A Running Doc’s Life: Everything’s Gonna Be Alright!

The recovery from injury continues. I thought I was just dealing with plantar fasciitis, but the pain was getting worse. So on MondayI had an x-ray taken, and sure enough, I have a calcaneal stress fracture. A stress fracture is a tiny crack in the bone, usually due to overuse, but it is still a fracture. I can tolerate walking, but no pounding from running or jumping. If I still had a lot of pain walking, I would have to be on crutches. I still have plantar fasciitis as well, but progressed also to a stress fracture.

The pain on the side of the heel is what was getting worse, and the Turkey Day 5k tipped me over the edge. I was limping for the next 3 days, so that is why I decided to get the x-ray. I cannot run for 4-6 weeks, and then will re-x-ray, and go from there. For someone whose favorite sport is running, this is very tough for me. Wednesdays and Sundays are gonna be the toughest. Those are the days run club meets for runs, and I cannot go. These run club days are not just about running, but they are a very important social time. It is forcing me to learn how to swim. No longer can I use the “Reiffenberger stroke” during the triathlon…stand up and run like hell! Some of the guys from run club meet multiple times a week to swim, so that is helping me get pushed out the door. Jason has been great with tips on swimming, and telling me about some you tube videos to help teach swimming, so I am learning about how to do this better. The first picture, and the next one, were me swimming this Summer in a mini-triathlon.

My stroke may not be too bad, but my head is not in the water! This is such foreign territory to me. I do not have to think about breathing while I run or bike, but I have to think about breathing with every stroke swimming. This injury is finally forcing me to get into the pool more often, and truly learn how to do it right. In the long run, this will be good for me. I am realizing already that even though I have not made it a full week off yet, how much I miss running!

The Wellness Center pool is great to go to, and for those of you who swim, or want to learn to swim better, take advantage of this. The only way things are going to improve is by doing it. I am eating my own words as I type this all out. I am just not a swimmer. My daughter Megan is a swimmer, and if I could swim half as well as her, there would be no stopping me. She is learning to run more, so I guess I can learn to swim. I can keep my exercise streak going as well. So bottom line, “Everything’s Gonna Be Alright!” Make no mistake, running is still my favorite sport…and always will be! I have to keep referencing my son’s shirt that he has. It pretty much sums it up!

Yep! Not running sucks! I have to find other alternatives instead of running. So besides swimming, I am on the stationary bike, and have been all this week. Next week I will try alternating with the elliptical. It still has more of a running motion, but not as much direct pounding. I purposely laid off of it this week to try and really let this calm down.

If nothing else it is teaching me to be patient. There are other alternatives of doing exercise, and ones that can be done when you are injured. Just because of an injury does not necessarily mean you can’t do anything. That would just be another excuse. We all otherwise have plenty of excuses not to exercise. It is time to come up with excuses to exercise, including different ways of performing exercise. In the long run it will make me appreciate running even more. To all of my run club friends…hold down the fort while I am unable to be there. I may not be there physically, but I am definitely there in spirit, and wishing I was! Keep going. Just remember, even on those cold days, wind blowing, rainy or snowy days, even a bad day running is better than not running. I would trade any of this to be back out running with all of you. Hopefully I will continue to stay in running shape so I can pick up where I left off. And…learn how to swim in the process. We all have things we don’t know, or need to learn about, so take advantage of those times when they come. Things happen for a reason. Keep your head up…in this case with swimming, keep my head down…and keep moving everybody!

Dr. Dan

Consecutive Exercise Day #: 4085

A Running Doc’s Life: Dealing with Adversity of Injury

There is no question, my favorite sport for me to participate in is running. I do other exercises at different times just to help break things up a little, but end up doing more of these different activities whenever I am dealing with a running injury. One of those times is now. You start to realize how important your feet our for every day things, not just running. It is a continuous reminder all day long when your feet are hurting.

I have always tried to get good running shoes, and change them out frequently. Now I am trying some different brand shoes to see if this will be any better. Right now I am dealing with plantar fasciitis in both feet. The left foot I can contend with, the right one has been a pain, literally, now for the past 2 months. I have to get to the point where I have to take a break from running. Even if I only do our Wednesday and Sunday run club 4 mile runs, I am limping for the next 2 days. I guess my body is trying to tell me something.

For those of you who don’t know what plantar fasciitis is, this picture shows where it hurts. It is a disorder of the connective tissue of your arch, which supports your foot. It results in pain I the heel and bottom of the foot, and is usually the worst first thing in the morning when you get up. The causes are not really well known. It is believed to result from overuse, long standing or doing a lot of exercise, or in my cases, doing a lot of races. I ice, massage, wear night splints, better arch supports for my everyday shoes, different running shoes…I just have to give it a rest from actual running.

These are some of the different night splints I have been using. It keeps my arch stretched during the night so it won’t be so sore when I first step on it in the morning. They do help, but I guess I need more help with patience!

