Category Archives: Blog

I thought it was just a sprain! A closer look at scaphoid fractures.

Matthew L. Drake, MD, Orthopaedic Surgeon

Bumps and bruises can often feel like minor issues that don’t require medical attention, however sometimes that is not the case. A common issue I see in my practice is the scaphoid non-union. The scaphoid is a small peanut shaped bone in the wrist. Teenage boys and young men engaging in sports often break this bone after a hard fall at play. The initial symptoms are wrist pain and swelling, which does improve with time. However, if the scaphoid bone was broken and not treated, trouble is on the horizon.

Illustration and x-ray showing a break in the mid-portion, or “waist,” of the scaphoid. This is the most common location for a fracture. Photo courtesy of orthoinfo.aaos.org.

The scaphoid bone has a difficult time healing due to poor blood supply, it’s just the way we are built. If recognized right away, most scaphoid fractures will heal in a cast or with a minor procedure to place a screw inside the bone. Once the bone heals, the usual outcome is no long -term problems. If even a one -month delay occurs before treatment begins, the risk of the bone not healing or requiring a much more invasive surgery goes up significantly. If the scaphoid does not heal, long term problems of wrist arthritis are sure to develop.

These problems are usually preventable! If a wrist injury occurs, particularly in the young athletic male age group, medical evaluation is advised. If there is tenderness over the scaphoid bone, x-rays should be taken. Many times, the initial x-ray will not even show a fracture, therefore a cast should be applied and a follow up needs to occur in two weeks to determine best next steps.
One of the most fulfilling aspects of my practice is to help patients treat problems in a simple, practical fashion leading to good outcomes. However, the essential part for me is to have the opportunity to perform an expert evaluation. If the wrist is sore after a fall, be concerned, and get it checked out!

To schedule an appointment with Dr. Matthew Drake, MD, please use our online tool or call or text our office at 812-424-9291.

Halloween Safety Tips

Article from AAOS: https://orthoinfo.aaos.org/en/staying-healthy/halloween-safety-tips

Kids love Halloween. Pumpkins, spooky decorations, costumes, and trick-or-treating are fun for kids of all ages. Unfortunately, there is a downside to Halloween activities: Children often get hurt.

Wearing masks and costumes, as well as walking in unfamiliar areas in the dark, can lead to trips and falls. Bumps, bruises, and even sprains or fractures can quickly dampen children’s spirits. In addition, pumpkin-carving can result in serious cuts on the hand, as well as injuries to bones and tendons.

Of course, there are many precautions you can take to help make your Halloween injury-free, such as the safety tips provided below.

Costumes

  • Costumes should fit properly. Costumes that are too long may cause kids to trip and fall, so trim or hem them as necessary.
  • Bright-colored costumes make it easier for children to be seen at dusk or in the dark. Add reflective tape to costumes and treat bags to provide additional visibility.
  • Wear sturdy, comfortable, slip-resistant shoes to avoid falls.
  • Masks can obstruct a child’s vision and should be avoided, along with hats that fall down over a child’s eyes. Child-friendly makeup is a good option.
  • Look for flame-resistant costumes and accessories.

Pumpkin Carving

  • Young children should not carve pumpkins. They can get creative with paint, markers or other non-carving decoration kits.
  • Use a pumpkin carving kit or knives specifically designed for carving. These are less likely to get stuck in the thick pumpkin skin. Some Halloween carving devices, designed especially for older children, may be safe for use with parental supervision.
  • Always carve pumpkins in a clean, dry and well-lit area, and make sure there is no moisture on the carving tools or your hands.
  • If you are cut, apply pressure with a clean cloth and elevate the injured area above the heart. If bleeding does not stop within 10-15 minutes or if the cut is deep, you may need to contact your doctor. Make sure cuts are cleaned and covered with clean bandages.
  • Avoid candles in Halloween pumpkins and other decorations. Instead, use non-flammable light sources, like glow sticks or artificial pumpkin lights.

Trick-or-Treating

  • Children younger than age 12 should be accompanied by an adult. Parents of older children should plan a safe trick-or-treating route together, and set specific times for children to check-in and return home.
  • Older children trick-or-treating without parents should be reminded to always stay together.
  • Walk on sidewalks and never cut across yards or driveways.
  • Cross streets at designated crosswalks and obey all traffic signals.
  • Both children and parents should carry flashlights to see and be seen.
  • Approach houses that are well lit. Remind children to never enter a home to obtain a treat.
  • Be aware of neighborhood dogs when trick-or-treating. Remember that these pets can pose a threat when you approach their home.
  • Carry a cell phone while trick-or-treating in case of an emergency.
  • Be sure to throw away any unwrapped or spoiled treats.

