Showing posts with label Boston Marathon. Show all posts
Showing posts with label Boston Marathon. Show all posts

Wednesday, August 3, 2011

Why we sufffer, more on mental training, part 2

“Poetry, music, forests, oceans, solitude- they were what developed enormous spiritual strength. I came to realize that spirit, as much or more than physical conditioning, had to be stored up before a race.” Herb Elliott, Olympic champion and world record holder in the mile.

The mental aspects of training are of great importance and can be trained for in the same fashion that you prepare to run longer distances. First let’s start with some inspiring stories of how folks “pull it off” with mental power.

One runner told the story of her third race of the Pikes Peak half Marathon. She was in a downward spiral of pain and suffering as the altitude took its toll and her legs began to cramp – she found herself talking herself out of the run and having an “I just can’t do this” discussion. That’s when she passed a spectator on the trail who shouted “you look great! You’re in 8th place!” suddenly she not only looked great she felt great and was able to push herself harder than she thought. She went on to run a 3:08 finishing in 6th place and that moment when she was encouraged by a fan was the last time she really thought about it hurting badly. Pretty amazing considering that this is a race of 13.3 miles with 7,815 feet of vertical gain. She recounts her race day, “it was not the pain I recall the most vividly but I remember my capacity to endure it.”

Many folks have heard of the famous hill in Boston called Heartbreak Hill. This gained the moniker during a great duel between John A. Kelly and Ellison “Tarzan” Brown in 1936. John Kelly was the defending champion and was good at hills but Tarzan was in the lead and John put in his best effort to reel in his opponent atop the last hill before headed into town. Kelly came around Tarzan and tapped him on the shoulder at the top of this last hill. This so incensed Tarzan that he doubled down and despite fatigue he dropped John Kelly on the downhill and John never had the energy to come back – Loosing there “broke John Kelly’s heart”, said the press. The mental energy to win can be found by happenstance but it is better to do the planning ahead of time.

Getting used to some difficulty and some challenge is part of any good training program. In a culture today that too commonly will concede that we can medicate, avoid, or otherwise ignore life’s difficulties’ - running by its very nature gently pushes aside these themes. Sweat and toil is part of any good day – whether you are running or not, but especially when running. The best part of that is we get better at it and the rewards – while hard won are palpable. Dena Kastor says, “Runners are never comfortable, slightly before our body adapts to a 5:30 mile, we are running a 5:26” and needless to say that is hardly comfortable. But as we train to run faster by pushing the envelope a bit we can also achieve more mental toughness by some of the same methods.

In race day preparations I ask folks to use all five senses to create a mental image or daydream about how the finish of their race will look. Use sight, sounds, touch, taste and smell to create images of how it will go well and what it will be like, and feel like, to you in those final moments of accomplishment. If you practice this daily or as you finish each run, you will be conditioning the same nerve fibers that you use to communicate with your body daily and on race day. Because you are using the same nerve pathways – research has shown that your body may not be able to discern the difference over time. You are pre-loading a positive outcome on your hard drive and may gain some teleoanticipation of a positive outcome.

This will only be one part of a larger picture though – our sport is a thinking sport and the landscape is vast. So while I give you great anecdotes about individual perception and tools to teleoanticipate your big day, we’ll look at a few other ideas about how to prepare to do your best work – the stuff you will have trained five months to do.

Think of Perceived effort (PE) as your check engine light. How many of us have driven to the gas station even though the light was on? Depends on what it was that instigated the light, right?! Your brain and its central governor are using the distance, fuel level, fitness level, heat index and course information all at once in a complicated algorithm to determine how it should “make you feel” and this response is adapted by four primary factors.

Fitness Level Training influence Pain Threshold Mental focus (how you move through adversity)

Fitness level: Your understanding of your fitness level and taking care of yourself during the run does two things. It gives you the confidence to know you have the chops to succeed at the challenge and it keeps you free of distractions to do what you set out to achieve. While your PE is governed by the brains algorithm you can give it additional cues about how well off you are “I have run at this pace already and felt fine” or “I am on target for what I have trained for already” are good mental notes. Do some runs 5, and 3 weeks before your race as time trails for your pacing strategy and see how you do. A phenomenon that trainers call teleoanticipation suggests that your brain can recall the previous performance and gauge efforts by that prior intensity benchmark. So if you are fit and you teach the body something about going fast - it will remember that fast was OK. Set yourself up well by making sure that you are not dehydrated, that you have a steady stream of clean carbohydrates (30grams/hour after the first hour of running) and that you stop to stretch as needed. Staying fueled, hydrated and relaxed will remove mental distraction that can otherwise compromise you and it has been shown that it may blunt pain perception in athletes.

