April 14, 2017

One massive, complex & confusing jigsaw puzzle

Firstly, please ignore if you are looking for a post with scenic trail pics or race reports.  I appreciate the injury updates can be pretty boring stuff for most folks out there but it's a month since my last update so I figured it was time to update again on my progress ... or lack thereof ...

When I last updated I was in the middle of a series of prolotherapy injections to try stabilise my lax sacroiliac (SI joint).  This involved a weekly visit to the doctor for six consecutive weeks to have 60 injections at a time into my SI and lower back area.  Luckily I got local anaesthetic injections each time too so it felt like not much more than an intense session of IMS, and Dr. Gillies - an older British woman - regaled me with stories of cycling in Thailand to distract me.  Many folks react quite strongly to the injections and have limited mobility for a few days, but I found I didn't react too badly and was fairly mobile after each session - but that doesn't indicate that the injections (which are dextrose and tighten ligaments) aren't working and in fact they did.  After six weeks Dr. Gillies was very pleased that my SI was much more stable, though I will be going back for a booster session in a few weeks time to increase chances that it stays that way.

Throughout the course of prolotherapy I was not allowed to do anything that might make the SI shift so that basically meant to activity - no running, no gym work, no hiking, no biking, no swimming.  I knew I was getting desperate when I asked if I was allowed to do yoga or not - I'm not sure if I was relieved or not when I was told that that was not allowed either.  I was allowed to walk for 2 x 15 minutes day, oh well - at least I could go grocery shopping then!  After six weeks of zero activity and much over eating and youtube video watching (I don't have a TV) I was allowed to try a 30 min jog.  Man oh man, I can't tell you how terrible that felt.  I'm super out of shape right now (but that's the least of my concerns) but everything just hurt - I was tight, tense and my legs were sore to touch.  I knew that a lot of this was because I was simply deconditioned to running (or really any movement) and even after a few days of 30 minute shuffles I began to feel a little more human again - my shoulders and back had loosened up and with thanks to the foam roller my legs were beginning to feel a little less like concrete blocks.  I wouldn't exactly call it progress but I was getting back to not feeling much worse than before the prolotherapy so that was a positive.

My doctor has been checking my SI most weeks since the completion of the six weeks of prolotherapy and so far it is (almost) as good as it was right after prolotherapy, despite a slight increase in activity.  So far I have been allowed to try some easy hiking, easy cycling and easy runs, all wearing an SI belt as an insurance policy to hold the SI in place.  There's nothing better than wearing a tight band around your hips when you already feel pretty chunky ;)  But the basic problem remains that my left leg just doesn't work like my right leg does.  This is pretty darn frustrating as I was hoping either the prolo or the six weeks of total rest would really help (and I wasn't too fussy which would help, so long as one did).  Don't get me wrong, having a stable SI is pretty much essential for an ultra runner, but getting that tightened up has not really resolved the underlying issues of my original injury at all.  The original pain in my groin of a year ago is not there (for now) but my adductor is constantly overworked, my left glute refuses to do any work and since around Christmas time my hamstrings have been shouting and so far have not piped down much.  Of course with being injured for this long it becomes pretty obvious that it's unlikely fixing one thing will solve the puzzle or that the puzzle will be solved overnight - there are many components at play and it's trying to get them all lined up at the same time that is proving the tricky part.

For now I am running a small amount every other day.  I really have to emphasize that it is a little - so far 8km/ 5 miles is a long run for me and I don't plan going over that sort of distance any time soon.  It's not pain free but it's tolerable and it's keeping me sane - some folks might under estimate that but if a short jog is only slightly uncomfy but keeps my overall body feeling ok and gives me 30 minutes of enjoyment then I feel that is important.  For now, SI stability permitting, I'm easing in some other activities to try just maintain my minimal fitness and to get outside, these privileges will be revoked by my doctor at anytime she feels my SI is getting worse.  I've been a little scared off strength work for now (a gym incident in January truly showed that my body was fragile) but I'd like to get back at that when I can as I know I have lost pretty much any strength I had, but that's what six weeks of lying on the sofa on the back of 10 months of curtailed activity does to you.

