Posts
Words from some great coaches
If you are going to spend any time thinking about how to motivate runners, with something other than your own passion for the sport, it is far better to study the past and present history than it is to reinvent the wheel. My love of running ties nicely into my habit of reading nearly everything, and to this end I’d like to share with you some tidbits of what I have learned from two great running coaches. I think that there two individuals offer applicable tidbits for every runner and you can learn more about these folks at their web sites, or a quick Google search. Phedippidations (one of my favorite running podcasts) has an episode about Arthur Lydiard that is also very well done.
Joe I. Vigil, Ph.D.
As a physiologist and scientist Joe Vigil has risen to the top of his profession and been named coach of the year 14 times. He has coached international athletes and the US Olympic team. He has guided athletes through a number of regimens and set the path for what have become many of the “standards” in coaching runners today.
He has argued that most distance runners have an iron deficiency and that especially goes for women.
He has tailored training stimuli for the individual athlete being training (an advanced method of periodization).
He has advocated run more miles (his athletes run about 140 per week) just as Arthur Lydiard did, so that athletes achieve a tireless state for their chosen race. [remember that how you run them is very important]
He has advocated for more speed workouts in order to boost cardiovascular reserve and respiratory reserve in his athletes.
What might be most interesting however is that despite all of the intensive, specific and well researched science that Dr. Vigil has put into his athletes he has found that the final polish in getting them to a higher state lies in the Zen of personal improvement and that he insists upon this as part of an athlete’s progression to excellence.
As with all members of Team Running USA, we required that all athletes strive to:
1. Improve Personal Relationships
2. Improve Achievement Motivation
3. Improve the Quality of Their Mini and Macro Environments
4. Improve Their Athletic Maturity
5. Show Integrity to Their Value System
6. Display a Commitment to Their Mission
7. Practice Abundance by Giving Back to Their Sport and Team
This is great news for the adult runner because of the fact that even though we can all personally improve, many adults are already quite good at the above seven core ideas of Coach Vigil.
Joe Vigil currently coach for Team USA in California and one of the most impressive athletes in this great team is Olympian Dena Kastor. Vigil describes Dena Kastor, “If I were to operationally define the qualities an athlete must possess to be successful, Deena would epitomize those qualities. She is a great example of mind/body autonomy working in harmony to reach set goals. She truly believes and adheres to the principle of unending improvement and the setting and achieving of even higher goals.”
In interviews and articles his wisdom continues to shine through on how to motivate the inner athlete for performance. Some of his adages, paraphrased, follow here.
Friendship is the thing to cherish and respect the most from the sport you are involved with.
Challenge: you have to make a difference in your team, finding your gift or element of leadership that you can give to those around you. Be an impact person.
The journey: every day you need to accomplish something, incrementally in the process, you have to think and plan how you will incrementally get better.
Courage: you have to have the courage to not do, what you should not do, when the current leads you astray. Be considerate of your teammates and fellow runners and look for chances to pick them up.
Goddess of wisdom vs. the goddess of wealth -
"We all have two goddesses that complete for our hearts in life. You cannot chase the money – if you give all your attention to the goddess of wisdom and cherish her most, the goddess of wealth will become jealous and follow you." I think that I like this one the best and anyone who has been caught dancing like no-one is watching is onto this idea. You should be doing the important stuff first, the rest comes along if it will.
Arthur Lydiard
From his beginnings as a cobbler who began running as a means to rid himself of a few pounds, Lydiard’s name became synonymous with great coaches. He began a coaching philosophy in the 1950’s that was tested in his neighborhood in Auckland, New Zealand, with non-athletes and even bypass patients. As Garth Gilmore writes in the preface to Lydiard’s book Running to the Top, (reprinted in numerous languages) “So ingrained is the Lydiard philosophy now, we almost have to force ourselves to recall that before him, the coaching was 180 degrees the other direction. Lydiard was the beginning of a magic era; jogging became acceptable if not godlike…Lydiard was the keystone and he never lets us forget that, as an unschooled layman, he did what physiologists, theorists, and professional coaches were not able to do. He was unsophisticated but he was smart.”
Lydiard enjoyed an equally long list of mentored champions. He has too many keen insights about running to list in a single essay and his imprint on coaching is clearly still felt today. I’ll share a few of those insights here, from his book that which are relevant to your program.
“Athletes need to enjoy their training… You have to hurt yourself a little but at the same time you must enjoy it” he is also the person who gave us the adage “train, don’t strain”. While Lydiard never said it would all be easy for athletes, he emphasized that one should “try to run each day in such a way that (you) would want to run again the next day”
Our sport is largely a solitary one and thus there is a very large mental aspect, where the athlete is driven internally to flourish and move forward in their journey. On this matter Lydiard states, “athletes need to be told why specific aspects of training are being used, both physiologically and mechanically. This is the best form of psychology and motivation to use…The coach should appeal to an athlete’s intelligence, explain clearly what every training session means & what they are trying to achieve. ”
“One of the remarkable aspects of jogging has been the discovery by so many who have taken up running, even late in life, of potential they didn’t know they had to be quite successful athletes”. He follows this through with, “when it comes to endurance, we can develop that in anyone” and if you have not caught my bias yet – I believe him on this one.
I like the change in perspective these guys have and offer it to you so that you can A) understand where I am coming from when I offer you advise about your program B) So that you can begin to explore further some of the great minds in the sport that have a lot of sound advice to offer. See if you can find the influence of these folks in the modern viewpoint of Tom Holland and his book. I feel that in terms of running’s history we are all standing on the shoulders of giants.
Tuesday, July 5, 2011
Collision course article
Here is the full article link to a good story on runner safety, from Runners World
Road Runner Survival
This discussion will have a handout that you can obtain by attending class discussion.
