Could YOU Have a Blood Clot?

One of my running friends said it best, “It would be nice to know how to tell the difference between muscle pain and the type of pain you felt. Or maybe the really scary thing was that you couldn’t tell?”

I’ve been thinking a lot about that. And yes, one of the really scary things was that I honestly had no idea the pain I was feeling in my calf and lung was anything to be that concerned about until it was almost too late. That being an acute blood clot known as deep vein thrombosis (DVT) and a pulmonary embolism (PE), which developed as a result of a complete autoimmune meltdown. Why you ask? Because my immune system mistakenly produces antibodies against certain normal proteins in my blood, also known as antiphospholipid syndrome. You can read more about my hospitalization and diagnoses here and here.

The truth of the matter is we are all runners, cyclists, walkers, lifters – athletes – and we have learned through racing, training and pushing our bodies to the limit that pain is not only acceptable, but sometimes just the way it is. I know, I’ve struggled with Patellofemoral Syndrome (a.k.a Runner’s Knee and yes, everything really is a syndrome nowadays) all but the first year I ran. Knee pain for me? Completely normal, something I’ve had to live with if I want to run. It hurts worse at times, feels better other times and with no apparent rhyme or reason can totally make or break my run. And, I’m not alone. Most runners I know and run with seem to struggle with some sortof ongoing pain, injury or bodily malfunction.

We see each other in the Physical Therapists’ waiting room and don’t recognize each other because we are dressed normally. “How was your run?” becomes “How’s your PT going?” or “How’s that knee holding up lately?” We live with pain. In fact, some people might even argue it’s what makes us real. I thought that at first, Yes! My first running injury. I’m a real runner now! Um, no. That got really old, really fast and yet; we still run, bike, swim and tear up the gym with pain. Push through. Get over it. What doesn’t kill you makes you stronger. You can run 26.2 miles with pain, what’s stopping you now? You’re fine. Walk if off. Rest, Ice, Compress and Elevate. You know all the right things to say to yourself.

Given all of this, it only makes sense that when we have real pain that we need to be really concerned about, we shrug it off. We’re runners, right? We live sometimes everyday of our lives with an ache here or a pulled muscle there. We run long on Saturday and hobble around on Sunday and Monday (and maybe even Tuesday if you’re like me) until we’re recovered. Why are you walking like that? Someone asks us at the office. I ran 22 miles on Saturday (meanwhile we’re thinking, I bet you didn’t). And we go about our day, proudly displaying our battle scars.

Looking back, now? Yes. I should have known something was wrong. Really wrong. I blamed in on my knee.

The pain was different.

First there was the leg pain. I had been complaining about leg pain for a couple of weeks or so. I distinctly remember telling Duane, not only did my knee hurt, but my calf hurt too. I told him this pain extended down into my ankle and bottom of my foot. The thing that was different is this pain was not as a result of running. I had it even when I didn’t run. In fact, when I ran, I noticed it less.

I have always had a discolored left leg:

June 2012

You can see the brown, which now looks like freckling, but before this incident, it turned almost purplish. In fact, the other thing that makes my situation complicated is that I have had more than one doctor look at my leg for the discoloration. It had been discolored ever since college, from what I can remember. I even had a biopsy on the skin about two years ago in which a dermatologist determined it was a pigmentation issue and not cancerous or anything like that. Even my gynecologist was fascinated by the color of my skin and listened to my blood flow. No one ever heard a disruption of blood flow. Hence, no one assumed it was a clot. I didn’t have varicose veins, either, further indicating a blood clot was out of the question.