I'll be seeing, yet another, physio next week to check out a new angle and I'm waiting to get an MRI (which could be a few months) just to double check the hip area again (I had one back in July but worth re-checking and this should be a contrast MRI which can show more detail).  I made two goals at the start of the year - 1, that by December I hope to have run a 10k race (I don't care how slow but at a proper race effort) and 2, that by December I would also run a local trail route that's about 15kms (Headwaters to Norvan Falls for any locals reading).  Now we're in mid-April  I'm not sure if these are realstic goals but there's still a few months to start making progress.

At this stage I am truly grateful for both my sponsors and the medical folks who have helped me along the way.  I am also super proud and grateful to my coaching clients - I currently have about 35 clients all over the world training for anything from a half marathon to a 200 mile race, I absolutely love my coaching work and it's always a pleasure to help guide folks to achieve their dreams and personal goals.  Whilst my own personal running goals might be on hold for now, I'll never tire of talking about running and helping others to weave their running ambitions around family commitments, busy jobs and sometimes far from ideal training grounds.

Special thanks go to:

Salomon Running
CLIF bar
Drymax Socks
Sundog Eyewear
Flora Health


Dr. Jim Bovard (he says he's getting stubborn, I'm glad because I sometimes feel like giving up).
Dr. Jean Gillies (prolo treatment)
Bobby Crudo RMT (especially for saving me at 4pm on a Friday when my SI gave out in the gym that morning).
Chris Napier, Marylou Lamy, Carolyn Bliss (physios)
Joe Uhan (physio and gait analysis)

 Happy trails,

I helped iRunFar with race coverage at Chuckanut 50k.  It was a fast and furious race to watch!

Hiking in the rain.

25% off sunnies til end of April!

It's not really been great cycling weather but hoping for more sun for more skinny tyre miles.

Fun times hanging out with CLIF bar in Whistler.

Trail conditions in North Van, April 10th.


  1. Hi Ellie. I know there is almost nothing worse than the "have you tried this..?" responses to injury posts but I am going to do it anywa in the spirit of hopefully helping you solve your jigsaw puzzle. You clearly have a great team of healthcare professionals but I figured another persective based on experience couldnt hurt. I have been in a similar position with the left glute not doing much and the adductor and hip flexor constantly being over-worked. I don't know if I have SI instability but once I went through 10 weeks of prolo therapy and rest for a high hamstring tear, I have found a mixture of motor control exercises and heavy weight exercises with particular attention to form have helped my L glute do more and actually get stronger. I've also found that my L core muscles were also not doing much and do some breathing and muscle activation exercises 2 times a day have helped. Every body is different and this may not apply to you at all, but my physio found my L hip flexor was always "on" because my core wasn't and this was pulling my hip forward, thus throwing off the whole alignment and making things not fire or fire too much. Wishing you good health and pain-free running!

    1. Thanks for the tips. I have always done heavy weights but that does not necessarily lead to recruitment of glutes when running. Good you are back running!

  2. Hi Ellie. Just touching base to let you know that we are still big supporters of yours and hope that you are able to get back to pain free running. I am slowly getting my mo-jo back after a prolonged time away from running and have signed up for my come back ultra in September. Having a nearly 3 year old in toe deffintely fills in the time, but would not change it for the world. Tanya, Sylvie and I all cant wait to touch down on Canadian shores one day in the future and hope we can also welcome you downunder. Take care!

    1. hey Campbell! Super to hear from you and awesome you are doing an ultra this year! I'm sure you'll get back on track and do great - slow and steady in the build. Would be wonderful to see you three back in Canada one of these days :)

  3. Hey Ellie,

    Anthony here from sunny South Africa! Im truly sorry to hear about your troubles (i can certainly relate), I hope you manage to get to the bottom of the issue real soon, we miss you at comrades!!

    I wanted to ask, have you been checked for possible FAI ? (femoral acetabular impingement) - google that. I had a long term injury with very similar symptoms to yours - ie: groin pain and SI joint pain, hamstring issues which are all symptoms of FAI.
    After alot of frustration and misdiagnosis and after having an xray and mri done i was diagnosed with FAI. Its basically bone spurs that develop on the hip joint which end up causing damage to the surrounding labrum/cartilage and prevent or limit normal hip range of motion.. the most common symptom is groin pain.. which you mentioned. In most cases the only real solution is surgery - because its a bone issue, and no amount of physio actually helps.
    Maybe worth checking out if you haven't already.

