(4654,9,'2021-04-27 23:48:02','2021-04-27 23:48:02','<h2>Low Back Pain Treatment and the Challenges at Finding Relief</h2>\r\n[caption id=\"attachment_4653\" align=\"alignright\" width=\"500\"]<img class=\"size-medium wp-image-4653\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/back-stop-the-cycle--500x500.png\" alt=\"Back Stop The Cycle\" width=\"500\" height=\"500\" />          <em><strong>Low Back Pain? Stop The Cycle with Regenerative Orthopedics!</strong></em>[/caption]\r\n\r\nLow back pain is one of the most common musculoskeletal pain conditions in the United States. Interestingly, thousands upon thousands of people are disabled due to some type of low back condition that causes pain. And it wreaks havoc on their physical, social, emotional, and economic welfare.\r\n\r\nAt some point in almost everyone’s life, low back pain will be experienced to some degree. And those who are fortunate enough to not suffer from low back pain themselves, they are certain to know someone else who has endured the pain.\r\n<h3>What Are the Low Back Pain Treatments Available?</h3>\r\nThere are a variety of treatments for low back pain. But despite many available remedies, relief for low back pain is frequently only temporary. And it can be challenging too!\r\n\r\nWe see many people in our office who have come to us after having tried numerous treatments that left their back pain unresolved. It’s not uncommon for patients to tell us they have received weeks, months, and years of therapy, taken various over-the-counter medications, received corticosteroid injections, or maybe even tried surgery. But after all of that, the pain persists. And unfortunately, many low back surgeries do not relieve the pain or fix the problem. Plus, they might even result in a recommendation for another surgery!\r\n<h3>Many Common Low Back Pain Treatments Only Cover Up the Pain</h3>\r\nSo why do low back pain sufferers have a difficult time finding relief? Unrelieved back pain poses some challenges to the medical community. That\'s because very often many of the common treatments only attempt to cover up, rather than actually repair the problem.\r\n\r\nThink about it! Do pain medications repair the problem? No! They might reduce the pain. But they don\'t actually repair anything. <strong>Pain medications aren’t taken because the person has an Advil or Aspirin deficiency, right?! </strong>\r\n\r\nAnd in the same way, NSAIDs (nonsteroidal anti-inflammatory drugs) might provide some short-term benefit. But in the long run, they do not result in repair of the underlying problem.\r\n\r\nChiropractors are very good at helping dysfunctional backs and can provide back pain relief. But when patients must be seen multiple times a week for months on end and adjustments simply do not hold, one must think then outside the box. The problem may be ligamentous. Or it may have to do with tendon instability. The cause needs to be found. And then the treatment should be directed at fixing the root of the problem.\r\n\r\nImaging tools are helpful at times. But even though they are highly accessible, their usage has not caused the rates of back pain to go down. Ongoing back pain that will not resolve very often originates from injury to ligaments (and sometimes tendons). In the low back, these soft tissue structures surround the spine, sacrum, and even the sacroiliac joint. And when injured, it will cause the spine to become unstable. This is called spinal instability.\r\n<h3>Low Back Pain and Spinal Instability</h3>\r\nMost low back pain is a chronic condition, due to years and years of working, playing sports, hiking, and working out. And even daily normal daily activities with repeated walking and sitting, can cause the ligaments and other supporting structures to weaken.\r\n\r\nOriginal injuries that can lead to low back pain due to spinal instability most often occur with sudden movements and poor body mechanics or from trauma during a sports activity, fall, or motor vehicle accident. Of course, diseases such as infections, endometriosis, fibroids, and cancer can also cause low back pain and need to be ruled out.\r\n<h3>Poor Body Mechanics and Ligament Injury</h3>\r\nAn example of poor body mechanics that may injure spinal ligaments might include instances when an individual bends over and twists. The knees are also often locked during this time, stretching the ligaments too much, and making them vulnerable to injury. When this occurs, therapies can be tried for relief of muscle pain in the low back. But if the pain persists for a prolonged period, and the low back continues to “give out,” there is a good chance injured ligaments are the problem.\r\n\r\nMassage and physical therapy are beneficial, but unfortunately cannot repair ligament damage. The muscles will continue to spasm because they are overcompensating due to the ligament injury that has left the spine unstable. Until the root cause is treated, the spinal instability will continue. That\'s because the ligaments are designed to keep the spine in the correct place and in proper alignment. But now they are too loose from injury. This is where Regenerative Orthopedics comes in! Ligament damage and injury are conditions this therapy very effectively resolves and repairs.\r\n<h3>A Bit More Explanation about the Connection between Ligaments and Low Back Pain</h3>\r\nLigaments are structures joining bone to bone. And in the low back or lumbar spine, they are the structures that connect adjacent vertebrae and facet joints. And the facets, two on each of five lumbar vertebrae, actually have a capsule surrounding them that is made of ligaments. Ligaments serve as some of the primary stabilizing structures of the spinal column. They allow for adequate motion while restricting excessive motion. So they protect the spinal column and the nerve roots as they exit the spine.\r\n\r\nWe need the low back or lumbar spine to maintain an upright posture, bend, turn and sit. All of these positions and activities place quite a bit of stress on the low back and the soft tissue structures like the ligaments. The function of the ligaments involves the transfer of all of the various loads that occur from bone to bone as they manage the forces placed on the spine. Normally, they do a great job.\r\n\r\nBut when loads and forces exceed what they are able to tolerate, the ligaments weaken and become lax or loose. Imagaine a rubber band that has lost its elasticity. A stretched out ligament is similar. When they are stretched out, the injured ligaments are unable to provide adequate stability to the lumbar spine. Again, this is called spinal instability.\r\n\r\n<strong>Ligaments Are Highly Innervated.</strong>\r\n\r\n<strong>Ligaments are highly innervated.</strong> That means they have a lot of nerves. So when they are injured, pain is the result. Therefore, with bending, turning and any other activity that engages the vertebrae of the lumbar spine, nerve fibers in the ligaments will start firing and sending out pain signals.\r\n<h3>Symptoms of Spinal Instability in the Low Back</h3>\r\nBesides pain, other symptoms of spinal instability in the low back include a feeling of the back giving out, cracking sensations with movement, catching or locking, a frequent need to crack the back, and recurrent muscle spasms. Unaddressed, this condition of spinal instability will result in low back pain that will not go away. In addition, spinal instability allows for too much movement in the vertebral segments, which produces too much pressure on the discs due to the altered joint mechanics, which then fosters degeneration and disc herniation. The pathological process involved in spinal instability is at the core of a number of spinal conditions.\r\n<h6>Regenerative Orthopedics Repairs the Spinal Instability and Resolves Low Back Pain</h6>\r\nFortunately, for sufferers of low back pain, Regenerative Orthopedics offers not only pain relief, but healing and repair at the source of the pain. Treatment directed at the injured and lax ligaments, strengthens them, which in turn stabilizes the vertebral segments, eliminating the excessive movement and resolving the pain. The common denominator for many painful musculoskeletal conditions causing low back pain is spinal instability due to injury to ligaments, but Regenerative Orthopedics treatments such as Stem Cell Therapy, PRP, and Prolotherapy are treatments that can get rid of the pain plus repair the source of the problem.','Low Back Pain Treatment and the Challenges at Finding Relief','','inherit','closed','closed','','1376-revision-v1','','','2021-04-27 23:48:02','2021-04-27 23:48:02','',1376,'https://www.drfields.com/?p=4654',0,'revision','',0),(4655,9,'2021-04-28 00:02:59','2021-04-28 00:02:59','<h2>Low Back Pain Treatment and the Challenges at Finding Relief</h2>\r\n[caption id=\"attachment_4653\" align=\"alignright\" width=\"500\"]<img class=\"size-medium wp-image-4653\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/back-stop-the-cycle--500x500.png\" alt=\"Back Stop The Cycle\" width=\"500\" height=\"500\" /> <em><strong>Low Back Pain? Stop The Cycle with Regenerative Orthopedics!</strong></em>[/caption]\r\n\r\nLow back pain is one of the most common musculoskeletal pain conditions in the United States. Interestingly, thousands upon thousands of people are disabled due to some low back condition that causes pain. And it wreaks havoc on their physical, social, emotional, and economic welfare.\r\n\r\nAt some point in almost everyone’s life, they will experience low back pain to some degree. And those who are fortunate enough not to suffer from low back pain themselves are certain to know someone else who has endured the pain.\r\n<h3>What Are the Low Back Pain Treatments Available?</h3>\r\nThere are a variety of treatments for low back pain. But despite many available remedies, relief for low back pain is frequently only temporary. And it can be challenging too!\r\n\r\nWe see many people in our office who have come to us after trying numerous treatments that left their back pain unresolved. It’s not uncommon for patients to tell us they have received weeks, months, and years of therapy, taken various over-the-counter medications, received corticosteroid injections, or maybe even tried surgery. But after all of that, the pain persists. And unfortunately, many low back surgeries do not relieve the pain or fix the problem. Plus, they might even result in a recommendation for another surgery!\r\n<h3>Many Common Low Back Pain Treatments Only Cover Up the Pain</h3>\r\nSo why do low back pain sufferers have a difficult time finding relief? Unrelieved back pain poses some challenges to the medical community. That\'s because, very often, many of the common treatments only attempt to cover up rather than actually repair the problem.\r\n\r\nThink about it! Do pain medications repair the problem? No! They might reduce the pain. But they don\'t actually repair anything. <strong>Pain medications aren’t taken because the person has an Advil or Aspirin deficiency, right?! </strong>\r\n\r\nAnd in the same way, NSAIDs (nonsteroidal anti-inflammatory drugs) might provide some short-term benefit. But in the long run, they do not result in repair of the underlying problem.\r\n\r\nChiropractors are very good at helping dysfunctional backs and can provide back pain relief. But when doctors must see patients multiple times a week for months on end, and adjustments simply do not hold, one must then think outside the box. The problem may be ligamentous. Or it may have to do with tendon instability. The cause needs to be found. And then, the physician should direct the treatment at fixing the root of the problem.\r\n\r\nImaging tools are helpful at times. But even though they are highly accessible, their usage has not caused the rates of back pain to go down. Ongoing back pain that will not resolve very often originates from injury to ligaments (and sometimes tendons). These soft tissue structures surround the spine, sacrum, and even the sacroiliac joint in the low back. And when injured, it will cause the spine to become unstable. This is called spinal instability.\r\n<h3>Low Back Pain and Spinal Instability</h3>\r\nMost low back pain is a chronic condition due to years and years of working, playing sports, hiking, and working out. And even daily normal daily activities with repeated walking and sitting can cause the ligaments and other supporting structures to weaken.\r\n\r\nOriginal injuries that can lead to low back pain due to spinal instability most often occur with sudden movements and poor body mechanics or trauma during a sports activity, fall, or motor vehicle accident. Of course, diseases such as infections, endometriosis, fibroids, and cancer can also cause low back pain and need to be ruled out.\r\n<h3>Poor Body Mechanics and Ligament Injury</h3>\r\nAn example of poor body mechanics that may injure spinal ligaments might include instances when an individual bends over and twists. The knees are also often locked during this time, stretching the ligaments too much and making them vulnerable to injury. When this occurs, sufferers can try therapies for relief of muscle pain in the low back. But if the pain persists for a prolonged period and the low back continues to “give out,” there is a good chance injured ligaments are the problem.\r\n\r\nMassage and physical therapy are beneficial but, unfortunately, cannot repair ligament damage. The muscles will continue to spasm because they are overcompensating due to the ligament injury that has left the spine unstable. Until the root cause is treated, the spinal instability will continue. That\'s because the ligaments are designed to keep the spine in the correct place and in proper alignment. But now they are too loose from injury. This is where Regenerative Orthopedics comes in! Ligament damage and injury are conditions this therapy very effectively resolves and repairs.\r\n<h3>A Bit More Explanation about the Connection between Ligaments and Low Back Pain</h3>\r\nLigaments are structures joining bone to bone. And in the low back or lumbar spine, they are the structures that connect adjacent vertebrae and facet joints. And the facets, two on each of five lumbar vertebrae, actually have a capsule surrounding them made of ligaments. Ligaments serve as some of the primary stabilizing structures of the spinal column. They allow for adequate motion while restricting excessive motion. So they protect the spinal column and the nerve roots as they exit the spine.\r\n\r\nWe need the low back or lumbar spine to maintain an upright posture, bend, turn and sit. These positions and activities place quite a bit of stress on the low back and the soft tissue structures like the ligaments. The function of the ligaments involves the transfer of all of the various loads that occur from bone to bone as they manage the forces placed on the spine. Normally, they do a great job.\r\n\r\nBut when loads and forces exceed what they can tolerate, the ligaments weaken and become lax or loose. Imagine a rubber band that has lost its elasticity. A stretched-out ligament is similar. When they are stretched out, the injured ligaments cannot provide adequate stability to the lumbar spine. Again, this is called spinal instability.\r\n\r\n<strong>Ligaments Are Highly Innervated.</strong>\r\n\r\n<strong>Ligaments are highly innervated.</strong> That means they have a lot of nerves. So when they are injured, pain is the result. Therefore, with bending, turning, and any other activity that engages the vertebrae of the lumbar spine, nerve fibers in the ligaments will start firing and sending out pain signals.\r\n<h3>Symptoms of Spinal Instability in the Low Back</h3>\r\nBesides pain, other symptoms of spinal instability in the low back include a feeling of the back giving out, cracking sensations with movement, catching or locking, a frequent need to crack the back, and recurrent muscle spasms. Unaddressed, this condition of spinal instability will result in low back pain that will not go away.\r\n\r\nIn addition, spinal instability allows for too much movement in the vertebral segments, which produces too much pressure on the discs due to the altered joint mechanics. And that fosters even more degeneration and disc herniation. The pathological process involved in spinal instability is at the core of many spinal conditions.\r\n<h3>Regenerative Orthopedics: A Low Back Pain Treatment that Repairs the Spinal Instability and Resolves Low Back Pain</h3>\r\nSo what can I do to fix my back pain and find actual relief? Fortunately, for sufferers of low back pain, Regenerative Orthopedics offers pain relief and healing and repair at the source of the pain. Treatment directed at the injured stretched out, and lax ligaments can strengthen them. That, in turn, stabilizes the vertebral segments, eliminating the excessive movement and resolving the pain.\r\n\r\nThe common denominator for many painful musculoskeletal conditions causing low back pain is spinal instability due to injury to ligaments. Still, Regenerative Orthopedics treatments such as Stem Cell Therapy, PRP, and Prolotherapy can get rid of the pain. Plus, these treatments repair the source of the problem. That means the pain is not just covered up. The source of the pain is actually repaired. So you can get pain relief and enjoy improved function too!','Low Back Pain Treatment and the Challenges at Finding Relief','','inherit','closed','closed','','1376-revision-v1','','','2021-04-28 00:02:59','2021-04-28 00:02:59','',1376,'https://www.drfields.com/?p=4655',0,'revision','',0),(4656,9,'2021-04-28 00:06:15','2021-04-28 00:06:15','<h2>Low Back Pain Treatment and the Challenges at Finding Relief</h2>\r\n[caption id=\"attachment_4653\" align=\"alignright\" width=\"500\"]<img class=\"size-medium wp-image-4653\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/back-stop-the-cycle--500x500.png\" alt=\"Back Stop The Cycle\" width=\"500\" height=\"500\" /> <em><strong>Low Back Pain? Stop The Cycle with Regenerative Orthopedics!</strong></em>[/caption]\r\n\r\nLow back pain is one of the most common musculoskeletal pain conditions in the United States. Interestingly, thousands upon thousands of people are disabled due to some low back condition that causes pain. And it wreaks havoc on their physical, social, emotional, and economic welfare. Many are looking for low back pain treatments to find relief.\r\n\r\nAt some point in almost everyone’s life, they will experience low back pain to some degree. And those who are fortunate enough not to suffer from low back pain themselves are certain to know someone else who has endured the pain.\r\n<h3>What Are the Low Back Pain Treatments Available?</h3>\r\nThere are a variety of treatments for low back pain. But despite many available remedies, relief for low back pain is frequently only temporary. And it can be challenging too!\r\n\r\nWe see many people in our office who have come to us after trying numerous treatments that left their back pain unresolved. It’s not uncommon for patients to tell us they have received weeks, months, and years of therapy, taken various over-the-counter medications, received corticosteroid injections, or maybe even tried surgery. But after all of that, the pain persists. And unfortunately, many low back surgeries do not relieve the pain or fix the problem. Plus, they might even result in a recommendation for another surgery!\r\n<h3>Many Common Low Back Pain Treatments Only Cover Up the Pain</h3>\r\nSo why do low back pain sufferers have a difficult time finding relief? Unrelieved back pain poses some challenges to the medical community. That\'s because, very often, many of the common treatments only attempt to cover up rather than actually repair the problem.\r\n\r\nThink about it! Do pain medications repair the problem? No! They might reduce the pain. But they don\'t actually repair anything. <strong>Pain medications aren’t taken because the person has an Advil or Aspirin deficiency, right?! </strong>\r\n\r\nAnd in the same way, NSAIDs (nonsteroidal anti-inflammatory drugs) might provide some short-term benefit. But in the long run, they do not result in repair of the underlying problem.\r\n\r\nChiropractors are very good at helping dysfunctional backs and can provide back pain relief. But when doctors must see patients multiple times a week for months on end, and adjustments simply do not hold, one must then think outside the box. The problem may be ligamentous. Or it may have to do with tendon instability. The cause needs to be found. And then, the physician should direct the treatment at fixing the root of the problem.\r\n\r\nImaging tools are helpful at times. But even though they are highly accessible, their usage has not caused the rates of back pain to go down. Ongoing back pain that will not resolve very often originates from injury to ligaments (and sometimes tendons). These soft tissue structures surround the spine, sacrum, and even the sacroiliac joint in the low back. And when injured, it will cause the spine to become unstable. This is called spinal instability.\r\n<h3>Low Back Pain and Spinal Instability</h3>\r\nMost low back pain is a chronic condition due to years and years of working, playing sports, hiking, and working out. And even daily normal daily activities with repeated walking and sitting can cause the ligaments and other supporting structures to weaken.\r\n\r\nOriginal injuries that can lead to low back pain due to spinal instability most often occur with sudden movements and poor body mechanics or trauma during a sports activity, fall, or motor vehicle accident. Of course, diseases such as infections, endometriosis, fibroids, and cancer can also cause low back pain and need to be ruled out.\r\n<h3>Poor Body Mechanics and Ligament Injury</h3>\r\nAn example of poor body mechanics that may injure spinal ligaments might include instances when an individual bends over and twists. The knees are also often locked during this time, stretching the ligaments too much and making them vulnerable to injury. When this occurs, sufferers can try therapies for relief of muscle pain in the low back. But if the pain persists for a prolonged period and the low back continues to “give out,” there is a good chance injured ligaments are the problem.\r\n\r\nMassage and physical therapy are beneficial but, unfortunately, cannot repair ligament damage. The muscles will continue to spasm because they are overcompensating due to the ligament injury that has left the spine unstable. Until the root cause is treated, the spinal instability will continue. That\'s because the ligaments are designed to keep the spine in the correct place and in proper alignment. But now they are too loose from injury. This is where Regenerative Orthopedics comes in! Ligament damage and injury are conditions this therapy very effectively resolves and repairs.\r\n<h3>A Bit More Explanation about the Connection between Ligaments and Low Back Pain</h3>\r\nLigaments are structures joining bone to bone. And in the low back or lumbar spine, they are the structures that connect adjacent vertebrae and facet joints. And the facets, two on each of five lumbar vertebrae, actually have a capsule surrounding them made of ligaments. Ligaments serve as some of the primary stabilizing structures of the spinal column. They allow for adequate motion while restricting excessive motion. So they protect the spinal column and the nerve roots as they exit the spine.\r\n\r\nWe need the low back or lumbar spine to maintain an upright posture, bend, turn and sit. These positions and activities place quite a bit of stress on the low back and the soft tissue structures like the ligaments. The function of the ligaments involves the transfer of all of the various loads that occur from bone to bone as they manage the forces placed on the spine. Normally, they do a great job.\r\n\r\nBut when loads and forces exceed what they can tolerate, the ligaments weaken and become lax or loose. Imagine a rubber band that has lost its elasticity. A stretched-out ligament is similar. When they are stretched out, the injured ligaments cannot provide adequate stability to the lumbar spine. Again, this is called spinal instability.\r\n\r\n<strong>Ligaments Are Highly Innervated.</strong>\r\n\r\n<strong>Ligaments are highly innervated.</strong> That means they have a lot of nerves. So when they are injured, pain is the result. Therefore, with bending, turning, and any other activity that engages the vertebrae of the lumbar spine, nerve fibers in the ligaments will start firing and sending out pain signals.\r\n<h3>Symptoms of Spinal Instability in the Low Back</h3>\r\nBesides pain, other symptoms of spinal instability in the low back include a feeling of the back giving out, cracking sensations with movement, catching or locking, a frequent need to crack the back, and recurrent muscle spasms. Unaddressed, this condition of spinal instability will result in low back pain that will not go away.\r\n\r\nIn addition, spinal instability allows for too much movement in the vertebral segments, which produces too much pressure on the discs due to the altered joint mechanics. And that fosters even more degeneration and disc herniation. The pathological process involved in spinal instability is at the core of many spinal conditions.\r\n<h3>Regenerative Orthopedics: A Low Back Pain Treatments that Repairs the Spinal Instability and Resolves Low Back Pain</h3>\r\nSo what can I do to fix my back pain and find actual relief? Fortunately, for sufferers of low back pain, Regenerative Orthopedics offers pain relief and healing and repair at the source of the pain. Treatment directed at the injured stretched out, and lax ligaments can strengthen them. That, in turn, stabilizes the vertebral segments, eliminating the excessive movement and resolving the pain.\r\n\r\nThe common denominator for many painful musculoskeletal conditions causing low back pain is spinal instability due to injury to ligaments. Still, Regenerative Orthopedics treatments such as Stem Cell Therapy, PRP, and Prolotherapy can get rid of the pain. Plus, these treatments repair the source of the problem. That means the pain is not just covered up. The source of the pain is actually repaired. So you can get pain relief and enjoy improved function too!','Low Back Pain Treatment and the Challenges at Finding Relief','','inherit','closed','closed','','1376-revision-v1','','','2021-04-28 00:06:15','2021-04-28 00:06:15','',1376,'https://www.drfields.com/?p=4656',0,'revision','',0),(4657,9,'2021-04-28 00:12:40','2021-04-28 00:12:40','<h2>Low Back Pain Treatments and the Challenges at Finding Relief</h2>\r\n[caption id=\"attachment_4653\" align=\"alignright\" width=\"500\"]<img class=\"wp-image-4653 size-medium\" title=\"Low Back Pain Treatments\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/back-stop-the-cycle--500x500.png\" alt=\"Low Back Pain Treatments\" width=\"500\" height=\"500\" /> <em><strong>Low Back Pain? Stop The Cycle with Regenerative Orthopedics!</strong></em>[/caption]\r\n\r\nLow back pain is one of the most common musculoskeletal pain conditions in the United States. Interestingly, thousands upon thousands of people are disabled due to some low back condition that causes pain. And it wreaks havoc on their physical, social, emotional, and economic welfare. Many are looking for low back pain treatments to find relief.\r\n\r\nAt some point in almost everyone’s life, they will experience low back pain to some degree. And those who are fortunate enough not to suffer from low back pain themselves are certain to know someone else who has endured the pain.\r\n<h3>What Are the Low Back Pain Treatments Available?</h3>\r\nThere are a variety of treatments for low back pain. But despite many available remedies, relief for low back pain is frequently only temporary. And it can be challenging too!\r\n\r\nWe see many people in our office who have come to us after trying numerous treatments that left their back pain unresolved. It’s not uncommon for patients to tell us they have received weeks, months, and years of therapy, taken various over-the-counter medications, received corticosteroid injections, or maybe even tried surgery. But after all of that, the pain persists. And unfortunately, many low back surgeries do not relieve the pain or fix the problem. Plus, they might even result in a recommendation for another surgery!\r\n<h3>Many Common Low Back Pain Treatments Only Cover Up the Pain</h3>\r\nSo why do low back pain sufferers have a difficult time finding relief? Unrelieved back pain poses some challenges to the medical community. That\'s because, very often, many of the common treatments only attempt to cover up rather than actually repair the problem.\r\n\r\nThink about it! Do pain medications repair the problem? No! They might reduce the pain. But they don\'t actually repair anything. <strong>Pain medications aren’t taken because the person has an Advil or Aspirin deficiency, right?! </strong>\r\n\r\nAnd in the same way, NSAIDs (nonsteroidal anti-inflammatory drugs) might provide some short-term benefit. But in the long run, they do not result in repair of the underlying problem.\r\n\r\nChiropractors are very good at helping dysfunctional backs and can provide back pain relief. But when doctors must see patients multiple times a week for months on end, and adjustments simply do not hold, one must then think outside the box. The problem may be ligamentous. Or it may have to do with tendon instability. The cause needs to be found. And then, the physician should direct the treatment at fixing the root of the problem.\r\n\r\nImaging tools are helpful at times. But even though they are highly accessible, their usage has not caused the rates of back pain to go down. Ongoing back pain that will not resolve very often originates from injury to ligaments (and sometimes tendons). These soft tissue structures surround the spine, sacrum, and even the sacroiliac joint in the low back. And when injured, it will cause the spine to become unstable. This is called spinal instability.\r\n<h3>Low Back Pain and Spinal Instability</h3>\r\nMost low back pain is a chronic condition due to years and years of working, playing sports, hiking, and working out. And even daily normal daily activities with repeated walking and sitting can cause the ligaments and other supporting structures to weaken.\r\n\r\nOriginal injuries that can lead to low back pain due to spinal instability most often occur with sudden movements and poor body mechanics or trauma during a sports activity, fall, or motor vehicle accident. Of course, diseases such as infections, endometriosis, fibroids, and cancer can also cause low back pain and need to be ruled out.\r\n<h3>Poor Body Mechanics and Ligament Injury</h3>\r\nAn example of poor body mechanics that may injure spinal ligaments might include instances when an individual bends over and twists. The knees are also often locked during this time, stretching the ligaments too much and making them vulnerable to injury. When this occurs, sufferers can try therapies for relief of muscle pain in the low back. But if the pain persists for a prolonged period and the low back continues to “give out,” there is a good chance injured ligaments are the problem.\r\n\r\nMassage and physical therapy are beneficial but, unfortunately, cannot repair ligament damage. The muscles will continue to spasm because they are overcompensating due to the ligament injury that has left the spine unstable. Until the root cause is treated, the spinal instability will continue. That\'s because the ligaments are designed to keep the spine in the correct place and in proper alignment. But now they are too loose from injury. This is where Regenerative Orthopedics comes in! Ligament damage and injury are conditions this therapy very effectively resolves and repairs.\r\n<h3>A Bit More Explanation about the Connection between Ligaments and Low Back Pain</h3>\r\nLigaments are structures joining bone to bone. And in the low back or lumbar spine, they are the structures that connect adjacent vertebrae and facet joints. And the facets, two on each of five lumbar vertebrae, actually have a capsule surrounding them made of ligaments. Ligaments serve as some of the primary stabilizing structures of the spinal column. They allow for adequate motion while restricting excessive motion. So they protect the spinal column and the nerve roots as they exit the spine.\r\n\r\nWe need the low back or lumbar spine to maintain an upright posture, bend, turn and sit. These positions and activities place quite a bit of stress on the low back and the soft tissue structures like the ligaments. The function of the ligaments involves the transfer of all of the various loads that occur from bone to bone as they manage the forces placed on the spine. Normally, they do a great job.\r\n\r\nBut when loads and forces exceed what they can tolerate, the ligaments weaken and become lax or loose. Imagine a rubber band that has lost its elasticity. A stretched-out ligament is similar. When they are stretched out, the injured ligaments cannot provide adequate stability to the lumbar spine. Again, this is called spinal instability.\r\n\r\n<strong>Ligaments Are Highly Innervated.</strong>\r\n\r\n<strong>Ligaments are highly innervated.</strong> That means they have a lot of nerves. So when they are injured, pain is the result. Therefore, with bending, turning, and any other activity that engages the vertebrae of the lumbar spine, nerve fibers in the ligaments will start firing and sending out pain signals.\r\n<h3>Symptoms of Spinal Instability in the Low Back</h3>\r\nBesides pain, other symptoms of spinal instability in the low back include a feeling of the back giving out, cracking sensations with movement, catching or locking, a frequent need to crack the back, and recurrent muscle spasms. Unaddressed, this condition of spinal instability will result in low back pain that will not go away.\r\n\r\nIn addition, spinal instability allows for too much movement in the vertebral segments, which produces too much pressure on the discs due to the altered joint mechanics. And that fosters even more degeneration and disc herniation. The pathological process involved in spinal instability is at the core of many spinal conditions.\r\n<h3>Regenerative Orthopedics: A Low Back Pain Treatments that Repairs the Spinal Instability and Resolves Low Back Pain</h3>\r\nSo what can I do to fix my back pain and find actual relief? Fortunately, for sufferers of low back pain, Regenerative Orthopedics offers pain relief and healing and repair at the source of the pain. Treatment directed at the injured stretched out, and lax ligaments can strengthen them. That, in turn, stabilizes the vertebral segments, eliminating the excessive movement and resolving the pain.\r\n\r\nThe common denominator for many painful musculoskeletal conditions causing low back pain is spinal instability due to injury to ligaments. Still, Regenerative Orthopedics treatments such as Stem Cell Therapy, PRP, and Prolotherapy can get rid of the pain. Plus, these treatments repair the source of the problem. That means the pain is not just covered up. The source of the pain is actually repaired. So you can get pain relief and enjoy improved function too!\r\n<h3>Find Out More</h3>\r\nRead our other articles about <a href=\"https://www.drfields.com/conditions/chronic-pain/stop-back-pain/\">low back pain by clicking here.</a> Experiencing <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">sciatica pain</a>? Find out how Regenerative Orthopedics can help by <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">reading our article</a>.\r\n\r\n<a href=\"https://www.drfields.com/contact/\">Contact us to schedule an appointment.</a>','Low Back Pain Treatments and the Challenges at Finding Relief','','inherit','closed','closed','','1376-revision-v1','','','2021-04-28 00:12:40','2021-04-28 00:12:40','',1376,'https://www.drfields.com/?p=4657',0,'revision','',0),(4658,9,'2021-04-28 00:15:03','2021-04-28 00:15:03','<h2>Low Back Pain Treatments: How to Successfully Meet the Challenges of Finding Relief</h2>\r\n[caption id=\"attachment_4653\" align=\"alignright\" width=\"500\"]<img class=\"wp-image-4653 size-medium\" title=\"Low Back Pain Treatments\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/back-stop-the-cycle--500x500.png\" alt=\"Low Back Pain Treatments\" width=\"500\" height=\"500\" /> <em><strong>Low Back Pain? Stop The Cycle with Regenerative Orthopedics!</strong></em>[/caption]\r\n\r\nLow back pain is one of the most common musculoskeletal pain conditions in the United States. Interestingly, thousands upon thousands of people are disabled due to some low back condition that causes pain. And it wreaks havoc on their physical, social, emotional, and economic welfare. Many are looking for low back pain treatments to find relief.\r\n\r\nAt some point in almost everyone’s life, they will experience low back pain to some degree. And those who are fortunate enough not to suffer from low back pain themselves are certain to know someone else who has endured the pain.\r\n<h3>What Are the Low Back Pain Treatments Available?</h3>\r\nThere are a variety of treatments for low back pain. But despite many available remedies, relief for low back pain is frequently only temporary. And it can be challenging too!\r\n\r\nWe see many people in our office who have come to us after trying numerous treatments that left their back pain unresolved. It’s not uncommon for patients to tell us they have received weeks, months, and years of therapy, taken various over-the-counter medications, received corticosteroid injections, or maybe even tried surgery. But after all of that, the pain persists. And unfortunately, many low back surgeries do not relieve the pain or fix the problem. Plus, they might even result in a recommendation for another surgery!\r\n<h3>Many Common Low Back Pain Treatments Only Cover Up the Pain</h3>\r\nSo why do low back pain sufferers have a difficult time finding relief? Unrelieved back pain poses some challenges to the medical community. That\'s because, very often, many of the common treatments only attempt to cover up rather than actually repair the problem.\r\n\r\nThink about it! Do pain medications repair the problem? No! They might reduce the pain. But they don\'t actually repair anything. <strong>Pain medications aren’t taken because the person has an Advil or Aspirin deficiency, right?! </strong>\r\n\r\nAnd in the same way, NSAIDs (nonsteroidal anti-inflammatory drugs) might provide some short-term benefit. But in the long run, they do not result in repair of the underlying problem.\r\n\r\nChiropractors are very good at helping dysfunctional backs and can provide back pain relief. But when doctors must see patients multiple times a week for months on end, and adjustments simply do not hold, one must then think outside the box. The problem may be ligamentous. Or it may have to do with tendon instability. The cause needs to be found. And then, the physician should direct the treatment at fixing the root of the problem.\r\n\r\nImaging tools are helpful at times. But even though they are highly accessible, their usage has not caused the rates of back pain to go down. Ongoing back pain that will not resolve very often originates from injury to ligaments (and sometimes tendons). These soft tissue structures surround the spine, sacrum, and even the sacroiliac joint in the low back. And when injured, it will cause the spine to become unstable. This is called spinal instability.\r\n<h3>Low Back Pain and Spinal Instability</h3>\r\nMost low back pain is a chronic condition due to years and years of working, playing sports, hiking, and working out. And even daily normal daily activities with repeated walking and sitting can cause the ligaments and other supporting structures to weaken.\r\n\r\nOriginal injuries that can lead to low back pain due to spinal instability most often occur with sudden movements and poor body mechanics or trauma during a sports activity, fall, or motor vehicle accident. Of course, diseases such as infections, endometriosis, fibroids, and cancer can also cause low back pain and need to be ruled out.\r\n<h3>Poor Body Mechanics and Ligament Injury</h3>\r\nAn example of poor body mechanics that may injure spinal ligaments might include instances when an individual bends over and twists. The knees are also often locked during this time, stretching the ligaments too much and making them vulnerable to injury. When this occurs, sufferers can try therapies for relief of muscle pain in the low back. But if the pain persists for a prolonged period and the low back continues to “give out,” there is a good chance injured ligaments are the problem.\r\n\r\nMassage and physical therapy are beneficial but, unfortunately, cannot repair ligament damage. The muscles will continue to spasm because they are overcompensating due to the ligament injury that has left the spine unstable. Until the root cause is treated, the spinal instability will continue. That\'s because the ligaments are designed to keep the spine in the correct place and in proper alignment. But now they are too loose from injury. This is where Regenerative Orthopedics comes in! Ligament damage and injury are conditions this therapy very effectively resolves and repairs.\r\n<h3>A Bit More Explanation about the Connection between Ligaments and Low Back Pain</h3>\r\nLigaments are structures joining bone to bone. And in the low back or lumbar spine, they are the structures that connect adjacent vertebrae and facet joints. And the facets, two on each of five lumbar vertebrae, actually have a capsule surrounding them made of ligaments. Ligaments serve as some of the primary stabilizing structures of the spinal column. They allow for adequate motion while restricting excessive motion. So they protect the spinal column and the nerve roots as they exit the spine.\r\n\r\nWe need the low back or lumbar spine to maintain an upright posture, bend, turn and sit. These positions and activities place quite a bit of stress on the low back and the soft tissue structures like the ligaments. The function of the ligaments involves the transfer of all of the various loads that occur from bone to bone as they manage the forces placed on the spine. Normally, they do a great job.\r\n\r\nBut when loads and forces exceed what they can tolerate, the ligaments weaken and become lax or loose. Imagine a rubber band that has lost its elasticity. A stretched-out ligament is similar. When they are stretched out, the injured ligaments cannot provide adequate stability to the lumbar spine. Again, this is called spinal instability.\r\n\r\n<strong>Ligaments Are Highly Innervated.</strong>\r\n\r\n<strong>Ligaments are highly innervated.</strong> That means they have a lot of nerves. So when they are injured, pain is the result. Therefore, with bending, turning, and any other activity that engages the vertebrae of the lumbar spine, nerve fibers in the ligaments will start firing and sending out pain signals.\r\n<h3>Symptoms of Spinal Instability in the Low Back</h3>\r\nBesides pain, other symptoms of spinal instability in the low back include a feeling of the back giving out, cracking sensations with movement, catching or locking, a frequent need to crack the back, and recurrent muscle spasms. Unaddressed, this condition of spinal instability will result in low back pain that will not go away.\r\n\r\nIn addition, spinal instability allows for too much movement in the vertebral segments, which produces too much pressure on the discs due to the altered joint mechanics. And that fosters even more degeneration and disc herniation. The pathological process involved in spinal instability is at the core of many spinal conditions.\r\n<h3>Regenerative Orthopedics: A Low Back Pain Treatments that Repairs the Spinal Instability and Resolves Low Back Pain</h3>\r\nSo what can I do to fix my back pain and find actual relief? Fortunately, for sufferers of low back pain, Regenerative Orthopedics offers pain relief and healing and repair at the source of the pain. Treatment directed at the injured stretched out, and lax ligaments can strengthen them. That, in turn, stabilizes the vertebral segments, eliminating the excessive movement and resolving the pain.\r\n\r\nThe common denominator for many painful musculoskeletal conditions causing low back pain is spinal instability due to injury to ligaments. Still, Regenerative Orthopedics treatments such as Stem Cell Therapy, PRP, and Prolotherapy can get rid of the pain. Plus, these treatments repair the source of the problem. That means the pain is not just covered up. The source of the pain is actually repaired. So you can get pain relief and enjoy improved function too!\r\n<h3>Find Out More</h3>\r\nRead our other articles about <a href=\"https://www.drfields.com/conditions/chronic-pain/stop-back-pain/\">low back pain by clicking here.</a> Experiencing <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">sciatica pain</a>? Find out how Regenerative Orthopedics can help by <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">reading our article</a>.\r\n\r\n<a href=\"https://www.drfields.com/contact/\">Contact us to schedule an appointment.</a>','Low Back Pain Treatments: How to Successfully Meet the Challenges of Finding Relief','','inherit','closed','closed','','1376-revision-v1','','','2021-04-28 00:15:03','2021-04-28 00:15:03','',1376,'https://www.drfields.com/?p=4658',0,'revision','',0),(4659,9,'2021-04-28 00:17:05','2021-04-28 00:17:05','<h2>Low Back Pain Treatments: How to Successfully Meet the Challenges of Finding Relief</h2>\r\n[caption id=\"attachment_4653\" align=\"alignright\" width=\"500\"]<img class=\"wp-image-4653 size-medium\" title=\"Low Back Pain Treatments\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/back-stop-the-cycle--500x500.png\" alt=\"Low Back Pain Treatments\" width=\"500\" height=\"500\" /> <em><strong>Low Back Pain? Stop The Cycle with Regenerative Orthopedics!</strong></em>[/caption]\r\n\r\nLow back pain is one of the most common musculoskeletal pain conditions in the United States. Interestingly, thousands upon thousands of people are disabled due to some low back condition that causes pain. And it wreaks havoc on their physical, social, emotional, and economic welfare. Many are looking for low back pain treatments to find relief.\r\n\r\nAt some point in almost everyone’s life, they will experience low back pain to some degree. And those who are fortunate enough not to suffer from low back pain themselves are certain to know someone else who has endured the pain.\r\n<h3>The Challenge to Find Relief with Low Back Pain Treatments</h3>\r\nThere are a variety of treatments for low back pain. But despite many available remedies, relief for low back pain is frequently only temporary. And it can be challenging too!\r\n\r\nWe see many people in our office who have come to us after trying numerous treatments that left their back pain unresolved. It’s not uncommon for patients to tell us they have received weeks, months, and years of therapy, taken various over-the-counter medications, received corticosteroid injections, or maybe even tried surgery. But after all of that, the pain persists. And unfortunately, many low back surgeries do not relieve the pain or fix the problem. Plus, they might even result in a recommendation for another surgery!\r\n<h3>Many Common Low Back Pain Treatments Only Cover Up the Pain</h3>\r\nSo why do low back pain sufferers have a difficult time finding relief? Unrelieved back pain poses some challenges to the medical community. That\'s because, very often, many of the common treatments only attempt to cover up rather than actually repair the problem.\r\n\r\nThink about it! Do pain medications repair the problem? No! They might reduce the pain. But they don\'t actually repair anything. <strong>Pain medications aren’t taken because the person has an Advil or Aspirin deficiency, right?! </strong>\r\n\r\nAnd in the same way, NSAIDs (nonsteroidal anti-inflammatory drugs) might provide some short-term benefit. But in the long run, they do not result in repair of the underlying problem.\r\n\r\nChiropractors are very good at helping dysfunctional backs and can provide back pain relief. But when doctors must see patients multiple times a week for months on end, and adjustments simply do not hold, one must then think outside the box. The problem may be ligamentous. Or it may have to do with tendon instability. The cause needs to be found. And then, the physician should direct the treatment at fixing the root of the problem.\r\n\r\nImaging tools are helpful at times. But even though they are highly accessible, their usage has not caused the rates of back pain to go down. Ongoing back pain that will not resolve very often originates from injury to ligaments (and sometimes tendons). These soft tissue structures surround the spine, sacrum, and even the sacroiliac joint in the low back. And when injured, it will cause the spine to become unstable. This is called spinal instability.\r\n<h3>Low Back Pain and Spinal Instability</h3>\r\nMost low back pain is a chronic condition due to years and years of working, playing sports, hiking, and working out. And even daily normal daily activities with repeated walking and sitting can cause the ligaments and other supporting structures to weaken.\r\n\r\nOriginal injuries that can lead to low back pain due to spinal instability most often occur with sudden movements and poor body mechanics or trauma during a sports activity, fall, or motor vehicle accident. Of course, diseases such as infections, endometriosis, fibroids, and cancer can also cause low back pain and need to be ruled out.\r\n<h3>Poor Body Mechanics and Ligament Injury</h3>\r\nAn example of poor body mechanics that may injure spinal ligaments might include instances when an individual bends over and twists. The knees are also often locked during this time, stretching the ligaments too much and making them vulnerable to injury. When this occurs, sufferers can try therapies for relief of muscle pain in the low back. But if the pain persists for a prolonged period and the low back continues to “give out,” there is a good chance injured ligaments are the problem.\r\n\r\nMassage and physical therapy are beneficial but, unfortunately, cannot repair ligament damage. The muscles will continue to spasm because they are overcompensating due to the ligament injury that has left the spine unstable. Until the root cause is treated, the spinal instability will continue. That\'s because the ligaments are designed to keep the spine in the correct place and in proper alignment. But now they are too loose from injury. This is where Regenerative Orthopedics comes in! Ligament damage and injury are conditions this therapy very effectively resolves and repairs.\r\n<h3>A Bit More Explanation about the Connection between Ligaments and Low Back Pain</h3>\r\nLigaments are structures joining bone to bone. And in the low back or lumbar spine, they are the structures that connect adjacent vertebrae and facet joints. And the facets, two on each of five lumbar vertebrae, actually have a capsule surrounding them made of ligaments. Ligaments serve as some of the primary stabilizing structures of the spinal column. They allow for adequate motion while restricting excessive motion. So they protect the spinal column and the nerve roots as they exit the spine.\r\n\r\nWe need the low back or lumbar spine to maintain an upright posture, bend, turn and sit. These positions and activities place quite a bit of stress on the low back and the soft tissue structures like the ligaments. The function of the ligaments involves the transfer of all of the various loads that occur from bone to bone as they manage the forces placed on the spine. Normally, they do a great job.\r\n\r\nBut when loads and forces exceed what they can tolerate, the ligaments weaken and become lax or loose. Imagine a rubber band that has lost its elasticity. A stretched-out ligament is similar. When they are stretched out, the injured ligaments cannot provide adequate stability to the lumbar spine. Again, this is called spinal instability.\r\n\r\n<strong>Ligaments Are Highly Innervated.</strong>\r\n\r\n<strong>Ligaments are highly innervated.</strong> That means they have a lot of nerves. So when they are injured, pain is the result. Therefore, with bending, turning, and any other activity that engages the vertebrae of the lumbar spine, nerve fibers in the ligaments will start firing and sending out pain signals.\r\n<h3>Symptoms of Spinal Instability in the Low Back</h3>\r\nBesides pain, other symptoms of spinal instability in the low back include a feeling of the back giving out, cracking sensations with movement, catching or locking, a frequent need to crack the back, and recurrent muscle spasms. Unaddressed, this condition of spinal instability will result in low back pain that will not go away.\r\n\r\nIn addition, spinal instability allows for too much movement in the vertebral segments, which produces too much pressure on the discs due to the altered joint mechanics. And that fosters even more degeneration and disc herniation. The pathological process involved in spinal instability is at the core of many spinal conditions.\r\n<h3>Regenerative Orthopedics: A Low Back Pain Treatments that Repairs the Spinal Instability and Resolves Low Back Pain</h3>\r\nSo what can I do to fix my back pain and find actual relief? Fortunately, for sufferers of low back pain, Regenerative Orthopedics offers pain relief and healing and repair at the source of the pain. Treatment directed at the injured stretched out, and lax ligaments can strengthen them. That, in turn, stabilizes the vertebral segments, eliminating the excessive movement and resolving the pain.\r\n\r\nThe common denominator for many painful musculoskeletal conditions causing low back pain is spinal instability due to injury to ligaments. Still, Regenerative Orthopedics treatments such as Stem Cell Therapy, PRP, and Prolotherapy can get rid of the pain. Plus, these treatments repair the source of the problem. That means the pain is not just covered up. The source of the pain is actually repaired. So you can get pain relief and enjoy improved function too!\r\n<h3>Find Out More</h3>\r\nRead our other articles about <a href=\"https://www.drfields.com/conditions/chronic-pain/stop-back-pain/\">low back pain by clicking here.</a> Experiencing <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">sciatica pain</a>? Find out how Regenerative Orthopedics can help by <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">reading our article</a>.\r\n\r\n<a href=\"https://www.drfields.com/contact/\">Contact us to schedule an appointment.</a>','Low Back Pain Treatments: How to Successfully Meet the Challenges of Finding Relief','','inherit','closed','closed','','1376-revision-v1','','','2021-04-28 00:17:05','2021-04-28 00:17:05','',1376,'https://www.drfields.com/?p=4659',0,'revision','',0),(4660,9,'2021-04-28 00:19:00','2021-04-28 00:19:00','<h2>Low Back Pain Treatments: How to Successfully Meet the Challenges of Finding Relief</h2>\r\n[caption id=\"attachment_4653\" align=\"alignright\" width=\"500\"]<img class=\"wp-image-4653 size-medium\" title=\"Low Back Pain Treatments\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/back-stop-the-cycle--500x500.png\" alt=\"Low Back Pain Treatments\" width=\"500\" height=\"500\" /> <em><strong>Low Back Pain? Stop The Cycle with Regenerative Orthopedics!</strong></em>[/caption]\r\n\r\nLow back pain is one of the most common musculoskeletal pain conditions in the United States. Interestingly, thousands upon thousands of people are disabled due to some low back condition that causes pain. And it wreaks havoc on their physical, social, emotional, and economic welfare. Many are looking for low back pain treatments to find relief.\r\n\r\nAt some point in almost everyone’s life, they will experience low back pain to some degree. And those who are fortunate enough not to suffer from low back pain themselves are certain to know someone else who has endured the pain.\r\n<h3>The Challenge to Find Relief with Low Back Pain Treatments</h3>\r\nThere are a variety of treatments for low back pain. But despite many available remedies, relief for low back pain is frequently only temporary. And it can be challenging too!\r\n\r\nWe see many people in our office who have come to us after trying numerous treatments that left their back pain unresolved. It’s not uncommon for patients to tell us they have received weeks, months, and years of therapy, taken various over-the-counter medications, received corticosteroid injections, or maybe even tried surgery. But after all of that, the pain persists. And unfortunately, many low back surgeries do not relieve the pain or fix the problem. Plus, they might even result in a recommendation for another surgery!\r\n<h3>Many Common Low Back Pain Treatments Only Cover Up the Pain</h3>\r\nSo why do low back pain sufferers have a difficult time finding relief? Unrelieved back pain poses some challenges to the medical community. That\'s because, very often, many of the common treatments only attempt to cover up rather than actually repair the problem.\r\n\r\nThink about it! Do pain medications repair the problem? No! They might reduce the pain. But they don\'t actually repair anything. <strong>Pain medications aren’t taken because the person has an Advil or Aspirin deficiency, right?! </strong>\r\n\r\nAnd in the same way, NSAIDs (nonsteroidal anti-inflammatory drugs) might provide some short-term benefit. But in the long run, they do not result in repair of the underlying problem.\r\n\r\nChiropractors are very good at helping dysfunctional backs and can provide back pain relief. But when doctors must see patients multiple times a week for months on end, and adjustments simply do not hold, one must then think outside the box. The problem may be ligamentous. Or it may have to do with tendon instability. The cause needs to be found. And then, the physician should direct the treatment at fixing the root of the problem.\r\n\r\nImaging tools are helpful at times. But even though they are highly accessible, their usage has not caused the rates of back pain to go down. Ongoing back pain that will not resolve very often originates from injury to ligaments (and sometimes tendons). These soft tissue structures surround the spine, sacrum, and even the sacroiliac joint in the low back. And when injured, it will cause the spine to become unstable. This is called spinal instability.\r\n<h3>Low Back Pain and Spinal Instability</h3>\r\nMost low back pain is a chronic condition due to years and years of working, playing sports, hiking, and working out. And even daily normal daily activities with repeated walking and sitting can cause the ligaments and other supporting structures to weaken.\r\n\r\nOriginal injuries that can lead to low back pain due to spinal instability most often occur with sudden movements and poor body mechanics or trauma during a sports activity, fall, or motor vehicle accident. Of course, diseases such as infections, endometriosis, fibroids, and cancer can also cause low back pain and need to be ruled out.\r\n<h3>Poor Body Mechanics and Ligament Injury</h3>\r\nAn example of poor body mechanics that may injure spinal ligaments might include instances when an individual bends over and twists. The knees are also often locked during this time, stretching the ligaments too much and making them vulnerable to injury. When this occurs, sufferers can try therapies for relief of muscle pain in the low back. But if the pain persists for a prolonged period and the low back continues to “give out,” there is a good chance injured ligaments are the problem.