Training influence: Your track work, speed work and hills are not easy workouts and that should be reassuring come race day - as the course is rarely a cakewalk. Training hard allows you to push back your PE scores for a given task and adds to the “aches and pains” database about what is survivable. When your brain learns how to approach the limit on something and keep going - it remembers that, and you can find it a useful tool on race day. We are crippled by what we fear and so getting out on the course, and in small doses running things that are more difficult than the course, you not only train your body but you train your mind to overcome these challenges. Folks who were measured during track workouts over a 12 week study were found to be running faster than their physical adaptations should have allowed. They were not developing faster physically than a typical runner but they were also developing mentally and the body learns to push and what amount of push feels OK.

Pain Threshold: You may recall the example that “when the hot water begins to burn you in the shower is a fixed capacity for each individual but how you feel about it when it does start to burn is a learned response.” This seems to be agreed upon but it is also a fine line as to whether the pain threshold can be moved for those who find their meter set very low. One trainer talks about the benefit of a “pain community” otherwise known as a running club, triathlon club or climbing club. All of these peer groups are able to encourage, support and consequently push each other further than many individuals willingly go. To have camaraderie is a good way to embrace that something is in fact difficult and thus sweeter because it is tough to attain. Spending time with higher pain threshold individuals can show you what is really possible for yourself as well. Yet this trainer argues that folks actually learn to embrace pain as well and take some pleasure in it as a release.

Elite runners comment that there seems to be some separation in the competition by what suffering a person can process as a steady state and that this can be a learned skill. Peak performers often hit a “sweet spot” where it does not hurt more and more but rather it becomes uncomfortable, they move past it, and then spend the time in the exhilaration of a great performance which transcends the discomfort. One coach restated “I relaxed, stayed focused, I stayed calm”.

Mental focus (how you move through adversity) So most of you already know if you are a person who perseveres and will endure - you need to take that confidence to bed with you on race night. But more than that there are several additional thoughts to take forward in gearing up for race day and you’ll sort through what works for you.

Remember that on race day we cannot control the weather, the traffic, the competition – a lot of things are left to chance. A winning attitude recognizes we must control the things that we can. Your thoughts, emotions, training form, pacing strategy, fueling schedule… This is what you can control and the best news is that this is what matters the most.

Pre-visualize as much as you can in the weeks leading up to the race. The old saying that you can always imagine far worse things than can actually happen is a resource if you let it be. Take a mental list of concerns and then work out ways to eliminate them. Imagine pain too – if you have an idea of what hurts and how badly – and what you’ll do about it – then you are all set when it arrives somewhere in the last few miles, because it will.

Break the race or goal up into smaller pieces because the brain’s PE score will always allow a bigger effort before the endpoint. Remember that supercomputer of a brain and all of its algorithm data – distance being a chief element - so if you have several endpoints with goals for each – you can rally multiple times. Studies have shown that the greater the effort required – the smaller segments we have to break the goal down into (this is intuitive for most adults).

Always use positive dialogue tactics to change the channel on a dark discussion with yourself and remember in your visualizing that there will be folks in town that are cheering you on and telling you “you look great!” You can buddy up during the race by pacing with a total stranger, meeting a new friend or running with a trusted member of your “pain community”. Misery loves company and if you can’t talk nicely to yourself maybe they can.

List your strengths/list your reasons to run/repeat your mantra/list the payoffs/people watch/count all the pairs of Nikes - whatever works – sometimes I sing (yeah, I know…)

Kara Goucher is a world class runner who has represented America in the Olympics and yet has had her own continued bouts with self confidence. Her work at the Oregon Training Center has included extensive sessions with sports psychologist Darren Treasure. They have worked together to develop key words or mantras for Kara based upon her values and motivators. The bury these key words into very difficult workouts and then employ them to encourage Kara to seek out more of herself, push past the central governor, and run what she is capable of running. By testing these countless times before her race they are then able to get results with these key words on the big day. They also work on key concepts that affect the esteem of the runner over the training period.

You can easily come up with an empowering statement that you read yourself daily in the shower or before bed. Repetition will actually ingrain this in your system and may cause you to believe that you can and should reach your race goals.

Worst case scenario you give up your time goal and your B and C goals to …Just get to the next phone pole, or just get off the pavement or just keep going…

Just like speed work or downhill running - think about all of the things that you CAN relax while running. Your forehead muscles need not be tight, you can smile, you can loosen your hands and arms – maybe you can relax your legs or loosen your stride. When push comes to run – save the energy that you can, efficient form will carry everything. That includes worry – clear your mind and go with the thoughts that work. When the going gets truly tough it is the process and the rhythm of how you do things and do them well – that will carry the day. Why do firefighters and police and soldiers train and train and train? So that you can fall back on process and what you do well in the heat of trouble - go with what you know and stay in the process - not the overwhelming thought of the end or what bothers you.