    Good luck, and hope to see you in our beautiful country soon!


    1. Thanks Anthony, I too hope to make it back to South Africa one of these years! I have already had MRI and awaiting another to be sure, but thanks for tips (although symptoms sound a little different from mine).

  4. This comment has been removed by a blog administrator.

  5. This comment has been removed by a blog administrator.

  6. Hi Ellie,
    A friend steered me to your blog as I'm embarking on my 4th month of no running post-injury. Being injured feels pretty lonely, and I really appreciate your transparency and perspective. I watched you crush Chuckanut in 2016 and admire your example during recovery as much as your strength and speed during that race. Best wishes in the healing process.

  7. Just read your blog Ellie - this morning I did my third "recovery" run after a 5 week complete lay off with the "chest infection from h*ll". Dropped 3/4 stone in 3.5 weeks. 5.7 miles of grim hilly misery this morning and was feeling pretty dejected - Tor Des Geants in September seems another world away!
    But having read your latest (last month) blog in so glad I did. Sounds daft but just made me feel less "alone" in my gloom. I know things will get better with perseverance but it's just a real toughie when I knew I was rocking and setting training run PBs before getting ill...cest la vie ��
    I should be used to setbacks by now (long story involving a REALLY bad off road motorbike accident 6 years ago), but "bouncing back" doesn't seem to get any easier, even with lots of practice. I can really empathise with your SI and joint problems - I was a mess after the crash ��

    But keep your chin up, be patient (as patient as a determined ultra nut can) and above all else, smile, laugh and persevere!

    Thanks for the blog

    Brandon ��

  8. I've been sulking after getting a stress fracture during my 10 in 10 Challenge (I did it) just the last one was very painful Now I'm on running ban for 8 weeks with a stress fracture On the plus side I am allowed to pool run from next week
    I hope your getting there and you will because endurance is your job X

  9. This comment has been removed by the author.

  10. For those who are interested in this, I read it. Try to know that you have to know and like to read this very much. สูตรบาคาร่า

  11. ร้อยไหม
    ร้อยไหมปรับรูปหน้า ปรับรูปหน้าที่ไหไนดี ร้อยไหมที่แห่งไหน

    ดี? กังนัมสถานพยาบาล


    คำตอบไม่ว่าจะเป็น ร้อยไหมหน้าเรียว เป็นวีไลน์แบบประเทศเกาหลี





    ลดอายุ หน้าเด็ก ไม่เจ็บ ไม่บอบช้ำ

    ไม่บวม หน้าเป็นวีเชฟ ลดเหนียง เหนียงกระชับสมใจอยาก

    ร้อยไหม เป็นอย่างไร

    การร้อยไหม เป็น


    ผิวหน้าที่ไม่กระชับ หย่อนยาน

    คล้อย ให้กลับมากระชับ หน้าเรียว เต่งตึง เข้ารูป วีเชฟได้สมใจอยาก

    ร้อยไหม ปรับรูปหน้า
    ร้อยไหม pantip
    ร้อยไหม กังนัม

  12. The VIP Doha Escorts is accessible at each inbound call or outbound call as indicated by the administration bundles. Find your hard dream of suggestion in bed with these energetic escorts at your advantageous space. At each thump you play with an expert escort in.

  13. Great blog, Get the responsive and dynamic site structuring administrations by ogen info system in Delhi, India.
    SEO Company in Delhi

  14. Nice blog, thanks for this wonderful and valuable blog. Get the best Mutual Fund Advisor and Investment schemes in best companies.
    Investment Advisor in Delhi

  15. I just checked this Post carefully. good writing for background removal. I am trying to work like this. I also check their rules for background removal and I think they are very good
    Background Removal Service Provider.

  16. Hey, is exactly 1year my lover came back to me, I’m letting you know how i got my ex back because this Christmas holiday everyone need there love ones around them not just your love ones but your lover, a year ago i was heartbroken and i knew i could not spend the holiday alone that is when i was looking for how i can make my lover come back to me so that we can make things right, to cut the long story short on a faithful day i came across the details i will be dropping on the internet, someone talking about how she got her ex back so i took this details I’m dropping via email: drosasu25@gmail.com or +2347064365391 and i contact him and i told him that i want my lover to come back to me, today I’m with my lover. Thanks you Dr. Osasu TEMPLE for the help.

