Category Archives: Injury

Knee problem – a solution?

I’ve found a great, if a bit unorthodox, way of solving my knee problem: run like a bastard up and down hills for half an hour. Seriously.

On the NDW100 I twisted my right knee and ankle at different times. The ankle repaired quickly, but the knee has been giving me problems. It’s like an internal swelling, that flares up after speed work and some of the longer training runs I’ve done in the meantime. After Saturday’s 17-mile run on the NDW and Greensand Way, with 2,500 feet of ascent/descent, I felt really stiff all afternoon, evening, and Sunday morning. Sunday’s session was: run for 30 mins to warm,up, then pick a hill and aggressively hike up it, then run down it as fast as you can. Then repeat for 30 minutes.

I picked a short but steep hill which was very soft underfoot – not great for grip, but easy on the knee. I kept it light – well, not light exactly, but tried to make sure my landing foot was on toes and already moving back on impact, with a high cadence. It was quite tough, but not as tough as I expected. The weather was warm and humid, and I had a few strange looks from passers-by, plus a few comments and questions. The hill was less than 0.1 miles (about 0.07 miles I think) and I gave it the beans. I’d tell you how high it was but I can’t get my Garmin to sync. I was hot and sweaty throughout, but I didn’t slow down much – I roughly timed an up/down near the start, one in the middle and one at the end, and I reckon each was about 90 seconds. I suspect I got slower on the way up but slightly faster on the way down as I got braver.

When I got back home I RICEd, had a couple of Ibuprofen, and then had a bath. My knee didn’t hurt at all throughout the evening, and this morning it felt like I had new legs. This afternoon there has been a slight ache, but only slight.

So there we have it – a cure-all for a knee problem: crazy hill repeats!

Training: w/e 27th May 2012

I’m still suffering with a shin complaint, my left leg grumbles a bit particularly after I get up in the morning. Achilles is a bit painful too. I ran a couple of 4-milers, 8:45/min pace, on Monday and Tuesday this week, but then didn’t run as planned Wednesday- instead RICEd it and continued strength exercises. Hoping to run Thursday and Friday, then first open-air swim of the season on Sunday with Alick.

Update: What a difference a few days make. Ran Thursday and Friday, both shortish sessions, came out OK. Felt strong. On Saturday went with Sarah & kids to Queen Elizabeth National Park near Petersfield, and while Sarah recced the route for her HM I pushed Daisy up and down hills while Billy did the ‘space trail’. Tiring stuff. On Sunday morning I ‘swam’ in the local lake, an awful experience – couldn’t breathe properly, got panicky, didn’t enjoy it at all. Went later for an angry run with Alick, did 5 miles at about 8.24 pace, making it just over 20 miles for the week. Also, a breakthrough – tried mid-foot striking, and afterwards (and morning after) no pain in either shin, knee, achilles or anywhere! Woot. Will keep on with this and see where it goes…

Trying a Tri.

After the initial success of the 10K run, I thought about longer distances. I’m not really one for half measures, so I immediately wanted to go for a marathon. Which one, and when, and how much training I would need could come later – I was keen to build on the momentum I’d gathered from the 5/10K runs. But then, circumstances changed. One morning I woke up with shoulder pain. I couldn’t raise my hand above shoulder height without excruciating pain. I visited the work physio and he told me it’s because of hypermobility.

I’ve always been hypermobile, although it used to be called double jointedness. A party trick when I was younger was to bend one of my arms back the wrong way, only a little but enough to make others groan. I never thought it to be a problem, until 42 years into my life it was explained that an excess of collagen, and the resulting hypermobility, need to be treated with a certain amount of care. The ball in the shoulder joint normally rotates tightly within its socket, but with my hypermobility it also moves up and down, which literally pinches bits of muscle and whatever other fleshy bits it comes across, and causes this pain. The physio said I’d need to learn to raise my arms differently, walk differently, do press-ups differently, stand differently – pretty much everything would need to change, so that all my joints should behave as they would ‘normally’ (if I wasn’t hypermobile). At the same time I told him about my notion of running a marathon, and his response was that not discouraging, exactly – but that I should consider other complementary activities to help balance out the running. Cycling and swimming, say. Yes, triathlon would be ideal.