Steve “Pre” Prefontaine was possibly the best American man to ever run. He developed a desire to run from an early age and despite obstacles (one leg shorter than the other) he went on to break records in every competitive distance from 2,000 – 10,000 meters. No American has done this since. Yet Pre had down days too and after a loss in Munich he thought about quitting the sport. His coach said simply “If you’re gonna run, be at the track and I’ll give you the workouts; or if you’re gonna stop running then do that. You decide. I can’t coach desire.” Needless to say Pre came back; he possibly had more desire than anyone once he looked inside himself.

Yet another great Pre story speaks of his mental ability to embrace difficulty. He was famous for telling his opponents “today is a good day to die” and threatening, “I’ll take you to some places that you really don’t want to go”, suggesting that to follow him at the race pace would be a trip into physical difficulty for the opponent. He was all about, all out, on race day and that “race day magic” will carry you as well if you have adequately prepared in advance.

Here are a few more strategies from the professionals:

Gloria Balague (sports psychologist, University of Illinois) says, “Athletes sometimes think anxiety has a protective value, that it motivates them to avert disaster, but you want to prepare for adversity well in advance. Identify your worries and train to overcome them.”

Jeff Troesch (mental trainer) says, “My goal for every athlete is to help them get one day better every day. I look for ways to get the athletes into the now, to strive for day-to-day victories” Which is great advice, because if I rated every race by what my “A goal” was – I would have stopped racing long ago, some of them don’t go well and they are still really great days (beats the office, hands down)

More on mental attitude from someone who make the big bucks to consult and coach…
www.yourperformingedge.com JoAnn Dahlkoetter PHD

Epilogue: I seek to be honest about my bias in class and I’ll tell you that this aspect of sport is very intriguing to me. It offers possibilities and explains some of the great depth in human potential we have seen in sport and history. It offers tools for athletes to get the most out of their hard won training, and it offers even greater challenges and rewards to us as athletes. But “self-help” as a subject in this country is both popular and reviled by different groups. There are folks who may read this post and feel as though they are being asked to repeat the phrase “I am good enough, I am smart enough, and dog-gone-it people like me” and that this idea will not get them anywhere (I thought that skit was so great) or they may be skeptical of the power of the mind to improve performance. To that skeptic, I offer fuel for a healthy debate from the emerging field of psychoneuroimmunology.

Psychoneuroimmunology is a “new field” based on the science that the nervous system and the immune system are interconnected. This discipline has discovered a number of ways that the two systems actually have two way communications with each other and direct impacts on both systems. Closely controlled studies have also shown that “a person’s aggressive determination to conquer a disease can increase one’s lifespan” (p619 Alcamo’s Fundamentals of Microbiology, 2007) The same studies have shown that behavioral therapies can amplify the body’s response to disease and speed the immune systems response.

This field has also generated interesting research in 2003 that Tai Chi boosts shingles immunity in the elderly. In a 60 person study over 15 weeks the study group did have reduced levels of stress related to their Tai Chi program and were measured as having 50% higher immune memory functions against Shingles. The group did not see improvement in physical movement with this low impact form of exercise and the researchers concluded that the anti-stress elements of the activity gave seniors the significant boost in immunity. You can read more about the tip of this iceberg here; http://en.wikipedia.org/wiki/Psychoneuroimmunology

Saturday, July 23, 2011

Hills

Hills – Mountaineers are better runners.
“Going to the mountains is going home” – John Muir

This is a read ahead module for those who have inquired about, or already running hills - you know who you are (grin) you need not be running hills yet, but in the next few weeks you'll want to try this to get ready for your Forest Festival 10k, which has a few hills.

Runners from Ohio complain about them and the Boston Marathon has the notorious “Heartbreak Hill” as part of it's mythology but runners who know the benefits of running up and down hill know something – they have both the performance and mental advantage on their competition.
This part of your running can easily comprise 35% of you total mileage & will develop your stride and physical capacity to run more easily. You’ll also never fear a racecourse - something flatlanders get chills about regularly. Again, Danny Dryer’s book CHI Running is a great resource here in dealing with hills because technique can help your newly acquired powers to get up any hill efficiently.

Flow and glide – is the earth flat? Easy question - but think about the last time you enjoyed a roller coaster, surfed a wave, rode a mountain bike or snowboard over that very non-flat planet of ours. That slowing and accelerating feeling you enjoyed can be learned and integrated into your running and while it will not be easy, you already have many of the tools to do this well. Concentrate on an easy and efficient pace going up and learn to love that fast gliding down and you’ll start to reap the physical advantage of hill running.

Physical developments – no matter how fast (or slow) you go uphill you’ll be working at a higher PE than you typically do on a training run. You will be gently adjusting your workload and this gives you better cardio capacity while building powerful hip flexors, quadriceps, hamstrings, and calves. Towards the end of a race as fatigue sets in runners may shorten their stride and lack muscle endurance to raise their knees and ankles into the next stride. Hill running builds stamina in these key areas and prevents fatigue. You’ll have more power to keep running.

