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Running after a ruptured disk... (Read 2348 times)


Think Whirled Peas

    So my lovely wife recently finished the C25k program, and ran her first 5k back in May. She kept running in June, and then started having some back pain. It got to the point where she couldn't get out of bed. Turns out it was a ruptured disk in her lower back (L4-L5, whatever the heck that means). The problem was that the rupture was pressing on the nerve that controlled her right foot, causing a condition known as "drop foot." She had surgery to alleviate the problem, and things are slowly coming around for her. But. She's getting a LOT of "you should give up running" from anyone/everyone who has an a$$#$%$3. Normally I would tell her that these folks are just plain uninformed, but this back thing was seriously messed up. The surgeon even suggested that an alternative workout might be better in the future. Is there anyone out there that has ruptured a disk and come back to running? I'd appreciate your feedback! Thanks! Q

    Just because running is simple does not mean it is easy.

     

    Relentless. Forward. Motion. <repeat>

    zoom-zoom


    rectumdamnnearkilledem

      I know nothing... /Schultz But I hope she has a complete recovery and no long-term ill effects--and can still run. Man, that shit sounds really miserable. Hit up backroadrunner on the MI board. She has had some serious back issues in her time--partly from being thrown off a horse in the past. She might have some insights.

      Getting the wind knocked out of you is the only way to

      remind your lungs how much they like the taste of air.    

           ~ Sarah Kay


      Along for the Ride

        L4/L5 herniated disc here. I ruptured mine in September of 06'. Had misc. muscle weakness in my right leg, numbness, tingling etc. I didn't have to have surgery, but there were times where I wanted surgery ... I feel for your wife. She has come a long way and it is a long and sometimes frustrating and depressing road. I found an EXCELLENT physical therapist and had 6 months of twice weekly PT. She incorporated a lot of core strengthening exercises and yoga. After I started running again, I felt like I had 2 different sides and they were doing different things ... the left side ended up with some overuse injuries. I worked on strengthening the formerly weak and paralyzed muscles with the PT (particularly gluteus medius) and did Yoga to even out the strange feeling of having two sides. I saw a spine specialist who is also a runner. He told me to keep the pounding down. I can run, but should only run 3 days a week. Cross train the remainder. Am I following that? Not that closely... Almost 2 years out I feel great. The back is achy every now and then. After long periods of sitting, I feel like things need to 'crack" into place first. Then my back is achy and the numbness returns ever so slightly. But good stretching helps that. I've run two Half marathons since the injury. Best of luck for your wife!

        Your living is determined not so much by what life brings to you as by the attitude you bring to life; not so much by what happens to you as by the way your mind looks at what happens.

        Out of suffering have emerged the strongest souls; the most massive characters are seared with scars.

         

          I had an L5/S1 (3cm, pressing against the cord) that caused probably the greatest pain I have ever endured for a few years in my mid-twenties. Had surgery, ran a marathon the next year, PR'd likely secondary to time off mandated by surgery as well as a revisitation of training schedule to include more quality miles than pure mileage. Actually, I ran a marathon on 2800mg of ibuprofin a week before the surgery, I was a little crazy and really wanted to get my money's worth from the procedure...and I'm an M.D.! In retrospect, that wasn't too smart and the race was really painful. On the return back, I took a full month off, just did some light walking, then took up swimming, cycling, and pilates. Still haven't been stretching the hammies like I should be but try to keep the quads strong and only run on grass to minimize impact. Still get about one minor injury per year, the same as before my back surgery, again because I'm too cheap to change out my shoes frequently, which probably caused my disc to herniate in the first place. My advice would be to take it way easier on the road back than I did, to really work your core (Pilates helps, you can even strengthen your vertebral multifidi muscles to add support!) in the future, and cross train as much as possible.
          jEfFgObLuE


          I've got a fever...

            When I saw this subject line, I pictured a disc rolling down the street on its edge with someone chasing after it.

            On your deathbed, you won't wish that you'd spent more time at the office.  But you will wish that you'd spent more time running.  Because if you had, you wouldn't be on your deathbed.


            Along for the Ride

              When I saw this subject line, I pictured a disc rolling down the street on its edge with someone chasing hobbling after it with foot drop and paralyzed gluteus medius.
              Jeff, I fixed that. Seriously, I could never understand what it was with the 'my back is out' and I have a 'bad back'. Until mine was out ... I also heard a theory that apparently chemicals from the inner core of the disc cause a lot of the irritation and swelling around the spinal nerves. My herniation wasn't that big, but the paralysis symptoms were. The theory goes, once the outer fibrous ring scars over and closes the "leak", the irritation will get better. Watts - inspiring story! Except for the marathon before the surgery ... Nice recovery!