DVT Causes:

  • Slow blood blow (often due to lying or sitting still for an extended period of time – such as in the case of a long plane ride or car ride)
  • Pooling of blood in the vain often due to immobility, medical conditions, or damage to valves in a vein or pressure on the valves, such as during pregnancy
  • Injury to a blood vessel
  • Clotting problems due to aging or a disease
  • Catheters placed in a vein

Symptoms of a Deep-Vein Blood Clot (DVT):

  • Swelling in one or both legs
  • Pain or tenderness in one or both legs, which may occur only while standing or walking
  • Warmth in the skin of the affected leg
  • Red or discolored skin in the affected leg
  • Visible surface veins
  • Leg fatigue

DVT can partly or completely block blood flow, causing chronic pain and swelling. It may damage valves in blood vessels, making it difficult to get around.

Half of all DVT cases cause no symptoms.

My Symptoms:
  • Swelling in one or both legs
  • Pain or tenderness in one or both legs, which may occur only while standing or walking
  • Warmth in the skin of the affected leg
  • Red or discolored skin in the affected leg
  • Visible surface veins
  • Leg fatigue

What I Felt:

Excruciating pain that extended from the back of my knee down to my ankle whenever I put any amount of weight on it. I was nearly dragging my leg by the time my husband and I went to the hospital. I have said it previously and I will say it again because it is the only way I can describe it: It felt like someone had the soft, fleshy skin behind my knee in a vice and just kept on tightening. Runner’s Knee caused me to hobble, caused me to scoot down stairs, sidestep curbs and grimace when getting in and out of the car. Runner’s Knee never caused pain in the back of my leg. Also, the side of my calf was tender to the touch, but not overly warm, now I know that soreness was primary along the femoral vein. I did not notice any swelling, especially in my lower leg. My knee is always slightly swollen to being with. I will note, remember Goofy when I was limping at Mile 4 of the full marathon due to my severe kneepain? It wasn’t knee pain. It was this pain that caused me to slow to the point of being pulled from the course and after a three hour plane ride and countless hours on my feet after that, I’m not at all surprised in hindsight.

I just wonder how long this clot had been building. It is terrifying to think about.

Then there was the side pain. I texted Judi on Sunday when she asked how my knee was doing, “Sore but okay. The weird thing is my left side. Hurts when I breathe like I can’t catch my breath. Slept propped up. No idea what the hell happened. Started mid-day yesterday.”


Symptoms of a Pulmonary Embolism:

  • Shortness of breath that may occur suddenly
  • Sudden, sharp chest pain that may become worse with deep breathing or coughing
  • Rapid heart rate
  • Rapid breathing
  • Sweating
  • Anxiety
  • Coughing up blood or pink, foamy mucus
  • Fainting, lightheadedness or dizziness
  • Heart palpitations
  • Signs of shock

Pulmonary embolism may be hard to diagnose because its symptoms may occur with or are similar to other conditions, such as a heart attack, a panic attack, or even pneumonia.

Also, some people with pulmonary embolism do not have symptoms.

My Symptoms:

  • Shortness of breath that may occur suddenly
  • Sudden, sharp chest pain that may become worse with deep breathing or coughing
  • Rapid heart rate
  • Rapid breathing
  • Sweating
  • Anxiety
  • Coughing up blood or pink, foamy mucus
  • Fainting, lightheadedness or dizziness
  • Heart palpitations
  • Signs of shock

What I Felt:

I honestly thought this was a really bad side stitch. Only, it got worse over time. A pretty good indicator that it was not a side stitch was that it did not happen while I was running. It happened much later in the day once my body had a chance to relax. As time went on, the pain became nearly unbearable and not only that, it became hard to breath. I could not lie down at all – the pain was excruciating.I never really felt chest pains, but I did feel like someone was jamming their thumb into my rib cage. My breathing became shallow and I could only say two or three words at a time. The best indicator? I could not draw in a deep breath – very similar to when you are trying to catch your breath during a hard or hot run, but it doesn’t go away with rest or pain meds. One of my doctors told me, there should have been a moment in time when I realized I couldn’t breathe (when the clot entered my lung and obstructed air flow); however, I think this happened when I was taking my nap and I didn’t know the event had occurred. If I had been up, walking around or running errands, I may have noticed it as it happened and thought differently about it. Although this was serious, I am convinced my symptoms did not feel more life-threatening because thankfully my heart was not affected by the trauma to my lung.