Hill repeats – In the same way that we are able to start running or do speed work in small doses – you can also run uphill in short bursts so as to not tire of it completely and still get most of the benefits. Folks who do not enjoy hills or feel intimidated by a hilly course will find a hill that takes one minute to run and run it at a “regular pace” (PE 4) multiple times. At the top you turn around and gently glide back down, resting as needed at the base before heading up again.

Proper form – we have discussed before that if your form suffers while doing this running then you’re not doing yourself any favors and need to slow down. You get much of the benefits from walking the hills too – find a pace you can handle – progress gradually.

Uphill - You will use your upper body more when traveling uphill. A slight lean forward would come from leaning at the ankle. Your focused breathing to power your body upward, and your arm swing – all play an important role. Think about the little engine that could. Small lean and small strides as well as a relaxed state governed by our breathing rate. You do not want to overwork your hamstrings and calves with long strides and pulling yourself up the hill. Small strides, never stepping past your hips, shoulders slightly ahead of your hips, keeps you pushing yourself up the hill in a controlled way. Take it easy and let your breathing determine your pace. Relax your legs and make sure feet are flat on the ground, heels down, and you’re not asking smaller muscles to do bigger jobs. Conserve energy and know that going uphill is always a bit slower. Pump your arms, thinking about elbows moving back, coordinated with your stride to give you extra momentum moving uphill. Your eyes look up – to the top of the hill and your long straight spine allows more air into the runner for hard work. Think about a positive mental image and know that every up, has a downhill too.

Downhill – Done poorly, you’ll pound your legs, feet and lower back with 6-10x your body weight with each footfall, hammering your legs and possibly your ability to run later in the week! While not all hills are runnable, many are and you’ll get better at the “glide” skills with practice & enjoy the down without the pounding. Relaxing both physically and mentally allows you to loosen up your knees and quadriceps, give in to the speed a bit and enjoy the movement which can be much faster than you ever run on the flats. Stride, cadence, and orientation to the ground help smooth out the ride you’ve earned.

Think about your hips, shoulders and upper body. You want your hips and pelvis level while you run. Your shoulders and upper body should stay centered over your hips. Leaning away from the hill and bracing will shift your legs forward and as they act like the brakes - you’ll transfer impact to heels, quadriceps, and your lower back. This is a time that you want to stay light and footfalls/strides will be much faster than usual.
Your cadence (number of strides per minute) will increase and those smaller steps will keep your feet under your hips and landing quickly and lightly on the ground. If you need to take longer strides as your speed increases, think about the stride getting longer in the back, or behind you, so your feet do not come past your hips and you are recruiting muscles from the posterior of the body. One item to focus on is peeling your feet off the ground from the heel. This tends to make the mid-foot land first for your next step and keeps your footsteps closer to the pelvis – reducing impact forces to your body. Another way to look at it is to lead with the toe – plantar flex the foot – toes point down as you descend and your mid-foot will hit first and quickly transition to the next step.

Safety – while accidents a few, if you start running 35% of your mileage as hills you may want to take an hour one afternoon (on a grassy slope) to think about falling properly. Cyclists do this annually and skiers do too as their falling season starts. If you practice a tuck and roll, drop a shoulder style of falling you are much more likely to avoid road rash and to stop sooner, post contact with the ground. You want to tuck things in and not splay them out – do not make tender and breakable appendages responsible for stopping your trajectory. If this practice drill sounds scary, remember to walk the steepest descents so that you are in control.

Tuesday, June 28, 2011

running efficiency

I'll share with you something from the Freedoms Run website where there are a lot of great runner materials and a series of races to register for this fall (hint, hint). Mark teaches running, is a race director, a CHI running instructor and a physician. He co-taught an excellent running clinic this past weekend in Shepherdstown this past weekend and he owns a running shop that teaches folks better technique with less shoes. When I asked him to come speak in Elkins last summer he graciously said yes, and then our schedules did not connect (he is clearly a busy guy). I'll share here an essay that appears on the CHI running site, Dr. Mark's website, and is the kind of insight I've found that he is known for - maybe it provides you with some inspiration, and reinforces what we discuss in class.

How to Run the Boston Marathon

Written by Mark Cucuzzella, MD

As you enter the week prior to the race, here are a few visualizations to help you set your plan. Running your best marathon is part art, part science, part guts, part faith in what you can do, and a little luck, whereas running your best 10k is mostly about fitness.

I’ve had the pleasure of running this race 16 times and the last 10 consecutively. My only misses were for military and work duties, and a foot surgery. In all these efforts, I had 5 under 2:30, 5 between 2:30 and 2:35; 2 between 2:35 and 2:40; 3 between 2:40-2:44; and one DNF (first one with lots of rookie mistakes). My best learning experiences were when the men and women started together and I had the privilege of running alongside and witnessing the patient approach of the top ladies.

