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Dealing with Injury – The Mental and Physical

It has been a tough couple of weeks. We’ve all been there, we have a target to complete and we are firmly fixed on the goal. We are running well and enjoying the training plan we are following. But then, injury strikes and we have to make decisions about to what we do next.

Keep on going – We’ve all done it. We ignore the niggle that gradually gets worse until it becomes painful. Then we are forced to either run through even more pain or we have to stop. This can, and usually does, make the initial injury worse.

Rest – One of the most common things that runners do. We think that resting for a few days will cure whatever issue we have. Whilst it may feel better when you start to run again, you do not know the reason for the initial injury, have not tried to deal with the cause and so it usually resurfaces. This could be within a few days or weeks, but it usually comes back.

Get Advice – This can be done the right way and the wrong way. The wrong way is to ask a search engine. This can diagnose a hundred different injuries, but how do you know which one you have and how to sort it. The correct way is to seek professional advice, whether that is a physiotherapist or injury specialist. They will try to diagnose injury and then will be able to give you information on how to get over the injury and then work on stopping it happening again. I’ve also found over the years that GP’s aren’t usually the best port of call as they are usually likely to tell you to rest until it is better. Being honest, they do have more important priorities with the amount of ‘ill’ people they have to see.

 

Personally, I would always recommend the physio/injury specialist route. I like to know what is causing any niggles I have and I want to know how to sort them and how to stop them coming back in the future. I want to make myself as ‘bullet-proof’ as possible to protect myself in future as I really enjoy running.

Next, how do you deal with the psychological side of injuries?

Get depressed – Sometimes when you can’t run you feel as though you are losing fitness by the day. This may be very slightly true (it takes more than a few days to lose a chunk of fitness) but instead of missing what you can’t do, look at what you can do. Can you cycle, swim or strength train? Do what you can to keep your heart rate up and your head will thank you for it as you know you are doing something productive. You will get back running again.

Give up – This is more common with people newer to running and is often caused by doing too much too soon before their bodies are ready for the strain they are put under. At the first sign of injury people decide that running is no good for them or they are ‘not built to run’. Persevere! Get over your injury and come back slower and more sensibly. Look for a plan to help you build up your mileage, whether you have a target or not. Think of running as a long-term activity and you have plenty of time to get fitter and faster.

Fight back – Get professional advice and do what they say.  This will reduce the amount of time you have to stop training for, if at all as some injuries will not stop you training.  We all know the stretching, strength training and other exercises we are given are not the same as running.  However, by doing these extra things you can minimise your time on the sidelines and help to prevent further injuries.

Re-evaluate your goals – This may sound obvious, but some people have a period of time out with injury and then think they can either go back to where they were or play catch-up. Don’t! While you are not running look at your original goals, whether they are short or long term. Are they still realistic given your current injury? Once you work out a new goal you can then look at how many steps back you have to take in your training. Be honest with yourself as taking an extra month to hit a distance target, or running a race without getting a PB is better than trying to hit an unachievable goal and ending up out injured for a long period of time.

 

I write this from personal experience as I am currently struggling with an issue in my left leg that the injury specialists I am seeing, Function Jigsaw in Wigston, think is a nerve impingement. I have been told I can run through it if I can deal with the discomfort it is causing and this is what I have been doing for two-three weeks now. However, as it is affecting my biomechanics and the way my left foot lands I cannot run to my full capabilities. Therefore, I have had to take a few days off to help recovery. I have also had to re-evaluate my London Marathon target. I know I am no longer capable of a sub-2:45 finish and I am going to use the Ashby 20 at the weekend to see how my leg feels over the course of 20 miles. I can then look at what will be a more realistic marathon target. It may be sub-3:00 (which I really hope it is), it may be trying to drag myself around to achieve a Good For Age finish. Or, it may be worse and I have to think about DNSing or ‘just get round’.

When you are injured it is all about keeping an open mind and being honest with yourself. I’d rather scrape a Good For Age time but be able to run healthily for the rest of the year than push for a sub-3:00 time and miss out on a summer of running.

Be sensible, be honest and BE POSITIVE!

 

Want to know more about running, personal training or nutrition?

Do you want a personalised training plan?

Contact me today to ask any questions or to book your FREE consultation

Call me on 07815 044521 or email me at martinhulbertpt@gmail.com

Martin Hulbert – Personal Trainer Leicester & Online Personal Trainer

London Marathon Training – Week 10

Week 10 was initially a planned cutback week, but due to lower than planned mileage in weeks 7 & 8 I went into week 10 just trying to do as much as I could. However……..