Anterior Hip Replacements

Dennis J. Beck, MD, Orthopaedic Surgeon

Hip replacements are a highly effective and efficient way to treat arthritis of the hip, either from wear and tear or from the effects of trauma. Hip replacement has been around for several decades and has proven to be a quality way to alleviate pain and suffering and increase mobility and function. Thanks to advancements in surgical techniques and special equipment available at our partner hospitals, patients can now consider Anterior Hip replacement and discuss the possible benefits with their surgeon.

Traditionally, hip replacements are performed through an incision that is 10-15cm in length on the side or back of the hip joint. Anterior hip replacements involve a smaller incision near the front of the hip joint. The surgery itself may take a bit longer than a traditional hip replacement; however, due to the less invasive approach, patients typically have less surgical discomfort following this technique.

Patients who undergo anterior hip replacement have the same risks as traditional hip replacement of infection and other wound complications. However, patients with anterior hip replacement can typically leave the hospital in 1-3 days and mobilize sooner. By doing a hip replacement through an anterior approach, the backside of the hip is left intact. Most activities of daily living, such as sitting, driving a car and crossing your legs are not affected by the risks of destabilizing the backside of the hip joint.

The anterior hip replacement may involve some transient periods of numbness in the anterior thigh and may involve some restoration of strength of the front of the hip joint. However, it has been shown that anterior hip replacements do provide an earlier return of function, mobilization of the patient and shorter length of time in the hospital, with less pain.

We are striving to lead the way to introduce new technology and techniques for our patients at Orthopaedic Associates. Thanks to the cooperation of Methodist Hospital and continuing education in the techniques of anterior hip replacement, we hope to be able to provide state-of-the-art joint replacement care for all patients in the region.

About Dennis J. Beck, MD
Dr. Beck specializes in general orthopaedics and total joint replacement and is one of three surgeons in the area that can perform anterior hip replacements.  As part of a recent partnership between Methodist Hospital and Orthopaedic Associates, Dr. Beck provides services to patients of Henderson and surrounding communities at Methodist Hospital in addition to the services he provides at Deaconess Hospital and Gibson General Hospital.  To schedule an appointment with Dr. Beck, call 812-424-9291 or request an appointment online.

Conservative Treatments for Joint Pain

Rhiannon Anderson, PA

Experiencing joint pain? Surgery is not your only option. There are many conservative (non-surgical) options that can provide significant relief from joint pain. At Orthopaedic Associates (OA), we work with our patients to help them get relief from joint pain in a way that minimizes disruption to daily life.

Treat joint pain at home
Most people can successfully treat minor joint pain at home with the RICE method and/or anti-inflammatory medication.

RICE, which stands for rest, ice/anti-inflammatory medication, compression and elevation, can go a long way in addressing joint pain.

These treatments can help alleviate swelling, pain and inflammation, and help you get on with your daily life with more comfort.

My colleague, Jared Kiernicki, has published an article that discusses RICE in-depth.

Anti-inflammatory medications
The proper use of anti-inflammatory medications can help reduce pain very effectively. Some medicines are over the counter, such as ibuprofen, naproxen, etc. while others are by prescription (these may be stronger and require more supervision).

Arthritis, which is the most common cause of joint pain in middle-aged and older adults, is not adequately treated with opioid-type medications. Those medications don’t address the cause of the pain. Opioids may dull the pain a little but aren’t really helping the situation improve. In fact, using opioids for joint pain relief may result in needing higher and higher doses for the same effect.

Learn more about opioids, and some alternative options for pain control, offered by the experts at Deaconess Comprehensive Pain Center and Progressive Health.

Treat joint pain with physical therapy
Physical therapy (PT) can make a world of difference for patients with joint pain. What can therapy do?

