Blog Comments

  1. Sojerz's Avatar
    Enjoyed the blog Rick and will miss your posts. Good luck going forward for you, the sharks, and Dave.
  2. flystorms's Avatar
    Wow, that's incredible! Great job. You couldn't do just two more to make it an even 1800?
  3. varlasm's Avatar
    Dave has a tough act to follow Coach Rick!!! We will sure miss you! 😍💖👍Thank goodness you will still be swimming with us
  4. jim thornton's Avatar
    If it's not too late, have you inquired about three alternative forms of treatment, none of which will make things any worse and might actually make things better and allow you to skip surgery.

    The first is shockwave therapy, the more painful the better. I am not joking. You might see if any orthopods in your neck of the woods would do this on your elbow.

    The second is nitroglycerine patches on the elbow to foster blood flow and promote healing.

    The third, paradoxically, is injection of sclerosing agents into the elbow. One theory about both epi- and medial- condylitis is that tiny blood vessels proliferate in the area of damage and pain nerves then grow there, too, allowing the signalling of pain impulses. Supposedly, the injection of sclerosing agents chokes down this burgeoning blood supply, starving the nerves and eliminating the damage. No harm, no foul.

    Note: living on ibuprofen might be doing more harm than good. What you are suffering from is not an inflammatory condition (tendinitis) but rather close to the opposite of inflammation (tendinosis), which is characterized by lack of blood supply and the healing factors that are a hallmark of the so-called inflammatory soup.

    Abstract:

    The majority of insertional and noninsertional tendinopathy cases are associated with repetitive or overuse injuries. Certain tendons are particularly vulnerable to degenerative pathology; these include the Achilles and patella tendon, the rotator cuff, and forearm extensors/flexors. Disorders of these tendons are often chronic and can be difficult to manage successfully in the long term. Eccentric exercise has the strongest evidence of therapeutic efficacy. Extracorporeal shock wave treatment, sclerosing agents as well as nitric oxide patches show promising early results but require long-term studies. Corticosteroid and nonsteroidal antiinflammatory medications have not been shown to be effective except for temporary pain relief for rotator cuff tendinopathy. Platelet-rich plasma injections show encouraging short-term results.


    http://www.ncbi.nlm.nih.gov/pubmed/24464332
  5. KEWebb18's Avatar
    I will definitely miss reading your blog! Best of luck with your surgery and recovery.
  6. jim thornton's Avatar
    Okay, maybe a little sentimental rah rah claptrap in between the obesity and sarcopenia fears!
  7. The Fortress's Avatar
    Quote Originally Posted by jim thornton
    Don't write sentimental rah-rah claptrap, nor succumb to too much gnashing of teeth! But keep us posted on what I suspect is as much a psychological challenge as a physical one. Any insights you might develop in how to deal with the whole process will be, I strongly suspect, valuable to lots and lots of your fans.
    Sentimental rah rah claptrap?! Ha, not likely from me. It will indeed be a psychological challenge. All my muscle will dwindle away ... Hopefully, I won't become obese! You'll have to come visit.
  8. The Fortress's Avatar
    Quote Originally Posted by Sojerz
    So sorry to hear it will require surgery. Hope you keep us posted on your progress from time to time - love reading your comments too.

    When I broke my thigh cycling a few years back, I found it hard to sit on the sidelines and recover. I was a very inpatient patient, but the brooding didn't help. As Doug said, another outlet is a great idea. Take time to recover and give your body a chance to rebuild itself. Come back when it feels right, and it will.

    Wishing the best results for you, take care.
    Thanks Bill. I will try not to brood too much. Not sure I can really do much for a couple months post surgery tho ...
  9. jim thornton's Avatar
    Leslie, there are so many masters swimmers dealing with various types of adversity. You have been an inspiration to us all, and I, for one, would like to see you continue writing your blog even while you are out of the water. I think that any insights you can provide about the mental state of the injured athlete, forced by circumstance to temporarily stop participating in the activity that has been such a big part of their self-identity, would resonate deeply with an awful lot of us out here in the virtual hinterlands. Don't write sentimental rah-rah claptrap, nor succumb to too much gnashing of teeth! But keep us posted on what I suspect is as much a psychological challenge as a physical one. Any insights you might develop in how to deal with the whole process will be, I strongly suspect, valuable to lots and lots of your fans.
  10. Sojerz's Avatar
    So sorry to hear it will require surgery. Hope you keep us posted on your progress from time to time - love reading your comments too.