 

Monday morning started with a 3 .2 mile walk with my wife, followed straight after by a hard progression run. The plan was to run each of the first 7 miles faster than the mile before. I started at an easy pace and then quickly increased, through miles of 7.37, 7.14, 6.52 & 6.41. The last 3 miles of this run are always harder as they take in Welford Road from Victoria Park to Wigston. These were ran at 6.29, 6.22 & 6.02 paces, with the last of those being very hard work up two hills into Wigston. I finished with a bit of a sprint, but couldn’t get the pace to sub-6.00. My left leg just wouldn’t stretch out enough to be efficient enough! I ran another 1.5 miles as a cooldown to recover.

I spent a good amount of my sitting time for the rest of the day (and week) sitting with a hockey ball in various parts of my buttocks, hamstring and calf trying to increase mobility in my left leg.

 

Tuesday was back to my long double days (although this was a triple day as one of my clients wanted a Running Buddy session). I started the morning with a 10 mile very easy effort run. It was an easy effort but I felt as though I was ‘managing’ my leg, rather than running with an efficient stride. My left calf was tight and sore with almost every step although after about 6 miles it did start to ease a little. I’m not sure if that was more psychological as I’d managed the soreness for a while?

The second run of the day was at 10am with my client. We ran 5.3 miles in the sun around Knighton Park at a very good pace for her. Weirdly, my leg felt fine through this run, which in a way just frustrated me more due to the issues I had on my own run.

My final run of the day was the club run. I was being sensible so didn’t run before the club and ran 8.3 miles with the faster group. I just ran with others without pushing the pace or effort as I usually would have. This was mainly due to my leg feeling very weird for the first 3 miles, with various issues from a tight ankle to shin pain to tightening hamstrings. This was despite rolling and stretching before leaving the house. For the second half of the run my leg stopped being weird and started to develop a soreness in my calf instead. Rock and hard place!!! On a plus point I had ran 23.7 miles for the day.

 

Wednesday was a planned rest day so I spent an hour in my gym lifting weights and doing leg strengthening exercises. I also managed to book in with Function Jigsaw for a massage and to look at what was causing my leg issues. After a big of manipulation and massage it looked as though I had a nerve issue in my left leg, meaning that as I was trying to land my left leg my biomechanics were out, meaning I was landing flat footed which in turn was causing the calf issues. Once again I was told to use a hockey ball on my buttocks and hamstrings to try to loosen the tension in them and hopefully to help repair the nerve signals to my foot. They also wanted me to go back on Thursday to sit in their ‘bath’!

 

Thursday was a second non-running day (with another hour of weights and core in my gym) with a lunchtime appointment at Function Jigsaw. I’m not sure exactly what it is called but you sit in a bath with your back against a pad. Hey then send an electric current through you to stimulate your nerves. That sounds a bit dangerous but it felt more like the sensation you get from a TENS machine. Or at least it did until it was obvious that my left side had an issue. As the machine was turned up higher my right side (the normal one) had sensations from my hip to my toes, whereas on my left side the sensations were getting jammed at my hip, sending them shooting into my abs and back. It felt like a very strong Slendertone machine from back in the day (remember those machines where people thought they could get abs by sitting on a sofa with a belt strapped to their waist as they ate chocolate!). I have to say it was not a comfortable experience but it showed that there is a nerve issue in my left leg. I was sent away with a plan of using the hockey ball, stretching and rolling to try to get an improvement for Monday when I need to come back to try again.

 

Friday was another non-running day and another hour of weights, stretching and leg strengthening, plus sitting on hockey ball and rolling at various points during the day.

 

Saturday was a total rest day from exercise, apart from loads of rolling, stretching and using the hockey ball. I hope it works as it is not comfortable!

 

Sunday was my day to test my left leg. I needed to do this for the good of my head as well as my legs. My legs felt spritely from the off and I was running at a far faster pace than usual for my heart rate. That was mainly down to this being the first time I have ran without tired legs for the best part of a year! My left leg still didn’t feel right, although now the calf soreness had gone and it felt more like a twinge on the outside of my foot, pushing up through my shin! It was good to be back out though and I ran 4 miles at an easy effort.

 

I am now at the point, with three weeks of full training to go before I start to taper, that I need to either sort out the problem or just learn how to manage and run through it. I’ve given up the idea of running sub-2:45 and believe that due to the amount of miles I ran during my base phase (and last year) I am still capable of running sub-3hrs and definitely under the 3:10 or 3:15 I need to keep my Good For Age place going. Injuries like this just focus your mind. You are stuck between wanting to run and being sensible for the longer term goal.  I am hoping for a good week to come as it is the Ashby 20 on Sunday, a race I really enjoy, even though I only run it at training paces.

