Tuesday, February 28, 2012

Surgery Consult

Dr DSO, who did a minor and totally successful outpatient surgery on me 10 years ago. Go to a surgeon, and she’ll recommend surgery, right? Not if it’s a surgery that she doesn’t perform. The scheduler had assured me that Dr DSO does hernia surgeries, and she does, but not on a “sports” hernia, which is not really a hernia but a muscle pull, technically an "abdominal wall strain."

This requires a laparoscopic procedure, she believes, because it doesn’t make sense to cut through the strained muscles in an effort to strengthen them. She does laparoscopic surgery but not on the abdomen - she doesn’t believe in that treatment for an abdominal wall pull at all, and in fact doesn’t think it has a high success rate. Mine, in particular, is high on the lower abdomen, making such a repair even less appropriate. Huh.

She advised:
  • Continue the physical therapy that I’m currently getting.
  • Warm up properly before any run. I usually do warm up before a short race, though not for a marathon.
  • Stretch properly after a run. I do my set of stretches frequently, if not after every run, but until recently I haven’t done a stretch that works the lower abdomen at all. She mentioned yoga.
  • This particular injury is unlikely to turn into a real hernia or any other major problem, regardless how much it hurts. So just SUCK IT UP and run! She didn’t say it exactly that way. Good to know, though.
That is one surgeon’s opinion. The buzz in the runner community is that a surgical repair is simple and permanent, though, so I may see another surgeon and get a second opinion from someone who actually does them, like maybe the surgeon that my sports doctor recommended!

Maplewood Mall again today, the third time in four days. We three walked 4.5 miles in 1:04:30, for a pace of 14:20. No pains! Nothing more than a hint of the abdominal wall strain and the hip-flexor pain. Maybe this upcoming marathon will be OK. We’ll go to the mall again tomorrow if the weather permits. No running until the race, though, just walking. Fast is fine.

What a way to train for a marathon - yikes.

There is oatmeal under there:

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