              Your living is determined not so much by what life brings to you as by the attitude you bring to life; not so much by what happens to you as by the way your mind looks at what happens.

              Out of suffering have emerged the strongest souls; the most massive characters are seared with scars.

               


              Think Whirled Peas

                Thanks for the replies, gang! ZZ, it started the weekend of the Seaway Run, that's why she wasn't able to make the trip. We found out it was a ruptured disk later that following week. I'll check w/backroadrunner too. Runnergabe, I appreciate the input. I've talked to my wife a bit more about what she wants to get back to doing, and while she isn't ruling running out completely, it's definitely low on the list. The crosstraining is where she wants to get back to being able to do. I'd love for her to get into running, but understand it's just not that big of a deal to her, whereas being able to workout in other forms (elliptical, swimming, biking) is. watts, you are effing caRAZY! and globule, go blow mud out yer trombone! Smile

                Just because running is simple does not mean it is easy.

                 

                Relentless. Forward. Motion. <repeat>


                Drinks Who Runs

                  Did exactly the same injury (L4/5) training for my first marathon in April last year, including the whole drop-leg thing! I found that a combination of walking in (not on!) waist-high water, lots of core exercises, PT (4 days/week at first) AND a cortisone injection into the injury site two months after the initial injury (avoiding the scalpel) finally graduating to treadmill walking, got me back to running 20+km in February this year, though I was 6 months before you could call the action a "run"; even then it was a bit "step and drag". My surgeon's only advice was that whether running is a good idea post-injury differed from person to person. If it irritates, don't. But give it all a chance to heal and start without too much ambition. Having said that, if you don't do anything you'll lose strength and flexibility which compounds the problem so it's a matter of getting the balance right. My first treadmill was at around 2.5 mph.!! Now, if I DON'T run at least once every 3 or 4 days, the leg below the knee starts to get numb; when this happens, it takes about 45 minutes running for things to stretch out. My back is giving me no on-going pain now though I am very careful with how I bend, pick things up, what I sit on, etc, and sprinting is a no-no. My PT is now introducing exercises to get some movement in my spine rather than doing everything with a fixed straight back and though there was aggravation at first I'm now getting the benefit. It's Sydney's famous City to Surf tomorrow and I'm as excited as hell to be one of the 70,000 runners! And mid next month is the Sydney 1/2 marathon, my first for 2 years. Good luck to your wife; it's a long slog but way better than the couch.

                  Goals for 2012 Gold Coast HM under 2:00:00, Sydney HM under 1:50 Sydney Running Festival HM September

                    Seriously, I could never understand what it was with the 'my back is out' and I have a 'bad back'. Until mine was out ...
                    I felt the same way, until recently. I was laying in the kiddie pool at the end of June with my kid, who while I looked the other way decided to dive bomb me and landed full force on the small of my back. Felt a sharp pain, laid still for awhile, then decided I was ok. Fast forward a week, and noticed it was increasingly getting worse, and sitting really bothered me (I'm a paralegal and sit in front of a computer all day, so this was a problem). I went to a chiropractor I know & trust, and she says I have spondylolithesis, which apparently I already had but the trauma to my back caused the vertebrae to separate or whatever it does even further (which was the sharp pain I felt). Anyway, I've been seeing her 1 to 3 times a week since mid-July and it does feel better -- rather than my entire lower back being stiff & in pain, it's localized to the exact vertebra. Sitting still bothers me, but it's getting better and she gave me stretches to do to make it feel better, so that I don't have to keep seeing her. That said, she suggested I stop running permanently. I had already been on a hiatus while I rehab a bad knee. I decided to wait until this back issue feels better and then I am slowly going to start running again, on a treadmill for awhile so I'm not pounding as much. We'll see how it goes. It is sore still - even walking I'm only good for a few miles. I went backpacking this weekend, did only 4 miles (we were with our 5-year old son) and the weight of the pack around my waist did a number on me so I don't think I'm up for running quite yet. Crappy back injuries. Man. I can mess around with a sore knee, but I don't want to mess with a bad back! I never understood those folks who complained about their backs, but I sure do now. Just the thought of not being able to do the stuff I like to do, or doing it with pain, is horrifying!!!