  • Physical therapy can improve range of motion in a joint. Some patients complain that the joint feels stiff, or “locked up,” etc. and PT can help with that.
  • PT can strengthen muscles around joints, helping to reduce the strain on those joints, improve stability and more.
  • Balance can also improve from PT, reducing the risk of falls, and improving overall stability and strength.
  • Therapists can also use ultrasound, electrical stimulation and other treatments to significantly reduce pain.
  • Another important note about PT: while it can often prevent surgery, sometimes therapy can only delay the need for surgery. However, by the time you are ready for joint replacement surgery, the PT you’ve done has helped you become stronger. Patients who have followed PT instructions very carefully have better, quicker outcomes from surgery, including a less difficult rehabilitation.
Physical therapy treatment of the knee

Treat joint pain with injections
Joint injections can also significantly reduce pain and inflammation. There are two types of injections that OA doctors use for patients: steroid injections and hyaluronic injections.

Steroid injections reduce inflammation caused by arthritis, which reduces pain and swelling. These injections may be given as often as every 3 months, but many patients do well with only 1-2 shots per year or less.
These injections can be a long-term treatment; however, some patients find that over time, the injections are less effective, and replacement surgery may need to take place.

Steroid injections may be a good choice for patients who are taking blood thinners (anticoagulants) but not an ideal choice for a patient with diabetes.

Hyaluronic acid injections supplement the hyaluronic acid that naturally occurs in joints. The acid acts as a “joint lubricant” making the joint move more smoothly. As people age and develop arthritis, the body may need a “booster” of this lubricating substance.

These shots can be given for long spans of time, and many patients respond well for many years.

In Summary
If you’re experiencing joint pain, don’t assume that you will definitely need surgery.  There may be several other options that your orthopedic specialist can recommend.

To schedule an appointment with me or my colleagues at Orthopaedic Associates, request an appointment online or call 812-424-9291.

Weekend Warrior to Total Knee

Dr. Gary Moore 

Sports Medicine, Total Joint Replacement, General Orthopaedics

You inherit the durability of the articular cartilage – the smooth gliding surface that coats the end of all bones that form a joint.  We do not fully understand this lack of durability, but we see a family history of multiple family members that have arthritis in their knees without unusual overuse or injury.

So the “weekend warrior” who has played sports their entire life or participates in sports in their spare time increases their chances of causing wear and tear injuries, especially if this is compounded by genetics, obesity, malalignment and past injuries.  The high school athlete that has a major portion of their meniscus excised at age 18 will commonly start seeing some arthritis forming 20-25 years later.

Obesity
The United States has record high levels of obesity.  Obesity increases the stress to the knee joint by a factor of 4-5 times.  50 extra pounds can increase the knee joint forces up to 250 pounds per square inch.

Malalignment
Bow legs (varus) or knock knees (valgus) wear the joints out faster.  The normal joint is 50 valgus so it shares the load 50% inside and 50% outside.  If the knee is abnormally aligned, this can shift to 60:40 or 70:30 so the abnormal joint receives excessive stress.

Articular Cartilage Damage
The smooth gliding surface of the knee joint can be damaged by multiple small injuries that accumulate through life and sports or significantly damaged by major injuries or fractures.  If a fracture (or broken bone) involved the knee joint it can accelerate the arthritics.  We call this post traumatic arthritis.  Major ligament injuries like ACL tears can also damage articular cartilage.

Meniscus Tears
The meniscus is a C-shaped cartilage spacer that acts as a shock absorber for the knee.  You have 2 – one on the medial side (inside) and lateral side (outside) of the knee.  When someone has a “cartilage tear” this structure is torn.  If it has to be removed by arthroscopic surgery (which is a very common surgery that we perform), the shock absorbing function can be diminished leading to increased wear on the joint.

Other
I will not ever get into inflammatory arthritis (rheumatoid, Lupus, gout psoriatic) or Avascular necrosis – people that have this are not going to be participating in “weekend warrior” activities to a very high degree.

What do you do if you start to develop arthritis?

Knee Pain, Total Knee, Arthritis

Decrease Activity
Planting, pivoting sports like basketball, soccer and long distance running may have to be limited.  Golfers may have to ride golf carts instead of walking.  Runners may have to shift to activities that are less stressful (Walking, elliptical machines, bicycle, swimming, weight lifting) that avoid stress to the knee joint.  If it hurts, don’t do it.

NSAID’s
Non-Steroidal Anti-inflammatory medications can be used – Aspirin, Ibuprofen, Aleve and the 20 prescription NSAID’s that are available.  They can decrease the inflammation and pain and allow more activity.  NSAID’s have side effects so they have to be used carefully with following by your primary care physician.  Some potential side effects are stomach irritation (even ulcers), kidney damage, blood thinning and cardiac effects.

