lørdag 11. mars 2017

Something bit my butt

I should have bitten my tongue...

"If you are feeling great and completely out of pain, don't tell anyone",  a wise friend told me. Just a little too late... About three weeks ago I was feeling great, my form was steadily improving, and I remember telling several people during a training session that for the first time in almost three years I was completely free of pain, I didn't feel any discomfort what so ever in my legs.... And then just two days later my hamstrings started to complain... I have been struggling with them since then, but I have some hope that the situation is getting under control.
How did I get there in the first place? I honestly don't know what I did wrong. As I was writing in an earlier blog post, improved form is the foremost danger of injury. You start running faster and longer, and then one thing might lead to another. However, I was really being cautious, not running more than before, and not pushing for sprints or max HR. It could actually be that the triathlon weekend, although it gave varied training, was a bit too heavy with the kind of training I was not used to. Seven sessions of 90 minutes each, all within 48 hours. Hamstrings started complaining shortly after that, with a few really painful "lumps" in the muscles at the back of my thighs.

The worst part of starting to feel some pain that could be the start of an injury is not knowing what to do. "Shall I back off? Shall I stop running completely for a week? Shall I run short and slow runs? My form was so nicely improving; will everything be ruined if I have to stop for a while?" Once you decide what to do, then you relax and start focusing on your new plan. You have to decide wisely though. Loosing a week of running now could be so much better if you can stop the pain from developing into a consistent injury, which might make you loose several months of running later. I think I have managed to reverse the pain now; and this is how I went about it:
Backed off from running for about two weeks. I decided not to take any risks. I stopped running and weight training on the legs, to give them some rest. The triathlon weekend had made the threshold much lower to go to the swimming pool, so I swam several times a week during this time. I also had the opportunity to go cross country skiing, which worked perfectly in this period.

Compression and ice. I frequently applied ice on the hurting parts, and used compression around my thighs. Several days I wore both my tightest compression shorts and a compression band underneath my clothes. I still have two half liter bottles filled with water, in the freezer, and I take them out and place them under my butt when I am sitting, sometimes even when I go to bed.
Positive thoughts. Like: "Even if things get worse and I cannot run for a while, there are so many other things I can do. I can bike, I can swim, I can go to spinning classes, I can row, I can do more strength training, I can do Stoltzekleiven and Ulriken regularly, ...." Or: "If I cannot run Bergen City half marathon, then it was really fortunate that I signed up for Ironman in Haugesund. I can concentrate on the swimming and biking part of that, hoping that the legs will be in shape to start running a month or two before the race."
Massage. Poor Frank.... He massaged me (and still does) every day to loosen the lumps. Having tried all sorts of therapists during my previous injury period, I knew exactly where to press and how hard. I could of course go to a massage therapist again, but the very hard and painful pressure is not really working for my body. I did consider needling, though, because that works much better. But so far the massage has worked pretty well. The lumps are decreasing in size day by day and getting less and less painful.
Yin Yoga. Wow! Why did I not try this before? I think I know why. Probably because there is not enough workout in it. Actually there is no workout in it. Yin Yoga is simply about relaxing, stretching gently, holding the stretch for several minutes, letting go of all tension, and not pushing harder than what feels comfortable.  I have done this several times now, and it actually takes a few times before you realize how it works. At the first session you think that you are relaxing but actually you are not. There are so many small muscles all over the place that really need some practice to completely relax. It's just wonderful. I could never have imagined. I really really recommend it to all runners.
Heavy slow resistance training.  Although it is my constant intention never to stop with these exercises, I had been neglecting them recently. After giving the legs a few days of rest, I took up HSR training regularly, and I immediately started to notice improvement. These are the remedy to every injury! There are HSR exercises designated for every part of the body. And there is the added bonus of getting stronger by doing them.

Back to running. But not too fast and not too cold. I decided to try and see what worked. Flat fast running brought back the lumps, whereas uphill running worked much better. So the concentration is on the uphills these days, and the flat running happens mostly indoors on the treadmill. My legs work best when the surroundings are warm, and I try to avoid icy conditions.
Bike roller. After every run I sit on the bike for about 15 minutes and roll easily to loosen the legs. This actually seems to work wonders.

What's the plan ahead? Simple. Just keep doing the things that work and stop doing the things that don't. Keep the positive thoughts, although I did notice a slight worsening of the form. My HR is a little higher now,  and it is easy to fall into negative thoughts like "but things were going sooo well, why did this have to happen now?" Then I tell myself to stop whining and remind myself of all the much worse things many people are struggling with everyday. This is in fact nothing in comparison!

Set your priorities right, keep you spirit high, enjoy life in every way that you are able to.

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