The pain in my leg/knee/calf combined with the new pain in my side should have been an indicator that something was wrong and I needed immediate medical attention because a PE is most commonly caused by a blood clot that breaks off from a leg or pelvis vein and travels to the lung, creating a big problem.

(Now we know? I should have put the two pains together.) 

So there you have it. If you at all think you are suffering from a blood clot in your leg or lung, please do not wait to get emergency medical attention. Most people who are going to die from a PE do so within 30 to 60 minutes of the event, which is why I am so lucky (since I took well over 24 hours to go to the hospital). PE causes or contributes up to 200,000 deaths annually in the U.S. alone. One in every 100 patients who develop DVT dies, due to a PE. Immediate medical intervention is essential to reduce the risk of death to less than 10 percent. I’m still here!

As runners and athletes, we all live with pain, some of it more severe than not. We will probably always have to deal with pain. Its part of what makes us who we are – we push and workout and run until sometimes we just can’t go anymore and in those moments, we do sometimes find victory whether it be setting a new PR, going a new distance or achieving a negative split. But, listen to your body. If something doesn’t seem right, doesn’t feel right or just as even the slightest tweak to it, seek medical attention. Even if it is putting a call in to your family doctor. After all, I am convinced that is what saved my life. I wouldn’t be here had my family not been persistent in checking in with me and eventually calling my physician who then called me and told me to go to the E.R.

Until the next mile marker,

In Case You Missed It….

  • What the #$%! Happened. In June 2012, I was incredibly lucky to survive a pulmonary embolism (or blood clot in my lung) that broke off from a clot that had formed deep within a vein in my lower leg. Read my story here.
  • What the #$%! Happened: The Aftermath. What caused this, what my treatment entails and what the future holds for running, my job and life.

  • “That’s Why I Pray.” God is not finished with me yet – and that’s why I’m still here! Do you believe in the power of prayer to make a difference? Do you believe there is hope when all seems hopeless? Do you believe in better days? I do now more than ever! The lyrics and meaning of this song got me through some seemingly hopeless moments in the days after my discharge from the hospital.


April Showers

The day begins all sunny and bright;
It fills a young heart entirely with delight.
Then, suddenly the sky turns dark,
Like a horror movie during the approach of a killer shark.

                           -Excerpt from April Showers Bring May Flowers by Stephanie Selleck

For a month that began a week or so ago, it’s been a long one already. I know I’ve been pretty quiet on the blogging front lately. I’ve been swamped at work (and home), haven’t run in two weeks and frankly, have been dealing with a slight case of writer’s block. Then again, I don’t always find it easy to write when I’m not running because my mind is not clear, and I am not as in tune with my emotions and feelings. I can always think the clearest and write the best right after a long, hard run. If it’s not work, writer’s block or something else, it’s lack of sleep that has kept me away. Running – exhausting energy – helps me sleep too. A deep, calm sleep that I rarely get without a good run first. It is on one of the reasons I enjoy running in the evenings so much. Running does as much for my mind and soul as it does my body.

As many of you know, I went to see the doctor on Tuesday about my knee(s). It depends on the day, hour, rotation of the Earth and phase of the Moon which knee hurts for how long and why. Sometimes they both hurt. Sometimes they don’t. (Ah, those were the days). I have spent the last two weeks hobbling around, inching sideways up the stairs and sliding down stairs on my behind. I have to take a deep breath and squeeze my eyes shut before getting out of the car. Sometimes my knee throbs in the middle of the night, waking me up from an already restless sleep.

