Change in layout & physio visit

17 10 2007

There are a few things I wanted to do with the blog, such as adding a Labels index, that were just easier with the new Blogger style templates, so I’ve just switched over to it. Let me know if it’s unbearable, and I’ll see about changing it to something more aesthetically pleasing.

Visited the sports physiotherapist, Louise, this evening about my suspected compartment syndrome. She asked me the usual gamut of background questions, under what circumstances it presented itself, what I did to manage it, other health issues (asthma, etc), and so on and so forth.

I did mention that when I bought my running shoes – from who I think are Reading’s most respected running shop – the salesperson there did nothing to check my gait or look into other motion considerations. Probably a case of “Saturday casual kid” versus a trained runner. Louise’s assessment of my feet are that I don’t appear to have flat feet (see over-pronation) or high arches (see supination), so it looks like standard running shoes are fine for me.

The rest of the examination was simply a case of taking off my shoes and socks and rolling up my jeans to get a look at my calves and feet, examining my feet and calves, flexing them, etc. Apparently my calves feel quite taut to her, despite the flexibility in my legs (years of karate when I was a kid left me really bendy, regardless of fitness). She checked my calf flexibility another way by getting me to stand facing a wall with my big toes a few inches from the skirting board, and moving one knee forward until it touched the wall while keeping the heel on the floor, and moving the foot towards/away from the wall until the balance was met. Apparently this showed that my calves are tighter than normal.

The long and short of it is that it looks like I may have mild compartment syndrome, but it’s possible that by focussing on stretching my calves I may be able to minimise or remove its impact in my running. Alternatively, I may just have tight calves and find that they tire quickly which might change my running motion and exacerbate whatever it is that’s causing the pain. I don’t blame Louise for not being able to diagnose the problem on the spot, so fully expected follow-up appointments.

As they don’t have the equipment at the clinic, Louise has asked me to visit a running shop with a treadmill and camera-based gait analyser to get one of the professionals there to look at my running style, etc, and then return to her in a week or two. One of my colleagues has asked me to go along with her to a running shop in Maidenhead on Friday, so that’s a perfect opportunity to get that done – especially as I’m looking at buying a second set of shoes anyway.





Time to sort myself out

13 09 2007

This is a long post as it contains background and everything that lead me to this point. Think of it as the story so far…

When I started university in 1993, having just finished 4 years doing an apprenticeship after leaving high school, I was of normal dimensions (by normal I mean medically normal, not please don’t sue me because you think I’m saying you’re not normal) without being thin or skinny. Overweight tends to run in our family, which of course is a combination of a number of factors: meal planning, metabolism, culture (what and when people eat), etc. So while I was of normal dimensions, I was probably a few kilos over the ideal. I should note that I had moved out of my parents’ home during my apprenticeship, so it wasn’t a case of the classic “I’m fine while living on mum’s cooking but balloon when I feed myself” situation – I’d had a couple of years of feeding myself.

So once I hit university I began living the lifestyle, which included a lot of recreational – oops, I mean study – time. That naturally included drink and fast food and an unnoticeable change from a fairly active blue-collar outdoors lifestyle to one where I was sitting on my backside except when walking between classes, etc, and the occasional infrequent recreational sport. And once I left university that pattern persisted, only once I entered the workplace as a white-collar IT worker the spare time fell to almost nothing and it was just easier to get pre-prepared/fast food rather than cut into my now-limited “me” time by shopping and cooking.

I moved from Australia to the UK in mid-2001. I weighed myself shortly after I arrived in the UK: 127kg (280 pounds, or 20 stone, for the Luddites among you). That equates to a BMI of 40.1. If you compare that against a standard BMI chart or use a BMI calculator, you’ll see that it’s obscenely bad. And, in typical British style, here’s what the NHS has to say about my BMI back then:

Your BMI is 40.08
If your BMI is over 40 you’re very obese. This means you’re seriously over the ideal weight for your height. Are you eating too many foods that are high in fat and sugar? In order to lose this extra weight you need to make positive changes to your lifestyle and stick to them. Losing weight will help prevent severe health problems such as heart disease and diabetes and extend your life expectancy.

Bear in mind that the usefulness of BMI is debated by most health and fitness professionals, but it’s still a useful yardstick.