I have been on my elliptical and bike more because it puts lets strain on my foot. I have to try and get going on swimming as well…I am just trying to convince myself I don’t have to resort to swimming, but I am starting to realize I am losing this battle! I want to get back to running, and I suppose now in the Winter time is a better time if I have to back down things. The other activities get boring, and is harder to motivate to use. I am keeping my exercise streak intact though…it will take a lot more than this to bring that to an end. I want to get back on the “racing circuit” with Sarah and the rest on run club. I am still planning on doing the Turkey Day 5K…slow…then recover again after. Will see how it goes. It is not fun staying back from running when you see other people, especially your friends, out running, and you can’t be with them! To all my friends in run club…keep holding down the fort. I have to take a break for awhile, but guarantee will be back, and ready to go again. We have all had to deal with injuries at one time or another, and they are always tough. Running and exercising are tough, but not doing it is even worse! Keep moving everybody!

Dr. Dan

Consecutive Exercise Day #: 4071

A Running Doc’s Life: We Are All Athletes!

We may all be at different levels, but the bottom line is that we are all athletes! We were made to move, and some of us may do it faster than others, or longer than others, but if you get out and move, and push yourself more than you would need to do, or are required to do just to do your activities of daily living, than you are an athlete. We don’t have to be professional. We just have to move. Besides Family Medicine, I am also involved in Sports Medicine, and came across a definition here recently that I think sums this up the best.

For all of us who stay active, there are bound to be times when we get hurt, or develop pain. The majority of these are still temporary. The problems were are helping to push back, or avoid altogether (high blood pressure, diabetes, obesity) can last a lifetime. We all need to get out of our “comfort zone”. We all can achieve benefit from this. For my part, there is always things to learn about Sports Medicine. I was just at a 2 day conference in SF to learn more about this.

There are always new treatment plans, ideas, research, and literature to review. They had new updates on concussion protocols, surgery updates, therapy updates, challenges of getting people to get out and move, as well as challenges that we as health care providers face when dealing with people who get injured, and how to get them back to what they want to do. It is always a challenge, but one thing that helps me in my plans of how to take care of someone, is being a runner myself, I understand the mindset involved with this, and how much somebody wants to get back to their same level of activity. Very few of us our professional athletes, but we should all be recreational athletes. We all need to move. “Use it or lose it!” The best part of all of this is there is so much variety of different activities out there to do that we can ALL find something to get involved with.


Here are a bunch of our run club members out in my garage, the Reiflex Center, doing weight/resistance activities. It is so much more enjoyable doing this as a group. We all need to do something. That hidden athlete is in all of us, just waiting to come out. Specific weight goals, times challenges in walks or runs are not the ultimate goal. These goals may help though to keep us motivated to keep working on things, and to stay active and healthy. But, the ultimate goal is to live life to the fullest, to be able to spend time with our family and friends, and to continue to have good times, and make lasting memories. That is what it is about. Keep pushing that inner athlete in you. It is there! Some days may be harder to find than others, but the rewards that can come about are more important that any time or medal that you may get. It is impossible for each of us to know everything, and to do everything. Making an effort is a start, and something is better than nothing. Keep learning! Keep trying! Keep moving everybody!

Dr. Dan

Consecutive Exercise Day #: 3847

A Running Doc’s Life: What are You Waiting for?

What are you waiting for? I tell my patients this many times when it comes to getting ready to make a change in their life, and work on diet and activity. I hear all kinds of excuses: It is too cold; it is too icy; it is too hot; it is too wet; I have this big project to get done at work; as soon as things slow down with my kids activities; I don’t have enough time; trying to exercise costs too much; and on, and on, and on! Always an excuse. I hate to tell everybody this, but there is always something that will come up in your life that will get in the way. We are all busy. But, we all have the same hours in the day as everybody else. It is time to make a commitment, and get fired up about it!

This was me after finishing the Dopey Challenge at Disney in January…a 5k on Thursday, a 10k on Friday, a half marathon on Saturday, and a marathon on Sunday. This was me after crossing the finish line of the marathon. I did it! I set a goal, worked for, and completed it! We all need to set a goal. We all need something to shoot for, whatever that may be for all of us. We are all on a different level, and at a different stage in our lives. Only we as individuals know what each of us is going through. Nobody is in our shoes. You can either do something about, and keep complaining about your situation. Exercise is also a good escape mechanism. The weather is not always going to cooperate with us either, especially in South Dakota.

I took this yesterday as we got hit with out Winter storm, during the first week of Spring! Life, and weather, does not always cooperate. But, if we wait until the weather is perfect, we will never get started. It will just serve as another excuse. It was no different when our run group met this morning for our weekly run. As far as the weather, the cold, the wind, the icy roads, nobody really wanted to be out there. If we had all been on our own, we would have probably struggled, and ended up doing something else. Yet, we were there for each, and because of that, we all got out the door. We were held accountable to each other, which can really help you get started on things when it comes to exercise.

Life is not always going to be easy…having time to daydream, and look at the ocean, and forget all of our problems. This works good as a vacation, or a break, or as a means to get our heads back on, but it is not going to be everyday. Things in everyday life get tough. Who needs to watch any of the reality TV shows now? Just wake up and face your own day. I think that is enough reality for all of us. Who needs to sit and watch about other peoples problems. Don’t we all have enough of our own? We can sit and choose to just sit there and dwell on it, or get off our butts and go do something about it. Will it be easy? Ha! Life is not easy, but getting out and exercising is a great stress reliever as well, and it can sure make your day go better, and more manageable as well.