\r\n\r\nMassage and physical therapy are beneficial but, unfortunately, cannot repair ligament damage. The muscles will continue to spasm because they are overcompensating due to the ligament injury that has left the spine unstable. Until the root cause is treated, the spinal instability will continue. That\'s because the ligaments are designed to keep the spine in the correct place and in proper alignment. But now they are too loose from injury. This is where Regenerative Orthopedics comes in! Ligament damage and injury are conditions this therapy very effectively resolves and repairs.\r\n<h3>A Bit More Explanation about the Connection between Ligaments and Low Back Pain</h3>\r\nLigaments are structures joining bone to bone. And in the low back or lumbar spine, they are the structures that connect adjacent vertebrae and facet joints. And the facets, two on each of five lumbar vertebrae, actually have a capsule surrounding them made of ligaments. Ligaments serve as some of the primary stabilizing structures of the spinal column. They allow for adequate motion while restricting excessive motion. So they protect the spinal column and the nerve roots as they exit the spine.\r\n\r\nWe need the low back or lumbar spine to maintain an upright posture, bend, turn and sit. These positions and activities place quite a bit of stress on the low back and the soft tissue structures like the ligaments. The function of the ligaments involves the transfer of all of the various loads that occur from bone to bone as they manage the forces placed on the spine. Normally, they do a great job.\r\n\r\nBut when loads and forces exceed what they can tolerate, the ligaments weaken and become lax or loose. Imagine a rubber band that has lost its elasticity. A stretched-out ligament is similar. When they are stretched out, the injured ligaments cannot provide adequate stability to the lumbar spine. Again, this is called spinal instability.\r\n<h3><strong>Ligaments Have A Lot of Nerves</strong></h3>\r\n<strong>Ligaments are highly innervated.</strong> That means they have a lot of nerves. So when they are injured, pain is the result. Therefore, with bending, turning, and any other activity that engages the vertebrae of the lumbar spine, nerve fibers in the ligaments will start firing and sending out pain signals.\r\n<h3>Symptoms of Spinal Instability in the Low Back</h3>\r\nBesides pain, other symptoms of spinal instability in the low back include a feeling of the back giving out, cracking sensations with movement, catching or locking, a frequent need to crack the back, and recurrent muscle spasms. Unaddressed, this condition of spinal instability will result in low back pain that will not go away.\r\n\r\nIn addition, spinal instability allows for too much movement in the vertebral segments, which produces too much pressure on the discs due to the altered joint mechanics. And that fosters even more degeneration and disc herniation. The pathological process involved in spinal instability is at the core of many spinal conditions.\r\n<h3>Regenerative Orthopedics: A Low Back Pain Treatments that Repairs the Spinal Instability and Resolves Low Back Pain</h3>\r\nSo what can I do to fix my back pain and find actual relief? Fortunately, for sufferers of low back pain, Regenerative Orthopedics offers pain relief and healing and repair at the source of the pain. Treatment directed at the injured stretched out, and lax ligaments can strengthen them. That, in turn, stabilizes the vertebral segments, eliminating the excessive movement and resolving the pain.\r\n\r\nThe common denominator for many painful musculoskeletal conditions causing low back pain is spinal instability due to injury to ligaments. Still, Regenerative Orthopedics treatments such as Stem Cell Therapy, PRP, and Prolotherapy can get rid of the pain. Plus, these treatments repair the source of the problem. That means the pain is not just covered up. The source of the pain is actually repaired. So you can get pain relief and enjoy improved function too!\r\n<h3>Find Out More</h3>\r\nRead our other articles about <a href=\"https://www.drfields.com/conditions/chronic-pain/stop-back-pain/\">low back pain by clicking here.</a> Experiencing <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">sciatica pain</a>? Find out how Regenerative Orthopedics can help by <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">reading our article</a>.\r\n\r\n<a href=\"https://www.drfields.com/contact/\">Contact us to schedule an appointment.</a>','Low Back Pain Treatments: How to Successfully Meet the Challenges of Finding Relief','','inherit','closed','closed','','1376-revision-v1','','','2021-04-28 00:19:00','2021-04-28 00:19:00','',1376,'https://www.drfields.com/?p=4660',0,'revision','',0),(4661,9,'2021-04-28 00:19:49','2021-04-28 00:19:49','<h2>Low Back Pain Treatments: How to Successfully Meet the Challenges of Finding Relief</h2>\r\n[caption id=\"attachment_4653\" align=\"alignright\" width=\"500\"]<img class=\"wp-image-4653 size-medium\" title=\"Low Back Pain Treatments\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/back-stop-the-cycle--500x500.png\" alt=\"Low Back Pain Treatments\" width=\"500\" height=\"500\" /> <em><strong>Low Back Pain? Stop The Cycle with Regenerative Orthopedics!</strong></em>[/caption]\r\n\r\nLow back pain is one of the most common musculoskeletal pain conditions in the United States. Interestingly, thousands upon thousands of people are disabled due to some low back condition that causes pain. And it wreaks havoc on their physical, social, emotional, and economic welfare. Many are looking for low back pain treatments to find relief.\r\n\r\nAt some point in almost everyone’s life, they will experience low back pain to some degree. And those who are fortunate enough not to suffer from low back pain themselves are certain to know someone else who has endured the pain.\r\n<h3>The Challenge to Find Relief with Low Back Pain Treatments</h3>\r\nThere are a variety of treatments for low back pain. But despite many available remedies, relief for low back pain is frequently only temporary. And it can be challenging too!\r\n\r\nWe see many people in our office who have come to us after trying numerous treatments that left their back pain unresolved. It’s not uncommon for patients to tell us they have received weeks, months, and years of therapy, taken various over-the-counter medications, received corticosteroid injections, or maybe even tried surgery. But after all of that, the pain persists. And unfortunately, many low back surgeries do not relieve the pain or fix the problem. Plus, they might even result in a recommendation for another surgery!\r\n<h3>Many Common Low Back Pain Treatments Only Cover Up the Pain</h3>\r\nSo why do low back pain sufferers have a difficult time finding relief? Unrelieved back pain poses some challenges to the medical community. That\'s because, very often, many of the common treatments only attempt to cover up rather than actually repair the problem.\r\n\r\nThink about it! Do pain medications repair the problem? No! They might reduce the pain. But they don\'t actually repair anything. <strong>Pain medications aren’t taken because the person has an Advil or Aspirin deficiency, right?! </strong>\r\n\r\nAnd in the same way, NSAIDs (nonsteroidal anti-inflammatory drugs) might provide some short-term benefit. But in the long run, they do not result in repair of the underlying problem.\r\n\r\nChiropractors are very good at helping dysfunctional backs and can provide back pain relief. But when doctors must see patients multiple times a week for months on end, and adjustments simply do not hold, one must then think outside the box. The problem may be ligamentous. Or it may have to do with tendon instability. The cause needs to be found. And then, the physician should direct the treatment at fixing the root of the problem.\r\n\r\nImaging tools are helpful at times. But even though they are highly accessible, their usage has not caused the rates of back pain to go down. Ongoing back pain that will not resolve very often originates from injury to ligaments (and sometimes tendons). These soft tissue structures surround the spine, sacrum, and even the sacroiliac joint in the low back. And when injured, it will cause the spine to become unstable. This is called spinal instability.\r\n<h3>Low Back Pain and Spinal Instability</h3>\r\nMost low back pain is a chronic condition due to years and years of working, playing sports, hiking, and working out. And even daily normal daily activities with repeated walking and sitting can cause the ligaments and other supporting structures to weaken.\r\n\r\nOriginal injuries that can lead to low back pain due to spinal instability most often occur with sudden movements and poor body mechanics or trauma during a sports activity, fall, or motor vehicle accident. Of course, diseases such as infections, endometriosis, fibroids, and cancer can also cause low back pain and need to be ruled out.\r\n<h3>Poor Body Mechanics and Ligament Injury</h3>\r\nAn example of poor body mechanics that may injure spinal ligaments might include instances when an individual bends over and twists. The knees are also often locked during this time, stretching the ligaments too much and making them vulnerable to injury. When this occurs, sufferers can try therapies for relief of muscle pain in the low back. But if the pain persists for a prolonged period and the low back continues to “give out,” there is a good chance injured ligaments are the problem.\r\n\r\nMassage and physical therapy are beneficial but, unfortunately, cannot repair ligament damage. The muscles will continue to spasm because they are overcompensating due to the ligament injury that has left the spine unstable. Until the root cause is treated, the spinal instability will continue. That\'s because the ligaments are designed to keep the spine in the correct place and in proper alignment. But now they are too loose from injury. This is where Regenerative Orthopedics comes in! Ligament damage and injury are conditions this therapy very effectively resolves and repairs.\r\n<h3>A Bit More Explanation about the Connection between Ligaments and Low Back Pain</h3>\r\nLigaments are structures joining bone to bone. And in the low back or lumbar spine, they are the structures that connect adjacent vertebrae and facet joints. And the facets, two on each of five lumbar vertebrae, actually have a capsule surrounding them made of ligaments. Ligaments serve as some of the primary stabilizing structures of the spinal column. They allow for adequate motion while restricting excessive motion. So they protect the spinal column and the nerve roots as they exit the spine.\r\n\r\nWe need the low back or lumbar spine to maintain an upright posture, bend, turn and sit. These positions and activities place quite a bit of stress on the low back and the soft tissue structures like the ligaments. The function of the ligaments involves the transfer of all of the various loads that occur from bone to bone as they manage the forces placed on the spine. Normally, they do a great job.\r\n\r\nBut when loads and forces exceed what they can tolerate, the ligaments weaken and become lax or loose. Imagine a rubber band that has lost its elasticity. A stretched-out ligament is similar. When they are stretched out, the injured ligaments cannot provide adequate stability to the lumbar spine. Again, this is called spinal instability.\r\n<h3><strong>Ligaments Have A Lot of Nerves</strong></h3>\r\n<strong>Ligaments are highly innervated.</strong> That means they have a lot of nerves. So when they are injured, pain is the result. Therefore, with bending, turning, and any other activity that engages the vertebrae of the lumbar spine, nerve fibers in the ligaments will start firing and sending out pain signals.\r\n<h3>Symptoms of Spinal Instability in the Low Back</h3>\r\nBesides pain, other symptoms of spinal instability in the low back include a feeling of the back giving out, cracking sensations with movement, catching or locking, a frequent need to crack the back, and recurrent muscle spasms. Unaddressed, this condition of spinal instability will result in low back pain that will not go away.\r\n\r\nIn addition, spinal instability allows for too much movement in the vertebral segments, which produces too much pressure on the discs due to the altered joint mechanics. And that fosters even more degeneration and disc herniation. The pathological process involved in spinal instability is at the core of many spinal conditions.\r\n<h3>Regenerative Orthopedics: Low Back Pain Treatments that Repair the Spinal Instability and Resolve Low Back Pain</h3>\r\nSo what can I do to fix my back pain and find actual relief? Fortunately, for sufferers of low back pain, Regenerative Orthopedics offers pain relief and healing and repair at the source of the pain. Treatment directed at the injured stretched out, and lax ligaments can strengthen them. That, in turn, stabilizes the vertebral segments, eliminating the excessive movement and resolving the pain.\r\n\r\nThe common denominator for many painful musculoskeletal conditions causing low back pain is spinal instability due to injury to ligaments. Still, Regenerative Orthopedics treatments such as Stem Cell Therapy, PRP, and Prolotherapy can get rid of the pain. Plus, these treatments repair the source of the problem. That means the pain is not just covered up. The source of the pain is actually repaired. So you can get pain relief and enjoy improved function too!\r\n<h3>Find Out More</h3>\r\nRead our other articles about <a href=\"https://www.drfields.com/conditions/chronic-pain/stop-back-pain/\">low back pain by clicking here.</a> Experiencing <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">sciatica pain</a>? Find out how Regenerative Orthopedics can help by <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">reading our article</a>.\r\n\r\n<a href=\"https://www.drfields.com/contact/\">Contact us to schedule an appointment.</a>','Low Back Pain Treatments: How to Successfully Meet the Challenges of Finding Relief','','inherit','closed','closed','','1376-revision-v1','','','2021-04-28 00:19:49','2021-04-28 00:19:49','',1376,'https://www.drfields.com/?p=4661',0,'revision','',0),(4664,8,'2021-05-05 20:08:28','2021-05-05 20:08:28','','iwp_log_6092fb3c76fc0','','publish','closed','closed','','iwp_log_6092fb3c76fc0','','','2021-05-05 20:08:28','2021-05-05 20:08:28','',0,'https://www.drfields.com/iwp_log/iwp_log_6092fb3c76fc0/',0,'iwp_log','',0),(4665,8,'2021-05-05 20:09:28','2021-05-05 20:09:28','','iwp_log_6092fb7810674','','publish','closed','closed','','iwp_log_6092fb7810674','','','2021-05-05 20:09:28','2021-05-05 20:09:28','',0,'https://www.drfields.com/iwp_log/iwp_log_6092fb7810674/',0,'iwp_log','',0),(4666,9,'2021-05-08 02:22:42','2021-05-08 02:22:42','[caption id=\"attachment_4089\" align=\"alignleft\" width=\"383\"]<img class=\"wp-image-4089 \" src=\"https://www.drfields.com/wp-content/uploads/2019/08/sciatical-400x500.png\" alt=\"Sciatica Symptoms\" width=\"383\" height=\"479\" /> <strong><em> Do Sciatica symptoms keeping you down?   Regenerative Orthopedics gets you back up!</em></strong>[/caption]\r\n<h2><strong>Relief from Sciatica Symptoms         </strong></h2>\r\nSciatica is a complaint that is tossed around quite frequently in the context of burning low back pain that shoots down a person’s buttocks, legs, and/or feet. And you’ve probably heard about sciatica or have mentioned it yourself! If you’ve had sciatica symptoms, there\'s a good chance a friend has recommended their favorite treatment or therapist to help you find some relief.\r\n\r\nBut did you know that sciatica is not actually a disease? Sure, it’s a real thing, but sciatica is a symptom, and not the disease or condition itself. The condition is called<strong> lumbar radiculopathy. </strong>Oftentimes, the terms sciatica and lumbar radiculopathy are used interchangeably. Lumbar refers to the lower back area and radiculopathy is a disease of the root of a nerve.\r\n\r\nFor those of you who have experienced the pain of lumbar radiculopathy or an actual pinched nerve, <strong>the pain is very excruciating</strong>. The sufferer commonly experiences burning pain shooting down the leg. And the pain is so bad it will stop you in your tracks.\r\n<h3>How Did You Get to this Point of Extreme Pain?</h3>\r\nThe common denominator for most back pain problems is spinal instability. Injury to the ligaments of the back occurred at some point. And typically from bending over and twisting with the knees in a locked position, which then stretched the ligaments, and made them vulnerable to injury. The result is weak and lax ligaments. And when ligaments of the lumbar spine are weak, the vertebrae can slip out of place and pinch the nerve.\r\n<h3><strong>What Are the Common Treatments for Sciatica Symptoms or Lumbar Radiculopathy?</strong></h3>\r\nChiropractors treat sciatica symptoms with much success and should be the first practitioners to see for this condition. You can also try treatments like massage and stretching for relief. But these therapies will only work on the surrounding muscles, and any relief will very likely be temporary.<span class=\"Apple-converted-space\"> </span>\r\n<h4><em>Regenerative Orthopedics Are One Treatment Option</em></h4>\r\nIf ligaments are weakened, the muscles will be going into spasm. That\'s because muscles spasm in an effort to stabilize the area that is currently unstable due to the ligament injury. Muscle-strengthening may be of benefit too. But remember that the underlying injury of the ligaments needs to be addressed. Regenerative Orthopedic treatments, such as Prolotherapy or PRP, are great options for addressing ligament injuries. And they are effective at both repairing and strengthening these types of soft tissue injuries.\r\n<h4><em>Non-Steroidal Anti-inflammatory Drugs (NSAIDs) and Cortisone Are Not Reparative Treatments</em></h4>\r\nNon-steroidal anti-inflammatory drugs (NSAIDs) are frequently used, but they are not reparative. So when you reach for an aspirin, Advil, or some other over-the-counter NSAID pain reliever, know that this is not a fix. Your physician may recommend prescription NSAID’s. But again, NSAID’s do not repair the injury. They may give you some relief, but they will not fix the underlying problem or heal the injury.\r\n\r\nIf sciatica symptoms do not resolve on their own and the pain continues, a cortisone injection may be recommended by your physician. Epidural cortisone injections may reduce the size of stressed nerve roots, but they do have side effects. Studies have shown that cortisone causes tissue like the ligaments to grow weaker. So, if weak tissue is the source of the problem, to begin with, then why use something that may make the problem worse? Instead, the spinal instability that is allowing the vertebral segments to move excessively needs to be addressed, so the pain can stop!\r\n<h4><strong><em>What About Painkillers and Anti-Depressants for Sciatica Symptoms?</em></strong></h4>\r\nHave you tried painkillers and found no lasting relief? Until the source of the problem is addressed, you may find yourself exhausted and frustrated at the failure of various therapies to provide long-lasting relief. Not to mention treatments that are ineffective at relieving lumbar radiculopathy and the sciatica symptoms.\r\n\r\nAre antidepressants and anticonvulsants being recommended? Although you may be depressed because of unending pain, good chance depression is not the source of your back pain. And what about the use of anticonvulsants to treat sciatica? In a 2018 article in the Journal of the American Medical Association (JAMA), the writers note that the commonly used anticonvulsant medication for sciatica called “pregabalin does not improve symptoms of sciatica but frequently has adverse effects.”<a href=\"#_edn1\" name=\"_ednref1\">[i]</a>\r\n\r\nHave you exhausted conservative care options? And have you progressed to stronger medications like painkillers, antidepressants, and anticonvulsants, and are possibly facing the recommendations of surgery? Then it is time to look into a solution that actually repairs the injury. Regenerative Orthopedics can provide an effective option that results in relief and repair while utilizing a non-surgical solution for those with persistent sciatica symptoms and lumbar radiculopathy.\r\n<h4><em><strong>What if Surgery Has Been Recommended for Your Sciatica Symptoms?</strong></em></h4>\r\nIf you are facing surgery for relief from your symptoms, minimally invasive spine surgery may be the surgery you are considering. Surgery may give you relief. However, studies have shown that although there may be a rapid decrease in pain and disability after a few months, years down the road patients still experience mild to moderate pain post-surgery.<a href=\"#_edn2\" name=\"_ednref2\">[ii]</a>\r\n<h3><strong>Regenerative Orthopedics to Strengthen Spinal Instability and Relieve Sciatica Symptoms</strong></h3>\r\nWhy choose surgery and treatments with side effects? Or those which also lack benefit when there is another option? Choose the path that actually repairs the injury and solves the problem. Regenerative Orthopedics is non-surgical, plus it is effective.\r\n\r\nAt OrthoRegen<sup>®</sup>, we treat all of the involved areas of the low back, including the injured ligaments and their attachments to stimulate the body’s own natural healing process. The treatment boosts the blood supply to the injured areas. And that brings reparative cells to the ligaments so they can heal. Remember that when the ligaments are weak, they allow for too much movement of the vertebrae. And with this extra movement a nerve can get pinched.\r\n\r\nRegenerative Orthopedic treatments to these areas strengthen and tighten the ligaments. That leads to stabilization of the lumbar spine, which stops the excessive movement, and repairs the underlying problem. The result is pain relief. Regenerative Orthopedics is effective at bringing pain relief and return to function for those suffering from sciatica symptoms and lumbar radiculopathy.\r\n\r\n<a href=\"#_ednref1\" name=\"_edn1\">[i]</a> Morgan DJ, Dhruva SS, Coon ER, Wright SM, Korenstein D. 2018 Update on Medical Overuse. JAMA Internal Medicine. 2018 Dec 3.  [<a href=\"https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2717505\">JAMA</a>]\r\n\r\n<a href=\"#_ednref2\" name=\"_edn2\">[ii]</a> Machado GC, Witzleb AJ, Fritsch C, Maher CG, Ferreira PH, Ferreira ML. Patients with sciatica still experience pain and disability 5 years after surgery: A systematic review with meta-analysis of cohort studies. Eur J Pain. 2016 May 12.[<a href=\"https://scholar.google.com/scholar?cluster=1973126208637694796&amp;hl=en&amp;as_sdt=0,31\">Google Scholar</a>]\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Relief from Sciatica Symptoms','','inherit','closed','closed','','2555-revision-v1','','','2021-05-08 02:22:42','2021-05-08 02:22:42','',2555,'https://www.drfields.com/?p=4666',0,'revision','',0),(4667,9,'2021-05-08 02:23:14','2021-05-08 02:23:14','[caption id=\"attachment_4089\" align=\"alignleft\" width=\"358\"]<img class=\"wp-image-4089 \" src=\"https://www.drfields.com/wp-content/uploads/2019/08/sciatical-400x500.png\" alt=\"Sciatica Symptoms\" width=\"358\" height=\"447\" /> <strong><em> Do Sciatica symptoms keeping you down?   Regenerative Orthopedics gets you back up!</em></strong>[/caption]\r\n<h2><strong>Relief from Sciatica Symptoms         </strong></h2>\r\nSciatica is a complaint that is tossed around quite frequently in the context of burning low back pain that shoots down a person’s buttocks, legs, and/or feet. And you’ve probably heard about sciatica or have mentioned it yourself! If you’ve had sciatica symptoms, there\'s a good chance a friend has recommended their favorite treatment or therapist to help you find some relief.\r\n\r\nBut did you know that sciatica is not actually a disease? Sure, it’s a real thing, but sciatica is a symptom, and not the disease or condition itself. The condition is called<strong> lumbar radiculopathy. </strong>Oftentimes, the terms sciatica and lumbar radiculopathy are used interchangeably. Lumbar refers to the lower back area and radiculopathy is a disease of the root of a nerve.\r\n\r\nFor those of you who have experienced the pain of lumbar radiculopathy or an actual pinched nerve, <strong>the pain is very excruciating</strong>. The sufferer commonly experiences burning pain shooting down the leg. And the pain is so bad it will stop you in your tracks.\r\n<h3>How Did You Get to this Point of Extreme Pain?</h3>\r\nThe common denominator for most back pain problems is spinal instability. Injury to the ligaments of the back occurred at some point. And typically from bending over and twisting with the knees in a locked position, which then stretched the ligaments, and made them vulnerable to injury. The result is weak and lax ligaments. And when ligaments of the lumbar spine are weak, the vertebrae can slip out of place and pinch the nerve.\r\n<h3><strong>What Are the Common Treatments for Sciatica Symptoms or Lumbar Radiculopathy?</strong></h3>\r\nChiropractors treat sciatica symptoms with much success and should be the first practitioners to see for this condition. You can also try treatments like massage and stretching for relief. But these therapies will only work on the surrounding muscles, and any relief will very likely be temporary.<span class=\"Apple-converted-space\"> </span>\r\n<h4><em>Regenerative Orthopedics Are One Treatment Option</em></h4>\r\nIf ligaments are weakened, the muscles will be going into spasm. That\'s because muscles spasm in an effort to stabilize the area that is currently unstable due to the ligament injury. Muscle-strengthening may be of benefit too. But remember that the underlying injury of the ligaments needs to be addressed. Regenerative Orthopedic treatments, such as Prolotherapy or PRP, are great options for addressing ligament injuries. And they are effective at both repairing and strengthening these types of soft tissue injuries.\r\n<h4><em>Non-Steroidal Anti-inflammatory Drugs (NSAIDs) and Cortisone Are Not Reparative Treatments</em></h4>\r\nNon-steroidal anti-inflammatory drugs (NSAIDs) are frequently used, but they are not reparative. So when you reach for an aspirin, Advil, or some other over-the-counter NSAID pain reliever, know that this is not a fix. Your physician may recommend prescription NSAID’s. But again, NSAID’s do not repair the injury. They may give you some relief, but they will not fix the underlying problem or heal the injury.\r\n\r\nIf sciatica symptoms do not resolve on their own and the pain continues, a cortisone injection may be recommended by your physician. Epidural cortisone injections may reduce the size of stressed nerve roots, but they do have side effects. Studies have shown that cortisone causes tissue like the ligaments to grow weaker. So, if weak tissue is the source of the problem, to begin with, then why use something that may make the problem worse? Instead, the spinal instability that is allowing the vertebral segments to move excessively needs to be addressed, so the pain can stop!\r\n<h4><strong><em>What About Painkillers and Anti-Depressants for Sciatica Symptoms?</em></strong></h4>\r\nHave you tried painkillers and found no lasting relief? Until the source of the problem is addressed, you may find yourself exhausted and frustrated at the failure of various therapies to provide long-lasting relief. Not to mention treatments that are ineffective at relieving lumbar radiculopathy and the sciatica symptoms.\r\n\r\nAre antidepressants and anticonvulsants being recommended? Although you may be depressed because of unending pain, good chance depression is not the source of your back pain. And what about the use of anticonvulsants to treat sciatica? In a 2018 article in the Journal of the American Medical Association (JAMA), the writers note that the commonly used anticonvulsant medication for sciatica called “pregabalin does not improve symptoms of sciatica but frequently has adverse effects.”<a href=\"#_edn1\" name=\"_ednref1\">[i]</a>\r\n\r\nHave you exhausted conservative care options? And have you progressed to stronger medications like painkillers, antidepressants, and anticonvulsants, and are possibly facing the recommendations of surgery? Then it is time to look into a solution that actually repairs the injury. Regenerative Orthopedics can provide an effective option that results in relief and repair while utilizing a non-surgical solution for those with persistent sciatica symptoms and lumbar radiculopathy.\r\n<h4><em><strong>What if Surgery Has Been Recommended for Your Sciatica Symptoms?</strong></em></h4>\r\nIf you are facing surgery for relief from your symptoms, minimally invasive spine surgery may be the surgery you are considering. Surgery may give you relief. However, studies have shown that although there may be a rapid decrease in pain and disability after a few months, years down the road patients still experience mild to moderate pain post-surgery.<a href=\"#_edn2\" name=\"_ednref2\">[ii]</a>\r\n<h3><strong>Regenerative Orthopedics to Strengthen Spinal Instability and Relieve Sciatica Symptoms</strong></h3>\r\nWhy choose surgery and treatments with side effects? Or those which also lack benefit when there is another option? Choose the path that actually repairs the injury and solves the problem. Regenerative Orthopedics is non-surgical, plus it is effective.\r\n\r\nAt OrthoRegen<sup>®</sup>, we treat all of the involved areas of the low back, including the injured ligaments and their attachments to stimulate the body’s own natural healing process. The treatment boosts the blood supply to the injured areas. And that brings reparative cells to the ligaments so they can heal. Remember that when the ligaments are weak, they allow for too much movement of the vertebrae. And with this extra movement a nerve can get pinched.\r\n\r\nRegenerative Orthopedic treatments to these areas strengthen and tighten the ligaments. That leads to stabilization of the lumbar spine, which stops the excessive movement, and repairs the underlying problem. The result is pain relief. Regenerative Orthopedics is effective at bringing pain relief and return to function for those suffering from sciatica symptoms and lumbar radiculopathy.\r\n\r\n<a href=\"#_ednref1\" name=\"_edn1\">[i]</a> Morgan DJ, Dhruva SS, Coon ER, Wright SM, Korenstein D. 2018 Update on Medical Overuse. JAMA Internal Medicine. 2018 Dec 3.  [<a href=\"https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2717505\">JAMA</a>]\r\n\r\n<a href=\"#_ednref2\" name=\"_edn2\">[ii]</a> Machado GC, Witzleb AJ, Fritsch C, Maher CG, Ferreira PH, Ferreira ML. Patients with sciatica still experience pain and disability 5 years after surgery: A systematic review with meta-analysis of cohort studies. Eur J Pain. 2016 May 12.[<a href=\"https://scholar.google.com/scholar?cluster=1973126208637694796&amp;hl=en&amp;as_sdt=0,31\">Google Scholar</a>]\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Relief from Sciatica Symptoms','','inherit','closed','closed','','2555-revision-v1','','','2021-05-08 02:23:14','2021-05-08 02:23:14','',2555,'https://www.drfields.com/?p=4667',0,'revision','',0),(4668,9,'2021-05-08 02:23:49','2021-05-08 02:23:49','[caption id=\"attachment_4089\" align=\"alignleft\" width=\"358\"]<img class=\"wp-image-4089 \" src=\"https://www.drfields.com/wp-content/uploads/2019/08/sciatical-400x500.png\" alt=\"Sciatica Symptoms\" width=\"358\" height=\"447\" /> <strong><em> Do Sciatica symptoms keep you down?   Regenerative Orthopedics gets you back up!</em></strong>[/caption]\r\n<h2><strong>Relief from Sciatica Symptoms         </strong></h2>\r\nSciatica is a complaint that is tossed around quite frequently in the context of burning low back pain that shoots down a person’s buttocks, legs, and/or feet. And you’ve probably heard about sciatica or have mentioned it yourself! If you’ve had sciatica symptoms, there\'s a good chance a friend has recommended their favorite treatment or therapist to help you find some relief.\r\n\r\nBut did you know that sciatica is not actually a disease? Sure, it’s a real thing, but sciatica is a symptom, and not the disease or condition itself. The condition is called<strong> lumbar radiculopathy. </strong>Oftentimes, the terms sciatica and lumbar radiculopathy are used interchangeably. Lumbar refers to the lower back area and radiculopathy is a disease of the root of a nerve.\r\n\r\nFor those of you who have experienced the pain of lumbar radiculopathy or an actual pinched nerve, <strong>the pain is very excruciating</strong>. The sufferer commonly experiences burning pain shooting down the leg. And the pain is so bad it will stop you in your tracks.\r\n<h3>How Did You Get to this Point of Extreme Pain?</h3>\r\nThe common denominator for most back pain problems is spinal instability. Injury to the ligaments of the back occurred at some point. And typically from bending over and twisting with the knees in a locked position, which then stretched the ligaments, and made them vulnerable to injury. The result is weak and lax ligaments. And when ligaments of the lumbar spine are weak, the vertebrae can slip out of place and pinch the nerve.\r\n<h3><strong>What Are the Common Treatments for Sciatica Symptoms or Lumbar Radiculopathy?</strong></h3>\r\nChiropractors treat sciatica symptoms with much success and should be the first practitioners to see for this condition. You can also try treatments like massage and stretching for relief. But these therapies will only work on the surrounding muscles, and any relief will very likely be temporary.<span class=\"Apple-converted-space\"> </span>\r\n<h4><em>Regenerative Orthopedics Are One Treatment Option</em></h4>\r\nIf ligaments are weakened, the muscles will be going into spasm. That\'s because muscles spasm in an effort to stabilize the area that is currently unstable due to the ligament injury. Muscle-strengthening may be of benefit too. But remember that the underlying injury of the ligaments needs to be addressed. Regenerative Orthopedic treatments, such as Prolotherapy or PRP, are great options for addressing ligament injuries. And they are effective at both repairing and strengthening these types of soft tissue injuries.\r\n<h4><em>Non-Steroidal Anti-inflammatory Drugs (NSAIDs) and Cortisone Are Not Reparative Treatments</em></h4>\r\nNon-steroidal anti-inflammatory drugs (NSAIDs) are frequently used, but they are not reparative. So when you reach for an aspirin, Advil, or some other over-the-counter NSAID pain reliever, know that this is not a fix. Your physician may recommend prescription NSAID’s. But again, NSAID’s do not repair the injury. They may give you some relief, but they will not fix the underlying problem or heal the injury.\r\n\r\nIf sciatica symptoms do not resolve on their own and the pain continues, a cortisone injection may be recommended by your physician. Epidural cortisone injections may reduce the size of stressed nerve roots, but they do have side effects. Studies have shown that cortisone causes tissue like the ligaments to grow weaker. So, if weak tissue is the source of the problem, to begin with, then why use something that may make the problem worse? Instead, the spinal instability that is allowing the vertebral segments to move excessively needs to be addressed, so the pain can stop!\r\n<h4><strong><em>What About Painkillers and Anti-Depressants for Sciatica Symptoms?</em></strong></h4>\r\nHave you tried painkillers and found no lasting relief? Until the source of the problem is addressed, you may find yourself exhausted and frustrated at the failure of various therapies to provide long-lasting relief. Not to mention treatments that are ineffective at relieving lumbar radiculopathy and the sciatica symptoms.\r\n\r\nAre antidepressants and anticonvulsants being recommended? Although you may be depressed because of unending pain, good chance depression is not the source of your back pain. And what about the use of anticonvulsants to treat sciatica? In a 2018 article in the Journal of the American Medical Association (JAMA), the writers note that the commonly used anticonvulsant medication for sciatica called “pregabalin does not improve symptoms of sciatica but frequently has adverse effects.”<a href=\"#_edn1\" name=\"_ednref1\">[i]</a>\r\n\r\nHave you exhausted conservative care options? And have you progressed to stronger medications like painkillers, antidepressants, and anticonvulsants, and are possibly facing the recommendations of surgery? Then it is time to look into a solution that actually repairs the injury. Regenerative Orthopedics can provide an effective option that results in relief and repair while utilizing a non-surgical solution for those with persistent sciatica symptoms and lumbar radiculopathy.\r\n<h4><em><strong>What if Surgery Has Been Recommended for Your Sciatica Symptoms?</strong></em></h4>\r\nIf you are facing surgery for relief from your symptoms, minimally invasive spine surgery may be the surgery you are considering. Surgery may give you relief. However, studies have shown that although there may be a rapid decrease in pain and disability after a few months, years down the road patients still experience mild to moderate pain post-surgery.<a href=\"#_edn2\" name=\"_ednref2\">[ii]</a>\r\n<h3><strong>Regenerative Orthopedics to Strengthen Spinal Instability and Relieve Sciatica Symptoms</strong></h3>\r\nWhy choose surgery and treatments with side effects? Or those which also lack benefit when there is another option? Choose the path that actually repairs the injury and solves the problem. Regenerative Orthopedics is non-surgical, plus it is effective.\r\n\r\nAt OrthoRegen<sup>®</sup>, we treat all of the involved areas of the low back, including the injured ligaments and their attachments to stimulate the body’s own natural healing process. The treatment boosts the blood supply to the injured areas. And that brings reparative cells to the ligaments so they can heal. Remember that when the ligaments are weak, they allow for too much movement of the vertebrae. And with this extra movement a nerve can get pinched.\r\n\r\nRegenerative Orthopedic treatments to these areas strengthen and tighten the ligaments. That leads to stabilization of the lumbar spine, which stops the excessive movement, and repairs the underlying problem. The result is pain relief. Regenerative Orthopedics is effective at bringing pain relief and return to function for those suffering from sciatica symptoms and lumbar radiculopathy.\r\n\r\n<a href=\"#_ednref1\" name=\"_edn1\">[i]</a> Morgan DJ, Dhruva SS, Coon ER, Wright SM, Korenstein D. 2018 Update on Medical Overuse. JAMA Internal Medicine. 2018 Dec 3.  [<a href=\"https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2717505\">JAMA</a>]\r\n\r\n<a href=\"#_ednref2\" name=\"_edn2\">[ii]</a> Machado GC, Witzleb AJ, Fritsch C, Maher CG, Ferreira PH, Ferreira ML. Patients with sciatica still experience pain and disability 5 years after surgery: A systematic review with meta-analysis of cohort studies. Eur J Pain. 2016 May 12.[<a href=\"https://scholar.google.com/scholar?cluster=1973126208637694796&amp;hl=en&amp;as_sdt=0,31\">Google Scholar</a>]\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Relief from Sciatica Symptoms','','inherit','closed','closed','','2555-revision-v1','','','2021-05-08 02:23:49','2021-05-08 02:23:49','',2555,'https://www.drfields.com/?p=4668',0,'revision','',0),(4669,9,'2021-05-08 02:24:14','2021-05-08 02:24:14','[caption id=\"attachment_4089\" align=\"alignleft\" width=\"358\"]<img class=\"wp-image-4089 \" src=\"https://www.drfields.com/wp-content/uploads/2019/08/sciatical-400x500.png\" alt=\"Sciatica Symptoms\" width=\"358\" height=\"447\" /> <strong><em> Do Sciatica Symptoms Keep You Down?   Regenerative Orthopedics gets you back up!</em></strong>[/caption]\r\n<h2><strong>Relief from Sciatica Symptoms         </strong></h2>\r\nSciatica is a complaint that is tossed around quite frequently in the context of burning low back pain that shoots down a person’s buttocks, legs, and/or feet. And you’ve probably heard about sciatica or have mentioned it yourself! If you’ve had sciatica symptoms, there\'s a good chance a friend has recommended their favorite treatment or therapist to help you find some relief.\r\n\r\nBut did you know that sciatica is not actually a disease? Sure, it’s a real thing, but sciatica is a symptom, and not the disease or condition itself. The condition is called<strong> lumbar radiculopathy. </strong>Oftentimes, the terms sciatica and lumbar radiculopathy are used interchangeably. Lumbar refers to the lower back area and radiculopathy is a disease of the root of a nerve.\r\n\r\nFor those of you who have experienced the pain of lumbar radiculopathy or an actual pinched nerve, <strong>the pain is very excruciating</strong>. The sufferer commonly experiences burning pain shooting down the leg. And the pain is so bad it will stop you in your tracks.\r\n<h3>How Did You Get to this Point of Extreme Pain?</h3>\r\nThe common denominator for most back pain problems is spinal instability. Injury to the ligaments of the back occurred at some point. And typically from bending over and twisting with the knees in a locked position, which then stretched the ligaments, and made them vulnerable to injury. The result is weak and lax ligaments. And when ligaments of the lumbar spine are weak, the vertebrae can slip out of place and pinch the nerve.\r\n<h3><strong>What Are the Common Treatments for Sciatica Symptoms or Lumbar Radiculopathy?</strong></h3>\r\nChiropractors treat sciatica symptoms with much success and should be the first practitioners to see for this condition. You can also try treatments like massage and stretching for relief. But these therapies will only work on the surrounding muscles, and any relief will very likely be temporary.<span class=\"Apple-converted-space\"> </span>\r\n<h4><em>Regenerative Orthopedics Are One Treatment Option</em></h4>\r\nIf ligaments are weakened, the muscles will be going into spasm. That\'s because muscles spasm in an effort to stabilize the area that is currently unstable due to the ligament injury. Muscle-strengthening may be of benefit too. But remember that the underlying injury of the ligaments needs to be addressed. Regenerative Orthopedic treatments, such as Prolotherapy or PRP, are great options for addressing ligament injuries. And they are effective at both repairing and strengthening these types of soft tissue injuries.\r\n<h4><em>Non-Steroidal Anti-inflammatory Drugs (NSAIDs) and Cortisone Are Not Reparative Treatments</em></h4>\r\nNon-steroidal anti-inflammatory drugs (NSAIDs) are frequently used, but they are not reparative. So when you reach for an aspirin, Advil, or some other over-the-counter NSAID pain reliever, know that this is not a fix. Your physician may recommend prescription NSAID’s. But again, NSAID’s do not repair the injury. They may give you some relief, but they will not fix the underlying problem or heal the injury.\r\n\r\nIf sciatica symptoms do not resolve on their own and the pain continues, a cortisone injection may be recommended by your physician. Epidural cortisone injections may reduce the size of stressed nerve roots, but they do have side effects. Studies have shown that cortisone causes tissue like the ligaments to grow weaker. So, if weak tissue is the source of the problem, to begin with, then why use something that may make the problem worse? Instead, the spinal instability that is allowing the vertebral segments to move excessively needs to be addressed, so the pain can stop!\r\n<h4><strong><em>What About Painkillers and Anti-Depressants for Sciatica Symptoms?</em></strong></h4>\r\nHave you tried painkillers and found no lasting relief? Until the source of the problem is addressed, you may find yourself exhausted and frustrated at the failure of various therapies to provide long-lasting relief. Not to mention treatments that are ineffective at relieving lumbar radiculopathy and the sciatica symptoms.\r\n\r\nAre antidepressants and anticonvulsants being recommended? Although you may be depressed because of unending pain, good chance depression is not the source of your back pain. And what about the use of anticonvulsants to treat sciatica? In a 2018 article in the Journal of the American Medical Association (JAMA), the writers note that the commonly used anticonvulsant medication for sciatica called “pregabalin does not improve symptoms of sciatica but frequently has adverse effects.”<a href=\"#_edn1\" name=\"_ednref1\">[i]</a>\r\n\r\nHave you exhausted conservative care options? And have you progressed to stronger medications like painkillers, antidepressants, and anticonvulsants, and are possibly facing the recommendations of surgery? Then it is time to look into a solution that actually repairs the injury. Regenerative Orthopedics can provide an effective option that results in relief and repair while utilizing a non-surgical solution for those with persistent sciatica symptoms and lumbar radiculopathy.\r\n<h4><em><strong>What if Surgery Has Been Recommended for Your Sciatica Symptoms?</strong></em></h4>\r\nIf you are facing surgery for relief from your symptoms, minimally invasive spine surgery may be the surgery you are considering. Surgery may give you relief. However, studies have shown that although there may be a rapid decrease in pain and disability after a few months, years down the road patients still experience mild to moderate pain post-surgery.<a href=\"#_edn2\" name=\"_ednref2\">[ii]</a>\r\n<h3><strong>Regenerative Orthopedics to Strengthen Spinal Instability and Relieve Sciatica Symptoms</strong></h3>\r\nWhy choose surgery and treatments with side effects? Or those which also lack benefit when there is another option? Choose the path that actually repairs the injury and solves the problem. Regenerative Orthopedics is non-surgical, plus it is effective.\r\n\r\nAt OrthoRegen<sup>®</sup>, we treat all of the involved areas of the low back, including the injured ligaments and their attachments to stimulate the body’s own natural healing process. The treatment boosts the blood supply to the injured areas. And that brings reparative cells to the ligaments so they can heal. Remember that when the ligaments are weak, they allow for too much movement of the vertebrae. And with this extra movement a nerve can get pinched.\r\n\r\nRegenerative Orthopedic treatments to these areas strengthen and tighten the ligaments. That leads to stabilization of the lumbar spine, which stops the excessive movement, and repairs the underlying problem. The result is pain relief. Regenerative Orthopedics is effective at bringing pain relief and return to function for those suffering from sciatica symptoms and lumbar radiculopathy.\r\n\r\n<a href=\"#_ednref1\" name=\"_edn1\">[i]</a> Morgan DJ, Dhruva SS, Coon ER, Wright SM, Korenstein D. 2018 Update on Medical Overuse. JAMA Internal Medicine. 2018 Dec 3.  [<a href=\"https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2717505\">JAMA</a>]\r\n\r\n<a href=\"#_ednref2\" name=\"_edn2\">[ii]</a> Machado GC, Witzleb AJ, Fritsch C, Maher CG, Ferreira PH, Ferreira ML. Patients with sciatica still experience pain and disability 5 years after surgery: A systematic review with meta-analysis of cohort studies. Eur J Pain. 2016 May 12.[<a href=\"https://scholar.google.com/scholar?cluster=1973126208637694796&amp;hl=en&amp;as_sdt=0,31\">Google Scholar</a>]\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Relief from Sciatica Symptoms','','inherit','closed','closed','','2555-revision-v1','','','2021-05-08 02:24:14','2021-05-08 02:24:14','',2555,'https://www.drfields.com/?p=4669',0,'revision','',0),(4670,9,'2021-05-08 02:25:08','2021-05-08 02:25:08','[caption id=\"attachment_4089\" align=\"alignleft\" width=\"358\"]<img class=\"wp-image-4089 \" src=\"https://www.drfields.com/wp-content/uploads/2019/08/sciatical-400x500.png\" alt=\"Sciatica Symptoms\" width=\"358\" height=\"447\" /> <strong><em> Do Sciatica Symptoms Keep You Down?   Regenerative Orthopedics gets you back up!</em></strong>[/caption]\r\n\r\n<strong>Relief from Sciatica Symptoms        </strong>\r\n\r\nSciatica is a complaint that is tossed around quite frequently in the context of burning low back pain that shoots down a person’s buttocks, legs, and/or feet. And you’ve probably heard about sciatica or have mentioned it yourself! If you’ve had sciatica symptoms, there\'s a good chance a friend has recommended their favorite treatment or therapist to help you find some relief.\r\n\r\nBut did you know that sciatica is not actually a disease? Sure, it’s a real thing, but sciatica is a symptom, and not the disease or condition itself. The condition is called<strong> lumbar radiculopathy. </strong>Oftentimes, the terms sciatica and lumbar radiculopathy are used interchangeably. Lumbar refers to the lower back area and radiculopathy is a disease of the root of a nerve.\r\n\r\nFor those of you who have experienced the pain of lumbar radiculopathy or an actual pinched nerve, <strong>the pain is very excruciating</strong>. The sufferer commonly experiences burning pain shooting down the leg. And the pain is so bad it will stop you in your tracks.\r\n<h3>How Did You Get to this Point of Extreme Pain?</h3>\r\nThe common denominator for most back pain problems is spinal instability. Injury to the ligaments of the back occurred at some point. And typically from bending over and twisting with the knees in a locked position, which then stretched the ligaments, and made them vulnerable to injury. The result is weak and lax ligaments. And when ligaments of the lumbar spine are weak, the vertebrae can slip out of place and pinch the nerve.\r\n<h3><strong>What Are the Common Treatments for Sciatica Symptoms or Lumbar Radiculopathy?</strong></h3>\r\nChiropractors treat sciatica symptoms with much success and should be the first practitioners to see for this condition. You can also try treatments like massage and stretching for relief. But these therapies will only work on the surrounding muscles, and any relief will very likely be temporary.<span class=\"Apple-converted-space\"> </span>\r\n<h4><em>Regenerative Orthopedics Are One Treatment Option</em></h4>\r\nIf ligaments are weakened, the muscles will be going into spasm. That\'s because muscles spasm in an effort to stabilize the area that is currently unstable due to the ligament injury. Muscle-strengthening may be of benefit too. But remember that the underlying injury of the ligaments needs to be addressed. Regenerative Orthopedic treatments, such as Prolotherapy or PRP, are great options for addressing ligament injuries. And they are effective at both repairing and strengthening these types of soft tissue injuries.\r\n<h4><em>Non-Steroidal Anti-inflammatory Drugs (NSAIDs) and Cortisone Are Not Reparative Treatments</em></h4>\r\nNon-steroidal anti-inflammatory drugs (NSAIDs) are frequently used, but they are not reparative. So when you reach for an aspirin, Advil, or some other over-the-counter NSAID pain reliever, know that this is not a fix. Your physician may recommend prescription NSAID’s. But again, NSAID’s do not repair the injury. They may give you some relief, but they will not fix the underlying problem or heal the injury.\r\n\r\nIf sciatica symptoms do not resolve on their own and the pain continues, a cortisone injection may be recommended by your physician. Epidural cortisone injections may reduce the size of stressed nerve roots, but they do have side effects. Studies have shown that cortisone causes tissue like the ligaments to grow weaker. So, if weak tissue is the source of the problem, to begin with, then why use something that may make the problem worse? Instead, the spinal instability that is allowing the vertebral segments to move excessively needs to be addressed, so the pain can stop!\r\n<h4><strong><em>What About Painkillers and Anti-Depressants for Sciatica Symptoms?</em></strong></h4>\r\nHave you tried painkillers and found no lasting relief? Until the source of the problem is addressed, you may find yourself exhausted and frustrated at the failure of various therapies to provide long-lasting relief. Not to mention treatments that are ineffective at relieving lumbar radiculopathy and the sciatica symptoms.\r\n\r\nAre antidepressants and anticonvulsants being recommended? Although you may be depressed because of unending pain, good chance depression is not the source of your back pain. And what about the use of anticonvulsants to treat sciatica? In a 2018 article in the Journal of the American Medical Association (JAMA), the writers note that the commonly used anticonvulsant medication for sciatica called “pregabalin does not improve symptoms of sciatica but frequently has adverse effects.”<a href=\"#_edn1\" name=\"_ednref1\">[i]</a>\r\n\r\nHave you exhausted conservative care options? And have you progressed to stronger medications like painkillers, antidepressants, and anticonvulsants, and are possibly facing the recommendations of surgery? Then it is time to look into a solution that actually repairs the injury. Regenerative Orthopedics can provide an effective option that results in relief and repair while utilizing a non-surgical solution for those with persistent sciatica symptoms and lumbar radiculopathy.\r\n<h4><em><strong>What if Surgery Has Been Recommended for Your Sciatica Symptoms?</strong></em></h4>\r\nIf you are facing surgery for relief from your symptoms, minimally invasive spine surgery may be the surgery you are considering. Surgery may give you relief. However, studies have shown that although there may be a rapid decrease in pain and disability after a few months, years down the road patients still experience mild to moderate pain post-surgery.<a href=\"#_edn2\" name=\"_ednref2\">[ii]</a>\r\n<h3><strong>Regenerative Orthopedics to Strengthen Spinal Instability and Relieve Sciatica Symptoms</strong></h3>\r\nWhy choose surgery and treatments with side effects? Or those which also lack benefit when there is another option? Choose the path that actually repairs the injury and solves the problem. Regenerative Orthopedics is non-surgical, plus it is effective.\r\n\r\nAt OrthoRegen<sup>®</sup>, we treat all of the involved areas of the low back, including the injured ligaments and their attachments to stimulate the body’s own natural healing process. The treatment boosts the blood supply to the injured areas. And that brings reparative cells to the ligaments so they can heal. Remember that when the ligaments are weak, they allow for too much movement of the vertebrae. And with this extra movement a nerve can get pinched.\r\n\r\nRegenerative Orthopedic treatments to these areas strengthen and tighten the ligaments. That leads to stabilization of the lumbar spine, which stops the excessive movement, and repairs the underlying problem. The result is pain relief. Regenerative Orthopedics is effective at bringing pain relief and return to function for those suffering from sciatica symptoms and lumbar radiculopathy.\r\n\r\n<a href=\"#_ednref1\" name=\"_edn1\">[i]</a> Morgan DJ, Dhruva SS, Coon ER, Wright SM, Korenstein D. 2018 Update on Medical Overuse. JAMA Internal Medicine. 2018 Dec 3.  [<a href=\"https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2717505\">JAMA</a>]\r\n\r\n<a href=\"#_ednref2\" name=\"_edn2\">[ii]</a> Machado GC, Witzleb AJ, Fritsch C, Maher CG, Ferreira PH, Ferreira ML. Patients with sciatica still experience pain and disability 5 years after surgery: A systematic review with meta-analysis of cohort studies. Eur J Pain. 2016 May 12.[<a href=\"https://scholar.google.com/scholar?cluster=1973126208637694796&amp;hl=en&amp;as_sdt=0,31\">Google Scholar</a>]\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Relief from Sciatica Symptoms','','inherit','closed','closed','','2555-revision-v1','','','2021-05-08 02:25:08','2021-05-08 02:25:08','',2555,'https://www.drfields.com/?p=4670',0,'revision','',0),(4671,9,'2021-05-08 02:25:37','2021-05-08 02:25:37','[caption id=\"attachment_4089\" align=\"alignright\" width=\"358\"]<img class=\"wp-image-4089 \" src=\"https://www.drfields.com/wp-content/uploads/2019/08/sciatical-400x500.png\" alt=\"Sciatica Symptoms\" width=\"358\" height=\"447\" /> <strong><em> Do Sciatica Symptoms Keep You Down?   Regenerative Orthopedics gets you back up!</em></strong>[/caption]\r\n<h2><strong>Relief from Sciatica Symptoms        </strong></h2>\r\nSciatica is a complaint that is tossed around quite frequently in the context of burning low back pain that shoots down a person’s buttocks, legs, and/or feet. And you’ve probably heard about sciatica or have mentioned it yourself! If you’ve had sciatica symptoms, there\'s a good chance a friend has recommended their favorite treatment or therapist to help you find some relief.\r\n\r\nBut did you know that sciatica is not actually a disease? Sure, it’s a real thing, but sciatica is a symptom, and not the disease or condition itself. The condition is called<strong> lumbar radiculopathy. </strong>Oftentimes, the terms sciatica and lumbar radiculopathy are used interchangeably. Lumbar refers to the lower back area and radiculopathy is a disease of the root of a nerve.\r\n\r\nFor those of you who have experienced the pain of lumbar radiculopathy or an actual pinched nerve, <strong>the pain is very excruciating</strong>. The sufferer commonly experiences burning pain shooting down the leg. And the pain is so bad it will stop you in your tracks.\r\n<h3>How Did You Get to this Point of Extreme Pain?</h3>\r\nThe common denominator for most back pain problems is spinal instability. Injury to the ligaments of the back occurred at some point. And typically from bending over and twisting with the knees in a locked position, which then stretched the ligaments, and made them vulnerable to injury. The result is weak and lax ligaments. And when ligaments of the lumbar spine are weak, the vertebrae can slip out of place and pinch the nerve.\r\n<h3><strong>What Are the Common Treatments for Sciatica Symptoms or Lumbar Radiculopathy?</strong></h3>\r\nChiropractors treat sciatica symptoms with much success and should be the first practitioners to see for this condition. You can also try treatments like massage and stretching for relief. But these therapies will only work on the surrounding muscles, and any relief will very likely be temporary.<span class=\"Apple-converted-space\"> </span>\r\n<h4><em>Regenerative Orthopedics Are One Treatment Option</em></h4>\r\nIf ligaments are weakened, the muscles will be going into spasm. That\'s because muscles spasm in an effort to stabilize the area that is currently unstable due to the ligament injury. Muscle-strengthening may be of benefit too. But remember that the underlying injury of the ligaments needs to be addressed. Regenerative Orthopedic treatments, such as Prolotherapy or PRP, are great options for addressing ligament injuries. And they are effective at both repairing and strengthening these types of soft tissue injuries.\r\n<h4><em>Non-Steroidal Anti-inflammatory Drugs (NSAIDs) and Cortisone Are Not Reparative Treatments</em></h4>\r\nNon-steroidal anti-inflammatory drugs (NSAIDs) are frequently used, but they are not reparative. So when you reach for an aspirin, Advil, or some other over-the-counter NSAID pain reliever, know that this is not a fix. Your physician may recommend prescription NSAID’s. But again, NSAID’s do not repair the injury. They may give you some relief, but they will not fix the underlying problem or heal the injury.