The doctor’s appointment took all of ten minutes. Dr. B. moved my left knee around, pressed on it and asked if it hurt. It seemed okay. He started to do the same to my right knee when I winced in pain and he decided not to. You can see the swelling in it now – it hasn’t gone down since the last time I ran. Before I was diagnosed with Patellofemoral Syndrome or Runner’s Knee, which is an aching pain around the kneecap (mine is a result of a biomechanical imbalance which causes a misalignment). Now I am diagnosed with a worse case of Patellofemoral Syndrome or Runner’s Knee, which is an aching pain around the kneecap (mine apparently has turned to a gristle-like substance). The fat pad under the kneecap is inflamed, hence the swelling and additional pain.

With Physical Therapy (again), Rest (still), Ice (more), Compression (regularly) and Elevation (now) I will live to run another day. I may, however, have to move into a refrigerator box down by the Olentangy River due to my PT bills. April sure did bring on the rain showers.

Don’t run when it hurts; run when it doesn’t. Strength train. And then strength train some more. Seems like a simple solution to an ever-nagging problem.

The 21st of April will mark the one year anniversary of my mother’s unexpected passing. Has it really been that long? Yes? No? Sometimes it feels like it was yesterday, the pain is so fresh, so raw; and yet, other days, I can’t remember something small about her and I feel like it has been decades. April is dumping now. I do, however, remember every single solitary detail from that day and I am dreading re-living it this year. I don’t know what to expect. I mostly wish I could crawl into a hole and come out with May flowers.

April showers do bring May flowers, right? And for everything ugly we must face, there is something beautiful waiting, just below the surface. I can’t let myself believe anything different.

Until the next mile marker,

Views from the Road:

Pace Per Mile host Chris Nicholas, is running across America to raise funds for the Children’s Miracle Network Hospitals. He is currently on Day 12 in Chillicothe, Ohio and has run over 300 miles so far!

Follow Chris’ journey and see more Views from the Road with Pace Per Mile or Run and Finish. Please donate; 100% of the proceeds will benefit Children’s Miracle Network and stay withing the community from which they were donated to help local families and children. No amount is too small to help make a difference in the life of a child today.

Be a part of the event HERE!

Finally Friday & My Favorites

This has been a long week. I have been house-sitting for my mother-in-law and caring for one two three four five dogs for the past two weeks (Okay, two are mine, but still) – I am ready to go home! Things just aren’t the same when you aren’t in your own place. The end is in sight, however, I am so glad it is Friday.

Since I’ve had 397 cable channels this week (we don’t and in fact, we just acquired a TV this spring), I think I have turned into a major vegetable. Moving, pretty pictures on the flat screen and I just can’t say no. Embarrassingly enough, I think I may have zones out to the point of actual drooling last night – not good – I am actually looking forward to being cable-free again. I think TV really does rot your mind. It at least is not good for being motivated to exercise.

Naturally, with 396 other cables to choose from I decided to watch Animal Planet non-stop. It was great until I got hooked on a never-ending marathon of The Monsters Inside Me where I learned about every type of parasite under the sun – ones you get from sushi (that I ate last Sunday), pork (that I ate on Monday), cats (which my dad has), sand flies (which I am sure live in my mother-in-law’s backyard since there is a sandbox), freshwater crabs (which are in my freezer), and a zillion other things which I just know I will come into contact with soon. Not. Good. It sent me into a panic, but it was like a train wreck – I couldn’t stop watching!

I did get some running in – more than I have committed to in a while, but I can’t stop feeling like I would have been more productive if I wasn’t tuned it. That’s 4 whopping miles:

At least it’s something? Which brings me to my dilemma. I don’t know if I will be able to run the Air Force Half Marathon in Dayton on September 17.

It’s been a rough spring for me. It’s been hot and miserable and I have been busy – doing nothing? I initially registered for the Air Force Full then switched to the Half after my knee injury flared up again – primarily from overuse and lack of strength training.

I’ve been struggling to train at all since then. I am tired – physically, emotionally, mentally, anyway. I have good and bad days and someday are just a struggle for me.

With nearly non-existent weekly runs, I just don’t know if I will be prepared. I’ve been doing long runs on the weekends and managing okay, but I know that is not the right way to train. I’ve run some 5K’s, had good ones and bad ones and spent as little time in the gym as possible.

