Beginners and Beyond

1

Coming Back to Running after Injury (Read 67 times)


You Rang?

    In December of last year, I pinched a nerve in my back while training for my first marathon.  The pinched nerve sent referred pain down to my right leg.  I believe that I pinched the nerve from the deterioration of my running form from a lack of core strength and the heavy training load of marathon training.

     

    In the middle of January, on a physician's advice I stopped running.  Once the leg stopped hurting, I started doing a pilates style work out.  Lots of push ups, burpees, sit ups, crunches, standard and side planking, etc.  in an effort to improve my core fitness.  From barley being able to do 10 pushups, I'm now up to 30 push ups in a minute and 30 sit ups in a minute.

     

    I'm going back to the doctor on Monday and anticipate being released to run again.  I've signed up for a late October marathon.  I've also signed up for a marathon training class with a local running shop.  The class starts in June.  I've always trained alone.  I'm hoping to learn more about marathoning and avoid mistakes/injury.

     

    So my question to y'all is what to do between now and June?  I don't think I need to go back to C25k.  I thought about starting out by running 3-4 miles a day three to four days a week.  Then increase the number of days to five to six two weeks later, and lengthen the mileage out to 5-6 mile a day in late May.  Any thoughts?

     

    Rick

    Rick 

    PR: 5k 25:01 (10/15) 10k: 57:44 (7/14) HM: 1:57 (5/15) FM: 4:55 (1/15)

    Zelanie


      Rick- I am glad you'll be running again soon! If you check my log from last May-June, you'll see what I did with advice from my PT. I basically went right back to my usual number of days per week, but kept the runs short and ran on flat, soft surfaces at first (track or TM). Then every week that it didn't hurt, I'd add a mile or so to my run distance. It took me from no running at all to HM PR by Nov.

        Welcome back! I know how great you must feel to be able to run again.

        I am not a reliable source of training advice, but the things I have read are (1) err on the side of more days/less miles, (2) do not even wear a watch unless you need it for mileage, just run everything real easy.

        Dave

        Birdwell


          I'm finally getting back to where I as prior to breaking my foot back in July of last year. When I got serious about running again, I started going 2-3 miles a day, 6 days a week. I did that for about 6 weeks, with an occasional 5 or 6 miler thrown in here and there if I was feeling good.

           

          I slowly built up from there, all while keeping the 6 day a week schedule. The best part (for me at least) is I am now used to that schedule and I feel much better than I did when I was running 4 days a week, with the same kind of mileage I'm hitting now. In the last two weeks I've started adding miles to my long run, and they feel pretty good as well. the other benefit I've noticed is all my paces are faster now than they were prior to the injury.

           

          I guess what I am saying in a round about way is that I agree with Dave's comments about shorter, more frequent runs.

          SusanRachel


            Part of how fast you can come back will depend on your age, your mileage before the injury (including your mileage base before you went into the aborted marathon training), and your experience.  Since you have not previously run a marathon and are coming off an injury incurred during marathon training, a marathon in October from a base of 0 is a pretty aggressive plan.  I got injured just about the same time (Jan 3), have run two marathons previously, am 46 years old, and expect to be running again in about 2-3 weeks after having knee surgery in March.  I would not schedule a marathon in October.  I have a half scheduled in March 2015 and would consider a fall half if training is going well by late summer.  Ideally going into full marathon training, you want to have a base of 25 miles/week for 6-12 months (12 is better) before starting the marathon training plan.

            Docket_Rocket


              Look at the Pfitz' post marathon recovery program for the 18/55 MRT and see if you believe you could attempt it.  That's what I used for post surgery return to running.  If too many miles (15 on the first week, if I remember correctly), then mold it to what you think you can run.  Like Susan said, it all depends on your background prior to and on your body.  Everybody recovers differently.


              Good luck!

              Damaris

               

              As part of the 2024 London Marathon, I am fundraising for VICTA, a charity that helps blind and visually impaired children. My mentor while in law school, Jim K (a blind attorney), has been a huge inspiration and an example of courage and perseverance. Please consider donating.

              Fundraising Page


              You Rang?

                Thank you everyone for your thoughts.  I'm going to start with three miles a day this week.  Docket I need to find my copy of Pfitz's book for the plan.  I think the emotional scars from Pfitz's 18/55 have mostly healed by now.  Smile

                 

                Susan, I especially thank you for your thoughts.  My October marathon is the Marine Corps Marathon.  Before I threw my combination cover into that ring, I asked my orthopedist if he thought a fall marathon would be realistic.  He said if the pain does not come back, then yes.  So based on my physicians' advice I entered the MCM lottery and was lucky enough to win.