\r\n\r\nIf sciatica symptoms do not resolve on their own and the pain continues, a cortisone injection may be recommended by your physician. Epidural cortisone injections may reduce the size of stressed nerve roots, but they do have side effects. Studies have shown that cortisone causes tissue like the ligaments to grow weaker. So, if weak tissue is the source of the problem, to begin with, then why use something that may make the problem worse? Instead, the spinal instability that is allowing the vertebral segments to move excessively needs to be addressed, so the pain can stop!\r\n<h4><strong><em>What About Painkillers and Anti-Depressants for Sciatica Symptoms?</em></strong></h4>\r\nHave you tried painkillers and found no lasting relief? Until the source of the problem is addressed, you may find yourself exhausted and frustrated at the failure of various therapies to provide long-lasting relief. Not to mention treatments that are ineffective at relieving lumbar radiculopathy and the sciatica symptoms.\r\n\r\nAre antidepressants and anticonvulsants being recommended? Although you may be depressed because of unending pain, good chance depression is not the source of your back pain. And what about the use of anticonvulsants to treat sciatica? In a 2018 article in the Journal of the American Medical Association (JAMA), the writers note that the commonly used anticonvulsant medication for sciatica called “pregabalin does not improve symptoms of sciatica but frequently has adverse effects.”<a href=\"#_edn1\" name=\"_ednref1\">[i]</a>\r\n\r\nHave you exhausted conservative care options? And have you progressed to stronger medications like painkillers, antidepressants, and anticonvulsants, and are possibly facing the recommendations of surgery? Then it is time to look into a solution that actually repairs the injury. Regenerative Orthopedics can provide an effective option that results in relief and repair while utilizing a non-surgical solution for those with persistent sciatica symptoms and lumbar radiculopathy.\r\n<h4><em><strong>What if Surgery Has Been Recommended for Your Sciatica Symptoms?</strong></em></h4>\r\nIf you are facing surgery for relief from your symptoms, minimally invasive spine surgery may be the surgery you are considering. Surgery may give you relief. However, studies have shown that although there may be a rapid decrease in pain and disability after a few months, years down the road patients still experience mild to moderate pain post-surgery.<a href=\"#_edn2\" name=\"_ednref2\">[ii]</a>\r\n<h3><strong>Regenerative Orthopedics to Strengthen Spinal Instability and Relieve Sciatica Symptoms</strong></h3>\r\nWhy choose surgery and treatments with side effects? Or those which also lack benefit when there is another option? Choose the path that actually repairs the injury and solves the problem. Regenerative Orthopedics is non-surgical, plus it is effective.\r\n\r\nAt OrthoRegen<sup>®</sup>, we treat all of the involved areas of the low back, including the injured ligaments and their attachments to stimulate the body’s own natural healing process. The treatment boosts the blood supply to the injured areas. And that brings reparative cells to the ligaments so they can heal. Remember that when the ligaments are weak, they allow for too much movement of the vertebrae. And with this extra movement a nerve can get pinched.\r\n\r\nRegenerative Orthopedic treatments to these areas strengthen and tighten the ligaments. That leads to stabilization of the lumbar spine, which stops the excessive movement, and repairs the underlying problem. The result is pain relief. Regenerative Orthopedics is effective at bringing pain relief and return to function for those suffering from sciatica symptoms and lumbar radiculopathy.\r\n\r\n<a href=\"#_ednref1\" name=\"_edn1\">[i]</a> Morgan DJ, Dhruva SS, Coon ER, Wright SM, Korenstein D. 2018 Update on Medical Overuse. JAMA Internal Medicine. 2018 Dec 3.  [<a href=\"https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2717505\">JAMA</a>]\r\n\r\n<a href=\"#_ednref2\" name=\"_edn2\">[ii]</a> Machado GC, Witzleb AJ, Fritsch C, Maher CG, Ferreira PH, Ferreira ML. Patients with sciatica still experience pain and disability 5 years after surgery: A systematic review with meta-analysis of cohort studies. Eur J Pain. 2016 May 12.[<a href=\"https://scholar.google.com/scholar?cluster=1973126208637694796&amp;hl=en&amp;as_sdt=0,31\">Google Scholar</a>]\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Relief from Sciatica Symptoms','','inherit','closed','closed','','2555-revision-v1','','','2021-05-08 02:25:37','2021-05-08 02:25:37','',2555,'https://www.drfields.com/?p=4671',0,'revision','',0),(4672,9,'2021-05-12 21:17:25','2021-05-12 21:17:25','Knee Arthritis','Knee Arthritis','Knee Arthritis','inherit','open','closed','','knee-arthritis','','','2021-05-12 21:17:25','2021-05-12 21:17:25','',1391,'https://www.drfields.com/wp-content/uploads/2019/06/knee-arthritis.jpg',0,'attachment','image/jpeg',0),(4673,9,'2021-05-12 21:42:37','2021-05-12 21:42:37','<h2>Get Rid of Knee Arthritis Symptoms by Treating the Source of the Pain</h2>\n<img class=\"size-medium wp-image-4672 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/knee-arthritis-500x500.jpg\" alt=\"Knee Arthritis\" width=\"500\" height=\"500\" />\n\nWe treat a lot of knees at our clinic. Part of the reason is that knee injuries are so prevalent. Another reason is that, quite often, the other treatments patients receive only provide temporary relief. Plus, unhealed knee injuries often lead to painful knee arthritis.\n\nWhen an injury is left untreated or when the treatment fails to repair an injury adequately, the knee becomes unstable. The instability sets the knee up for a cycle of abnormal joint motion. And that abnormal motion in the knee promotes degeneration and destroys the joint over time. All of that sets the knee up for the development of arthritis.\n\nIf you already have arthritis in your knee, we can help. If you have knee injuries such as a torn meniscus or ACL, we can help too! Regenerative Orthopedics are effective therapies capable of repairing the injury and stopping the cycle that leads to arthritis. Regenerative Orthopedics are ideal treatments for anyone looking to avoid knee replacement!\n<h3>The Healthy Knee versus An Injured Knee</h3>\nThe knee is the largest joint in the body and one of the more complex joints. To accomplish all of the tasks the knee needs to do, many forces and stressors are placed on it.\n\nA healthy knee moves smoothly during walking activities and also when running, jumping, and turning. One of the most important keys to a healthy knee is maintaining stability in response to the forces placed upon it. When any part of the knee joint is injured, such as the bony configuration, muscles, menisci, joint capsule, or ligaments, the whole stability of the knee is disrupted. And that can cause symptoms and pain.\n\nWhen knee injury does occur, Regenerative Orthopedics stops the disruption and stabilizes the knee again. The treatment does this by promoting the healing of unstable and weakened ligaments. And it repairs the other injured joint structures too. The result is the elimination of the pain associated with knee conditions caused by abnormal joint motion.\n<h3>Knee Arthritis and Pain</h3>\nKnee pain is one of the most common reasons people seek out medical help. And knee osteoarthritis is a primary player, impairing the mobility and activity level of those who suffer from it. The prevalence of knee pain increases with age. Plus, it is affected by lifestyle factors, such as obesity and lack of exercise. Arthritis patients deal with chronic pain, joint stiffness, structural damage, and the progressive loss of cartilage, which can be disabling.\n\n<strong>Did you know the pain of arthritis does not come from the cartilage?</strong> Even though cartilage loss plays a central role in arthritis, it is not the source of pain. That\'s because cartilage tissue does not contain nerve fibers. The tissue containing many nerve fibers includes the ligaments, tendons, meniscus, joint capsule, synovium, and periosteum. Arthritis pain is due to injury to these types of tissue.\n<h3>The Painful Process Leading to Knee Arthritis</h3>\nSoft-tissue structures are mainly responsible for the smooth movement of the knee joint. But when abnormal forces are placed on them, injury occurs that disrupts the balance between normal motion and instability. This is where the painful process begins. The nerve endings that cause pain are also present where the ligaments and tendons insert into the bone. And this area can become a source of ongoing knee pain. Regenerative Orthopedic treatments are often directed at these sites and as such are recognized as one of the most effective non-surgical therapies to treat knee pain.\n\nLigaments play a crucial role in the knee\'s stability because they guide the motion of the knee joints and restrain excessive motion to prevent dislocation. Ligament injuries are also the most common form of a knee injury. Ligament injury then upsets and disrupts the balance in the motion of the knee joint.\n\nInjuries that result in ligament damage also commonly result in injury to other knee structures, such as the meniscus, tendons, and cartilage. As mentioned, these injuries can eventually lead to arthritis, which can transpire within a few years with severe injuries or possibly over decades if the injury is less severe.\n<h3>Regenerative Orthopedic Treatments Heal the Soft Tissue Injuries</h3>\nAlthough many treatments may offer temporary pain relief, it is important to find a treatment that does more than chase the symptoms. <strong>It is important to repair the injured soft tissue to restore normal motion to the knee joint.</strong> Regenerative Orthopedic treatment options, such as Stem Cell Therapy, Platelet Rich Plasma, and Prolotherapy, are effective therapies that do just that.\n\nThese treatments stimulate the healing of ligaments, tendons, and menisci and restore normal functioning of the knee joint, thus preventing arthritic progression. In more advanced cases, the Gold Standard in Stem Cell Therapy can be used to promote the regeneration of articular cartilage.\n\nRegenerative Orthopedic treatments target and repair the structures generating the pain in knee arthritis, effectively resolving the pain. These therapies give hope to people living with arthritis because they provide pain relief and joint repair, resulting in improved function and a better quality of life.','Get Rid of Knee Arthritis Symptoms by Treating the Source of the Pain','','inherit','closed','closed','','1391-autosave-v1','','','2021-05-12 21:42:37','2021-05-12 21:42:37','',1391,'https://www.drfields.com/?p=4673',0,'revision','',0),(4674,9,'2021-05-12 21:29:38','2021-05-12 21:29:38','<h2>Get Rid of Knee Arthritis Symptoms by Treating the Source of the Pain</h2>\r\n<img class=\"size-medium wp-image-4672\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/knee-arthritis-500x500.jpg\" alt=\"Knee Arthritis\" width=\"500\" height=\"500\" />\r\n\r\nWe treat a lot of knees at our clinic. Part of the reason is that knee injuries are so prevalent. Another reason is because, quite often, the other treatments patients receive only provide temporary relief. Plus, unhealed knee injuries often lead to painful knee arthritis.\r\n\r\nWhen an injury is left untreated or when the treatment fails to adequately repair an injury, the knee becomes unstable. The instability sets the knee up for a cycle of abnormal joint motion. And that abnormal motion in the knee promotes degeneration and destroys the joint over time. All of that sets the knee up for the development of arthritis.\r\n\r\nIf you already have arthritis in your knee, we can help. If you have knee injuries such as a torn meniscus or ACL, we can help too! Regenerative Orthopedics are effective therapies capable of repairing the injury and stopping the cycle that leads to arthritis. Regenerative Orthopedics are ideal treatments for anyone looking to avoid knee replacement!\r\n<h3>The Healthy Knee versus An Injured Knee</h3>\r\nThe knee is the largest joint in the body and one of the more complex joints. In order to accomplish all of the tasks the knee needs to do, many forces and stressors are placed on it.\r\n\r\nA healthy knee moves smoothly during walking activities, and also when running, jumping, and turning. One of the most important keys to a healthy knee is maintaining stability in response to the forces placed upon it. When any part of the knee joint is injured, such as the bony configuration, muscles, menisci, joint capsule, or ligaments, the whole stability of the knee is disrupted. And that can cause symptoms and pain.\r\n\r\nWhen knee injury does occur, Regenerative Orthopedics stops the disruption and stabilizes the knee again. The treatment does this by promoting the healing of unstable and weakened ligaments. And it repairs the other injured joint structures too. The result is the elimination of the pain associated with knee conditions caused by abnormal joint motion.\r\n<h3>Knee Arthritis and Pain</h3>\r\nKnee pain is one of the most common reasons people seek out medical help, and knee osteoarthritis is a primary player, impairing the mobility and activity level of those who suffer from it. The prevalence of knee pain increases with age, and is affected by lifestyle factors, such as obesity and lack of exercise. Arthritis sufferers deal with chronic pain, joint stiffness, structural damage, and the progressive loss of cartilage, which can be disabling. Did you know the pain of arthritis does not come from the cartilage? Even though cartilage loss plays a central role in arthritis, it is not the source of pain, since cartilage tissue does not contain nerve fibers. The tissue that does contain a lot of nerve fibers includes the ligaments, tendons, meniscus, joint capsule, synovium and periosteum. Arthritis pain is due to injury to these types of tissue. Since soft tissue is mainly responsible for the smooth movement of the knee joint, when abnormal forces are placed on them, injury occurs that disrupts the balance between normal motion and instability. This is where the painful process begins. The nerve endings that cause pain are also present where the ligaments and tendons insert to the bone, and this area can become a source of ongoing knee pain. Regenerative Orthopedic treatments are often directed at these sites and as such are recognized as one of the most effective non-surgical therapies to treat knee pain.\r\n\r\nLigaments play a crucial role in the stability of the knee, because they guide the motion of the knee joints, and restrain excessive motion to prevent dislocation. Ligament injuries are also the most common form of knee injury. Ligament injury then upsets and disrupts the balance in the motion of the knee joint. Injuries that result in ligament damage also commonly result in the injury to other knee structures, such as the meniscus, tendons and cartilage. As mentioned, these injuries can eventually lead to arthritis, which can transpire within a few years with severe injuries or possibly over decades if the injury is less severe.\r\n<h6>Regenerative Orthopedic Treatments Heal the Soft Tissue Injuries</h6>\r\nAlthough many treatments may offer temporary pain relief, it is important to find a treatment that does more than chase the symptoms, and one that actually repairs the injured soft tissue in order to restore normal motion to the knee joint. Regenerative Orthopedic treatment options, such as Stem Cell Therapy, Platelet Rich Plasma and Prolotherapy are effective therapies that do just that. These treatments stimulate healing of ligaments, tendons and menisci, and restore normal functioning of the knee joint, thus preventing the arthritic progression. In more advanced cases, the Gold Standard in Stem Cell Therapy can be used to promote the regeneration of articular cartilage.\r\n\r\nRegenerative Orthopedic treatments target and repair the structures generating the pain in knee arthritis, effectively resolving the pain. Regenerative Orthopedic treatments give hope to arthritis sufferers, because they provide not only pain relief, but also joint repair, resulting in improved function and a better quality of life.','Get Rid of Knee Arthritis Symptoms by Treating the Source of the Pain','','inherit','closed','closed','','1391-revision-v1','','','2021-05-12 21:29:38','2021-05-12 21:29:38','',1391,'https://www.drfields.com/?p=4674',0,'revision','',0),(4675,9,'2021-05-12 21:45:05','2021-05-12 21:45:05','<h2>Get Rid of Knee Arthritis Symptoms by Treating the Source of the Pain</h2>\r\n<img class=\"size-medium wp-image-4672 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/knee-arthritis-500x500.jpg\" alt=\"Knee Arthritis\" width=\"500\" height=\"500\" />\r\n\r\nWe treat a lot of knees at our clinic. Part of the reason is that knee injuries are so prevalent. Another reason is that, quite often, the other treatments patients receive only provide temporary relief. Plus, unhealed knee injuries often lead to painful knee arthritis.\r\n\r\nWhen an injury is left untreated or when the treatment fails to repair an injury adequately, the knee becomes unstable. The instability sets the knee up for a cycle of abnormal joint motion. And that abnormal motion in the knee promotes degeneration and destroys the joint over time. All of that sets the knee up for the development of arthritis.\r\n\r\nIf you already have arthritis in your knee, we can help. If you have knee injuries such as a torn meniscus or ACL, we can help too! Regenerative Orthopedics are effective therapies capable of repairing the injury and stopping the cycle that leads to arthritis. Regenerative Orthopedics are ideal treatments for anyone looking to avoid knee replacement!\r\n<h3>The Healthy Knee versus An Injured Knee</h3>\r\nThe knee is the largest joint in the body and one of the more complex joints. To accomplish all of the tasks the knee needs to do, many forces and stressors are placed on it.\r\n\r\nA healthy knee moves smoothly during walking activities and also when running, jumping, and turning. One of the most important keys to a healthy knee is maintaining stability in response to the forces placed upon it. When any part of the knee joint is injured, such as the bony configuration, muscles, menisci, joint capsule, or ligaments, the whole stability of the knee is disrupted. And that can cause symptoms and pain.\r\n\r\nWhen knee injury does occur, Regenerative Orthopedics stops the disruption and stabilizes the knee again. The treatment does this by promoting the healing of unstable and weakened ligaments. And it repairs the other injured joint structures too. The result is the elimination of the pain associated with knee conditions caused by abnormal joint motion.\r\n<h3>Knee Arthritis and Pain</h3>\r\nKnee pain is one of the most common reasons people seek out medical help. And knee osteoarthritis is a primary player, impairing the mobility and activity level of those who suffer from it. The prevalence of knee pain increases with age. Plus, it is affected by lifestyle factors, such as obesity and lack of exercise. Arthritis patients deal with chronic pain, joint stiffness, structural damage, and the progressive loss of cartilage, which can be disabling.\r\n\r\n<strong>Did you know the pain of arthritis does not come from the cartilage?</strong> Even though cartilage loss plays a central role in arthritis, it is not the source of pain. That\'s because cartilage tissue does not contain nerve fibers. The tissue containing many nerve fibers includes the ligaments, tendons, meniscus, joint capsule, synovium, and periosteum. Arthritis pain is due to injury to these types of tissue.\r\n<h3>The Painful Process Leading to Knee Arthritis</h3>\r\nSoft-tissue structures are mainly responsible for the smooth movement of the knee joint. But when abnormal forces are placed on them, injury occurs that disrupts the balance between normal motion and instability. This is where the painful process begins. The nerve endings that cause pain are also present where the ligaments and tendons insert into the bone. And this area can become a source of ongoing knee pain. Regenerative Orthopedic treatments are often directed at these sites and as such are recognized as one of the most effective non-surgical therapies to treat knee pain.\r\n\r\nLigaments play a crucial role in the knee\'s stability because they guide the motion of the knee joints and restrain excessive motion to prevent dislocation. Ligament injuries are also the most common form of a knee injury. Ligament injury then upsets and disrupts the balance in the motion of the knee joint.\r\n\r\nInjuries that result in ligament damage also commonly result in injury to other knee structures, such as the meniscus, tendons, and cartilage. As mentioned, these injuries can eventually lead to arthritis, which can transpire within a few years with severe injuries or possibly over decades if the injury is less severe.\r\n<h3>Regenerative Orthopedic Treatments Heal the Soft Tissue Injuries</h3>\r\nAlthough many treatments may offer temporary pain relief, it is important to find a treatment that does more than chase the symptoms. <strong>It is important to repair the injured soft tissue to restore normal motion to the knee joint.</strong> Regenerative Orthopedic treatment options, such as Stem Cell Therapy, Platelet Rich Plasma, and Prolotherapy, are effective therapies that do just that.\r\n\r\nThese treatments stimulate the healing of ligaments, tendons, and menisci and restore normal functioning of the knee joint, thus preventing arthritic progression. In more advanced cases, the Gold Standard in Stem Cell Therapy can be used to promote the regeneration of articular cartilage.\r\n\r\nRegenerative Orthopedic treatments target and repair the structures generating the pain in knee arthritis, effectively resolving the pain. These therapies give hope to people living with arthritis because they provide pain relief and joint repair, resulting in improved function and a better quality of life.','Get Rid of Knee Arthritis Symptoms by Treating the Source of the Pain','','inherit','closed','closed','','1391-revision-v1','','','2021-05-12 21:45:05','2021-05-12 21:45:05','',1391,'https://www.drfields.com/?p=4675',0,'revision','',0),(4677,9,'2021-05-18 23:17:15','2021-05-18 23:17:15','<h2 style=\"text-align: center;\">My First Ironman</h2>\n<div class=\"col-md-8\">\n\n[caption id=\"attachment_43\" align=\"aligncenter\" width=\"220\"]<img class=\"wp-image-43 size-full\" title=\"My First Ironman\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-cozumel-logo.jpg\" alt=\"Ironman Cozumel Logo\" width=\"220\" height=\"90\" /> November 27, 2011 2.4-mile swim, 112-mile bike, 26.2-mile run[/caption]\n\n<strong style=\"font-size: 16px;\">On November 27, 2011, after 27 years of competing in triathlons, I became an Ironman.</strong>\n\n<span style=\"font-size: 16px;\">In Cozumel, Mexico at 9:04:07 pm, to be exact.</span> I began what was to be an epic day in my life. The race included a 2.4-mile swim, a 112-mile bike, and a 26.2-mile run. A physical and mental challenge like no other. And although I had trained countless hours to get my body physically prepared, the day was all about staying mentally focused. Because if your mind got the better of you, the day would be over.\n\nMy day began at 4 am when I awoke to have breakfast. After getting to the transition area and re-checking my bike several times, I was ready to go. I then went down to the beach to begin the race with over 2300 swimmers (1700+ men and almost 600 women) from over 34 countries.\n\nIt was a beautiful day; air temp about 80 degrees, clear skies, and not a cloud in sight. Now, after all the months of training, my epic journey was about to begin.\n\n&nbsp;\n<h3><img class=\"alignleft size-full wp-image-53\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2011-swim.jpg\" alt=\"Cozumel 2011 Swim\" /><strong class=\"subhead\">THE SWIM</strong></h3>\nAfter the starting gun went off, it was one big mad dash to the first turn. Fortunately, I am a strong swimmer, so I was towards the front of the pack. Nonetheless, there were arms, legs, and bodies all around me. Sometimes even on top of you! It was a beautiful 2.4-mile swim in the 82 degrees, crystal clear ocean water of the Yucatan Peninsula. You could see the bottom, which was over 30 feet down. Plus, you could see lots of fish of all sizes and even the scuba divers (they were there \"just in case\"). Time went by quickly. And one hour and one minute later, I was climbing the stairs out of the water.\n\n&nbsp;\n\n&nbsp;\n<h3><img class=\"alignleft size-full wp-image-56\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2011-bike.jpg\" alt=\"Cozumel 2011 Bike\" /><strong class=\"subhead\">THE BIKE TRANSITION IN MY FIRST IRONMAN</strong></h3>\nThen off to the transition (change tent) to get into bike clothing and hop on my bike for a 112-mile ride. It was three times around the Island. And although there weren\'t any hills, the backside of the island gets wind. That meant that about 60 miles of the ride were into the wind.\n\nThe air temp was now about 85 -87 degrees, with no clouds in sight. You could see huge waves breaking (since we were right next to the beach), so we had a nice view. But the onshore winds never let up. At times we had to lean into the wind to keep upright.\n\nAs I passed through town, twice on the bike and again twice on the run, I had my cheering squad there. Their passion and enthusiasm kept me going the whole race - big time.\n\nHalfway through the bike ride, I received my special needs bag from the volunteers. With that bag, I reloaded with my own food (water I got from the aid stations).\n\nHere I was able to alleviate a potentially major problem. About half an hour earlier, I had developed severe pain in my left foot. When I got off the bike, I removed the left shoe support wedge (I have one in each shoe), making the pain bearable. Fortunately, I did not have any mechanical problems on the bike. And best of all, <strong>no flats</strong>!\n\nWhen I was on the last nine miles, the skies darkened and then opened up with torrential rain. It rained so hard; it was difficult to see the end of the bike (my bike shoes took two and a half days to dry out). After making it to the transition area and handing off my bike, I was into the change tent to put on running shoes and start the marathon.\n<h3><img class=\"alignleft size-full wp-image-60\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2011-run.jpg\" alt=\"Cozumel 2011 Run\" /><strong class=\"subhead\">THE RUN</strong></h3>\nWhen leaving the tent, you cannot think marathon. Since after over eight hours of working out, that would be too much to comprehend. No, instead, you focus on just going for a run.\n\nThe foot pain that I had on the bike disappeared as soon as I started to run. There were puddles everywhere (it was still raining lightly), and my feet did get a bit wet. Then about three miles into the run, there was a street crossing with the water about knee-high.\n\nSo at that point, the puddles did not matter anymore and my socks and shoes were just soaked. I did develop a blister on my left foot under the shoe tongue but did not let it bother me. At least until the race was over.\n\nI just kept telling myself to keep running. And I only walked through the aid stations for a quick sip of water or coke, to bite an orange (the gels I carried with me), or to get some ice to put under my hat or down my shirt. My mantra - \"just keep running; do not walk.\" It was a three-lap run, so it was out and back 6 times. Tedious, but every time we would come back through town, the crowds were going wild along a two-mile stretch (along with my cheering squad!).\n\nWith each lap, it became more of a mental game to stay \"in it.\" The third and final lap was the toughest mentally as well as physically; not only because of over 12 + hrs of working out, but it was dark out and still at least 82-84 degrees. It was \"Just Do It!\" time. So I just kept focusing on the next mile. And once I hit the final turnaround (only 4.4 miles to go), I knew that I had it.\n<h3><img class=\"alignleft size-full wp-image-59\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2011-finish2.jpg\" alt=\"Cozumel 2011 Finish2\" /><strong class=\"subhead\">THE FINISH</strong></h3>\nAs I entered the final 50 meters leading to the finish line, a big smile came across my face. At this point, I finally knew that I had accomplished what I had set out to do many months ago. I felt wonderful—no pain or exhaustion - only euphoria.\n\nAs my coach told me, race day is all about crisis control. So when I crossed the finish line, after 27 years in the sport, the announcer said what I had not heard before: <strong>\"Peter Fields, you are an Ironman!\"</strong>\n\nAfter a moment or two of realization of what I had just accomplished, it was time for food, water, and a post-race massage.\n<div class=\"clear\"></div>\n<p class=\"text-center\"><strong>Peter A. Fields, MD DC</strong>\n<strong id=\"athleticdoc\">The Athletic Doc<sup style=\"font-size: 14px;\">®</sup> and Ironman Finisher</strong></p>\n\n</div>\n<div id=\"sidebar2\" class=\"col-md-4\"><img title=\"2011 Cozumel\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2011-finish-2.jpg\" alt=\"2011 Cozumel\" width=\"160\" height=\"215\" />\n<a href=\"https://photos.app.goo.gl/iYK2GiU2Wy4E6XNY2\" target=\"_blank\" rel=\"noopener noreferrer\">2011 Cozumel\nClick For More Photos</a>\n\nClick below for Pictures &amp; Stories from my other Ironman races:\n<a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2017 Ironman Santa Rosa</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\n<a href=\"/About/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\n<a href=\"/About/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a></div>','My First Ironman: Race Report','','inherit','closed','closed','','92-autosave-v1','','','2021-05-18 23:17:15','2021-05-18 23:17:15','',92,'https://www.drfields.com/?p=4677',0,'revision','',0),(4678,9,'2021-05-18 23:17:16','2021-05-18 23:17:16','<h2 style=\"text-align: center;\">My First Ironman</h2>\r\n<div class=\"col-md-8\">\r\n\r\n[caption id=\"attachment_43\" align=\"aligncenter\" width=\"220\"]<img class=\"wp-image-43 size-full\" title=\"My First Ironman\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-cozumel-logo.jpg\" alt=\"Ironman Cozumel Logo\" width=\"220\" height=\"90\" /> November 27, 2011 2.4-mile swim, 112-mile bike, 26.2-mile run[/caption]\r\n\r\n<strong style=\"font-size: 16px;\">On November 27, 2011, after 27 years of competing in triathlons, I became an Ironman.</strong>\r\n\r\n<span style=\"font-size: 16px;\">In Cozumel, Mexico at 9:04:07 pm, to be exact.</span> I began what was to be an epic day in my life. The race included a 2.4-mile swim, a 112-mile bike, and a 26.2-mile run. A physical and mental challenge like no other. And although I had trained countless hours to get my body physically prepared, the day was all about staying mentally focused. Because if your mind got the better of you, the day would be over.\r\n\r\nMy day began at 4 am when I awoke to have breakfast. After getting to the transition area and re-checking my bike several times, I was ready to go. I then went down to the beach to begin the race with over 2300 swimmers (1700+ men and almost 600 women) from over 34 countries.\r\n\r\nIt was a beautiful day; air temp about 80 degrees, clear skies, and not a cloud in sight. Now, after all the months of training, my epic journey was about to begin.\r\n\r\n&nbsp;\r\n<h3><img class=\"alignleft size-full wp-image-53\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2011-swim.jpg\" alt=\"Cozumel 2011 Swim\" /><strong class=\"subhead\">THE SWIM</strong></h3>\r\nAfter the starting gun went off, it was one big mad dash to the first turn. Fortunately, I am a strong swimmer, so I was towards the front of the pack. Nonetheless, there were arms, legs, and bodies all around me. Sometimes even on top of you! It was a beautiful 2.4-mile swim in the 82 degrees, crystal clear ocean water of the Yucatan Peninsula. You could see the bottom, which was over 30 feet down. Plus, you could see lots of fish of all sizes and even the scuba divers (they were there \"just in case\"). Time went by quickly. And one hour and one minute later, I was climbing the stairs out of the water.\r\n\r\n&nbsp;\r\n\r\n&nbsp;\r\n<h3><img class=\"alignleft size-full wp-image-56\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2011-bike.jpg\" alt=\"Cozumel 2011 Bike\" /><strong class=\"subhead\">THE BIKE TRANSITION IN MY FIRST IRONMAN</strong></h3>\r\nThen off to the transition (change tent) to get into bike clothing and hop on my bike for a 112-mile ride. It was three times around the Island. And although there weren\'t any hills, the backside of the island gets wind. That meant that about 60 miles of the ride were into the wind.\r\n\r\nThe air temp was now about 85 -87 degrees, with no clouds in sight. You could see huge waves breaking (since we were right next to the beach), so we had a nice view. But the onshore winds never let up. At times we had to lean into the wind to keep upright.\r\n\r\nAs I passed through town, twice on the bike and again twice on the run, I had my cheering squad there. Their passion and enthusiasm kept me going the whole race - big time.\r\n\r\nHalfway through the bike ride, I received my special needs bag from the volunteers. With that bag, I reloaded with my own food (water I got from the aid stations).\r\n\r\nHere I was able to alleviate a potentially major problem. About half an hour earlier, I had developed severe pain in my left foot. When I got off the bike, I removed the left shoe support wedge (I have one in each shoe), making the pain bearable. Fortunately, I did not have any mechanical problems on the bike. And best of all, <strong>no flats</strong>!\r\n\r\nWhen I was on the last nine miles, the skies darkened and then opened up with torrential rain. It rained so hard; it was difficult to see the end of the bike (my bike shoes took two and a half days to dry out). After making it to the transition area and handing off my bike, I was into the change tent to put on running shoes and start the marathon.\r\n<h3><img class=\"alignleft size-full wp-image-60\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2011-run.jpg\" alt=\"Cozumel 2011 Run\" /><strong class=\"subhead\">THE RUN</strong></h3>\r\nWhen leaving the tent, you cannot think marathon. Since after over eight hours of working out, that would be too much to comprehend. No, instead, you focus on just going for a run.\r\n\r\nThe foot pain that I had on the bike disappeared as soon as I started to run. There were puddles everywhere (it was still raining lightly), and my feet did get a bit wet. Then about three miles into the run, there was a street crossing with the water about knee-high.\r\n\r\nSo at that point, the puddles did not matter anymore, and my socks and shoes were just soaked. I did develop a blister on my left foot under the shoe tongue but did not let it bother me at least until the race was over.\r\n\r\nI just kept telling myself to keep running. And I only walked through the aid stations for a quick sip of water or coke, to bite an orange (the gels I carried with me), or to get some ice to put under my hat or down my shirt. My mantra - \"just keep running; do not walk.\" It was a three-lap run, so it was out and back 6 times. Tedious, but every time we would come back through town, the crowds were going wild along a two-mile stretch (along with my cheering squad!).\r\n\r\nWith each lap, it became more of a mental game to stay \"in it.\" The third and final lap was the toughest mentally and physically; not only because of over 12 + hrs of working out, but it was dark out and still at least 82-84 degrees. It was \"Just Do It!\" time. So I just kept focusing on the next mile. And once I hit the final turnaround (only 4.4 miles to go), I knew that I had it.\r\n<h3><img class=\"alignleft size-full wp-image-59\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2011-finish2.jpg\" alt=\"Cozumel 2011 Finish2\" /><strong class=\"subhead\">THE FINISH</strong></h3>\r\nAs I entered the final 50 meters leading to the finish line, a big smile came across my face. At this point, I finally knew that I had accomplished what I had set out to do many months ago. I felt wonderful—no pain or exhaustion - only euphoria.\r\n\r\nAs my coach told me, race day is all about crisis control. So when I crossed the finish line, after 27 years in the sport, the announcer said what I had not heard before: <strong>\"Peter Fields, you are an Ironman!\"</strong>\r\n\r\nAfter a moment or two of realizing what I had just accomplished, it was time for food, water, and a post-race massage.\r\n<div class=\"clear\"></div>\r\n<p class=\"text-center\"><strong>Peter A. Fields, MD DC</strong>\r\n<strong id=\"athleticdoc\">The Athletic Doc<sup style=\"font-size: 14px;\">®</sup> and Ironman Finisher</strong></p>\r\n\r\n</div>\r\n<div id=\"sidebar2\" class=\"col-md-4\"><img title=\"2011 Cozumel\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2011-finish-2.jpg\" alt=\"2011 Cozumel\" width=\"160\" height=\"215\" />\r\n<a href=\"https://photos.app.goo.gl/iYK2GiU2Wy4E6XNY2\" target=\"_blank\" rel=\"noopener noreferrer\">2011 Cozumel\r\nClick For More Photos</a>\r\n\r\nClick below for Pictures &amp; Stories from my other Ironman races:\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2017 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/About/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/About/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a></div>','My First Ironman: Race Report','','inherit','closed','closed','','92-revision-v1','','','2021-05-18 23:17:16','2021-05-18 23:17:16','',92,'https://www.drfields.com/?p=4678',0,'revision','',0),(4679,9,'2021-05-18 23:19:04','2021-05-18 23:19:04','<h2 style=\"text-align: center;\">My First Ironman</h2>\r\n<div class=\"col-md-8\">\r\n\r\n[caption id=\"attachment_43\" align=\"aligncenter\" width=\"220\"]<img class=\"wp-image-43 size-full\" title=\"My First Ironman\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-cozumel-logo.jpg\" alt=\"Ironman Cozumel Logo\" width=\"220\" height=\"90\" /> November 27, 2011 2.4-mile swim, 112-mile bike, 26.2-mile run[/caption]\r\n\r\n<strong style=\"font-size: 16px;\">On November 27, 2011, after 27 years of competing in triathlons, I became an Ironman.</strong>\r\n\r\n<span style=\"font-size: 16px;\">In Cozumel, Mexico at 9:04:07 pm, to be exact.</span> I began what was to be an epic day in my life. The race included a 2.4-mile swim, a 112-mile bike, and a 26.2-mile run. A physical and mental challenge like no other. And although I had trained countless hours to get my body physically prepared, the day was all about staying mentally focused. Because if your mind got the better of you, the day would be over.\r\n\r\nMy day began at 4 am when I awoke to have breakfast. After getting to the transition area and re-checking my bike several times, I was ready to go. I then went down to the beach to begin the race with over 2300 swimmers (1700+ men and almost 600 women) from over 34 countries.\r\n\r\nIt was a beautiful day; air temp about 80 degrees, clear skies, and not a cloud in sight. Now, after all the months of training, my epic journey was about to begin.\r\n\r\n&nbsp;\r\n<h3><img class=\"alignleft size-full wp-image-53\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2011-swim.jpg\" alt=\"Cozumel 2011 Swim\" /><strong class=\"subhead\">THE SWIM</strong></h3>\r\nAfter the starting gun went off, it was one big mad dash to the first turn. Fortunately, I am a strong swimmer, so I was towards the front of the pack. Nonetheless, there were arms, legs, and bodies all around me. Sometimes even on top of you! It was a beautiful 2.4-mile swim in the 82 degrees, crystal clear ocean water of the Yucatan Peninsula. You could see the bottom, which was over 30 feet down. Plus, you could see lots of fish of all sizes and even the scuba divers (they were there \"just in case\"). Time went by quickly. And one hour and one minute later, I was climbing the stairs out of the water.\r\n\r\n&nbsp;\r\n\r\n&nbsp;\r\n<h3><img class=\"alignleft size-full wp-image-56\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2011-bike.jpg\" alt=\"Cozumel 2011 Bike\" /><strong class=\"subhead\">THE BIKE TRANSITION IN MY FIRST IRONMAN</strong></h3>\r\nThen off to the transition (change tent) to get into bike clothing and hop on my bike for a 112-mile ride. It was three times around the Island. And although there weren\'t any hills, the backside of the island gets wind. That meant that about 60 miles of the ride were into the wind.\r\n\r\nThe air temp was now about 85 -87 degrees, with no clouds in sight. You could see huge waves breaking (since we were right next to the beach), so we had a nice view. But the onshore winds never let up. At times we had to lean into the wind to keep upright.\r\n\r\nAs I passed through town, twice on the bike and again twice on the run, I had my cheering squad there. Their passion and enthusiasm kept me going the whole race - big time.\r\n\r\nHalfway through the bike ride, I received my special needs bag from the volunteers. With that bag, I reloaded with my own food (water I got from the aid stations).\r\n\r\nHere I was able to alleviate a potentially major problem. About half an hour earlier, I had developed severe pain in my left foot. When I got off the bike, I removed the left shoe support wedge (I have one in each shoe), making the pain bearable. Fortunately, I did not have any mechanical problems on the bike. And best of all, <strong>no flats</strong>!\r\n\r\nWhen I was on the last nine miles, the skies darkened and then opened up with torrential rain. It rained so hard; it was difficult to see the end of the bike (my bike shoes took two and a half days to dry out). After making it to the transition area and handing off my bike, I was into the change tent to put on running shoes and start the marathon.\r\n<h3><img class=\"alignleft size-full wp-image-60\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2011-run.jpg\" alt=\"Cozumel 2011 Run\" /><strong class=\"subhead\">THE RUN</strong></h3>\r\nWhen leaving the tent, you cannot think marathon. Since after over eight hours of working out, that would be too much to comprehend. No, instead, you focus on just going for a run.\r\n\r\nThe foot pain that I had on the bike disappeared as soon as I started to run. There were puddles everywhere (it was still raining lightly), and my feet did get a bit wet. Then about three miles into the run, there was a street crossing with the water about knee-high.\r\n\r\nSo at that point, the puddles did not matter anymore, and my socks and shoes were just soaked. I did develop a blister on my left foot under the shoe tongue but did not let it bother me at least until the race was over.\r\n\r\nI just kept telling myself to keep running. And I only walked through the aid stations for a quick sip of water or coke, to bite an orange (the gels I carried with me), or to get some ice to put under my hat or down my shirt. My mantra - \"just keep running; do not walk.\" It was a three-lap run, so it was out and back 6 times. Tedious, but every time we would come back through town, the crowds were going wild along a two-mile stretch (along with my cheering squad!).\r\n\r\nWith each lap, it became more of a mental game to stay \"in it.\" The third and final lap was the toughest mentally and physically; not only because of over 12 + hrs of working out, but it was dark out and still at least 82-84 degrees. It was \"Just Do It!\" time. So I just kept focusing on the next mile. And once I hit the final turnaround (only 4.4 miles to go), I knew that I had it.\r\n<h3><img class=\"alignleft size-full wp-image-59\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2011-finish2.jpg\" alt=\"Cozumel 2011 Finish2\" /><strong class=\"subhead\">THE FINISH</strong></h3>\r\nAs I entered the final 50 meters leading to the finish line, a big smile came across my face. At this point, I finally knew that I had accomplished what I had set out to do many months ago. I felt wonderful—no pain or exhaustion - only euphoria.\r\n\r\nAs my coach told me, race day is all about crisis control. So when I crossed the finish line, after 27 years in the sport, the announcer said what I had not heard before: <strong>\"Peter Fields, you are an Ironman!\"</strong>\r\n\r\nAfter a moment or two of realizing what I had just accomplished, it was time for food, water, and a post-race massage.\r\n<div class=\"clear\"></div>\r\n<p class=\"text-center\"><strong>Peter A. Fields, MD DC</strong>\r\n<strong id=\"athleticdoc\">The Athletic Doc<sup style=\"font-size: 14px;\">®</sup> and Ironman Finisher</strong></p>\r\n\r\n</div>\r\n<div id=\"sidebar2\" class=\"col-md-4\"><img title=\"2011 Cozumel\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2011-finish-2.jpg\" alt=\"2011 Cozumel\" width=\"160\" height=\"215\" />\r\n<a href=\"https://photos.app.goo.gl/iYK2GiU2Wy4E6XNY2\" target=\"_blank\" rel=\"noopener noreferrer\">2011 Cozumel\r\nClick For More Photos</a>Click below for Pictures &amp; Stories from my other Ironman races:\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2017 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/About/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/About/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a>\r\n\r\n</div>','My First Ironman: Race Report','','inherit','closed','closed','','92-revision-v1','','','2021-05-18 23:19:04','2021-05-18 23:19:04','',92,'https://www.drfields.com/?p=4679',0,'revision','',0),(4680,9,'2021-05-19 00:08:05','2021-05-19 00:08:05','<div class=\"col-md-8\">\n<h2 style=\"text-align: center;\">My Second Ironman Competition Took Place in Cozumel, Mexico</h2>\n[caption id=\"attachment_43\" align=\"aligncenter\" width=\"592\"]<img class=\"wp-image-43\" title=\"My Second Ironman\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-cozumel-logo.jpg\" alt=\"Ironman Cozumel Logo\" width=\"592\" height=\"242\" /> <strong>                November 25, 2012, 2.4-mile swim, 112-mile bike, 26.2-mile run</strong>[/caption]\n\nAfter finishing this Ironman race last year, I was back in Cozumel again to try and beat my time of 2011 time of 14 hrs. 4 mins and 7 sec. And with much pride, I am happy to announce that I did. My finishing times were 13hrs, 50 mins, and 27sec.\n\nIronman competitions are always very challenging, both physically and mentally. My day began at 4 am when I awoke to have breakfast. After getting to the transition area and re-checking my bike several times, I was ready to go. I then went down to the beach to begin the race with over 2300 swimmers (1700+ men and almost 600 women) from over 42 countries.\n\nOnce again, it was a beautiful day in Cozumel.  The air temp about 74 degrees, with clear skies and not a cloud in sight. Now, after all the months of training, this journey was about to begin.\n<h3><img class=\"alignleft size-full wp-image-123\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2012-swim.jpg\" alt=\"Cozumel 2012 Swim\" width=\"160\" height=\"213\" /><strong class=\"subhead\">THE SWIM</strong></h3>\nThe water was a bit choppy, and there was a strong current too. This did not bother me as swimming is my best event.\n\nAfter one last gel, I lined up with the others and then jumped off the pier into the ocean. To get in the water, we all had to jump about 7-10 feet off the pier into the water. I positioned myself in a good spot up front and along the shore.\n\nThe current would be flowing against us for the first 800 meters.  So it was best to be close to the shore where the current is less. After treading water for 10 minutes or so, the horn went off. I go pretty fast at first to get away from the crowd.\n\nDue to the chop, I altered my stroke by bringing my arms closer to my body a bit to clear this.  It caused me to develop a bit of an underarm chafe, but this was soon forgotten. Once we turned around the first buoy, the current was with us. And then I could let the current work with me for the next mile or so.\n\nThe water here is so clear. Schools of fish are visible swimming around. And so are the scuba lifeguards that are positioned on the bottom about 30 feet down. When I got to the final turn, the current was against me again. I had to work a bit harder.\n\nNo balloon or marker was marking the pier. So I just followed the crowd and sighted off the lifeguard paddlers and boats. Overall I was about 8 minutes slower than last year (one hour and nine minutes this year). But I still felt pretty good.\n\nLater, I was to learn that most people were 15 to 30 minutes slower than last year. In Ironman races (avg. participants about 2300), there are usually about 10-15 who do not make the 2 hrs. and 20-minute swim cutoff time. This year there were over 240! Very disappointing for them as they take your timing chip away as you exit the water. Some chose to do the race anyway unofficially.\n\nAs I exited the water, I ran quickly into the change tent. I was determined to cut down my transition time this year – big time. I had opted to wear a Tri Suit under the speed suit I swim in (like in the Olympics). This meant I did not have to change into separate clothing for the bike and run since the Tri suit is a two-piece suit that one can ride and run in.\n\nOnce inside, I quickly stripped the speed suit off, put on my helmet and bike shoes, and was off to get my bike. There was no need to re-apply sunscreen as they had helpers in the change tent lathering shoulders and upper arms (the exposed areas) with sunscreen. This was a big help.\n<h3><img class=\"alignleft size-full wp-image-125\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2012-bike.jpg\" alt=\"Cozumel 2012 Bike\" width=\"160\" height=\"196\" /><strong class=\"subhead\">NOW FOR THE BIKE SECTION OF MY SECOND IRONMAN</strong></h3>\nThe first of three loops on the bike went well. Fortunately, there wasn\'t a lot of wind when we got to the back of the island. I also had changed my nutrition from last year and did not have the dreaded stomach problems that many triathletes have on the bike.\n\nDuring the second loop, the winds really picked up. It was a tough 15-18 mile section with 15-20 mile an hour wind hitting broadside. I did develop some left foot pain which sometimes happens when I ride over 70 miles. This had happened last year. So I removed my left orthotic. So I removed my orthotics which essentially eliminated the pain.\n\nAt mile 62, there is a special needs station to leave anything you want. Last year I rested there a bit. But this year, I just grabbed what I needed from my bag and kept going.\n\nThen in the third loop, the wind got even more brutal. We were all slugging it out on the backside of the island. As I turned to head back into town at the 100-mile marker, I went to slip the orthotics back in as it prevents me from having foot pain on the post-ride run. The left one had fallen out of my bike jersey pocket, but at least I had the right one. All in all, I rode 12 minutes faster than last year.\n<h3><img class=\"alignleft size-full wp-image-127\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2012-run.jpg\" alt=\"Cozumel 2012 Run\" width=\"160\" height=\"215\" /><strong class=\"subhead\">THE RUN</strong></h3>\nBack in town, I got off the bike to run to the transition area. I quickly changed and headed off to run the marathon. My legs were a bit heavy, but somehow I was running well. This was especially good since I had a hamstring problem earlier in the year. And even had been running a lot in deep water instead of the land for my training. The heaviness quickly went away within the first mile, and all was going well. I had only slight right hamstring discomfort and no real pain.\n\nWe do approximately 4. 4 miles out and back for an 8.8-mile loop. The run includes three times around the loop. On the way back to town on the first loop, the foot pain (left and right) started to appear. I did take a Celebrex at 4 am and another one on the third loop of the bike.\n\nWhen I got to town after 8.8 miles, I asked my good friend Angela (she was my aid throughout the race- and a great one at that) to find ibuprofen (it works on a different pathway than Celebrex). When I got to the second turn around to head back to town (13.1 miles), my hamstring kicked in - big time. It was painful to run, but I kept going. I changed my gait (made it an even shorter stride). There were plenty of people walking by then, but I just dealt with it.\n\nI knew there was a medic tent at about 15 miles. I pulled in and asked for ice. They ace wrapped my upper thigh with lots of ice. This seemed to reduce the pain. But I was still running slightly slower (the first 13.1 miles had me on a 5+ hr. marathon pace - much better than the 5:35 of last year).\n\nAs I entered the town, Angela was there and handed me the ibuprofen. I took it, and within minutes I was feeling quite good. Before this, I had calculated my time and distance and knew that I could break 14 hrs. And maybe even by 30 minutes.\n\nBut the hamstring pain started to return about 19 miles. I got the leg wrapped with more ice again on the way out to the 4.8 final turnaround. Before the last turnaround, I was forced to walk and run. This is something that I had never done before (walk, that is). But the pain was pretty high.\n\nAt the last three-mile marker, I got even more ice for my hamstring and decided to walk more than run. Soon thereafter, I could not continue a run/walk pace due to pain but figured if I walked fast (walking was painful but not severe), I would break 14 hrs. So at that point, I walked a 14-15 mile pace (off my Garmin wrist computer), which is still pretty fast. There were plenty of walkers, and I was passing them.\n\nI had to save whatever run I had left in me for the last few hundred meters up to the finish. <strong>No way was I going to walk that!</strong> This is right in the middle of the park, and all lit up with hundreds (if not more) of people yelling and screaming. So as I got close, I began to run. Pain is temporary; finishing is forever! I kept going and reached the last hundred meters to the finish line, where I heard the announcer say, once again, \"<strong class=\"subhead\"><span style=\"text-decoration: underline;\">Peter Fields, you are an Ironman!</span></strong>\"\n\nMy time was 13:50, not the 13:30 I might have had without the hamstring issue.\nBut I did end up breaking the 14 hr. barrier of last year\'s time of 14:04. Mission accomplished.\nAs I always say, age is mind over matter. <strong>If you don\'t mind- it does not matter!</strong>\n<h3><img class=\"alignleft size-full wp-image-128\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2012-finish2.jpg\" alt=\"Cozumel 2012 Finish2\" width=\"150\" height=\"268\" data-wp-editing=\"1\" /><strong class=\"subhead\">THE FINISH</strong></h3>\nImmediately after crossing the finish line, I received a big hug from Angela. I then went into the medical tent to get a one-liter IV bag of fluid. Everyone is dehydrated to some point, and this was much needed.\n\nThen off to get a post-race massage and some food. Unfortunately, caffeine gels kept me going during the last part of the run, and my stomach did not really want any food. But it was nice just to sit down and cheer on the last finishers trying to make the 17 hr. cut-off at midnight.\n\nAfter collecting my gear and bike, I finally headed back to the hotel and got to bed at 2 am. Not much success with that after being very revved up all day. So the next day was to a big recovery and sleep a day.\n\nThank you for allowing me to share this with you and for taking the time to read it. I want to thank everyone that offered me support and wishes. I am very grateful to every one of you.\n\n&nbsp;\n<p class=\"text-center\"><strong class=\"subhead\">Peter A. Fields, MD DC</strong>\n<strong id=\"athleticdoc\">The Athletic Doc<sup style=\"font-size: 14px;\">®</sup> and Ironman Finisher</strong></p>\n\n</div>\n<div id=\"sidebar2\" class=\"col-md-4\">\n\n<img style=\"padding-left: 5px;\" title=\"2012 Cozumel\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2012-finish.jpg\" alt=\"2012 Cozumel\" width=\"160\" height=\"215\" />\n<a href=\"https://photos.app.goo.gl/QCF7CgcEG8uOfLBs1\" target=\"_blank\" rel=\"noopener noreferrer\">2012 Cozumel\nClick For More Photos</a>\n\nClick below for Pictures &amp; Stories from my other Ironman competitions:\n\n<a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2017 Ironman Santa Rosa</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\n<a href=\"/About/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\n<a href=\"/About/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a>\n\n</div>','My Second Ironman Competition Took Place in Cozumel, Mexico','','inherit','closed','closed','','120-autosave-v1','','','2021-05-19 00:08:05','2021-05-19 00:08:05','',120,'https://www.drfields.com/?p=4680',0,'revision','',0),(4681,9,'2021-05-19 00:04:20','2021-05-19 00:04:20','<div class=\"col-md-8\">\r\n<h2 style=\"text-align: center;\">My Second Ironman Competition Took Place in Cozumel, Mexico</h2>\r\n[caption id=\"attachment_43\" align=\"aligncenter\" width=\"592\"]<img class=\"wp-image-43\" title=\"My Second Ironman\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-cozumel-logo.jpg\" alt=\"Ironman Cozumel Logo\" width=\"592\" height=\"242\" /> <strong>                November 25, 2012, 2.4-mile swim, 112-mile bike, 26.2-mile run</strong>[/caption]\r\n<p id=\"athletic-event\" class=\"text-center\"></p>\r\nAfter finishing this Ironman race last year, I was back in Cozumel again to try and beat my time of 2011 time of 14 hrs. 4 mins and 7 sec. And with much pride, I am happy to announce that I did. My finishing times were 13hrs, 50 mins, and 27sec.\r\n\r\nIronman competitions are always very challenging, both physically and mentally. My day began at 4 am when I awoke to have breakfast. After getting to the transition area and re-checking my bike several times, I was ready to go. I then went down to the beach to begin the race with over 2300 swimmers (1700+ men and almost 600 women) from over 42 countries.\r\n\r\nOnce again, it was a beautiful day in Cozumel.  The air temp about 74 degrees, with clear skies and not a cloud in sight. Now, after all the months of training, this journey was about to begin.\r\n<h3><img class=\"alignleft size-full wp-image-123\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2012-swim.jpg\" alt=\"Cozumel 2012 Swim\" width=\"160\" height=\"213\" /><strong class=\"subhead\">THE SWIM</strong></h3>\r\nThe water was a bit choppy, and there was a strong current too. This did not bother me as swimming is my best event.\r\n\r\nAfter one last gel, I lined up with the others and then jumped off the pier into the ocean. To get in the water, we all had to jump about 7-10 feet off the pier into the water. I positioned myself in a good spot up front and along the shore.\r\n\r\nThe current would be flowing against us for the first 800 meters.  So it was best to be close to the shore where the current is less. After treading water for 10 minutes or so, the horn went off. I go pretty fast at first to get away from the crowd.\r\n\r\nDue to the chop, I altered my stroke by bringing my arms closer to my body a bit to clear this.  It caused me to develop a bit of an underarm chafe, but this was soon forgotten. Once we turned around the first buoy, the current was with us. And then I could let the current work with me for the next mile or so.