Braces
Supporting braces can help take the stress off of the knee.  This can be as simple as an elastic sleeve or as complex as a valgus loading brace that distributes the joint forces to the “good” side and unloads the arthritic side – these are expensive and somewhat cumbersome to wear but they can be helpful.

Injections
Cortisone – the world’s most powerful anti-inflammatory – can be used sparingly to limit pain and inflammation.  There are limits to the frequency and extent of their use.  Hyaluronic acid (Synvisc, Hyalgan) injections can also be used to improved pain and decrease inflammation.

Arthroscopy
Outpatient resection of meniscus tears and smoothing of articular cartilage can be performed through 3 “stab” incisions.  This dramatically helps pain from meniscus tears but does not predictably help the articular cartilage damage.

Total Joint
If the articular cartilage is damaged to the degree that bone is exposed at the joint surface, this is the beginning of severe arthritis.  When all non-surgical treatments have been exhausted and the pain and disability start to greatly limit activities, then artificial joint replacement using metal and high tech plastic can be considered.  Basically, the worn surfaces of the joint are removed and replaced with stainless steel surfaces and cross linked polyethylene plastic spacers.  Modern total knees are durable and long lasting but they do not allow running and jumping.  Once you have a total knee, sports are limited to walking and low stress activities.

Millions of people can enjoy sports their entire life without major damage to their knees.  There are also many athletes and “weekend warriors” who participate in competitive and recreational sports that damage their articular cartilage over time and develop arthritis that needs to be treated.  Total joints should be considered as a last resort to these athletes but there are still many low impact activities and sports that can be enjoyed by ageless and active people.

Joint Replacement FAQs

Brooke Kline, PA-C, Orthopaedic Associates

When someone is considering joint replacement, many questions come to mind about what to expect from the overall process—before surgery, during the hospital stay, and afterwards.

Each year, Deaconess and Orthopaedic Associates www.oaevansville.com perform more than 1,200 joint replacement surgeries.  The majority of those are hip and knee replacements, but we also offer shoulder replacements as well. Because joint issues are so common, lots of people have probably had the same questions you do.  Below is a Q&A of those common questions.

What type of patient typically has a joint replacement?

Total joint replacement is usually for patients who have severe arthritic conditions.  Most patients who need joint replacement are over 55 years of age, but the operation is being performed in greater numbers on younger patients thanks to advances in artificial joint technology.
Does every patient who has a severe arthritic condition automatically qualify for joint replacement?


Circumstances vary, but generally patients are considered for total joint replacement if:

  • The pain and loss of mobility affect them all the time.  They can’t function in their daily lives.
  • Pain is not relieved by other conservative methods, such as oral antiflammatory medication, joint injection therapy, physical therapy, using a cane, etc.
  • X-rays show advanced arthritis or other joint problems
  • Patients must be healthy enough to undergo surgery and participate in their own recovery.

    What is the first step in the joint replacement surgery process?

Once your doctor has determined that you should have joint replacement surgery, you’ll begin the process by participating in pre-testing and education.
Pre-testing is done at the physician office, and at the hospital, where we do an EKG.  The patient also consults with the physician assistant to determine if there are any medical issues to address prior to surgery.

After pre-testing comes education.  We know that patients who attend educational sessions (sometimes called Joint Camp) before surgery have better outcomes after surgery, and are less anxious about the recovery process.  In the education session, you will learn more about the surgery, your hospital stay, as well as what to expect after discharge.

What should I expect from the surgery and hospital stay?


The average hospital stay for a joint replacement patient is two days after surgery.  If you have your surgery Monday morning, you will likely go home on Wednesday. On the day of your surgery, you’ll check in at Deaconess Gateway Hospital two hours before surgery time, and then you’ll be prepped for surgery.  The surgery itself takes between one and two hours.
 
After surgery, you’ll be in recovery for a little while, then moved to your room on the fifth floor, tower B at Deaconess Gateway.  Later that day, you’ll likely be taking your first steps with your new joint–almost everyone is up and moving the day of their surgery.

After surgery, what is the physical therapy schedule?


While hospitalized, patients go to group therapy twice a day with other joint replacement patients.  This group approach works well, as people feel encouraged and motivated by being with each other–there’s a “we’re all in this together” feeling.  Most patients have a partner or coach with them during their therapy sessions.  This is often a spouse or other family member or friend.

Your time here will be well-spent, because you’ll be kept busy getting stronger and preparing to recover after your hospital stay.