                 

                Also, Susan, you characterized my last training cycle as an aborted marathon training cycle.  That's not exactly accurate.  I ran the marathon.  Yes it hurt.  Yes, it was awful.  Yes it was stupid, and no I should not have done that. In my twelve week physician-imposed cessation from running, I had a chance to reflect on my thinking.  I asked myself why I ran the marathon when injured.   My brain has coalesced around two thoughts:

                 

                1.  It's a marathon.  It's supposed to hurt.

                2.  I was training for the WDW marathon, and I'd sunk a crap-ton of money into the whole Disney vacation thing.

                 

                So going forward, I've set up an escape plan.  My airline tickets to DC are frequent flyer tickets.  They are fully refundable back into miles.  Unlike Disney, the MCM bib is transferable.  I probably wouldn't have a problem finding a taker here on RA.   Finally, I have mere hotel reservations in DC and not a pre-paid Disney experience.  It's a whole lot easier  to walk (hobble?) away from the MCM than Disney.

                 

                Rick

                Rick 

                PR: 5k 25:01 (10/15) 10k: 57:44 (7/14) HM: 1:57 (5/15) FM: 4:55 (1/15)

                Docket_Rocket


                  If you cannot find it, I'll copy and scan it for you.  Just send me a reminder via FB if you need it.

                  Damaris

                   

                  As part of the 2024 London Marathon, I am fundraising for VICTA, a charity that helps blind and visually impaired children. My mentor while in law school, Jim K (a blind attorney), has been a huge inspiration and an example of courage and perseverance. Please consider donating.

                  Fundraising Page

                  LRB


                    So my question to y'all is what to do between now and June?

                     

                    This is an extremely touchy subject (which would explain the lack of traffic) because none of us can say for certain what you should do.  I am going to agitate the shit out of one my favorite members here by saying this but you will need to listen to your body.

                     

                    In doing that throw all training plans and race aspirations out of the window for now and let your body and how you feel be your guide, not the fact that an event is nearing and you need to start training for it.

                     

                    I can only tell you what I did coming off of a debilitating SI joint injury which was run every other day for a month, basically starting with a toe in the water and inching it forward for about three weeks before I stuck my whole foot in.  I did not have my first back to back running days until four weeks.

                     

                    Those runs in miles were 1.5, 2, 4, 4, 4 , 4, 5, 5.1, 5,1, 5.1, 5.1, 5.5, 6, 6.1.

                     

                    The thing about back injuries is the mental torment you go through when you resume because you simply do not know if it is the injury you feel in your back or just your back readjusting.  The only thing left to do at that point is to play it safe and run lightly then back off.  Run lightly then back off.  Run lightly then back off.  Eventually at some point you will know if your body is adapting to the stress of running or still injured.

                     

                    I would not set anything in stone and instead would just go out and take it short and easy for a few weeks then assess where you are based on how you feel while you are running and afterwards.  Otherwise if you plan to run 4 miles a day for two weeks then 5 to 6 miles after that you will find a way to make it happen, likely ignoring any signals from the body that you need to back off in the process.


                    You Rang?

                       

                      if you plan to run 4 miles a day for two weeks then 5 to 6 miles after that you will find a way to make it happen, likely ignoring any signals from the body that you need to back off in the process.

                       

                      Ouch!  Guilty as charged.  I am a goal oriented person.  I also believe that if you fail to plan, you should plan to fail.  Perhaps this isn't the time to plan or even have a plan.

                       

                      Tell ya what.  Between now and May 28, I promise to run only to the end of my street, about 1/10th of a mile.  Anything beyond that will be because I feel like it.  May 28th I  start working with a coach from a LRS.

                       

                      Rick

                      Rick 

                      PR: 5k 25:01 (10/15) 10k: 57:44 (7/14) HM: 1:57 (5/15) FM: 4:55 (1/15)

                      LRB


                        I also believe that if you fail to plan, you should plan to fail.  Perhaps this isn't the time to plan or even have a plan.

                         

                        Well in that case you could simply plan on not planning anything until you are certain your body can handle a plan.  A conservative plan might take 30 days or thereabouts so plan to be ready to revisit your plan in about a month. That way you can have your cake and plan to eat it too!