\r\n\r\nThe water here is so clear. Schools of fish are visible swimming around. And so are the scuba lifeguards that are positioned on the bottom about 30 feet down. When I got to the final turn, the current was against me again. I had to work a bit harder.\r\n\r\nNo balloon or marker was marking the pier. So I just followed the crowd and sighted off the lifeguard paddlers and boats. Overall I was about 8 minutes slower than last year (one hour and nine minutes this year). But I still felt pretty good.\r\n\r\nLater, I was to learn that most people were 15 to 30 minutes slower than last year. In Ironman races (avg. participants about 2300), there are usually about 10-15 who do not make the 2 hrs. and 20-minute swim cutoff time. This year there were over 240! Very disappointing for them as they take your timing chip away as you exit the water. Some chose to do the race anyway unofficially.\r\n\r\nAs I exited the water, I ran quickly into the change tent. I was determined to cut down my transition time this year – big time. I had opted to wear a Tri Suit under the speed suit I swim in (like in the Olympics). This meant I did not have to change into separate clothing for the bike and run since the Tri suit is a two-piece suit that one can ride and run in.\r\n\r\nOnce inside, I quickly stripped the speed suit off, put on my helmet and bike shoes, and was off to get my bike. There was no need to re-apply sunscreen as they had helpers in the change tent lathering shoulders and upper arms (the exposed areas) with sunscreen. This was a big help.\r\n<h3><img class=\"alignleft size-full wp-image-125\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2012-bike.jpg\" alt=\"Cozumel 2012 Bike\" width=\"160\" height=\"196\" /><strong class=\"subhead\">NOW FOR THE BIKE SECTION OF MY SECOND IRONMAN</strong></h3>\r\nThe first of three loops on the bike went well. Fortunately, there wasn\'t a lot of wind when we got to the back of the island. I also had changed my nutrition from last year and did not have the dreaded stomach problems that many triathletes have on the bike.\r\n\r\nDuring the second loop, the winds really picked up. It was a tough 15-18 mile section with 15-20 mile an hour wind hitting broadside. I did develop some left foot pain which sometimes happens when I ride over 70 miles. This had happened last year. So I removed my left orthotic. So I removed my orthotics which essentially eliminated the pain.\r\n\r\nAt mile 62, there is a special needs station to leave anything you want. Last year I rested there a bit. But this year, I just grabbed what I needed from my bag and kept going.\r\n\r\nThen in the third loop, the wind got even more brutal. We were all slugging it out on the backside of the island. As I turned to head back into town at the 100-mile marker, I went to slip the orthotics back in as it prevents me from having foot pain on the post-ride run. The left one had fallen out of my bike jersey pocket, but at least I had the right one. All in all, I rode 12 minutes faster than last year.\r\n<h3><img class=\"alignleft size-full wp-image-127\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2012-run.jpg\" alt=\"Cozumel 2012 Run\" width=\"160\" height=\"215\" /><strong class=\"subhead\">THE RUN</strong></h3>\r\nBack in town, I got off the bike to run to the transition area. I quickly changed and headed off to run the marathon. My legs were a bit heavy, but somehow I was running well. This was especially good since I had a hamstring problem earlier in the year. And even had been running a lot in deep water instead of the land for my training. The heaviness quickly went away within the first mile, and all was going well. I had only slight right hamstring discomfort and no real pain.\r\n\r\nWe do approximately 4. 4 miles out and back for an 8.8-mile loop. The run includes three times around the loop. On the way back to town on the first loop, the foot pain (left and right) started to appear. I did take a Celebrex at 4 am and another one on the third loop of the bike.\r\n\r\nWhen I got to town after 8.8 miles, I asked my good friend Angela (she was my aid throughout the race- and a great one at that) to find ibuprofen (it works on a different pathway than Celebrex). When I got to the second turn around to head back to town (13.1 miles), my hamstring kicked in - big time. It was painful to run, but I kept going. I changed my gait (made it an even shorter stride). There were plenty of people walking by then, but I just dealt with it.\r\n\r\nI knew there was a medic tent at about 15 miles. I pulled in and asked for ice. They ace wrapped my upper thigh with lots of ice. This seemed to reduce the pain. But I was still running slightly slower (the first 13.1 miles had me on a 5+ hr. marathon pace - much better than the 5:35 of last year).\r\n\r\nAs I entered the town, Angela was there and handed me the ibuprofen. I took it, and within minutes I was feeling quite good. Before this, I had calculated my time and distance and knew that I could break 14 hrs. And maybe even by 30 minutes.\r\n\r\nBut the hamstring pain started to return about 19 miles. I got the leg wrapped with more ice again on the way out to the 4.8 final turnaround. Before the last turnaround, I was forced to walk and run. This is something that I had never done before (walk, that is). But the pain was pretty high.\r\n\r\nAt the last three-mile marker, I got even more ice for my hamstring and decided to walk more than run. Soon thereafter, I could not continue a run/walk pace due to pain but figured if I walked fast (walking was painful but not severe), I would break 14 hrs. So at that point, I walked a 14-15 mile pace (off my Garmin wrist computer), which is still pretty fast. There were plenty of walkers, and I was passing them.\r\n\r\nI had to save whatever run I had left in me for the last few hundred meters up to the finish. <strong>No way was I going to walk that!</strong> This is right in the middle of the park, and all lit up with hundreds (if not more) of people yelling and screaming. So as I got close, I began to run. Pain is temporary; finishing is forever! I kept going and reached the last hundred meters to the finish line, where I heard the announcer say, once again, \"<strong class=\"subhead\"><span style=\"text-decoration: underline;\">Peter Fields, you are an Ironman!</span></strong>\"\r\n\r\nMy time was 13:50, not the 13:30 I might have had without the hamstring issue.\r\nBut I did end up breaking the 14 hr. barrier of last year\'s time of 14:04. Mission accomplished.\r\nAs I always say, age is mind over matter. <strong>If you don\'t mind- it does not matter!</strong>\r\n<h3><img class=\"alignleft size-full wp-image-128\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2012-finish2.jpg\" alt=\"Cozumel 2012 Finish2\" width=\"150\" height=\"268\" /><strong class=\"subhead\">THE FINISH</strong></h3>\r\nImmediately after crossing the finish line, I received a big hug from Angela. I then went into the medical tent to get a one-liter IV bag of fluid. Everyone is dehydrated to some point, and this was much needed.\r\n\r\nThen off to get a post-race massage and some food. Unfortunately, caffeine gels kept me going during the last part of the run, and my stomach did not really want any food. But it was nice just to sit down and cheer on the last finishers trying to make the 17 hr. cut-off at midnight.\r\n\r\nAfter collecting my gear and bike, I finally headed back to the hotel and got to bed at 2 am. Not much success with that after being very revved up all day. So the next day was to a big recovery and sleep a day.\r\n\r\nThank you for allowing me to share this with you and for taking the time to read it. I want to thank everyone that offered me support and wishes. I am very grateful to every one of you.\r\n\r\n&nbsp;\r\n\r\n&nbsp;\r\n\r\n&nbsp;\r\n<p class=\"text-center\"><strong class=\"subhead\">Peter A. Fields, MD DC</strong>\r\n<strong id=\"athleticdoc\">The Athletic Doc<sup style=\"font-size: 14px;\">®</sup> and Ironman Finisher</strong></p>\r\n\r\n</div>\r\n<div id=\"sidebar2\" class=\"col-md-4\">\r\n\r\n<img style=\"padding-left: 5px;\" title=\"2012 Cozumel\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2012-finish.jpg\" alt=\"2012 Cozumel\" width=\"160\" height=\"215\" />\r\n<a href=\"https://photos.app.goo.gl/QCF7CgcEG8uOfLBs1\" target=\"_blank\" rel=\"noopener noreferrer\">2012 Cozumel\r\nClick For More Photos</a>\r\n\r\nClick below for Pictures &amp; Stories from my other Ironman competitions:\r\n\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2017 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/About/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/About/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a>\r\n\r\n</div>','My Second Ironman Competition Took Place in Cozumel, Mexico','','inherit','closed','closed','','120-revision-v1','','','2021-05-19 00:04:20','2021-05-19 00:04:20','',120,'https://www.drfields.com/?p=4681',0,'revision','',0),(4682,9,'2021-05-19 00:09:02','2021-05-19 00:09:02','<div class=\"col-md-8\">\r\n<h2 style=\"text-align: center;\">My Second Ironman Competition Took Place in Cozumel, Mexico</h2>\r\n[caption id=\"attachment_43\" align=\"aligncenter\" width=\"592\"]<img class=\"wp-image-43\" title=\"My Second Ironman\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-cozumel-logo.jpg\" alt=\"Ironman Cozumel Logo\" width=\"592\" height=\"242\" /> <strong>                November 25, 2012, 2.4-mile swim, 112-mile bike, 26.2-mile run</strong>[/caption]\r\n\r\nAfter finishing this Ironman race last year, I was back in Cozumel again to try and beat my time of 2011 time of 14 hrs. 4 mins and 7 sec. And with much pride, I am happy to announce that I did. My finishing times were 13hrs, 50 mins, and 27sec.\r\n\r\nIronman competitions are always very challenging, both physically and mentally. My day began at 4 am when I awoke to have breakfast. After getting to the transition area and re-checking my bike several times, I was ready to go. I then went down to the beach to begin the race with over 2300 swimmers (1700+ men and almost 600 women) from over 42 countries.\r\n\r\nOnce again, it was a beautiful day in Cozumel.  The air temp about 74 degrees, with clear skies and not a cloud in sight. Now, after all the months of training, this journey was about to begin.\r\n<h3><img class=\"alignleft size-full wp-image-123\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2012-swim.jpg\" alt=\"Cozumel 2012 Swim\" width=\"160\" height=\"213\" /><strong class=\"subhead\">THE SWIM IN IRONMAN COZUMEL</strong></h3>\r\nThe water was a bit choppy, and there was a strong current too. This did not bother me as swimming is my best event.\r\n\r\nAfter one last gel, I lined up with the others and then jumped off the pier into the ocean. To get in the water, we all had to jump about 7-10 feet off the pier into the water. I positioned myself in a good spot up front and along the shore.\r\n\r\nThe current would be flowing against us for the first 800 meters.  So it was best to be close to the shore where the current is less. After treading water for 10 minutes or so, the horn went off. I go pretty fast at first to get away from the crowd.\r\n\r\nDue to the chop, I altered my stroke by bringing my arms closer to my body a bit to clear this.  It caused me to develop a bit of an underarm chafe, but this was soon forgotten. Once we turned around the first buoy, the current was with us. And then I could let the current work with me for the next mile or so.\r\n\r\nThe water here is so clear. Schools of fish are visible swimming around. And so are the scuba lifeguards that are positioned on the bottom about 30 feet down. When I got to the final turn, the current was against me again. I had to work a bit harder.\r\n\r\nNo balloon or marker was marking the pier. So I just followed the crowd and sighted off the lifeguard paddlers and boats. Overall I was about 8 minutes slower than last year (one hour and nine minutes this year). But I still felt pretty good.\r\n\r\nLater, I was to learn that most people were 15 to 30 minutes slower than last year. In Ironman races (avg. participants about 2300), there are usually about 10-15 who do not make the 2 hrs. and 20-minute swim cutoff time. This year there were over 240! Very disappointing for them as they take your timing chip away as you exit the water. Some chose to do the race anyway unofficially.\r\n\r\nAs I exited the water, I ran quickly into the change tent. I was determined to cut down my transition time this year – big time. I had opted to wear a Tri Suit under the speed suit I swim in (like in the Olympics). This meant I did not have to change into separate clothing for the bike and run since the Tri suit is a two-piece suit that one can ride and run in.\r\n\r\nOnce inside, I quickly stripped the speed suit off, put on my helmet and bike shoes, and was off to get my bike. There was no need to re-apply sunscreen as they had helpers in the change tent lathering shoulders and upper arms (the exposed areas) with sunscreen. This was a big help.\r\n<h3><img class=\"alignleft size-full wp-image-125\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2012-bike.jpg\" alt=\"Cozumel 2012 Bike\" width=\"160\" height=\"196\" /><strong class=\"subhead\">NOW FOR THE BIKE SECTION OF MY SECOND IRONMAN</strong></h3>\r\nThe first of three loops on the bike went well. Fortunately, there wasn\'t a lot of wind when we got to the back of the island. I also had changed my nutrition from last year and did not have the dreaded stomach problems that many triathletes have on the bike.\r\n\r\nDuring the second loop, the winds really picked up. It was a tough 15-18 mile section with 15-20 mile an hour wind hitting broadside. I did develop some left foot pain which sometimes happens when I ride over 70 miles. This had happened last year. So I removed my left orthotic. So I removed my orthotics which essentially eliminated the pain.\r\n\r\nAt mile 62, there is a special needs station to leave anything you want. Last year I rested there a bit. But this year, I just grabbed what I needed from my bag and kept going.\r\n\r\nThen in the third loop, the wind got even more brutal. We were all slugging it out on the backside of the island. As I turned to head back into town at the 100-mile marker, I went to slip the orthotics back in as it prevents me from having foot pain on the post-ride run. The left one had fallen out of my bike jersey pocket, but at least I had the right one. All in all, I rode 12 minutes faster than last year.\r\n<h3><img class=\"alignleft size-full wp-image-127\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2012-run.jpg\" alt=\"Cozumel 2012 Run\" width=\"160\" height=\"215\" /><strong class=\"subhead\">THE RUN</strong></h3>\r\nBack in town, I got off the bike to run to the transition area. I quickly changed and headed off to run the marathon. My legs were a bit heavy, but somehow I was running well. This was especially good since I had a hamstring problem earlier in the year. And even had been running a lot in deep water instead of the land for my training. The heaviness quickly went away within the first mile, and all was going well. I had only slight right hamstring discomfort and no real pain.\r\n\r\nWe do approximately 4. 4 miles out and back for an 8.8-mile loop. The run includes three times around the loop. On the way back to town on the first loop, the foot pain (left and right) started to appear. I did take a Celebrex at 4 am and another one on the third loop of the bike.\r\n\r\nWhen I got to town after 8.8 miles, I asked my good friend Angela (she was my aid throughout the race- and a great one at that) to find ibuprofen (it works on a different pathway than Celebrex). When I got to the second turn around to head back to town (13.1 miles), my hamstring kicked in - big time. It was painful to run, but I kept going. I changed my gait (made it an even shorter stride). There were plenty of people walking by then, but I just dealt with it.\r\n\r\nI knew there was a medic tent at about 15 miles. I pulled in and asked for ice. They ace wrapped my upper thigh with lots of ice. This seemed to reduce the pain. But I was still running slightly slower (the first 13.1 miles had me on a 5+ hr. marathon pace - much better than the 5:35 of last year).\r\n\r\nAs I entered the town, Angela was there and handed me the ibuprofen. I took it, and within minutes I was feeling quite good. Before this, I had calculated my time and distance and knew that I could break 14 hrs. And maybe even by 30 minutes.\r\n\r\nBut the hamstring pain started to return about 19 miles. I got the leg wrapped with more ice again on the way out to the 4.8 final turnaround. Before the last turnaround, I was forced to walk and run. This is something that I had never done before (walk, that is). But the pain was pretty high.\r\n\r\nAt the last three-mile marker, I got even more ice for my hamstring and decided to walk more than run. Soon thereafter, I could not continue a run/walk pace due to pain but figured if I walked fast (walking was painful but not severe), I would break 14 hrs. So at that point, I walked a 14-15 mile pace (off my Garmin wrist computer), which is still pretty fast. There were plenty of walkers, and I was passing them.\r\n\r\nI had to save whatever run I had left in me for the last few hundred meters up to the finish. <strong>No way was I going to walk that!</strong> This is right in the middle of the park, and all lit up with hundreds (if not more) of people yelling and screaming. So as I got close, I began to run. Pain is temporary; finishing is forever! I kept going and reached the last hundred meters to the finish line, where I heard the announcer say, once again, \"<strong class=\"subhead\"><span style=\"text-decoration: underline;\">Peter Fields, you are an Ironman!</span></strong>\"\r\n\r\nMy time was 13:50, not the 13:30 I might have had without the hamstring issue.\r\nBut I did end up breaking the 14 hr. barrier of last year\'s time of 14:04. Mission accomplished.\r\nAs I always say, age is mind over matter. <strong>If you don\'t mind- it does not matter!</strong>\r\n\r\n[caption id=\"attachment_128\" align=\"alignleft\" width=\"150\"]<img class=\"wp-image-128 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2012-finish2.jpg\" alt=\"Cozumel 2012 Finish2\" width=\"150\" height=\"268\" /> Second Ironman Finish[/caption]\r\n<h3><strong class=\"subhead\">THE FINISH</strong></h3>\r\nImmediately after crossing the finish line, I received a big hug from Angela. I then went into the medical tent to get a one-liter IV bag of fluid. Everyone is dehydrated to some point, and this was much needed.\r\n\r\nThen off to get a post-race massage and some food. Unfortunately, caffeine gels kept me going during the last part of the run, and my stomach did not really want any food. But it was nice just to sit down and cheer on the last finishers trying to make the 17 hr. cut-off at midnight.\r\n\r\nAfter collecting my gear and bike, I finally headed back to the hotel and got to bed at 2 am. Not much success with that after being very revved up all day. So the next day was to a big recovery and sleep a day.\r\n\r\nThank you for allowing me to share this with you and for taking the time to read it. I want to thank everyone that offered me support and wishes. I am very grateful to every one of you.\r\n\r\n&nbsp;\r\n<p class=\"text-center\"><strong class=\"subhead\">Peter A. Fields, MD DC</strong>\r\n<strong id=\"athleticdoc\">The Athletic Doc<sup style=\"font-size: 14px;\">®</sup> and Ironman Finisher</strong></p>\r\n\r\n</div>\r\n<div id=\"sidebar2\" class=\"col-md-4\">\r\n\r\n<img style=\"padding-left: 5px;\" title=\"2012 Cozumel\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2012-finish.jpg\" alt=\"2012 Cozumel\" width=\"160\" height=\"215\" />\r\n<a href=\"https://photos.app.goo.gl/QCF7CgcEG8uOfLBs1\" target=\"_blank\" rel=\"noopener noreferrer\">2012 Cozumel\r\nClick For More Photos</a>\r\n\r\nClick below for Pictures &amp; Stories from my other Ironman competitions:\r\n\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2017 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/About/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/About/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a>\r\n\r\n</div>','My Second Ironman Competition Took Place in Cozumel, Mexico','','inherit','closed','closed','','120-revision-v1','','','2021-05-19 00:09:02','2021-05-19 00:09:02','',120,'https://www.drfields.com/?p=4682',0,'revision','',0),(4683,9,'2021-05-19 00:12:57','2021-05-19 00:12:57','<div class=\"col-md-8\">\r\n<h2 style=\"text-align: center;\">My Second Ironman Competition Took Place in Cozumel, Mexico</h2>\r\n[caption id=\"attachment_43\" align=\"aligncenter\" width=\"592\"]<img class=\"wp-image-43\" title=\"My Second Ironman\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-cozumel-logo.jpg\" alt=\"Ironman Cozumel Logo\" width=\"592\" height=\"242\" /> <strong>                November 25, 2012, 2.4-mile swim, 112-mile bike, 26.2-mile run</strong>[/caption]\r\n\r\nAfter finishing this Ironman race last year, I was back in Cozumel again to try and beat my time of 2011 time of 14 hrs. 4 mins and 7 sec. And with much pride, I am happy to announce that I did. My finishing times were 13hrs, 50 mins, and 27sec.\r\n\r\nIronman competitions are always very challenging, both physically and mentally. My day began at 4 am when I awoke to have breakfast. After getting to the transition area and re-checking my bike several times, I was ready to go. I then went down to the beach to begin the race with over 2300 swimmers (1700+ men and almost 600 women) from over 42 countries.\r\n\r\nOnce again, it was a beautiful day in Cozumel.  The air temp about 74 degrees, with clear skies and not a cloud in sight. Now, after all the months of training, this journey was about to begin.\r\n<h3><img class=\"alignleft size-full wp-image-123\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2012-swim.jpg\" alt=\"Cozumel 2012 Swim\" width=\"160\" height=\"213\" /><strong class=\"subhead\">THE SWIM IN IRONMAN COZUMEL</strong></h3>\r\nThe water was a bit choppy, and there was a strong current too. This did not bother me as swimming is my best event.\r\n\r\nAfter one last gel, I lined up with the others and then jumped off the pier into the ocean. To get in the water, we all had to jump about 7-10 feet off the pier into the water. I positioned myself in a good spot up front and along the shore.\r\n\r\nThe current would be flowing against us for the first 800 meters.  So it was best to be close to the shore where the current is less. After treading water for 10 minutes or so, the horn went off. I go pretty fast at first to get away from the crowd.\r\n\r\nDue to the chop, I altered my stroke by bringing my arms closer to my body a bit to clear this.  It caused me to develop a bit of an underarm chafe, but this was soon forgotten. Once we turned around the first buoy, the current was with us. And then I could let the current work with me for the next mile or so.\r\n\r\nThe water here is so clear. Schools of fish are visible swimming around. And so are the scuba lifeguards that are positioned on the bottom about 30 feet down. When I got to the final turn, the current was against me again. I had to work a bit harder.\r\n\r\nNo balloon or marker was marking the pier. So I just followed the crowd and sighted off the lifeguard paddlers and boats. Overall I was about 8 minutes slower than last year (one hour and nine minutes this year). But I still felt pretty good.\r\n\r\nLater, I was to learn that most people were 15 to 30 minutes slower than last year. In Ironman races (avg. participants about 2300), there are usually about 10-15 who do not make the 2 hrs. and 20-minute swim cutoff time. This year there were over 240! Very disappointing for them as they take your timing chip away as you exit the water. Some chose to do the race anyway unofficially.\r\n\r\nAs I exited the water, I ran quickly into the change tent. I was determined to cut down my transition time this year – big time. I had opted to wear a Tri Suit under the speed suit I swim in (like in the Olympics). This meant I did not have to change into separate clothing for the bike and run since the Tri suit is a two-piece suit that one can ride and run in.\r\n\r\nOnce inside, I quickly stripped the speed suit off, put on my helmet and bike shoes, and was off to get my bike. There was no need to re-apply sunscreen as they had helpers in the change tent lathering shoulders and upper arms (the exposed areas) with sunscreen. This was a big help.\r\n<h3><img class=\"alignleft size-full wp-image-125\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2012-bike.jpg\" alt=\"Cozumel 2012 Bike\" width=\"160\" height=\"196\" /><strong class=\"subhead\">NOW FOR THE BIKE SECTION OF MY SECOND IRONMAN</strong></h3>\r\nThe first of three loops on the bike went well. Fortunately, there wasn\'t a lot of wind when we got to the back of the island. I also had changed my nutrition from last year and did not have the dreaded stomach problems that many triathletes have on the bike.\r\n\r\nDuring the second loop, the winds really picked up. It was a tough 15-18 mile section with 15-20 mile an hour wind hitting broadside. I did develop some left foot pain which sometimes happens when I ride over 70 miles. This had happened last year. So I removed my left orthotic. So I removed my orthotics which essentially eliminated the pain.\r\n\r\nAt mile 62, there is a special needs station to leave anything you want. Last year I rested there a bit. But this year, I just grabbed what I needed from my bag and kept going.\r\n\r\nThen in the third loop, the wind got even more brutal. We were all slugging it out on the backside of the island. As I turned to head back into town at the 100-mile marker, I went to slip the orthotics back in as it prevents me from having foot pain on the post-ride run. The left one had fallen out of my bike jersey pocket, but at least I had the right one. All in all, I rode 12 minutes faster than last year.\r\n<h3><img class=\"alignleft size-full wp-image-127\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2012-run.jpg\" alt=\"Cozumel 2012 Run\" width=\"160\" height=\"215\" /><strong class=\"subhead\">THE RUN</strong></h3>\r\nBack in town, I got off the bike to run to the transition area. I quickly changed and headed off to run the marathon. My legs were a bit heavy, but somehow I was running well. This was especially good since I had a hamstring problem earlier in the year. And even had been running a lot in deep water instead of the land for my training. The heaviness quickly went away within the first mile, and all was going well. I had only slight right hamstring discomfort and no real pain.\r\n\r\nWe do approximately 4. 4 miles out and back for an 8.8-mile loop. The run includes three times around the loop. On the way back to town on the first loop, the foot pain (left and right) started to appear. I did take a Celebrex at 4 am and another one on the third loop of the bike.\r\n\r\nWhen I got to town after 8.8 miles, I asked my good friend Angela (she was my aid throughout the race- and a great one at that) to find ibuprofen (it works on a different pathway than Celebrex). When I got to the second turn around to head back to town (13.1 miles), my hamstring kicked in - big time. It was painful to run, but I kept going. I changed my gait (made it an even shorter stride). There were plenty of people walking by then, but I just dealt with it.\r\n\r\nI knew there was a medic tent at about 15 miles. I pulled in and asked for ice. They ace wrapped my upper thigh with lots of ice. This seemed to reduce the pain. But I was still running slightly slower (the first 13.1 miles had me on a 5+ hr. marathon pace - much better than the 5:35 of last year).\r\n\r\nAs I entered the town, Angela was there and handed me the ibuprofen. I took it, and within minutes I was feeling quite good. Before this, I had calculated my time and distance and knew that I could break 14 hrs. And maybe even by 30 minutes.\r\n\r\nBut the hamstring pain started to return about 19 miles. I got the leg wrapped with more ice again on the way out to the 4.8 final turnaround. Before the last turnaround, I was forced to walk and run. This is something that I had never done before (walk, that is). But the pain was pretty high.\r\n\r\nAt the last three-mile marker, I got even more ice for my hamstring and decided to walk more than run. Soon thereafter, I could not continue a run/walk pace due to pain but figured if I walked fast (walking was painful but not severe), I would break 14 hrs. So at that point, I walked a 14-15 mile pace (off my Garmin wrist computer), which is still pretty fast. There were plenty of walkers, and I was passing them.\r\n\r\nI had to save whatever run I had left in me for the last few hundred meters up to the finish. <strong>No way was I going to walk that!</strong> This is right in the middle of the park, and all lit up with hundreds (if not more) of people yelling and screaming. So as I got close, I began to run. Pain is temporary; finishing is forever! I kept going and reached the last hundred meters to the finish line, where I heard the announcer say, once again, \"<strong class=\"subhead\"><span style=\"text-decoration: underline;\">Peter Fields, you are an Ironman!</span></strong>\"\r\n\r\nMy time was 13:50, not the 13:30 I might have had without the hamstring issue.\r\nBut I did end up breaking the 14 hr. barrier of last year\'s time of 14:04. Mission accomplished.\r\nAs I always say, age is mind over matter. <strong>If you don\'t mind- it does not matter!</strong>\r\n\r\n[caption id=\"attachment_128\" align=\"alignleft\" width=\"150\"]<img class=\"wp-image-128 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2012-finish2.jpg\" alt=\"Cozumel 2012 Finish2\" width=\"150\" height=\"268\" /> Second Ironman Finish[/caption]\r\n<h3><strong class=\"subhead\">THE FINISH</strong></h3>\r\nImmediately after crossing the finish line, I received a big hug from Angela. I then went into the medical tent to get a one-liter IV bag of fluid. Everyone is dehydrated to some point, and this was much needed.\r\n\r\nThen off to get a post-race massage and some food. Unfortunately, caffeine gels kept me going during the last part of the run, and my stomach did not really want any food. But it was nice just to sit down and cheer on the last finishers trying to make the 17 hr. cut-off at midnight.\r\n\r\nAfter collecting my gear and bike, I finally headed back to the hotel and got to bed at 2 am. Not much success with that after being very revved up all day. So the next day was spent recovering and sleeping\r\n\r\nThank you for allowing me to share this with you and for taking the time to read it. I want to thank everyone that offered me support and wishes. I am very grateful to every one of you.\r\n\r\n&nbsp;\r\n<p class=\"text-center\"><strong class=\"subhead\">Peter A. Fields, MD DC</strong>\r\n<strong id=\"athleticdoc\">The Athletic Doc<sup style=\"font-size: 14px;\">®</sup> and Ironman Finisher</strong></p>\r\n\r\n</div>\r\n<div id=\"sidebar2\" class=\"col-md-4\">\r\n\r\n<img style=\"padding-left: 5px;\" title=\"2012 Cozumel\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2012-finish.jpg\" alt=\"2012 Cozumel\" width=\"160\" height=\"215\" />\r\n<a href=\"https://photos.app.goo.gl/QCF7CgcEG8uOfLBs1\" target=\"_blank\" rel=\"noopener noreferrer\">2012 Cozumel\r\nClick For More Photos</a>\r\n\r\nClick below for Pictures &amp; Stories from my other Ironman competitions:\r\n\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2017 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/About/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/About/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a>\r\n\r\n</div>','My Second Ironman Competition Took Place in Cozumel, Mexico','','inherit','closed','closed','','120-revision-v1','','','2021-05-19 00:12:57','2021-05-19 00:12:57','',120,'https://www.drfields.com/?p=4683',0,'revision','',0),(4685,9,'2021-06-03 02:38:32','2021-06-03 02:38:32','<h2>Achieving Higher Goals at My Third Ironman</h2>\n<div class=\"col-md-8\">\n\n[caption id=\"attachment_134\" align=\"alignright\" width=\"581\"]<img class=\"wp-image-134 \" title=\"Third Ironman\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-canada-logo.jpg\" alt=\"Ironman Canada Logo\" width=\"581\" height=\"256\" /> <em>                  Sunday, August 25, 2013:     2.4-mile swim, 112-mile bike, 26.2-mile run</em>[/caption]\n<p class=\"text-center\"><em>Third Ironman Quote for the Day:<strong> One cannot achieve higher goals in life without some struggle.</strong></em></p>\n\n<h3><img class=\"alignleft size-full wp-image-138\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-pre-race.jpg\" alt=\"Cozumel 2013 Pre Race\" width=\"160\" height=\"213\" /><strong class=\"subhead\">Before the Race</strong></h3>\nI woke up at 3:30 am so I could have breakfast by 4 am. That way I would have three hours before the start of the race so my food could be properly digested. I already had my gear ready to go plus the two special needs bags for the bike and the run. Then off to the village center to drop off the special needs bags and onto the buses that transported us to the swim start. Since the swim is held in a lake and there is limited road access, only Ironman official vehicles would have access to the lake.\n\nWhen we got there it was still dark and about 45 degrees. It was cold! But at least the rain from the previous day had stopped and no more was predicted. Fortunately, I had planned well for the cold.\n\nThere is always a lot of tension floating around as over 2200 athletes check their gear. Everyone tries their best to keep calm. We had left our bikes down there the day before as well as all our biking clothes and nutrition. The running gear and run nutrition was left at transition area 2 (T2) which is in town where the bike ride ends. This too was done the day before.\n\nThe only thing one brings in the morning is one\'s wetsuit, goggles, and cap along with whatever water/nutrition you take prior to the race. After pumping up my tires, it was on with the wetsuit, and then down to the waterfront.\n<h3><img class=\"alignleft wp-image-140\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-swim.jpg\" alt=\"Cozumel 2013 Swim\" width=\"243\" height=\"324\" /><strong class=\"subhead\">The Swim in My Third Ironman</strong></h3>\nThe lake is surrounded by mountains and the water temperature was about 68 degrees. That temperature was comfortable with a wetsuit on. All 2200 of us swam out about 50 yards and began treading water for about 10-15 minutes. At exactly 7 am, the gun went off. It would be a long day.\n\nAs always, I go out fast at the beginning of the swim, since swimming is my best part. I try and get away from the majority of the crowd, and then I try and settle back into a good pace. There were a few turns prior to turning back on the first loop of the two-loop course.\n\nIt got really jammed and crowded...more jammed than usual, which meant I couldn\'t really get into a good stroke pattern until the second lap. Plus, I had my goggles knocked off twice. This was a first for me but actually a common occurrence with all the swimmers around. My swim was therefore a bit slower at 1hr and 7 minutes, but still pretty good overall.\n\n&nbsp;\n<h3>Transition One</h3>\nI took a bit longer in the change tent as I put on knee warmers, a wind vest, a riding jacket, a skull cap for under my helmet, and longliner gloves over my riding gloves (I get cold easy!!).\n<h3><img class=\"alignleft wp-image-142\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-bike.jpg\" alt=\"Cozumel 2013 Bike\" width=\"251\" height=\"335\" /><strong class=\"subhead\">The Bike</strong></h3>\nThen I was off to the 112-mile ride with over 5600 feet of climbing. With the fact that there was a 30 mile or so stretch of flat riding, it was more like 5600 feet of climbing in 80 miles, which made it very hilly. The mountains around here are really very beautiful and the views were really spectacular.\n\n<strong>Riding through the crowds was invigorating.</strong> They really cheered us on. I took off my gloves since it was now above 60. Then some uphills and lots of downhills for the next 20 miles.\n\nAfter that, they had the special needs station. This is where one leaves out whatever you might want at a point halfway thru the ride (56 miles). I had nutrition supplies to restock what I had gone thru including a new bottle with liquid nutrition I use.\n\nI took off the leg warmers, vest, and skull cap, gave them to one of the volunteers along with the empty bottle I had gone thru. She was very surprised but happy.  my name on the bottle. She asked if that was me. When I said yes, she said that she had some knee problems and might call me. <strong>Wow, a business referral in an Ironman!</strong> Then a very flat section where for about 30 miles from mile 55-85 with a slight wind. The views of the mountains above were again spectacular.\n\nThen back to the hills. <strong>The last part from mile 85 to 112, was essentially all uphill.</strong> The first climb was the longest and the steepest, which wore a lot of people down. Then mostly uphill with some slight downhill riding all the way back to town. It was tough on the legs.\n\nAs we approached the town, the cheering again kept me going. Needless to say, my quadriceps muscles (front of the legs) where one gets most of one\'s cycling power were well worn. My time was 6:58, which was slower than previously in the <a href=\"https://www.drfields.com/about/the-athletic-doc/my-second-ironman-competition-took-place-in-cozumel-mexico/\">Cozumel Ironman</a>. But with the hills here I was not disappointed.\n<h3>Transition Two</h3>\nAfter handing off my bike to a handler, it was off the change tent to put on my running shoes. No need to change clothing because what I wear under my wetsuit is what I ride and run in. Then a quick restock of a few gel packs. <strong>On the way out, volunteers with grass skirts put sunscreen on the runners.</strong> This would be helpful as it was hot, sunny, and getting warm.\n<h3><img class=\"alignleft wp-image-143\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-run.jpg\" alt=\"Cozumel 2013 Run\" width=\"263\" height=\"350\" /><strong class=\"subhead\">The Run</strong></h3>\nThe run had over 1100 feet of climbing. Added to the very hilly ride, making this a hard run. There was constant up and down of hills. Tough on already tired legs. Some of the runs went thru the woods on dirt trails, which was good for the legs.\n\nWe ran around a lake, over a wooden bridge on a pond, and had some spectacular views of the mountains. Due to a buttock area (gluteus medius) injury, I had done most of my running in deep water. I only ran 3 or 4 times in the last five months outside and then only very short. This gave me the stamina I needed but did not toughen my feet.\n\nAt mile four I developed a blister on my left foot-right in the arch- ouch! I got a Tegaderm patch (a wound covering) from a paramedic at mile 8, which eventually stopped the blister from getting worse.\n\nThen, at mile five, I also had very sharp pain right where my 3rd and 4th toes meet my foot on the right. This was causing me more problems than the left foot blister. This probably happened because I wear a shoe orthotic to help shift some weight off the 2nd toe where I usually have discomfort. The extra weight got transferred laterally to my third and fourth toes. So, I altered my gait and it became a lot easier to run.\n\nAt this point, it was actually easier to run (mid-foot plant) than walk. But on the uphill portions (there were many short ones), I had to sometimes walk as I could not go on my toes. Eventually, I was able to keep running and push thru it. As my mom always said, \"C\'est al vie\", (that\'s life). This is what an Ironman is all about- crisis control which was good advice from my coach.\n\nThe blister pain I just put in the back of my mind and it never got worse. All in all, <strong>I eventually figured out I would not break 14 hours as I had done last year.</strong> But with the big hills on the ride, the hills on the run, and then the foot problems, I was OK with that. I ran most of the time and walked fast up the hills. And at 72 degrees (that was what it finally got to be) and sunny, it was quite warm being at 2200 feet. So the ice at the aid stations was a help.\n\nI just kept going using many months of physical and mental training to get me thru. At mile 18 or so, as we were running along an asphalt path near the woods, a baby bear came out of the woods and walked onto the path. We all just froze in place and stood there. One woman clapped her hands very loudly and the bear scurried off into the woods. As we started to run again, some said, \"That was the baby. I wonder where the mom is?!\" We all looked into the woods and had a good laugh.\n<h3><img class=\"alignleft wp-image-144\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish2.jpg\" alt=\"Cozumel 2013 Finish2\" width=\"288\" height=\"482\" /><strong class=\"subhead\">The Finish</strong></h3>\nAs I got closer to the finish line, all the aches just started to fade away. The last mile or so I just let it all go and ran at a good pace. And as I entered the final turn, the last 150 meters were jammed with the crowds cheering loudly. At this point,<strong> I knew I had made it. All the months of training were worth it.</strong> And as I approached the archway and the finish line, I heard the announcer say, Peter Fields, \"You\'re an Ironman\"! It never gets old. The final run time was 5:52 with an overall time of 14:18.\n<h3><strong class=\"subhead\">Final Thoughts on My Third Ironman:</strong></h3>\nAll in all, I was very pleased as I did not have any of the dreaded Ironman stomach problems or any mechanical problems with my bike. I felt exhausted and drained but nonetheless very satisfied to have finished my third Ironman. Some may ask why I punish my body. I was not punishing it - just challenging it. When one is prepared, it is not a punishment. Plus, it is as much a mental challenge, if not more than a physical one.\n\nI love the quote by Viktor Frankel, MD; Holocaust survivor and world-famous author of the book \"Mans Search for Meaning\" (my dad\'s favorite book).\n\n<em><strong>\"Life can be pulled by goals just as surely as it can be pushed by drives\".</strong></em>\n\n&nbsp;\n<h3><strong class=\"subhead\">Dedication:</strong></h3>\nAs many of you know, in each of my past two Ironman races, I have raced with dad\'s initials written on me. This year I chose not to do so, although he was with me all the way. Instead this year I chose to dedicate this race to someone else and have their initials on my arm. Without her unrelenting love and support for me over the years (and I do mean years), this race would have never been possible. And at 87 years young, she still continues to be an inspiration to me. These initials were YSF (Yvette Simon Fields) and they belong to my mom.\n\nThanks to everyone for inquiring about me and cheering from near and far. I really appreciated all of it and words cannot say thank you enough.\n\nYour thoughts and well wishes helped me through my third Ironman.\n<p class=\"text-center\"><strong>Peter A. Fields, MD DC</strong>\n<strong id=\"athleticdoc\">The Athletic Doc<sup style=\"font-size: 14px;\">®</sup> and 3X Ironman Finisher</strong></p>\n\n</div>\n<div id=\"sidebar2\" class=\"col-md-4\">\n\n[caption id=\"\" align=\"alignleft\" width=\"274\"]<img style=\"padding-left: 5px;\" title=\"My Third Ironman in 2013 Canada\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish.jpg\" alt=\"2013 Third Ironman \" width=\"274\" height=\"358\" /> My Third Ironman Completed[/caption]\n\n</div>\n<div></div>\n<div></div>\n<div class=\"col-md-4\"><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">01</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">7 Ironman Santa Rosa</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a></div>','Achieving Higher Goals at My Third Ironman in Canada','','inherit','closed','closed','','131-autosave-v1','','','2021-06-03 02:38:32','2021-06-03 02:38:32','',131,'https://www.drfields.com/?p=4685',0,'revision','',0),(4686,9,'2021-06-03 02:23:55','2021-06-03 02:23:55','<h2>Achieving Higher Goals at My Third Ironman</h2>\r\n<div class=\"col-md-8\">\r\n\r\n[caption id=\"attachment_134\" align=\"alignright\" width=\"220\"]<img class=\"wp-image-134 size-full\" title=\"Third Ironman\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-canada-logo.jpg\" alt=\"Ironman Canada Logo\" width=\"220\" height=\"97\" /> <em>Sunday, August 25, 2013 2.4-mile swim, 112-mile bike, 26.2-mile run</em>[/caption]\r\n<p class=\"text-center\"><em>Quote for the day:<strong> One cannot achieve higher goals in life without some struggle.</strong></em></p>\r\n\r\n<h3><img class=\"alignleft size-full wp-image-138\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-pre-race.jpg\" alt=\"Cozumel 2013 Pre Race\" width=\"160\" height=\"213\" /><strong class=\"subhead\">Before the Race</strong></h3>\r\nI woke up at 3:30 am so I could have breakfast by 4 am. That way I would have three hours before the start of the race so my food could be properly digested. I already had my gear ready to go plus the two special needs bags for the bike and the run. Then off to the village center to drop off the special needs bags and onto the buses that transported us to the swim start. Since the swim is held in a lake and there is limited road access, only Ironman official vehicles would have access to the lake.\r\n\r\nWhen we got there it was still dark and about 45 degrees. It was cold! But at least the rain from the previous day had stopped and no more was predicted. Fortunately, I had planned well for the cold.\r\n\r\nThere is always a lot of tension floating around as over 2200 athletes check their gear. Everyone tries their best to keep calm. We had left our bikes down there the day before as well as all our biking clothes and nutrition. The running gear and run nutrition was left at transition area 2 (T2) which is in town where the bike ride ends. This too was done the day before.\r\n\r\nThe only thing one brings in the morning is one\'s wetsuit, goggles, and cap along with whatever water/nutrition you take prior to the race. After pumping up my tires, it was on with the wetsuit, and then down to the waterfront.\r\n<h3><img class=\"alignleft  wp-image-140\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-swim.jpg\" alt=\"Cozumel 2013 Swim\" width=\"243\" height=\"324\" /><strong class=\"subhead\">The Swim in My Third Ironman</strong></h3>\r\nThe lake is surrounded by mountains and the water temperature was about 68 degrees. That temperature was comfortable with a wetsuit on. All 2200 of us swam out about 50 yards and began treading water for about 10-15 minutes. At exactly 7 am, the gun went off. It would be a long day.\r\n\r\nAs always, I go out fast at the beginning of the swim, since swimming is my best part. I try and get away from the majority of the crowd, and then I try and settle back into a good pace. There were a few turns prior to turning back on the first loop of the two-loop course.\r\n\r\nIt got really jammed and crowded...more jammed than usual, which meant I couldn\'t really get into a good stroke pattern until the second lap. Plus, I had my goggles knocked off twice. This was a first for me but actually a common occurrence with all the swimmers around. My swim was therefore a bit slower at 1hr and 7 minutes, but still pretty good overall.\r\n\r\n&nbsp;\r\n<h3>Transition One</h3>\r\nI took a bit longer in the change tent as I put on knee warmers, a wind vest, a riding jacket, a skull cap for under my helmet, and longliner gloves over my riding gloves (I get cold easy!!).\r\n<h3><img class=\"alignleft  wp-image-142\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-bike.jpg\" alt=\"Cozumel 2013 Bike\" width=\"251\" height=\"335\" /><strong class=\"subhead\">The Bike</strong></h3>\r\nThen I was off to the 112-mile ride with over 5600 feet of climbing. With the fact that there was a 30 mile or so stretch of flat riding, it was more like 5600 feet of climbing in 80 miles, which made it very hilly. The mountains around here are really very beautiful and the views were really spectacular.\r\n\r\n<strong>Riding through the crowds was invigorating.</strong> They really cheered us on. I took off my gloves since it was now above 60. Then some uphills and lots of downhills for the next 20 miles.\r\n\r\nAfter that, they had the special needs station. This is where one leaves out whatever you might want at a point halfway thru the ride (56 miles). I had nutrition supplies to restock what I had gone thru including a new bottle with liquid nutrition I use.\r\n\r\nI took off the leg warmers, vest and skull cap, gave it to one of the volunteers along with the empty bottle I had gone thru. She was very surprised but happy. She saw my name on the bottle. She asked if that was me. When I said yes, she said that she had some knee problems and might call me. <strong>Wow, a business referral in an Ironman!</strong> Then a very flat section where for about 30 miles from mile 55-85 with a slight wind. The views of the mountains above were again spectacular.\r\n\r\nThen back to the hills. <strong>The last part from mile 85 to 112, was essentially all uphill.</strong> The first climb was the longest and the steepest, which wore a lot of people down. Then mostly uphill with some slight downhill riding all the way back to town. It was tough on the legs.\r\n\r\nAs we approached the town, the cheering again kept me going. Needless to say, my quadriceps muscles (front of the legs) where one gets most of one\'s cycling power were well worn. My time was 6:58, which was slower than previously in the Cozumel Ironman. But with the hills here I was not disappointed.\r\n<h3>Transition Two</h3>\r\nAfter handing off my bike to a handler, it was off the change tent to put on my running shoes. No need to change clothing because what I wear under my wetsuit is what I ride and run in. Then a quick restock of a few gel packs. <strong>On the way out, volunteers with grass skirts put sunscreen on the runners.</strong> This would be helpful as it was hot, sunny, and getting warm.\r\n<h3><img class=\"alignleft  wp-image-143\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-run.jpg\" alt=\"Cozumel 2013 Run\" width=\"263\" height=\"350\" /><strong class=\"subhead\">The Run</strong></h3>\r\nThe run had over 1100 feet of climbing. Added to the very hilly ride, making this a hard run. There was constant up and down of hills. Tough on already tired legs. Some of the run went thru the woods on dirt trails, which was good for the legs.\r\n\r\nWe ran around a lake, over a wooden bridge on a pond, and had some spectacular views of the mountains. Due to a buttock area (gluteus medius) injury, I had done most of my running in deep water. I only ran 3 or 4 times in the last five months outside and then only very short. This gave me the stamina I needed but did not toughen my feet.\r\n\r\nAt mile four I developed a blister on my left foot-right in the arch- ouch! I got a Tegaderm patch (a wound covering) from a paramedic at mile 8, which eventually stopped the blister from getting worse.\r\n\r\nThen, at mile five, I also had very sharp pain right where my 3rd and 4th toes meet my foot on the right. This was causing me more problems than the left foot blister. This probably happened because I wear a shoe orthotic to help shift some weight off the 2nd toe where I usually have discomfort. The extra weight got transferred laterally to my third and fourth toes. So, I altered my gait and it became a lot easier to run.\r\n\r\nAt this point, it was actually easier to run (mid-foot plant) than walk. But on the uphill portions (there were many short ones), I had to sometimes walk as I could not go on my toes. Eventually, I was able to keep running and push thru it. As my mom always said, \"C\'est al vie\", (that\'s life). This is what an Ironman is all about- crisis control which was good advice from my coach.\r\n\r\nThe blister pain I just put in the back of my mind as it never got worse. All in all <strong>I eventually figured out I would not break 14 hours as I had done last year.</strong> But with the big hills on the ride, the hills on the run, and then the foot problems, I was OK with that. I ran most of the time and walked fast up the hills. And at 72 degrees (that was what it finally got to be) and sunny, it was quite warm being at 2200 feet. So the ice at the aid stations was a help.\r\n\r\nI just kept going using many months of physical and mental training to get me thru. At mile 18 or so, as we were running along an asphalt path near the woods, a baby bear came out of the woods and walked onto the path. We all just froze in place and stood there. One woman clapped her hands very loudly and the bear scurried off into the woods. As we started to run again, some said, \"That was the baby. I wonder where the mom is?!\" We all looked into the woods and had a good laugh.\r\n<h3><img class=\"alignleft size-full wp-image-144\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish2.jpg\" alt=\"Cozumel 2013 Finish2\" width=\"160\" height=\"268\" /><strong class=\"subhead\">The Finish</strong></h3>\r\nAs I got closer to the finish line, all the aches just started to fade away. The last mile or so I just let it all go and ran at a good pace. And as I entered the final turn, the last 150 meters were jammed with the crowds cheering loudly. At this point,<strong> I knew I had made it. All the months of training were worth it.</strong> And as I approached the archway and the finish line, I heard the announcer say, Peter Fields, \"You\'re an Ironman\"! It never gets old. The final run time was 5:52 with an overall time of 14:18.\r\n<h3><strong class=\"subhead\">Final Thoughts on My Third Ironman:</strong></h3>\r\nAll in all, I was very pleased as I did not have any of the dreaded Ironman stomach problems or any mechanical problems with my bike. I felt exhausted and drained but nonetheless very satisfied to have finished my third Ironman. Some may ask why I punish my body. I was not punishing it - just challenging it. When one is prepared, it is not a punishment. Plus, it is as much a mental challenge, if not more than a physical one.\r\n\r\nI love the quote by Viktor Frankel, MD; Holocaust survivor and world-famous author of the book \"Mans Search for Meaning\" (my dad\'s favorite book).\r\n\r\n<em><strong>\"Life can be pulled by goals just as surely as it can be pushed by drives\". </strong></em>\r\n<h3><strong class=\"subhead\">Dedication:</strong></h3>\r\nAs many of you know, in each of my past two Ironman races, I have raced with dad\'s initials written on me. This year I chose not to do so, although he was with me all the way. Instead this year I chose to dedicate this race to someone else and have their initials on my arm. Without her unrelenting love and support for me over the years (and I do mean years), this race would have never been possible. And at 87 years young, she still continues to be an inspiration to me. These initials were YSF (Yvette Simon Fields) and they belong to my mom.\r\n\r\nThanks to everyone for inquiring about me and cheering from near and far. I really appreciated all of it and words cannot say thank you enough.\r\n\r\nYour thoughts and well wishes helped me through my third Ironman.\r\n\r\nPlease feel free to see the pictures including the one with me smiling while showing off my mom\'s initials.\r\n<p class=\"text-center\"><strong>Peter A. Fields, MD DC</strong>\r\n<strong id=\"athleticdoc\">The Athletic Doc<sup style=\"font-size: 14px;\">®</sup> and 3X Ironman Finisher</strong></p>\r\n\r\n</div>\r\n<div id=\"sidebar2\" class=\"col-md-4\"><img style=\"padding-left: 5px;\" title=\"2013 Canada\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish.jpg\" alt=\"2013 Canada\" width=\"160\" height=\"215\" /><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2017 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a>\r\n\r\n</div>','Achieving Higher Goals at My Third Ironman in Canada','','inherit','closed','closed','','131-revision-v1','','','2021-06-03 02:23:55','2021-06-03 02:23:55','',131,'https://www.drfields.com/?p=4686',0,'revision','',0),(4687,9,'2021-06-03 02:27:13','2021-06-03 02:27:13','<h2>Achieving Higher Goals at My Third Ironman</h2>\r\n<div class=\"col-md-8\">\r\n\r\n[caption id=\"attachment_134\" align=\"alignright\" width=\"622\"]<img class=\"wp-image-134 \" title=\"Third Ironman\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-canada-logo.jpg\" alt=\"Ironman Canada Logo\" width=\"622\" height=\"273\" /> <em>                  Sunday, August 25, 2013:     2.4-mile swim, 112-mile bike, 26.2-mile run</em>[/caption]\r\n<p class=\"text-center\"><em>Quote for the day:<strong> One cannot achieve higher goals in life without some struggle.</strong></em></p>\r\n\r\n<h3><img class=\"alignleft size-full wp-image-138\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-pre-race.jpg\" alt=\"Cozumel 2013 Pre Race\" width=\"160\" height=\"213\" /><strong class=\"subhead\">Before the Race</strong></h3>\r\nI woke up at 3:30 am so I could have breakfast by 4 am. That way I would have three hours before the start of the race so my food could be properly digested. I already had my gear ready to go plus the two special needs bags for the bike and the run. Then off to the village center to drop off the special needs bags and onto the buses that transported us to the swim start. Since the swim is held in a lake and there is limited road access, only Ironman official vehicles would have access to the lake.\r\n\r\nWhen we got there it was still dark and about 45 degrees. It was cold! But at least the rain from the previous day had stopped and no more was predicted. Fortunately, I had planned well for the cold.\r\n\r\nThere is always a lot of tension floating around as over 2200 athletes check their gear. Everyone tries their best to keep calm. We had left our bikes down there the day before as well as all our biking clothes and nutrition. The running gear and run nutrition was left at transition area 2 (T2) which is in town where the bike ride ends. This too was done the day before.\r\n\r\nThe only thing one brings in the morning is one\'s wetsuit, goggles, and cap along with whatever water/nutrition you take prior to the race. After pumping up my tires, it was on with the wetsuit, and then down to the waterfront.\r\n<h3><img class=\"alignleft wp-image-140\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-swim.jpg\" alt=\"Cozumel 2013 Swim\" width=\"243\" height=\"324\" /><strong class=\"subhead\">The Swim in My Third Ironman</strong></h3>\r\nThe lake is surrounded by mountains and the water temperature was about 68 degrees. That temperature was comfortable with a wetsuit on. All 2200 of us swam out about 50 yards and began treading water for about 10-15 minutes. At exactly 7 am, the gun went off. It would be a long day.\r\n\r\nAs always, I go out fast at the beginning of the swim, since swimming is my best part. I try and get away from the majority of the crowd, and then I try and settle back into a good pace. There were a few turns prior to turning back on the first loop of the two-loop course.