Our sport is pretty darn safe. We get stronger the longer we run and we develop in a number of positive ways. Barring an overtraining injury or using NSAIDs on race day, or suffering heat stroke in August you stand to run for a long, long time in good health. That said there is this crazy thing called a car on your roads and it can mess up your whole running career. When I refer you to the article (titled Collision Course) in Runners World about road safety I purposefully omit the story of terror that befalls the runner in the article’s prologue as my purpose is not to scare you and you can clearly imagine far worse than I’d ever care to write. But with two months of running under your belt, and now you are exploring new routes as well, we need to pull over and talk about those cars a bit.
To elaborate on what I have said previously and the article does not fully cover, you should have a basic kit with you on the road to take care of emergencies. This kit includes durable ID, money for a phone call, maybe a whistle, and especially as the days begin to shorten again, a way to be seen (reflector, flashlight, blaze) for road runs. While night runs do pose some additional risk you must always consider visibility for your safety and this variable is easily controlled without a shopping spree. You should begin to think about your route and say to yourself when buying running clothes, “can he see me from a half mile away” because that is kind of the minimum distance when he is hurtling towards you at a rate of 88 feet per second (about 60MPH). When you first got behind the wheel, someone spoke to you about being defensive, and that is what we are going to revisit in this lesson from the other side of the windshield.
Automobile vs. runner - You know you are never going to win this one – so no bullfighting please. You should face traffic and take off your headphones but also keep these great ideas from Jeff Galloway in mind.
Watch and prepare to make fast adjustments, many runners have had to dive for the ditch or leap the hedgerow as the motorist dropped their cell phone and reached down to catch it – losing sight of the runner and veering too close.
Plan ahead where you might jump to or which side of the turn offers best visibility
Wear reflective gear, not just at night. Think “can I be seen easily from a half mile away?”
Understand that you cannot understand the driver’s mentality. Drunk, late for church, overtired, maybe they’re texting, or unable to run and resentful of you for getting out and having such a good time. People act like they are anonymous in their cars oftentimes. So WAVE, let them know that you see them and let them see you better, be neighborly and BE the change you wish to see in the world…(you’ll be amazed how many wave back – esp. in WV)
On a separate and related note – never start something. I know it would sometimes seem glorious to jump onto the hood of the car that pulls out in front of you without looking, but this is just another form of road rage. It will not get you anywhere productive and further it may cause your friend to get clipped in a grudge match some weeks later now that the driver does not like runners. Do not even gesture, we have enough trouble getting the respect we deserve out there and so you want to kill them with kindness, not invoke animosity. The flip side of this is to reinforce positive behavior. I stopped to make a special gesture to a woman driver who waited at the edge of a huge puddle, rather than risk splashing me. I said hello and thank you to a couple who re-leashed their dog as I approached. Giving them reinforcement for what we’d like to see helps all my running friends as they repeat these behaviors and teach others to do the same. I do not know much about tennis players because I am seldom around them but many folks know something about runners because they come into contact with you all the time - be an ambassador for our sport and teach them what you want them to learn.
Eye contact – I know that you might be tired after running up a long grade and trying to regain your rhythm but I do seek to make eye contact with every vehicle coming at me (recall I am facing oncoming traffic) to be friendly, but to also understand what they are doing in the car. The article states that one fifth of drivers text and I find this figure to be low, especially with younger operators. GPS or music players are also something that is fiddled with and takes their eyes from the road. I am also regularly experimenting with how long it actually takes for them to acknowledge or see me, and many do not wave until they are mere feet away. We are sharing a space and everyone is more likely to be on their best behavior if we acknowledge each other.
Be an example – what gadgets are you using while running and do they cancel your ability to remain aware of danger? I run with headphones on occasion but I have switched to a type that does not fit into my ear and seal out other noises. I can hear a car behind me and I will raise a hand in friendship as they approach so that they see movement, and they understand that I am aware of them (and predictable). I try not to check my splits on busy roads and I will often assume the motorist wants to go first and stop to wave them on – as if I was a fellow car in another situation. When running with a flashlight I do not shine it in the drivers eyes but let the beam bounce a bit so they know it is a runner. Take charge and set the tone out there and people will treat you as larger than you are.
Know your route – Not just to be aware of dogs or where the shoulder is widest, but on your slow days, assess where there are blind turns, hill crests that will obscure you from a driver’s view, driveways that are tough to see or places where motorists often crowd each other. I run on many roads that are a lane and a half wide and thus I am always looking for the place to jump to and how to pre-plan being more visible. I have pulled off the road and raised my arm overhead when climbing a steep hill crest to ensure the oncoming driver could see I was there. I have stopped and peaked around a corner to listen for cars before proceeding. Caution pays.
Tools
In 2007, nearly 700 cyclists were killed in the Unites States – their sport is significantly more dangerous than ours. This means that in any bike shop or bike supply catalog you’ll find really neat visibility toys that work equally well for running. They need not be expensive either. I have carried a Glow stick as an emergency backup light. Many types of mini headlamps, Maglites or LED flashlights from the auto parts store sell for under $20. Retailers now offer scotchlite adhesive strips for your running gear and these can be applied to any durable item – including your flashlight, and hunting shops offer blaze orange hats or accessories. Road workers and safety official rely on a vest w/ reflectors and these can be purchased for less than $20. They even make clip on reflectors, glowing armbands and handheld flashers. Do not forget that area drivers are always looking to avoid deer, possum and the like so they are already trained to spot movement (your wave) and the more the better. A smile and or recognition will help as well, if you are a friend and neighbor on your route folks will start to look out for you a bit. If you always have something with you to signal with you’ll feel better, even if you never need it.
Our sport is pretty darn safe. We get stronger the longer we run and we develop in a number of positive ways. Barring an overtraining injury or using NSAIDs on race day, or suffering heat stroke in August you stand to run for a long, long time in good health. That said there is this crazy thing called a car on your roads and it can mess up your whole running career. When I refer you to the article (titled Collision Course) in Runners World about road safety I purposefully omit the story of terror that befalls the runner in the article’s prologue as my purpose is not to scare you and you can clearly imagine far worse than I’d ever care to write. But with two months of running under your belt, and now you are exploring new routes as well, we need to pull over and talk about those cars a bit.
