"Costochondritis (kos-toe-KHON-dri-tis) is an inflammation of the cartilage that connects a rib to the breastbone (sternum) — a junction known as the costosternal joint. Pain caused by costochondritis may mimic that of a heart attack or other heart conditions."
and Wikipedia...because you know I Google'd the heck out of it:
"...a benign and often temporary inflammation of the costal cartilage, which connects each rib to the sternum at the costosternal joint, and is a common cause of chest pain. Though costochondritis is often self-limited, it can be a recurring condition that can appear to have little or no signs of onset."
Yeah, I'd never heard of it either! I was getting chest pains whenever I ran more than an hour and started to worry it was a heart issue. (It was around the 3rd/4th ribs just left of the breastbone...right by the heart area.) You know, having heard of multiple pro triathletes that had to retire due to heart issues--enlarged hearts, arrhythmias and heart valve issues...
Heart problems plaguing top athletes
Normann Stadler, Heart Surgery, and You
Elite Triathletes and Heart Problems
Kind of scary, but two different docs pegged me for costochondritis. I had an EKG to rule out heart issues. Like wikipedia said, costochondritis is sometimes caused by a traumatic event, sometimes the onset is spontaneous. The first doctor mentioned that it probably happened because I was in excellent fitness for so long (never had any issues when racing pro), but have been fairly inconsistent in my training, then tried going a little harder and my body wasn't quite ready yet. A lesson learned in sitting on my butt for many months and then trying to go 0 to 60 too quickly.
Now that I think about it, the first time it happened was 4 weekends ago. I was attempting my first set (in a really long time) of 21x800s on the track (with 200 easy recovery)...which was always a pretty standard teamTBB track set, total distance 21km or 13.1 miles AKA a half marathon. Never mind that it was the middle of a hot and humid August day, and that I hadn't done any track workouts in at least a year. It wasn't like I hadn't done ANY speedwork...I had just done them indoors on the treadmill, where it was cooler and air-conditioned, and I even used the treadmill that has its own built-in fans. I had done a half marathon set like this a couple weeks prior, only it was 15x800's with an easy 400 recovery.
Okay, maybe I'm an idiot, but I have this problem where I keep forgetting that I lost my athletic superpowers a couple years ago. Or just that I've lost the brain cells saying that it wasn't a good idea to attempt that track set at 1pm on a rather hot and humid day. I made it through 9 of them (and was pretty excited to be holding under 7:00/mile pace) before I got the chest pains. I figured it was the humidity, jogged super easy for 30 more minutes, then called it a day.
I forgot all about this episode until the following weekend, when I got the same issue 60mins into a 90min long easy run. Of course I ran an out-and-back loop, so there was no cutting it short, and my chest remained tender to the touch and somewhat painful even doing mini 30-minute easy runs after that second episode. So it was two weeks ago I got the official diagnosis and made the executive decision to call it a season, chill out and step it down.
My training hadn't been going too consistent the last several weeks prior to this issue, and I was already thinking of stepping down to the "Oly Rev" distance at the Half Full in October. (Plus I had done some bike course recon and felt REALLY weak...or heavy...ok, just SLOW on the hills...) But with the whole inflamed rib cartilage thing, I decided to back off the training for a few weeks, and cut myself a break. Obviously I am not good at figuring out how to make smaller goals to shoot towards after racing ironmans professionally. You could say I have a distorted perception on what a reasonable racing goal should be. (Duh.)
So the plan going forward is to step down even further to Olympic distance for next year. Should be fun! Maybe I'll try to build up for a fast half Ironman at the end of next year... instead of in the next month. Just give myself more time to get in some solid, consistent training. I still had the Navy-Air Force half marathon on the calendar coming up in 11 days, but decided last week that I didn't want to run it slow. I don't sign up for races to go slow. I can still run...only I am limited by the intensity. I can basically run under the pain threshold. I've still got my entry for the Army Ten-Miler in 7 weeks (Oct 20), which I'm going to see if I will be able to do. It's a really big local race and I'm hoping to be mostly recovered by then.
All that said, I got roped into being on a relay team this Sunday for the Nation's tri. One of our double amputee patients is doing the swim and hand-cycling the bike, and needs a runner. So...I get to bust out a 10km run. Hard for me to say no, when I just have inflamed ribs and these guys are missing multiple limbs! It should be fun, will keep you posted!