\r\n\r\nIt got really jammed and crowded...more jammed than usual, which meant I couldn\'t really get into a good stroke pattern until the second lap. Plus, I had my goggles knocked off twice. This was a first for me but actually a common occurrence with all the swimmers around. My swim was therefore a bit slower at 1hr and 7 minutes, but still pretty good overall.\r\n\r\n&nbsp;\r\n<h3>Transition One</h3>\r\nI took a bit longer in the change tent as I put on knee warmers, a wind vest, a riding jacket, a skull cap for under my helmet, and longliner gloves over my riding gloves (I get cold easy!!).\r\n<h3><img class=\"alignleft wp-image-142\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-bike.jpg\" alt=\"Cozumel 2013 Bike\" width=\"251\" height=\"335\" /><strong class=\"subhead\">The Bike</strong></h3>\r\nThen I was off to the 112-mile ride with over 5600 feet of climbing. With the fact that there was a 30 mile or so stretch of flat riding, it was more like 5600 feet of climbing in 80 miles, which made it very hilly. The mountains around here are really very beautiful and the views were really spectacular.\r\n\r\n<strong>Riding through the crowds was invigorating.</strong> They really cheered us on. I took off my gloves since it was now above 60. Then some uphills and lots of downhills for the next 20 miles.\r\n\r\nAfter that, they had the special needs station. This is where one leaves out whatever you might want at a point halfway thru the ride (56 miles). I had nutrition supplies to restock what I had gone thru including a new bottle with liquid nutrition I use.\r\n\r\nI took off the leg warmers, vest and skull cap, gave it to one of the volunteers along with the empty bottle I had gone thru. She was very surprised but happy. She saw my name on the bottle. She asked if that was me. When I said yes, she said that she had some knee problems and might call me. <strong>Wow, a business referral in an Ironman!</strong> Then a very flat section where for about 30 miles from mile 55-85 with a slight wind. The views of the mountains above were again spectacular.\r\n\r\nThen back to the hills. <strong>The last part from mile 85 to 112, was essentially all uphill.</strong> The first climb was the longest and the steepest, which wore a lot of people down. Then mostly uphill with some slight downhill riding all the way back to town. It was tough on the legs.\r\n\r\nAs we approached the town, the cheering again kept me going. Needless to say, my quadriceps muscles (front of the legs) where one gets most of one\'s cycling power were well worn. My time was 6:58, which was slower than previously in the Cozumel Ironman. But with the hills here I was not disappointed.\r\n<h3>Transition Two</h3>\r\nAfter handing off my bike to a handler, it was off the change tent to put on my running shoes. No need to change clothing because what I wear under my wetsuit is what I ride and run in. Then a quick restock of a few gel packs. <strong>On the way out, volunteers with grass skirts put sunscreen on the runners.</strong> This would be helpful as it was hot, sunny, and getting warm.\r\n<h3><img class=\"alignleft wp-image-143\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-run.jpg\" alt=\"Cozumel 2013 Run\" width=\"263\" height=\"350\" /><strong class=\"subhead\">The Run</strong></h3>\r\nThe run had over 1100 feet of climbing. Added to the very hilly ride, making this a hard run. There was constant up and down of hills. Tough on already tired legs. Some of the run went thru the woods on dirt trails, which was good for the legs.\r\n\r\nWe ran around a lake, over a wooden bridge on a pond, and had some spectacular views of the mountains. Due to a buttock area (gluteus medius) injury, I had done most of my running in deep water. I only ran 3 or 4 times in the last five months outside and then only very short. This gave me the stamina I needed but did not toughen my feet.\r\n\r\nAt mile four I developed a blister on my left foot-right in the arch- ouch! I got a Tegaderm patch (a wound covering) from a paramedic at mile 8, which eventually stopped the blister from getting worse.\r\n\r\nThen, at mile five, I also had very sharp pain right where my 3rd and 4th toes meet my foot on the right. This was causing me more problems than the left foot blister. This probably happened because I wear a shoe orthotic to help shift some weight off the 2nd toe where I usually have discomfort. The extra weight got transferred laterally to my third and fourth toes. So, I altered my gait and it became a lot easier to run.\r\n\r\nAt this point, it was actually easier to run (mid-foot plant) than walk. But on the uphill portions (there were many short ones), I had to sometimes walk as I could not go on my toes. Eventually, I was able to keep running and push thru it. As my mom always said, \"C\'est al vie\", (that\'s life). This is what an Ironman is all about- crisis control which was good advice from my coach.\r\n\r\nThe blister pain I just put in the back of my mind as it never got worse. All in all <strong>I eventually figured out I would not break 14 hours as I had done last year.</strong> But with the big hills on the ride, the hills on the run, and then the foot problems, I was OK with that. I ran most of the time and walked fast up the hills. And at 72 degrees (that was what it finally got to be) and sunny, it was quite warm being at 2200 feet. So the ice at the aid stations was a help.\r\n\r\nI just kept going using many months of physical and mental training to get me thru. At mile 18 or so, as we were running along an asphalt path near the woods, a baby bear came out of the woods and walked onto the path. We all just froze in place and stood there. One woman clapped her hands very loudly and the bear scurried off into the woods. As we started to run again, some said, \"That was the baby. I wonder where the mom is?!\" We all looked into the woods and had a good laugh.\r\n<h3><img class=\"alignleft  wp-image-144\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish2.jpg\" alt=\"Cozumel 2013 Finish2\" width=\"288\" height=\"482\" /><strong class=\"subhead\">The Finish</strong></h3>\r\nAs I got closer to the finish line, all the aches just started to fade away. The last mile or so I just let it all go and ran at a good pace. And as I entered the final turn, the last 150 meters were jammed with the crowds cheering loudly. At this point,<strong> I knew I had made it. All the months of training were worth it.</strong> And as I approached the archway and the finish line, I heard the announcer say, Peter Fields, \"You\'re an Ironman\"! It never gets old. The final run time was 5:52 with an overall time of 14:18.\r\n<h3><strong class=\"subhead\">Final Thoughts on My Third Ironman:</strong></h3>\r\nAll in all, I was very pleased as I did not have any of the dreaded Ironman stomach problems or any mechanical problems with my bike. I felt exhausted and drained but nonetheless very satisfied to have finished my third Ironman. Some may ask why I punish my body. I was not punishing it - just challenging it. When one is prepared, it is not a punishment. Plus, it is as much a mental challenge, if not more than a physical one.\r\n\r\nI love the quote by Viktor Frankel, MD; Holocaust survivor and world-famous author of the book \"Mans Search for Meaning\" (my dad\'s favorite book).\r\n\r\n<em><strong>\"Life can be pulled by goals just as surely as it can be pushed by drives\".</strong></em>\r\n\r\n&nbsp;\r\n<h3><strong class=\"subhead\">Dedication:</strong></h3>\r\nAs many of you know, in each of my past two Ironman races, I have raced with dad\'s initials written on me. This year I chose not to do so, although he was with me all the way. Instead this year I chose to dedicate this race to someone else and have their initials on my arm. Without her unrelenting love and support for me over the years (and I do mean years), this race would have never been possible. And at 87 years young, she still continues to be an inspiration to me. These initials were YSF (Yvette Simon Fields) and they belong to my mom.\r\n\r\nThanks to everyone for inquiring about me and cheering from near and far. I really appreciated all of it and words cannot say thank you enough.\r\n\r\nYour thoughts and well wishes helped me through my third Ironman.\r\n<p class=\"text-center\"><strong>Peter A. Fields, MD DC</strong>\r\n<strong id=\"athleticdoc\">The Athletic Doc<sup style=\"font-size: 14px;\">®</sup> and 3X Ironman Finisher</strong></p>\r\n\r\n</div>\r\n<div id=\"sidebar2\" class=\"col-md-4\"><img class=\"\" style=\"padding-left: 5px;\" title=\"2013 Canada\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish.jpg\" alt=\"2013 Canada\" width=\"274\" height=\"358\" /></div>\r\n<div></div>\r\n<div></div>\r\n<div class=\"col-md-4\"><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">01</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">7 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a></div>','Achieving Higher Goals at My Third Ironman in Canada','','inherit','closed','closed','','131-revision-v1','','','2021-06-03 02:27:13','2021-06-03 02:27:13','',131,'https://www.drfields.com/?p=4687',0,'revision','',0),(4688,9,'2021-06-03 02:34:55','2021-06-03 02:34:55','<h2>Achieving Higher Goals at My Third Ironman</h2>\r\n<div class=\"col-md-8\">\r\n\r\n[caption id=\"attachment_134\" align=\"alignright\" width=\"581\"]<img class=\"wp-image-134 \" title=\"Third Ironman\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-canada-logo.jpg\" alt=\"Ironman Canada Logo\" width=\"581\" height=\"256\" /> <em>                  Sunday, August 25, 2013:     2.4-mile swim, 112-mile bike, 26.2-mile run</em>[/caption]\r\n<p class=\"text-center\"><em>Third Ironman Quote for the Day:<strong> One cannot achieve higher goals in life without some struggle.</strong></em></p>\r\n\r\n<h3><img class=\"alignleft size-full wp-image-138\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-pre-race.jpg\" alt=\"Cozumel 2013 Pre Race\" width=\"160\" height=\"213\" /><strong class=\"subhead\">Before the Race</strong></h3>\r\nI woke up at 3:30 am so I could have breakfast by 4 am. That way I would have three hours before the start of the race so my food could be properly digested. I already had my gear ready to go plus the two special needs bags for the bike and the run. Then off to the village center to drop off the special needs bags and onto the buses that transported us to the swim start. Since the swim is held in a lake and there is limited road access, only Ironman official vehicles would have access to the lake.\r\n\r\nWhen we got there it was still dark and about 45 degrees. It was cold! But at least the rain from the previous day had stopped and no more was predicted. Fortunately, I had planned well for the cold.\r\n\r\nThere is always a lot of tension floating around as over 2200 athletes check their gear. Everyone tries their best to keep calm. We had left our bikes down there the day before as well as all our biking clothes and nutrition. The running gear and run nutrition was left at transition area 2 (T2) which is in town where the bike ride ends. This too was done the day before.\r\n\r\nThe only thing one brings in the morning is one\'s wetsuit, goggles, and cap along with whatever water/nutrition you take prior to the race. After pumping up my tires, it was on with the wetsuit, and then down to the waterfront.\r\n<h3><img class=\"alignleft wp-image-140\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-swim.jpg\" alt=\"Cozumel 2013 Swim\" width=\"243\" height=\"324\" /><strong class=\"subhead\">The Swim in My Third Ironman</strong></h3>\r\nThe lake is surrounded by mountains and the water temperature was about 68 degrees. That temperature was comfortable with a wetsuit on. All 2200 of us swam out about 50 yards and began treading water for about 10-15 minutes. At exactly 7 am, the gun went off. It would be a long day.\r\n\r\nAs always, I go out fast at the beginning of the swim, since swimming is my best part. I try and get away from the majority of the crowd, and then I try and settle back into a good pace. There were a few turns prior to turning back on the first loop of the two-loop course.\r\n\r\nIt got really jammed and crowded...more jammed than usual, which meant I couldn\'t really get into a good stroke pattern until the second lap. Plus, I had my goggles knocked off twice. This was a first for me but actually a common occurrence with all the swimmers around. My swim was therefore a bit slower at 1hr and 7 minutes, but still pretty good overall.\r\n\r\n&nbsp;\r\n<h3>Transition One</h3>\r\nI took a bit longer in the change tent as I put on knee warmers, a wind vest, a riding jacket, a skull cap for under my helmet, and longliner gloves over my riding gloves (I get cold easy!!).\r\n<h3><img class=\"alignleft wp-image-142\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-bike.jpg\" alt=\"Cozumel 2013 Bike\" width=\"251\" height=\"335\" /><strong class=\"subhead\">The Bike</strong></h3>\r\nThen I was off to the 112-mile ride with over 5600 feet of climbing. With the fact that there was a 30 mile or so stretch of flat riding, it was more like 5600 feet of climbing in 80 miles, which made it very hilly. The mountains around here are really very beautiful and the views were really spectacular.\r\n\r\n<strong>Riding through the crowds was invigorating.</strong> They really cheered us on. I took off my gloves since it was now above 60. Then some uphills and lots of downhills for the next 20 miles.\r\n\r\nAfter that, they had the special needs station. This is where one leaves out whatever you might want at a point halfway thru the ride (56 miles). I had nutrition supplies to restock what I had gone thru including a new bottle with liquid nutrition I use.\r\n\r\nI took off the leg warmers, vest, and skull cap, gave them to one of the volunteers along with the empty bottle I had gone thru. She was very surprised but happy. She saw my name on the bottle. She asked if that was me. When I said yes, she said that she had some knee problems and might call me. <strong>Wow, a business referral in an Ironman!</strong> Then a very flat section where for about 30 miles from mile 55-85 with a slight wind. The views of the mountains above were again spectacular.\r\n\r\nThen back to the hills. <strong>The last part from mile 85 to 112, was essentially all uphill.</strong> The first climb was the longest and the steepest, which wore a lot of people down. Then mostly uphill with some slight downhill riding all the way back to town. It was tough on the legs.\r\n\r\nAs we approached the town, the cheering again kept me going. Needless to say, my quadriceps muscles (front of the legs) where one gets most of one\'s cycling power were well worn. My time was 6:58, which was slower than previously in the <a href=\"https://www.drfields.com/about/the-athletic-doc/my-second-ironman-competition-took-place-in-cozumel-mexico/\">Cozumel Ironman</a>. But with the hills here I was not disappointed.\r\n<h3>Transition Two</h3>\r\nAfter handing off my bike to a handler, it was off the change tent to put on my running shoes. No need to change clothing because what I wear under my wetsuit is what I ride and run in. Then a quick restock of a few gel packs. <strong>On the way out, volunteers with grass skirts put sunscreen on the runners.</strong> This would be helpful as it was hot, sunny, and getting warm.\r\n<h3><img class=\"alignleft wp-image-143\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-run.jpg\" alt=\"Cozumel 2013 Run\" width=\"263\" height=\"350\" /><strong class=\"subhead\">The Run</strong></h3>\r\nThe run had over 1100 feet of climbing. Added to the very hilly ride, making this a hard run. There was constant up and down of hills. Tough on already tired legs. Some of the runs went thru the woods on dirt trails, which was good for the legs.\r\n\r\nWe ran around a lake, over a wooden bridge on a pond, and had some spectacular views of the mountains. Due to a buttock area (gluteus medius) injury, I had done most of my running in deep water. I only ran 3 or 4 times in the last five months outside and then only very short. This gave me the stamina I needed but did not toughen my feet.\r\n\r\nAt mile four I developed a blister on my left foot-right in the arch- ouch! I got a Tegaderm patch (a wound covering) from a paramedic at mile 8, which eventually stopped the blister from getting worse.\r\n\r\nThen, at mile five, I also had very sharp pain right where my 3rd and 4th toes meet my foot on the right. This was causing me more problems than the left foot blister. This probably happened because I wear a shoe orthotic to help shift some weight off the 2nd toe where I usually have discomfort. The extra weight got transferred laterally to my third and fourth toes. So, I altered my gait and it became a lot easier to run.\r\n\r\nAt this point, it was actually easier to run (mid-foot plant) than walk. But on the uphill portions (there were many short ones), I had to sometimes walk as I could not go on my toes. Eventually, I was able to keep running and push thru it. As my mom always said, \"C\'est al vie\", (that\'s life). This is what an Ironman is all about- crisis control which was good advice from my coach.\r\n\r\nThe blister pain I just put in the back of my mind and it never got worse. All in all, <strong>I eventually figured out I would not break 14 hours as I had done last year.</strong> But with the big hills on the ride, the hills on the run, and then the foot problems, I was OK with that. I ran most of the time and walked fast up the hills. And at 72 degrees (that was what it finally got to be) and sunny, it was quite warm being at 2200 feet. So the ice at the aid stations was a help.\r\n\r\nI just kept going using many months of physical and mental training to get me thru. At mile 18 or so, as we were running along an asphalt path near the woods, a baby bear came out of the woods and walked onto the path. We all just froze in place and stood there. One woman clapped her hands very loudly and the bear scurried off into the woods. As we started to run again, some said, \"That was the baby. I wonder where the mom is?!\" We all looked into the woods and had a good laugh.\r\n<h3><img class=\"alignleft wp-image-144\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish2.jpg\" alt=\"Cozumel 2013 Finish2\" width=\"288\" height=\"482\" /><strong class=\"subhead\">The Finish</strong></h3>\r\nAs I got closer to the finish line, all the aches just started to fade away. The last mile or so I just let it all go and ran at a good pace. And as I entered the final turn, the last 150 meters were jammed with the crowds cheering loudly. At this point,<strong> I knew I had made it. All the months of training were worth it.</strong> And as I approached the archway and the finish line, I heard the announcer say, Peter Fields, \"You\'re an Ironman\"! It never gets old. The final run time was 5:52 with an overall time of 14:18.\r\n<h3><strong class=\"subhead\">Final Thoughts on My Third Ironman:</strong></h3>\r\nAll in all, I was very pleased as I did not have any of the dreaded Ironman stomach problems or any mechanical problems with my bike. I felt exhausted and drained but nonetheless very satisfied to have finished my third Ironman. Some may ask why I punish my body. I was not punishing it - just challenging it. When one is prepared, it is not a punishment. Plus, it is as much a mental challenge, if not more than a physical one.\r\n\r\nI love the quote by Viktor Frankel, MD; Holocaust survivor and world-famous author of the book \"Mans Search for Meaning\" (my dad\'s favorite book).\r\n\r\n<em><strong>\"Life can be pulled by goals just as surely as it can be pushed by drives\".</strong></em>\r\n\r\n&nbsp;\r\n<h3><strong class=\"subhead\">Dedication:</strong></h3>\r\nAs many of you know, in each of my past two Ironman races, I have raced with dad\'s initials written on me. This year I chose not to do so, although he was with me all the way. Instead this year I chose to dedicate this race to someone else and have their initials on my arm. Without her unrelenting love and support for me over the years (and I do mean years), this race would have never been possible. And at 87 years young, she still continues to be an inspiration to me. These initials were YSF (Yvette Simon Fields) and they belong to my mom.\r\n\r\nThanks to everyone for inquiring about me and cheering from near and far. I really appreciated all of it and words cannot say thank you enough.\r\n\r\nYour thoughts and well wishes helped me through my third Ironman.\r\n<p class=\"text-center\"><strong>Peter A. Fields, MD DC</strong>\r\n<strong id=\"athleticdoc\">The Athletic Doc<sup style=\"font-size: 14px;\">®</sup> and 3X Ironman Finisher</strong></p>\r\n\r\n</div>\r\n<div id=\"sidebar2\" class=\"col-md-4\"><img class=\"alignleft\" style=\"padding-left: 5px;\" title=\"2013 Canada\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish.jpg\" alt=\"2013 Canada\" width=\"274\" height=\"358\" /></div>\r\n<div></div>\r\n<div></div>\r\n<div class=\"col-md-4\"><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">01</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">7 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a></div>','Achieving Higher Goals at My Third Ironman in Canada','','inherit','closed','closed','','131-revision-v1','','','2021-06-03 02:34:55','2021-06-03 02:34:55','',131,'https://www.drfields.com/?p=4688',0,'revision','',0),(4689,9,'2021-06-03 02:36:57','2021-06-03 02:36:57','<h2>Achieving Higher Goals at My Third Ironman</h2>\r\n<div class=\"col-md-8\">\r\n\r\n[caption id=\"attachment_134\" align=\"alignright\" width=\"581\"]<img class=\"wp-image-134 \" title=\"Third Ironman\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-canada-logo.jpg\" alt=\"Ironman Canada Logo\" width=\"581\" height=\"256\" /> <em>                  Sunday, August 25, 2013:     2.4-mile swim, 112-mile bike, 26.2-mile run</em>[/caption]\r\n<p class=\"text-center\"><em>Third Ironman Quote for the Day:<strong> One cannot achieve higher goals in life without some struggle.</strong></em></p>\r\n\r\n<h3><img class=\"alignleft size-full wp-image-138\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-pre-race.jpg\" alt=\"Cozumel 2013 Pre Race\" width=\"160\" height=\"213\" /><strong class=\"subhead\">Before the Race</strong></h3>\r\nI woke up at 3:30 am so I could have breakfast by 4 am. That way I would have three hours before the start of the race so my food could be properly digested. I already had my gear ready to go plus the two special needs bags for the bike and the run. Then off to the village center to drop off the special needs bags and onto the buses that transported us to the swim start. Since the swim is held in a lake and there is limited road access, only Ironman official vehicles would have access to the lake.\r\n\r\nWhen we got there it was still dark and about 45 degrees. It was cold! But at least the rain from the previous day had stopped and no more was predicted. Fortunately, I had planned well for the cold.\r\n\r\nThere is always a lot of tension floating around as over 2200 athletes check their gear. Everyone tries their best to keep calm. We had left our bikes down there the day before as well as all our biking clothes and nutrition. The running gear and run nutrition was left at transition area 2 (T2) which is in town where the bike ride ends. This too was done the day before.\r\n\r\nThe only thing one brings in the morning is one\'s wetsuit, goggles, and cap along with whatever water/nutrition you take prior to the race. After pumping up my tires, it was on with the wetsuit, and then down to the waterfront.\r\n<h3><img class=\"alignleft wp-image-140\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-swim.jpg\" alt=\"Cozumel 2013 Swim\" width=\"243\" height=\"324\" /><strong class=\"subhead\">The Swim in My Third Ironman</strong></h3>\r\nThe lake is surrounded by mountains and the water temperature was about 68 degrees. That temperature was comfortable with a wetsuit on. All 2200 of us swam out about 50 yards and began treading water for about 10-15 minutes. At exactly 7 am, the gun went off. It would be a long day.\r\n\r\nAs always, I go out fast at the beginning of the swim, since swimming is my best part. I try and get away from the majority of the crowd, and then I try and settle back into a good pace. There were a few turns prior to turning back on the first loop of the two-loop course.\r\n\r\nIt got really jammed and crowded...more jammed than usual, which meant I couldn\'t really get into a good stroke pattern until the second lap. Plus, I had my goggles knocked off twice. This was a first for me but actually a common occurrence with all the swimmers around. My swim was therefore a bit slower at 1hr and 7 minutes, but still pretty good overall.\r\n\r\n&nbsp;\r\n<h3>Transition One</h3>\r\nI took a bit longer in the change tent as I put on knee warmers, a wind vest, a riding jacket, a skull cap for under my helmet, and longliner gloves over my riding gloves (I get cold easy!!).\r\n<h3><img class=\"alignleft wp-image-142\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-bike.jpg\" alt=\"Cozumel 2013 Bike\" width=\"251\" height=\"335\" /><strong class=\"subhead\">The Bike</strong></h3>\r\nThen I was off to the 112-mile ride with over 5600 feet of climbing. With the fact that there was a 30 mile or so stretch of flat riding, it was more like 5600 feet of climbing in 80 miles, which made it very hilly. The mountains around here are really very beautiful and the views were really spectacular.\r\n\r\n<strong>Riding through the crowds was invigorating.</strong> They really cheered us on. I took off my gloves since it was now above 60. Then some uphills and lots of downhills for the next 20 miles.\r\n\r\nAfter that, they had the special needs station. This is where one leaves out whatever you might want at a point halfway thru the ride (56 miles). I had nutrition supplies to restock what I had gone thru including a new bottle with liquid nutrition I use.\r\n\r\nI took off the leg warmers, vest, and skull cap, gave them to one of the volunteers along with the empty bottle I had gone thru. She was very surprised but happy. She saw my name on the bottle. She asked if that was me. When I said yes, she said that she had some knee problems and might call me. <strong>Wow, a business referral in an Ironman!</strong> Then a very flat section where for about 30 miles from mile 55-85 with a slight wind. The views of the mountains above were again spectacular.\r\n\r\nThen back to the hills. <strong>The last part from mile 85 to 112, was essentially all uphill.</strong> The first climb was the longest and the steepest, which wore a lot of people down. Then mostly uphill with some slight downhill riding all the way back to town. It was tough on the legs.\r\n\r\nAs we approached the town, the cheering again kept me going. Needless to say, my quadriceps muscles (front of the legs) where one gets most of one\'s cycling power were well worn. My time was 6:58, which was slower than previously in the <a href=\"https://www.drfields.com/about/the-athletic-doc/my-second-ironman-competition-took-place-in-cozumel-mexico/\">Cozumel Ironman</a>. But with the hills here I was not disappointed.\r\n<h3>Transition Two</h3>\r\nAfter handing off my bike to a handler, it was off the change tent to put on my running shoes. No need to change clothing because what I wear under my wetsuit is what I ride and run in. Then a quick restock of a few gel packs. <strong>On the way out, volunteers with grass skirts put sunscreen on the runners.</strong> This would be helpful as it was hot, sunny, and getting warm.\r\n<h3><img class=\"alignleft wp-image-143\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-run.jpg\" alt=\"Cozumel 2013 Run\" width=\"263\" height=\"350\" /><strong class=\"subhead\">The Run</strong></h3>\r\nThe run had over 1100 feet of climbing. Added to the very hilly ride, making this a hard run. There was constant up and down of hills. Tough on already tired legs. Some of the runs went thru the woods on dirt trails, which was good for the legs.\r\n\r\nWe ran around a lake, over a wooden bridge on a pond, and had some spectacular views of the mountains. Due to a buttock area (gluteus medius) injury, I had done most of my running in deep water. I only ran 3 or 4 times in the last five months outside and then only very short. This gave me the stamina I needed but did not toughen my feet.\r\n\r\nAt mile four I developed a blister on my left foot-right in the arch- ouch! I got a Tegaderm patch (a wound covering) from a paramedic at mile 8, which eventually stopped the blister from getting worse.\r\n\r\nThen, at mile five, I also had very sharp pain right where my 3rd and 4th toes meet my foot on the right. This was causing me more problems than the left foot blister. This probably happened because I wear a shoe orthotic to help shift some weight off the 2nd toe where I usually have discomfort. The extra weight got transferred laterally to my third and fourth toes. So, I altered my gait and it became a lot easier to run.\r\n\r\nAt this point, it was actually easier to run (mid-foot plant) than walk. But on the uphill portions (there were many short ones), I had to sometimes walk as I could not go on my toes. Eventually, I was able to keep running and push thru it. As my mom always said, \"C\'est al vie\", (that\'s life). This is what an Ironman is all about- crisis control which was good advice from my coach.\r\n\r\nThe blister pain I just put in the back of my mind and it never got worse. All in all, <strong>I eventually figured out I would not break 14 hours as I had done last year.</strong> But with the big hills on the ride, the hills on the run, and then the foot problems, I was OK with that. I ran most of the time and walked fast up the hills. And at 72 degrees (that was what it finally got to be) and sunny, it was quite warm being at 2200 feet. So the ice at the aid stations was a help.\r\n\r\nI just kept going using many months of physical and mental training to get me thru. At mile 18 or so, as we were running along an asphalt path near the woods, a baby bear came out of the woods and walked onto the path. We all just froze in place and stood there. One woman clapped her hands very loudly and the bear scurried off into the woods. As we started to run again, some said, \"That was the baby. I wonder where the mom is?!\" We all looked into the woods and had a good laugh.\r\n<h3><img class=\"alignleft wp-image-144\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish2.jpg\" alt=\"Cozumel 2013 Finish2\" width=\"288\" height=\"482\" /><strong class=\"subhead\">The Finish</strong></h3>\r\nAs I got closer to the finish line, all the aches just started to fade away. The last mile or so I just let it all go and ran at a good pace. And as I entered the final turn, the last 150 meters were jammed with the crowds cheering loudly. At this point,<strong> I knew I had made it. All the months of training were worth it.</strong> And as I approached the archway and the finish line, I heard the announcer say, Peter Fields, \"You\'re an Ironman\"! It never gets old. The final run time was 5:52 with an overall time of 14:18.\r\n<h3><strong class=\"subhead\">Final Thoughts on My Third Ironman:</strong></h3>\r\nAll in all, I was very pleased as I did not have any of the dreaded Ironman stomach problems or any mechanical problems with my bike. I felt exhausted and drained but nonetheless very satisfied to have finished my third Ironman. Some may ask why I punish my body. I was not punishing it - just challenging it. When one is prepared, it is not a punishment. Plus, it is as much a mental challenge, if not more than a physical one.\r\n\r\nI love the quote by Viktor Frankel, MD; Holocaust survivor and world-famous author of the book \"Mans Search for Meaning\" (my dad\'s favorite book).\r\n\r\n<em><strong>\"Life can be pulled by goals just as surely as it can be pushed by drives\".</strong></em>\r\n\r\n&nbsp;\r\n<h3><strong class=\"subhead\">Dedication:</strong></h3>\r\nAs many of you know, in each of my past two Ironman races, I have raced with dad\'s initials written on me. This year I chose not to do so, although he was with me all the way. Instead this year I chose to dedicate this race to someone else and have their initials on my arm. Without her unrelenting love and support for me over the years (and I do mean years), this race would have never been possible. And at 87 years young, she still continues to be an inspiration to me. These initials were YSF (Yvette Simon Fields) and they belong to my mom.\r\n\r\nThanks to everyone for inquiring about me and cheering from near and far. I really appreciated all of it and words cannot say thank you enough.\r\n\r\nYour thoughts and well wishes helped me through my third Ironman.\r\n<p class=\"text-center\"><strong>Peter A. Fields, MD DC</strong>\r\n<strong id=\"athleticdoc\">The Athletic Doc<sup style=\"font-size: 14px;\">®</sup> and 3X Ironman Finisher</strong></p>\r\n\r\n</div>\r\n<div id=\"sidebar2\" class=\"col-md-4\">\r\n\r\n[caption id=\"\" align=\"alignleft\" width=\"274\"]<img style=\"padding-left: 5px;\" title=\"My Third Ironman in 2013 Canada\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish.jpg\" alt=\"2013 Third Ironman \" width=\"274\" height=\"358\" />           My Third Ironman Completed[/caption]\r\n\r\n</div>\r\n<div></div>\r\n<div></div>\r\n<div class=\"col-md-4\"><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">01</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">7 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a></div>','Achieving Higher Goals at My Third Ironman in Canada','','inherit','closed','closed','','131-revision-v1','','','2021-06-03 02:36:57','2021-06-03 02:36:57','',131,'https://www.drfields.com/?p=4689',0,'revision','',0),(4690,9,'2021-06-03 02:38:44','2021-06-03 02:38:44','<h2>Achieving Higher Goals at My Third Ironman</h2>\r\n<div class=\"col-md-8\">\r\n\r\n[caption id=\"attachment_134\" align=\"alignright\" width=\"581\"]<img class=\"wp-image-134 \" title=\"Third Ironman\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-canada-logo.jpg\" alt=\"Ironman Canada Logo\" width=\"581\" height=\"256\" /> <em>                  Sunday, August 25, 2013:     2.4-mile swim, 112-mile bike, 26.2-mile run</em>[/caption]\r\n<p class=\"text-center\"><em>Third Ironman Quote for the Day:<strong> One cannot achieve higher goals in life without some struggle.</strong></em></p>\r\n\r\n<h3><img class=\"alignleft size-full wp-image-138\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-pre-race.jpg\" alt=\"Cozumel 2013 Pre Race\" width=\"160\" height=\"213\" /><strong class=\"subhead\">Before the Race</strong></h3>\r\nI woke up at 3:30 am so I could have breakfast by 4 am. That way I would have three hours before the start of the race so my food could be properly digested. I already had my gear ready to go plus the two special needs bags for the bike and the run. Then off to the village center to drop off the special needs bags and onto the buses that transported us to the swim start. Since the swim is held in a lake and there is limited road access, only Ironman official vehicles would have access to the lake.\r\n\r\nWhen we got there it was still dark and about 45 degrees. It was cold! But at least the rain from the previous day had stopped and no more was predicted. Fortunately, I had planned well for the cold.\r\n\r\nThere is always a lot of tension floating around as over 2200 athletes check their gear. Everyone tries their best to keep calm. We had left our bikes down there the day before as well as all our biking clothes and nutrition. The running gear and run nutrition was left at transition area 2 (T2) which is in town where the bike ride ends. This too was done the day before.\r\n\r\nThe only thing one brings in the morning is one\'s wetsuit, goggles, and cap along with whatever water/nutrition you take prior to the race. After pumping up my tires, it was on with the wetsuit, and then down to the waterfront.\r\n<h3><img class=\"alignleft wp-image-140\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-swim.jpg\" alt=\"Cozumel 2013 Swim\" width=\"243\" height=\"324\" /><strong class=\"subhead\">The Swim in My Third Ironman</strong></h3>\r\nThe lake is surrounded by mountains and the water temperature was about 68 degrees. That temperature was comfortable with a wetsuit on. All 2200 of us swam out about 50 yards and began treading water for about 10-15 minutes. At exactly 7 am, the gun went off. It would be a long day.\r\n\r\nAs always, I go out fast at the beginning of the swim, since swimming is my best part. I try and get away from the majority of the crowd, and then I try and settle back into a good pace. There were a few turns prior to turning back on the first loop of the two-loop course.\r\n\r\nIt got really jammed and crowded...more jammed than usual, which meant I couldn\'t really get into a good stroke pattern until the second lap. Plus, I had my goggles knocked off twice. This was a first for me but actually a common occurrence with all the swimmers around. My swim was therefore a bit slower at 1hr and 7 minutes, but still pretty good overall.\r\n\r\n&nbsp;\r\n<h3>Transition One</h3>\r\nI took a bit longer in the change tent as I put on knee warmers, a wind vest, a riding jacket, a skull cap for under my helmet, and longliner gloves over my riding gloves (I get cold easy!!).\r\n<h3><img class=\"alignleft wp-image-142\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-bike.jpg\" alt=\"Cozumel 2013 Bike\" width=\"251\" height=\"335\" /><strong class=\"subhead\">The Bike</strong></h3>\r\nThen I was off to the 112-mile ride with over 5600 feet of climbing. With the fact that there was a 30 mile or so stretch of flat riding, it was more like 5600 feet of climbing in 80 miles, which made it very hilly. The mountains around here are really very beautiful and the views were really spectacular.\r\n\r\n<strong>Riding through the crowds was invigorating.</strong> They really cheered us on. I took off my gloves since it was now above 60. Then some uphills and lots of downhills for the next 20 miles.\r\n\r\nAfter that, they had the special needs station. This is where one leaves out whatever you might want at a point halfway thru the ride (56 miles). I had nutrition supplies to restock what I had gone thru including a new bottle with liquid nutrition I use.\r\n\r\nI took off the leg warmers, vest, and skull cap, gave them to one of the volunteers along with the empty bottle I had gone thru. She was very surprised but happy, seeing my name on the bottle, and asked if that was me. When I said yes, she said that she had some knee problems and might call me. <strong>Wow, a business referral in an Ironman!</strong> Then a very flat section where for about 30 miles from mile 55-85 with a slight wind. The views of the mountains above were again spectacular.\r\n\r\nThen back to the hills. <strong>The last part from mile 85 to 112, was essentially all uphill.</strong> The first climb was the longest and the steepest, which wore a lot of people down. Then mostly uphill with some slight downhill riding all the way back to town. It was tough on the legs.\r\n\r\nAs we approached the town, the cheering again kept me going. Needless to say, my quadriceps muscles (front of the legs) where one gets most of one\'s cycling power were well worn. My time was 6:58, which was slower than previously in the <a href=\"https://www.drfields.com/about/the-athletic-doc/my-second-ironman-competition-took-place-in-cozumel-mexico/\">Cozumel Ironman</a>. But with the hills here I was not disappointed.\r\n<h3>Transition Two</h3>\r\nAfter handing off my bike to a handler, it was off the change tent to put on my running shoes. No need to change clothing because what I wear under my wetsuit is what I ride and run in. Then a quick restock of a few gel packs. <strong>On the way out, volunteers with grass skirts put sunscreen on the runners.</strong> This would be helpful as it was hot, sunny, and getting warm.\r\n<h3><img class=\"alignleft wp-image-143\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-run.jpg\" alt=\"Cozumel 2013 Run\" width=\"263\" height=\"350\" /><strong class=\"subhead\">The Run</strong></h3>\r\nThe run had over 1100 feet of climbing. Added to the very hilly ride, making this a hard run. There was constant up and down of hills. Tough on already tired legs. Some of the runs went thru the woods on dirt trails, which was good for the legs.\r\n\r\nWe ran around a lake, over a wooden bridge on a pond, and had some spectacular views of the mountains. Due to a buttock area (gluteus medius) injury, I had done most of my running in deep water. I only ran 3 or 4 times in the last five months outside and then only very short. This gave me the stamina I needed but did not toughen my feet.\r\n\r\nAt mile four I developed a blister on my left foot-right in the arch- ouch! I got a Tegaderm patch (a wound covering) from a paramedic at mile 8, which eventually stopped the blister from getting worse.\r\n\r\nThen, at mile five, I also had very sharp pain right where my 3rd and 4th toes meet my foot on the right. This was causing me more problems than the left foot blister. This probably happened because I wear a shoe orthotic to help shift some weight off the 2nd toe where I usually have discomfort. The extra weight got transferred laterally to my third and fourth toes. So, I altered my gait and it became a lot easier to run.\r\n\r\nAt this point, it was actually easier to run (mid-foot plant) than walk. But on the uphill portions (there were many short ones), I had to sometimes walk as I could not go on my toes. Eventually, I was able to keep running and push thru it. As my mom always said, \"C\'est al vie\", (that\'s life). This is what an Ironman is all about- crisis control which was good advice from my coach.\r\n\r\nThe blister pain I just put in the back of my mind and it never got worse. All in all, <strong>I eventually figured out I would not break 14 hours as I had done last year.</strong> But with the big hills on the ride, the hills on the run, and then the foot problems, I was OK with that. I ran most of the time and walked fast up the hills. And at 72 degrees (that was what it finally got to be) and sunny, it was quite warm being at 2200 feet. So the ice at the aid stations was a help.\r\n\r\nI just kept going using many months of physical and mental training to get me thru. At mile 18 or so, as we were running along an asphalt path near the woods, a baby bear came out of the woods and walked onto the path. We all just froze in place and stood there. One woman clapped her hands very loudly and the bear scurried off into the woods. As we started to run again, some said, \"That was the baby. I wonder where the mom is?!\" We all looked into the woods and had a good laugh.\r\n<h3><img class=\"alignleft wp-image-144\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish2.jpg\" alt=\"Cozumel 2013 Finish2\" width=\"288\" height=\"482\" /><strong class=\"subhead\">The Finish</strong></h3>\r\nAs I got closer to the finish line, all the aches just started to fade away. The last mile or so I just let it all go and ran at a good pace. And as I entered the final turn, the last 150 meters were jammed with the crowds cheering loudly. At this point,<strong> I knew I had made it. All the months of training were worth it.</strong> And as I approached the archway and the finish line, I heard the announcer say, Peter Fields, \"You\'re an Ironman\"! It never gets old. The final run time was 5:52 with an overall time of 14:18.\r\n<h3><strong class=\"subhead\">Final Thoughts on My Third Ironman:</strong></h3>\r\nAll in all, I was very pleased as I did not have any of the dreaded Ironman stomach problems or any mechanical problems with my bike. I felt exhausted and drained but nonetheless very satisfied to have finished my third Ironman. Some may ask why I punish my body. I was not punishing it - just challenging it. When one is prepared, it is not a punishment. Plus, it is as much a mental challenge, if not more than a physical one.\r\n\r\nI love the quote by Viktor Frankel, MD; Holocaust survivor and world-famous author of the book \"Mans Search for Meaning\" (my dad\'s favorite book).\r\n\r\n<em><strong>\"Life can be pulled by goals just as surely as it can be pushed by drives\".</strong></em>\r\n\r\n&nbsp;\r\n<h3><strong class=\"subhead\">Dedication:</strong></h3>\r\nAs many of you know, in each of my past two Ironman races, I have raced with dad\'s initials written on me. This year I chose not to do so, although he was with me all the way. Instead this year I chose to dedicate this race to someone else and have their initials on my arm. Without her unrelenting love and support for me over the years (and I do mean years), this race would have never been possible. And at 87 years young, she still continues to be an inspiration to me. These initials were YSF (Yvette Simon Fields) and they belong to my mom.\r\n\r\nThanks to everyone for inquiring about me and cheering from near and far. I really appreciated all of it and words cannot say thank you enough.\r\n\r\nYour thoughts and well wishes helped me through my third Ironman.\r\n<p class=\"text-center\"><strong>Peter A. Fields, MD DC</strong>\r\n<strong id=\"athleticdoc\">The Athletic Doc<sup style=\"font-size: 14px;\">®</sup> and 3X Ironman Finisher</strong></p>\r\n\r\n</div>\r\n<div id=\"sidebar2\" class=\"col-md-4\">\r\n\r\n[caption id=\"\" align=\"alignleft\" width=\"274\"]<img style=\"padding-left: 5px;\" title=\"My Third Ironman in 2013 Canada\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish.jpg\" alt=\"2013 Third Ironman \" width=\"274\" height=\"358\" /> My Third Ironman Completed[/caption]\r\n\r\n</div>\r\n<div></div>\r\n<div></div>\r\n<div class=\"col-md-4\"><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">01</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">7 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a></div>','Achieving Higher Goals at My Third Ironman in Canada','','inherit','closed','closed','','131-revision-v1','','','2021-06-03 02:38:44','2021-06-03 02:38:44','',131,'https://www.drfields.com/?p=4690',0,'revision','',0),(4691,9,'2021-06-03 02:39:27','2021-06-03 02:39:27','<h2>Achieving Higher Goals at My Third Ironman</h2>\r\n<div class=\"col-md-8\">\r\n\r\n[caption id=\"attachment_134\" align=\"alignright\" width=\"497\"]<img class=\"wp-image-134 \" title=\"Third Ironman\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-canada-logo.jpg\" alt=\"Ironman Canada Logo\" width=\"497\" height=\"219\" /> <em>      Sunday, August 25, 2013:     2.4-mile swim, 112-mile bike, 26.2-mile run</em>[/caption]\r\n<p class=\"text-center\"><em>Third Ironman Quote for the Day:<strong> One cannot achieve higher goals in life without some struggle.</strong></em></p>\r\n\r\n<h3><img class=\"alignleft size-full wp-image-138\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-pre-race.jpg\" alt=\"Cozumel 2013 Pre Race\" width=\"160\" height=\"213\" /><strong class=\"subhead\">Before the Race</strong></h3>\r\nI woke up at 3:30 am so I could have breakfast by 4 am. That way I would have three hours before the start of the race so my food could be properly digested. I already had my gear ready to go plus the two special needs bags for the bike and the run. Then off to the village center to drop off the special needs bags and onto the buses that transported us to the swim start. Since the swim is held in a lake and there is limited road access, only Ironman official vehicles would have access to the lake.\r\n\r\nWhen we got there it was still dark and about 45 degrees. It was cold! But at least the rain from the previous day had stopped and no more was predicted. Fortunately, I had planned well for the cold.\r\n\r\nThere is always a lot of tension floating around as over 2200 athletes check their gear. Everyone tries their best to keep calm. We had left our bikes down there the day before as well as all our biking clothes and nutrition. The running gear and run nutrition was left at transition area 2 (T2) which is in town where the bike ride ends. This too was done the day before.\r\n\r\nThe only thing one brings in the morning is one\'s wetsuit, goggles, and cap along with whatever water/nutrition you take prior to the race. After pumping up my tires, it was on with the wetsuit, and then down to the waterfront.\r\n<h3><img class=\"alignleft wp-image-140\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-swim.jpg\" alt=\"Cozumel 2013 Swim\" width=\"243\" height=\"324\" /><strong class=\"subhead\">The Swim in My Third Ironman</strong></h3>\r\nThe lake is surrounded by mountains and the water temperature was about 68 degrees. That temperature was comfortable with a wetsuit on. All 2200 of us swam out about 50 yards and began treading water for about 10-15 minutes. At exactly 7 am, the gun went off. It would be a long day.\r\n\r\nAs always, I go out fast at the beginning of the swim, since swimming is my best part. I try and get away from the majority of the crowd, and then I try and settle back into a good pace. There were a few turns prior to turning back on the first loop of the two-loop course.\r\n\r\nIt got really jammed and crowded...more jammed than usual, which meant I couldn\'t really get into a good stroke pattern until the second lap. Plus, I had my goggles knocked off twice. This was a first for me but actually a common occurrence with all the swimmers around. My swim was therefore a bit slower at 1hr and 7 minutes, but still pretty good overall.\r\n\r\n&nbsp;\r\n<h3>Transition One</h3>\r\nI took a bit longer in the change tent as I put on knee warmers, a wind vest, a riding jacket, a skull cap for under my helmet, and longliner gloves over my riding gloves (I get cold easy!!).\r\n<h3><img class=\"alignleft wp-image-142\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-bike.jpg\" alt=\"Cozumel 2013 Bike\" width=\"251\" height=\"335\" /><strong class=\"subhead\">The Bike</strong></h3>\r\nThen I was off to the 112-mile ride with over 5600 feet of climbing. With the fact that there was a 30 mile or so stretch of flat riding, it was more like 5600 feet of climbing in 80 miles, which made it very hilly. The mountains around here are really very beautiful and the views were really spectacular.\r\n\r\n<strong>Riding through the crowds was invigorating.</strong> They really cheered us on. I took off my gloves since it was now above 60. Then some uphills and lots of downhills for the next 20 miles.\r\n\r\nAfter that, they had the special needs station. This is where one leaves out whatever you might want at a point halfway thru the ride (56 miles). I had nutrition supplies to restock what I had gone thru including a new bottle with liquid nutrition I use.\r\n\r\nI took off the leg warmers, vest, and skull cap, gave them to one of the volunteers along with the empty bottle I had gone thru. She was very surprised but happy, seeing my name on the bottle, and asked if that was me. When I said yes, she said that she had some knee problems and might call me. <strong>Wow, a business referral in an Ironman!</strong> Then a very flat section where for about 30 miles from mile 55-85 with a slight wind. The views of the mountains above were again spectacular.\r\n\r\nThen back to the hills. <strong>The last part from mile 85 to 112, was essentially all uphill.</strong> The first climb was the longest and the steepest, which wore a lot of people down. Then mostly uphill with some slight downhill riding all the way back to town. It was tough on the legs.\r\n\r\nAs we approached the town, the cheering again kept me going. Needless to say, my quadriceps muscles (front of the legs) where one gets most of one\'s cycling power were well worn. My time was 6:58, which was slower than previously in the <a href=\"https://www.drfields.com/about/the-athletic-doc/my-second-ironman-competition-took-place-in-cozumel-mexico/\">Cozumel Ironman</a>. But with the hills here I was not disappointed.\r\n<h3>Transition Two</h3>\r\nAfter handing off my bike to a handler, it was off the change tent to put on my running shoes. No need to change clothing because what I wear under my wetsuit is what I ride and run in. Then a quick restock of a few gel packs. <strong>On the way out, volunteers with grass skirts put sunscreen on the runners.</strong> This would be helpful as it was hot, sunny, and getting warm.\r\n<h3><img class=\"alignleft wp-image-143\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-run.jpg\" alt=\"Cozumel 2013 Run\" width=\"263\" height=\"350\" /><strong class=\"subhead\">The Run</strong></h3>\r\nThe run had over 1100 feet of climbing. Added to the very hilly ride, making this a hard run. There was constant up and down of hills. Tough on already tired legs. Some of the runs went thru the woods on dirt trails, which was good for the legs.\r\n\r\nWe ran around a lake, over a wooden bridge on a pond, and had some spectacular views of the mountains. Due to a buttock area (gluteus medius) injury, I had done most of my running in deep water. I only ran 3 or 4 times in the last five months outside and then only very short. This gave me the stamina I needed but did not toughen my feet.\r\n\r\nAt mile four I developed a blister on my left foot-right in the arch- ouch! I got a Tegaderm patch (a wound covering) from a paramedic at mile 8, which eventually stopped the blister from getting worse.\r\n\r\nThen, at mile five, I also had very sharp pain right where my 3rd and 4th toes meet my foot on the right. This was causing me more problems than the left foot blister. This probably happened because I wear a shoe orthotic to help shift some weight off the 2nd toe where I usually have discomfort. The extra weight got transferred laterally to my third and fourth toes. So, I altered my gait and it became a lot easier to run.\r\n\r\nAt this point, it was actually easier to run (mid-foot plant) than walk. But on the uphill portions (there were many short ones), I had to sometimes walk as I could not go on my toes. Eventually, I was able to keep running and push thru it. As my mom always said, \"C\'est al vie\", (that\'s life). This is what an Ironman is all about- crisis control which was good advice from my coach.\r\n\r\nThe blister pain I just put in the back of my mind and it never got worse. All in all, <strong>I eventually figured out I would not break 14 hours as I had done last year.</strong> But with the big hills on the ride, the hills on the run, and then the foot problems, I was OK with that. I ran most of the time and walked fast up the hills. And at 72 degrees (that was what it finally got to be) and sunny, it was quite warm being at 2200 feet. So the ice at the aid stations was a help.\r\n\r\nI just kept going using many months of physical and mental training to get me thru. At mile 18 or so, as we were running along an asphalt path near the woods, a baby bear came out of the woods and walked onto the path. We all just froze in place and stood there. One woman clapped her hands very loudly and the bear scurried off into the woods. As we started to run again, some said, \"That was the baby. I wonder where the mom is?!\" We all looked into the woods and had a good laugh.\r\n<h3><img class=\"alignleft wp-image-144\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish2.jpg\" alt=\"Cozumel 2013 Finish2\" width=\"288\" height=\"482\" /><strong class=\"subhead\">The Finish</strong></h3>\r\nAs I got closer to the finish line, all the aches just started to fade away. The last mile or so I just let it all go and ran at a good pace. And as I entered the final turn, the last 150 meters were jammed with the crowds cheering loudly. At this point,<strong> I knew I had made it. All the months of training were worth it.</strong> And as I approached the archway and the finish line, I heard the announcer say, Peter Fields, \"You\'re an Ironman\"! It never gets old. The final run time was 5:52 with an overall time of 14:18.\r\n<h3><strong class=\"subhead\">Final Thoughts on My Third Ironman:</strong></h3>\r\nAll in all, I was very pleased as I did not have any of the dreaded Ironman stomach problems or any mechanical problems with my bike. I felt exhausted and drained but nonetheless very satisfied to have finished my third Ironman. Some may ask why I punish my body. I was not punishing it - just challenging it. When one is prepared, it is not a punishment. Plus, it is as much a mental challenge, if not more than a physical one.\r\n\r\nI love the quote by Viktor Frankel, MD; Holocaust survivor and world-famous author of the book \"Mans Search for Meaning\" (my dad\'s favorite book).\r\n\r\n<em><strong>\"Life can be pulled by goals just as surely as it can be pushed by drives\".</strong></em>\r\n\r\n&nbsp;\r\n<h3><strong class=\"subhead\">Dedication:</strong></h3>\r\nAs many of you know, in each of my past two Ironman races, I have raced with dad\'s initials written on me. This year I chose not to do so, although he was with me all the way. Instead this year I chose to dedicate this race to someone else and have their initials on my arm. Without her unrelenting love and support for me over the years (and I do mean years), this race would have never been possible. And at 87 years young, she still continues to be an inspiration to me. These initials were YSF (Yvette Simon Fields) and they belong to my mom.\r\n\r\nThanks to everyone for inquiring about me and cheering from near and far. I really appreciated all of it and words cannot say thank you enough.\r\n\r\nYour thoughts and well wishes helped me through my third Ironman.\r\n<p class=\"text-center\"><strong>Peter A. Fields, MD DC</strong>\r\n<strong id=\"athleticdoc\">The Athletic Doc<sup style=\"font-size: 14px;\">®</sup> and 3X Ironman Finisher</strong></p>\r\n\r\n</div>\r\n<div id=\"sidebar2\" class=\"col-md-4\">\r\n\r\n[caption id=\"\" align=\"alignleft\" width=\"274\"]<img style=\"padding-left: 5px;\" title=\"My Third Ironman in 2013 Canada\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish.jpg\" alt=\"2013 Third Ironman \" width=\"274\" height=\"358\" /> My Third Ironman Completed[/caption]\r\n\r\n</div>\r\n<div></div>\r\n<div></div>\r\n<div class=\"col-md-4\"><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">01</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">7 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a></div>','Achieving Higher Goals at My Third Ironman in Canada','','inherit','closed','closed','','131-revision-v1','','','2021-06-03 02:39:27','2021-06-03 02:39:27','',131,'https://www.drfields.com/?p=4691',0,'revision','',0),(4692,9,'2021-06-03 02:40:23','2021-06-03 02:40:23','<h2>Achieving Higher Goals at My Third Ironman</h2>\r\n<div class=\"col-md-8\">\r\n\r\n[caption id=\"attachment_134\" align=\"alignright\" width=\"497\"]<img class=\"wp-image-134 \" title=\"Third Ironman\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-canada-logo.jpg\" alt=\"Ironman Canada Logo\" width=\"497\" height=\"219\" /> <em>      Sunday, August 25, 2013:     2.4-mile swim, 112-mile bike, 26.2-mile run</em>[/caption]\r\n\r\n</div>\r\n<p class=\"text-center\"></p>\r\n&nbsp;\r\n\r\n<em>Third Ironman Quote for the Day:<strong> One cannot achieve higher goals in life without some struggle.</strong></em>\r\n<div class=\"col-md-8\">\r\n<h3><img class=\"alignleft size-full wp-image-138\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-pre-race.jpg\" alt=\"Cozumel 2013 Pre Race\" width=\"160\" height=\"213\" /><strong class=\"subhead\">Before the Race</strong></h3>\r\nI woke up at 3:30 am so I could have breakfast by 4 am. That way I would have three hours before the start of the race so my food could be properly digested. I already had my gear ready to go plus the two special needs bags for the bike and the run. Then off to the village center to drop off the special needs bags and onto the buses that transported us to the swim start. Since the swim is held in a lake and there is limited road access, only Ironman official vehicles would have access to the lake.