To elaborate on what I have said previously and the article does not fully cover, you should have a basic kit with you on the road to take care of emergencies. This kit includes durable ID, money for a phone call, maybe a whistle, and especially as the days begin to shorten again, a way to be seen (reflector, flashlight, blaze) for road runs. While night runs do pose some additional risk you must always consider visibility for your safety and this variable is easily controlled without a shopping spree. You should begin to think about your route and say to yourself when buying running clothes, “can he see me from a half mile away” because that is kind of the minimum distance when he is hurtling towards you at a rate of 88 feet per second (about 60MPH). When you first got behind the wheel, someone spoke to you about being defensive, and that is what we are going to revisit in this lesson from the other side of the windshield.
Automobile vs. runner - You know you are never going to win this one – so no bullfighting please. You should face traffic and take off your headphones but also keep these great ideas from Jeff Galloway in mind.
Watch and prepare to make fast adjustments, many runners have had to dive for the ditch or leap the hedgerow as the motorist dropped their cell phone and reached down to catch it – losing sight of the runner and veering too close.
Plan ahead where you might jump to or which side of the turn offers best visibility
Wear reflective gear, not just at night. Think “can I be seen easily from a half mile away?”
Understand that you cannot understand the driver’s mentality. Drunk, late for church, overtired, maybe they’re texting, or unable to run and resentful of you for getting out and having such a good time. People act like they are anonymous in their cars oftentimes. So WAVE, let them know that you see them and let them see you better, be neighborly and BE the change you wish to see in the world…(you’ll be amazed how many wave back – esp. in WV)
On a separate and related note – never start something. I know it would sometimes seem glorious to jump onto the hood of the car that pulls out in front of you without looking, but this is just another form of road rage. It will not get you anywhere productive and further it may cause your friend to get clipped in a grudge match some weeks later now that the driver does not like runners. Do not even gesture, we have enough trouble getting the respect we deserve out there and so you want to kill them with kindness, not invoke animosity. The flip side of this is to reinforce positive behavior. I stopped to make a special gesture to a woman driver who waited at the edge of a huge puddle, rather than risk splashing me. I said hello and thank you to a couple who re-leashed their dog as I approached. Giving them reinforcement for what we’d like to see helps all my running friends as they repeat these behaviors and teach others to do the same. I do not know much about tennis players because I am seldom around them but many folks know something about runners because they come into contact with you all the time - be an ambassador for our sport and teach them what you want them to learn.
Eye contact – I know that you might be tired after running up a long grade and trying to regain your rhythm but I do seek to make eye contact with every vehicle coming at me (recall I am facing oncoming traffic) to be friendly, but to also understand what they are doing in the car. The article states that one fifth of drivers text and I find this figure to be low, especially with younger operators. GPS or music players are also something that is fiddled with and takes their eyes from the road. I am also regularly experimenting with how long it actually takes for them to acknowledge or see me, and many do not wave until they are mere feet away. We are sharing a space and everyone is more likely to be on their best behavior if we acknowledge each other.
Be an example – what gadgets are you using while running and do they cancel your ability to remain aware of danger? I run with headphones on occasion but I have switched to a type that does not fit into my ear and seal out other noises. I can hear a car behind me and I will raise a hand in friendship as they approach so that they see movement, and they understand that I am aware of them (and predictable). I try not to check my splits on busy roads and I will often assume the motorist wants to go first and stop to wave them on – as if I was a fellow car in another situation. When running with a flashlight I do not shine it in the drivers eyes but let the beam bounce a bit so they know it is a runner. Take charge and set the tone out there and people will treat you as larger than you are.
Know your route – Not just to be aware of dogs or where the shoulder is widest, but on your slow days, assess where there are blind turns, hill crests that will obscure you from a driver’s view, driveways that are tough to see or places where motorists often crowd each other. I run on many roads that are a lane and a half wide and thus I am always looking for the place to jump to and how to pre-plan being more visible. I have pulled off the road and raised my arm overhead when climbing a steep hill crest to ensure the oncoming driver could see I was there. I have stopped and peaked around a corner to listen for cars before proceeding. Caution pays.
Tools
In 2007, nearly 700 cyclists were killed in the Unites States – their sport is significantly more dangerous than ours. This means that in any bike shop or bike supply catalog you’ll find really neat visibility toys that work equally well for running. They need not be expensive either. I have carried a Glow stick as an emergency backup light. Many types of mini headlamps, Maglites or LED flashlights from the auto parts store sell for under $20. Retailers now offer scotchlite adhesive strips for your running gear and these can be applied to any durable item – including your flashlight, and hunting shops offer blaze orange hats or accessories. Road workers and safety official rely on a vest w/ reflectors and these can be purchased for less than $20. They even make clip on reflectors, glowing armbands and handheld flashers. Do not forget that area drivers are always looking to avoid deer, possum and the like so they are already trained to spot movement (your wave) and the more the better. A smile and or recognition will help as well, if you are a friend and neighbor on your route folks will start to look out for you a bit. If you always have something with you to signal with you’ll feel better, even if you never need it.
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)
Tuesday, June 21, 2011
Rest and Why you Need It
Our bodies need rest in order to function properly. Does your car engine get stronger if you never turn it off? We get stronger, not during the workout, but when we rest and recover…
Growth hormone is produced when we sleep deeply and at no other time. So being horizontal is when you get to rebuild everything that training is working hard to stress and “tear down”
Bill Bowerman took a technique from Arthur Lydiard and coined the term “tough-easy” for every day that you work hard you need an easy workout to follow-up with. Easy is PE 3-4 and hard is a very long run or anything in the PE 5 & above category. Recall the post on pace and running form talks about PE, perceived effort and where your tachometer should be most of the time.
Masters runners & folks who are no longer acting like they are 20 years old often find they need a day off between workouts. This allows a more full recovery between workouts & thus you get quality workouts every time you go big. Once you are older than 20 you realize it is mostly about quality, isn’t it?
