockford and Oak Park.