I have a Quarter Marathon coming up on September 4, which I want to run and am coaching the Lucky 13’s to run the Columbus Half Marathon on October 16. I also have numerous 5K races between now and then, which are fun and support causes I believe in. It was once a goal of mine to use 5K’s to improve my speed. In January 2012, I am running The Goofy – I am registered and our trip is booked! That is a huge goal of mine.

I am thinking about not running the Air Force Half and running the Columbus Half instead. Only problem is, I missed the official transfer deadline for Air Force by a few days. I don’t know what to do with my bib (it’s a sold out race) rather than just forfeit the registration fee and call it a lesson learned. [This is where I am asking you, Blogland, for your advice]. What do you think? I’m calling on the pros here!

On a lighter note? Check out my new Friday Favorites!

I made two recipes for the first time last night that I got from THIS blog. They were delicious and not too complicated one I figured out that baking powder and baking soda are not the same things. Thank God for Facebook friends and Google. 

I made Grilled Cheesy Barbequed Chicken. It was SUPER easy and so good. The Cajun Seasoning added just enough kick to make both me and my husband smile:

And I made Hoecakes, which took a little time to practice pan-frying, but once I mastered it, they were like sweet, hearty, corn-filled pancakes that melted in your mouth. A nice counterbalance to the spice in the chicken:

Another one of my favorites? My sister! Don’t forget to check out her NEW blog HERE!

My sister Mollie & Me

And, Julia (one of my fav Bloggers, by the way) introduced me to this amazing feature to use with my blog:

Yeah! Now I can respond directly to your comments or you can respond to one another! Thanks, Julia!

What is your advice regarding the Air Force Marathon? Any Friday Favorites I just can’t live without knowing about?

Until the next mile marker, 

Feeling Injured?

It’s no secret that runner’s get injured. Time and time again we get injured. We dread it, actually. We might have to take a break, after all. We fear losing fitness or gaining weight. We have to wait to get our next “fix,” our endorphins start running on empty. We start going stir-crazy. Out for a day, a week or two, months. Physical therapy, medical bills, grueling recovery and sometimes persistent pain. You’re healed, then you’re not, then you have to start all over again.

We come and go with injuries. Other runners understand, support us when we are down and welcome us back when we are feeling better. Some get injured more than others – the first year I started running, it seemed like people were dropping like flies all around me with aches and pains. Then, one day, I had shin splints – much to my amazement since I had no pain for months – and I vividly remember when I “got my first running injury.” Patellofemoral Syndrome. That made me a real runner, right? Yeah, right. I also remembered the days when I ran injury-free. Those were the days. But, injury makes you stronger, makes you appreciate the good times when they do come.

While it didn’t make me a real runner, somehow I had entered a new chapter of running. Things were different for me. I had to think about things, slow down [even more], pay more attention to my body than I ever had, and say ‘No’ even when I wanted to run with all of my heart.

Speaking from experience, I think a lot of new runners start to worry about their own health when they see or hear about the people the run with getting hurt. I know I did. “Do I have that?” “Wait, how would I even know if I had that?” “What is that?

Below is a list of common running injuries, some common symptoms and what you can do to help prevent a reoccurring problem. Running injuries can affect anyone for a variety of reasons, but I have included some information about who these problems tend to affect most commonly. These are simply guidelines to give you an idea of what injuries exist, particularity to runners, and what causes them. I felt much better about my own injury once I was more informed. Runner’s World and also provide additional and easily accessed information about injury prevention, treatment and symptoms. Most importantly, you should also contact your physician or sports doctor as a first-line of defense for injury prevention and appropriate treatment.

Patellofemoral Pain Syndrome (a.k.a Runner’s Knee):

What: Pain, stiffness and sometimes grinding around the kneecap. For many, pain is particularly noticeable going up and down stairs, sitting and standing, and/or getting in and out of a vehicle.