I’ll be referring you to a copy of a great article by Bridget Clark, titled Training Error – Overuse or Under-recovery? from the April 2010 issue of Ultrarunning. Her graphs are worth a thousand words as she explains the body’s response to training stimulus and how many of us will induce another stimulus (running) before we can rebuild, leading to overwhelming our systems and inching closer to the “injury threshold” in the process.
She goes a step further and talks about the idea that cross training, especially strength training, provides a stimulus that is different than running and is also non-load bearing so that the tissues build capacity and recovers better without undue stress.
Does it sound confusing that I would encourage you to exercise and then ask you to take it easy while doing it? Reframe the idea in terms of the law of diminishing returns you already know from the office. When you do not get a vacation from work or a weekend off, you become dull and less fun. Further, if you do not have adequate time to process the challenges at work (rebuild) then you begin to see diminishing returns as well – we push the pace and things begin to get dropped on your plate. Let me quote Bridget Clark, from her Training Error article, “we now have a wealth of research in sports science covering the past 30 years. With the rate of running injuries so prevalent, potential causes have been studied up and down.” She summarizes this body of research by saying, “training error is the only factor that consistently displays a direct cause and effect relationship with running injuries”. She has the doctorate in Physical Therapy, and her argument makes sense intuitively. Sometimes we will suffer what she refers to as a traumatic injury – one example would be me hitting my head on a low limb during a run and causing a goose-egg style welt to appear. The second and much more common injury is overuse, with two studies cited, ten years apart, each showing 70% of runners see these overuse injuries. We simply do not allow enough time for the body to recover and rebuild as stronger before we load it up again. Slow or abrupt degenerative damage results as we spiral toward what Bridget Clark calls injury threshold.
Remember how we talked about the injury cycle? There are 4 distinct phases - all easy to remember and each gets worse.
One: I sprain/tweak my ankle and so it hurts a bit after the run.
Two: I run on it for two weeks as I normally would, without slowing down or doing any “rehab” of the injury and now it hurts during and after the run.
Three: A week after that it hurts before, during and after the run.
Four: Finally it hurts too much to run, and hurts all the time – is this my ankles fault? Am I now meant to run? If you are in my class I think you can answer this question pretty well…
The good news is that you can apply this sports injury model to your overall sense of well being and thus guard against over training. The FIRST program, Dr. Maffetone, and Dr. Tim Noakes in his book all talk about a runner getting progressively more tired, feeling that performance plateaus and then drops, notices that immune system function begins to decline and may even see mood changes or swings in much the same way that extreme stress has been shown to affect people. We should be alert for trends over time and look out for a common acronym in prehospital care called DIC head syndrome. Disoriented, Irritable and Combative. A number of things can cause this and some could be acute problems such as; you could have low blood sugar, could be suffering from the heat, or maybe something more chronic could be overtraining syndrome. Everybody has different physiological set point for this (you are an experiment of one) and it varies depending upon what else is going on in your life as well. It is a fine line for some and gets easier to discern as your “aches and pains” database expands and as you learn more about your training process as journey of minor stressors and growing stronger from each stressor. Tired is natural, while tired with lingering effects and inability to refresh may need intervention. As you might guess, this is much easier to spot in others, outside yourself. Your training log will help you here as well as your running buddies.
Remember when we talked at the beginning about your running log? How you should examine your workouts and they will tell you a great deal about where you and how far you have come? This document can become an important window into how you are doing if you are without a coach or a regular running buddy who can spot your holistic well being. Author Tim Noakes gives a number of suggestions that you may wish to record in your running logbook that extend beyond the idea of mileage, route, shoes worn and time elapsed.
1) How did the run go? We all have a growing “aches and pains database” and this plays a role but on the trend side you want things to get gradually better.
2) What was your effort rating (or PE, perceived effort): If easy workouts feel hard this week, I ask the question “what has changed?”
3) Did you enjoy it – or any part of it? Nearly every run has both good a bad spots and if they do not pass easily out of the bad, I ask the same question as above, or if things clicked – what helped is good information too.
4) You waking pulse rate: I asked you to take a baseline pulse as homework because we want to see improvements and look for spikes in this rate, or a new creep upward, as a sign we must heed.
5) Early morning body weight: This is the best time to get a reading (after the gastrocolic reflex occurs) and this number will fluctuate but we hope that there is not a continued drop over time – a loss of appetite or persistent loss is considered an overtraining sign.
6) Number of hours slept: You know where this is going – get to bed!
7) Heart rate during the workout: This can also tell us about what you are feeling, are you pushing too hard or is it taking more effort to do what was easier to execute two weeks ago? Over time the same route should get a bit faster or easier without increasing heart rate above your regular workout numbers. See the previous lesson about pace to get a Dr. Maffetone recommended pulse rate for your steady state runs.
This kind of data will allow insight toward overtraining trends or on the bright side – when you can bump things up a notch. Many starting out will say “I do not want to bump anything, right now – I am stressed enough!” and that may be true, however 3-4 weeks without changes toward the positive side of the ledger, and no deleterious effects either means that you have hit your plateau at this exertion level and it is time to vary the workload or increase intensity for a new phase. This gradually makes you better at what you are pursuing.
If something hurts for two or more days then take 2 or more days off – simple. During that time stretch, RICE and examine what has changed that would cause the injury – but don’t assume running through it as normal, will be the cure. You will have to use active rest and modify your expectations while learning about the root cause of injury. Here is a great thought, “healing, is not a science, but the intuitive art of wooing nature." - W.H. Auden
If you are sick from the neck up – go ahead and run (it may even help) If you are sick from the neck down – consider sitting this one out.
Expect that you’ll need to take better care of yourself and wash your hands more frequently when your mileage drops. Your immune system is cranking at peak capacity when you are running & when mileage drops sometimes the immune system takes a vacation too.
When you are getting strong running performances each week, you can gain 90% of all possible fitness developments with 4 days/week of running. You may get that extra 10% with 5 or more days each week but what you’ll find is that the number of injuries you see in the runner is appreciably higher.
Trouble signs of overtraining
Injury – muscles not allowed to recover well between workouts suffer from stress injury. Failing running form in the tired athlete leads to excessive pounding, favoring something compounds imbalances. Do not become a sport limper or it will get worse somewhere else on your machine!