 

Week 10 Totals: 36.3 miles covered over 5 runs, plus 3 strength sessions and loads of stretching, rolling and sitting on hockey balls.

Want to know more about running, personal training or nutrition?

Do you want a personalised training plan?

Contact me today to ask any questions or to book your FREE consultation

Call me on 07815 044521 or email me at martinhulbertpt@gmail.com

Martin Hulbert – Personal Trainer Leicester & Online Personal Trainer

London Marathon Training – Week 7

Week 7 was finally going to be my cutback week as my first six weeks had averaged 78.5 miles.

 

Monday started with a 3.1 mile walk with my wife, immediately followed by an 9 mile run with the first 7 miles ran progressively faster than the previous mile. I started at 7.35 pace and gradually quickened the through 7.25, 7.04, 6.49, 6.30 & 6.10 paces until mile 7 was down to 6.03 pace coming back up Welford Road towards Wigston. The final 2 miles were ran at an easy pace to aid recovery. I always find this run mentally challenging as I know going off too fast makes the last half really tough, but the last two miles are always hard as they are net uphill coming back towards Wigston. However, the recovery from this run is minimal as half is run quite easily paced.

 

Tuesday was far shorter than previous Tuesdays. I had a Running Buddy session in the morning, which was a tour of Wigston, trying to find every uphill possible for a good 5 mile hill session for my client. Tuesday evening was a shorter than normal run as I drove to the club and just did their run. This was a 6.6 mile route which ended up being faster than normal. My legs felt good as after the first 2 miles we averaged 6.41 for the next 2, then 6.12 for the last 2 miles. I would have expected this as the total of 11.6 miles is less than half of a normal Tuesday.

 

I awoke on Wednesday and walked 3.3 miles with my wife but developed a bit of a ‘pain’ in my left calf. I always suffer with tightness in my left calf and it is one of the indicators I use to know when I need to back off training. As this ‘pain’ was not muscular tightness, but more of a sore spot running down my leg between my shin and calf I thought it was best to rest and get a physio appointment. Unfortunately, I couldn’t get in to the physio until Thursday lunchtime.

 

Thursday was a second rest day as I awaited the physio appointment. It was also my wife’s birthday so today was always going to be a short easy day so missing a run wasn’t an issue. I went to Function Jigsaw and after explaining the issue, a bit of prodding, bending me around I was diagnosed with Tibialis Posterior inflammation. I was given stretches, told to roll my glutes and to use a hockey ball to get deeper in to the tissue to relieve some of the pressure (I hate sitting on hockey balls as they are more painful than the inflammation in my leg)! I was told I was ok to run on it if I could cope with the discomfort. I left Function Jigsaw much happier, knowing that it was not a game-changer in the scheme of the marathon or Equinox.

 

Friday was a 3rd non-running day in a row (I can’t remember the last time that happened). However, it was planned as my wife and I were off to London for the day. As usual, we stayed above ground and walked everywhere, managing to wander approximately 8-8.5 miles during the day. That also doesn’t include the time spent on feet wandering around the shops!

 

Saturday was back to reasonably normal. As this was a cutback week I decided to stick to my plan and ran 16 miles. This was broken down as 8 miles easy/steady, 6 miles at marathon pace and 2 miles easy to finish. My legs felt a little strange after no running for 3 days and a lot of time spent on feet in London the day before. However, as I got past the first 2 miles they started to settle down and feel normal again. The first 8 miles then flew by as I gradually got quicker from 7.15 pace for the first mile to 6.41 pace for mile 8. I then pushed on down Great Central Way, aiming for my heart rate to be around 150-155bpm as an average. The next 6 miles all averaged between 6.11 & 6.16 pace with an average HR between 151 to 154bpm. Absolutely spot on! I could feel it as I slowed down for the last 2 miles as running a 16 miler as a first run back after 3 days off was not ideal but, needs must!

 

I finished the week off on Sunday with an easy effort 4.5 miles on the way to volunteer at Aylestone Junior parkrun. As most of it was downhill, the pace was 7.00 average for the first 3 miles, even with my heart rate at under 130bpm.

 

Week 7 Totals: 41.2 miles covered over 5 runs, plus about 17 miles of walking, 2 strength sessions and some basic core exercises on my BOSU ball.

Want to know more about running, personal training or nutrition?

Do you want a personalised training plan?

