Running, Pain and Latin

Distance running is a fun way to learn Anatomy, and Latin :)

A part of the fun is of course taken away by the fact that these lessons come packaged in pain. A few years ago, after what seemed like a regular run, my right heel started hurting. I thought I had stepped on a sharp stone, or that I had twisted my heel. After many unsuccessful sessions of massages, rubbing in balms and oils (esp. Murivenna), I looked up the symptoms on the web and discovered "Plantar Fasciitis". It has nothing to do with plantations of fascists. This is simply latin for inflamed feet - plantar (sole of the foot) and fascia (band/sheath of tissue) with -itis (inflammation). For some reason this painful condition is also called "policeman's heel".

Another term you hear among the latinised running communities is "IT Band Injury". Anybody can get this injury - not just software engineers or musicians - because IT here stands for Ilio-Tibial. And the band here refers to a tendon that stretches along the length of the longest bones in your body - the tibia. An injury of this connective tissue gives you IT Band Syndrome (ITBS) - an aching or sharp pain on the outside of your knee or hip. Once again massages are not of much help and what worked in my case was simple, consistent exercises - toe-curls, rolls, stretches.

Last Sunday, 22 Feb., 2026, we had the New Delhi Marathon (NDM). This year's event was sponsored by Cognizant and attracted over 30,000 participants in four events: Full Marathon (42 km), Half Marathon (21 km), 10km and 5km races. I participated in my usual Half Marathon. It was a well organised event with plenty of water-stations, good signages, clean toilets, decent food (hot chole-kulche!), band-baaja, and nicely spaced out dispersals (no clash with the 5km folks walking abreast). I even managed to meet an old college friend from Trivandrum after 36 years, and in getting back to the sub-2-hour timing (1:58:22)!

A day after the run I am now back to my Latin vocabulary. The new words are - Quadriceps and Iliopsoas - the two sets of muscles that seem to have developed Delayed Delayed Onset Muscle Soreness (DOMS). It is peculiar pain that makes the simple act of descending staircases particularly painful.

Quadriceps femoris is Latin for 'four-headed muscle of the femur'.  The four heads are - Rectus femoris, vastus lateralis, vastus intermedius and vastus medialis. Vastus is a Latin word meaning "vast," "immense," "huge," "enormous," or "monstrous", while rectus simply means "straight", "upright", or "direct". Straight and huge - the quadriceps are the largest muscle sets in the human body.

Is there a way to avoid this pain? If past experience is anything to go by, it is unprepared muscles that develop DOMS after a distance run. So would isolation exercise like leg extensions help? Let's see...

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REFERENCES & LINKS

• https://www.samsonphysicaltherapy.com/blog/why-the-front-of-your-thighs-hurt-after-running
• https://en.wikipedia.org/wiki/Iliopsoas
• https://en.wikipedia.org/wiki/Quadricep
• https://en.wikipedia.org/wiki/Plantar_fasciitishttps://en.wikipedia.org/wiki/Plantar_fasciitis
• https://my.clevelandclinic.org/health/diseases/21967-iliotibial-band-syndrome
• https://en.wikipedia.org/wiki/Thonakal_Gopi
• https://www.uniindia.com/news/sports/sports-delhi-marathon-leads-spd18/3750206.html
• Timing - https://mysamay.in/event/info/4fbe9261-c999-4868-9a1e-acd64b0b79f8

 

 

A Pain in the Neck

Pain is an excellent guide. It tells you how to sit, walk, sleep or run; it takes your body through the paths of least resistance until time, medicines, or both, manage to heal you.

These days I am discovering the uses one particular set of muscles on my right neck - the Splenius Capitis. It is a broad band that stretches from the mid-shoulder to base of your cervical vertebrae, behind the ears.

I have now become aware of how exactly this strip of muscle helps in tilting and turning my head; of how it stretches out stretches out when I am lying on my side, without a pillow, and the amazing way in which a simple sneeze sends a stab of pain somewhere deep inside my shoulders.

I am not quite sure how I managed to hurt it - was it an unintended turn of the head while performing the Shirshasana? or did it get damaged when my son pounced on my shoulder while I was bending down to pick something on the floor?

Whatever its origins, I now feel like 3-CPO of Star Wars - that dazed, surprised look of having to turn my whole body to see what is happening behind. I now find lying down distinctly uncomfortable. Even while sitting or standing, raising my right arm eases the pain.

The strangest thing about the guiding pain is that requires me to sit, stand or walk to follow the path of least resistance. Lying down is distinctly uncomfortable, and each morning, I have been waking up with my head tilted to the right. Trying to set it straight is like holding a barbed wire fence marked "No Trespassing!"

It seems Mr. Splenius Capitis is just one of the 70,000 muscles in the human body. While its great to know he is well connected, I am not looking forward to meeting his friends any time soon!

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LINKS

* Inner Body - Splenius Capitis Muscle - http://www.innerbody.com/image_musbov/musc41.html
* Pain Mgmt - http://www.practicalpainmanagement.com/pain/maxillofacial/splenius-capitis-muscle-syndrome
* http://muscular-system.blogspot.in/2013/03/splenius-cervicis-muscle.html

Being Mortal in India

A peaceful, painless death is one of life's greatest blessings.

Atul Gawande's latest book is born out of experiences with those who, for most part, did not have this blessing. It discusses the way in which medical technology and social norms tend to mislead, dictate or overrule the options available to those who are terminally ill.

The book also brought back deeply disturbing memories of my father's last days at a hospital in Kerala. Much like a patient described in the book, he to was shuttling between hospitals and diagnostic labs, with an irreversible nervous system failure. Towards the end it was appalling to see somebody who stayed away from hospitals "drugged into oblivion and tubed in most natural orifices as well as a few artificial ones".

Gawande, with his focus on the prevailing healthcare system in USA, misses on some of the more disturbing aspects of what the urban elderly face in India. The fact that my father retired from the central government service prolonged his suffering in more ways than one. The first question they asked you at hospitals was - "He is fully insured under CGHS, isn't he?".

A comprehensive health insurance package seems to have prompted private hospital docs to prescribe drugs, diagnostics and procedures that were completely unnecessary. Towards the end, all the family members had to give a signed undertaking to get him out of the ICU, back into the pay-wards.

The priorities of the elderly, and the terminally ill in India may be the same as those in other countries -- to avoid suffering, strengthening relationships with family and friends, being mentally aware, not being a burden on others,

The challenge is trying to ensure that these priorities take precedence over those of the doctors, the healthcare service providers, pharma & diagnostic companies, as well as 'loving' family and friends.


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LINKS

Homepage - http://atulgawande.com/book/being-mortal/