Sickness – While running stimulates the immune system, too much too soon - or inadequate rest – allows the body to be susceptible to illness or infection – once you are ground down to nothing, illness sets up shop.
Slump – remember that loss or impairment of higher brain function is one way that the body shows early sign of problems. Irritability, restlessness, trouble sleeping, depression and malaise indicate that you need a rest week (decrease in training volume, additional rest days, 8+ hours of sleep nightly)
How much rest? For starters we stay within the 10% rule, so that we rarely increase training load by more than 10% in any week. We also seek to vary the training cycle and get you some rest every four weeks as a means for you to absorb your training. Within that parameter you’ll also need at least one extra minute per night for each mile you train that week. EG: If you run 15 miles in a week, you’ll need 15 extra minutes each night that week. Closer to race time - seek to allow an extra hour of sleep each evening. Olympic Marathoner Ryan Hall is in bed at 9:30pm every night. You do not spend 12 hours a day there, but you get what you need to charge up for your event.
One last resting tip is feet up - allowing time for fluid exchange (assisted by gravity) not only feels great but really speeds recovery. Racers are now using pressure stockings to gain the same benefit while sitting at their desks. Blood return and elevation are great things for tired feet and lower legs.
Growth hormone is produced when we sleep deeply and at no other time. So being horizontal is when you get to rebuild everything that training is working hard to stress and “tear down”
Bill Bowerman took a technique from Arthur Lydiard and coined the term “tough-easy” for every day that you work hard you need an easy workout to follow-up with. Easy is PE 3-4 and hard is a very long run or anything in the PE 5 & above category. Recall the post on pace and running form talks about PE, perceived effort and where your tachometer should be most of the time.
Masters runners & folks who are no longer acting like they are 20 years old often find they need a day off between workouts. This allows a more full recovery between workouts & thus you get quality workouts every time you go big. Once you are older than 20 you realize it is mostly about quality, isn’t it?
I’ll be referring you to a copy of a great article by Bridget Clark, titled Training Error – Overuse or Under-recovery? from the April 2010 issue of Ultrarunning. Her graphs are worth a thousand words as she explains the body’s response to training stimulus and how many of us will induce another stimulus (running) before we can rebuild, leading to overwhelming our systems and inching closer to the “injury threshold” in the process.
She goes a step further and talks about the idea that cross training, especially strength training, provides a stimulus that is different than running and is also non-load bearing so that the tissues build capacity and recovers better without undue stress.
Does it sound confusing that I would encourage you to exercise and then ask you to take it easy while doing it? Reframe the idea in terms of the law of diminishing returns you already know from the office. When you do not get a vacation from work or a weekend off, you become dull and less fun. Further, if you do not have adequate time to process the challenges at work (rebuild) then you begin to see diminishing returns as well – we push the pace and things begin to get dropped on your plate. Let me quote Bridget Clark, from her Training Error article, “we now have a wealth of research in sports science covering the past 30 years. With the rate of running injuries so prevalent, potential causes have been studied up and down.” She summarizes this body of research by saying, “training error is the only factor that consistently displays a direct cause and effect relationship with running injuries”. She has the doctorate in Physical Therapy, and her argument makes sense intuitively. Sometimes we will suffer what she refers to as a traumatic injury – one example would be me hitting my head on a low limb during a run and causing a goose-egg style welt to appear. The second and much more common injury is overuse, with two studies cited, ten years apart, each showing 70% of runners see these overuse injuries. We simply do not allow enough time for the body to recover and rebuild as stronger before we load it up again. Slow or abrupt degenerative damage results as we spiral toward what Bridget Clark calls injury threshold.
Remember how we talked about the injury cycle? There are 4 distinct phases - all easy to remember and each gets worse.
One: I sprain/tweak my ankle and so it hurts a bit after the run.
Two: I run on it for two weeks as I normally would, without slowing down or doing any “rehab” of the injury and now it hurts during and after the run.
Three: A week after that it hurts before, during and after the run.
Four: Finally it hurts too much to run, and hurts all the time – is this my ankles fault? Am I now meant to run? If you are in my class I think you can answer this question pretty well…
The good news is that you can apply this sports injury model to your overall sense of well being and thus guard against over training. The FIRST program, Dr. Maffetone, and Dr. Tim Noakes in his book all talk about a runner getting progressively more tired, feeling that performance plateaus and then drops, notices that immune system function begins to decline and may even see mood changes or swings in much the same way that extreme stress has been shown to affect people. We should be alert for trends over time and look out for a common acronym in prehospital care called DIC head syndrome. Disoriented, Irritable and Combative. A number of things can cause this and some could be acute problems such as; you could have low blood sugar, could be suffering from the heat, or maybe something more chronic could be overtraining syndrome. Everybody has different physiological set point for this (you are an experiment of one) and it varies depending upon what else is going on in your life as well. It is a fine line for some and gets easier to discern as your “aches and pains” database expands and as you learn more about your training process as journey of minor stressors and growing stronger from each stressor. Tired is natural, while tired with lingering effects and inability to refresh may need intervention. As you might guess, this is much easier to spot in others, outside yourself. Your training log will help you here as well as your running buddies.
Remember when we talked at the beginning about your running log? How you should examine your workouts and they will tell you a great deal about where you and how far you have come? This document can become an important window into how you are doing if you are without a coach or a regular running buddy who can spot your holistic well being. Author Tim Noakes gives a number of suggestions that you may wish to record in your running logbook that extend beyond the idea of mileage, route, shoes worn and time elapsed.
1) How did the run go? We all have a growing “aches and pains database” and this plays a role but on the trend side you want things to get gradually better.
2) What was your effort rating (or PE, perceived effort): If easy workouts feel hard this week, I ask the question “what has changed?”
3) Did you enjoy it – or any part of it? Nearly every run has both good a bad spots and if they do not pass easily out of the bad, I ask the same question as above, or if things clicked – what helped is good information too.