In the 1998, Fatuma Roba, the Marathon Gold Medalist in Atlanta and 3 time Boston winner, scooted over the ground with an incredibly efficient motion. Her knees stayed low, she lifted up her feet, arms relaxed, and face always relaxed. She stayed out of trouble by tucking behind the lead pack of more aggressive ladies. I followed behind the train and we hit half way in about 1:13. Fatuma then opened her stride up in the second half moving away from all of us to run a 2:23. An amazing second half effort. I was pleased with a 2:27 that day and credit Fatuma as any thoughts to go faster sooner were mitigated by her patience.

A few years later in 2001, I witnessed multiple world champion and Boston winner Catherine “the Great” Ndereba employ the same strategy. Her hydroplaning stride and complete relaxation of effort were a contrast to other ladies in the pack whose body language and breathing revealed they were putting out more energy than Katherine. As a group, we hit the half in 1:14. Katherine stayed relaxed down the last set of downhill during mile 17, then tightened the screws with great acceleration over the Newton hills, running the last 10 miles in 50 minutes for a 2:24. Katherine helped my day. By cuing off her pacing and relaxation, I ran an even race and finished in 2:29.

The other runner who taught me to have fun out there was the legendary 3 time Boston winner Uta Pippig of Germany. In 1997, I ran with her until she dropped me at Cleveland Circle, mile 22. The crowds loved Uta, and the noise escalated as she approached. She smiled the whole way … this may be her cue to relax, feed off the crowd’s energy, and have fun in the moment. In marathon running you must be present in the moment, not thinking about how far you have to go, fearing what you may feel like later, are you going to slow down, when’s the wall coming. Uta ran a strong fourth place that day in 2:28 and I finished a few strides back in 2:29.

All of these ladies made sure to get their fluid and nutrition at all stops. The seconds used here paid dividends down the road. They ran over the road not into the road, especially on the downhills … you could hardly hear them land as they did not employ hard heel striking technique. Their posture was tall and their arms always relaxed. But most vital was their efficient energy conservation and utilization strategy.

So how does this apply to you in your Boston Marathon, whether you are going to run 2:20 or 4 hours plus?

The best analogy I can think of is this: if you have trained your body properly with the right mix of aerobic level training and some up tempo stuff in recent weeks, you have built your efficient hybrid engine ready to race the marathon. Many of you have driven in a Prius and watch the subtle shifts between gas and electric on the screen. You do not perceive these shifts. Your engine runs on gas, electric, or a mix- depending on the effort.

You are starting the race with one gallon in the tank- assuming you have eaten a nice meal the night before with a breakfast top off.
• If you are in all gas mode, your engine will run about 1.5 hours at a strong pace….then you are out of gas.
• If you are mostly electric you can run all day, but maybe not so quickly.
• If you are using the proper mix you will go quick and efficient for duration of your event, and you can even do some topping off along the way.

The glucose utilizing pathway is the gas. This is your stored glycogen and blood glucose (pasta meal and breakfast) - easy to access for ready energy. The fat utilizing pathway is the electric. In marathons you must be in hybrid until the last few miles. Hybrid is where your energy (ATP) is coming from both sources.

Many runners are in great “10k shape” (an all gas event), then run their marathon in the gas mode- and usually crash. No glycogen sparing factors apply in races of less than an hour as long as you had a good pre-event meal to fill the tank. In marathons and ultras- top end fitness matters little and can only be applied very near the finish. Glucose gives 36 ATP per molecule, fat 460 ATP per molecule. Now you know how a bird can migrate 7000 miles without a Powerbar.

So how do you know you are running in your best hybrid mode?

This is difficult because the sense is not as profound as aerobic/anaerobic. A slight increase from your optimal pace will switch you from hybrid to all gas without you realizing it, and the effects are felt miles later. Charging up hills early will tap your gas quickly. Maintain effort not speed.

You must rehearse a bit in training. I focus on relaxation and breathing. If I’m breathing one cycle to 5 steps, then I’m hybrid. Any faster I’m using glucose as sole fuel. Belly breathe- allow lower belly to blow up like a beach ball on inhalation and pull your belly button back to your spine on exhalation. Then you will fill the lower lung areas where oxygen exchange occurs.

Notice the breathing efforts of those around you and many are rapid breathing- they tend to suffer somewhere past half way. Rehearse complete relaxation from the top down- eyes, jaw, shoulders, allow your legs to relax and extend behind you, relax and soften your knees and ankles. Find you own cue for this. If you use the Heart Rate Monitor in training strongly consider one during the event.