"...a benign and often temporary inflammation of the costal cartilage, which connects each rib to the sternum at the costosternal joint, and is a common cause of chest pain. Though costochondritis is often self-limited, it can be a recurring condition that can appear to have little or no signs of onset."
Yeah, I'd never heard of it either! I was getting chest pains whenever I ran more than an hour and started to worry it was a heart issue. (It was around the 3rd/4th ribs just left of the breastbone...right by the heart area.) You know, having heard of multiple pro triathletes that had to retire due to heart issues--enlarged hearts, arrhythmias and heart valve issues...
Heart problems plaguing top athletes
Normann Stadler, Heart Surgery, and You
Elite Triathletes and Heart Problems
Kind of scary, but two different docs pegged me for costochondritis. I had an EKG to rule out heart issues. Like wikipedia said, costochondritis is sometimes caused by a traumatic event, sometimes the onset is spontaneous. The first doctor mentioned that it probably happened because I was in excellent fitness for so long (never had any issues when racing pro), but have been fairly inconsistent in my training, then tried going a little harder and my body wasn't quite ready yet. A lesson learned in sitting on my butt for many months and then trying to go 0 to 60 too quickly.
Now that I think about it, the first time it happened was 4 weekends ago. I was attempting my first set (in a really long time) of 21x800s on the track (with 200 easy recovery)...which was always a pretty standard teamTBB track set, total distance 21km or 13.1 miles AKA a half marathon. Never mind that it was the middle of a hot and humid August day, and that I hadn't done any track workouts in at least a year. It wasn't like I hadn't done ANY speedwork...I had just done them indoors on the treadmill, where it was cooler and air-conditioned, and I even used the treadmill that has its own built-in fans. I had done a half marathon set like this a couple weeks prior, only it was 15x800's with an easy 400 recovery.
Okay, maybe I'm an idiot, but I have this problem where I keep forgetting that I lost my athletic superpowers a couple years ago. Or just that I've lost the brain cells saying that it wasn't a good idea to attempt that track set at 1pm on a rather hot and humid day. I made it through 9 of them (and was pretty excited to be holding under 7:00/mile pace) before I got the chest pains. I figured it was the humidity, jogged super easy for 30 more minutes, then called it a day.
I forgot all about this episode until the following weekend, when I got the same issue 60mins into a 90min long easy run. Of course I ran an out-and-back loop, so there was no cutting it short, and my chest remained tender to the touch and somewhat painful even doing mini 30-minute easy runs after that second episode. So it was two weeks ago I got the official diagnosis and made the executive decision to call it a season, chill out and step it down.
My training hadn't been going too consistent the last several weeks prior to this issue, and I was already thinking of stepping down to the "Oly Rev" distance at the Half Full in October. (Plus I had done some bike course recon and felt REALLY weak...or heavy...ok, just SLOW on the hills...) But with the whole inflamed rib cartilage thing, I decided to back off the training for a few weeks, and cut myself a break. Obviously I am not good at figuring out how to make smaller goals to shoot towards after racing ironmans professionally. You could say I have a distorted perception on what a reasonable racing goal should be. (Duh.)
So the plan going forward is to step down even further to Olympic distance for next year. Should be fun! Maybe I'll try to build up for a fast half Ironman at the end of next year... instead of in the next month. Just give myself more time to get in some solid, consistent training. I still had the Navy-Air Force half marathon on the calendar coming up in 11 days, but decided last week that I didn't want to run it slow. I don't sign up for races to go slow. I can still run...only I am limited by the intensity. I can basically run under the pain threshold. I've still got my entry for the Army Ten-Miler in 7 weeks (Oct 20), which I'm going to see if I will be able to do. It's a really big local race and I'm hoping to be mostly recovered by then.
All that said, I got roped into being on a relay team this Sunday for the Nation's tri. One of our double amputee patients is doing the swim and hand-cycling the bike, and needs a runner. So...I get to bust out a 10km run. Hard for me to say no, when I just have inflamed ribs and these guys are missing multiple limbs! It should be fun, will keep you posted!