  17. If you keep writing this kind of post then I will be very happy because this post is very good. I saw this post and today I am very happy to see this post, I am really admirable, I have also written a lot of websites and posts. I am giving you in the link, you can see if you want.
    Best Friendships
    independent call girls in gurugram
    Gurugram escorts
    Independent call girls in gurugram
    Gurugram escorts
    Gurugram girls

  18. I really like your article. This is a very knowledgeable article, which is of great use these days, I hope you will post similar articles in the future and let us know that your distant well-wishers.
    Call Girls In Manesar
    Escorts Service In Bhiwadi
    Escorts Service In Dharuhera
    Escorts Service In DLF Phase 1
    Independent Call Girls In DLF Phase 2
    Escorts Service In DLF Phase 3
    Sushant Lok Escorts Service

  19. Thanks for provide great informatic and looking beautiful blog, really nice required information & the things i never imagined and i would request, wright more blog and blog post like that for us. Thanks you once agian
    we offer services delhi birth certificate which inculde name inclusion in birth certificate and birth certificate correction complete process is online and we offer
    birth certificate apply online and we offer this birth certificate online same service offers at yourdoorstep at birth certificate in ghaziabad our dream to provide birth certificate in india and other staes like birth certificate in bengaluru and birth certificate in gurgaon book service with us birth certificate in noida also, service at yoursdoorstep only birth certificate in india or

  20. ขอพูดถึง อีกหนึ่งค่ายเกมที่ได้รับความนิยม ทีอยู่ในระดับที่ยอดเยี่ยม ไม่ว่าจะเป็น Kickoffbet หรือค่ายนี้เขายังมีเกมที่ชื่อว่า Sexy baccarat หรืออีกชื่อคือ
    game hall อยู่ ซึ่งเป็นเกมที่ คนเล่นเยอะที่สุดในโลก รวมไปถึง Kickoffbet
    เพราะว่ามีสาวสวยเซ็กซี่ ทำหน้าที่รับบทเป็นคนแจกไพ่ อีกทั้งยังมีมากมายหลายประเทศ ไม่ซ้ำหน้า มากกว่าที่ในใดในชาวโลกคือผู้เล่นส่วนใหญ่เป็นคนไทยเยอะมาก ๆ
    ยังมีอีกหนึ่งบริการทื่เราลืมไม่ได้เลยครับ นั่นก็คือการ sa gaming หรือว่าจะเป็น joker gaming

    ขอพูดถึง Kickoffbet อีกหนึ่งค่ายเกมที่ได้รับความนิยม ทีอยู่ในระดับที่ยอดเยี่ยม ไม่ว่าจะเป็น sexy gaming หรือ
    AE sexy ซึ่งเป็นเกมที่ คนเล่นเยอะที่สุดในโลก
    เพราะว่ามีสาวสวยเซ็กซี่ ทำหน้าที่รับบทเป็นคนแจกไพ่ อีกทั้งยังมีมากมายหลายประเทศ ไม่ซ้ำหน้า มากกว่าที่ในใดในชาวโลกคือผู้เล่นส่วนใหญ่เป็นคนไทยเยอะมาก ๆ
    ยังมีอีกหนึ่งบริการทื่เราลืมไม่ได้เลยครับ นั่นก็คือการ สมัคร SA หรือว่าจะเป็น joker game
    เมื่อพูดถึงเกมการที่สนุกและสุดมันส์ใน Kickoffbet เรานึกถึงอะไร



    This is an open invitation to everyone that is interested in becoming part of the world's biggest conglomerate and reach the peak of your career. As we begin this year's recruitment program and our annual feast of harvest is almost at hand, so we decide to introduce you to the "New World Order".

    At this point, we're assuring anyone who is ready and faithful to become a member of this great organization, that once he/she becomes a full member of the Illuminati brotherhood then will automatically become rich, powerful and be famous in life and achieve all their heart desires and also receive a monthly salary of $500,000 USD. We are ready to change your life, we can make your dreams come true.

