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2012-09-21 1:05 PM

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Subject: Running when returning from injury

Background:  Injured my knee June 2011 while training for a couple of Olys, eventually had it scoped Aug 2011.  Rehab did not go well, got a cortisone shot, starting biking, knee went again.  Hurt my back (spondylolisthesis) in Dec favoring knee.  Worked on fixing back, was told I should have it fused.  Ignored recommendation, had two epidural cortisone shots.  Back improved.  Swam a lot...got a good bike fit and Speedplays.  Started biking on trainer, spin class, and occasionally outside.  Body responded well.

About a month ago I gently re-introduced running into the mix, first about a minute at a time on the treadmill up until this week where I did about 2 miles on the tready Tuesday and about 1.25 miles outside this morning.  I wouldn't call it pain free running, but it's really minor.

Question (yeah, I know, finally!! Foot in mouth):  how should I continue to gently increase my run volume?  I'm at 2 miles on Tuesday and 1.25 on Friday.  The Friday workout is about at its limit time-wise because I'm running home from spin class in the morning.  So, should I start adding extra days or extra length?  I plan on adding about 1/2 mile per week, really taking it easy and see what happens.  

Thanks!



2012-09-21 1:07 PM
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Subject: RE: Running when returning from injury
Most importantly, what did the doctor tell you?
2012-09-21 1:09 PM
in reply to: #4422370

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Subject: RE: Running when returning from injury

After a sprained ankle I eased back in with walk/run intervals.  And that's what I would suggest overall though that does not seem to be your approach but for me it was adding one or two more of the run intervals each week until i was comfortable enough to run it straight again. 

So, perhaps after your two miles you could take a 1-2 minute was walk and then start adding a distance that makes sense - like a quarter to half mile and add on from there. But easing back in is very smart.

2012-09-21 1:11 PM
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Subject: RE: Running when returning from injury

audiojan - 2012-09-21 2:07 PM Most importantly, what did the doctor tell you?

Knee ortho never really knew what was wrong with my knee (scope didn't show anything really wrong other than a little arthritis), so I haven't seen him since about April.  My spine ortho cleared me to do just about anything, and that my body will tell me (probably pretty painfully) when I've done something I shouldn't.  The one thing I MUST continue to do is keep up with strength training and core work, which I've done a pretty good job of (and the swimming helps with that, too).

2012-09-21 1:12 PM
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Subject: RE: Running when returning from injury
As for duration and frequency.  Oh and I would definitely add another short day - again - i prefer the run/walk intervals for easing back in but you may be ahead of that.  and your longer (2 mile run) i would try adding more duration to that one until you're where you're happy.  I say that because I am not sure what your target run training is (ie for what distance do you usually keep your base).  Are you aiming to be able run 30 mins a couple of times a week with a long run around an hour?
2012-09-21 1:14 PM
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Subject: RE: Running when returning from injury
Assuming doc says it's OK, I would go with more frequency--the same advice to any runner starting out (or re-starting).  If those "little" runs don't seem worth it by themselves, then just incorporate it into other exercise like you are doing on Fridays already.  Nothing wrong with building up to a bunch of 1 and 2 mile runs to get started.  Probably the best thing you can do.


2012-09-21 1:15 PM
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Subject: RE: Running when returning from injury

juniperjen - 2012-09-21 2:12 PM As for duration and frequency.  Oh and I would definitely add another short day - again - i prefer the run/walk intervals for easing back in but you may be ahead of that.  and your longer (2 mile run) i would try adding more duration to that one until you're where you're happy.  I say that because I am not sure what your target run training is (ie for what distance do you usually keep your base).  Are you aiming to be able run 30 mins a couple of times a week with a long run around an hour?

Honestly, I think my long running days are going to be done until I get back put back together, though it has responded one heck of a lot better than I expected.

Let's just say for the time being I want to progress to about 10 miles/week as a maintenance base through the winter.

2012-09-21 1:17 PM
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Subject: RE: Running when returning from injury

JohnnyKay - 2012-09-21 2:14 PM Assuming doc says it's OK, I would go with more frequency--the same advice to any runner starting out (or re-starting).  If those "little" runs don't seem worth it by themselves, then just incorporate it into other exercise like you are doing on Fridays already.  Nothing wrong with building up to a bunch of 1 and 2 mile runs to get started.  Probably the best thing you can do.

That's kinda what I was thinking...I have treadmill right next to my trainer so I could just run/walk for 10 min to warm up and hit the bike.

2012-09-21 1:20 PM
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Subject: RE: Running when returning from injury
jmhpsu93 - 2012-09-21 2:17 PM

JohnnyKay - 2012-09-21 2:14 PM Assuming doc says it's OK, I would go with more frequency--the same advice to any runner starting out (or re-starting).  If those "little" runs don't seem worth it by themselves, then just incorporate it into other exercise like you are doing on Fridays already.  Nothing wrong with building up to a bunch of 1 and 2 mile runs to get started.  Probably the best thing you can do.

That's kinda what I was thinking...I have treadmill right next to my trainer so I could just run/walk for 10 min to warm up and hit the bike.

Sounds like a good idea.  Might want to try it after the bike, too.  See if getting warmed up on the bike is better/worse for your back.  Go with the order that creates less pain.

2012-09-21 9:44 PM
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Subject: RE: Running when returning from injury
Do the 30 runs in 30 days challenge. 20mins to qualify as a run.
Keep them short and manageable. Slowly build.
Consistency is KING - take the challenge - develop the habit. Injury free (no big efforts.....YET)
2012-09-22 12:00 AM
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Subject: RE: Running when returning from injury

JohnnyKay - 2012-09-21 1:14 PM Assuming doc says it's OK, I would go with more frequency--the same advice to any runner starting out (or re-starting).  If those "little" runs don't seem worth it by themselves, then just incorporate it into other exercise like you are doing on Fridays already.  Nothing wrong with building up to a bunch of 1 and 2 mile runs to get started.  Probably the best thing you can do.

I think this has to be right.  I'm working my way back from PF.  I started with 2 miles every other day.  Now I'm doing the 30 in 30 challenge with an eye on a 100 in 100.....but I still rarely go over 2, and really slow, like 10:00 miles with a 9:00 pace every now and then, and a 3 or 4 miler even less often.  So far so good.  

Now I'm constantly fighting the urge to go faster or add another mile or two.....but I'm not going to because there is really no reason to right now.  I'm going to add days for awhile, and enjoy running pain free.



2012-09-22 5:23 AM
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Subject: RE: Running when returning from injury
If you are only running twice a week, I would increase frequency before milage. Once you get to 4 x 2miles (-ish) per week then start thinking about increasing duration. Good luck.
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