Thursday, August 18, 2016

Patience is key

Easier said than done, that's for sure. Cabin fever, itchy feet, ... I wanna run!

OK, let me back up. In May, after I finally BQ'ed at the Pocono Marathon, I took about a week-long rest, followed by a slow ramp-up with short, easy runs. Usually, I'd then gradually sync up with the 16-week training cycle for my next marathon. This year, because I decided to skip the early fall marathon, I had some extra time before starting the training for Harrisburg in November: For some extra rest; some speed work ... or, some shorter distance racing! For the six weeks after Pocono, at two-week intervals, I ran the Nitro Trail Half in Point Pinole Regional Park, San Pablo, CA and couple 5K's near home. The possible significance didn't really register at the time, but, during that 6-week period, my left heel was feeling more and more stiff, especially in the morning, right after getting up from bed. Each time, after some movement, the stiffness would lessen somewhat--enough to feel as I could still run.

And so, not being patient, I kept on running.

Two weeks later, after the Saturday easy 4-mile run, hill sprints, and a set of plyometrics (using the front yard curb), the left heel felt decidedly stiff and painful, even to walk. I took the next week off; and, I was not going to run the following week as well. But, the pain went away; only the stiffness remained, a stiffness that lessened with movement.

And so, not being patient, I kept on running.

Then, four Saturdays ago, during my usual easy 4-miler, at just around two miles, I felt a sharp pain in my left heel. I debated whether to continue. Many a times in the past, I had run through these twinges until they had gone away. This time, the pain likewise gradually decreased.

And so, not being patient, I kept on running (at a pace faster than my goal marathon pace for Boston).

Of course, the damage had already been done; I just felt it with a time delay. I could hardly walk shortly after I finished the run. It has been almost four weeks now without running, the longest off period going back to at least 2010. All I've done are some core exercises, plus some for stabilizing the "foot core." (See Alex Hutchinson's 2015 article, based on a paper in the British Journal of Sports Medicine, "The foot core system: a new paradigm for understanding intrinsic foot muscle function.") ... I wanna run!

Again, how does one know when to stop and when to run through pain. I'd asked the same question about the twinge I'd felt during that 2012 Paris morning run. I just re-read that post and noticed that the twinge referenced there was also in the left heel. Hmm ... Maybe the next time I feel something not quite normal, I should just stop and not keep on running--and, be patient! See The 25 Golden Rules of Running (Rule 5). As Jack Foster, the "Ancient Marathoner," said, "if it hurts, don't run on it." But, easier said than done ...

Likewise, in resuming running after an injury, patience is key. According to the latter article, at around four weeks off now, I've lost about 10% of my VO2max, along with the related loss in conditioning in my musculoskeletal system. So, I need to remind myself to be patient, as I ease back into running. The general strategy is the same in resuming running after a break in training due to other reasons (e.g., schedule conflicts). "Start from where you are instead of ... where you 'should be.'" I "should be" nearing the end of week 4 of my 16-week cycle for Harrisburg in November. But, instead, I'm probably at more like week -2!

I kind of feel I could have run last weekend. But, I decided to take another week off. I may do a short test run this weekend. Be patient, be patient, be patient, ...


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