    The great Illuminati district offers you a life time opportunity of making your heart desires come true. I believe everyone on this planet "Earth" knows about the ILLUMINATI, but for those that don't know much about this Organization, I'll brief you about it. The Illuminati is a secret society that bless man kind and fulfill his/her dreams of becoming a millionaire, billionaire and also promote their various business. At this moment, I believe you've know more about this organization and there's no reason to be afraid of anything.

    I'm not here to mess with you or play games with you because as it stands now there are lot's of people out there who Impersonate us, claiming to be members of the ILLUMINATI. So the Brotherhood then comes to conclusion of Globalizing this organization in order to help those who are actually ready to become part of this Great Family and those that were misleaded by Impostors. Now i believe this is your opportunity to join our prestigious Organization and make yourself and your family proud.

    If you're interested in joining this Great Organization, then contact our Grand Lodge at Pennslyvania, USA via WhatsApp: +1 (325) 261-7127 or our official Email: [illuminati666grandlodge@gmail.com]


  22. Our Indore Escortsare getting the wonderful attributes that every customer wants in their own life; therefore, our Indore Escorts are equally as lovely escorts. Our Call Girls in Indoreare exceptional, it means if the customer utilizes our support seems joyful.

  23. What do you mean by a sensible relationship? Well, the primary meaning of sensible is something that has sense and when you want to do the new things for the physical relationship goals then there is no need to worried about this when we are going to introduce the Haridwar Escorts for the customers.

    Haridwar Escorts

  24. Our call girls are from different states and regions. Select the Call Girls in Mussoorie with photos and figures as you like to have fun. We provide a joyful, trustworthy, and valuable fans experience to our guests.

    Mussoorie Escorts

  25. Make your daily life passionately amazing with Guwahati escort and call girl services.
    Romance is not a simple factor that you can bargain with.
    Guwahati call girls
    call girls in Guwahati

  26. It’s great webpage, I was looking for something like this.
    Remove a curse

  27. Hello everyone i was browsing the internet and i saw a lot of
    wrong quote concerning the ILLUMINATI SOCIETY, i felt bad about
    it, i want to let you know few things about the ILLUMINATI SOCIETY.
    First, i join the ILLUMINATI SOCIETY through the help of an agent
    someone introduced me to online, after years of determination to be
    a member. being a member of the ILLUMINATI your wealth is
    guarantee, you will be protected, fame, power influence e.t.c all these they will give you. one thing i want to correct is that the ILLUMINATI
    don’t pay member any salary, if you are newly initiated they will give
    you the seed of wealth and bless you with wisdom, power, influence
    e.t.c you need to be successful. the seed of wealth is the only money
    the ILLUMINATI SOCIETY give to their member, with this you can
    start anything with the money and you will be successful. Another
    thing is that the society have special blessing for politicians and
    super stars. Being an ILLUMINATI member is a personal decision, the
    society don’t force or beg people to join them. i joined because i want to,
    no body force me and am very happy to be a member today because
    they have contributed greatly to my life by making me one of the
    leading business man in the world. If you are interested in joining
    the ILLUMINATI SOCIETY contact agent SIR ROBERT MORIS on or whatsapp +2349057263057
    or call him on 2349016938501, or email him @ illuminatiworldrichm632@gmail.com he was the one that help me, this is the little help I can give to you

  28. Are You Sure You're Getting Enough Physical Activity? 5 Things to Add to Your Routine

    Knowing whether you are getting enough physical activity in a day is easy! I've put together a short checklist of what you need below:
    *Get at least 30 minutes of moderate intensity (brisk walking/jogging) for 30 minutes a day, 5 days/week.
    *Get at least 2 days/week of strength training for all major muscle groups.
    *If you work at a desk, get up and move around for 10 minutes every hour.
    *Aim to hit at least 10,000 steps a day (about an hour of movement), especially if you have a desk job.
    *Now, I completely understand how difficult it can be during times like these to get the physical activity that your body needs to thrive... So, I've put together some resources to support you right now at home!
    1. Add this whole body strength workout to your routine 2-3x per week: https://www.youtube.com/watch?v=dDf9y5Txhqg
    2. Add this whole body stretch to your routine 2-3x per week: https://www.youtube.com/watch?v=ii_TsB9Rgx4
    3. Take your exercise outdoors. Add one of these 5 Great Hikes in the Lower Mainland OR one of these 10 Best Runs in Vancouver to your weekly routine.
    4. Sign up for some virtual classes and support local fitness studios. We highly recommend YYoga and TurF, Cmmn Grnd for some killer online classes!
    5. Get some physiotherapy and exercise prescription to help you stay in top physical form. Check out Vancouver Physiotherapy Hub to book your appointment. We offer both in-person and virtual appointments: https://www.vancouverphysiotherapyhub.com/