    When I broke my thigh cycling a few years back, I found it hard to sit on the sidelines and recover. I was a very inpatient patient, but the brooding didn't help. As Doug said, another outlet is a great idea. Take time to recover and give your body a chance to rebuild itself. Come back when it feels right, and it will.

    Wishing the best results for you, take care.
  11. flystorms's Avatar
    Dangit, that's super frustrating for you, but you probably need to get something done. The body is talking to you.

    On a side note, it was good to catch up with you for a few minutes at the meet, Stewart. It's always a pleasure. Have a good Thanksgiving weekend.
  12. The Fortress's Avatar
    We will rehab together remotely! Let us know when your surgery is scheduled. Hope your son is all right.
  13. pwb's Avatar
    Sorry about your woes. Best wishes on a successful surgery and recovery.
    Ditto that. You've got a long career ahead of you.
  14. The Fortress's Avatar
    Quote Originally Posted by Doug Martin
    Leslie, very sorry about this. As you or someone said, though, Masters swimming almost seems to be defined by injuries and comebacks. I've watched Bruce Kone come back with a startling vengeance from TOS. Until then, I hope you can find outlets for your seemingly boundless energy; coaching again perhaps? Please do us the favor of dipping into these forums occasionally.
    Thanks Doug. Yes, I've been chatting with Bruce. He's definitely a VTOS success story and fount of knowledge. Do you have a SCM meet coming up? I will have to live vicariously for awhile.
  15. Kurt Dickson's Avatar
    Sorry about your woes. Best wishes on a successful surgery and recovery.
  16. Doug Martin's Avatar
    Leslie, very sorry about this. As you or someone said, though, Masters swimming almost seems to be defined by injuries and comebacks. I've watched Bruce Kone come back with a startling vengeance from TOS. Until then, I hope you can find outlets for your seemingly boundless energy; coaching again perhaps? Please do us the favor of dipping into these forums occasionally.
  17. The Fortress's Avatar
    Quote Originally Posted by Kurt Dickson
    Weird you had to go to Johns Hopkins to get an ultrasound as that would have been the only thing I could think of to order. Also, seems strange that streamlining is felt to be the culprit. Most blood clots are from venous stasis and I would think you would have to streamline for several hours to get that. Perhaps a combination of vascular injury and genetic predisposition on top of the thoracic outlet obstruction.

    As has been said, we are all pulling (hey, swim pun) for you. Best wishes on surgery and a short recovery.
    Thanks Kurt. I did have an ultrasound about a month ago in the ER when I went in with my red swollen arm. It was negative for clots then, but they only did it with my arm at my side. I believe I had McCleery's Syndrome (intermittent compression of the subclavian vein) at that time and a clot hadn't yet developed a clot.

    After a couple weeks, I suspected it might be VTOS. I knew I would have to see a thoracic surgeon for a diagnosis and treatment. Every dr that I knew told me to get someone with a lot of experience, someone who does this surgery every week not a few times a year. That is Dr. Lum. And unfortunately, I couldn't even get an appt here in Pittsburgh until December 5. I didn't want to wait that long, and it was good that I didn't.

    VTOS is an overuse condition developed over time. Streamline dolphin kick is about the most "overhead" you can get.
  18. The Fortress's Avatar
    Quote Originally Posted by flystorms
    Oh my goodness. So the bright side is that you know what it is now and it sounds like it's fixable. I can understand how frustrating it will be to not be in the pool for a while. Please pop in here every once in a while with updates and maybe we can bring you a little cheer until you're all healed. Please heal quickly, Fort.
    Thx Fly! It will indeed be very frustrating. Being a couch potato does not agree!
  19. The Fortress's Avatar
    Quote Originally Posted by kwhenderson
    Oh Leslie, I am so sorry, but thankful you are in good hands with your surgeon. Do keep us posted on the surgery and your progress. You and your doctor will be in my prayers for complete restoration. And, yes, praise that the blood clot did not break loose. Your contributions to the swimming community will be missed from your personal performances to your blog. Fortunately we can still access your previous posts for our training! Thanks for all you've done for those who follow you. I know you, and you'll be back stronger than ever. Hang in there. Hopefully your whole family will be together for Thanksgiving. Blessings!!
    Thanks so much Kristin. Good luck to you this SCM season!
  20. The Fortress's Avatar
    Quote Originally Posted by Kenny100
    Hang-in there Fort. I will miss your blogs and workout comments until you return. I have been reading them since you were posting HIT swimming workouts. There will be an upside to this, even though it may not be apparent right now.
    Kenny, I so appreciate that you took the time to write me a note. I do miss writing the HIT workouts. But I was still doing them. Hopefully, I'll be back doing them.
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