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759 Views 5 Replies Latest reply: Mar 23, 2013 9:27 AM by Nikki032608 RSS
Nikki032608 Rookie 6 posts since
Feb 16, 2009
Currently Being Moderated

Mar 21, 2013 1:12 PM

Why am I getting injured???

Hey everyone. I love running. It keeps me sane and it makes me feel great. About a month and a half ago I started having severe knee pain, so bad I couldn't run past 2 miles. I took a few weeks off, stretched, and ran again, and it still hurt. So I went to the orthopedist and the chiropractor. I was diagnosed with chondromalacia patella. Now I'm in the process of setting up an appointment with a physical therapist so that I can start running again in the future without further injury. I don't want to stop running, but I still don't understand what I was doing wrong, so I feel like I'm probably going to injure myself again.

 

Every week I run 3 miles (on a treadmill) on Monday, Wednesday, and Friday. I've been doing this for probably 5 years now (off and on due to shin splits which are not a problem anymore due to toe-taps before each run). I have never run more than 3 miles. I'd rather go faster than farther, so every week I bump up my mph by .1. Cardiovascularly, I can handle this. I feel like I'm right at my limit, and it feels great. I also weight train (legs and arms) on Mondays and Thursdays, and I do some sort of cross training one time on most weeks (elliptical, stair stepper, P90X tape, etc.)

 

My orthopedist told me I got chonrdomalacia patella from violating the golden rule of running - "don't do too much, too soon, too often, too fast, too hard, with too little rest." But I don't understand how I violated that rule. How is 9 miles/week too much when people who train for marathons do 30+ miles/week? How is 3x/week too often when online running plans advise people to run 5 days/week? How is bumping up by .1 mph/week too fast? and how is running every other day, and taking both weekend days off too little rest??? I don't understand it. Can someone shed some light on this situation?

  • JamesJohnsonLMT Legend 1,146 posts since
    Aug 23, 2009
    Currently Being Moderated
    1. Mar 21, 2013 2:04 PM (in response to Nikki032608)
    Re: Why am I getting injured???

    The ortho mentioned one possible reason, but there can be a preponderance of factors, each of which might not matter as much by itself. In your case, we have the medical opinion that you violated that rule, but something else may have prevented you from recovering from what you may consider a slight violation if any.

     

    While you are at the PT, see if you can get a detailed critique of your running style on the treadmill (make sure this particular PT is qualified and experienced in running analysis, or find another for that part). You may even consider a critique of the treadmill you have been using. They are not all equal, and some cause more injuries than others.

     

    I'll hazard a guess about the rule and the .1mph.  I don't think it is the degree of change, but that it seems to have always represented a progressive change, meaning the body may not have finished adapting to one change before the challenge was increased. Successful programs often include downward as well as upward challenges. In this case, the knee may have always been unstable, because it never got a chance to settle into a routine. Here, there was no doubt a practical limit to how much your cadence could increase, so stride length increased until failure. It may have been the only way to increase your speed. Sure, it feels good until something breaks.

     

    If you did not increase your stride length in terms of leg angle, your loft would have to increase to keep you airborne longer. That could also be hard on the knee. A history of on-off shin splints points to flirting with a practical limit to your training.

     

    The best antidote to this trend, would be to accept an occasional respite from progressive challenge, trusting your body to continue to catch up with adaptations at the rate with which you actually recover. In other words, you continue to get stronger because you back off, after which you can pick up the challenge again. There is no hard and fast rule that applies to everybody, but you have at least found a limit that applies to you.

  • MarkEichenlaub Amateur 18 posts since
    Jun 17, 2012
    Currently Being Moderated
    2. Mar 21, 2013 8:17 PM (in response to JamesJohnsonLMT)
    Why am I getting injured???

    I would find a pool and do some aqua jogging for at least 30 minutes a day and also do some leg strengthening activities that can be found at Jason Fitzgerald or Jay Johnson's site.  If you'd like a specific regimen put together to attack these issues instead of react to them please contact me at teachtorun.com.





    Blogging about motivation, injury prevention and training lessons I've learned at TeachtoRun.com and working on "The Ultimate 5k Plan" at HowtoRun5k.com.

  • JamesJohnsonLMT Legend 1,146 posts since
    Aug 23, 2009
    Currently Being Moderated
    4. Mar 22, 2013 6:27 PM (in response to Nikki032608)
    Why am I getting injured???

    Yes, I'm sure that will help. Going forward, an analysis of your motion is critical to your training plan

     

    Once you are on the mend, there are, as Mark suggests, training plans out there that can be tailored to your particular circumstances, and could allow you to smash some of those limitations.

     

    Sometimes, it is overtraining in a specific way that is the problem. Weaknesses can be made strong or made worse, and strengths can be exploited or wasted. It's all in the plan.

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