Contact me today to ask any questions or to book your FREE consultation

Call me on 07815 044521 or email me at martinhulbertpt@gmail.com

Martin Hulbert Personal Trainer Leicester

London Marathon Training – Week 6

I wanted week 6 to be a big week and that is exactly what it turned out to be.  My biggest week of mileage ever!

 

Monday started with a 3.1 mile walk with my wife, immediately followed by an 8 mile run with 3 miles at marathon pace. On tired legs, I was pleased to hit an average of 6.15 pace for the marathon pace miles with my heart rate being in exactly the same place as it has been on my previous marathons. I use this as a guide as I know that a heart rate in that region is sustainable.

On Monday evening I had a Running Buddy session, where I was showing a client how to run a progressive training run. It ended up a great run for him as the first 3 miles were net downhill with the wind, whereas the next 2 miles, his fastest, were uphill and into the wind and heavy rain. He managed to finish with a mile that was 1m/m faster than his anticipated race pace. He was happy, I was happy and it threw up some questions as to whether his race pace may be quicker than we first thought. The run ended up being 6.43 miles giving 14.5 miles of running for the day.

 

Tuesday, as usual, was my long day. It started with a 10 mile easy run, followed mid-morning with a 4.4 mile Running Buddy session which was mainly running up every hill in Wigston! I finished the day with a 3 mile run to the club and then a comfortable-paced run with them and an easy mile home for an evening total of 12 miles and a daily total of 26.42 miles.

 

Wednesday, as always, was a very easy day, with just a 4 mile recovery run at a very easy effort.

 

Thursday was overall a physically tough day. I started with a 3.1 mile walk with my wife, followed by an easy 6.6 mile run. In the evening I ran down into Wigston to join the club speed/hills session. As I wanted to make the session as hard as possible for me I wanted to run off the front of everyone else immediately, in the hope of doing at least one extra lap of each hill than everyone else. After an initial warm-up rep we headed to the bottom of Newton Lane and then I pushed hard up the loop of Newton Lane hill, turning right at the top and running hard back down the hill to Welford Road, with the recovery being a flat stretch of Welford Road, about 100 metres long. To make it harder I jogged this recovery at a cruising pace so that I wasn’t as recovered as normal for the next rep. After 5 of these I felt as though I was struggling but surprisingly, each rep actually got faster and rep 5 was 4 seconds faster than rep 1.

The next set of reps was a loop of 3 roads on the Wigston Harcourt estate. The faster parts of the loop was 400 metres in length and once again I ran as hard as I could with the recovery being as fast as I could sustain. Once again, the reps got faster as I got through them, with rep 5 being 5 seconds faster than the first. We then did one final sprint uphill on Meadow Way where although it felt as though I was running through treacle I actually averaged 4.4m/m pace. The session finished with me running back home to complete a total of 7.9 miles for the evening and 14.5 miles for the day.

 

Friday was another easy day with just a 4 mile recovery run after the Thursday intervals and I could certainly feel it in my legs!

 

Saturday was a long 20-mile run that I never look forward to, but always seem to nail when I actually do it. I call it my 6,5,4,3,2 run as I increase the pace the further through the run I go. I was up and out before 6.45am on Saturday, with the weather very cold, dark and sleeting/snowing/raining. Plus there was an annoying cold wind. I felt quite good for the first few miles and the first 6 miles averaged 7.16 pace. I then pushed on a little harder for the next 5 miles, which averaged 6.53 pace but still felt very comfortable. At this point I was heading towards the bottom of Great Central Way. After the first of the next 4 mile block I turned at the bottom of GCW and headed back up to Glen Parva. I always find it harder running this way as it is net uphill. This 4 mile block averaged 6.30 pace and my HR was still way below my normal MP HR. Just as I got to the bottom of the big hill at the top end of GCW I had to increase my speed again, this time to around marathon pace. Heading back towards Wigston I hit a very cold headwind but kept pushing, keeping an eye on my HR, trying to keep it between 150-155bpm. I managed to keep going for the full 3 miles within the HR I was looking for, with my average pace for the 3 miles being 6.10 per mile. I was very pleased with this as it was faster than I had expected but was also my 80-82nd miles of the week. The final 2 miles was a sedentary-feeling 7.11 average pace.

 

Sunday closed the week with a very easy 4 mile recovery run on very tired legs.

 

Week 6 Totals: 87.5 miles covered over 11 runs, plus 6.2 miles of walking, one strength session and some basic core exercises on my BOSU ball.

Want to know more about running, personal training or nutrition?

Do you want a personalised training plan?

Contact me today to ask any questions or to book your FREE consultation

Call me on 07815 044521 or email me at martinhulbertpt@gmail.com

Martin Hulbert Personal Trainer Leicester