\r\n\r\nWhen we got there it was still dark and about 45 degrees. It was cold! But at least the rain from the previous day had stopped and no more was predicted. Fortunately, I had planned well for the cold.\r\n\r\nThere is always a lot of tension floating around as over 2200 athletes check their gear. Everyone tries their best to keep calm. We had left our bikes down there the day before as well as all our biking clothes and nutrition. The running gear and run nutrition was left at transition area 2 (T2) which is in town where the bike ride ends. This too was done the day before.\r\n\r\nThe only thing one brings in the morning is one\'s wetsuit, goggles, and cap along with whatever water/nutrition you take prior to the race. After pumping up my tires, it was on with the wetsuit, and then down to the waterfront.\r\n<h3><img class=\"alignleft wp-image-140\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-swim.jpg\" alt=\"Cozumel 2013 Swim\" width=\"243\" height=\"324\" /><strong class=\"subhead\">The Swim in My Third Ironman</strong></h3>\r\nThe lake is surrounded by mountains and the water temperature was about 68 degrees. That temperature was comfortable with a wetsuit on. All 2200 of us swam out about 50 yards and began treading water for about 10-15 minutes. At exactly 7 am, the gun went off. It would be a long day.\r\n\r\nAs always, I go out fast at the beginning of the swim, since swimming is my best part. I try and get away from the majority of the crowd, and then I try and settle back into a good pace. There were a few turns prior to turning back on the first loop of the two-loop course.\r\n\r\nIt got really jammed and crowded...more jammed than usual, which meant I couldn\'t really get into a good stroke pattern until the second lap. Plus, I had my goggles knocked off twice. This was a first for me but actually a common occurrence with all the swimmers around. My swim was therefore a bit slower at 1hr and 7 minutes, but still pretty good overall.\r\n\r\n&nbsp;\r\n<h3>Transition One</h3>\r\nI took a bit longer in the change tent as I put on knee warmers, a wind vest, a riding jacket, a skull cap for under my helmet, and longliner gloves over my riding gloves (I get cold easy!!).\r\n<h3><img class=\"alignleft wp-image-142\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-bike.jpg\" alt=\"Cozumel 2013 Bike\" width=\"251\" height=\"335\" /><strong class=\"subhead\">The Bike</strong></h3>\r\nThen I was off to the 112-mile ride with over 5600 feet of climbing. With the fact that there was a 30 mile or so stretch of flat riding, it was more like 5600 feet of climbing in 80 miles, which made it very hilly. The mountains around here are really very beautiful and the views were really spectacular.\r\n\r\n<strong>Riding through the crowds was invigorating.</strong> They really cheered us on. I took off my gloves since it was now above 60. Then some uphills and lots of downhills for the next 20 miles.\r\n\r\nAfter that, they had the special needs station. This is where one leaves out whatever you might want at a point halfway thru the ride (56 miles). I had nutrition supplies to restock what I had gone thru including a new bottle with liquid nutrition I use.\r\n\r\nI took off the leg warmers, vest, and skull cap, gave them to one of the volunteers along with the empty bottle I had gone thru. She was very surprised but happy, seeing my name on the bottle, and asked if that was me. When I said yes, she said that she had some knee problems and might call me. <strong>Wow, a business referral in an Ironman!</strong> Then a very flat section where for about 30 miles from mile 55-85 with a slight wind. The views of the mountains above were again spectacular.\r\n\r\nThen back to the hills. <strong>The last part from mile 85 to 112, was essentially all uphill.</strong> The first climb was the longest and the steepest, which wore a lot of people down. Then mostly uphill with some slight downhill riding all the way back to town. It was tough on the legs.\r\n\r\nAs we approached the town, the cheering again kept me going. Needless to say, my quadriceps muscles (front of the legs) where one gets most of one\'s cycling power were well worn. My time was 6:58, which was slower than previously in the <a href=\"https://www.drfields.com/about/the-athletic-doc/my-second-ironman-competition-took-place-in-cozumel-mexico/\">Cozumel Ironman</a>. But with the hills here I was not disappointed.\r\n<h3>Transition Two</h3>\r\nAfter handing off my bike to a handler, it was off the change tent to put on my running shoes. No need to change clothing because what I wear under my wetsuit is what I ride and run in. Then a quick restock of a few gel packs. <strong>On the way out, volunteers with grass skirts put sunscreen on the runners.</strong> This would be helpful as it was hot, sunny, and getting warm.\r\n<h3><img class=\"alignleft wp-image-143\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-run.jpg\" alt=\"Cozumel 2013 Run\" width=\"263\" height=\"350\" /><strong class=\"subhead\">The Run</strong></h3>\r\nThe run had over 1100 feet of climbing. Added to the very hilly ride, making this a hard run. There was constant up and down of hills. Tough on already tired legs. Some of the runs went thru the woods on dirt trails, which was good for the legs.\r\n\r\nWe ran around a lake, over a wooden bridge on a pond, and had some spectacular views of the mountains. Due to a buttock area (gluteus medius) injury, I had done most of my running in deep water. I only ran 3 or 4 times in the last five months outside and then only very short. This gave me the stamina I needed but did not toughen my feet.\r\n\r\nAt mile four I developed a blister on my left foot-right in the arch- ouch! I got a Tegaderm patch (a wound covering) from a paramedic at mile 8, which eventually stopped the blister from getting worse.\r\n\r\nThen, at mile five, I also had very sharp pain right where my 3rd and 4th toes meet my foot on the right. This was causing me more problems than the left foot blister. This probably happened because I wear a shoe orthotic to help shift some weight off the 2nd toe where I usually have discomfort. The extra weight got transferred laterally to my third and fourth toes. So, I altered my gait and it became a lot easier to run.\r\n\r\nAt this point, it was actually easier to run (mid-foot plant) than walk. But on the uphill portions (there were many short ones), I had to sometimes walk as I could not go on my toes. Eventually, I was able to keep running and push thru it. As my mom always said, \"C\'est al vie\", (that\'s life). This is what an Ironman is all about- crisis control which was good advice from my coach.\r\n\r\nThe blister pain I just put in the back of my mind and it never got worse. All in all, <strong>I eventually figured out I would not break 14 hours as I had done last year.</strong> But with the big hills on the ride, the hills on the run, and then the foot problems, I was OK with that. I ran most of the time and walked fast up the hills. And at 72 degrees (that was what it finally got to be) and sunny, it was quite warm being at 2200 feet. So the ice at the aid stations was a help.\r\n\r\nI just kept going using many months of physical and mental training to get me thru. At mile 18 or so, as we were running along an asphalt path near the woods, a baby bear came out of the woods and walked onto the path. We all just froze in place and stood there. One woman clapped her hands very loudly and the bear scurried off into the woods. As we started to run again, some said, \"That was the baby. I wonder where the mom is?!\" We all looked into the woods and had a good laugh.\r\n<h3><img class=\"alignleft wp-image-144\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish2.jpg\" alt=\"Cozumel 2013 Finish2\" width=\"288\" height=\"482\" /><strong class=\"subhead\">The Finish</strong></h3>\r\nAs I got closer to the finish line, all the aches just started to fade away. The last mile or so I just let it all go and ran at a good pace. And as I entered the final turn, the last 150 meters were jammed with the crowds cheering loudly. At this point,<strong> I knew I had made it. All the months of training were worth it.</strong> And as I approached the archway and the finish line, I heard the announcer say, Peter Fields, \"You\'re an Ironman\"! It never gets old. The final run time was 5:52 with an overall time of 14:18.\r\n<h3><strong class=\"subhead\">Final Thoughts on My Third Ironman:</strong></h3>\r\nAll in all, I was very pleased as I did not have any of the dreaded Ironman stomach problems or any mechanical problems with my bike. I felt exhausted and drained but nonetheless very satisfied to have finished my third Ironman. Some may ask why I punish my body. I was not punishing it - just challenging it. When one is prepared, it is not a punishment. Plus, it is as much a mental challenge, if not more than a physical one.\r\n\r\nI love the quote by Viktor Frankel, MD; Holocaust survivor and world-famous author of the book \"Mans Search for Meaning\" (my dad\'s favorite book).\r\n\r\n<em><strong>\"Life can be pulled by goals just as surely as it can be pushed by drives\".</strong></em>\r\n\r\n&nbsp;\r\n<h3><strong class=\"subhead\">Dedication:</strong></h3>\r\nAs many of you know, in each of my past two Ironman races, I have raced with dad\'s initials written on me. This year I chose not to do so, although he was with me all the way. Instead this year I chose to dedicate this race to someone else and have their initials on my arm. Without her unrelenting love and support for me over the years (and I do mean years), this race would have never been possible. And at 87 years young, she still continues to be an inspiration to me. These initials were YSF (Yvette Simon Fields) and they belong to my mom.\r\n\r\nThanks to everyone for inquiring about me and cheering from near and far. I really appreciated all of it and words cannot say thank you enough.\r\n\r\nYour thoughts and well wishes helped me through my third Ironman.\r\n<p class=\"text-center\"><strong>Peter A. Fields, MD DC</strong>\r\n<strong id=\"athleticdoc\">The Athletic Doc<sup style=\"font-size: 14px;\">®</sup> and 3X Ironman Finisher</strong></p>\r\n\r\n</div>\r\n<div id=\"sidebar2\" class=\"col-md-4\">\r\n\r\n[caption id=\"\" align=\"alignleft\" width=\"274\"]<img style=\"padding-left: 5px;\" title=\"My Third Ironman in 2013 Canada\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish.jpg\" alt=\"2013 Third Ironman \" width=\"274\" height=\"358\" /> My Third Ironman Completed[/caption]\r\n\r\n</div>\r\n<div></div>\r\n<div></div>\r\n<div class=\"col-md-4\"><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">01</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">7 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a></div>','Achieving Higher Goals at My Third Ironman in Canada','','inherit','closed','closed','','131-revision-v1','','','2021-06-03 02:40:23','2021-06-03 02:40:23','',131,'https://www.drfields.com/?p=4692',0,'revision','',0),(4693,9,'2021-06-03 02:41:07','2021-06-03 02:41:07','<h2>Achieving Higher Goals at My Third Ironman</h2>\r\n<div class=\"col-md-8\">\r\n\r\n[caption id=\"attachment_134\" align=\"alignleft\" width=\"497\"]<img class=\"wp-image-134 \" title=\"Third Ironman\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-canada-logo.jpg\" alt=\"Ironman Canada Logo\" width=\"497\" height=\"219\" /> <em>      Sunday, August 25, 2013:     2.4-mile swim, 112-mile bike, 26.2-mile run</em>[/caption]\r\n\r\n</div>\r\n<em>Third Ironman Quote for the Day:<strong> One cannot achieve higher goals in life without some struggle.</strong></em>\r\n<div class=\"col-md-8\">\r\n<h3><img class=\"alignleft size-full wp-image-138\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-pre-race.jpg\" alt=\"Cozumel 2013 Pre Race\" width=\"160\" height=\"213\" /><strong class=\"subhead\">Before the Race</strong></h3>\r\nI woke up at 3:30 am so I could have breakfast by 4 am. That way I would have three hours before the start of the race so my food could be properly digested. I already had my gear ready to go plus the two special needs bags for the bike and the run. Then off to the village center to drop off the special needs bags and onto the buses that transported us to the swim start. Since the swim is held in a lake and there is limited road access, only Ironman official vehicles would have access to the lake.\r\n\r\nWhen we got there it was still dark and about 45 degrees. It was cold! But at least the rain from the previous day had stopped and no more was predicted. Fortunately, I had planned well for the cold.\r\n\r\nThere is always a lot of tension floating around as over 2200 athletes check their gear. Everyone tries their best to keep calm. We had left our bikes down there the day before as well as all our biking clothes and nutrition. The running gear and run nutrition was left at transition area 2 (T2) which is in town where the bike ride ends. This too was done the day before.\r\n\r\nThe only thing one brings in the morning is one\'s wetsuit, goggles, and cap along with whatever water/nutrition you take prior to the race. After pumping up my tires, it was on with the wetsuit, and then down to the waterfront.\r\n<h3><img class=\"alignleft wp-image-140\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-swim.jpg\" alt=\"Cozumel 2013 Swim\" width=\"243\" height=\"324\" /><strong class=\"subhead\">The Swim in My Third Ironman</strong></h3>\r\nThe lake is surrounded by mountains and the water temperature was about 68 degrees. That temperature was comfortable with a wetsuit on. All 2200 of us swam out about 50 yards and began treading water for about 10-15 minutes. At exactly 7 am, the gun went off. It would be a long day.\r\n\r\nAs always, I go out fast at the beginning of the swim, since swimming is my best part. I try and get away from the majority of the crowd, and then I try and settle back into a good pace. There were a few turns prior to turning back on the first loop of the two-loop course.\r\n\r\nIt got really jammed and crowded...more jammed than usual, which meant I couldn\'t really get into a good stroke pattern until the second lap. Plus, I had my goggles knocked off twice. This was a first for me but actually a common occurrence with all the swimmers around. My swim was therefore a bit slower at 1hr and 7 minutes, but still pretty good overall.\r\n\r\n&nbsp;\r\n<h3>Transition One</h3>\r\nI took a bit longer in the change tent as I put on knee warmers, a wind vest, a riding jacket, a skull cap for under my helmet, and longliner gloves over my riding gloves (I get cold easy!!).\r\n<h3><img class=\"alignleft wp-image-142\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-bike.jpg\" alt=\"Cozumel 2013 Bike\" width=\"251\" height=\"335\" /><strong class=\"subhead\">The Bike</strong></h3>\r\nThen I was off to the 112-mile ride with over 5600 feet of climbing. With the fact that there was a 30 mile or so stretch of flat riding, it was more like 5600 feet of climbing in 80 miles, which made it very hilly. The mountains around here are really very beautiful and the views were really spectacular.\r\n\r\n<strong>Riding through the crowds was invigorating.</strong> They really cheered us on. I took off my gloves since it was now above 60. Then some uphills and lots of downhills for the next 20 miles.\r\n\r\nAfter that, they had the special needs station. This is where one leaves out whatever you might want at a point halfway thru the ride (56 miles). I had nutrition supplies to restock what I had gone thru including a new bottle with liquid nutrition I use.\r\n\r\nI took off the leg warmers, vest, and skull cap, gave them to one of the volunteers along with the empty bottle I had gone thru. She was very surprised but happy, seeing my name on the bottle, and asked if that was me. When I said yes, she said that she had some knee problems and might call me. <strong>Wow, a business referral in an Ironman!</strong> Then a very flat section where for about 30 miles from mile 55-85 with a slight wind. The views of the mountains above were again spectacular.\r\n\r\nThen back to the hills. <strong>The last part from mile 85 to 112, was essentially all uphill.</strong> The first climb was the longest and the steepest, which wore a lot of people down. Then mostly uphill with some slight downhill riding all the way back to town. It was tough on the legs.\r\n\r\nAs we approached the town, the cheering again kept me going. Needless to say, my quadriceps muscles (front of the legs) where one gets most of one\'s cycling power were well worn. My time was 6:58, which was slower than previously in the <a href=\"https://www.drfields.com/about/the-athletic-doc/my-second-ironman-competition-took-place-in-cozumel-mexico/\">Cozumel Ironman</a>. But with the hills here I was not disappointed.\r\n<h3>Transition Two</h3>\r\nAfter handing off my bike to a handler, it was off the change tent to put on my running shoes. No need to change clothing because what I wear under my wetsuit is what I ride and run in. Then a quick restock of a few gel packs. <strong>On the way out, volunteers with grass skirts put sunscreen on the runners.</strong> This would be helpful as it was hot, sunny, and getting warm.\r\n<h3><img class=\"alignleft wp-image-143\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-run.jpg\" alt=\"Cozumel 2013 Run\" width=\"263\" height=\"350\" /><strong class=\"subhead\">The Run</strong></h3>\r\nThe run had over 1100 feet of climbing. Added to the very hilly ride, making this a hard run. There was constant up and down of hills. Tough on already tired legs. Some of the runs went thru the woods on dirt trails, which was good for the legs.\r\n\r\nWe ran around a lake, over a wooden bridge on a pond, and had some spectacular views of the mountains. Due to a buttock area (gluteus medius) injury, I had done most of my running in deep water. I only ran 3 or 4 times in the last five months outside and then only very short. This gave me the stamina I needed but did not toughen my feet.\r\n\r\nAt mile four I developed a blister on my left foot-right in the arch- ouch! I got a Tegaderm patch (a wound covering) from a paramedic at mile 8, which eventually stopped the blister from getting worse.\r\n\r\nThen, at mile five, I also had very sharp pain right where my 3rd and 4th toes meet my foot on the right. This was causing me more problems than the left foot blister. This probably happened because I wear a shoe orthotic to help shift some weight off the 2nd toe where I usually have discomfort. The extra weight got transferred laterally to my third and fourth toes. So, I altered my gait and it became a lot easier to run.\r\n\r\nAt this point, it was actually easier to run (mid-foot plant) than walk. But on the uphill portions (there were many short ones), I had to sometimes walk as I could not go on my toes. Eventually, I was able to keep running and push thru it. As my mom always said, \"C\'est al vie\", (that\'s life). This is what an Ironman is all about- crisis control which was good advice from my coach.\r\n\r\nThe blister pain I just put in the back of my mind and it never got worse. All in all, <strong>I eventually figured out I would not break 14 hours as I had done last year.</strong> But with the big hills on the ride, the hills on the run, and then the foot problems, I was OK with that. I ran most of the time and walked fast up the hills. And at 72 degrees (that was what it finally got to be) and sunny, it was quite warm being at 2200 feet. So the ice at the aid stations was a help.\r\n\r\nI just kept going using many months of physical and mental training to get me thru. At mile 18 or so, as we were running along an asphalt path near the woods, a baby bear came out of the woods and walked onto the path. We all just froze in place and stood there. One woman clapped her hands very loudly and the bear scurried off into the woods. As we started to run again, some said, \"That was the baby. I wonder where the mom is?!\" We all looked into the woods and had a good laugh.\r\n<h3><img class=\"alignleft wp-image-144\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish2.jpg\" alt=\"Cozumel 2013 Finish2\" width=\"288\" height=\"482\" /><strong class=\"subhead\">The Finish</strong></h3>\r\nAs I got closer to the finish line, all the aches just started to fade away. The last mile or so I just let it all go and ran at a good pace. And as I entered the final turn, the last 150 meters were jammed with the crowds cheering loudly. At this point,<strong> I knew I had made it. All the months of training were worth it.</strong> And as I approached the archway and the finish line, I heard the announcer say, Peter Fields, \"You\'re an Ironman\"! It never gets old. The final run time was 5:52 with an overall time of 14:18.\r\n<h3><strong class=\"subhead\">Final Thoughts on My Third Ironman:</strong></h3>\r\nAll in all, I was very pleased as I did not have any of the dreaded Ironman stomach problems or any mechanical problems with my bike. I felt exhausted and drained but nonetheless very satisfied to have finished my third Ironman. Some may ask why I punish my body. I was not punishing it - just challenging it. When one is prepared, it is not a punishment. Plus, it is as much a mental challenge, if not more than a physical one.\r\n\r\nI love the quote by Viktor Frankel, MD; Holocaust survivor and world-famous author of the book \"Mans Search for Meaning\" (my dad\'s favorite book).\r\n\r\n<em><strong>\"Life can be pulled by goals just as surely as it can be pushed by drives\".</strong></em>\r\n\r\n&nbsp;\r\n<h3><strong class=\"subhead\">Dedication:</strong></h3>\r\nAs many of you know, in each of my past two Ironman races, I have raced with dad\'s initials written on me. This year I chose not to do so, although he was with me all the way. Instead this year I chose to dedicate this race to someone else and have their initials on my arm. Without her unrelenting love and support for me over the years (and I do mean years), this race would have never been possible. And at 87 years young, she still continues to be an inspiration to me. These initials were YSF (Yvette Simon Fields) and they belong to my mom.\r\n\r\nThanks to everyone for inquiring about me and cheering from near and far. I really appreciated all of it and words cannot say thank you enough.\r\n\r\nYour thoughts and well wishes helped me through my third Ironman.\r\n<p class=\"text-center\"><strong>Peter A. Fields, MD DC</strong>\r\n<strong id=\"athleticdoc\">The Athletic Doc<sup style=\"font-size: 14px;\">®</sup> and 3X Ironman Finisher</strong></p>\r\n\r\n</div>\r\n<div id=\"sidebar2\" class=\"col-md-4\">\r\n\r\n[caption id=\"\" align=\"alignleft\" width=\"274\"]<img style=\"padding-left: 5px;\" title=\"My Third Ironman in 2013 Canada\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish.jpg\" alt=\"2013 Third Ironman \" width=\"274\" height=\"358\" /> My Third Ironman Completed[/caption]\r\n\r\n</div>\r\n<div></div>\r\n<div></div>\r\n<div class=\"col-md-4\"><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">01</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">7 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a></div>','Achieving Higher Goals at My Third Ironman in Canada','','inherit','closed','closed','','131-revision-v1','','','2021-06-03 02:41:07','2021-06-03 02:41:07','',131,'https://www.drfields.com/?p=4693',0,'revision','',0),(4694,9,'2021-06-03 02:42:08','2021-06-03 02:42:08','<h2>Achieving Higher Goals at My Third Ironman</h2>\r\n<div class=\"col-md-8\">\r\n\r\n[caption id=\"attachment_134\" align=\"alignleft\" width=\"497\"]<img class=\"wp-image-134 \" title=\"Third Ironman\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-canada-logo.jpg\" alt=\"Ironman Canada Logo\" width=\"497\" height=\"219\" /> <em>  Sunday, August 25, 2013:     2.4-mile swim, 112-mile bike, 26.2-mile run</em>[/caption]\r\n\r\n</div>\r\n<h3><em>Third Ironman Quote for the Day:<strong> \"One cannot achieve higher goals in life without some struggle.\"</strong></em></h3>\r\n<div class=\"col-md-8\">\r\n<h3><img class=\"alignleft size-full wp-image-138\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-pre-race.jpg\" alt=\"Cozumel 2013 Pre Race\" width=\"160\" height=\"213\" /><strong class=\"subhead\">Before the Race</strong></h3>\r\nI woke up at 3:30 am so I could have breakfast by 4 am. That way I would have three hours before the start of the race so my food could be properly digested. I already had my gear ready to go plus the two special needs bags for the bike and the run. Then off to the village center to drop off the special needs bags and onto the buses that transported us to the swim start. Since the swim is held in a lake and there is limited road access, only Ironman official vehicles would have access to the lake.\r\n\r\nWhen we got there it was still dark and about 45 degrees. It was cold! But at least the rain from the previous day had stopped and no more was predicted. Fortunately, I had planned well for the cold.\r\n\r\nThere is always a lot of tension floating around as over 2200 athletes check their gear. Everyone tries their best to keep calm. We had left our bikes down there the day before as well as all our biking clothes and nutrition. The running gear and run nutrition was left at transition area 2 (T2) which is in town where the bike ride ends. This too was done the day before.\r\n\r\nThe only thing one brings in the morning is one\'s wetsuit, goggles, and cap along with whatever water/nutrition you take prior to the race. After pumping up my tires, it was on with the wetsuit, and then down to the waterfront.\r\n<h3><img class=\"alignleft wp-image-140\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-swim.jpg\" alt=\"Cozumel 2013 Swim\" width=\"243\" height=\"324\" /><strong class=\"subhead\">The Swim in My Third Ironman</strong></h3>\r\nThe lake is surrounded by mountains and the water temperature was about 68 degrees. That temperature was comfortable with a wetsuit on. All 2200 of us swam out about 50 yards and began treading water for about 10-15 minutes. At exactly 7 am, the gun went off. It would be a long day.\r\n\r\nAs always, I go out fast at the beginning of the swim, since swimming is my best part. I try and get away from the majority of the crowd, and then I try and settle back into a good pace. There were a few turns prior to turning back on the first loop of the two-loop course.\r\n\r\nIt got really jammed and crowded...more jammed than usual, which meant I couldn\'t really get into a good stroke pattern until the second lap. Plus, I had my goggles knocked off twice. This was a first for me but actually a common occurrence with all the swimmers around. My swim was therefore a bit slower at 1hr and 7 minutes, but still pretty good overall.\r\n\r\n&nbsp;\r\n<h3>Transition One</h3>\r\nI took a bit longer in the change tent as I put on knee warmers, a wind vest, a riding jacket, a skull cap for under my helmet, and longliner gloves over my riding gloves (I get cold easy!!).\r\n<h3><img class=\"alignleft wp-image-142\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-bike.jpg\" alt=\"Cozumel 2013 Bike\" width=\"251\" height=\"335\" /><strong class=\"subhead\">The Bike</strong></h3>\r\nThen I was off to the 112-mile ride with over 5600 feet of climbing. With the fact that there was a 30 mile or so stretch of flat riding, it was more like 5600 feet of climbing in 80 miles, which made it very hilly. The mountains around here are really very beautiful and the views were really spectacular.\r\n\r\n<strong>Riding through the crowds was invigorating.</strong> They really cheered us on. I took off my gloves since it was now above 60. Then some uphills and lots of downhills for the next 20 miles.\r\n\r\nAfter that, they had the special needs station. This is where one leaves out whatever you might want at a point halfway thru the ride (56 miles). I had nutrition supplies to restock what I had gone thru including a new bottle with liquid nutrition I use.\r\n\r\nI took off the leg warmers, vest, and skull cap, gave them to one of the volunteers along with the empty bottle I had gone thru. She was very surprised but happy, seeing my name on the bottle, and asked if that was me. When I said yes, she said that she had some knee problems and might call me. <strong>Wow, a business referral in an Ironman!</strong> Then a very flat section where for about 30 miles from mile 55-85 with a slight wind. The views of the mountains above were again spectacular.\r\n\r\nThen back to the hills. <strong>The last part from mile 85 to 112, was essentially all uphill.</strong> The first climb was the longest and the steepest, which wore a lot of people down. Then mostly uphill with some slight downhill riding all the way back to town. It was tough on the legs.\r\n\r\nAs we approached the town, the cheering again kept me going. Needless to say, my quadriceps muscles (front of the legs) where one gets most of one\'s cycling power were well worn. My time was 6:58, which was slower than previously in the <a href=\"https://www.drfields.com/about/the-athletic-doc/my-second-ironman-competition-took-place-in-cozumel-mexico/\">Cozumel Ironman</a>. But with the hills here I was not disappointed.\r\n<h3>Transition Two</h3>\r\nAfter handing off my bike to a handler, it was off the change tent to put on my running shoes. No need to change clothing because what I wear under my wetsuit is what I ride and run in. Then a quick restock of a few gel packs. <strong>On the way out, volunteers with grass skirts put sunscreen on the runners.</strong> This would be helpful as it was hot, sunny, and getting warm.\r\n<h3><img class=\"alignleft wp-image-143\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-run.jpg\" alt=\"Cozumel 2013 Run\" width=\"263\" height=\"350\" /><strong class=\"subhead\">The Run</strong></h3>\r\nThe run had over 1100 feet of climbing. Added to the very hilly ride, making this a hard run. There was constant up and down of hills. Tough on already tired legs. Some of the runs went thru the woods on dirt trails, which was good for the legs.\r\n\r\nWe ran around a lake, over a wooden bridge on a pond, and had some spectacular views of the mountains. Due to a buttock area (gluteus medius) injury, I had done most of my running in deep water. I only ran 3 or 4 times in the last five months outside and then only very short. This gave me the stamina I needed but did not toughen my feet.\r\n\r\nAt mile four I developed a blister on my left foot-right in the arch- ouch! I got a Tegaderm patch (a wound covering) from a paramedic at mile 8, which eventually stopped the blister from getting worse.\r\n\r\nThen, at mile five, I also had very sharp pain right where my 3rd and 4th toes meet my foot on the right. This was causing me more problems than the left foot blister. This probably happened because I wear a shoe orthotic to help shift some weight off the 2nd toe where I usually have discomfort. The extra weight got transferred laterally to my third and fourth toes. So, I altered my gait and it became a lot easier to run.\r\n\r\nAt this point, it was actually easier to run (mid-foot plant) than walk. But on the uphill portions (there were many short ones), I had to sometimes walk as I could not go on my toes. Eventually, I was able to keep running and push thru it. As my mom always said, \"C\'est al vie\", (that\'s life). This is what an Ironman is all about- crisis control which was good advice from my coach.\r\n\r\nThe blister pain I just put in the back of my mind and it never got worse. All in all, <strong>I eventually figured out I would not break 14 hours as I had done last year.</strong> But with the big hills on the ride, the hills on the run, and then the foot problems, I was OK with that. I ran most of the time and walked fast up the hills. And at 72 degrees (that was what it finally got to be) and sunny, it was quite warm being at 2200 feet. So the ice at the aid stations was a help.\r\n\r\nI just kept going using many months of physical and mental training to get me thru. At mile 18 or so, as we were running along an asphalt path near the woods, a baby bear came out of the woods and walked onto the path. We all just froze in place and stood there. One woman clapped her hands very loudly and the bear scurried off into the woods. As we started to run again, some said, \"That was the baby. I wonder where the mom is?!\" We all looked into the woods and had a good laugh.\r\n<h3><img class=\"alignleft wp-image-144\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish2.jpg\" alt=\"Cozumel 2013 Finish2\" width=\"288\" height=\"482\" /><strong class=\"subhead\">The Finish</strong></h3>\r\nAs I got closer to the finish line, all the aches just started to fade away. The last mile or so I just let it all go and ran at a good pace. And as I entered the final turn, the last 150 meters were jammed with the crowds cheering loudly. At this point,<strong> I knew I had made it. All the months of training were worth it.</strong> And as I approached the archway and the finish line, I heard the announcer say, Peter Fields, \"You\'re an Ironman\"! It never gets old. The final run time was 5:52 with an overall time of 14:18.\r\n<h3><strong class=\"subhead\">Final Thoughts on My Third Ironman:</strong></h3>\r\nAll in all, I was very pleased as I did not have any of the dreaded Ironman stomach problems or any mechanical problems with my bike. I felt exhausted and drained but nonetheless very satisfied to have finished my third Ironman. Some may ask why I punish my body. I was not punishing it - just challenging it. When one is prepared, it is not a punishment. Plus, it is as much a mental challenge, if not more than a physical one.\r\n\r\nI love the quote by Viktor Frankel, MD; Holocaust survivor and world-famous author of the book \"Mans Search for Meaning\" (my dad\'s favorite book).\r\n\r\n<em><strong>\"Life can be pulled by goals just as surely as it can be pushed by drives\".</strong></em>\r\n\r\n&nbsp;\r\n<h3><strong class=\"subhead\">Dedication:</strong></h3>\r\nAs many of you know, in each of my past two Ironman races, I have raced with dad\'s initials written on me. This year I chose not to do so, although he was with me all the way. Instead this year I chose to dedicate this race to someone else and have their initials on my arm. Without her unrelenting love and support for me over the years (and I do mean years), this race would have never been possible. And at 87 years young, she still continues to be an inspiration to me. These initials were YSF (Yvette Simon Fields) and they belong to my mom.\r\n\r\nThanks to everyone for inquiring about me and cheering from near and far. I really appreciated all of it and words cannot say thank you enough.\r\n\r\nYour thoughts and well wishes helped me through my third Ironman.\r\n<p class=\"text-center\"><strong>Peter A. Fields, MD DC</strong>\r\n<strong id=\"athleticdoc\">The Athletic Doc<sup style=\"font-size: 14px;\">®</sup> and 3X Ironman Finisher</strong></p>\r\n\r\n</div>\r\n<div id=\"sidebar2\" class=\"col-md-4\">\r\n\r\n[caption id=\"\" align=\"alignleft\" width=\"274\"]<img style=\"padding-left: 5px;\" title=\"My Third Ironman in 2013 Canada\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish.jpg\" alt=\"2013 Third Ironman \" width=\"274\" height=\"358\" /> My Third Ironman Completed[/caption]\r\n\r\n</div>\r\n<div></div>\r\n<div></div>\r\n<div class=\"col-md-4\"><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">01</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">7 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a></div>','Achieving Higher Goals at My Third Ironman in Canada','','inherit','closed','closed','','131-revision-v1','','','2021-06-03 02:42:08','2021-06-03 02:42:08','',131,'https://www.drfields.com/?p=4694',0,'revision','',0),(4695,9,'2021-06-03 02:43:42','2021-06-03 02:43:42','<h2>Achieving Higher Goals at My Third Ironman</h2>\r\n<div class=\"col-md-8\">\r\n\r\n[caption id=\"attachment_134\" align=\"alignleft\" width=\"497\"]<img class=\"wp-image-134 \" title=\"Third Ironman\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-canada-logo.jpg\" alt=\"Ironman Canada Logo\" width=\"497\" height=\"219\" /> <em> Sunday, August 25, 2013:     2.4-mile swim, 112-mile bike, 26.2-mile run</em>[/caption]\r\n\r\n</div>\r\n<h3><em>Third Ironman Quote:<strong> \"One cannot achieve higher goals in life without some struggle.\"</strong></em></h3>\r\n<div class=\"col-md-8\">\r\n<h3><img class=\"alignleft size-full wp-image-138\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-pre-race.jpg\" alt=\"Cozumel 2013 Pre Race\" width=\"160\" height=\"213\" /><strong class=\"subhead\">Before the Race</strong></h3>\r\nI woke up at 3:30 am so I could have breakfast by 4 am. That way I would have three hours before the start of the race so my food could be properly digested. I already had my gear ready to go plus the two special needs bags for the bike and the run. Then off to the village center to drop off the special needs bags and onto the buses that transported us to the swim start. Since the swim is held in a lake and there is limited road access, only Ironman official vehicles would have access to the lake.\r\n\r\nWhen we got there it was still dark and about 45 degrees. It was cold! But at least the rain from the previous day had stopped and no more was predicted. Fortunately, I had planned well for the cold.\r\n\r\nThere is always a lot of tension floating around as over 2200 athletes check their gear. Everyone tries their best to keep calm. We had left our bikes down there the day before as well as all our biking clothes and nutrition. The running gear and run nutrition was left at transition area 2 (T2) which is in town where the bike ride ends. This too was done the day before.\r\n\r\nThe only thing one brings in the morning is one\'s wetsuit, goggles, and cap along with whatever water/nutrition you take prior to the race. After pumping up my tires, it was on with the wetsuit, and then down to the waterfront.\r\n<h3><img class=\"alignleft wp-image-140\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-swim.jpg\" alt=\"Cozumel 2013 Swim\" width=\"243\" height=\"324\" /><strong class=\"subhead\">The Swim in My Third Ironman</strong></h3>\r\nThe lake is surrounded by mountains and the water temperature was about 68 degrees. That temperature was comfortable with a wetsuit on. All 2200 of us swam out about 50 yards and began treading water for about 10-15 minutes. At exactly 7 am, the gun went off. It would be a long day.\r\n\r\nAs always, I go out fast at the beginning of the swim, since swimming is my best part. I try and get away from the majority of the crowd, and then I try and settle back into a good pace. There were a few turns prior to turning back on the first loop of the two-loop course.\r\n\r\nIt got really jammed and crowded...more jammed than usual, which meant I couldn\'t really get into a good stroke pattern until the second lap. Plus, I had my goggles knocked off twice. This was a first for me but actually a common occurrence with all the swimmers around. My swim was therefore a bit slower at 1hr and 7 minutes, but still pretty good overall.\r\n\r\n&nbsp;\r\n<h3>Transition One</h3>\r\nI took a bit longer in the change tent as I put on knee warmers, a wind vest, a riding jacket, a skull cap for under my helmet, and longliner gloves over my riding gloves (I get cold easy!!).\r\n<h3><img class=\"alignleft wp-image-142\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-bike.jpg\" alt=\"Cozumel 2013 Bike\" width=\"251\" height=\"335\" /><strong class=\"subhead\">The Bike</strong></h3>\r\nThen I was off to the 112-mile ride with over 5600 feet of climbing. With the fact that there was a 30 mile or so stretch of flat riding, it was more like 5600 feet of climbing in 80 miles, which made it very hilly. The mountains around here are really very beautiful and the views were really spectacular.\r\n\r\n<strong>Riding through the crowds was invigorating.</strong> They really cheered us on. I took off my gloves since it was now above 60. Then some uphills and lots of downhills for the next 20 miles.\r\n\r\nAfter that, they had the special needs station. This is where one leaves out whatever you might want at a point halfway thru the ride (56 miles). I had nutrition supplies to restock what I had gone thru including a new bottle with liquid nutrition I use.\r\n\r\nI took off the leg warmers, vest, and skull cap, gave them to one of the volunteers along with the empty bottle I had gone thru. She was very surprised but happy, seeing my name on the bottle, and asked if that was me. When I said yes, she said that she had some knee problems and might call me. <strong>Wow, a business referral in an Ironman!</strong> Then a very flat section where for about 30 miles from mile 55-85 with a slight wind. The views of the mountains above were again spectacular.\r\n\r\nThen back to the hills. <strong>The last part from mile 85 to 112, was essentially all uphill.</strong> The first climb was the longest and the steepest, which wore a lot of people down. Then mostly uphill with some slight downhill riding all the way back to town. It was tough on the legs.\r\n\r\nAs we approached the town, the cheering again kept me going. Needless to say, my quadriceps muscles (front of the legs) where one gets most of one\'s cycling power were well worn. My time was 6:58, which was slower than previously in the <a href=\"https://www.drfields.com/about/the-athletic-doc/my-second-ironman-competition-took-place-in-cozumel-mexico/\">Cozumel Ironman</a>. But with the hills here I was not disappointed.\r\n<h3>Transition Two</h3>\r\nAfter handing off my bike to a handler, it was off the change tent to put on my running shoes. No need to change clothing because what I wear under my wetsuit is what I ride and run in. Then a quick restock of a few gel packs. <strong>On the way out, volunteers with grass skirts put sunscreen on the runners.</strong> This would be helpful as it was hot, sunny, and getting warm.\r\n<h3><img class=\"alignleft wp-image-143\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-run.jpg\" alt=\"Cozumel 2013 Run\" width=\"263\" height=\"350\" /><strong class=\"subhead\">The Run</strong></h3>\r\nThe run had over 1100 feet of climbing. Added to the very hilly ride, making this a hard run. There was constant up and down of hills. Tough on already tired legs. Some of the runs went thru the woods on dirt trails, which was good for the legs.\r\n\r\nWe ran around a lake, over a wooden bridge on a pond, and had some spectacular views of the mountains. Due to a buttock area (gluteus medius) injury, I had done most of my running in deep water. I only ran 3 or 4 times in the last five months outside and then only very short. This gave me the stamina I needed but did not toughen my feet.\r\n\r\nAt mile four I developed a blister on my left foot-right in the arch- ouch! I got a Tegaderm patch (a wound covering) from a paramedic at mile 8, which eventually stopped the blister from getting worse.\r\n\r\nThen, at mile five, I also had very sharp pain right where my 3rd and 4th toes meet my foot on the right. This was causing me more problems than the left foot blister. This probably happened because I wear a shoe orthotic to help shift some weight off the 2nd toe where I usually have discomfort. The extra weight got transferred laterally to my third and fourth toes. So, I altered my gait and it became a lot easier to run.\r\n\r\nAt this point, it was actually easier to run (mid-foot plant) than walk. But on the uphill portions (there were many short ones), I had to sometimes walk as I could not go on my toes. Eventually, I was able to keep running and push thru it. As my mom always said, \"C\'est al vie\", (that\'s life). This is what an Ironman is all about- crisis control which was good advice from my coach.\r\n\r\nThe blister pain I just put in the back of my mind and it never got worse. All in all, <strong>I eventually figured out I would not break 14 hours as I had done last year.</strong> But with the big hills on the ride, the hills on the run, and then the foot problems, I was OK with that. I ran most of the time and walked fast up the hills. And at 72 degrees (that was what it finally got to be) and sunny, it was quite warm being at 2200 feet. So the ice at the aid stations was a help.\r\n\r\nI just kept going using many months of physical and mental training to get me thru. At mile 18 or so, as we were running along an asphalt path near the woods, a baby bear came out of the woods and walked onto the path. We all just froze in place and stood there. One woman clapped her hands very loudly and the bear scurried off into the woods. As we started to run again, some said, \"That was the baby. I wonder where the mom is?!\" We all looked into the woods and had a good laugh.\r\n<h3><img class=\"alignleft wp-image-144\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish2.jpg\" alt=\"Cozumel 2013 Finish2\" width=\"288\" height=\"482\" /><strong class=\"subhead\">The Finish</strong></h3>\r\nAs I got closer to the finish line, all the aches just started to fade away. The last mile or so I just let it all go and ran at a good pace. And as I entered the final turn, the last 150 meters were jammed with the crowds cheering loudly. At this point,<strong> I knew I had made it. All the months of training were worth it.</strong> And as I approached the archway and the finish line, I heard the announcer say, Peter Fields, \"You\'re an Ironman\"! It never gets old. The final run time was 5:52 with an overall time of 14:18.\r\n<h3><strong class=\"subhead\">Final Thoughts on My Third Ironman:</strong></h3>\r\nAll in all, I was very pleased as I did not have any of the dreaded Ironman stomach problems or any mechanical problems with my bike. I felt exhausted and drained but nonetheless very satisfied to have finished my third Ironman. Some may ask why I punish my body. I was not punishing it - just challenging it. When one is prepared, it is not a punishment. Plus, it is as much a mental challenge, if not more than a physical one.\r\n\r\nI love the quote by Viktor Frankel, MD; Holocaust survivor and world-famous author of the book \"Mans Search for Meaning\" (my dad\'s favorite book).\r\n\r\n<em><strong>\"Life can be pulled by goals just as surely as it can be pushed by drives\".</strong></em>\r\n\r\n&nbsp;\r\n<h3><strong class=\"subhead\">Dedication:</strong></h3>\r\nAs many of you know, in each of my past two Ironman races, I have raced with dad\'s initials written on me. This year I chose not to do so, although he was with me all the way. Instead this year I chose to dedicate this race to someone else and have their initials on my arm. Without her unrelenting love and support for me over the years (and I do mean years), this race would have never been possible. And at 87 years young, she still continues to be an inspiration to me. These initials were YSF (Yvette Simon Fields) and they belong to my mom.\r\n\r\nThanks to everyone for inquiring about me and cheering from near and far. I really appreciated all of it and words cannot say thank you enough.\r\n\r\nYour thoughts and well wishes helped me through my third Ironman.\r\n<p class=\"text-center\"><strong>Peter A. Fields, MD DC</strong>\r\n<strong id=\"athleticdoc\">The Athletic Doc<sup style=\"font-size: 14px;\">®</sup> and 3X Ironman Finisher</strong></p>\r\n\r\n</div>\r\n<div id=\"sidebar2\" class=\"col-md-4\">\r\n\r\n[caption id=\"\" align=\"alignleft\" width=\"274\"]<img style=\"padding-left: 5px;\" title=\"My Third Ironman in 2013 Canada\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish.jpg\" alt=\"2013 Third Ironman \" width=\"274\" height=\"358\" /> My Third Ironman Completed[/caption]\r\n\r\n</div>\r\n<div></div>\r\n<div></div>\r\n<div class=\"col-md-4\"><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">01</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">7 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a></div>','Achieving Higher Goals at My Third Ironman in Canada','','inherit','closed','closed','','131-revision-v1','','','2021-06-03 02:43:42','2021-06-03 02:43:42','',131,'https://www.drfields.com/?p=4695',0,'revision','',0),(4696,9,'2021-06-03 02:44:18','2021-06-03 02:44:18','<h2>Achieving Higher Goals at My Third Ironman</h2>\r\n<div class=\"col-md-8\">\r\n\r\n[caption id=\"attachment_134\" align=\"alignleft\" width=\"528\"]<img class=\"wp-image-134 \" title=\"Third Ironman\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-canada-logo.jpg\" alt=\"Ironman Canada Logo\" width=\"528\" height=\"233\" /> <em> Sunday, August 25, 2013:     2.4-mile swim, 112-mile bike, 26.2-mile run</em>[/caption]\r\n\r\n</div>\r\n<h3><em>Third Ironman Quote:<strong> \"One cannot achieve higher goals in life without some struggle.\"</strong></em></h3>\r\n<div class=\"col-md-8\">\r\n<h3><img class=\"alignleft size-full wp-image-138\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-pre-race.jpg\" alt=\"Cozumel 2013 Pre Race\" width=\"160\" height=\"213\" /><strong class=\"subhead\">Before the Race</strong></h3>\r\nI woke up at 3:30 am so I could have breakfast by 4 am. That way I would have three hours before the start of the race so my food could be properly digested. I already had my gear ready to go plus the two special needs bags for the bike and the run. Then off to the village center to drop off the special needs bags and onto the buses that transported us to the swim start. Since the swim is held in a lake and there is limited road access, only Ironman official vehicles would have access to the lake.\r\n\r\nWhen we got there it was still dark and about 45 degrees. It was cold! But at least the rain from the previous day had stopped and no more was predicted. Fortunately, I had planned well for the cold.\r\n\r\nThere is always a lot of tension floating around as over 2200 athletes check their gear. Everyone tries their best to keep calm. We had left our bikes down there the day before as well as all our biking clothes and nutrition. The running gear and run nutrition was left at transition area 2 (T2) which is in town where the bike ride ends. This too was done the day before.\r\n\r\nThe only thing one brings in the morning is one\'s wetsuit, goggles, and cap along with whatever water/nutrition you take prior to the race. After pumping up my tires, it was on with the wetsuit, and then down to the waterfront.\r\n<h3><img class=\"alignleft wp-image-140\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-swim.jpg\" alt=\"Cozumel 2013 Swim\" width=\"243\" height=\"324\" /><strong class=\"subhead\">The Swim in My Third Ironman</strong></h3>\r\nThe lake is surrounded by mountains and the water temperature was about 68 degrees. That temperature was comfortable with a wetsuit on. All 2200 of us swam out about 50 yards and began treading water for about 10-15 minutes. At exactly 7 am, the gun went off. It would be a long day.\r\n\r\nAs always, I go out fast at the beginning of the swim, since swimming is my best part. I try and get away from the majority of the crowd, and then I try and settle back into a good pace. There were a few turns prior to turning back on the first loop of the two-loop course.\r\n\r\nIt got really jammed and crowded...more jammed than usual, which meant I couldn\'t really get into a good stroke pattern until the second lap. Plus, I had my goggles knocked off twice. This was a first for me but actually a common occurrence with all the swimmers around. My swim was therefore a bit slower at 1hr and 7 minutes, but still pretty good overall.\r\n\r\n&nbsp;\r\n<h3>Transition One</h3>\r\nI took a bit longer in the change tent as I put on knee warmers, a wind vest, a riding jacket, a skull cap for under my helmet, and longliner gloves over my riding gloves (I get cold easy!!).\r\n<h3><img class=\"alignleft wp-image-142\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-bike.jpg\" alt=\"Cozumel 2013 Bike\" width=\"251\" height=\"335\" /><strong class=\"subhead\">The Bike</strong></h3>\r\nThen I was off to the 112-mile ride with over 5600 feet of climbing. With the fact that there was a 30 mile or so stretch of flat riding, it was more like 5600 feet of climbing in 80 miles, which made it very hilly. The mountains around here are really very beautiful and the views were really spectacular.\r\n\r\n<strong>Riding through the crowds was invigorating.</strong> They really cheered us on. I took off my gloves since it was now above 60. Then some uphills and lots of downhills for the next 20 miles.\r\n\r\nAfter that, they had the special needs station. This is where one leaves out whatever you might want at a point halfway thru the ride (56 miles). I had nutrition supplies to restock what I had gone thru including a new bottle with liquid nutrition I use.\r\n\r\nI took off the leg warmers, vest, and skull cap, gave them to one of the volunteers along with the empty bottle I had gone thru. She was very surprised but happy, seeing my name on the bottle, and asked if that was me. When I said yes, she said that she had some knee problems and might call me. <strong>Wow, a business referral in an Ironman!</strong> Then a very flat section where for about 30 miles from mile 55-85 with a slight wind. The views of the mountains above were again spectacular.\r\n\r\nThen back to the hills. <strong>The last part from mile 85 to 112, was essentially all uphill.</strong> The first climb was the longest and the steepest, which wore a lot of people down. Then mostly uphill with some slight downhill riding all the way back to town. It was tough on the legs.\r\n\r\nAs we approached the town, the cheering again kept me going. Needless to say, my quadriceps muscles (front of the legs) where one gets most of one\'s cycling power were well worn. My time was 6:58, which was slower than previously in the <a href=\"https://www.drfields.com/about/the-athletic-doc/my-second-ironman-competition-took-place-in-cozumel-mexico/\">Cozumel Ironman</a>. But with the hills here I was not disappointed.\r\n<h3>Transition Two</h3>\r\nAfter handing off my bike to a handler, it was off the change tent to put on my running shoes. No need to change clothing because what I wear under my wetsuit is what I ride and run in. Then a quick restock of a few gel packs. <strong>On the way out, volunteers with grass skirts put sunscreen on the runners.</strong> This would be helpful as it was hot, sunny, and getting warm.\r\n<h3><img class=\"alignleft wp-image-143\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-run.jpg\" alt=\"Cozumel 2013 Run\" width=\"263\" height=\"350\" /><strong class=\"subhead\">The Run</strong></h3>\r\nThe run had over 1100 feet of climbing. Added to the very hilly ride, making this a hard run. There was constant up and down of hills. Tough on already tired legs. Some of the runs went thru the woods on dirt trails, which was good for the legs.\r\n\r\nWe ran around a lake, over a wooden bridge on a pond, and had some spectacular views of the mountains. Due to a buttock area (gluteus medius) injury, I had done most of my running in deep water. I only ran 3 or 4 times in the last five months outside and then only very short. This gave me the stamina I needed but did not toughen my feet.\r\n\r\nAt mile four I developed a blister on my left foot-right in the arch- ouch! I got a Tegaderm patch (a wound covering) from a paramedic at mile 8, which eventually stopped the blister from getting worse.\r\n\r\nThen, at mile five, I also had very sharp pain right where my 3rd and 4th toes meet my foot on the right. This was causing me more problems than the left foot blister. This probably happened because I wear a shoe orthotic to help shift some weight off the 2nd toe where I usually have discomfort. The extra weight got transferred laterally to my third and fourth toes. So, I altered my gait and it became a lot easier to run.\r\n\r\nAt this point, it was actually easier to run (mid-foot plant) than walk. But on the uphill portions (there were many short ones), I had to sometimes walk as I could not go on my toes. Eventually, I was able to keep running and push thru it. As my mom always said, \"C\'est al vie\", (that\'s life). This is what an Ironman is all about- crisis control which was good advice from my coach.\r\n\r\nThe blister pain I just put in the back of my mind and it never got worse. All in all, <strong>I eventually figured out I would not break 14 hours as I had done last year.</strong> But with the big hills on the ride, the hills on the run, and then the foot problems, I was OK with that. I ran most of the time and walked fast up the hills. And at 72 degrees (that was what it finally got to be) and sunny, it was quite warm being at 2200 feet. So the ice at the aid stations was a help.\r\n\r\nI just kept going using many months of physical and mental training to get me thru. At mile 18 or so, as we were running along an asphalt path near the woods, a baby bear came out of the woods and walked onto the path. We all just froze in place and stood there. One woman clapped her hands very loudly and the bear scurried off into the woods. As we started to run again, some said, \"That was the baby. I wonder where the mom is?!\" We all looked into the woods and had a good laugh.\r\n<h3><img class=\"alignleft wp-image-144\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish2.jpg\" alt=\"Cozumel 2013 Finish2\" width=\"288\" height=\"482\" /><strong class=\"subhead\">The Finish</strong></h3>\r\nAs I got closer to the finish line, all the aches just started to fade away. The last mile or so I just let it all go and ran at a good pace. And as I entered the final turn, the last 150 meters were jammed with the crowds cheering loudly. At this point,<strong> I knew I had made it. All the months of training were worth it.</strong> And as I approached the archway and the finish line, I heard the announcer say, Peter Fields, \"You\'re an Ironman\"! It never gets old. The final run time was 5:52 with an overall time of 14:18.\r\n<h3><strong class=\"subhead\">Final Thoughts on My Third Ironman:</strong></h3>\r\nAll in all, I was very pleased as I did not have any of the dreaded Ironman stomach problems or any mechanical problems with my bike. I felt exhausted and drained but nonetheless very satisfied to have finished my third Ironman. Some may ask why I punish my body. I was not punishing it - just challenging it. When one is prepared, it is not a punishment. Plus, it is as much a mental challenge, if not more than a physical one.\r\n\r\nI love the quote by Viktor Frankel, MD; Holocaust survivor and world-famous author of the book \"Mans Search for Meaning\" (my dad\'s favorite book).\r\n\r\n<em><strong>\"Life can be pulled by goals just as surely as it can be pushed by drives\".</strong></em>\r\n\r\n&nbsp;\r\n<h3><strong class=\"subhead\">Dedication:</strong></h3>\r\nAs many of you know, in each of my past two Ironman races, I have raced with dad\'s initials written on me. This year I chose not to do so, although he was with me all the way. Instead this year I chose to dedicate this race to someone else and have their initials on my arm. Without her unrelenting love and support for me over the years (and I do mean years), this race would have never been possible. And at 87 years young, she still continues to be an inspiration to me. These initials were YSF (Yvette Simon Fields) and they belong to my mom.\r\n\r\nThanks to everyone for inquiring about me and cheering from near and far. I really appreciated all of it and words cannot say thank you enough.