Who: Women who run a 10-minute-per-mile pace or slower.
Ideally, your kneecap glides smoothly in the groove at the end of your femur or thighbone (the femoral groove). However, because women have more flexible joints and a more extreme angle from hip to knee (Q angle) than men, their kneecaps are more likely to fall out of alignment. Pain intensifies at slower speeds because the knee goes through less range of motion, putting more demand on a smaller area of the joint. Prevention: Strengthen your quads, hamstrings, and glutes with squats and lunges to stabilize your kneecaps and help keep the pelvis level while you run. Rest is one of the first treatment steps to reduce the pain and severity of patellofemoral pain and runner’s knee. Reduce your mileage or turn to non-impact exercise, such as swimming, to keep your fitness level while allowing your knees to heal. The latest information about patellofemoral pain syndrome points the focus on strengthening the hips to get the kneecap to track correctly.

Others at Risk: Runners who over pronate, have flat feet or high arches.


Iliotibial-Band (IT Band) Syndrome:

What: Inflammation in the band of fibers that runs along the outside of the knee to the top of the shin.

Who: Women with a higher BMI (Body Mass Index) who do a weekly long run of two hours or more and run hills often.

Why: Extra body weight puts a heavier load on the hips and more pressure on the IT band. Long runs fatigue the muscles that help stabilize women’s hips. The hips sag more than normal on each step, straining the band. During a hill workout, the knee stays bent longer, which also increases tension to the IT Band.

Prevention: Strengthen the muscles around the IT band with leg walking (loop a resistance band around both ankles and walk sideways in one direction, then the other). You can also use a foam roller to loosen the band.

Others at Risk: People who run on slanted surfaces; runners with leg-length discrepancies.

Plantar Fasciitis:

What: Inflammation of the tissue along the bottom of the foot that’s usually worst first thing in the morning.
Who: Men over 40 who have a family history of the injury.
Why: The make-up of the tissue in the plantar fascia is stiffer in men and gets less flexible with age. Some experts believe Plantar Fasciitis could be a genetic condition, although it can affect anyone, even on-athletes.
Prevention: The fascia tightens overnight, so stretch your calves before getting out of bed (straighten your legs; flex your toes). Strengthen your calves with toe raises eccentric heel drops.
Others at Risk: People who wear shoes that lack good arch support (flip-flops, ballet shoes) and pregnant women.

Achilles Tendinitis

What: Tenderness in your lower calf near your heel that usually strikes when you push off with your toes.
Who: Men with higher BMI who run a 9 minute-per-mile pace or faster.
Why: The Achilles absorbs several times your body weight with each stride. A faster pace and additional body weight put even more stress on this tendon.
Prevention: Strengthen your calf muscles (with your toes on a step, lower and raise your heels). Stretch your calves (keep your heel on the ground, lift your toes back toward your shin).
Others at Risk: People who regularly run hills (the Achilles has to stretch more on inclines) and who have increased their mileage more than 10 percent per week (sudden increases in mileage strain the tendon).


Medial Tibial Stress Syndrome (a.k.a Shin Splints)

What: Pain and soreness along the inside front of the lower leg.
Who: Runners whose feet roll inward excessively (overpronate).
Why: The posterior tibial tendon, the connective tissue that gets sore with shin splints, runs into the arch of the foot. If your feet roll inward, this tendon has to work extra hard to counteract that motion.
Prevention: Get fitted for and wear motion-control shoes. Strengthen your calves (hold dumbbells while doing toe raises). If you’ve had daily shin pain for longer than a month, see a doctor for a bone scan to rule out a stress fracture.
Others at Risk: Beginning runners; people who train on slanted surfaces; women who wear high heels.