Time to go home…now what?


On your final day of hospitalization, you are released after lunch and a group therapy session.  Prior to this release, many arrangements will have been made with a case manager who makes sure all the plans are in place for your recovery outside the hospital. The vast majority of our patients are able to go home after surgery; a smaller number need to go to in-patient rehabilitation for a period of time.

Once a patient has been released to go home, he/she will have outpatient therapy about three days per week.  This is usually arranged at a facility close to where the patient lives, even if he or she lives outside of Evansville. It varies from patient to patient, but this outpatient therapy will last for 6-8 weeks.
Patients will have an appointment at Orthopaedic Associates  www.oaevansville.com two weeks after surgery, and then again at intervals based upon progress.

Will I need a lot of help at home, and how quickly will I return to my normal activities?


This will vary from person to person, and is even different depending on what type of joint was replaced. I can definitely tell you that every patient should plan to have help around-the-clock for a full week after surgery.
Shoulder replacement patients have more difficulty with dressing and activities of daily living.  Knee and hip replacement patients do tend to be more independent, and get back to daily life earlier.
Someone who is in better physical condition will recover more quickly, but overall, we explain to patients that they are typically 90% recovered at 90 days post-surgery.
Pain and swelling can be expected up to 6 months after surgery, and some patients may not feel fully recovered for up to a year.
However, as patients have commented…. Every day before surgery the pain gets worse, but in the days, weeks and months after surgery, the pain gets better.
What are some of the biggest misconceptions about joint replacement surgery?

Among our most common questions, there are two that would probably be the biggest misconceptions.

“I heard you can only have a joint replaced once in your life, so doctors wait as long as possible to do it so that you won’t outlive the joint.”

FALSE. Joint replacements generally last a couple of decades, and then they can be revised if needed. Joint replacements have come a long way, so the surgery isn’t nearly as extensive.
Joint replacements don’t involve removing large areas of joint and bone.  The focus of the surgery is on removing small amounts of damaged bone and then resurfacing that area of the joint.

“I’m scared to get this surgery done because I’ll have to miss months and months of work.”

FALSE. If you have a sedentary (sitting) job, you can go back as early as a few weeks to a month after surgery.  If you have a job on your feet all day, it may be longer, but almost everyone is back to work in a period of time covered by FMLA, which is 12 weeks.

In conclusion If you are considering joint replacement, or know someone who is, we hope this has been a helpful Q&A session for you.

For more information, you can visit the following websites:
www.oaevansville.com
www.deaconess.com/joint
If you have joint pain or want to learn more about joint replacement, you can also call the Orthopaedic Associates office at 812-424-9291 to request an appointment.

As a physician assistant at Orthopaedic Associates for 14 years, Brooke Kline has assisted with joint replacement surgeries and provided care to thousands of joint replacement patients both before and after surgery.

The Finish Line – River Run Ambassadors

Ruth – I Think I Might Be Runner Now, Maybe!

River Run Collage 2017The last few months have been challenging.

At first I thought “What I thinking? Me run, 10 miles?”
Then, I thought, “Oh new shoes!”
Finally I thought “Oh, I might be able to do this!”

Finding time to work in training runs and everything else, it’s hard to make space & time for yourself when you have kids, work and a busy life.

Challenging!

All of this culminated in the River Run 2017 this past Saturday.

Folks…I did it! I did a 10 mile run in the time frame I was hoping for.

Most of the morning, my inner monologue consisted of calling myself an idiot for attempting this run. As I got closer the end, my inner voice tried to cheer me on…in a very tired voice, but it tried.

We got rained on, we got lots of waves & honks from drivers cheering us on, we got cheers  from family & friends at the end.

The last mile I was about in tears from a sense of accomplishment, from seeing my husband & son near the finish to cheer me on, & from finishing a 10mile run!

Overall, it was a rewarding experience. The benefits far outweighed the challenges.

In fact I have already signed up for another 10 Mile run.

Thank you for sharing this journey with me.

 

Nikki – The Finish Line

NikkiFinalPIcThe week leading up to race day was uneventful. I was able to go to run only one day the week prior to race day because of rain but I felt that at that point, I was either ready or I wasn’t.