\r\n\r\nYour thoughts and well wishes helped me through my third Ironman.\r\n<p class=\"text-center\"><strong>Peter A. Fields, MD DC</strong>\r\n<strong id=\"athleticdoc\">The Athletic Doc<sup style=\"font-size: 14px;\">®</sup> and 3X Ironman Finisher</strong></p>\r\n\r\n</div>\r\n<div id=\"sidebar2\" class=\"col-md-4\">\r\n\r\n[caption id=\"\" align=\"alignleft\" width=\"274\"]<img style=\"padding-left: 5px;\" title=\"My Third Ironman in 2013 Canada\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish.jpg\" alt=\"2013 Third Ironman \" width=\"274\" height=\"358\" /> My Third Ironman Completed[/caption]\r\n\r\n</div>\r\n<div></div>\r\n<div></div>\r\n<div class=\"col-md-4\"><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">01</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">7 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a></div>','Achieving Higher Goals at My Third Ironman in Canada','','inherit','closed','closed','','131-revision-v1','','','2021-06-03 02:44:18','2021-06-03 02:44:18','',131,'https://www.drfields.com/?p=4696',0,'revision','',0),(4697,9,'2021-06-03 02:45:53','2021-06-03 02:45:53','<h2>Achieving Higher Goals at My Third Ironman</h2>\r\n<div class=\"col-md-8\">\r\n\r\n[caption id=\"attachment_134\" align=\"alignleft\" width=\"528\"]<img class=\"wp-image-134 \" title=\"Third Ironman\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-canada-logo.jpg\" alt=\"Ironman Canada Logo\" width=\"528\" height=\"233\" /> <em> Sunday, August 25, 2013:     2.4-mile swim, 112-mile bike, 26.2-mile run</em>[/caption]\r\n\r\n</div>\r\n<h3><em>Third Ironman Quote:<strong> \"One cannot achieve higher goals in life without some struggle.\"</strong></em></h3>\r\n<div class=\"col-md-8\">\r\n<h3><img class=\"alignleft size-full wp-image-138\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-pre-race.jpg\" alt=\"Cozumel 2013 Pre Race\" width=\"160\" height=\"213\" /><strong class=\"subhead\">Before the Race</strong></h3>\r\nI woke up at 3:30 am so I could have breakfast by 4 am. That way I would have three hours before the start of the race so my food could be properly digested. I already had my gear ready to go plus the two special needs bags for the bike and the run. Then off to the village center to drop off the special needs bags and onto the buses that transported us to the swim start. Since the swim is held in a lake and there is limited road access, only Ironman official vehicles would have access to the lake.\r\n\r\nWhen we got there it was still dark and about 45 degrees. It was cold! But at least the rain from the previous day had stopped and no more was predicted. Fortunately, I had planned well for the cold.\r\n\r\nThere is always a lot of tension floating around as over 2200 athletes check their gear. Everyone tries their best to keep calm. We had left our bikes down there the day before as well as all our biking clothes and nutrition. The running gear and run nutrition was left at transition area 2 (T2) which is in town where the bike ride ends. This too was done the day before.\r\n\r\nThe only thing one brings in the morning is one\'s wetsuit, goggles, and cap along with whatever water/nutrition you take prior to the race. After pumping up my tires, it was on with the wetsuit, and then down to the waterfront.\r\n<h3><img class=\"alignleft wp-image-140\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-swim.jpg\" alt=\"Cozumel 2013 Swim\" width=\"243\" height=\"324\" /><strong class=\"subhead\">The Swim in My Third Ironman</strong></h3>\r\nThe lake is surrounded by mountains and the water temperature was about 68 degrees. That temperature was comfortable with a wetsuit on. All 2200 of us swam out about 50 yards and began treading water for about 10-15 minutes. At exactly 7 am, the gun went off. It would be a long day.\r\n\r\nAs always, I go out fast at the beginning of the swim, since swimming is my best part. I try and get away from the majority of the crowd, and then I try and settle back into a good pace. There were a few turns prior to turning back on the first loop of the two-loop course.\r\n\r\nIt got really jammed and crowded...more jammed than usual, which meant I couldn\'t really get into a good stroke pattern until the second lap. Plus, I had my goggles knocked off twice. This was a first for me but actually a common occurrence with all the swimmers around. My swim was therefore a bit slower at 1hr and 7 minutes, but still pretty good overall.\r\n<h3>Transition One</h3>\r\nI took a bit longer in the change tent as I put on knee warmers, a wind vest, a riding jacket, a skull cap for under my helmet, and longliner gloves over my riding gloves (I get cold easy!!).\r\n<h3><img class=\"alignleft wp-image-142\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-bike.jpg\" alt=\"Cozumel 2013 Bike\" width=\"251\" height=\"335\" /><strong class=\"subhead\">The Bike</strong></h3>\r\nThen I was off to the 112-mile ride with over 5600 feet of climbing. With the fact that there was a 30 mile or so stretch of flat riding, it was more like 5600 feet of climbing in 80 miles, which made it very hilly. The mountains around here are really very beautiful and the views were really spectacular.\r\n\r\n<strong>Riding through the crowds was invigorating.</strong> They really cheered us on. I took off my gloves since it was now above 60. Then some uphills and lots of downhills for the next 20 miles.\r\n\r\nAfter that, they had the special needs station. This is where one leaves out whatever you might want at a point halfway thru the ride (56 miles). I had nutrition supplies to restock what I had gone thru including a new bottle with liquid nutrition I use.\r\n\r\nI took off the leg warmers, vest, and skull cap, gave them to one of the volunteers along with the empty bottle I had gone thru. She was very surprised but happy, seeing my name on the bottle, and asked if that was me. When I said yes, she said that she had some knee problems and might call me. <strong>Wow, a business referral in an Ironman!</strong> Then a very flat section where for about 30 miles from mile 55-85 with a slight wind. The views of the mountains above were again spectacular.\r\n\r\nThen back to the hills. <strong>The last part from mile 85 to 112, was essentially all uphill.</strong> The first climb was the longest and the steepest, which wore a lot of people down. Then mostly uphill with some slight downhill riding all the way back to town. It was tough on the legs.\r\n\r\nAs we approached the town, the cheering again kept me going. Needless to say, my quadriceps muscles (front of the legs) where one gets most of one\'s cycling power were well worn. My time was 6:58, which was slower than previously in the <a href=\"https://www.drfields.com/about/the-athletic-doc/my-second-ironman-competition-took-place-in-cozumel-mexico/\">Cozumel Ironman</a>. But with the hills here I was not disappointed.\r\n<h3>Transition Two</h3>\r\nAfter handing off my bike to a handler, it was off the change tent to put on my running shoes. No need to change clothing because what I wear under my wetsuit is what I ride and run in. Then a quick restock of a few gel packs. <strong>On the way out, volunteers with grass skirts put sunscreen on the runners.</strong> This would be helpful as it was hot, sunny, and getting warm.\r\n<h3><img class=\"alignleft wp-image-143\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-run.jpg\" alt=\"Cozumel 2013 Run\" width=\"263\" height=\"350\" /><strong class=\"subhead\">The Run</strong></h3>\r\nThe run had over 1100 feet of climbing. Added to the very hilly ride, making this a hard run. There was constant up and down of hills. Tough on already tired legs. Some of the runs went thru the woods on dirt trails, which was good for the legs.\r\n\r\nWe ran around a lake, over a wooden bridge on a pond, and had some spectacular views of the mountains. Due to a buttock area (gluteus medius) injury, I had done most of my running in deep water. I only ran 3 or 4 times in the last five months outside and then only very short. This gave me the stamina I needed but did not toughen my feet.\r\n\r\nAt mile four I developed a blister on my left foot-right in the arch- ouch! I got a Tegaderm patch (a wound covering) from a paramedic at mile 8, which eventually stopped the blister from getting worse.\r\n\r\nThen, at mile five, I also had very sharp pain right where my 3rd and 4th toes meet my foot on the right. This was causing me more problems than the left foot blister. This probably happened because I wear a shoe orthotic to help shift some weight off the 2nd toe where I usually have discomfort. The extra weight got transferred laterally to my third and fourth toes. So, I altered my gait and it became a lot easier to run.\r\n\r\nAt this point, it was actually easier to run (mid-foot plant) than walk. But on the uphill portions (there were many short ones), I had to sometimes walk as I could not go on my toes. Eventually, I was able to keep running and push thru it. As my mom always said, \"C\'est al vie\", (that\'s life). This is what an Ironman is all about- crisis control which was good advice from my coach.\r\n\r\nThe blister pain I just put in the back of my mind and it never got worse. All in all, <strong>I eventually figured out I would not break 14 hours as I had done last year.</strong> But with the big hills on the ride, the hills on the run, and then the foot problems, I was OK with that. I ran most of the time and walked fast up the hills. And at 72 degrees (that was what it finally got to be) and sunny, it was quite warm being at 2200 feet. So the ice at the aid stations was a help.\r\n\r\nI just kept going using many months of physical and mental training to get me thru. At mile 18 or so, as we were running along an asphalt path near the woods, a baby bear came out of the woods and walked onto the path. We all just froze in place and stood there. One woman clapped her hands very loudly and the bear scurried off into the woods. As we started to run again, some said, \"That was the baby. I wonder where the mom is?!\" We all looked into the woods and had a good laugh.\r\n<h3><img class=\"alignleft wp-image-144\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish2.jpg\" alt=\"Cozumel 2013 Finish2\" width=\"288\" height=\"482\" /><strong class=\"subhead\">The Finish</strong></h3>\r\nAs I got closer to the finish line, all the aches just started to fade away. The last mile or so I just let it all go and ran at a good pace. And as I entered the final turn, the last 150 meters were jammed with the crowds cheering loudly. At this point,<strong> I knew I had made it. All the months of training were worth it.</strong> And as I approached the archway and the finish line, I heard the announcer say, Peter Fields, \"You\'re an Ironman\"! It never gets old. The final run time was 5:52 with an overall time of 14:18.\r\n<h3><strong class=\"subhead\">Final Thoughts on My Third Ironman:</strong></h3>\r\nAll in all, I was very pleased as I did not have any of the dreaded Ironman stomach problems or any mechanical problems with my bike. I felt exhausted and drained but nonetheless very satisfied to have finished my third Ironman. Some may ask why I punish my body. I was not punishing it - just challenging it. When one is prepared, it is not a punishment. Plus, it is as much a mental challenge, if not more than a physical one.\r\n\r\nI love the quote by Viktor Frankel, MD; Holocaust survivor and world-famous author of the book \"Mans Search for Meaning\" (my dad\'s favorite book).\r\n\r\n<em><strong>\"Life can be pulled by goals just as surely as it can be pushed by drives\".</strong></em>\r\n\r\n&nbsp;\r\n<h3><strong class=\"subhead\">Dedication:</strong></h3>\r\nAs many of you know, in each of my past two Ironman races, I have raced with dad\'s initials written on me. This year I chose not to do so, although he was with me all the way. Instead this year I chose to dedicate this race to someone else and have their initials on my arm. Without her unrelenting love and support for me over the years (and I do mean years), this race would have never been possible. And at 87 years young, she still continues to be an inspiration to me. These initials were YSF (Yvette Simon Fields) and they belong to my mom.\r\n\r\nThanks to everyone for inquiring about me and cheering from near and far. I really appreciated all of it and words cannot say thank you enough.\r\n\r\nYour thoughts and well wishes helped me through my third Ironman.\r\n<p class=\"text-center\"><strong>Peter A. Fields, MD DC</strong>\r\n<strong id=\"athleticdoc\">The Athletic Doc<sup style=\"font-size: 14px;\">®</sup> and 3X Ironman Finisher</strong></p>\r\n\r\n</div>\r\n<div id=\"sidebar2\" class=\"col-md-4\">\r\n\r\n[caption id=\"\" align=\"alignleft\" width=\"274\"]<img style=\"padding-left: 5px;\" title=\"My Third Ironman in 2013 Canada\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish.jpg\" alt=\"2013 Third Ironman \" width=\"274\" height=\"358\" /> My Third Ironman Completed[/caption]\r\n\r\n</div>\r\n<div></div>\r\n<div></div>\r\n<div class=\"col-md-4\"><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">01</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">7 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a></div>','Achieving Higher Goals at My Third Ironman in Canada','','inherit','closed','closed','','131-revision-v1','','','2021-06-03 02:45:53','2021-06-03 02:45:53','',131,'https://www.drfields.com/?p=4697',0,'revision','',0),(4698,9,'2021-06-03 02:46:50','2021-06-03 02:46:50','<h2>Achieving Higher Goals at My Third Ironman</h2>\r\n<div class=\"col-md-8\">\r\n\r\n[caption id=\"attachment_134\" align=\"alignleft\" width=\"528\"]<img class=\"wp-image-134 \" title=\"Third Ironman\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-canada-logo.jpg\" alt=\"Ironman Canada Logo\" width=\"528\" height=\"233\" /> <em> Sunday, August 25, 2013:     2.4-mile swim, 112-mile bike, 26.2-mile run</em>[/caption]\r\n\r\n</div>\r\n<h3><em>Third Ironman Quote:<strong> \"One cannot achieve higher goals in life without some struggle.\"</strong></em></h3>\r\n<div class=\"col-md-8\">\r\n<h3><img class=\"alignleft size-full wp-image-138\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-pre-race.jpg\" alt=\"Cozumel 2013 Pre Race\" width=\"160\" height=\"213\" /><strong class=\"subhead\">Before the Race</strong></h3>\r\nI woke up at 3:30 am so I could have breakfast by 4 am. That way I would have three hours before the start of the race so my food could be properly digested. I already had my gear ready to go plus the two special needs bags for the bike and the run. Then off to the village center to drop off the special needs bags and onto the buses that transported us to the swim start. Since the swim is held in a lake and there is limited road access, only Ironman official vehicles would have access to the lake.\r\n\r\nWhen we got there it was still dark and about 45 degrees. It was cold! But at least the rain from the previous day had stopped and no more was predicted. Fortunately, I had planned well for the cold.\r\n\r\nThere is always a lot of tension floating around as over 2200 athletes check their gear. Everyone tries their best to keep calm. We had left our bikes down there the day before as well as all our biking clothes and nutrition. The running gear and run nutrition was left at transition area 2 (T2) which is in town where the bike ride ends. This too was done the day before.\r\n\r\nThe only thing one brings in the morning is one\'s wetsuit, goggles, and cap along with whatever water/nutrition you take prior to the race. After pumping up my tires, it was on with the wetsuit, and then down to the waterfront.\r\n<h3><img class=\"alignleft wp-image-140\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-swim.jpg\" alt=\"Cozumel 2013 Swim\" width=\"243\" height=\"324\" /><strong class=\"subhead\">The Swim in My Third Ironman</strong></h3>\r\nThe lake is surrounded by mountains and the water temperature was about 68 degrees. That temperature was comfortable with a wetsuit on. All 2200 of us swam out about 50 yards and began treading water for about 10-15 minutes. At exactly 7 am, the gun went off. It would be a long day.\r\n\r\nAs always, I go out fast at the beginning of the swim, since swimming is my best part. I try and get away from the majority of the crowd, and then I try and settle back into a good pace. There were a few turns prior to turning back on the first loop of the two-loop course.\r\n\r\nIt got really jammed and crowded...more jammed than usual, which meant I couldn\'t really get into a good stroke pattern until the second lap. Plus, I had my goggles knocked off twice. This was a first for me but actually a common occurrence with all the swimmers around. My swim was therefore a bit slower at 1hr and 7 minutes, but still pretty good overall.\r\n<h3>Transition One</h3>\r\nI took a bit longer in the change tent as I put on knee warmers, a wind vest, a riding jacket, a skull cap for under my helmet, and longliner gloves over my riding gloves (I get cold easy!!).\r\n<h3><img class=\"alignleft wp-image-142\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-bike.jpg\" alt=\"Cozumel 2013 Bike\" width=\"251\" height=\"335\" /><strong class=\"subhead\">The Bike</strong></h3>\r\nThen I was off to the 112-mile ride with over 5600 feet of climbing. With the fact that there was a 30 mile or so stretch of flat riding, it was more like 5600 feet of climbing in 80 miles, which made it very hilly. The mountains around here are really very beautiful and the views were really spectacular.\r\n\r\n<strong>Riding through the crowds was invigorating.</strong> They really cheered us on. I took off my gloves since it was now above 60. Then some uphills and lots of downhills for the next 20 miles.\r\n\r\nAfter that, they had the special needs station. This is where one leaves out whatever you might want at a point halfway thru the ride (56 miles). I had nutrition supplies to restock what I had gone thru including a new bottle with liquid nutrition I use.\r\n\r\nI took off the leg warmers, vest, and skull cap, gave them to one of the volunteers along with the empty bottle I had gone thru. She was very surprised but happy, seeing my name on the bottle, and asked if that was me. When I said yes, she said that she had some knee problems and might call me. <strong>Wow, a business referral in an Ironman!</strong> Then a very flat section where for about 30 miles from mile 55-85 with a slight wind. The views of the mountains above were again spectacular.\r\n\r\nThen back to the hills. <strong>The last part from mile 85 to 112, was essentially all uphill.</strong> The first climb was the longest and the steepest, which wore a lot of people down. Then mostly uphill with some slight downhill riding all the way back to town. It was tough on the legs.\r\n\r\nAs we approached the town, the cheering again kept me going. Needless to say, my quadriceps muscles (front of the legs) where one gets most of one\'s cycling power were well worn. My time was 6:58, which was slower than previously in the <a href=\"https://www.drfields.com/about/the-athletic-doc/my-second-ironman-competition-took-place-in-cozumel-mexico/\">Cozumel Ironman</a>. But with the hills here I was not disappointed.\r\n<h3>Transition Two</h3>\r\nAfter handing off my bike to a handler, it was off the change tent to put on my running shoes. No need to change clothing because what I wear under my wetsuit is what I ride and run in. Then a quick restock of a few gel packs. <strong>On the way out, volunteers with grass skirts put sunscreen on the runners.</strong> This would be helpful as it was hot, sunny, and getting warm.\r\n<h3><img class=\"alignleft wp-image-143\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-run.jpg\" alt=\"Cozumel 2013 Run\" width=\"263\" height=\"350\" /><strong class=\"subhead\">The Run</strong></h3>\r\nThe run had over 1100 feet of climbing. Added to the very hilly ride, making this a hard run. There was constant up and down of hills. Tough on already tired legs. Some of the runs went thru the woods on dirt trails, which was good for the legs.\r\n\r\nWe ran around a lake, over a wooden bridge on a pond, and had some spectacular views of the mountains. Due to a buttock area (gluteus medius) injury, I had done most of my running in deep water. I only ran 3 or 4 times in the last five months outside and then only very short. This gave me the stamina I needed but did not toughen my feet.\r\n\r\nAt mile four I developed a blister on my left foot-right in the arch- ouch! I got a Tegaderm patch (a wound covering) from a paramedic at mile 8, which eventually stopped the blister from getting worse.\r\n\r\nThen, at mile five, I also had very sharp pain right where my 3rd and 4th toes meet my foot on the right. This was causing me more problems than the left foot blister. This probably happened because I wear a shoe orthotic to help shift some weight off the 2nd toe where I usually have discomfort. The extra weight got transferred laterally to my third and fourth toes. So, I altered my gait and it became a lot easier to run.\r\n\r\nAt this point, it was actually easier to run (mid-foot plant) than walk. But on the uphill portions (there were many short ones), I had to sometimes walk as I could not go on my toes. Eventually, I was able to keep running and push thru it. As my mom always said, \"C\'est al vie\", (that\'s life). This is what an Ironman is all about- crisis control which was good advice from my coach.\r\n\r\nThe blister pain I just put in the back of my mind and it never got worse. All in all, <strong>I eventually figured out I would not break 14 hours as I had done last year.</strong> But with the big hills on the ride, the hills on the run, and then the foot problems, I was OK with that. I ran most of the time and walked fast up the hills. And at 72 degrees (that was what it finally got to be) and sunny, it was quite warm being at 2200 feet. So the ice at the aid stations was a help.\r\n\r\nI just kept going using many months of physical and mental training to get me thru. At mile 18 or so, as we were running along an asphalt path near the woods, a baby bear came out of the woods and walked onto the path. We all just froze in place and stood there. One woman clapped her hands very loudly and the bear scurried off into the woods. As we started to run again, some said, \"That was the baby. I wonder where the mom is?!\" We all looked into the woods and had a good laugh.\r\n<h3><img class=\"alignleft wp-image-144\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish2.jpg\" alt=\"Cozumel 2013 Finish2\" width=\"288\" height=\"482\" /><strong class=\"subhead\">The Finish</strong></h3>\r\nAs I got closer to the finish line, all the aches just started to fade away. The last mile or so I just let it all go and ran at a good pace. And as I entered the final turn, the last 150 meters were jammed with the crowds cheering loudly. At this point,<strong> I knew I had made it. All the months of training were worth it.</strong> And as I approached the archway and the finish line, I heard the announcer say, Peter Fields, \"You\'re an Ironman\"! It never gets old. The final run time was 5:52 with an overall time of 14:18.\r\n<h3><strong class=\"subhead\">Final Thoughts on My Third Ironman:</strong></h3>\r\nAll in all, I was very pleased as I did not have any of the dreaded Ironman stomach problems or any mechanical problems with my bike. I felt exhausted and drained but nonetheless very satisfied to have finished my third Ironman. Some may ask why I punish my body. I was not punishing it - just challenging it. When one is prepared, it is not a punishment. Plus, it is as much a mental challenge, if not more than a physical one.\r\n\r\nI love the quote by Viktor Frankel, MD; Holocaust survivor and world-famous author of the book \"Mans Search for Meaning\" (my dad\'s favorite book).\r\n\r\n<em><strong>\"Life can be pulled by goals just as surely as it can be pushed by drives\".</strong></em>\r\n\r\n&nbsp;\r\n<h3><strong class=\"subhead\">Dedication:</strong></h3>\r\nAs many of you know, in each of my past two Ironman races, I have raced with dad\'s initials written on me. This year I chose not to do so, although he was with me all the way. Instead this year I chose to dedicate this race to someone else and have their initials on my arm. Without her unrelenting love and support for me over the years (and I do mean years), this race would have never been possible. And at 87 years young, she still continues to be an inspiration to me. These initials were YSF (Yvette Simon Fields) and they belong to my mom.\r\n\r\nThanks to everyone for inquiring about me and cheering from near and far. I really appreciated all of it and words cannot say thank you enough.\r\n\r\nYour thoughts and well wishes helped me through my third Ironman.\r\n<p class=\"text-center\"><strong>Peter A. Fields, MD DC</strong>\r\n<strong id=\"athleticdoc\">The Athletic Doc<sup style=\"font-size: 14px;\">®</sup> and 3X Ironman Finisher</strong></p>\r\n\r\n</div>\r\n<div id=\"sidebar2\" class=\"col-md-4\">\r\n\r\n[caption id=\"\" align=\"alignleft\" width=\"274\"]<img style=\"padding-left: 5px;\" title=\"My Third Ironman in 2013 Canada\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish.jpg\" alt=\"2013 Third Ironman \" width=\"274\" height=\"358\" />         My Third Ironman Completed[/caption]\r\n\r\n</div>\r\n<div></div>\r\n<div></div>\r\n<div class=\"col-md-4\"><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">01</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">7 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a></div>','Achieving Higher Goals at My Third Ironman in Canada','','inherit','closed','closed','','131-revision-v1','','','2021-06-03 02:46:50','2021-06-03 02:46:50','',131,'https://www.drfields.com/?p=4698',0,'revision','',0),(4699,9,'2021-06-03 02:47:55','2021-06-03 02:47:55','<h2>Achieving Higher Goals at My Third Ironman</h2>\r\n<div class=\"col-md-8\">\r\n\r\n[caption id=\"attachment_134\" align=\"alignleft\" width=\"528\"]<img class=\"wp-image-134 \" title=\"Third Ironman\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-canada-logo.jpg\" alt=\"Ironman Canada Logo\" width=\"528\" height=\"233\" /> <em> Sunday, August 25, 2013:     2.4-mile swim, 112-mile bike, 26.2-mile run</em>[/caption]\r\n\r\n</div>\r\n<h3><em>Third Ironman Quote:<strong> \"One cannot achieve higher goals in life without some struggle.\"</strong></em></h3>\r\n<div class=\"col-md-8\">\r\n<h3><img class=\"alignleft size-full wp-image-138\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-pre-race.jpg\" alt=\"Cozumel 2013 Pre Race\" width=\"160\" height=\"213\" /><strong class=\"subhead\">Before the Race</strong></h3>\r\nI woke up at 3:30 am so I could have breakfast by 4 am. That way I would have three hours before the start of the race so my food could be properly digested. I already had my gear ready to go plus the two special needs bags for the bike and the run. Then off to the village center to drop off the special needs bags and onto the buses that transported us to the swim start. Since the swim is held in a lake and there is limited road access, only Ironman official vehicles would have access to the lake.\r\n\r\nWhen we got there it was still dark and about 45 degrees. It was cold! But at least the rain from the previous day had stopped and no more was predicted. Fortunately, I had planned well for the cold.\r\n\r\nThere is always a lot of tension floating around as over 2200 athletes check their gear. Everyone tries their best to keep calm. We had left our bikes down there the day before as well as all our biking clothes and nutrition. The running gear and run nutrition was left at transition area 2 (T2) which is in town where the bike ride ends. This too was done the day before.\r\n\r\nThe only thing one brings in the morning is one\'s wetsuit, goggles, and cap along with whatever water/nutrition you take prior to the race. After pumping up my tires, it was on with the wetsuit, and then down to the waterfront.\r\n<h3><img class=\"alignleft wp-image-140\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-swim.jpg\" alt=\"Cozumel 2013 Swim\" width=\"243\" height=\"324\" /><strong class=\"subhead\">The Swim in My Third Ironman</strong></h3>\r\nThe lake is surrounded by mountains and the water temperature was about 68 degrees. That temperature was comfortable with a wetsuit on. All 2200 of us swam out about 50 yards and began treading water for about 10-15 minutes. At exactly 7 am, the gun went off. It would be a long day.\r\n\r\nAs always, I go out fast at the beginning of the swim, since swimming is my best part. I try and get away from the majority of the crowd, and then I try and settle back into a good pace. There were a few turns prior to turning back on the first loop of the two-loop course.\r\n\r\nIt got really jammed and crowded...more jammed than usual, which meant I couldn\'t really get into a good stroke pattern until the second lap. Plus, I had my goggles knocked off twice. This was a first for me but actually a common occurrence with all the swimmers around. My swim was therefore a bit slower at 1hr and 7 minutes, but still pretty good overall.\r\n<h3>Transition One</h3>\r\nI took a bit longer in the change tent as I put on knee warmers, a wind vest, a riding jacket, a skull cap for under my helmet, and longliner gloves over my riding gloves (I get cold easy!!).\r\n<h3><img class=\"alignleft wp-image-142\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-bike.jpg\" alt=\"Cozumel 2013 Bike\" width=\"251\" height=\"335\" /><strong class=\"subhead\">The Bike</strong></h3>\r\nThen I was off to the 112-mile ride with over 5600 feet of climbing. With the fact that there was a 30 mile or so stretch of flat riding, it was more like 5600 feet of climbing in 80 miles, which made it very hilly. The mountains around here are really very beautiful and the views were really spectacular.\r\n\r\n<strong>Riding through the crowds was invigorating.</strong> They really cheered us on. I took off my gloves since it was now above 60. Then some uphills and lots of downhills for the next 20 miles.\r\n\r\nAfter that, they had the special needs station. This is where one leaves out whatever you might want at a point halfway thru the ride (56 miles). I had nutrition supplies to restock what I had gone thru including a new bottle with liquid nutrition I use.\r\n\r\nI took off the leg warmers, vest, and skull cap, gave them to one of the volunteers along with the empty bottle I had gone thru. She was very surprised but happy, seeing my name on the bottle, and asked if that was me. When I said yes, she said that she had some knee problems and might call me. <strong>Wow, a business referral in an Ironman!</strong> Then a very flat section where for about 30 miles from mile 55-85 with a slight wind. The views of the mountains above were again spectacular.\r\n\r\nThen back to the hills. <strong>The last part from mile 85 to 112, was essentially all uphill.</strong> The first climb was the longest and the steepest, which wore a lot of people down. Then mostly uphill with some slight downhill riding all the way back to town. It was tough on the legs.\r\n\r\nAs we approached the town, the cheering again kept me going. Needless to say, my quadriceps muscles (front of the legs) where one gets most of one\'s cycling power were well worn. My time was 6:58, which was slower than previously in the <a href=\"https://www.drfields.com/about/the-athletic-doc/my-second-ironman-competition-took-place-in-cozumel-mexico/\">Cozumel Ironman</a>. But with the hills here I was not disappointed.\r\n<h3>Transition Two</h3>\r\nAfter handing off my bike to a handler, it was off the change tent to put on my running shoes. No need to change clothing because what I wear under my wetsuit is what I ride and run in. Then a quick restock of a few gel packs. <strong>On the way out, volunteers with grass skirts put sunscreen on the runners.</strong> This would be helpful as it was hot, sunny, and getting warm.\r\n<h3><img class=\"alignleft wp-image-143\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-run.jpg\" alt=\"Cozumel 2013 Run\" width=\"263\" height=\"350\" /><strong class=\"subhead\">The Run</strong></h3>\r\nThe run had over 1100 feet of climbing. Added to the very hilly ride, making this a hard run. There was constant up and down of hills. Tough on already tired legs. Some of the runs went thru the woods on dirt trails, which was good for the legs.\r\n\r\nWe ran around a lake, over a wooden bridge on a pond, and had some spectacular views of the mountains. Due to a buttock area (gluteus medius) injury, I had done most of my running in deep water. I only ran 3 or 4 times in the last five months outside and then only very short. This gave me the stamina I needed but did not toughen my feet.\r\n\r\nAt mile four I developed a blister on my left foot-right in the arch- ouch! I got a Tegaderm patch (a wound covering) from a paramedic at mile 8, which eventually stopped the blister from getting worse.\r\n\r\nThen, at mile five, I also had very sharp pain right where my 3rd and 4th toes meet my foot on the right. This was causing me more problems than the left foot blister. This probably happened because I wear a shoe orthotic to help shift some weight off the 2nd toe where I usually have discomfort. The extra weight got transferred laterally to my third and fourth toes. So, I altered my gait and it became a lot easier to run.\r\n\r\nAt this point, it was actually easier to run (mid-foot plant) than walk. But on the uphill portions (there were many short ones), I had to sometimes walk as I could not go on my toes. Eventually, I was able to keep running and push thru it. As my mom always said, \"C\'est al vie\", (that\'s life). This is what an Ironman is all about- crisis control which was good advice from my coach.\r\n\r\nThe blister pain I just put in the back of my mind and it never got worse. All in all, <strong>I eventually figured out I would not break 14 hours as I had done last year.</strong> But with the big hills on the ride, the hills on the run, and then the foot problems, I was OK with that. I ran most of the time and walked fast up the hills. And at 72 degrees (that was what it finally got to be) and sunny, it was quite warm being at 2200 feet. So the ice at the aid stations was a help.\r\n\r\nI just kept going using many months of physical and mental training to get me thru. At mile 18 or so, as we were running along an asphalt path near the woods, a baby bear came out of the woods and walked onto the path. We all just froze in place and stood there. One woman clapped her hands very loudly and the bear scurried off into the woods. As we started to run again, some said, \"That was the baby. I wonder where the mom is?!\" We all looked into the woods and had a good laugh.\r\n<h3><img class=\"alignleft wp-image-144\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish2.jpg\" alt=\"Cozumel 2013 Finish2\" width=\"261\" height=\"437\" /><strong class=\"subhead\">The Finish</strong></h3>\r\nAs I got closer to the finish line, all the aches just started to fade away. The last mile or so I just let it all go and ran at a good pace. And as I entered the final turn, the last 150 meters were jammed with the crowds cheering loudly. At this point,<strong> I knew I had made it. All the months of training were worth it.</strong> And as I approached the archway and the finish line, I heard the announcer say, Peter Fields, \"You\'re an Ironman\"! It never gets old. The final run time was 5:52 with an overall time of 14:18.\r\n<h3><strong class=\"subhead\">Final Thoughts on My Third Ironman:</strong></h3>\r\nAll in all, I was very pleased as I did not have any of the dreaded Ironman stomach problems or any mechanical problems with my bike. I felt exhausted and drained but nonetheless very satisfied to have finished my third Ironman. Some may ask why I punish my body. I was not punishing it - just challenging it. When one is prepared, it is not a punishment. Plus, it is as much a mental challenge, if not more than a physical one.\r\n\r\nI love the quote by Viktor Frankel, MD; Holocaust survivor and world-famous author of the book \"Mans Search for Meaning\" (my dad\'s favorite book).\r\n\r\n<em><strong>\"Life can be pulled by goals just as surely as it can be pushed by drives\".</strong></em>\r\n\r\n&nbsp;\r\n<h3><strong class=\"subhead\">Dedication:</strong></h3>\r\nAs many of you know, in each of my past two Ironman races, I have raced with dad\'s initials written on me. This year I chose not to do so, although he was with me all the way. Instead this year I chose to dedicate this race to someone else and have their initials on my arm. Without her unrelenting love and support for me over the years (and I do mean years), this race would have never been possible. And at 87 years young, she still continues to be an inspiration to me. These initials were YSF (Yvette Simon Fields) and they belong to my mom.\r\n\r\nThanks to everyone for inquiring about me and cheering from near and far. I really appreciated all of it and words cannot say thank you enough.\r\n\r\nYour thoughts and well wishes helped me through my third Ironman.\r\n<p class=\"text-center\"><strong>Peter A. Fields, MD DC</strong>\r\n<strong id=\"athleticdoc\">The Athletic Doc<sup style=\"font-size: 14px;\">®</sup> and 3X Ironman Finisher</strong></p>\r\n\r\n</div>\r\n<div id=\"sidebar2\" class=\"col-md-4\">\r\n\r\n[caption id=\"\" align=\"alignleft\" width=\"274\"]<img style=\"padding-left: 5px;\" title=\"My Third Ironman in 2013 Canada\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2013-finish.jpg\" alt=\"2013 Third Ironman \" width=\"274\" height=\"358\" /> My Third Ironman Completed[/caption]\r\n\r\n</div>\r\n<div></div>\r\n<div></div>\r\n<div class=\"col-md-4\"><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">01</strong></a><a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">7 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a></div>','Achieving Higher Goals at My Third Ironman in Canada','','inherit','closed','closed','','131-revision-v1','','','2021-06-03 02:47:55','2021-06-03 02:47:55','',131,'https://www.drfields.com/?p=4699',0,'revision','',0),(4700,9,'2021-06-04 01:34:07','2021-06-04 01:34:07','<h2>Ironman #4 and a New Personal Record</h2>\n<img class=\"wp-image-154 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-austria-logo.jpg\" alt=\"Ironman Austria Logo\" width=\"429\" height=\"160\" />\n<h3></h3>\n<h3><em><strong class=\"subhead\">Travel and Pre-Race for Ironman #4</strong></em></h3>\n<p class=\"col-md-8\"><em>    My Ironman #4 experience started with a 12-hour flight from Los Angeles to Frankfurt. The 3-hour delay in Dallas made it even longer. Then, I almost missed my train connection in Frankfurt. Fortunately, I got through customs very quickly. I picked up my bags, took a bus to the train station, </em></p>\n<p class=\"col-md-8\"><em>re-booked my </em></p>\n<em>ticket, and made my train with 5 minutes to spare!</em>\n<p class=\"col-md-8\"><em>Of course, being able to speak German helped out a lot with getting directions, such as the train ride to Munich where I switched trains to Klagenfurt, Austria. The views from the train in southern Germany and Austria were spectacular. The next days were just getting settled in. Usually, I\'m a very good sleeper. But unfortunately, for about 4 days, I was unable to sleep a lot at night, so I tried to make up with naps during the day. Sunday would come all too quickly.</em></p>\n<p class=\"col-md-8\"><em>The rest of the pre-event days were spent meeting everybody, seeing the triathlon expo, and having a chance to swim in the lake. There was also a van ride around part of the biking course. When my shipped bike arrived, I rode it for about 20 miles and then had the mechanic adjust it slightly. The rest of the time was spent trying to stay calm and relaxed while not working out a lot.</em></p>\n<p class=\"col-md-8\"><em>Saturday we checked in at the race which included leaving the bike and gear. The race number paper for my bike did not fit properly and I was advised not to tamper with it and ask an official when I went to check in my bike. When I got out of the van at the check-in point, I realized that I had left the number back in the hotel.</em></p>\n<p class=\"col-md-8\"><em>In German, I asked one of the check-in officials what he could do about it. He said he could not do anything and that I would have to go to the registration area to have something done. But it was a mile away and I had all my gear with me in bags, so walking the bike would not be an easy thing. So I opted to go back to the van and have them take me back and get the number.</em></p>\n<p class=\"col-md-8\"><em>As I was walking away one of the spectators came up to me and said in German that someone wants to talk to you back from where I came. I looked back and saw someone standing there who had a race official badge around his neck. So I walked back (which wasn\'t easy either with several thousand people there) and asked him in German if he could do anything about this. He said no problem he could help me. I was surprised as the first guy had said no.</em></p>\n<p class=\"col-md-8\"><em>I asked again if he was sure about this since my van ride was about to leave. He turned over his badge which said <strong>Race Director</strong>. He said, \"I\'m the boss and I can do it for you\". And within minutes everything was taken care of. He told me he travels to the States sometimes. So I gave him my card and told him to look me up. He said he would. All’s well that ends well. Plus a good omen for the race.</em></p>\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n<h3><strong class=\"subhead\">RACE DAY FOR IRONMAN #4</strong></h3>\nI got up at my usual time of 3:30 am. It was about 58 degrees, very clear, and with no signs of rain. It had rained the last 2 days on and off so this was a good thing. So I prepped my bike at the transition area for the last time. This is always a very exciting time with 3000 athletes plus spectators trying to stay calm.\n\nSince it was about a 500-meter walk to the water, we all took our wetsuits and changed over by the lake, where we were greeted by a rainbow over the lake. It was very beautiful and again a good omen. In a short time, we were all ready to go. The pros and another group of 800 people started 15 minutes early. These early starting non-pros had signed up to start early.\n\nI missed this sign-up and at first, was disappointed as I am a very strong swimmer. But Ken Glah, the former pro triathlete whose company I travel with, found out. It ended up being a good thing as I would be the fastest in the next group of 2200 athletes and not all bunched up with the fast group.\n\nSo after many months of training, I was ready to start my Ironman #4. I was dedicating this race to two people. On my left arm, I had the initials JP written. This was in memory of my friend Jeff Patterson. Dr. Jeff started me off in the wonderful world of Prolotherapy which helped save my back from surgery. He was my mentor and dear friend. But he died much too early only a few months ago at the age of 67.\n\nOn my right arm, I had the initials FFF, for my father Fred F. Fields. Simply put, he was everything in the world to me. He would have been so proud of me, as he always was. It was with great honor and pride that I am able to call myself his son. He died almost 10 years ago and there is not one day that goes by that I do not think of him.\n\n&nbsp;\n<h3><strong class=\"subhead\">THE SWIM</strong></h3>\nEven with 800 starting early, there still were 2200 starting in this pack. Since there were definitely going to be some really fast swimmers in this group, I decided to stay behind the first group of people and go off a bit slower. The strategy worked to my advantage as I was able to save a little energy at the beginning.\n\nOnce I got out about 400 or 500 meters I was able to get into my stride and swim well. It did get a little crowded but I was able to stay with the pack. This is good as when we turned back towards shore, we entered a canal that is about 1000 meters long. I had been warned that it can be extremely crowded in the canal and one can\'t really move at all. But due to the fact that I was with a group of only about 150 people, there was plenty of room.\n\nIn triathlons, one lifts their head every four or five strokes to sight the land and make sure you are going straight (unlike in a pool, there are no black lines on the bottom of the lake!!). <strong>When I picked up my head, I could see the sides of the canal where there were probably over 1000 people lining the canal yelling and cheering. This really was a unique experience as normally one can\'t see or hear anything!</strong>\n\nWhen I got about 100 meters towards the end, it got a little jammed up, and I was not really able to move ahead quickly or to the left or right. I just had to stay with the pack. Either way, I exited the water at a little over one hour and six minutes, which turned out to be first place in my age group (a first for me). And there were no wetsuit strippers (volunteers who strip your wetsuit off you when you lay down on your back). So we just pulled the wetsuit off our shoulders and ran about 500 meters to transition one (T1), where we had to pull the rest of our wetsuits off (not an easy thing) and get ready for biking.\n\n&nbsp;\n<h3><strong class=\"subhead\">THE BIKE</strong></h3>\n<img class=\"alignright size-full wp-image-170\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/bike-race2014.jpg\" alt=\"Bike Race2014\" width=\"382\" height=\"512\" />As we exited the T1 area, there were over a thousand people cheering us on. We rode down a street for about 300 meters and made a U-turn back. <strong>The street was heavily lined with spectators.</strong>\n\nIt was a beautiful day, sunny and probably about mid to upper sixty\'s with no clouds in sight. As usual, I did not eat anything after the swim for about 15 minutes to allow the blood to get into my legs. In the beginning, this route is mostly flat with lots of curves going around the lake.\n\nAs we left the lake we went into the small town where there was a traffic circle. And after that is where we started our first big hill climb. At the traffic circle, there was one of the race announcers announcing the race and cheering us on along with the spectators.\n\nIn all the small towns there were lots of people standing on the streets watching and cheering. As we started the steepest part of this climb, the street was lined with people, probably 5 or 6 deep on either side, cheering and screaming to encourage us to get up the hill. This part was a big loop so we did not come back the same way.\n\nGoing back was a long downhill ride, so we went fast except for the towns where we had to make small turns. All along here we had spectacular views of the mountains. At mile 45 or 46 miles, we started the biggest climb up the Ruperberg mountain. As we approached this mountain climb, we made a sharp left in town and started going up.\n\nThere were 100\'s of people lining the street and cheering us on. Plus there was a big loudspeaker with a DJ playing music. It was not too long but very steep. And again at the top were a lot of people and another DJ play playing music over really big loudspeakers.\n\nThen it was mostly downhill back to town to start a second loop. As I came down the hill, I saw a large bee coming right at me. This happens quite often on the bike. I felt it hit my right shoulder and bounce. And then suddenly, I felt a sharp sting in my left thigh under my bike shorts. I rolled back my bike shorts and there was a big red welt. It hurt but there was nothing I could do about it. I just blocked it out of my mind. The pain subsided after about 15 or 20 minutes and I just went on with the race.\n\nAs we came into town they had us make a 180-degree turn again (like at the beginning), so we had to really slow down. But this was a good thing as the street leading to this turn was lined with thousands of spectators cheering us on. Occasionally at this point and other ones, there was an announcer, and I would hear, \"and here is Peter from the United States\". Always nice to hear to keep one going. <strong>My usual time is about 3 hrs 25 mins for half of the ride but this time I did it in 3 hours 10 mins.</strong> I was feeling very good.\n\nAs we started back out on the second loop, I stopped at special needs and refueled myself. Special needs are where we can leave a bag of anything we need at that point. There is one at the halfway point of the bike and another one at the halfway point of the run. I tossed my fuel bottle out and took a new one from the bag I had left. And then also resupplied myself with my gels and other nutrition. I carry my own nutrition so as not to try anything new on race day.\n\nWhen I tossed the bottle away, it rolled to the feet of a small boy about 6 or 7 years old. His mom looked at him. He just looked at it. I told him, in German, here\'s a present for you. Take it home and clean it! It\'s yours. He just smiled at me as he reached for it.\n\nThen 8 miles into the second loop, the drizzle started that got a bit heavier with time. Now the streets were wet and there were puddles. This meant we all had to slow down. All in all, it went well on the second loop. The crowds were less due to the rain. But there were still crowds out there.\n\nAt about mile 80, my stomach had a little bit of trouble. Nothing big, just that I could not eat for about 20 or 30 minutes. But I got over it without any problems. My second loop time was a bit slower due to the rain. It was 3 hours in 25 minutes. All in all, I felt strong for the run. This was a good thing.\n\nIn the town near T2, the crowds were there cheering loudly. I got off my bike and ran thru the transition area to rack my bike. It was good to be off the bike after 112 miles. Then I put on my running shoes and started off to run a marathon.\n\nP.S. Several places on the bike course (and later on the run course) there were people from Endurance Sports Travel. This is the group I went with. They were cheering me on loudly. This was much appreciated.\n<h3><strong class=\"subhead\">THE RUN</strong></h3>\n<img class=\"alignleft size-full wp-image-174\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/running-smile.jpg\" alt=\"Running Smile\" width=\"335\" height=\"504\" />When leaving transition area two (T2) in an Ironman, you cannot think marathon. You just say to yourself, you are running from here to there and play these mental games the whole way.\n\nIt was warm and sunny and about 75 degrees. But not too hot. Plus, there was tree cover on at least 60% of the run course. The run was a double loop. It was actually a figure 8 that we had to do twice. So we would pass the finish line 4 times.\n\nAt the finish line area, there were thousands of people yelling and screaming. After a mile or two, I started to feel a bit tired in my legs. So I just told myself I would run to the first turnaround about 4.5 miles out.\n\nI had my Garmin (GPS) on so I was able to see my pace and keep it where I knew I could maintain it. We ran along the lake at the beginning of each loop. So although brief, it was a nice view.\n\nAfter only 2.5 miles, I came upon a woman that was having trouble running so I ran for a little bit with her to keep her going. At 4.5 miles we turned around and headed back to town. Now I felt strong again and my legs were loosening up. In training, I had problems with my foot and also slightly with my hamstring (the hamstring had been my Achilles heel in the last two races). I trained part of the time in the water for my run (deep water running). This was very helpful as it took the stress off these two areas.\n\nAt this point everything was good and I had no pain. As we passed through the finish line area, we headed out again along a canal. Then we ran under a small footbridge and onto a narrow cobblestone street lined with houses. We ran along this street for about 3/4 of a mile then into the town square.\n\n<strong> People were sitting in cafes and cheering us on. Lots and lots of people.</strong> It was about 6 or 7 o\'clock at night. And since the sun stays up until about 9 o\'clock the cafes are very, very crowded. We continued on into the town square where there was a large TV screen where people were watching football (soccer). Here we turned to begin the last part of the figure eight and ran back to the starting area.\n\nI got back to the starting point again and got my special needs bag - some extra nutrition. On the second loop, my stomach started to feel a little funny. This is something that is very common with Ironman triathletes. Mine only lasted about 15 or 20 minutes. Many runners were walking due to this or muscle cramps, dehydration, or other things. I felt fairly lucky. I would cheer these fellow athletes on when I went past them and told them to just keep going. Everyone appreciates that. I had been in their situation in the past and know what it feels like when someone gives you a shout of support.\n\n<strong>I just kept telling myself to keep going. One foot after another. And just kept going.</strong> Part of the way it was shady, so that helped a lot too. Since the sun stays up so late, it never went down while I was running.\n\nAt mile 18, I got a second wind. Feeling very upbeat and in a good place, I was able to pick up my pace. Plus, I started to run alongside someone a little bit faster than me. After only two miles, I could not keep up with him and told him so. He told me that he normally runs a lot faster, but not today. And he told me to try to stay with him and we could talk so the time with go faster.\n\nSo for the rest of the marathon (about 6 miles), we ran together. We ran back along the canal and into the city square again where there were still lots of people. His pace was definitely faster than I would have gone but he was pushing me thru all the aches and pains from racing for over 13 hours.\n\nThere was a small archway when entering into the city square. And a small bell on a string hanging from it. If you rang the bell (by tapping it with your hand) they would donate money to charity. So I rang it every time I passed it. At the final turnaround, it was very exciting knowing that I only had 3 miles left. I had never developed any pain from my foot or my hamstring. And I was very pleased with my run.\n\nWe continued to talk and run. He was from Prague where I was going after the race and we planned to exchange numbers after we finished. So as we got near the finish line area, the noise of the crowd got louder and louder. Since they take your picture as you cross the finish line, he said I should go ahead of him to be alone. I thanked him very much for helping me along.\n\nSo at about 100 meters away, I took off from him. The crowd was very loud; almost deafening. There was a cheerleading squad there along with photographers and a local TV crew. As I ran closer to the finish line, the noise level became incredible with cheering, cowbells, and more. I then heard the announcer say: <strong>\"Peter Fields, you are an Ironman!\"</strong>\n\nThe feeling when you hear that never gets old.\n\nI was exhausted but very elated. The feeling I had is indescribable.\n\n<strong>For Ironman #4, I finished at 13 hours, 32 minutes, and 36 seconds with a new personal best for me by 18 minutes.</strong>\n\nMy new friend I had met on the run finished right behind me. I was able to meet his wife and three kids.\n\nAfter a few minutes of walking around, I was off to the massage tent and to get some food.\n\nP.S. At 9 pm, thirty minutes after finishing, the sky opened up and it rained hard for about an hour. I was very fortunate not to go through that.\n<h3 class=\"col-md-8\"><em><strong>APPRECIATIONS:</strong></em></h3>\n<em>I want to thank everybody who took the time and effort to watch the update that was on the internet during the race. I appreciate every one of you. And for everyone else, your thoughts and cheers before and after the race were heard. There are lots and lots of people I need to thank but the list is too long. You know who you are and a big thank you goes out to all.</em>\n\n<em>Collectively, I want to thank my massage therapist, my acupuncturist, and my chiropractor. You all helped get me through. And my wonderful office staff who always took a great interest in what I was doing and put up with the long workouts that made me late sometimes.</em>\n\n<em>There a few individuals that need to be singled out individually:</em>\n<em>I want to thank my coach, Cherie Gruenfeld, as she pushed me hard and helped me a lot.</em>\n\n<em>And then there is the world’s best podiatrist, Dr Dan Altchuler. Without his help and caring, my foot would have never made it through the race.</em>\n\n<em>I want to thank my very special friend Angela Past. Several years ago she got me into this wonderful world of Ironman triathlons (she became an Ironman before I did). She actually got up in the middle of the night in California to follow me as the race began at 10 pm west coast time. Wow! Thank you so much for your emotional support when I needed it the most.</em>\n\n<em>And last but not least, I want to thank my mom and dad as they taught me not to give up even when the times get tough. And although my dad is no longer with us, his thoughts are with me in spirit every day. My mom is 88 years young and is active and vibrant. She\'s an inspiration to me every day. She has never lost faith in me and my abilities... Thank you, mom!</em>\n\n<strong>Thank you all again for your well wishes and support.</strong>\n\n<strong>Peter A. Fields, MD DC\nThe Athletic Doc<sup>®</sup> and 4X Ironman Triathlete</strong>\n<div id=\"sidebar2\" class=\"col-md-4\">\n\n<img class=\"alignleft\" style=\"text-align: center;\" title=\"Race Report 4th Ironman\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman2014-large-1.jpg\" alt=\"Race Report 4th Ironman\" width=\"389\" height=\"662\" />\n\n<a href=\"https://goo.gl/photos/BBwqL4H48qpXLAZw6\" target=\"_blank\" rel=\"noopener noreferrer\">2014 Austria\nClick For More Photos</a>\n\nClick below for Pictures &amp; Story\n<a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2017 Ironman Santa Rosa</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a>\n\n</div>\n&nbsp;','Ironman #4 and a New Personal Record','','inherit','closed','closed','','153-autosave-v1','','','2021-06-04 01:34:07','2021-06-04 01:34:07','',153,'https://www.drfields.com/?p=4700',0,'revision','',0),(4701,9,'2021-06-03 22:16:08','2021-06-03 22:16:08','<div class=\"col-md-8\">\r\n\r\n[caption id=\"attachment_154\" align=\"alignleft\" width=\"478\"]<img class=\"wp-image-154\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-austria-logo.jpg\" alt=\"Ironman Austria Logo\" width=\"478\" height=\"178\" /> Sunday, June 29, 2014 2.4-mile swim, 112-mile bike, 26.2-mile run[/caption]\r\n<h2>Ironman #4 and a New PR</h2>\r\n&nbsp;\r\n<h3><strong class=\"subhead\">Before the Race</strong></h3>\r\nIt started with a 12-hour flight from Los Angeles to Frankfurt. The 3-hour delay in Dallas made it even longer. Then, I almost missed my train connection in Frankfurt. Fortunately, I got through customs very quickly.\r\n\r\nI picked up my bags, took a bus to the train station, re-booked my ticket, and made my train with 5 minutes to spare! Of course, being able to speak German helped out a lot with getting directions, such as the train ride to Munich where I switched trains to Klagenfurt, Austria. The views from the train in southern Germany and Austria were spectacular.