Patellar Tendinitis:

What: Pain in the tendon that connects the kneecap to the shinbone.
Who:Men with a higher BMI or who have a history of playing basketball and have suddenly increased their weekly mileage.
Why:The patellar tendon helps your leg extend during running or jumping, but that repeated motion can create small tears in the tendon. After years of activity and then a sudden increase in mileage, your body may struggle to repair those tears. Extra body weight may contribute to the injury.
Prevention:You can do squats to strengthen the patellar tendon and stretch your quads and hamstrings. Avoid increasing mileage by more than 10 percent per week. Stick to your training plan! It is there to help you stay injury free.
Others At Risk: Runners with a history or tendon problems and overpronators.

In the quest for the ultimate performance, there is a tendency to overdo things and cross the fine line between peak fitness and injury. As runners, we do get injured and as human beings, we often think we can self-diagnose ourselves or figure out what the problem is based on the experience of others.  

While many athletes can manage their own pain and rehab program (especially with prior experience!), ideally you need to contact a physician or physical therapist not only to get a proper diagnosis, but to learn the latest treatment options and learn how to perform the exercises correctly. Depending upon your diagnosis, there may be additional strengthening and stretching exercises you will need to add to your routine.

Even though it may seem like it, an injury is not the end of the world – or your training. Stick to your plan, become informed, take care of your body with proper nutrition and hydration and take time to rest too. Rest is an important component to any training plan to allow your muscles and tendons to repair and keep you running injury-free.

Until the next mile marker,

My Knee: Take Two

Remember THIS?
Which lead to THIS?
And ultimately THIS:
Look at my face. I knew I was done by Mile 4 in the 2010 Columbus Half Marathon.
And remember that one time when I thought there was nothing else that could POSSIBLY go wrong with my life? Yeah, I remember too. Then my knee gave out after 0.12 miles of a 2 mile training run. 
I was wrong about that one time.
 My knee has been tender on and off since the Pittsburgh Marathon, but not painful. I have been able to run low mileage; I blamed the tenderness on recovery from running 26.2 miles.
Grudgingly, I went to see the doctor. I already knew what he was going to say:
Patellofemoral Syndrome. Good ‘ole Runner’s Knee.
What I did not know he was going to say:
Patellofemoral Syndrome in both knees. And tendonitis too – in both knees.
Just. Great.
Sooooo….it’s back to physical therapy for me. Good thing my insurance plan just started over. Great for more sessions, bad for the cost.  
Rest, Ice, Compression, Elevate. And take Aleve too. My freezer is stalked with Dixie Cups full of ice, per the Doc:
I have a jumbo container of Aleve. Judi said I can buy stock in it. 
I can run if I don’t have pain. If I have pain, stop running. If I am hobbling like I was yesterday going down the stairs at 5:20 a.m. – don’t run. Damn.
My post to the Lucky 13’s at 6:10 a.m. yesterday was this, “06/18 – Please don’t wait for me as I am NOT coming this am! 🙁 🙁 Seeing as I can’t go down stairs this morning without a slight limp, I better not run the hills. Although, it is tempting to “give it a try anyway.” 🙁 🙁 Someone tell me I am making the right decision [and pass the message on to Duane, please]. Thanks! I already miss you guys.”
Everyone said I made the right decision. Except for me. 
But, damn. I know I’m doing the right thing. I know that if I take care of it early, I won’t be out the whole season. I know if I miss a Saturday run here and there, I won’t have to miss every Saturday run. But, I love running – and I love coaching! I miss it when I’m not there. Like yesterday, when a lot of our group ran 4 miles for the first time ever. That’s exciting!
I’m super bummed. I haven’t been sleeping – not good for injury. I keep telling myself this is nothing I can’t handle – I’ve handled it before – it is just disappointing that is happening right now with so much coming up. Like the Goofy in 2012. I didn’t have to stop running altogether before, though, because I did the right thing. Right?
How do you handle injury? What keeps you motivated to do the right thing and take care of yourself? What do you do for tendonitis? 
And because cute little sleepy puppies make everyone smile (even when they can’t run, right?):

Until the next mile marker (which hopefully isn’t too far away),