I inherited a gene from my family that causes me to show up either right on time or late to any major event. I woke up early to make sure I made it to downtown Evansville before the last shuttle left for Henderson at 6:20 am. I forgot to manage my time to ensure I could find parking before the buses took off. Long story short, I finally found a parking spot (parking only half illegally) at 6:21 am and had to sprint to catch the last bus to Henderson. With my adrenaline pumping, not only did I manage to get the last bus to Henderson but I also got there just in time to line up at the starting line and to take off.

I felt great starting off, so much in fact that I was running 8 minute miles. My knee pain I had previously during training was holding off and it felt great outside (minus the rain which caused my shoes to be wet and heavy that in turn causes my R foot to blister). I spoke to Dr. Emerson and my dad prior to my race and both men were in agreement that at the 11 mile marker I would hit a wall. A wall was an understatement as the 11-12 mile marker came and went. I was feeling dehydrated, although I stopped at all the water stations, and both my knees were starting to hurt. I slowed down to a trot but ultimately I finally had to stop and walk at the 1 mile marker, my body felt like it wanted to shut down. It was shortly at that time that Claire came to my rescue. In her hands was a water bottle with just enough to give me my boost to help me cross the finish line. At the end I was discouraged, my one goal was to run non-stop and told my parents that I didn’t want to run another half marathon again. As I look back now, for someone who only got to 9 miles in training, it was a feat to accomplish 13.1 miles with the limited time I had to train between sports and me being sick twice. I also was encouraged in the fact that my pregnant sister wants to run a half marathon with me next year. I will continue to run and enter more races in the future with hopes of accomplishing more goals.

Lori – We did it!!!!

LoricollageWell, I did it, I survived the 10 mile run!  It was a tremendous experience!  I was really worried the week before, did NOT want to be on the bus.  When I saw the weather forecast I was even more worried.  BUT as everyone kept telling me once you are there the energy is electric, and it was. People were excited, friendly and just having fun, it you can say fun with 10 miles of road ahead of you!  I am also posting my before and after pictures of my journey.  I took the first picture at the very beginning (blonde hair and all) and the final, with metal, at the end.  This was a very challenging 15 weeks.  The training, the days at the gym were all worth it!  I achieved something I never thought I could do and believe me at one mile to go I was really wondering what the hell I was doing this for.  The volunteers and police departments who came out to close roads and be water stops were phenomenal! They cheered us on, kept us safe and hydrated.  The last water stop was playing “Eye of the Tiger”! It was awesome!  And thank you Katie for being there and cheering us on!  I know how much you wanted to do the race but injuries need time to heal and there will be other races.  Will I run another race?  Yes, absolutely, in fact Ruth and I have signed up for a 10 miler in Owensboro on June 17.  I’m giving myself one more day of rest and then back to the gym. 

 

 

LoriBeforeAFter

I want to thank everyone at OA for their support, OA for giving me this opportunity to be in this race and being a happier, healthier person. Here are the photos from Saturday, my GPS put me at 11 miles (I’ll take that) and my time was better that I’ve done in the past.  Thank you all again!!

Weeks 12 and 13 – River Run Ambassadors

Nikki – Week 12

20170422_070237

Countdown has begun for race day as we gradually get closer and closer to May 6th. This past week my after work schedule consistent of some sort of sporting event and I knew I would not get my chance to train so instead, I made the decision to utilize my 30 minutes of lunch to run. The only discouraging factor is that I would only run 3 miles in 30 minutes and still have time to eat my lunch.

 

Screenshot_2017-04-22-08-32-59I pushed on nonetheless, knowing what little mileage I could get would benefit me in the long run. This week I also had the chance to meet Saturday morning for the group run. It had been several weeks since I had been able to, between holidays and planning for a baby shower I had to go out of town several times, so I was excited to see how far I could run with a group. I mentally prepared myself with the fact that I would likely not be able to run the full nine miles (I am not sure if I had ever run that far in my life) but I was motivated to go as far as possible. We started at Wesselman’s Park, going over the bridge on the Lloyd to run through neighborhood’s I had not seen before and although I had intermittent left knee and groin pain, I pushed on.  Despite my minor aches I thoroughly enjoyed my run. Running alongside other runs is a great motivator as I ran along side the same group of people throughout my nine miles. As I got passed mile seven, I was tired but I knew I had more energy to push on and when I got to the end I even had a kick left in me when I crossed the finish line. I felt great! Shocked! I have been beating myself up the past few weeks worried that I wouldn’t be able to complete the River Run but knowing that I handled nine miles I know that if I keep pushing, I can do the half marathon beside my fellow runners and reach my goal!

