Post Mortem

Reflection

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The results of the Portumna 100k show that my second 50k (4:50:31) took 9.24% longer than my first 50 (4:25:57), which is not too bad considering that out of the 12 finishers I had the smallest positive split (the largest was 56%). However the guy who finished behind me incredibly had the only negative split (4:57:45 + 4:52:21 = 9:50:06) meaning he managed to climb 2 places during the second half of the race. While my pace had reduced to a pedestrian level by the time I had crossed the finish line I could have continued on if I had to, for how long I don't know. However 10 minutes later I could not have walked let alone run.

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Recovery

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My recovery has taken a circuitous route. Naturally my legs were achy and stiff for a few days. My left quad in particular did not function particularly well – to get into bed or a car I had to use both hands to lift my leg from behind the knee. I also had a blister on the side of the base of my right big toe, which I had to lance. All good recovery stuff.

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Pain

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However as the aches and pains subsided on Sunday and Monday a new pain was developing in the big toe of my left foot. I assumed it was a sprain resulting from the race that I had not previously noticed but by Tuesday night the pain had got so bad that I could not sleep and had to hang my foot out over the edge of the bed as I could not tolerate anything touching my toe – water falling on it in the shower was enough to cause pain – it was red and swollen and walking was only possible without shoes and with a distinctive limp.

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Diagnosis

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So on the Wednesday morning I ended up at the Doctor, who promptly proclaimed “that’s Gout” when I revealed the throbbing digit. I had to tell her that the purple toenail was due to an unrelated previous “injury”. Yet she took precautions and prescribed antibiotics in case of infection, an anti-inflammatory for the gout and told me to avoid purine rich foods in my diet (alcohol, read meat – particularly organ meat, mackerel, sardines, tomatoes...)

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All Abina said is "It can't be Gout. Did you tell the doctor the distance you ran? "

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"She didn't ask but I did tell her I ran a very long race. If she though it important she'd have asked"

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"You should have told her" She replied.

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When picking up the drugs she even asked the pharmacist what he thought, filling him in on the details -"How long?" he asked - "no it can't be gout" - I think he just didn't want to contradict her - by the time I hobbled up he was more interested in where I ran and whether or not it was an organised event.

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Science Bit

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To be honest I was surprised with the diagnosis as I understood that gout was associated with a rich diet and copious amounts of alcohol but apparently other factors include a genetic predisposition ( I have a younger brother who suffers from gout) and an under-excretion of uric acid from the kidneys (quite possible given the reduced kidney function associated with endurance events). Also an excessive breakdown of cells (muscle breakdown in this case) can lead to uric acid build-up and uric acid crystals can become deposited in tendons, joints, kidneys, and other organs. This accumulation of uric acid crystals is called gouty arthritis, or simply "gout."

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Recovery # 2

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The meds appeared to work for a while but the pain was nearly as bad on Thursday night, which forced me to consult Dr. Google on Friday morning. After viewing a few sites I was almost resigned to a life crippling pain and no hope for a cure until I happened on this guys site proclaiming the benefit of baking soda (bicarbonate of soda), which essentially increases the alkalinity of the body (blood/urine) thereby reducing the production of uric acid. After a day or two of self-medication I was on the road to recovery.

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Running

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I was sufficiently recovered by last Tuesday to venture out in a pair of runners, perhaps unwisely selecting the clubs track session for my first run. However I was pleasantly surprised that I managed to complete a ladder session at a decent enough clip (for me) - between 6:00 and 6:40 mile pace - but I could feel the dull ache in my legs during the 2 minute recoveries. I continued running for the rest of the week culminating in a hilly club run this morning over 11.7 miles @ 8:30 pace and while I can run I’m still a long way from full recovery. Plenty of time.

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Plans

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Apart from being accepted this week to pace the 3:30 group at the Dublin City Marathon at the end of October I have committed to no other race and so my current “training plan” is primarily recovery based – muscle recovery first followed by recovering some of the speed lost over the last 12 months. As Thomas is also pacing the 3:30 group in Dublin it will be our closest race to-date – forced to warmup over 40,095m for a 100m sprint ;)

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