My last check-up with John brought more reasons for optimism, he was very happy with my progress and described me as being “five and a half weeks into a twelve week healing cycle”. I have to further increase my running now and can contemplate competing if I want. He expects the symptoms to fluctuate as we apply stress to the area and then peter out again as we take the load back off.
The “migratory pain” that I’ve experienced is not directly related to the osteitis pubis as it proves: rather it’s a mild form of iliopsoas tendinitis caused by the general area still being somewhat overloaded. Strength in my right hip flexor is back in the normal range but my pelvis still tilts too much forwards and I still have a tendency to use a “pull” rather than a “push” action during the lengthening phase of my abdominal muscles. Both are functional deficiencies I have to keep correcting through the program provided by John.
He wants to see me again in three weeks to track my continued progress and from there on hopefully bring me onto a more functional rehabilitation program which my current state still does not allow. Even five easy core exercises still cause a significant discomfort, so there’s reason to be buoyed by today’s news but restraint is still in order. It’s remarkable that you can let something as invasive into your biomechanics develop this far without noticing that a real injury is developing.
Earlier in the year part of my success in staying injury-free was an acute awareness of any niggling sensations in old problem areas allowing me to pull back just enough to make any injuries that occurred brief in duration. The issues appear when a new injury appears where you don’t know what you are dealing with and don’t take the appropriate action. With this in mind, its advisable for runners to be slightly hypochondriac and immediately go to a chartered physiotherapist when any worrying symptoms occur rather than procrastinate and hope the symptoms will fade.
The words “only he who dares venture too far, can know how far he can go” are worth keeping in mind.