4) You waking pulse rate: I asked you to take a baseline pulse as homework because we want to see improvements and look for spikes in this rate, or a new creep upward, as a sign we must heed.
5) Early morning body weight: This is the best time to get a reading (after the gastrocolic reflex occurs) and this number will fluctuate but we hope that there is not a continued drop over time – a loss of appetite or persistent loss is considered an overtraining sign.
6) Number of hours slept: You know where this is going – get to bed!
7) Heart rate during the workout: This can also tell us about what you are feeling, are you pushing too hard or is it taking more effort to do what was easier to execute two weeks ago? Over time the same route should get a bit faster or easier without increasing heart rate above your regular workout numbers. See the previous lesson about pace to get a Dr. Maffetone recommended pulse rate for your steady state runs.
This kind of data will allow insight toward overtraining trends or on the bright side – when you can bump things up a notch. Many starting out will say “I do not want to bump anything, right now – I am stressed enough!” and that may be true, however 3-4 weeks without changes toward the positive side of the ledger, and no deleterious effects either means that you have hit your plateau at this exertion level and it is time to vary the workload or increase intensity for a new phase. This gradually makes you better at what you are pursuing.
If something hurts for two or more days then take 2 or more days off – simple. During that time stretch, RICE and examine what has changed that would cause the injury – but don’t assume running through it as normal, will be the cure. You will have to use active rest and modify your expectations while learning about the root cause of injury. Here is a great thought, “healing, is not a science, but the intuitive art of wooing nature." - W.H. Auden
If you are sick from the neck up – go ahead and run (it may even help) If you are sick from the neck down – consider sitting this one out.
Expect that you’ll need to take better care of yourself and wash your hands more frequently when your mileage drops. Your immune system is cranking at peak capacity when you are running & when mileage drops sometimes the immune system takes a vacation too.
When you are getting strong running performances each week, you can gain 90% of all possible fitness developments with 4 days/week of running. You may get that extra 10% with 5 or more days each week but what you’ll find is that the number of injuries you see in the runner is appreciably higher.
Trouble signs of overtraining
Injury – muscles not allowed to recover well between workouts suffer from stress injury. Failing running form in the tired athlete leads to excessive pounding, favoring something compounds imbalances. Do not become a sport limper or it will get worse somewhere else on your machine!
Sickness – While running stimulates the immune system, too much too soon - or inadequate rest – allows the body to be susceptible to illness or infection – once you are ground down to nothing, illness sets up shop.
Slump – remember that loss or impairment of higher brain function is one way that the body shows early sign of problems. Irritability, restlessness, trouble sleeping, depression and malaise indicate that you need a rest week (decrease in training volume, additional rest days, 8+ hours of sleep nightly)
How much rest? For starters we stay within the 10% rule, so that we rarely increase training load by more than 10% in any week. We also seek to vary the training cycle and get you some rest every four weeks as a means for you to absorb your training. Within that parameter you’ll also need at least one extra minute per night for each mile you train that week. EG: If you run 15 miles in a week, you’ll need 15 extra minutes each night that week. Closer to race time - seek to allow an extra hour of sleep each evening. Olympic Marathoner Ryan Hall is in bed at 9:30pm every night. You do not spend 12 hours a day there, but you get what you need to charge up for your event.
One last resting tip is feet up - allowing time for fluid exchange (assisted by gravity) not only feels great but really speeds recovery. Racers are now using pressure stockings to gain the same benefit while sitting at their desks. Blood return and elevation are great things for tired feet and lower legs.
Nutrition supplement (hah!)
As a followup to nutrition I thought that I would post a link to an article discussing Chris Carmichael's coaching of Lance Armstrong. While many have their own opinions about this cyclist it is difficult to argue that he has received world class coaching over the years and his buddy Chris makes a great living doling out sound advice.
That said he is promoting a new book on nutrition and this author reviews some key concepts from this new work. Note the periodization is employed, just as we use this technique for training load and to build a runner toward a peak of training. Also note that the article sites several mini meals that are nutrient dense. Many of these suggestions will even stay down during a run (although I doubt I could eat a bowl of cereal while running, I have enjoyed a bagel and banana on the fly). Take this article as a good supplement and insight toward new nutrition/training tools.
http://www.runnersworld.com/article/0,7120,s6-242-301--6686-0,00.html?cm_mmc=nutrition-_-2010_06_10-_-nutrition-_-DIET%3a%20Performance%20Fuel
That said he is promoting a new book on nutrition and this author reviews some key concepts from this new work. Note the periodization is employed, just as we use this technique for training load and to build a runner toward a peak of training. Also note that the article sites several mini meals that are nutrient dense. Many of these suggestions will even stay down during a run (although I doubt I could eat a bowl of cereal while running, I have enjoyed a bagel and banana on the fly). Take this article as a good supplement and insight toward new nutrition/training tools.
http://www.runnersworld.com/article/0,7120,s6-242-301--6686-0,00.html?cm_mmc=nutrition-_-2010_06_10-_-nutrition-_-DIET%3a%20Performance%20Fuel
Monday, June 13, 2011
Note to an injured runner
Here is something I wanted to talk about because in a previous class I got a student question on injury that gave me the feeling something else was under the surface - their motivation had been shaken too. I used the Dear Abby format to keep everything anonymous - I advise a lot of folks - not just in Elkins. Running is a great thing but we must progress carefully and support each other for it to work as well as it should. I feel like running is the best thing going and I want it to work for you if at all possible. I hope another person's question is a learning experience for others. Let me know.
Dear Carl: I wanted to touch base with you about my knees. After our run the other day, I drove twenty minutes to get home, and it was all I could do to climb 5 steps to get in the house. The next two days were better...and I could go up and down the stairs without hurting. I went for a run today and started off by walking, my knees bothered me and after the first walk run interval I could feel it just wasn't right, so I took a rest. I am I cut out for running?
Dear runner: here are several suggestion to your very big question.
