Warning! Not a fun post.
I will be taking a little break from training & racing.
Back when I was dealing with my knee issues in May & June, CV mentioned that I should check into any Leg Length Discrepancies (LLD) to see if that is part of the cause for the ITBS. It was a good idea, and the research I did mentioned that an LLD can cause ITBS, and low back discomfort - which I have had for about 7 years. It made me think that I should look at fixing any issues on a macro level, rather than just one area (ie. knee, or hips). This might have been the reason (or maybe the cause) as to why I have had this "pelvic twist" "issue" for years, which is what I went to PT for a few years back. Ultimately, I became focused on finding out the root cause for this misalignment for the main reasons of reducing the risk of injury long term, along with not having to deal with back discomfort on a day to day basis.
Finally, after RAAM, I started the investigation into the LLD thing, and I had 2 x-ray Rx's from 2 different doctors (long story). I figured an LLD x-ray Rx from one doctor would be the same as an LLD x-ray Rx from another doctor, right? Wrong.
Well, after speaking with both doctor's, I have two doctors who think they can help, one doctor who thinks the other is incompetent, an LLD that is at least .25", but maybe more, an argument as to why .25" is both significant and insignificant, no answer to the root cause of my problem, a combination of things that may make up a solution that might work, a boatload more confusion, and a frustration level that is so high, I have almost grown numb to it.
I can't kick off the wall in the pool without feeling discomfort in my back. I can't swim a stroke with my left arm without feeling discomfort in my left shoulder. I can't bike because I developed chondromalacia during RAAM. I can run, but I run scared because I am not sure if my ITBS / Bursitis is still "there". It doesn't hurt fortunately, but I can also tell something isn't right.
I am in no shape to start training for an Ironman again. "Wait, what?" Yeah, well, after IMSG, I believed in myself and my abilities to qualify for the big dance, and CV agreed. With me aging up next year to M3034, there is no way I want to compete with the likes of these guys for a slot, so I said that the goal should be to qualify this year, not to mention, I was fired up and motivated. With all North America Ironman's being sold out (shocker), the only one left in the western hemisphere was Ironman Cozumel. My good buddy Greg also signed up for IM Cozumel because he was so inspired by watching all of us at IMSG. I was stoked - finally, someone to train with! So, during the early parts of finding out I had ITBS, CV and I figured I had the standard run-of-the-mill nothing-special ITBS, that I would recover soon, and after a little post-RAAM recovery, I'd be ready to rock it in prep for Cozumel, so I dropped the six hundo on registration, only to have all of this backfire.
So, I am shutting the swim, bike, run stuff down for a while, and am devoting 100% of my energies towards finding out the root cause(s) of these issue(s) I have. Honestly, I think once we figure out the root cause of the hip misalignment - I think everything else will fall into place - literally, and figuratively. Unfortunately, this isn't going to be easy, fast, or probably cheap, I'm certain. Ultimately, I just want someone to tell me the root cause of why I am misaligned (muscle imbalance? LLD? muscle tightness? skeletal something?) and put me on a path to fixing it long term. Simple, not easy.
Suggestions, especially from those in San Diego, are certainly welcome.
ps- ART is a (strong) possibility, and I don't believe in chiropractic care being a long term solution.