In a marathon, the last 3-4 miles you will be all gas to maintain the same speed as fatigue sets in. The breathing is usually on a 3 to 4 step per breath cycle- that is OK. Still stay relaxed and use some relaxation cues that you have rehearsed to keep your form.

Land softly, especially on the early downhills. I use a running method called ChiRunning which focuses on midfoot strike, slight forward lean, and letting gravity do some of the work. A few months after learning this technique I ran a 2:31 here at age 39 and felt none of the usual post Boston soreness. Felt so good I lined up 5 weeks later in Ottawa for another 2:32. I’m never sore after marathons now thanks to ChiRunning and feel I can keep doing them until I enter the retirement home. No pain…thank you.

Your shoes matter too. Not that you are going to change your shoes in the next day based on my advice...but make strong consideration to not running in minimalist racers unless you have trained substantially in them. Your body will need some protection on the downs to save muscle fiber for the later rolling sections. My favorite shoe is the Newton Neutral Racer, an incredible marathon shoe if you are running with a proper midfoot landing. If you relax your lower legs and not push off…these shoes with no heel elevation put you in perfect position to allow natural elastic recoil of plantar fascia, Achilles, calf muscles, and hip flexors. Try to learn the midfoot strike and test the Newtons before Boston 2011. Read Dean Karnazes new book “50-50” (50 Marathons, 50 States, 50 Days). He has figured this gait efficiency technique too and it has allowed him to accomplish some amazing endurance and durability feats. “Born to Run” also makes the case for running with a more efficient stride and questions modern running footwear. The evolving world of modern sports medicine is going back to the future too and rediscovering what evolution has taught us. For an all inclusive document go the www.freedomsrun.org and click “download presentation” from the homepage.

Now a few extra ways to get from start to finish quicker on the same gallon.

• If you can add a little gas along the way then you can go more into gas mode. This works a little at best. If running too fast you shunt all blood to working muscles and nothing digests. If you are in hybrid the early going you can continually add fuel- the key is not only the correct fuel, but the right pace. A Powergel every 25 minutes is easy to digest and tops off the tank. Carry them with you at the start. The weight is nothing compared to the benefit you will get. If you do the gels then you can drink water instead of the energy drinks which are often less predictable on the run. Boston has a Powergel station at Mile 17. Carry 4 at the start (one every 4 miles or so) and reload at mile 17.
• Maintain effort on uphill. Your pace will slow. You can easily use all your gas here if your effort increases. Shorten your stride, relax, and use your arms. Then allow gravity to take you down.
• If you are having a “bad patch” – try to refocus on relaxing, fuel a bit (sometimes a blood glucose drop triggers the sense of doom) , and have faith in your training and race plan. Another nice trick is when you hit mile 21 it is not 5 miles to go, it is 4 and change. Mile 22 is 3 and change to go. Just run to the next mile marker.


The fun of the marathon is that we are always learning and enjoying the adventure of it. I’ve done over 50 marathons now with a couple under 2:25 in my younger years. I’ve had one DNF at my first Boston in 1989. I raced the first half in 1:08 in gas mode not realizing it, in really minimal shoes that I’d not trained in, and was done by 20 miles. My worst time of the all the others has been a 2:44 at “run for hoses” Boston on 2005- 90 degrees and sunny. No hybrid here as efforts to cool were overwhelming. Another slow day was a 2:41 in the “run for cover” Boston in 2007. This was year with 30 mph headwind and Nor’easter rain. I was not in hybrid in this race in efforts to fight wind and cold, hit half way in 1:16, and suffered coming home.

We learn from experience, taking chances, and occasional failures. My first marathon in 1988 was 2:34. This year (22 years later) I hope for a similar time (2:37 in 2009 race with some tough winds coming in). Along the way I’ve accumulated 20 straight years under 2:35 except for my year of medical internship when there was no time to find a race. I’ve learned a few things in 20 years, but still there are uncertainties every time you line up. Relax, taper up, and seize the day.

Mark Cucuzzella MD
Associate Professor of Family Medicine West Virginia University
Lt. Col USAF Reserves
Coach USAF Marathon Team and Medical Consultant for Air Force Marathon
Race Dircetor Freedom’s Run (www.FreedomsRun.org)


Friday, September 10, 2010

Mark Cucuzzella inspiration

I'll share with you something from the Freedoms Run website where there are a lot of great runner materials and a series of races to register for this fall (hint, hint). Mark teaches running, is a race director, a CHI running instructor and a physician. When I asked him to come speak he graciously said yes, and then our schedules did not connect (he is clearly a busy guy) but I'll share some of his insight for you here and maybe some inspiration.

How to Run the Boston Marathon

Written by Mark Cucuzzella, MD

As you enter the week prior to the race, here are a few visualizations to help you set your plan. Running your best marathon is part art, part science, part guts, part faith in what you can do, and a little luck, whereas running your best 10k is mostly about fitness.

