NO RUNNING injury is
minor if it happens to you. None is minor if interferes with your running. None
is minor it won’t go away.
Mine seemed minor
only at its start, a normal after-effect of running long. One Saturday I took
the two-hour run that was customary on non-race weekends. The next morning my
left heel was sore.
That’s odd, I thought. This
is my good heel, not the one that had been lumpy and tender to the touch
since age 12.
Of course I didn’t
let this latest injury stand in the way of continued running. Long runs often
left me sore-footed. I thought it was a bruise that would disappear, as always,
in a few days.
This problem stuck
around. By late 1972 an ugly lump had formed on the upper back of the heel
bone. This spot the size of a thumb tip glowed red from the irritation and
inflammation inside.
My runs had
shortened and slowed, and racing had disappeared. This was more than a bruise.
But what, exactly, and what to do about it?
Then I found the
right doctor – or rather, he found me first. Dr. Steve Subotnick, a podiatrist,
called to ask if I’d be interested in hearing about his research on running
injuries and their treatment.
He wanted to write
about it for Runner’s World and
invited me to visit his Saturday clinic for injured athletes. I wanted to talk
about my injury, and he fit me in
among a dozen other runners for an exam.
He quickly diagnosed
my problem as a “rectocalcaneal exostosis.” A rectal what?
“That’s a bony
growth on your heel bone,” he explained. “The bigger it grows, the more it
irritates the surrounding tissue. You need to make some changes that will ease
the irritation.”
Dr. Subotnick concluded
that my injury had passed beyond the reach of conservative treatments (which I
had tried). He mentioned surgery, which he promised would not mean the end of
running but a new beginning.
YOU DON’T fully
appreciate running until you’ve almost lost it. I would never again take it for
granted after going almost a year without a pain-free run.
After many months of
denial, then many more of trying treatments that didn’t work well enough, I had
little left to lose. I chose the last hope for relief.
When I told Dr.
Subotnick that “I’m ready for surgery,” he said, “How about next Tuesday?” That
was four days away, which didn’t give my imagination much time to run wild.
Then he had to
postpone the operation for several more days, which gave time for dread to
erode the hope. What if the knife
slipped? What if the expected month off my feet stretched to several months, or
forever?
This was to be
relatively minor surgery, without general anaesthesia, as a short-stay patient
who’d go home the same day. The doctor would go in and chisel away the excess
bone at the heel, then sew me up. Almost as simple as pulling an infected
tooth.
But “minor surgery”
is someone else’s. If Dr. Subotnick took a chunk out of my heel bone, that was
major enough for me.
The doctor said I
could be 99-percent sure of full recovery from this procedure – and that by
hurting a lot for a little while I could avoid hurting a little for a long
time. I placed my faith in his good judgment and firm hand. But even he
couldn’t control the one-percent chance that something would go wrong and that
I’d be stuck for life with a defective foot.
A shot at waist
level deadened both legs. A drape blocked me from seeing the gory details down
below.
Finally Dr.
Subotnick told a student, “You can close it up now.” Then a nurse held up a
clear plastic pill bottle and said, “Here’s the troublemaker.”
Floating in pink
liquid were two rough-edged white chunks with stringy red thread attached. As
recently as that morning these parts of me had sawed into soft tissue when I
ran.
“Normally casts are
optional in cases like this,” said Dr. Subotnick. “I put some patients into a
walking boot right away.
“But I know you
runners. You’re like hyperactive 13-year-olds. If I didn’t give you a hard
cast, you’d be out trying to run in two days and would mess up the good work
we’ve done on you here.”
He slapped on extra
strips of plaster, “just to make sure you don’t try anything funny,” and
ordered me onto crutches for the next week. “Then I’ll add a heel so you can
walk on the cast. You’ll be out of it three weeks from now.”
“How long until I
can run again?” I asked him. He said, “Don’t try until the stitches come out in
another week.”
I tried running the
same day he unstitched me, a month post-surgery. I lasted one lap of a high
school track, shuffled it in five minutes as walkers passed me. Never had so
little meant so much.
Photo:
Dr. Steve Subotnick gave me back the running that I had almost lost to a
long-lasting heel injury.
[Many books of mine, old
and recent, are now available in two different formats: in print and as ebooks
from Amazon.com. The titles: Going Far, Home
Runs, Joe’s Team, Learning to Walk, Long Run Solution, Long Slow
Distance, Miles to Go, Pacesetters, Run Right Now, Run Right Now Training Log, See How We
Run, and Starting Lines, plus Rich Englehart’s book about me, Slow Joe.]