Since that point I’ve made a few attempts at addressing this problem. First I did some simple changes to my lifestyle and eating habits, and found that I’d dropped down to 118kg, which was a vast improvement. However, I found that weight stayed fairly static, and was somewhat compounded by my life as an IT consultant preventing me from starting up any regular evening or weekend activity, as I was often required to work late/early and on weekends (in fact, from 1997 until 2005, I did nothing on weeknight evenings that required a sign up and attendance or financial commitment, for that very reason).

In 2003 I joined Weight Watchers Online, which is done entirely over the Internet – without all that “weigh and shame” business that you hear standard WW members talking about. It was quite good, but the Points system requires the fastidiousness of an accountant in order to be able to continue it for very long. There’s a vibrant online community for members of Weight Watchers Online complete with periodic social gatherings and, although mostly female (makes it interesting being one of the males in the community), it helped a great deal. However after 6 months I found that the perpetual Points accounting took its toll, so gave it up. I did however lose 6kg in that period, so it did work, though I did put that weight gradually back on and was up to 117kg within a year.

In 2004 I discovered running, largely because of a friend’s wife who was a fitness instructor and a true iron-woman. She loves running, particularly the Pose Method, and regularly participates in one event whose name I can’t remember (Ironman Challenge? Hardman Challenge?) – it was a cross-country 10K or something like that. So, setting my sights much lower than hers, I researched various programmes and read a number of web forums, and decided on an easier version of the Couch to 5K. I started with 20 minutes of 30 seconds running and 90 seconds walk (30R90W) and ran with that until it wasn’t a challenge, then to 45R75W, and so on. The plan was to progress right through to 90R30W and eventually to 20 minutes of continual running, and then to increase the continual running time. However, at the end of 2004 I was told I was going to be made redundant, so my world fell out from me and I gave up running partly in unhappiness, but also because I ran in the early morning before getting ready for work, and when you’re not getting up for work every day you tend to lose motivation to get up for anything else.

In late-2006 I started archery, as it’s something that’s always interested me. Like some of my other interests, it doesn’t require a great deal of fitness to do well in (there’s a standing in-joke that it’s a sport for fat people), but fitness and shoulder/upper arm strength is a definite bonus when it comes to long bouts of 144 arrows or more, especially when your bow limbs are rated at 40lb (18kg) and you aim each arrow for up to 30 seconds at full draw. This provided me with the desire to improve my fitness again.

Not long after a started archery, I went down with food poisoning from a dodgy pizza place and things with my stomach were never right thereafter. A long story short, it turned out to be an H. pylori infection brought on by that pizza, resulting in a duodenal ulcer that’s exacerbated by some foods and things like caffeine. I went through the triple-therapy treatment and things looked fine after that. Except when I tried caffeine again recently, it had the same effect: I had to have steady paracetamol, lie flat for 24 hours (couldn’t even sit up to read), and wish either my life or the pain would just end. Either the ulcer is still there (to some degree), or I’m genuinely intolerant of caffeine now. This whole thing basically threw my summer archery out of the window, making this season mostly a no-show.

The end result of the lifestyle changes I made from December 2006 until recently is that I’m now 107kg. A full 20kg lighter than when I first arrived in the UK. This gives me a BMI of 33.8. Still far from good, but better than before – here’s the NHS summary:

Your BMI is 33.77
If your BMI is between 30 and 39.9 you’re obese. This means you’re well over the ideal weight for your height. This could cause serious health problems and affect your life expectancy. Are you eating more than the recommended amount of calories per day? Are you getting enough exercise? Once you gain the confidence to start exercising regularly you’ll notice a huge difference. See your GP for advice if you’ve tried to lose weight without success.

Using that calculator, I’ve discovered that once I hit 95kg my BMI falls into the “ideal weight for height” range. So although my target weight is 80kg, realistically I’ll be happy with 90kg. This means I’m over halfway there, with 17kg to go. Onwards and downwards!

Last week I was chatting to a friend (made via archery) who’s in a similar physical situation to myself and he’s realised that he’s just hit a big round number in age and needs to sort himself out. So he asked how I felt about the gym and running, both of which I’ve done before – I used to work out regularly when I was an apprentice and had great results, and running I particularly enjoyed – and we agreed to sign up to a nearby gym (for weight loss, fitness and to strengthen the muscles we need for archery) and to start running, and use each other for mutual support, motivation and general name-calling.

It was just the motivation I needed to get my own act together. Here we are… bring it on. ;)