  29. Hello Gentlemen Dubai Escorts Dubai Escorts: book real escorts in Dubai, adult and erotic services from independent and agency escorts, massage girls, callgirls, outcall and other entertainers. Abudhabi Escorts Are you looking for escort girls in Abu Dhabi or maybe just horny escorts for escort service or paid sex dating Ajman Escorts High Profile Escorts Service In Ajman, Full Enjoy Genuine Ajman Escorts Service. 100% Real Independent Escorts Service Ajman. Goa Escorts Goa Escorts Agency offering for Sharjah Call Girls, Cheap and Best Sharjah Escorts Date Me Tonight Real girls photo & VIP Modeling girls.

  30. Pretty article. Anyone is looking for muscle physiotherapy in Bhopal city, you can see here
    Muscle Physiotherapy in Bhopal


    Life is a very challenging stuff for me and my family due to the hardship that is ravaging my financial background. I went through series of unfortunate events just to provide daily bread for my family. Through the storm that I'm passing, I still hold the believe that I'll get all the wonderful dream and lifestyle that I've wished for me and my family. A day came when my greatest fear hits me, I couldn't pay for rent apartment and we became homeless.
    At this stage of my life, the only thing that keeps popping on my mind is suicide but the love I've for my beautiful family holds me stronger. I became restless and I started making research online on how to become successful in life until I read how the Illuminati Brotherhood helped a lot of their new member to reach their goals in life. Automatically I develop the urge of joining immediately.
    Today my story is now a testimony because after following up with the process of joining. The great Illuminati Brotherhood enlarged my coast. I received a cash benefits to start up a good life. After which I was gifted a house in the city of my choice, that's not all but just the least I can mention you here.
    No matter what is it you're passing through, know that there's a solution to the problem. Whether you are a politician, entrepreneur, clergy, Student, Musician e.t.c and you wish for riches empowerment, protection fame and sense of belonging to the Brotherhood just email churchofilluminatiinitiation@gmail.com Or WhatsApp/Text/Call +1 (667) 666-4167 to join the Illuminati Brotherhood to enjoy the benefits of belonging to the greatest society in our generation.

  32. Hello everyone my name is Mike Clark i am from U.K i'm giving a testimony on how I joined the illuminati brotherhood, I was trying to join this organization for so many years now, I was scammed by fake agent in south Africa and Nigeria, I was down i could not feed my self and my family anymore and I tried to make money by all means but all in vain, I was afraid to contact any illuminati agent because they have eat my money, one day I came across a post of someone giving a testimony thanking a man called Larry William for helping him to join the illuminati brotherhood, then I looked at the man's email and the phone number that was written there, I was afraid to contact him because i was scammed a lot of times by scammers who ate my 5000,000 and went away with the money then I was very confused so I decided to contact the person that was given the testimony and i called him and I communicated with him on phone calls before he started telling me his own story about when he wanted to join he told me everything to do, then I made up my mind and called the agent called Larry William and he told me everything to do and I was initiated, surprisingly I was given my benefit of being a new member of the great illuminati brotherhood I was so happy, for those of you trying to join this organization this is your opportunity for you to join CONTACT Larry William call +2349011653251or WhatsApp him or Email yougjunior542baba@gmail.com

  33. Her "Trail Running Tales" offer an insightful and inspiring look into her personal journey and experiences as a trail runner. of what makes trail running so appealing to many. Tiger exchange 247

  34. "An intricate masterpiece that challenges the mind and captivates the soul." Cricbet99 Login ID and Password

  35. Thank you for sharing this great resource of info. you have done a great job on the blog posts. Reddy Anna Login