I’ve had the pleasure of running this race 16 times and the last 10 consecutively. My only misses were for military and work duties, and a foot surgery. In all these efforts, I had 5 under 2:30, 5 between 2:30 and 2:35; 2 between 2:35 and 2:40; 3 between 2:40-2:44; and one DNF (first one with lots of rookie mistakes). My best learning experiences were when the men and women started together and I had the privilege of running alongside and witnessing the patient approach of the top ladies.

In the 1998, Fatuma Roba, the Marathon Gold Medalist in Atlanta and 3 time Boston winner, scooted over the ground with an incredibly efficient motion. Her knees stayed low, she lifted up her feet, arms relaxed, and face always relaxed. She stayed out of trouble by tucking behind the lead pack of more aggressive ladies. I followed behind the train and we hit half way in about 1:13. Fatuma then opened her stride up in the second half moving away from all of us to run a 2:23. An amazing second half effort. I was pleased with a 2:27 that day and credit Fatuma as any thoughts to go faster sooner were mitigated by her patience.

A few years later in 2001, I witnessed multiple world champion and Boston winner Catherine “the Great” Ndereba employ the same strategy. Her hydroplaning stride and complete relaxation of effort were a contrast to other ladies in the pack whose body language and breathing revealed they were putting out more energy than Katherine. As a group, we hit the half in 1:14. Katherine stayed relaxed down the last set of downhill during mile 17, then tightened the screws with great acceleration over the Newton hills, running the last 10 miles in 50 minutes for a 2:24. Katherine helped my day. By cuing off her pacing and relaxation, I ran an even race and finished in 2:29.

The other runner who taught me to have fun out there was the legendary 3 time Boston winner Uta Pippig of Germany. In 1997, I ran with her until she dropped me at Cleveland Circle, mile 22. The crowds loved Uta, and the noise escalated as she approached. She smiled the whole way … this may be her cue to relax, feed off the crowd’s energy, and have fun in the moment. In marathon running you must be present in the moment, not thinking about how far you have to go, fearing what you may feel like later, are you going to slow down, when’s the wall coming. Uta ran a strong fourth place that day in 2:28 and I finished a few strides back in 2:29.

All of these ladies made sure to get their fluid and nutrition at all stops. The seconds used here paid dividends down the road. They ran over the road not into the road, especially on the downhills … you could hardly hear them land as they did not employ hard heel striking technique. Their posture was tall and their arms always relaxed. But most vital was their efficient energy conservation and utilization strategy.

So how does this apply to you in your Boston Marathon, whether you are going to run 2:20 or 4 hours plus?

The best analogy I can think of is this: if you have trained your body properly with the right mix of aerobic level training and some up tempo stuff in recent weeks, you have built your efficient hybrid engine ready to race the marathon. Many of you have driven in a Prius and watch the subtle shifts between gas and electric on the screen. You do not perceive these shifts. Your engine runs on gas, electric, or a mix- depending on the effort.

You are starting the race with one gallon in the tank- assuming you have eaten a nice meal the night before with a breakfast top off.
• If you are in all gas mode, your engine will run about 1.5 hours at a strong pace….then you are out of gas.
• If you are mostly electric you can run all day, but maybe not so quickly.
• If you are using the proper mix you will go quick and efficient for duration of your event, and you can even do some topping off along the way.

The glucose utilizing pathway is the gas. This is your stored glycogen and blood glucose (pasta meal and breakfast) - easy to access for ready energy. The fat utilizing pathway is the electric. In marathons you must be in hybrid until the last few miles. Hybrid is where your energy (ATP) is coming from both sources.

Many runners are in great “10k shape” (an all gas event), then run their marathon in the gas mode- and usually crash. No glycogen sparing factors apply in races of less than an hour as long as you had a good pre-event meal to fill the tank. In marathons and ultras- top end fitness matters little and can only be applied very near the finish. Glucose gives 36 ATP per molecule, fat 460 ATP per molecule. Now you know how a bird can migrate 7000 miles without a Powerbar.

So how do you know you are running in your best hybrid mode?

This is difficult because the sense is not as profound as aerobic/anaerobic. A slight increase from your optimal pace will switch you from hybrid to all gas without you realizing it, and the effects are felt miles later. Charging up hills early will tap your gas quickly. Maintain effort not speed.

You must rehearse a bit in training. I focus on relaxation and breathing. If I’m breathing one cycle to 5 steps, then I’m hybrid. Any faster I’m using glucose as sole fuel. Belly breathe- allow lower belly to blow up like a beach ball on inhalation and pull your belly button back to your spine on exhalation. Then you will fill the lower lung areas where oxygen exchange occurs.

