I started running again, after a two-year hiatus. I wanted to share what I learned from developing and recovering from an overuse injury.
The day I decided that "my thing" for the next year would be running, everyone was surprised, especially me. I had never run a mile in my life, and I was 35. On my first run, I couldn't make it around the block and I had to lie on the floor afterward. I'm nothing if not stubborn, though, and I kept going, running every day for the first several months. Four years later, I ran a marathon. Untrained, no coach, adapting a training plan I got out of a book, because I'm supposedly smart enough to figure everything out for myself.
While training for that marathon, I developed tendinitis of the anterior tibialis. (That's the tendon in the front of your ankle that makes your foot flop up and down). It was so painful that I would sometimes wake up in the middle of the night feeling like someone was kicking my ankle with a cowboy boot. I got two MRIs, which showed nothing, and did physical therapy for six months, after which I was still having unexplained pain.
I attributed the tendinitis to making too many changes to my routine at the same time: changing my terrain from dirt and gravel to concrete; doubling my mileage; and changing from a barefoot shoe to a minimalist shoe. I get a strong analgesic effect from running, which is the main reason I do it - for several hours after a run, I feel total relief from physical pain. I would run, feel great, get up the next morning, do it again, and thus keep passing the buck of the developing stress injury to the next day. By the time I was really feeling it, I had done some damage to myself. I would never quit, though, or postpone my marathon to a different year. I had made an internal and a public commitment to follow through, and I would do it if I ran myself to bloody stumps.
That was dumb.
What I wish I had done was, first, to not advertise my commitment. I should have simply worked on building my mileage until a marathon distance felt like a natural outgrowth of my routine. Deadlines don't have much motivating effect on me one way or the other. I run because I like it, I want to, and it feels good. (Except for when it hurts so much that I can't run another step).
The second thing I should have done was to STRETCH for at least a couple of minutes during my cool-down. I blew this off for four years. If I had taken the need to stretch seriously from the beginning, I might never have had the problem. I traded something that is free and feels great for months of intense pain that cost me hundreds of dollars in physical therapy. Whoops.
The third thing I should have done was to take seriously the concept that there are effective and ineffective ways to do things. I should have had more respect for expert opinion. There are stretches and strength-building exercises pertinent to distance runners. I knew about them, but I disregarded them because I felt like I was doing just fine on my own. I procrastinated on learning a few basic movements that even a kindergartener can do, like high knees, partly because I was always high on endorphins when I came home. Past Self, you fool!
Physical therapy and the search for relief brought me around. I learned that my orthopedist was chronically backlogged and literally never read the notes from my file until after I had my five minutes in the office with him. He wasn't oriented toward feedback from the physical therapists and thus wasn't learning more about recovery from sports injuries. I wish I hadn't gone for the second MRI, which I now see as a cash-generator for the clinic. I have huge respect for physical therapy as a healing profession; these are incredibly dedicated and educated professionals who see visible progress in their patients every day. However, there is a laser focus on the specific area of the pain, and I didn't learn enough to prevent its recurrence until further in my Fact-Finding Mission.
I wore an ankle brace. They hooked me up to some kind of electrical contraption. I ate fistfuls of anti-inflammatories. I stretched. I did PT exercises twice a day. I did heating pads. I did ice massage. I limped for months.
A year after I finished physical therapy, I started working with a trainer at the gym. He focuses on recovery and corrective exercises. When we met, I explained my injury in a few seconds, and he immediately described all the areas where I was feeling pain and weakness. I was thunderstruck. He didn't have a file on me, wasn't looking at an MRI, hadn't put me on an examination table, hadn't watched me do any exercises, and hadn't even laid a finger on me other than shaking my hand. Somehow, he already knew more about my injury than the PT did. What was he, a swami? We worked together, and he explained that I probably had referred pain from my tight calves. He referred me to a friend who does shiatsu massage.
THAT actually worked.
What I know now is that I need to continue to do strength training exercises, for the rest of my life. There is no point in avoiding it. Hip stability exercises, core, and quads. I need to stretch. I get a lot out of using the foam roller, even though I hate it. It's better if I run no more than three days a week, even though I want to do more. I have to cross-train. I need to be WIDE OPEN to constructive feedback from any and everyone who knows more than I do.
I want to do another marathon, and I want to run ultra. That won't happen if I push myself too hard. It won't happen if I ignore my body. It won't happen if I try to be all Stoic and prove points to myself. The path of wisdom here is to make my body stronger and more resilient. If I want to show off my supposed iron will, I can do it in other areas of life. I'd like to be a running machine, but alas, all I have is ordinary human flesh.
I've been working with chronic disorganization, squalor, and hoarding for over 20 years. I'm also a marathon runner who was diagnosed with fibromyalgia and thyroid disease 17 years ago.
This website uses marketing and tracking technologies. Opting out of this will opt you out of all cookies, except for those needed to run the website. Note that some products may not work as well without tracking cookies.Opt Out of Cookies