So, this being July 2011, I set about finding a triathlon for sometime in 2012. Friends and colleagues of mine heard about it and some said that they did triathlons, something I didn’t know before. I suspect this is a similar phenomenon to the baby aisle in Tesco being invisible to shoppers until they have kids. All these people doing triathlons, until that time unbeknown to me. Two had even completed half-Iron Man events, and one a full Iron Man. So, I had a mountain bike, I could hire a wetsuit, this was for me. I started buying Triathlon magazines, getting into the swing of it all, and kept up my running. Just by thinking about triathlons I felt fitter and more capable. Some weeks later, I decided on a whim to bring the date forward by a few months to November 2011, because I found the Castle Series Triathlons – and the Hever Castle Tri looked like a good family-friendly one to have a crack at.

I trained and trained, doing most of my cycling in the gym along with some bike-to-run transitions. I happened to get talking to one of the mums at my son’s school, who said her husband (who had done an Iron Man) swims at a local open water lake – another thing that until then had passed me by. A lake that you could swim in, 3 miles from my house. (The lady’s husband, Alick, would later become my friend and training partner, and introduce me to the joy of trail running.) I found the idea of swimming in a lake exciting but scary, and turning up to my first swim at 8am on a Sunday morning was a pretty intense experience. I remember having to stop swimming so a family of ducks could swim past, which made me smile. I kept on going there each Sunday for a couple of months until I could swim 400m without stopping. Some effort, I can tell you – I’m not a naturaly swimmer.

Then in November I did the tri. The 400m swim went OK, I started at the very back and managed to overtake a few people; and I saw my wife and kids cheering me on before and after the lake. The 20K bike was great, I’d borrowed a nice carbon Bottechia from one of the PT instructors at my gym, which made me a bit more speedy; and then finally the 5K run – well, my chip time said 22 minutes, which put it in the fastest 5K I’d ever done by some 4 minutes. I always suspected the distance was nearer 4K. Anyway, I got round in 1 hr 35 or so, and knew I could easily improve in a few areas – particularly one of the transitions which was very slow.

I was ready for the next challenge.

Physio, heal myself.

I’m injured. Not badly, but enough to keep me from running not just yesterday, but today as well. On Wednesday I continued my recovery plan from last weekend’s half marathon with a few 2 minute bursts, and some nice restful pace in-between. Thursday morning, shin and knee pain on the left leg.

Went to the physio. Great guy! He’s always entertaining and painfully, but comedically, direct. First time I saw him, a year ago, he told me I ‘run like a chicken’. Later, he corrected himself, and instead told me I ‘run like Phoebe from Friends’. Do I pay for this abuse, or is it extra? Doesn’t really matter, as long as his analysis and advice works.

So this time, he had me hopping around the room on each leg successively, before noting that my left knee rolls on on the hop. Diagnosis: weak calves. Homework: calf strengthening exercises. See me again in a week. The hypothesis is that a weak calf will cause the foot to roll in during plyometric exercise (elastic/explosive strength, as with the Achilles tendons during running). Foot rolling in means that other muscles are working harder than normal – notably the two muscles that control the foot roll and the big toe. Both those muscles go all the way up to the knee, and sit very close to the shin bone. It’s those muscles that, when overworked, can give rise to shin splints. So my weak calves are likely causing both my knee and shin pain.

The wonderful thing about this physio is that each time I’ve seen him about some niggly ache or pain, he has had me do some rehab exercises that have demonstrated an almost immediate beneficial effect. This time, hopping around caused pain in my knee. Five minutes of calf raises of varying types, and then hopping again – and no pain. Like a soothsayer, or maybe a horse whisperer – actually more like an engineer, explaining the machine of the body and how the bits link together, and discussing his hypotheses for what could be happening to cause a pain. Wonderful skill.

I’m still going to run this weekend though.