Nikki – Week 13

20170430_102050I wasn’t happy with the lack of training I had this week but I was physically active all week so that is what I keep telling myself that I made up for it. Earlier in the week I was able to get a couple miles in each day but since I was on stay-cation Thursday and Friday, working out was the last thing I had time for. Not only that, the severe rain and thunderstorms put a damper on any outdoor activity except cleaning up from the flooding. Thursday I decided to create an area around the playset/club house and mulch the area in since we do not have grass in the area… the next day I wake up with mulch across the yard by the fence. That has been cleaned up but further clean-up in the basement is on the agenda for early this week.
So I signed up for the half marathon, hoping I did not make the mistake of challenging myself to such a big distance when I have not quite managed to run that far to date. My brother, who I originally hoped would run with me, is now not able to run but it is encouraging that my boyfriend and pregnant sister plan to still be there to support me. My continued difficulty I face is when running alone. I do much better with other runners as a motivator but it is difficult to set a schedule around work and sporting activities right after. I plan to run as much as I can this week but not too much to where I am hurting this Saturday. My goal is to run non-stop and cross the finish line and say I completed my first half marathon.

Pictured are my two lazy dogs after a 3 mile walk.th.

 Lori – Week 12

IMG_0208With work schedules and parents out of town I didn’t get ANYTHING done on Saturday. Unless we are saying chasing a 4 yr old is exercise. That would be in and out of my car 14 times, I have two door G6, chasing him around Inflatable Fun factory for 1 hour, shopping for a raincoat for a 4 year old and then waiting for parents to get home at 7. A Moscow Mule rounded out my evening ;).
Sunday I thought would be better, my Monday, Thursday and Friday totals were fabulous! Sunday sucked. I don’t know why my time was so bad? Sun in my eyes (I need to get sunglasses for running) too many people/bikes on the Newburgh trail, don’t know but it was bad. Treadmill for Monday, Thursday and Friday were 3 miles in 40 minutes ( got my 6 miles in just over an hour) which still keeps me in the River Run guidelines. Sunday was 6 mile in 90 minutes!!! ARRRRGGGGGGGG!!! I was hoping for a 6 miles in 60 minutes but nooooooo, I’m blaming it on the Moscow Mule.

Week 11 Training – River Run Ambassadors

Lori

hersheys-milk-chocolate-eggs-candy-ff-130695Well it was a holiday weekend and didn’t make ANY progress on running, unless you count running around with a 4 year old grandson.  We had fun but nothing that would qualify as a “distance”.  Will definitely be at the gym allll week, just a few chocolate eggs to run off.

Nikki

Screenshot_2017-04-18-12-20-15Crunch time is slowly approaching and there does not seem to be enough hours in the day. With three kids and between tennis, archery, soccer, and baseball; there are not enough hours it seems to be able to train while getting everyone to practice and games. This past week I made the resolution with myself that I will do some kind of activity daily and for as long as my schedule will allow. I have hopes to do the 13.1 miles despite my minor hiccups down the road with training; I do not feel that I am there yet but with only a few weeks to go I have to keep trying. I think the one thing holding my back is that I have had to run on my own and this does not allow me to push myself since I am only competing with myself but it seems every weekend now there is some sort of sport or family occasion I have to attend to. If my schedule allows this upcoming weekend I hope to make it to the Saturday group run and continue to train in the upcoming week. I have even decided to cut my lunch short and run during my 30 minute lunch break in order to build up my endurance and get ready for race day.

Ruth – I’m Walking on Sunshine…..And It’s Time to Feel Good

Screenshot_2017-04-15-08-40-24 ShadowThis week…was a good week.

I made it out for 3 runs. My first two weren’t as good as I wanted them to be, but I was out and running. Now Saturday was a River Run Training day.  It was 8 miles and I was going to get all eight miles in!

Well…I didn’t. I only got 6.5 miles (I round up) in, but only because somehow I missed a turn. Not quite sure where, but I did.  Either way, I was really happy with my time. I had been guessing that I would finish the River Run somewhere around 2.5 hours (which I am totally OK with) and it seems I am right on track with that. I finished the 6.5 miles in about 1.5 hours and another 4 miles would have been right at the 2.5 hour mark!

Folks, I think I might be able to do this. This last Saturday really gave me a huge confidence boost that I can complete 10miles in a reasonable time. Thinking I may have to call myself a runner after May 6th.

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