The Road To Boston:

Part 5 - The End of The Road



fan'ta-sy, phan'ta-sy, n.: [ME. fantasye, fauntasye; OFr. fantasie; LL. phantasia, an idea, notion; Gr. phantasia, the look or appearance of a thing.]
1. imagination or fancy; especially, wild, visionary fancy.
3. a whim; queer notion; caprice.

re-al'i-ty, n.; [Fr. realite.]
4. in philosophy, that which is real: see real

re'al, n. the saury. (?)

sau'ry, n.; pl. sau'ries, [prob. from Fr. saur, sorrel.] a long, slender sea fish of the genus Scomberesox, found in temperate Atlantic waters: it has a projecting beak. (????)

mar'a-thon, n.
1. a foot race of 26 miles, 385 yards, run over an open course: so called in allusion to the story of the Greek runner who went from Marathon to Athens to tell of the victory over the Persians (490 BC), and then dropped dead.

- Webster's New Universal Unabridged Dictionary, Deluxe Second Edition



Imagine for a moment, if you will, the leg of a runner.

Look at the surface of the leg - the way it flexes and moves, the way the muscles bulge and relax beneath the surface. Look at the way the joints work - heel, ankle, knee and hip all working together in a ballet of movement.

Now look deeper - peel away the skin and examine the underlying structure..

[Sound of hysterical, anguished screaming, a thrashing of limbs and the wide, wild eyes of a victim in mortal agony...]

No, no, no - HYPOTHETICALLY, peel away the skin and subcutaneous layer of fat. Look at the muscle groups that collectively form what we call "the calf". Look at how they work together, sliding, stretching, contracting, gliding around like some sort of demented, possessed leg of lamb.



"Mmmmm... Laaaamb....," Fladd thinks to himself as he plods through his training run, daydreaming of a honey-glazed lamb turning slowly on a spit.

Thud, thud, pant...."Mmm..."

Thud, thud, pant...."Mmm..."



Look closer still. Look at the Achilles tendon - that ribbon of white tissue that ties the calf muscles to the bones of the leg. With every stride, the muscles try their best to leap away from the bone, only to be held in place by the Achilles. Watch as it is jarred and stretched with every footfall.



Thud, thud, pant...

Fladd speeds up briefly, gaining momentum before leaping over a snowbank and landing ankle-deep in a puddle.

Thudthudthudthudthud...................................splash....

"Oh, MAAAAAN!!!!...."

Thud, thud, pant...



Look even more closely at the Achilles tendon. Look deep into it - at the tiny fibers that it is made of. Look at them stretch and relax with every footfall.

Stretch....relax....stretch....relax...

Watch as they slide around under the surface of their protective sheath.

Stretch and slide...relax and slide...stretch and slide...

As you look ever more closely, you see that things are not working as smoothly as they should. The muscles and tendon have not been properly stretched; each footfall jars the fibers just the slightest bit too much. The pressure from the back of an ill-fitting running shoe presses rhythmically against the sheath, causing even more stress. The shock of cold water caused by running through a puddle of icewater makes the tissue contract sharply, only to be suddenly jerked back into a stretch on the next step.

Tiny tears - micro-traumas - appear in the tendon.



"Hey, look at me - I'm a musk-ox!" Fladd shouts as he plows through another snowbank, tries unsuccessfully to avoid another puddle and is nearly hit by a car.

Thud, thud, pant...



In a desperate attempt to maintain its structural integrity, the tendon builds up scar tissue - a gooey, mozzarella cheese-like mass to bind the injured fibers together. The fibers start clumping together, giving each other support, but losing more and more of their elasticity in the process.



Thud, thud, pant... Thud, thud, pant...

Fladd rounds a corner and settles into a faster stride, pushing his pace and his breathing as he completes mile 14 of a 19 mile training run.

Thudthudpant... Thudthudpant...



The tendon fibers flex and stretch - pulling, pulling, harder and harder, trying to maintain the elasticity demanded by an increased workload.

Things aren't going well though - everything is gummed up with scar tissue. Some of the fibers need to stretch to their entire length. Others only give a little bit. The tendon starts to creak as the scar tissue is pulled this way and that, stretching, stretching, coming closer and closer to the breaking point...



Thudthudpant... Thudthudpant...

Thudthudpant... Thudthudpant...

"Well, HEEEEYY!!" Fladd thinks to himself as he jumps off the sidewalk to avoid a poodle, then hops quickly back up on the curb. "Looking goood...!"

Thudthudpant... Thudthudpant...

Thudthudpant... Thudthudpant...

!!!!!! SNAP !!!!!

"Aaargh!!"

A blinding, white-hot flash of pain, accompanied by an ominous flopping, thrashing sensation just above the right heel.

"Aaargh!!" Fladd repeats, "aaargh, aaaargh!"

At this point, he is about 15 miles into his run and roughly two miles from home. Gritting his teeth, he turns around and starts to limp home, melodramatically dragging his leg behind him like some twisted parody of the Elephant Man.

Plop, drag, gasp.....plop, drag, gasp....

Plop, drag....SLIP - WHAM!!! He falls on the ice and lies staring at the sky, snowflakes mingling with his tears.

"Uh-oh," he thinks, to himself, stating the obvious, "THIS isn't good..."



Medical diagnosis is not an exact science. Different medical authorities can and do argue vehemently over almost any type of physical trauma. If you walked into three different emergency rooms carrying your severed left arm, you might get as many as 4 different diagnoses as to the nature and treatment of your particular injury - perhaps more, depending on your HMO. There is no injury so clear-cut and obvious that everyone can agree on it.

Except one.

As one of Keene's army of the uninsured, Fladd is forced to rely on his own resources to diagnose and treat his injury. He consults 4 different medical and exercise physiology textbooks and comes up with one indisputable diagnosis; he is suffering from something called Achilles Tendinitis. (That, in itself, is a bit of a disappointment. He had hoped that it would be something manly-sounding - Navy Seal Syndrome, perhaps, or Advanced, Testosterone-Induced, Skeletal-Muscular Trauma.)

Each reference mentions the exact same symptoms - a swelling of the ankle just above the heel, a leather-like creaking of the tendon or crepitus when the foot is flexed and inconsistent but mind-numbing agony. They differ on treatments - "Ice it to reduce the swelling", "Heat it to increase the circulation", "Massage it to break up the scar tissue" - but they all agree on one aspect:

"NO RUNNING FOR AT LEAST 6 TO 8 WEEKS!!"

"Oh, come on...," Fladd thinks to himself as he reads. "They can't be serious. How about just a little running?"

"NO!," the sources thunder back. "NO RUNNING FOR 6 TO 8 WEEKS! NO RUNNING, NO HOPPING, NO SKIPPING, NO JUMPING - NO WEIGHT-BEARING ACTIVITY OF ANY KIND!!!"

By the time 6 to 8 weeks have passed, Fladd will have missed the last qualifier for the Boston Marathon. He is out for the season.

Damn.

"That's really rough!", Reese says, putting his hand on Fladd's shoulder. "I'm really, really sorry. I wanted us to run in Boston together. Oh well - hang tough! I'll be thinking of you when I'm running up Heartbreak Hill! I'll be strong and run for BOTH of us," he says, his voice throbbing with nobility.

He then sits down, opens a beer and doesn't run for the rest of the winter.


© 1999 Keene Sentinel

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