You’re hurt. Maybe not bad, but you need to walk for now and here is why. We rarely get better standing still and when you see an “injury” in the real world (say a bird flies into your window) they get up right away because they know they are cat bait if they do not. Simple. Oftentimes some gentle movement will tell you more about the condition without making it worse and help you loosen up. Remember that stairs are easier walking backwards if your knees and quads are sore. Hold onto the rail! Never-the-less you have heard the prescription before of, activity as tolerated. This is what you need to do along with things like Rest, Ice, Compression & Elevation (RICE) and being good to yourself while staying confident that you can do this if you choose.
Whatever is bothering you is difficult to diagnose over the phone (or email) w/o a lot of trial and error but there could be several possibilities to consider right out of the gate that I see a lot (sort of FAQ’s from class) so without making light of your predicament – I’ll use the opportunity to teach a bit and toss around several of the possibilities that may be working on your knees.
You simply ran too far and are suffering Delayed Onset Muscle Soreness. We did run a 30 minute workout instead of the prescribed 20 minutes and while ten minutes of TV does not seem like a lot, we added 30% to your workout on a nice day of talking and running slowly. Honestly, maybe we should not have – I apologize for talking more than I was looking at the watch. When I run too long I am sore afterwards too – sometime for many days. I take responsibility for running too far on Saturday and I am sorry, you have my word that I will not do that again.
Your knees, shoes, or gait are bothering you. While I do not know your prior history with the knee ( your doc should always ask you “has this ever bothered you before?”) You may have a historical imbalance that we can work out slowly over time. We would do this with a gentler plan, once you are not sore. Stretching daily, and strengthening the muscles that support the running, including your knees. If your shoes are not new or brand new, they can tweak you the wrong way. When I have a runner in front of me I ask “what has changed since the problem began?”, and begin there. Think about that one and we can get back to it because small changes can have profound effects - good and bad.
I am always sore when I drive after running and this never changes for me. I have to stretch to get my muscle relaxed after a run and driving forces me into a long term, unnatural position, that often makes it tough to rise from the car. Perhaps you have seen me stretching between class breaks in nursing? I just cannot sit for very long anymore – I guess my lower body was made for nursing now. You may have to incorporate a 10 minute cool down and snack time before you drive home. When I ran the Tucson marathon my Dad read the paper for an hour while I stretched, ate, stretched, walked and then I could finally get in his car to head to the hotel.
Anything that hurts for two or more days needs a 2 day break before returning to running. You can always walk your miles, as this uses different muscles and you can self regulate easily. Wear you running shoes while walking to see if they are part of the issue (scientists control as many variable as possible) and to pad your feet/body. If after two days of self-rehab (which would be walking, stretching, using RICE on your affected area) you do not feel better let’s talk again with greater specifics about what is going on and in the meantime schedule with your Health Care Provider (HCP).
Remember that your homework assignment was to let your doctor know what you are doing and why you wish to take on this project. This last part is as important as the first, because I have heard doctors tell people they just cannot run and in my opinion this is hogwash. Most people can “ambulate for exercise” if they choose to – we need to modify our expectations of what running and realize that less is more. We start slow and many of us stay that way, only to just have the fitness experience simply get easier and maybe a little quicker. We do not go out and try to force change on our bodies but let it happen gradually. I would tell you to have the attitude that you can do it if you do it gently and that you advocate for this when you visit you’re HCP.
Of course, there are folks who develop stress fractures, have injuries they have never known about and other conditions that I have no business to diagnose - and you know that is why I am sending you to your HCP. But I know you signed up for class for a reason, and a very good one is that you are making an investment in yourself. Lobby for that and I will too. In the meantime walk, eat right and get back to me with more about your condition after two days rest.
There are several good links on the website and one of them is injured runner where they’ll ask you what hurts, then tell you what it might be, and try to sell you a book. While you may not need the book you gain some more insight about typical running related injury. Please understand that 90% of running related injuries are the result of overuse/overtraining. We’ll spend the next five months talking about all of the ways to over train and again I apologize for showing you one of them on Saturday- running too long. Also read the website entry on stretching and strength. I can tell you first hand that these two components greatly helped my running. I learned about the parts of me that were not adequately trained and works holistically to fix these areas to improve my running. In addition to these two key techniques that were covered this week many folks use other tools as well such as yoga (see Sage Roundtree on the site) and massage to again, open up, relax the body and strive for better symmetry.
We are seeking a new path and while I did say that you can do it, I will never say that it will be entirely easy. I was sincere when I said that I honor and admire the courage it requires to take up something new and challenging. I do try to make it a seamless transition for people and we should ease into it, know that everybody will adapt slowly at their own pace and can choose to triumph in the end. The most unlikely folks have come to fall in love with running over the years and one reason for this; I believe, is that we were built to run. Nobody said how fast or how far- you choose those variables with some guidance.
Misery loves company and if you really want to read a “crash and burn” story while you rest and RICE, try Tom Holland’s tale of his first marathon attempt (pages 9-16) which will cover at least a dozen things you do not want to do. In spite of his debacle, Tom not only went on to write a great book but holistically corrected his problems to run well. His story is one of many and I have heard countless others from people who were not runners (before they started) and are still not going to tell you that they are athletes, even today, when they are wonderful examples of a healthy lifestyle. Why did Tom Holland become a runner after that dismal race day? Because he wanted to, and that is the 1% inspiration that somehow weighs in as almost heavily as the 99% perspiration that he applied afterwards to surmount his goal. Please understand that I will never tell you to “gut it out” like the high school football coach did, because I do not think it is responsible guidance – it is not congruent with an injury free fitness program. But I do wish that you maintain your hopes to be a runner. I do hope you understand that there are a lot more possible solutions than there are reasons to quit. I hope I have begun to illustrate that when your body is new at something you approach the solution to success as a puzzle to solve and that we well may be able to do that together.
Dear Carl: I wanted to touch base with you about my knees. After our run the other day, I drove twenty minutes to get home, and it was all I could do to climb 5 steps to get in the house. The next two days were better...and I could go up and down the stairs without hurting. I went for a run today and started off by walking, my knees bothered me and after the first walk run interval I could feel it just wasn't right, so I took a rest. I am I cut out for running?
