If you’re looking for a resouce on how to cure a nagging running injury, this is not it. For a great resource on learning how run injury-free, pick up a copy of Running Strong & Injury-Free, by Janet Hamilton. You’ll learn there are five main causes of running injuries–training errors, inappropriate footwear, inadequate flexibility, inadequate strength, and poor biomechanics. The trick of course, is learning how to train while preventing injuries. Triathlon is the best thing I’ve ever done to prevent running injuries. The cross-training helps prevent overuse and repetitive use injuries.
Most Common
I’ve had plantar faciitis and it sucks. It feels like the bottom of your foot is being ripped off. It’s one of those injuries you can try to run through until it cripples you. If you don’t recognize it, you’ll easily spend lots of time and money with a battery of doctors, podiatrists, accupuncturists, chiropractors, and other gurus. My physical therapist used massage, ultrasound, stretching, heat/ice, and then taped my foot in a manner I would never be able to do myself. Then after an extended break from running, I started with a 2-mile run and added a 1/4-mile each day until I was back to my normal training regimen. I bought a calf stretching device which I should really use more often.
Runner’s Knee is very common. I’ve had it on and off this year. When my PT diagnosed it as patellar tendinitis–the technical term–I figured it was the result of running 60 – 100 miles a week on trails. Knee injuries comprise about 55% of all sports injuries and approximately one-fourth of all problems treated by orthopedic surgeons. A bad knee convinces lots of couch potatoes to stay on the couch. Don’t do that.
I haven’t had shin splints since high school but it’s very common with new runners. I sort of think of shin splints as a rite of passage. Lots of rookies get it. If you can get past this annoying injury, you can probably train for a lot of different things.
Everyone calls it ITB Syndrome. That’s Iliotibial Band Friction Syndrome. Sounds like a world of hurt and I’ve never had it. Now I’ll probably get it. I’ve always dreaded this one, partly because it seems unavoidable. The iliotibial band starts on the outer hip, runs down to the outer knee, then attaches to the lower leg bone. It spans so much of the leg it’s a miracle I’ve avoided this one. I even have an ITB strap for running but I’ve never used it. I’ve also had the good fortune never to have had blisters. I think it’s because I have a good foot strike and I take great care with shoe selection. I’m not sure blisters are really injuries, although the ones you see at Badwater or other ultras look far worse than most injuries.
Most Painful
The worst injury of all may be a torn Achilles tendon. The few people I’ve met with this injury have never quite returned to their former running condition. This can be a career ending injury. I watched Brad Pitt go down in the movie Troy when they shot him in his Achilles. It looked like it really hurt. Crashing my bike into a rock wall was more painful than any running injury, resulting in a deep gash in my right hand and plenty of road rash. I’ve also broken my back in seven places while tree skiing and separated my shoulder in a separate incident at Lake Tahoe, but that’s a story for another time. Suffice it to say I understand pain. What I have learned is that recovery and rehab from a serious injury requires more mental toughness than physical effort.
Hard To Diagnose
Chronic Exertional Compartment Syndrome is not easily diagnosed. Lots of runners have never heard of it. It’s a lower leg injury that occurs when muscle groups outgrow their normal ”compartment” size. I’ve never had this one and hope I never get it. Maybe I should train less to avoid it.
The Shoe Conundrum
There’s been a lot of hysteria and hoopla this year about running barefoot or wearing the glove-like Vibram Five Fingers after the launch of the wildly popular book, Born To Run, by Christopher McDougall. I thoroughly enjoyed the book, and I’m amused by Tweets from Barefoot Ted and Caballo Blanco, but I’m not at all interested in taking off my perfectly comfortable runnning shoes. You can do what you want, but I’m pretty sure I was born to run with shoes.