                    Michelle


                    1983

                      I had surgery 5 years ago for a herniated disk, L5-S1. Not caused by running because that was in my non-running years. When I asked the surgeon about running, he said swimming is a good exercise. I said, I hate swimming, what about running? He repeated, swimming is a good exercise. Post surgery, I went thru 3+ years of running off and on. General exercise off / on. Core exercises off / on. Life getting in the way and basically intermittant back problems. Could never seem to get going. Last fall was the worst. I threw out my back. It felt like the same lower back area, but this time on the left side instead of the right side. Started getting those familiar pains in butt and upper leg. Went thru several monthes of Chiro and joined a gym. Started core workouts religiously. Decided that I would start running in January (this year) come hell or high water. If it hosed by back then so be it. I would deal with it then. I've been running ever since, this has been my most consistant running year ever. I stuck with the core exercises and actually found that running would help my back. I've had some times when my back will act up a little; achy, sore butt, tight hammy and I go out running anyway. It actually seems to help keep my muscles loose. I've gone for runs where I am sore all morning, I run, and then I feel much better in the afternoon. Previous to this year, whenever my back acted up, I would not do anything, for fear of making it worse. I think that itself made it worse.
                      Favorite quote: Stop your crying you little girl! 2011: Mt Washington, Washington Trails, Peaks Island, Pikes Peak.
                      seeEricaRun


                      Awesome

                        I have a herniated disk at L5-S1. I probably injured it carrying computers around when I was about 20 or so. I didn't have it diagnosed until maybe a decade later, because every time it would act up and cause nasty back pain, I was between insurance. In fact, I didn't get a diagnosis until I was having major problems healing from a very minor knee surgery. I've never had surgery for it, only physical therapy. In general, my biggest problem from it these days is that my right quad is weak and visibly smaller than my left. I have a hell of a time building any muscle on that side, and I've also had some knee problems in that leg which are probably related. I switched from gym ratting to running while I was in physical therapy for it, and my orthopedist (Sports Med) told me that running was maybe not the best exercise for me, because it can aggravate the injury and cause back pain, and that I'd lose my right to come complaining to him when it hurts. But, he also pointed out that if I continued running, I'd still be better off than if I were sitting on the couch. So, I kept running. To be honest, it seems to be mostly fine. It seems that I may be more prone to overuse injuries and that I may have to be more careful than average when I ramp up mileage (which I'm terrible about) - I've had some problems in that respect, but as long as I keep an eye on it, and take some time off when it gets fussy, it seems not to be a major hindrance.
                          I was diagnosed with degenerative disc at L4/L5 and L5/S1, at the ripe old age of 30! I remember over the course of a few months where my lower back would hurt on the right side, and then I started getting numbness and burning down into my right calf muscle. Then one morning, I got out of bed, tried to sit down at the computer and the pain was so sharp, the worst I've ever felt in my life! Anyway, I'm here and I run and won't stop running. Some days are better than others, and most of the time I feel no pain, but you've GOT to do core and you've GOT to stretch that lower back to alleviate the nerve impingement. I've gone through several contortions to stretch my back, tried inversion therapy which works to alleviate the pain, but in the end your best bet is to not only STRENGTHEN your core but also to BUILD MASS in those muscles so that they can really support your spine. Try supplements like glucosamine chondroiten if you want, but you've GOT to stick with a PT plan for life. Also learn about the muscles of the spine: the hip flexors, the transversus abdominus, the multifidus... and find exercises that use these.
                          kcam


                            I've had lower back problems since I was about 18years old. Damaged something playing ultimate frisbee and never has been the same since. Periodic lower back episodes where I literally had to crawl around the house. I've tried everything short of surgery. About 10 years ago it was so painful I insisted on an MRI and it showed a bulging disc which some people call a ruptured disc. The doc told me it was operable but that the result might be better, it might be the same or it could make it worse!! His advice was to let it go, do the excercises the PT's prescribe and see what happens. I'm now religious about doing core excercises. I haven't had an episode since then. Running doesn't aggravate my lower back problem at all - I believe it's actually beneficial. Your wife's problem may be different but it IS possible to run with a similar condition. Check my log. I've been running 40 or 50 miles a week for over 15 years and I started running in my early 30's when my back was really getting bad. The episodes have gotten much, much less frequent and less severe as well.