\r\n\r\nThe next days were just getting settled in. Usually, I\'m a very good sleeper. But unfortunately, for about 4 days, I was unable to sleep a lot at night, so I tried to make up with naps during the day. Sunday would come all too quickly.\r\n\r\nThe rest of the pre-event days were spent meeting everybody, seeing the triathlon expo, and having a chance to swim in the lake. There was also a van ride around part of the biking course. When my shipped bike arrived, I rode it for about 20 miles and then had the mechanic adjust it slightly. The rest of the time was spent trying to stay calm and relaxed while not working out a lot.\r\n\r\nSaturday we checked in at the race which included leaving the bike and gear. The race number paper for my bike did not fit properly and I was advised not to tamper with it and ask an official when I went to check in my bike. When I got out of the van at the check-in point, I realized that I had left the number back in the hotel.\r\n\r\nIn German, I asked one of the check-in officials what he could do about it. He said he could not do anything and that I would have to go to the registration area to have something done. But it was a mile away and I had all my gear with me in bags, so walking the bike would not be an easy thing. So I opted to go back to the van and have them take me back and get the number.\r\n\r\nAs I was walking away one of the spectators came up to me and said in German that someone wants to talk to you back from where I came. I looked back and saw someone standing there who had a race official badge around his neck. So I walked back (which wasn\'t easy either with several thousand people there) and asked him in German if he could do anything about this. He said no problem he could help me. I was surprised as the first guy had said no. I asked again if he was sure about this since my van ride was about to leave. He turned over his badge which said <strong>Race Director</strong>. He said, \"I\'m the boss and I can do it for you\". And within minutes everything was taken care of. He told me he travels to the States sometimes. So I gave him my card and told him to look me up. He said he would.\r\nAll’s well that ends well. Plus a good omen for the race.\r\n<h3><strong class=\"subhead\">RACE DAY FOR IRONMAN #4</strong></h3>\r\nI got up at my usual time of 3:30 am. It was about 58 degrees, very clear, and with no signs of rain. It had rained the last 2 days on and off so this was a good thing. So I prepped my bike at the transition area for the last time. This is always a very exciting time with 3000 athletes plus spectators trying to stay calm.\r\n\r\nSince it was about a 500-meter walk to the water, we all took our wetsuits and changed over by the lake, where we were greeted by a rainbow over the lake. It was very beautiful and again a good omen. In a short time, we were all ready to go. The pros and another group of 800 people started 15 minutes early. These early starting non-pros had signed up to start early.\r\n\r\nI missed this sign-up and at first, was disappointed as I am a very strong swimmer. But Ken Glah, the former pro triathlete whose company I travel with, found out. It ended up being a good thing as I would be the fastest in the next group of 2200 athletes and not all bunched up with the fast group.\r\n\r\nSo after many months of training, I was ready to start my Ironman #4. I was dedicating this race to two people. On my left arm, I had the initials JP written. This was in memory of my friend Jeff Patterson. Dr. Jeff started me off in the wonderful world of Prolotherapy which helped save my back from surgery. He was my mentor and dear friend. But he died much too early only a few months ago at the age of 67.\r\n\r\nOn my right arm, I had the initials FFF, for my father Fred F. Fields. Simply put, he was everything in the world to me. He would have been so proud of me, as he always was. It was with great honor and pride that I am able to call myself his son. He died almost 10 years ago and there is not one day that goes by that I do not think of him.\r\n<h3><strong class=\"subhead\">THE SWIM</strong></h3>\r\nEven with 800 starting early, there still were 2200 starting in this pack. Since there were definitely going to be some really fast swimmers in this group, I decided to stay behind the first group of people and go off a bit slower. The strategy worked to my advantage as I was able to save a little energy at the beginning.\r\n\r\nOnce I got out about 400 or 500 meters I was able to get into my stride and swim well. It did get a little crowded but I was able to stay with the pack. This is good as when we turned back towards shore, we entered a canal that is about 1000 meters long. I had been warned that it can be extremely crowded in the canal and one can\'t really move at all. But due to the fact that I was with a group of only about 150 people, there was plenty of room.\r\n\r\nIn triathlons, one lifts their head every four or five strokes to sight the land and make sure you are going straight (unlike in a pool, there are no black lines on the bottom of the lake!!). <strong>When I picked up my head, I could see the sides of the canal where there were probably over 1000 people lining the canal yelling and cheering. This really was a unique experience as normally one can\'t see or hear anything!</strong>\r\n\r\nWhen I got about 100 meters towards the end, it got a little jammed up, and I was not really able to move ahead quickly or to the left or right. I just had to stay with the pack. Either way, I exited the water at a little over one hour and six minutes, which turned out to be first place in my age group (a first for me). And there were no wetsuit strippers (volunteers who strip your wetsuit off you when you lay down on your back). So we just pulled the wetsuit off our shoulders and ran about 500 meters to transition one (T1), where we had to pull the rest of our wetsuits off (not an easy thing) and get ready for biking.\r\n<h3><strong class=\"subhead\">THE BIKE</strong></h3>\r\n<img class=\"alignright size-full wp-image-170\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/bike-race2014.jpg\" alt=\"Bike Race2014\" width=\"382\" height=\"512\" />As we exited the T1 area, there were over a thousand people cheering us on. We rode down a street for about 300 meters and made a U-turn back. <strong>The street was heavily lined with spectators.</strong>\r\n\r\nIt was a beautiful day, sunny and probably about mid to upper sixty\'s with no clouds in sight. As usual, I did not eat anything after the swim for about 15 minutes to allow the blood to get into my legs. In the beginning, this route is mostly flat with lots of curves going around the lake.\r\n\r\nAs we left the lake we went into the small town where there was a traffic circle. And after that is where we started our first big hill climb. At the traffic circle, there was one of the race announcers announcing the race and cheering us on along with the spectators.\r\n\r\nIn all the small towns there were lots of people standing on the streets watching and cheering. As we started the steepest part of this climb, the street was lined with people, probably 5 or 6 deep on either side, cheering and screaming to encourage us to get up the hill. This part was a big loop so we did not come back the same way.\r\n\r\nGoing back was a long downhill ride, so we went fast except for the towns where we had to make small turns. All along here we had spectacular views of the mountains. At mile 45 or 46 miles, we started the biggest climb up the Ruperberg mountain. As we approached this mountain climb, we made a sharp left in town and started going up.\r\n\r\nThere were 100\'s of people lining the street and cheering us on. Plus there was a big loudspeaker with a DJ playing music. It was not too long but very steep. And again at the top were a lot of people and another DJ play playing music over really big loudspeakers.\r\n\r\nThen it was mostly downhill back to town to start a second loop. As I came down the hill, I saw a large bee coming right at me. This happens quite often on the bike. I felt it hit my right shoulder and bounce. I suddenly felt a sharp sting in my left thigh this was under my bike shorts. I rolled back my bike shorts and there was a big red welt. It hurt but there was nothing I could do about it. I just blocked it out of my mind. The pain subsided after about 15 or 20 minutes and I just went on with the race.\r\n\r\nAs we came into town they had us make a 180-degree turn again (like at the beginning), so we had to really slow down. But this was a good thing as the street leading to this turn was lined with thousands of spectators cheering us on. Occasionally at this point and other ones, there was an announcer, and I would hear, \"and here is Peter from the United States\". Always nice to hear to keep one going. <strong>My usual time is about 3 hrs 25 mins for half of the ride but this time I did it in 3 hours 10 mins.</strong> I was feeling very good.\r\n\r\nAs we started back out on the second loop, I stopped at special needs and refueled myself. Special needs are where we can leave a bag of anything we need at that point. There is one at the halfway point of the bike and another one at the halfway point of the run. I tossed my fuel bottle out and took a new one from the bag I had left. I also resupplied myself with my gels and other nutrition. I carry my own nutrition so as not to try anything new on race day.\r\n\r\nWhen I tossed the bottle away, it rolled to the feet of a small boy about 6 or 7 years old. His mom looked at him. He just looked at it. I told him, in German, here\'s a present for you. Take it home and clean it! It\'s yours. He just smiled at me as he reached for it.\r\n\r\nThen 8 miles into the second loop, the drizzle started that got a bit heavier with time. Now the streets were wet and there were puddles. This meant we all had to slow down. All in all, it went well on the second loop. The crowds were less due to the rain. But there were still crowds out there.\r\n\r\nAt about mile 80, my stomach had a little bit of trouble. Nothing big, just that I could not eat for about 20 or 30 minutes. But I got over it without any problems. My second loop time was a bit slower due to the rain. It was 3 hours in 25 minutes. All in all, I felt strong for the run. This was a good thing.\r\n\r\nIn the town near T2, the crowds were there cheering loudly. I got off my bike and ran thru the transition area to rack my bike. It was good to be off the bike after 112 miles. Then I put on my running shoes and started off to run a marathon.\r\n\r\nP.S. Several places on the bike course (and later on the run course) there were people from Endurance Sports Travel. This is the group I went with. They were cheering me on loudly. This was much appreciated.\r\n<h3><strong class=\"subhead\">THE RUN</strong></h3>\r\n<img class=\"alignleft size-full wp-image-174\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/running-smile.jpg\" alt=\"Running Smile\" width=\"335\" height=\"504\" />When one leaves transition area two (T2) in an Ironman, you cannot think marathon. You just say are running from here to there and play this mental games with yourself the whole way. It was warm and sunny and about 75 degrees but not too hot. Plus there was tree cover on at least 60% of the run course. The run was a double loop. It was actually a figure 8 that we had to do twice. So therefore I would pass the finish line 4 times. In this area were thousands of people yelling and screaming. After a mile or two, I started to feel a bit tired in my legs. So I just told myself I would run to the end the first turn around about 4.5 miles out. I had my Garmin (GPS) on so I was able to see my pace and keep it where I knew I could maintain it. We ran along the lake the beginning of each loop, so although brief, it was a nice view. After only 2.5 miles, I came upon a woman that was having trouble running so I ran for a little bit with her to keep her going. At 4.5 miles we turned around and headed back to town. Now I felt strong again and my legs were loosening up. In training I had problems with my foot and also slightly with my hamstring (the hamstring had been my Achilles heel in the last two races). I trained part of the time in the water for my run (deep water running). This was very helpful as it took the stress of these two areas. At this point everything was good and I had no pain. As we passed through the finish line area (middle of the figure eight), we headed out again along a canal. Then we ran under a small foot bridge and onto a small (in width) cobblestone street lined with houses. We ran along this for about 3/4 of a mile then into the town square. People were sitting in cafes and cheering us on. Lots and lots of people. It was about 6 or 7 o\'clock at night and since the sun stays up until about 9 o\'clock the cafes are very, very crowded. We continued on into the town square where there was a large TV screen where people were watching football (soccer). Here we turned to begin the last part of the figure eight and run back to the starting area. I got back to starting point again and got my special needs bag - some extra nutrition. On the second loop my stomach started to feel little funny. This is something that is very common with Ironman triathletes. Mine only lasted about again 15 or 20 minutes. Many runners were walking due to this or muscle cramps, dehydration or other things. I felt fairly lucky. I would cheer these fellow athlete on when I went past them and told them to just keep going. Everyone appreciates that. I had been in their situation in the past and know what it feels like when someone gives you a shout of support.\r\n\r\nI just kept telling myself to keep going. One foot after another...just keep going... Part of the way it was shady so that helped a lot too. The sun stays up until 9 o’clock so it never went down while I was running. Mile 18, I got a second wind. Felt very upbeat and in a good place so I was able to pick up pace.\r\nAt that point I started to run alongside someone a little bit faster than me. After only two miles, I could not keep up with him and told him so. He told me that you normally he runs a lot faster but not today. He told me to try to stay with him and we could talk so the time with go faster. So for the rest of the marathon (about 6 miles), we ran together. We ran back along the canal and into the city square again where there still lots of people. His pace was definitely faster than I would have gone but he was pushing me thru all the aches and pains one has after racing for over 13 hours. There was a small archway as one entered into the city square. There was a small bell on a string that it was hanging from. If you rung the bell (by tapping it with your hand) they would donate money to charity, so I rang it every time I passed it. At the final turn around, it was very exciting knowing that I only had 3 miles left. I had never developed any pain from my foot or my hamstring. And I was very pleased with my run. The guy I was running with and I just kept talking. He was from Prague where I was going after the race so we were going to exchange numbers after we finished. So as we got near the finish line area, the noise of the crowd got louder and louder. Since they take your picture as you cross the finish line, he said I should go ahead of him to be alone. I thanked him very much for helping me along.\r\n\r\nSo at about 100 meters away, I took off from him. The crowd was very loud; almost deafening. There was a cheerleading squad there along with photographers and a local TV crew. As one comes with closer to the finish line, the noise level is incredible with cheering, cowbells and more. I then heard the announcer say:\r\n<strong>\"Peter Fields, you are an Ironman!\"</strong>\r\n\r\nThe feeling one has when you hear that never gets old.\r\nI was exhausted but very elated. The feeling I had is indescribable.\r\nAnd at 13 hrs. 32 minutes and 36 seconds I had a new personal best for me by 18 minutes\r\nMy friend I met on the run the finished right behind me. I then met his wife and three kids.\r\nAfter a few minutes of walking around it was off to the massage tent and get some food.\r\n\r\nPS I finished around 8:30 pm. At 9 pm the sky opened up and it rained hard for about an hour.\r\nI was very fortunate not to go through that.\r\n\r\nI want to make everybody who took the time and effort to watch the update that were on the internet during the race. I appreciate every one of you. And for everyone else, your thoughts and cheers before and after the race were heard. There are lots and lots of people I need to thank but the list is too long. You know who you are and a big thank you goes out to all.\r\nCollectively, I want to thank massage therapist, my acupuncturist and my chiropractor. You all helped get me through. And wonderful office staff who always took a great interest in what I was doing and put up with my long workouts that made me late sometimes.\r\n\r\nThere a few individuals that need to be singled out individually.\r\nI want to thank my coach, Cherie Gruenfeld, as she pushed me hard and helped me a lot.\r\n\r\nAnd then there is the world’s best podiatrist, Dr Dan Altchuler. Without his help and caring, my foot would have never made it through the race.\r\n\r\nI want to thank my very special friend Angela Past. Several years ago she got me into this wonderful world of Ironman triathlons (she became an Ironman before I did). She actually got up in the middle of the night in California to follow me as the race began at 10pm west coast time. Wow! Thank you so much for your emotional support when I needed it the most.\r\n\r\nAnd last but not least, I want to thank my mom and dad as they taught me not to give up even when the times get tough. And although my dad is no longer with us, his thoughts are with me in spirit every day. My mom is 88 years young and is active and vibrant. She\'s an inspiration to me every day. She has never lost faith in me and my abilities... Thank you mom!\r\n\r\n<strong>Thank you all again for your well wishes and support.</strong>\r\n\r\n<strong>Peter A. Fields, MD DC\r\nThe Athletic Doc<sup>®</sup> and 4X Ironman Triathlete</strong>\r\n\r\n</div>\r\n<div id=\"sidebar2\" class=\"col-md-4\">\r\n\r\n<img style=\"text-align: center;\" title=\"Race Report 4th Ironman\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman2014-large-1.jpg\" alt=\"Race Report 4th Ironman\" width=\"204\" height=\"370\" />\r\n\r\n<a href=\"https://goo.gl/photos/BBwqL4H48qpXLAZw6\" target=\"_blank\" rel=\"noopener noreferrer\">2014 Austria\r\nClick For More Photos</a>\r\n\r\nClick below for Pictures &amp; Story\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2017 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a>\r\n\r\n</div>','Ironman #4 and a New PR','','inherit','closed','closed','','153-revision-v1','','','2021-06-03 22:16:08','2021-06-03 22:16:08','',153,'https://www.drfields.com/?p=4701',0,'revision','',0),(4702,9,'2021-06-04 01:06:31','2021-06-04 01:06:31','[caption id=\"attachment_154\" align=\"alignleft\" width=\"478\"]<img class=\"wp-image-154\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-austria-logo.jpg\" alt=\"Ironman Austria Logo\" width=\"478\" height=\"178\" /> Sunday, June 29, 2014 2.4-mile swim, 112-mile bike, 26.2-mile run[/caption]\r\n<h2>Ironman #4 and a New PR</h2>\r\n&nbsp;\r\n<h3><strong class=\"subhead\">Before the Race</strong></h3>\r\n<p class=\"col-md-8\">    <em>It</em> started with a 12-hour flight from Los Angeles to Frankfurt. The 3-hour delay in Dallas made it even longer. Then, I almost missed my train connection in Frankfurt. Fortunately, I got through customs very quickly.I picked up my bags, took a bus to the train station, re-booked my ticket, and made my train with 5 minutes to spare! Of course, being able to speak German helped out a lot with getting directions, such as the train ride to Munich where I switched trains to Klagenfurt, Austria. The views from the train in southern Germany and Austria were spectacular.The next days were just getting settled in. Usually, I\'m a very good sleeper. But unfortunately, for about 4 days, I was unable to sleep a lot at night, so I tried to make up with naps during the day. Sunday would come all too quickly.The rest of the pre-event days were spent meeting everybody, seeing the triathlon expo, and having a chance to swim in the lake. There was also a van ride around part of the biking course. When my shipped bike arrived, I rode it for about 20 miles and then had the mechanic adjust it slightly. The rest of the time was spent trying to stay calm and relaxed while not working out a lot.Saturday we checked in at the race which included leaving the bike and gear. The race number paper for my bike did not fit properly and I was advised not to tamper with it and ask an official when I went to check in my bike. When I got out of the van at the check-in point, I realized that I had left the number back in the hotel.In German, I asked one of the check-in officials what he could do about it. He said he could not do anything and that I would have to go to the registration area to have something done. But it was a mile away and I had all my gear with me in bags, so walking the bike would not be an easy thing. So I opted to go back to the van and have them take me back and get the number.As I was walking away one of the spectators came up to me and said in German that someone wants to talk to you back from where I came. I looked back and saw someone standing there who had a race official badge around his neck. So I walked back (which wasn\'t easy either with several thousand people there) and asked him in German if he could do anything about this. He said no problem he could help me. I was surprised as the first guy had said no. I asked again if he was sure about this since my van ride was about to leave. He turned over his badge which said <strong>Race Director</strong>. He said, \"I\'m the boss and I can do it for you\". And within minutes everything was taken care of. He told me he travels to the States sometimes. So I gave him my card and told him to look me up. He said he would.All’s well that ends well. Plus a good omen for the race.</p>\r\n\r\n<h3><strong class=\"subhead\">RACE DAY FOR IRONMAN #4</strong></h3>\r\nI got up at my usual time of 3:30 am. It was about 58 degrees, very clear, and with no signs of rain. It had rained the last 2 days on and off so this was a good thing. So I prepped my bike at the transition area for the last time. This is always a very exciting time with 3000 athletes plus spectators trying to stay calm.\r\n\r\nSince it was about a 500-meter walk to the water, we all took our wetsuits and changed over by the lake, where we were greeted by a rainbow over the lake. It was very beautiful and again a good omen. In a short time, we were all ready to go. The pros and another group of 800 people started 15 minutes early. These early starting non-pros had signed up to start early.\r\n\r\nI missed this sign-up and at first, was disappointed as I am a very strong swimmer. But Ken Glah, the former pro triathlete whose company I travel with, found out. It ended up being a good thing as I would be the fastest in the next group of 2200 athletes and not all bunched up with the fast group.\r\n\r\nSo after many months of training, I was ready to start my Ironman #4. I was dedicating this race to two people. On my left arm, I had the initials JP written. This was in memory of my friend Jeff Patterson. Dr. Jeff started me off in the wonderful world of Prolotherapy which helped save my back from surgery. He was my mentor and dear friend. But he died much too early only a few months ago at the age of 67.\r\n\r\nOn my right arm, I had the initials FFF, for my father Fred F. Fields. Simply put, he was everything in the world to me. He would have been so proud of me, as he always was. It was with great honor and pride that I am able to call myself his son. He died almost 10 years ago and there is not one day that goes by that I do not think of him.\r\n<h3><strong class=\"subhead\">THE SWIM</strong></h3>\r\nEven with 800 starting early, there still were 2200 starting in this pack. Since there were definitely going to be some really fast swimmers in this group, I decided to stay behind the first group of people and go off a bit slower. The strategy worked to my advantage as I was able to save a little energy at the beginning.\r\n\r\nOnce I got out about 400 or 500 meters I was able to get into my stride and swim well. It did get a little crowded but I was able to stay with the pack. This is good as when we turned back towards shore, we entered a canal that is about 1000 meters long. I had been warned that it can be extremely crowded in the canal and one can\'t really move at all. But due to the fact that I was with a group of only about 150 people, there was plenty of room.\r\n\r\nIn triathlons, one lifts their head every four or five strokes to sight the land and make sure you are going straight (unlike in a pool, there are no black lines on the bottom of the lake!!). <strong>When I picked up my head, I could see the sides of the canal where there were probably over 1000 people lining the canal yelling and cheering. This really was a unique experience as normally one can\'t see or hear anything!</strong>\r\n\r\nWhen I got about 100 meters towards the end, it got a little jammed up, and I was not really able to move ahead quickly or to the left or right. I just had to stay with the pack. Either way, I exited the water at a little over one hour and six minutes, which turned out to be first place in my age group (a first for me). And there were no wetsuit strippers (volunteers who strip your wetsuit off you when you lay down on your back). So we just pulled the wetsuit off our shoulders and ran about 500 meters to transition one (T1), where we had to pull the rest of our wetsuits off (not an easy thing) and get ready for biking.\r\n<h3><strong class=\"subhead\">THE BIKE</strong></h3>\r\n<img class=\"alignright size-full wp-image-170\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/bike-race2014.jpg\" alt=\"Bike Race2014\" width=\"382\" height=\"512\" />As we exited the T1 area, there were over a thousand people cheering us on. We rode down a street for about 300 meters and made a U-turn back. <strong>The street was heavily lined with spectators.</strong>\r\n\r\nIt was a beautiful day, sunny and probably about mid to upper sixty\'s with no clouds in sight. As usual, I did not eat anything after the swim for about 15 minutes to allow the blood to get into my legs. In the beginning, this route is mostly flat with lots of curves going around the lake.\r\n\r\nAs we left the lake we went into the small town where there was a traffic circle. And after that is where we started our first big hill climb. At the traffic circle, there was one of the race announcers announcing the race and cheering us on along with the spectators.\r\n\r\nIn all the small towns there were lots of people standing on the streets watching and cheering. As we started the steepest part of this climb, the street was lined with people, probably 5 or 6 deep on either side, cheering and screaming to encourage us to get up the hill. This part was a big loop so we did not come back the same way.\r\n\r\nGoing back was a long downhill ride, so we went fast except for the towns where we had to make small turns. All along here we had spectacular views of the mountains. At mile 45 or 46 miles, we started the biggest climb up the Ruperberg mountain. As we approached this mountain climb, we made a sharp left in town and started going up.\r\n\r\nThere were 100\'s of people lining the street and cheering us on. Plus there was a big loudspeaker with a DJ playing music. It was not too long but very steep. And again at the top were a lot of people and another DJ play playing music over really big loudspeakers.\r\n\r\nThen it was mostly downhill back to town to start a second loop. As I came down the hill, I saw a large bee coming right at me. This happens quite often on the bike. I felt it hit my right shoulder and bounce. I suddenly felt a sharp sting in my left thigh this was under my bike shorts. I rolled back my bike shorts and there was a big red welt. It hurt but there was nothing I could do about it. I just blocked it out of my mind. The pain subsided after about 15 or 20 minutes and I just went on with the race.\r\n\r\nAs we came into town they had us make a 180-degree turn again (like at the beginning), so we had to really slow down. But this was a good thing as the street leading to this turn was lined with thousands of spectators cheering us on. Occasionally at this point and other ones, there was an announcer, and I would hear, \"and here is Peter from the United States\". Always nice to hear to keep one going. <strong>My usual time is about 3 hrs 25 mins for half of the ride but this time I did it in 3 hours 10 mins.</strong> I was feeling very good.\r\n\r\nAs we started back out on the second loop, I stopped at special needs and refueled myself. Special needs are where we can leave a bag of anything we need at that point. There is one at the halfway point of the bike and another one at the halfway point of the run. I tossed my fuel bottle out and took a new one from the bag I had left. I also resupplied myself with my gels and other nutrition. I carry my own nutrition so as not to try anything new on race day.\r\n\r\nWhen I tossed the bottle away, it rolled to the feet of a small boy about 6 or 7 years old. His mom looked at him. He just looked at it. I told him, in German, here\'s a present for you. Take it home and clean it! It\'s yours. He just smiled at me as he reached for it.\r\n\r\nThen 8 miles into the second loop, the drizzle started that got a bit heavier with time. Now the streets were wet and there were puddles. This meant we all had to slow down. All in all, it went well on the second loop. The crowds were less due to the rain. But there were still crowds out there.\r\n\r\nAt about mile 80, my stomach had a little bit of trouble. Nothing big, just that I could not eat for about 20 or 30 minutes. But I got over it without any problems. My second loop time was a bit slower due to the rain. It was 3 hours in 25 minutes. All in all, I felt strong for the run. This was a good thing.\r\n\r\nIn the town near T2, the crowds were there cheering loudly. I got off my bike and ran thru the transition area to rack my bike. It was good to be off the bike after 112 miles. Then I put on my running shoes and started off to run a marathon.\r\n\r\nP.S. Several places on the bike course (and later on the run course) there were people from Endurance Sports Travel. This is the group I went with. They were cheering me on loudly. This was much appreciated.\r\n<h3><strong class=\"subhead\">THE RUN</strong></h3>\r\n<img class=\"alignleft size-full wp-image-174\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/running-smile.jpg\" alt=\"Running Smile\" width=\"335\" height=\"504\" />When leaving transition area two (T2) in an Ironman, you cannot think marathon. You just say to yourself, you are running from here to there and play these mental games the whole way.\r\n\r\nIt was warm and sunny and about 75 degrees. But not too hot. Plus, there was tree cover on at least 60% of the run course. The run was a double loop. It was actually a figure 8 that we had to do twice. So we would pass the finish line 4 times.\r\n\r\nAt the finish line area, there were thousands of people yelling and screaming. After a mile or two, I started to feel a bit tired in my legs. So I just told myself I would run to the first turnaround about 4.5 miles out.\r\n\r\nI had my Garmin (GPS) on so I was able to see my pace and keep it where I knew I could maintain it. We ran along the lake at the beginning of each loop. So although brief, it was a nice view.\r\n\r\nAfter only 2.5 miles, I came upon a woman that was having trouble running so I ran for a little bit with her to keep her going. At 4.5 miles we turned around and headed back to town. Now I felt strong again and my legs were loosening up. In training, I had problems with my foot and also slightly with my hamstring (the hamstring had been my Achilles heel in the last two races). I trained part of the time in the water for my run (deep water running). This was very helpful as it took the stress off these two areas.\r\n\r\nAt this point everything was good and I had no pain. As we passed through the finish line area, we headed out again along a canal. Then we ran under a small footbridge and onto a narrow cobblestone street lined with houses. We ran along this street for about 3/4 of a mile then into the town square.\r\n\r\n<strong> People were sitting in cafes and cheering us on. Lots and lots of people.</strong> It was about 6 or 7 o\'clock at night. And since the sun stays up until about 9 o\'clock the cafes are very, very crowded. We continued on into the town square where there was a large TV screen where people were watching football (soccer). Here we turned to begin the last part of the figure eight and ran back to the starting area.\r\n\r\nI got back to the starting point again and got my special needs bag - some extra nutrition. On the second loop, my stomach started to feel a little funny. This is something that is very common with Ironman triathletes. Mine only lasted about 15 or 20 minutes. Many runners were walking due to this or muscle cramps, dehydration, or other things. I felt fairly lucky. I would cheer these fellow athletes on when I went past them and told them to just keep going. Everyone appreciates that. I had been in their situation in the past and know what it feels like when someone gives you a shout of support.\r\n\r\n<strong>I just kept telling myself to keep going. One foot after another. And just kept going.</strong> Part of the way it was shady, so that helped a lot too. Since the sun stays up so late, it never went down while I was running.\r\n\r\nAt mile 18, I got a second wind. Feeling very upbeat and in a good place, I was able to pick up my pace. Plus, I started to run alongside someone a little bit faster than me. After only two miles, I could not keep up with him and told him so. He told me that he normally runs a lot faster, but not today. And he told me to try to stay with him and we could talk so the time with go faster.\r\n\r\nSo for the rest of the marathon (about 6 miles), we ran together. We ran back along the canal and into the city square again where there were still lots of people. His pace was definitely faster than I would have gone but he was pushing me thru all the aches and pains from racing for over 13 hours.\r\n\r\nThere was a small archway when entering into the city square. And a small bell on a string hanging from it. If you rang the bell (by tapping it with your hand) they would donate money to charity. So I rang it every time I passed it. At the final turnaround, it was very exciting knowing that I only had 3 miles left. I had never developed any pain from my foot or my hamstring. And I was very pleased with my run.\r\n\r\nWe continued to talk and run. He was from Prague where I was going after the race and we planned to exchange numbers after we finished. So as we got near the finish line area, the noise of the crowd got louder and louder. Since they take your picture as you cross the finish line, he said I should go ahead of him to be alone. I thanked him very much for helping me along.\r\n\r\nSo at about 100 meters away, I took off from him. The crowd was very loud; almost deafening. There was a cheerleading squad there along with photographers and a local TV crew. As I ran closer to the finish line, the noise level became incredible with cheering, cowbells, and more. I then heard the announcer say: <strong>\"Peter Fields, you are an Ironman!\"</strong>\r\n\r\nThe feeling when you hear that never gets old.\r\n\r\nI was exhausted but very elated. The feeling I had is indescribable.\r\n\r\n<strong>And at 13 hrs. 32 minutes and 36 seconds I had a new personal best for me by 18 minutes.</strong>\r\n\r\nMy new friend I had met on the run finished right behind me. I was able to meet his wife and three kids.\r\n\r\nAfter a few minutes of walking around, I was off to the massage tent and to get some food.\r\n\r\nP.S. At 9 pm, thirty minutes after finishing, the sky opened up and it rained hard for about an hour. I was very fortunate not to go through that.\r\n<p class=\"col-md-8\"><strong>THANK YOU</strong></p>\r\nI want to thank everybody who took the time and effort to watch the update that was on the internet during the race. I appreciate every one of you. And for everyone else, your thoughts and cheers before and after the race were heard. There are lots and lots of people I need to thank but the list is too long. You know who you are and a big thank you goes out to all.\r\n\r\nCollectively, I want to thank my massage therapist, my acupuncturist, and my chiropractor. You all helped get me through. And my wonderful office staff who always took a great interest in what I was doing and put up with the long workouts that made me late sometimes.\r\n\r\nThere a few individuals that need to be singled out individually:\r\nI want to thank my coach, Cherie Gruenfeld, as she pushed me hard and helped me a lot.\r\n\r\nAnd then there is the world’s best podiatrist, Dr Dan Altchuler. Without his help and caring, my foot would have never made it through the race.\r\n\r\nI want to thank my very special friend Angela Past. Several years ago she got me into this wonderful world of Ironman triathlons (she became an Ironman before I did). She actually got up in the middle of the night in California to follow me as the race began at 10pm west coast time. Wow! Thank you so much for your emotional support when I needed it the most.\r\n\r\nAnd last but not least, I want to thank my mom and dad as they taught me not to give up even when the times get tough. And although my dad is no longer with us, his thoughts are with me in spirit every day. My mom is 88 years young and is active and vibrant. She\'s an inspiration to me every day. She has never lost faith in me and my abilities... Thank you mom!\r\n\r\n<strong>Thank you all again for your well wishes and support.</strong>\r\n\r\n<strong>Peter A. Fields, MD DC\r\nThe Athletic Doc<sup>®</sup> and 4X Ironman Triathlete</strong>\r\n<div id=\"sidebar2\" class=\"col-md-4\">\r\n\r\n<img style=\"text-align: center;\" title=\"Race Report 4th Ironman\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman2014-large-1.jpg\" alt=\"Race Report 4th Ironman\" width=\"204\" height=\"370\" />\r\n\r\n<a href=\"https://goo.gl/photos/BBwqL4H48qpXLAZw6\" target=\"_blank\" rel=\"noopener noreferrer\">2014 Austria\r\nClick For More Photos</a>\r\n\r\nClick below for Pictures &amp; Story\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2017 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a>\r\n\r\n</div>','Ironman #4 and a New PR','','inherit','closed','closed','','153-revision-v1','','','2021-06-04 01:06:31','2021-06-04 01:06:31','',153,'https://www.drfields.com/?p=4702',0,'revision','',0),(4703,9,'2021-06-04 01:14:46','2021-06-04 01:14:46','[caption id=\"attachment_154\" align=\"alignleft\" width=\"478\"]<img class=\"wp-image-154\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-austria-logo.jpg\" alt=\"Ironman Austria Logo\" width=\"478\" height=\"178\" /> Sunday, June 29, 2014:  2.4-mile swim, 112-mile bike, 26.2-mile run[/caption]\r\n<h2>Ironman #4 and a New Personal Record</h2>\r\n&nbsp;\r\n<h3><strong class=\"subhead\">Before Ironman #4</strong></h3>\r\n<p class=\"col-md-8\">    My <em>Ironman #4</em> experience started with a 12-hour flight from Los Angeles to Frankfurt. The 3-hour delay in Dallas made it even longer. Then, I almost missed my train connection in Frankfurt. Fortunately, I got through customs very quickly. I picked up my bags, took a bus to the train station, re-booked my ticket, and made my train with 5 minutes to spare!</p>\r\n<p class=\"col-md-8\">Of course, being able to speak German helped out a lot with getting directions, such as the train ride to Munich where I switched trains to Klagenfurt, Austria. The views from the train in southern Germany and Austria were spectacular.The next days were just getting settled in. Usually, I\'m a very good sleeper. But unfortunately, for about 4 days, I was unable to sleep a lot at night, so I tried to make up with naps during the day. Sunday would come all too quickly.</p>\r\n<p class=\"col-md-8\">The rest of the pre-event days were spent meeting everybody, seeing the triathlon expo, and having a chance to swim in the lake. There was also a van ride around part of the biking course. When my shipped bike arrived, I rode it for about 20 miles and then had the mechanic adjust it slightly. The rest of the time was spent trying to stay calm and relaxed while not working out a lot.</p>\r\n<p class=\"col-md-8\">Saturday we checked in at the race which included leaving the bike and gear. The race number paper for my bike did not fit properly and I was advised not to tamper with it and ask an official when I went to check in my bike. When I got out of the van at the check-in point, I realized that I had left the number back in the hotel.</p>\r\n<p class=\"col-md-8\">In German, I asked one of the check-in officials what he could do about it. He said he could not do anything and that I would have to go to the registration area to have something done. But it was a mile away and I had all my gear with me in bags, so walking the bike would not be an easy thing. So I opted to go back to the van and have them take me back and get the number.</p>\r\n<p class=\"col-md-8\">As I was walking away one of the spectators came up to me and said in German that someone wants to talk to you back from where I came. I looked back and saw someone standing there who had a race official badge around his neck. So I walked back (which wasn\'t easy either with several thousand people there) and asked him in German if he could do anything about this. He said no problem he could help me. I was surprised as the first guy had said no.</p>\r\n<p class=\"col-md-8\">I asked again if he was sure about this since my van ride was about to leave. He turned over his badge which said <strong>Race Director</strong>. He said, \"I\'m the boss and I can do it for you\". And within minutes everything was taken care of. He told me he travels to the States sometimes. So I gave him my card and told him to look me up. He said he would. All’s well that ends well. Plus a good omen for the race.</p>\r\n\r\n<h3><strong class=\"subhead\">RACE DAY FOR IRONMAN #4</strong></h3>\r\nI got up at my usual time of 3:30 am. It was about 58 degrees, very clear, and with no signs of rain. It had rained the last 2 days on and off so this was a good thing. So I prepped my bike at the transition area for the last time. This is always a very exciting time with 3000 athletes plus spectators trying to stay calm.\r\n\r\nSince it was about a 500-meter walk to the water, we all took our wetsuits and changed over by the lake, where we were greeted by a rainbow over the lake. It was very beautiful and again a good omen. In a short time, we were all ready to go. The pros and another group of 800 people started 15 minutes early. These early starting non-pros had signed up to start early.\r\n\r\nI missed this sign-up and at first, was disappointed as I am a very strong swimmer. But Ken Glah, the former pro triathlete whose company I travel with, found out. It ended up being a good thing as I would be the fastest in the next group of 2200 athletes and not all bunched up with the fast group.\r\n\r\nSo after many months of training, I was ready to start my Ironman #4. I was dedicating this race to two people. On my left arm, I had the initials JP written. This was in memory of my friend Jeff Patterson. Dr. Jeff started me off in the wonderful world of Prolotherapy which helped save my back from surgery. He was my mentor and dear friend. But he died much too early only a few months ago at the age of 67.\r\n\r\nOn my right arm, I had the initials FFF, for my father Fred F. Fields. Simply put, he was everything in the world to me. He would have been so proud of me, as he always was. It was with great honor and pride that I am able to call myself his son. He died almost 10 years ago and there is not one day that goes by that I do not think of him.\r\n<h3><strong class=\"subhead\">THE SWIM</strong></h3>\r\nEven with 800 starting early, there still were 2200 starting in this pack. Since there were definitely going to be some really fast swimmers in this group, I decided to stay behind the first group of people and go off a bit slower. The strategy worked to my advantage as I was able to save a little energy at the beginning.\r\n\r\nOnce I got out about 400 or 500 meters I was able to get into my stride and swim well. It did get a little crowded but I was able to stay with the pack. This is good as when we turned back towards shore, we entered a canal that is about 1000 meters long. I had been warned that it can be extremely crowded in the canal and one can\'t really move at all. But due to the fact that I was with a group of only about 150 people, there was plenty of room.\r\n\r\nIn triathlons, one lifts their head every four or five strokes to sight the land and make sure you are going straight (unlike in a pool, there are no black lines on the bottom of the lake!!). <strong>When I picked up my head, I could see the sides of the canal where there were probably over 1000 people lining the canal yelling and cheering. This really was a unique experience as normally one can\'t see or hear anything!</strong>\r\n\r\nWhen I got about 100 meters towards the end, it got a little jammed up, and I was not really able to move ahead quickly or to the left or right. I just had to stay with the pack. Either way, I exited the water at a little over one hour and six minutes, which turned out to be first place in my age group (a first for me). And there were no wetsuit strippers (volunteers who strip your wetsuit off you when you lay down on your back). So we just pulled the wetsuit off our shoulders and ran about 500 meters to transition one (T1), where we had to pull the rest of our wetsuits off (not an easy thing) and get ready for biking.\r\n<h3><strong class=\"subhead\">THE BIKE</strong></h3>\r\n<img class=\"alignright size-full wp-image-170\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/bike-race2014.jpg\" alt=\"Bike Race2014\" width=\"382\" height=\"512\" />As we exited the T1 area, there were over a thousand people cheering us on. We rode down a street for about 300 meters and made a U-turn back. <strong>The street was heavily lined with spectators.</strong>\r\n\r\nIt was a beautiful day, sunny and probably about mid to upper sixty\'s with no clouds in sight. As usual, I did not eat anything after the swim for about 15 minutes to allow the blood to get into my legs. In the beginning, this route is mostly flat with lots of curves going around the lake.\r\n\r\nAs we left the lake we went into the small town where there was a traffic circle. And after that is where we started our first big hill climb. At the traffic circle, there was one of the race announcers announcing the race and cheering us on along with the spectators.\r\n\r\nIn all the small towns there were lots of people standing on the streets watching and cheering. As we started the steepest part of this climb, the street was lined with people, probably 5 or 6 deep on either side, cheering and screaming to encourage us to get up the hill. This part was a big loop so we did not come back the same way.\r\n\r\nGoing back was a long downhill ride, so we went fast except for the towns where we had to make small turns. All along here we had spectacular views of the mountains. At mile 45 or 46 miles, we started the biggest climb up the Ruperberg mountain. As we approached this mountain climb, we made a sharp left in town and started going up.\r\n\r\nThere were 100\'s of people lining the street and cheering us on. Plus there was a big loudspeaker with a DJ playing music. It was not too long but very steep. And again at the top were a lot of people and another DJ play playing music over really big loudspeakers.\r\n\r\nThen it was mostly downhill back to town to start a second loop. As I came down the hill, I saw a large bee coming right at me. This happens quite often on the bike. I felt it hit my right shoulder and bounce. I suddenly felt a sharp sting in my left thigh this was under my bike shorts. I rolled back my bike shorts and there was a big red welt. It hurt but there was nothing I could do about it. I just blocked it out of my mind. The pain subsided after about 15 or 20 minutes and I just went on with the race.\r\n\r\nAs we came into town they had us make a 180-degree turn again (like at the beginning), so we had to really slow down. But this was a good thing as the street leading to this turn was lined with thousands of spectators cheering us on. Occasionally at this point and other ones, there was an announcer, and I would hear, \"and here is Peter from the United States\". Always nice to hear to keep one going. <strong>My usual time is about 3 hrs 25 mins for half of the ride but this time I did it in 3 hours 10 mins.</strong> I was feeling very good.\r\n\r\nAs we started back out on the second loop, I stopped at special needs and refueled myself. Special needs are where we can leave a bag of anything we need at that point. There is one at the halfway point of the bike and another one at the halfway point of the run. I tossed my fuel bottle out and took a new one from the bag I had left. I also resupplied myself with my gels and other nutrition. I carry my own nutrition so as not to try anything new on race day.\r\n\r\nWhen I tossed the bottle away, it rolled to the feet of a small boy about 6 or 7 years old. His mom looked at him. He just looked at it. I told him, in German, here\'s a present for you. Take it home and clean it! It\'s yours. He just smiled at me as he reached for it.\r\n\r\nThen 8 miles into the second loop, the drizzle started that got a bit heavier with time. Now the streets were wet and there were puddles. This meant we all had to slow down. All in all, it went well on the second loop. The crowds were less due to the rain. But there were still crowds out there.\r\n\r\nAt about mile 80, my stomach had a little bit of trouble. Nothing big, just that I could not eat for about 20 or 30 minutes. But I got over it without any problems. My second loop time was a bit slower due to the rain. It was 3 hours in 25 minutes. All in all, I felt strong for the run. This was a good thing.\r\n\r\nIn the town near T2, the crowds were there cheering loudly. I got off my bike and ran thru the transition area to rack my bike. It was good to be off the bike after 112 miles. Then I put on my running shoes and started off to run a marathon.\r\n\r\nP.S. Several places on the bike course (and later on the run course) there were people from Endurance Sports Travel. This is the group I went with. They were cheering me on loudly. This was much appreciated.\r\n<h3><strong class=\"subhead\">THE RUN</strong></h3>\r\n<img class=\"alignleft size-full wp-image-174\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/running-smile.jpg\" alt=\"Running Smile\" width=\"335\" height=\"504\" />When leaving transition area two (T2) in an Ironman, you cannot think marathon. You just say to yourself, you are running from here to there and play these mental games the whole way.\r\n\r\nIt was warm and sunny and about 75 degrees. But not too hot. Plus, there was tree cover on at least 60% of the run course. The run was a double loop. It was actually a figure 8 that we had to do twice. So we would pass the finish line 4 times.\r\n\r\nAt the finish line area, there were thousands of people yelling and screaming. After a mile or two, I started to feel a bit tired in my legs. So I just told myself I would run to the first turnaround about 4.5 miles out.\r\n\r\nI had my Garmin (GPS) on so I was able to see my pace and keep it where I knew I could maintain it. We ran along the lake at the beginning of each loop. So although brief, it was a nice view.\r\n\r\nAfter only 2.5 miles, I came upon a woman that was having trouble running so I ran for a little bit with her to keep her going. At 4.5 miles we turned around and headed back to town. Now I felt strong again and my legs were loosening up. In training, I had problems with my foot and also slightly with my hamstring (the hamstring had been my Achilles heel in the last two races). I trained part of the time in the water for my run (deep water running). This was very helpful as it took the stress off these two areas.\r\n\r\nAt this point everything was good and I had no pain. As we passed through the finish line area, we headed out again along a canal. Then we ran under a small footbridge and onto a narrow cobblestone street lined with houses. We ran along this street for about 3/4 of a mile then into the town square.\r\n\r\n<strong> People were sitting in cafes and cheering us on. Lots and lots of people.</strong> It was about 6 or 7 o\'clock at night. And since the sun stays up until about 9 o\'clock the cafes are very, very crowded. We continued on into the town square where there was a large TV screen where people were watching football (soccer). Here we turned to begin the last part of the figure eight and ran back to the starting area.\r\n\r\nI got back to the starting point again and got my special needs bag - some extra nutrition. On the second loop, my stomach started to feel a little funny. This is something that is very common with Ironman triathletes. Mine only lasted about 15 or 20 minutes. Many runners were walking due to this or muscle cramps, dehydration, or other things. I felt fairly lucky. I would cheer these fellow athletes on when I went past them and told them to just keep going. Everyone appreciates that. I had been in their situation in the past and know what it feels like when someone gives you a shout of support.\r\n\r\n<strong>I just kept telling myself to keep going. One foot after another. And just kept going.</strong> Part of the way it was shady, so that helped a lot too. Since the sun stays up so late, it never went down while I was running.\r\n\r\nAt mile 18, I got a second wind. Feeling very upbeat and in a good place, I was able to pick up my pace. Plus, I started to run alongside someone a little bit faster than me. After only two miles, I could not keep up with him and told him so. He told me that he normally runs a lot faster, but not today. And he told me to try to stay with him and we could talk so the time with go faster.\r\n\r\nSo for the rest of the marathon (about 6 miles), we ran together. We ran back along the canal and into the city square again where there were still lots of people. His pace was definitely faster than I would have gone but he was pushing me thru all the aches and pains from racing for over 13 hours.\r\n\r\nThere was a small archway when entering into the city square. And a small bell on a string hanging from it. If you rang the bell (by tapping it with your hand) they would donate money to charity. So I rang it every time I passed it. At the final turnaround, it was very exciting knowing that I only had 3 miles left. I had never developed any pain from my foot or my hamstring. And I was very pleased with my run.\r\n\r\nWe continued to talk and run. He was from Prague where I was going after the race and we planned to exchange numbers after we finished. So as we got near the finish line area, the noise of the crowd got louder and louder. Since they take your picture as you cross the finish line, he said I should go ahead of him to be alone. I thanked him very much for helping me along.\r\n\r\nSo at about 100 meters away, I took off from him. The crowd was very loud; almost deafening. There was a cheerleading squad there along with photographers and a local TV crew. As I ran closer to the finish line, the noise level became incredible with cheering, cowbells, and more. I then heard the announcer say: <strong>\"Peter Fields, you are an Ironman!\"</strong>\r\n\r\nThe feeling when you hear that never gets old.\r\n\r\nI was exhausted but very elated. The feeling I had is indescribable.\r\n\r\n<strong>And at 13 hrs. 32 minutes and 36 seconds I had a new personal best for me by 18 minutes.</strong>\r\n\r\nMy new friend I had met on the run finished right behind me. I was able to meet his wife and three kids.\r\n\r\nAfter a few minutes of walking around, I was off to the massage tent and to get some food.\r\n\r\nP.S. At 9 pm, thirty minutes after finishing, the sky opened up and it rained hard for about an hour. I was very fortunate not to go through that.\r\n<h3 class=\"col-md-8\"><em><strong>APPRECIATIONS:</strong></em></h3>\r\n<em>I want to thank everybody who took the time and effort to watch the update that was on the internet during the race. I appreciate every one of you. And for everyone else, your thoughts and cheers before and after the race were heard. There are lots and lots of people I need to thank but the list is too long. You know who you are and a big thank you goes out to all.</em>\r\n\r\n<em>Collectively, I want to thank my massage therapist, my acupuncturist, and my chiropractor. You all helped get me through. And my wonderful office staff who always took a great interest in what I was doing and put up with the long workouts that made me late sometimes.</em>\r\n\r\n<em>There a few individuals that need to be singled out individually:</em>\r\n<em>I want to thank my coach, Cherie Gruenfeld, as she pushed me hard and helped me a lot.</em>\r\n\r\n<em>And then there is the world’s best podiatrist, Dr Dan Altchuler. Without his help and caring, my foot would have never made it through the race.</em>\r\n\r\n<em>I want to thank my very special friend Angela Past. Several years ago she got me into this wonderful world of Ironman triathlons (she became an Ironman before I did). She actually got up in the middle of the night in California to follow me as the race began at 10pm west coast time. Wow! Thank you so much for your emotional support when I needed it the most.</em>\r\n\r\n<em>And last but not least, I want to thank my mom and dad as they taught me not to give up even when the times get tough. And although my dad is no longer with us, his thoughts are with me in spirit every day. My mom is 88 years young and is active and vibrant. She\'s an inspiration to me every day. She has never lost faith in me and my abilities... Thank you mom!</em>\r\n\r\n<strong>Thank you all again for your well wishes and support.</strong>\r\n\r\n<strong>Peter A. Fields, MD DC\r\nThe Athletic Doc<sup>®</sup> and 4X Ironman Triathlete</strong>\r\n<div id=\"sidebar2\" class=\"col-md-4\">\r\n\r\n<img style=\"text-align: center;\" title=\"Race Report 4th Ironman\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman2014-large-1.jpg\" alt=\"Race Report 4th Ironman\" width=\"204\" height=\"370\" />\r\n\r\n<a href=\"https://goo.gl/photos/BBwqL4H48qpXLAZw6\" target=\"_blank\" rel=\"noopener noreferrer\">2014 Austria\r\nClick For More Photos</a>\r\n\r\nClick below for Pictures &amp; Story\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2017 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a>\r\n\r\n</div>','Ironman #4 and a New Personal Record','','inherit','closed','closed','','153-revision-v1','','','2021-06-04 01:14:46','2021-06-04 01:14:46','',153,'https://www.drfields.com/?p=4703',0,'revision','',0),