Pubalgia’s Revenge 05Jul10

Medieval Hernia Surgery courtesy of Medscape.

You may not know this, but I’ve been injured for a while. It’s been a trying twenty-two months (so far). As one Twitteronian put it, “Man, that’s the longest groin pull in history.” I took this as a compliment. To those who have endured my interminably personal posts, comments, tweets and updates, I thank you from the bottom of my, well, you know.

Alas, my nether-regional monomania has alienated at least one woman. A long-lost friend resurfaced on Facebook to write, “Why are all your status updates about your groin? I know we haven’t talked since 1988, but I have to tell you point blank, I’ve had enough!”

Such are the vagaries of human perspective. I feel as if I’ve shown remarkable restraint on the subject. I’ll spare you the specific details of my reply. Suffice it to say, groin jokes tend to write themselves.

Obviously, I haven’t yet recovered. I run a bit, but nothing like I used to. Recently, I was sent into a near apoplectic tizzy at the prospect of an honest-to-goodness diagnosis (a sign of how far I’ve lowered my expectations). Apparently, I suffer from something called Athletic Pubalgia. Think of this as a sports hernia equipped with a Romulan Cloaking Device. For some time, I have described pain, and sophisticated medical instruments have revealed no cause.

Only through careful process of elimination and diligent reflection have my medical team (yes, team) come to the conclusion that I have the dreaded, nebulous AP. It seems surgery is the only solution. This doesn’t bother me, but can a man truly embrace a procedure called Pelvic Floor Repair?

This sounds suspiciously like home improvement. “The lateral support in these joists are shot. You need a full pelvic floor repair. Yup.”

Next thing you know, you’re constantly at Lowe’s, spending more money than Lady Gaga spends on translucent acrylic undergarments. Nothing goes as expected. Midway through the repair job, an improbable, ancient sarcophagus is found in the subfloor, necessitating a visit by the Smithsonian Institution’s artifact recovery team. The extraction causes so much damage that the contractor tells you, with no hint of empathy, that the wiring and plumbing for the entire house must now be replaced. You’ve become the manic-depressive speculator in an exceedingly disturbing, highly personal episode of Flip This House.

Yes, it’s fair to say I’m nervous about groin surgery.

But I’ll do nearly anything to solve this problem. Fellow runners understand this implicitly. Assuming my insurance company agrees that the solution to two years of chronic pain is something they might consider covering, I’ll give it a go; even if it means being strapped upside down to a medieval operating rack.

I just want to run again.

– Dean

Maddening Tale of the Adductor Longus 06Oct08

Creepy Green Giant, circa 1954

In effort to keep physicians, physical therapists and makers of anti-inflamatory medication in the black, I proudly announce my latest running injury: the dreaded groin pull. It’s as uncomfortable as it sounds.

Worse, it’s completely disrupting my marathon schedule. I should be in the visceral, red meat section of my training regimen; the part where Burgess Meredith proclaims through grimy, clenched teeth that I eat lightning and crap thunder. Instead, I’ve been laid low by a deceptively nasty injury not easily described in mixed company.

Where to begin.

A groin pull is very much like a taffy pull, except you’re the taffy. Or, if you prefer vegetables; Imagine the Jolly Green Giant holds you aloft by your feet intent on slowly making a wishbone out of you. Distracted by his diminutive sidekick Sprout, he fails to finish the job. Sure, you may be alive but running is now out of the question.

One typically does not hear the word “groin” in polite conversation, unless of course you happen to know a runner. Then it’s mentioned frequently, without a hint of embarrassment.

“Hey runner friend, what do you think of the new Asics Gel Nimbus 10?”

“The heel support is excellent fellow running aficionado, but there’s not enough cushioning to help with my groin.”

“That groin still bothering you? Provide exhaustive detail during our 10 mile training run.”

Things are different for non-runners, where references to the “groin” are uncommon. It’s a lonely word; too vulgar for high speech, and not offensive enough for low speech. The higher classes simply employ euphemisms like “nether regions” or “down there.” Lower classes proceed directly to the sterner, more colorful expletives. Neither are helpful.

Unless you’ve signed up for an Ancient Roman architecture class, you probably won’t read much about the groin, either. Even romance novelists avoid it. Why write wildly of burning groins, when burning loins will do nicely?

So we must turn to proper terminology. Medically speaking, I appear to have a strained, pulled or otherwise damaged adductor longus; one of the important muscles attaching the leg to the abdomen. Science then, has given us the ideal expression. A pulled adductor longus sounds vaguely alluring. Nobody wants a groin pull.

But if for some reason you’d like one, I suggest running incessant, high-mileage weeks with little or no breaks. When you feel the first twinge in your lower abdomen, by all means continue running, competitively if possible. In no time, you’ll be on the sidelines as your companions train in the gloriously autumnal weather.

For serious entertainment, return from the injury quickly, ignoring the sage advice of physicians, spouses, or runners with similar experience. Schedule a marathon immediately.

On that note, I hope to see you at the Lewis & Clark Siouxland Marathon on October 18th. Assuming I’m still in one piece, do flag me down at the Des Moines Marathon the next day.

– Dean