Notice the breathing efforts of those around you and many are rapid breathing- they tend to suffer somewhere past half way. Rehearse complete relaxation from the top down- eyes, jaw, shoulders, allow your legs to relax and extend behind you, relax and soften your knees and ankles. Find you own cue for this. If you use the Heart Rate Monitor in training strongly consider one during the event.

In a marathon, the last 3-4 miles you will be all gas to maintain the same speed as fatigue sets in. The breathing is usually on a 3 to 4 step per breath cycle- that is OK. Still stay relaxed and use some relaxation cues that you have rehearsed to keep your form.

Land softly, especially on the early downhills. I use a running method called ChiRunning which focuses on midfoot strike, slight forward lean, and letting gravity do some of the work. A few months after learning this technique I ran a 2:31 here at age 39 and felt none of the usual post Boston soreness. Felt so good I lined up 5 weeks later in Ottawa for another 2:32. I’m never sore after marathons now thanks to ChiRunning and feel I can keep doing them until I enter the retirement home. No pain…thank you.

Your shoes matter too. Not that you are going to change your shoes in the next day based on my advice...but make strong consideration to not running in minimalist racers unless you have trained substantially in them. Your body will need some protection on the downs to save muscle fiber for the later rolling sections. My favorite shoe is the Newton Neutral Racer, an incredible marathon shoe if you are running with a proper midfoot landing. If you relax your lower legs and not push off…these shoes with no heel elevation put you in perfect position to allow natural elastic recoil of plantar fascia, Achilles, calf muscles, and hip flexors. Try to learn the midfoot strike and test the Newtons before Boston 2011. Read Dean Karnazes new book “50-50” (50 Marathons, 50 States, 50 Days). He has figured this gait efficiency technique too and it has allowed him to accomplish some amazing endurance and durability feats. “Born to Run” also makes the case for running with a more efficient stride and questions modern running footwear. The evolving world of modern sports medicine is going back to the future too and rediscovering what evolution has taught us. For an all inclusive document go the www.freedomsrun.org and click “download presentation” from the homepage.

Now a few extra ways to get from start to finish quicker on the same gallon.

• If you can add a little gas along the way then you can go more into gas mode. This works a little at best. If running too fast you shunt all blood to working muscles and nothing digests. If you are in hybrid the early going you can continually add fuel- the key is not only the correct fuel, but the right pace. A Powergel every 25 minutes is easy to digest and tops off the tank. Carry them with you at the start. The weight is nothing compared to the benefit you will get. If you do the gels then you can drink water instead of the energy drinks which are often less predictable on the run. Boston has a Powergel station at Mile 17. Carry 4 at the start (one every 4 miles or so) and reload at mile 17.
• Maintain effort on uphill. Your pace will slow. You can easily use all your gas here if your effort increases. Shorten your stride, relax, and use your arms. Then allow gravity to take you down.
• If you are having a “bad patch” – try to refocus on relaxing, fuel a bit (sometimes a blood glucose drop triggers the sense of doom) , and have faith in your training and race plan. Another nice trick is when you hit mile 21 it is not 5 miles to go, it is 4 and change. Mile 22 is 3 and change to go. Just run to the next mile marker.


The fun of the marathon is that we are always learning and enjoying the adventure of it. I’ve done over 50 marathons now with a couple under 2:25 in my younger years. I’ve had one DNF at my first Boston in 1989. I raced the first half in 1:08 in gas mode not realizing it, in really minimal shoes that I’d not trained in, and was done by 20 miles. My worst time of the all the others has been a 2:44 at “run for hoses” Boston on 2005- 90 degrees and sunny. No hybrid here as efforts to cool were overwhelming. Another slow day was a 2:41 in the “run for cover” Boston in 2007. This was year with 30 mph headwind and Nor’easter rain. I was not in hybrid in this race in efforts to fight wind and cold, hit half way in 1:16, and suffered coming home.

We learn from experience, taking chances, and occasional failures. My first marathon in 1988 was 2:34. This year (22 years later) I hope for a similar time (2:37 in 2009 race with some tough winds coming in). Along the way I’ve accumulated 20 straight years under 2:35 except for my year of medical internship when there was no time to find a race. I’ve learned a few things in 20 years, but still there are uncertainties every time you line up. Relax, taper up, and seize the day.

Mark Cucuzzella MD
Associate Professor of Family Medicine West Virginia University
Lt. Col USAF Reserves
Coach USAF Marathon Team and Medical Consultant for Air Force Marathon
Race Dircetor Freedom’s Run (www.FreedomsRun.org)



I’d like to especially thank my sponsors for giving me the continual opportunity to run this event, be part of new innovations in running and nutrition, and representing Service Men and Women worldwide.
US Air Force: www.usafsports.com
Newton Running: www.newtonrunning.com
Powerbar: www.powerbar.com

And a special thanks to Danny and Katherine Dreyer of ChiRunning for their amazing teaching and passion for keeping runners healthy.