Of course, there will be days where you wonder if it is all worth it. It is work! You are going to get tired! But, you are conditioning your body to handle anything that may come your way. You will be able to handle it better…tolerate it better…and feel better as well.

There will be days when you feel like you are “sucking air”, or just having every last bit of energy feel like it is being “sucked out of you”. Do something about it! You are in charge of you…nobody else. Be in the driver seat, and take control. You only live once, so what are you waiting for?

Sarah went to Huron this weekend to spend some time with her mom. They spent it quilting and sewing, and they both love this. But this morning, when the rest of here in Watertown were going out for a long run (we are getting ready for the Fargo Half Marathon in May!), Sarah went out by herself, and ran it by herself. Facing the cold, the wind, on her own. She had us back here, knowing we were doing the same thing, but it is tougher by yourself. How bad do you want something? What are you waiting for?’

When all is said and done, you will be happy you did it. You will feel better knowing your accomplished something that many other people would not even think of doing. Bottom line, you have to give it your all! You are the one who will benefit. You will have more energy. You will get to spend more quality time later with your friends and family. Time to reach for the top…your top! Where that is only you will know. Just don’t settle for something less than your best. Be happy with you! So come on…what are you waiting for?

Keep moving everybody!

Dr. Dan

Consecutive Exercise Day #: 3819

A Running Doc’s Life: Making Time to Workout on Vacation!

Sarah and I had a great vacation in Jamaica recently, but being on vacation does not mean we have to take a break from working out. It is always part of our daily routine, and being on vacation was no exception. We did one excursion off of the resort, and went horseback riding one morning. We have done this before, and was a lot of fun, but also forgot what different muscles it takes in your legs to do this. We both felt this afterwards! Here we are getting to ride the horses in the ocean.

There was plenty of walking to do on the resort as well. The main areas to eat were up on a hill, so there were plenty of stairs to use to get to the different restaurants, and then again back down to the beach.

We normally would first go hit the gym they had their when we got up in the morning to start the day. They had several treadmills, bikes, steppers, and weights. We could always find something to use that morning.

Following this we would eat breakfast, and go hit the beach for the day. Relax, read, take a nap, then repeat for lunch. We had the rest of the day to take it easy, so getting our workout done first thing was no problem. There were no alarm clocks on vacation…we just got up when we felt like it. Sarah the one afternoon joined in on a yoga session on the dock over the ocean. I just watched!

The rest of the time we spent just watching the ocean, relaxing, and taking in the scenery, and peace and quiet. It was a great vacation…but we still found the time to exercise, and when it is a part of your regular routine, it was not hard to continue doing then as well. It is a great way to start each day. Then spend the rest of the day relaxing.

Enjoy your vacations…but you can still eat well, splurge a little, and still exercise. Otherwise, it is just another reason to have to use an excuse for! Keep moving everybody!

Dr. Dan

Consecutive Exercise Day #: 3812

Become a Better You! Don’t Resist Resistance Exercise!

pullup

When it comes to exercise, cardio type exercise is important, but weight training/resistance type exercise is also very important. You should incorporate this into your weekly exercise routine 2-3 times per week. You don’t have to have fancy equipment, you can do many of the exercises by using your own body weight. Certain accessories can allow you to do even more of a variety of exercises, and you still don’t have to spend a lot of money. It is nice to have the space to be able to do it though. I set this up in my garage, but if you don’t have this space, then an area in your house will work to do bodyweight exercises. This may also be the time to consider having a membership to a gym to have unlimited access to whatever equipment you want to use. Here first, is one of me doing a pull-up. The strap helps initially by learning the technique of doing this, with full lift over the bar, and then back down with full extension of your arms.

Next is some squats that can be done either with no extra weight, or using weight, such as this, with a kettle bell, which comes in many different weight sizes. Just remember to start low, if any weight at all.
kettle bell squat
kettle bell upright

A similar technique for doing a bodyweight squat can be done using a weighted ball, and doing what are called wall balls. Squatting down with the ball in your hand, and then standing as you throw the ball up against the wall. Then when you catch, you drop back down into a squat.

wall ball squat
wall ball up
You can also do pushups or planks, which are also great for arm strength, and for working on your core muscles…those muscles of your abdomen, and extending around your sides to your back. The upright position of the pushup is your plank position, which you can hold, starting at 10 seconds, and working your way up to try and hold for a minute.

plank push up
push up down

You can come up with may varieties of different exercises to do, with your own body weight, and incorporating some additional light weight accessories. You can then expand as you want to progress as you want, depending on your interests. Here is mine…”Reiffenberger Anytime!”

garage gym
So, become a better you. Work on those resistance exercises, weight training. It is amazing how much stronger you can feel. You are in control of your exercise, activities. Just do something! Keep moving everybody! I just surpassed 3500 consecutive days!

Dr. Dan

Consecutive Exercise Day #: 3501