Dear runner: here are several suggestion to your very big question.
You’re hurt. Maybe not bad, but you need to walk for now and here is why. We rarely get better standing still and when you see an “injury” in the real world (say a bird flies into your window) they get up right away because they know they are cat bait if they do not. Simple. Oftentimes some gentle movement will tell you more about the condition without making it worse and help you loosen up. Remember that stairs are easier walking backwards if your knees and quads are sore. Hold onto the rail! Never-the-less you have heard the prescription before of, activity as tolerated. This is what you need to do along with things like Rest, Ice, Compression & Elevation (RICE) and being good to yourself while staying confident that you can do this if you choose.
Whatever is bothering you is difficult to diagnose over the phone (or email) w/o a lot of trial and error but there could be several possibilities to consider right out of the gate that I see a lot (sort of FAQ’s from class) so without making light of your predicament – I’ll use the opportunity to teach a bit and toss around several of the possibilities that may be working on your knees.
You simply ran too far and are suffering Delayed Onset Muscle Soreness. We did run a 30 minute workout instead of the prescribed 20 minutes and while ten minutes of TV does not seem like a lot, we added 30% to your workout on a nice day of talking and running slowly. Honestly, maybe we should not have – I apologize for talking more than I was looking at the watch. When I run too long I am sore afterwards too – sometime for many days. I take responsibility for running too far on Saturday and I am sorry, you have my word that I will not do that again.
Your knees, shoes, or gait are bothering you. While I do not know your prior history with the knee ( your doc should always ask you “has this ever bothered you before?”) You may have a historical imbalance that we can work out slowly over time. We would do this with a gentler plan, once you are not sore. Stretching daily, and strengthening the muscles that support the running, including your knees. If your shoes are not new or brand new, they can tweak you the wrong way. When I have a runner in front of me I ask “what has changed since the problem began?”, and begin there. Think about that one and we can get back to it because small changes can have profound effects - good and bad.
I am always sore when I drive after running and this never changes for me. I have to stretch to get my muscle relaxed after a run and driving forces me into a long term, unnatural position, that often makes it tough to rise from the car. Perhaps you have seen me stretching between class breaks in nursing? I just cannot sit for very long anymore – I guess my lower body was made for nursing now. You may have to incorporate a 10 minute cool down and snack time before you drive home. When I ran the Tucson marathon my Dad read the paper for an hour while I stretched, ate, stretched, walked and then I could finally get in his car to head to the hotel.
Anything that hurts for two or more days needs a 2 day break before returning to running. You can always walk your miles, as this uses different muscles and you can self regulate easily. Wear you running shoes while walking to see if they are part of the issue (scientists control as many variable as possible) and to pad your feet/body. If after two days of self-rehab (which would be walking, stretching, using RICE on your affected area) you do not feel better let’s talk again with greater specifics about what is going on and in the meantime schedule with your Health Care Provider (HCP).
Remember that your homework assignment was to let your doctor know what you are doing and why you wish to take on this project. This last part is as important as the first, because I have heard doctors tell people they just cannot run and in my opinion this is hogwash. Most people can “ambulate for exercise” if they choose to – we need to modify our expectations of what running and realize that less is more. We start slow and many of us stay that way, only to just have the fitness experience simply get easier and maybe a little quicker. We do not go out and try to force change on our bodies but let it happen gradually. I would tell you to have the attitude that you can do it if you do it gently and that you advocate for this when you visit you’re HCP.
Of course, there are folks who develop stress fractures, have injuries they have never known about and other conditions that I have no business to diagnose - and you know that is why I am sending you to your HCP. But I know you signed up for class for a reason, and a very good one is that you are making an investment in yourself. Lobby for that and I will too. In the meantime walk, eat right and get back to me with more about your condition after two days rest.
There are several good links on the website and one of them is injured runner where they’ll ask you what hurts, then tell you what it might be, and try to sell you a book. While you may not need the book you gain some more insight about typical running related injury. Please understand that 90% of running related injuries are the result of overuse/overtraining. We’ll spend the next five months talking about all of the ways to over train and again I apologize for showing you one of them on Saturday- running too long. Also read the website entry on stretching and strength. I can tell you first hand that these two components greatly helped my running. I learned about the parts of me that were not adequately trained and works holistically to fix these areas to improve my running. In addition to these two key techniques that were covered this week many folks use other tools as well such as yoga (see Sage Roundtree on the site) and massage to again, open up, relax the body and strive for better symmetry.
We are seeking a new path and while I did say that you can do it, I will never say that it will be entirely easy. I was sincere when I said that I honor and admire the courage it requires to take up something new and challenging. I do try to make it a seamless transition for people and we should ease into it, know that everybody will adapt slowly at their own pace and can choose to triumph in the end. The most unlikely folks have come to fall in love with running over the years and one reason for this; I believe, is that we were built to run. Nobody said how fast or how far- you choose those variables with some guidance.
Misery loves company and if you really want to read a “crash and burn” story while you rest and RICE, try Tom Holland’s tale of his first marathon attempt (pages 9-16) which will cover at least a dozen things you do not want to do. In spite of his debacle, Tom not only went on to write a great book but holistically corrected his problems to run well. His story is one of many and I have heard countless others from people who were not runners (before they started) and are still not going to tell you that they are athletes, even today, when they are wonderful examples of a healthy lifestyle. Why did Tom Holland become a runner after that dismal race day? Because he wanted to, and that is the 1% inspiration that somehow weighs in as almost heavily as the 99% perspiration that he applied afterwards to surmount his goal. Please understand that I will never tell you to “gut it out” like the high school football coach did, because I do not think it is responsible guidance – it is not congruent with an injury free fitness program. But I do wish that you maintain your hopes to be a runner. I do hope you understand that there are a lot more possible solutions than there are reasons to quit. I hope I have begun to illustrate that when your body is new at something you approach the solution to success as a puzzle to solve and that we well may be able to do that together.
Subscribe to:
Posts (Atom)
