Not feeling that great this morning, more congestion. Saw Dr. Z, sez it's bronchitis, but not too bad, should be better by mid week. Also blood work to check my iron levels. Not going to run, shin's a little tender now, after feeling fine after my treadmill 10 miler yesterday, but decided to go to the club to just walk, not even elliptical, too tired.
I walked 3 miles on treadmill, first one briskly (4.7 - 5.1 mph), then for the next 1.5 I did silly walks, alternating between walking on my heels, slow, at a very low incline, and then walking on my toes, at a very high incline. Also alternating between toes pointing straight ahead, inward, and outward. Supposedly this should help strengthen a bunch of shin/calf muscles. Must of looked like an idiot at any rate. Then walked another half.
Was going to try the rowing machine, 'cause someone I was chatting with at the club a few days ago said it was good actually for strengthening the front shin muscles, the way your feet pull back on the straps. But the machine was taken, I wanted to get home and sleep.
It's ridiculous I haven't got this shin thing licked yet, I'm constantly doing strengthening exercises, I changed shoes, soft run on surfaces, iced, cross train, NSAIDs, bromelain, saw doctor, xray, MRI (at least for the right, negative), all the standard stuff, I even finally slowed down.
The right shin was originally the problem, from spring 2004, when I started running consistently again, on/off through mid summer 2005, when it mysteriously disappeared, and was replaced by more vague occasional left shin tenderness, but both were good for Hood to Coast, then the left gradually become more chronically sore, a bit lower than the right, in fall 2005 through now.
Looking at some basic anatomy, I think the tenderness is in one or more of the following, all soft tissue next to or behind the inside of the left tibia, about two inches about the funny bone.
- flexor digitorum longus (the muscle right behind the tibia)
- long saphenous vein
- saphenous nerve
- posterior tibial vessels
- tibial nerve
I'm pretty sure it's not a stress fracture, it's a similar situation to the right shin, which is okay now, and that wasn't a stress fracture. And this article says "when a stress fracture is present, tenderness is usually noted that extends horizontally across the front of the tibia." I definitely do not have this symptom.
At some point I'm just gonna bag it. The thing is, it never even hurts when I run, sometimes I can feel some sensations, tightness, a presence, but not pain; there's only pain if I start poking and prodding with my finger, I don't know if I'm being oversensitive, maybe I should just forget it, keep running until it actually hurts while running. I'm just afraid of the damage that may be done. Awe quitcher bellyachin' and get back to work.
I have tried most of the exercises described in this MTSS article; I need to be more vigilant.