I’ve been watching my left big toe change form and color since I nearly destroyed it in July doing the Tahoe Rim 50K. I had inserted my road shoe orthotics into my trail shoes which are a half size bigger. Tha’ts not a good thing when you’re tearing down a hill 25 miles into a 50K. Haven’t we all calculated how long it would take for a toenail to grow back? Will it grow back in time for this or that race? What if it falls off in the middle of a long run or race? Will it hurt? A black toe generally doesn’t even hurt, but the sight of it makes it look like an injury and so we look at it every day as if we’re injured.
I’d like to think my experience has taught me to be a smarter runner and triathlete, but I think it’s more a case of trying to do fewer really stupid things. If training, racing and working out is a lifestyle thing for you like it is for me, you’ll probably get injured. Unless you are Dean Karnazes, who claims he has never had a running injury and credits his perfect biomechanics. Dean is a baffling example of staying injury free, but that’s not to say he has never been injured. He fell and cracked three ribs at the Transrockies Run this year and could not finish the event. It’s possible to have perfect biomechanics but it’s extremely rare. It’s like saying you’ve never had the common cold.
Filed under: Run, triathlon | Tagged: Achilles tendon, Chronic Exertional Compartment Syndrome, Dean Karnazes, Iliotibial Band Friction Syndrome, ITB Syndrome, plantar faciitis, runner's knee, shin splints, Vibram Five Fingers | 1 Comment »
Dates: March/April
Dates: Feb. 11 – 13, 2010
Lots of people have asked me if the Transrockies Run was everything I expected. The answer is yes and no. Yes, I expected an epic week of running and Colorado certainly delivered. The views were stunning, the TRR staff was incredible, the atmosphere was electric. But due to Kevin’s injury, we did not get to run hard everyday like we wanted to, so we didn’t get to experience the one thing we wanted more than anything–to push ourselves to the limit and see how we stacked up against a very solid field of runners from 10 countries and 29 states. Am I disappointed? Not in the least. Most things in life don’t turn out according to plan. I am grateful for even having the opportunity to participate.
The final results are humbling. Kevin and I figured in our best condition, we might have covered the course in about 23 – 24 hours. That would have put us in roughly 12th place in our division, exactly in the middle of the pack and right where we thought we might finish when we started the race. I remind myself that our original goal was simply to finish injury free. Well, at least we finished. It took us 30 hrs., 57 mins., just edging out the California Old Goats, the oldest team in the field at 65 and 70 years young. Right behind them were speed-inspiring names such as the Blazing Rocking Chairs and the Big Fat Cohibas. Notice the lack of major brand names preceeding their team names. Team names starting with Salomon, Nike, Montrail, North Face, and Nathan all led their divisions and were showered with schwag all week long. The winnning time posted by Run Flagstaff was 14:59:59, less than half the time it took me and Kevin. That’s just about the difference between running and going for a hike.
I think there was a big missed opportunity with the elite field that had assembled this year. We had a fair amount of free time in the afternoon and early evening. I thought it would have been great to have Hal Koerner do a chalk talk on how to run your first 100-miler, or have Anita Ortiz talk about her recent win at WS100. Nikki Kimball has great
Would I do the Transrockies again? I would love to but probably won’t, unless by a fantastic but improbable set of circumstances, several friends from my local running club all decided to do it in the same year. If I could afford it and could make the time to do another stage race, I think I would choose the
This is it…the last stage. Wow, what a week! The day started with a long line of runners lined up to get taped, bandaged or otherwise jerry-rigged to get through the last 21 miles. We started right where we finished inside the Beaver Creek village. It was a flat 2-mile run through the village before the day’s climb began, so I took off ahead of Kevin again so he might catch me on the climb.
I was thinking about my sister Julie who had been in the hospital getting steroid treatments for her MS the entire time I was racing. I was pleased with my efforts in raising nearly $7000 for the National MS Society until I met Karl Robohn and Bill Grar of Team Livestrong. They have raised an impressive $300,000 for the Lance Armstrong’s cancer foundation over the last three years. I need to take a page out of their book and figure out how to go well beyond the $10,000 fund-raising goal I set for myself. Karl and Bill also took the award in my book for the coolest gear–a mini video camera mounted to the visor and a wrist-mounted camera.
The trail suddenly entered a fantastic aspen forest where the breeze causes the leaves to twist and flutter. It’s an awesome experience to run through this environment. As I neared the first checkpoint at around the 6.5-mile mark, Kevin had not yet caught up to me, so I waited for him to avoid being assessed a 60-minute penalty at the checkpoint.
The first thing I did when I crossed the line was call my sister Julie. She was still in the hospital and I could only leave a message, but as I tried to hold back my emotions, I told her I am immensely proud of her for keeping up her fight against MS. She struggles every day of her life. I only struggled for six days, but I actually had a world of fun doing it.
It was a chilly 36 degrees in Red Cliff so everyone packed into Mangos where many of us had crammed in yesterday for lunch. The starting chute was literally outside the front door of Mangos. This was going to be the longest stage of the race and Kevin and I were prepared to be out there for seven hours or more. Well, mentally prepared, anyway.
The final 9.5 miles of this stage runs straight through the famous back bowls of Vail ski resort, all the way around to the front of the resort. I’ve done a lot of skiing my day but never at Vail, so it was sort of strange to be running along some of the most famous ski slopes in America with no snow on the mountain. We imagined carving new tracks in fresh powder as we slogged up the mountain single file along switchbacks to the top of Mongolia Bowl. Everyone was walking and it was hard to imagine anyone actually running the final ascent.
We reached Checkpoint #2 to see several teams putting on their best display of dancing to the theme of “So You Think You Can Dance” as a TRR videographer captured the nonsense. Still, it was another moment in the race for me that personified the liberating feeling the simple act of running can deliver. Dance like nobody is watching, live everyday as if it is your last, and run wild and free.
Here’s the Jeep that was carrying the supplies to the first aid station. The steep pitch blew out the driveshaft and sent the Jeep hurtling 50 yards down the mountain. The driver told me later there was 30 seconds of panic as they attempted to stop the vehicle from careening off the mountain. They are actually very lucky to have stopped the Jeep at all on the trail. An ATV was sent to get the stranded supplies to the first checkpoint and managed to have an aid station ready just ten minutes before the lead runners came through.
Unfortunately for Kevin, the descent over the next four miles was a rocky ATV trail with uneven footing, forcing Kevin to twist and turn his leg in ways that only made the pain worse. He continued to use my poles and I grew accustomed to listening for the clacking of the poles to gauge my speed so I wouldn’t have to look back all the time. It was a slow descent as we were passed by many runners. We are both fiercely competitive and can’t help but feel the bite when someone passes us, knowing there is nothing we can do. Someone aptly advised us to “replace the Time Devil with the Finishing Angel.” Easier said than done.




Two hours after the start of the stage, we finally reached Hope Pass. We had passed the tree line at around 12,400 ft. so the scenery abruptly changed. Everything suddenly looks like Mars. We stopped long enough just to snap a photo. The temperature had dipped into the 30s at the summit and Kevin was eager to get to a warmer place.
We started our descent but as we expected, Kevin was unable to run. It took us another two hours to get down the mountain, finishing in 4 hrs. 2 mins. We don’t want to be disappointed so we’re not even checking the results tonight. Frankly, we’re just glad to have finished the stage.
Nervous excitement and anticipation at the start line was palpable. The race started promptly at 10:00 am. Kevin and I could not have been happier to get going after laying around doing nothing in Buena Vista for 36 hours. Our hope was that our 2-night stay had helped us acclimate.
Kevin had to walk it in for the last five miles but the pain subsided. He kept a brisk walk while I matched his stride with a slow jog, but keeping a 14-min. pace after 20 miles at 8500 ft. is not an easy task. The impact of an injury in a team event is different from a solo race. It doesn’t matter who is injured–it stops both team members–and we will need to figure out a solution as a team. We crossed the line in 4 hours, 47 minutes and took the next shuttle to our campground. It took another hour to get through a warm shower, an outstanding 30-min. massage, and a cheeseburger, after which I felt great.