Monthly Archives: January 2016

When Running Is The Problem.

I love running. I honestly really do. In my job I do my utmost to keep people running. I hate having to tell people they shouldn’t run but sometimes I have to for their own good and to enable any exercise therapy or treatment we do to be effective. Not everyone takes my advice and hey, sometimes people do get better with or without my advice. I can only go on what I find during an assessment and advise accordingly.

What I have found increasingly over the last few years is that with an increase in the running population has come an increased tendency for people to downright refuse to stop. They will continue to run even when there are a set of circumstances in front of them which are screaming at them to stop running, not permanently, just for a while.

I have had two cases in clinic recently where the best advice was certainly to stop running. But neither runner really accepted this. the compulsion to run was so strong that these runners were prepared to continue until any running at all was impossible. The most extreme of the two was a patient with a stress fracture so chronic that you could actually palpate the bony callus on his shin and hear the bone clicking when they hopped up and down. When I gave my diagnosis (which was confirmed by x-ray) the patient told me they had known in their gut for a few months that it was likely to be a fracture but hadn’t wanted to stop running, for fear of losing out on races and everything he gained from running. And yet the first question this person asked was ‘do I really have to stop running?’

I do sympathise because being injured is awful but I do feel that I’m increasingly in a ‘shoot the messenger’ situation when I have given advice to rest from running (that’s rest, not give up). I have had a patient swear at me because I advised them to rest for two weeks from running and to cross train instead. Actual aggressive language used because I gave a professional opinion. I may be good but I can’t speed up the natural healing times of muscle, tendon or bone. They all need their time to be appropriately treated and severity of an injury will always have a much bigger impact. Continuing to over load healing tissues will always mean things take much longer to heal, I don’t make this shit up.

Recently I have become aware of a personal trainer who is encouraging their beginners running group to run pretty much daily. Firstly, you’re going to put people off running because before long it will start to seem like a chore but secondly that is far too much for beginners who are just getting used to putting 4 TIMES THEIR BODY WEIGHT through their lower limbs. It’s making beginners over train and a study has found that training error and over training are the most common cause of over use injuries in recreational runners. In fact the most common type of injury among recreational runners is overuse injury, not sprains and strains. They are injuries that are unavoidable and yet more and more injuries like this are walking through my clinic door. (If you fancy a read that’s Taunton et al who published a study in the British Journal of Sports Medicine in 2002, just to show again I’M NOT MAKING THIS SHIT UP!).

Why this obsession with running hard and fast all the time? Why are people being made to feel like they have to? Running every day doesn’t suit the majority of runners and to do that I think you have to be a runner of great experience who has built up to it sensibly over a longer period of time. That’s why I felt quite glad that I saw an orthopaedic surgeon comment that people planning on training for a marathon should have been running 2-3 times a week in the 6 months before training commenced. The body needs to be trained to train, conditioned to be able to handle the task that is given to it.

So if you’re a runner who feels like they need to keep up with everyone on social media and feel guilty about not joining in with run streaks, please don’t. Think about what your own running goals are. Be smart with your training. Give your body a rest from the pounding it gets 3- 4 times a week with some cross training, pilates or yoga. And if you get a niggle or are concerned about any pain that isn’t your usual post run pain go and ask your GP or an appropriate clinician for advice. Some things can’t be diagnosed via Twitter.

 

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A Club Was Born

Over Christmas I had been musing about athletics and running clubs. It has always amazed me that there are so many visible runners around my local area but no club to cater for them. I had a chat with a neighbour who dabbles a bit in running and she asked if I would help her and some others in taking their running to the next level. Over a few glasses of wine I said I would and when she said I should charge I was like ‘no, no I’d do that shit for free’.

And so I mused a bit on how I would go about this. I thought about the name of the Facebook group and where these runners would meet. But then because it was Christmas I thought I would leave it until the New Year and definitely after my presentation/study week in uni.

During the first week in January I happened to log in to Facebook and spotted a new page that people were joining:

‘Pontyclun Road Runners’.

Okay, I thought, I definitely don’t remember creating the Facebook page I had been thinking of. No, it was a local couple who had pretty much the same idea as I had. After a few messages on the page and offering help in leading runs this couple had made me an admin on their page. Then things progressed to me offering to lead runs on a Wednesday for people unable to make Tuesday and Thursday. Requests to join the group didn’t stop and well over 100 people had joined in a couple of days. All people who run or want to run, all different abilities but all people who want to run.

And so this spiral of events lead me to be standing in a local retail car park in the lashing rain last night waiting for five total beginners who wanted to try a run/walk session.  I really didn’t expect anyone to turn up but they did.

There were two women who had never run in their lives. Two men who had run many years previously and now wanted to get back into it again and a neighbour whose husband runs and who wants to try it for herself. I lead a short session and everyone managed it. I was thrilled for them.

As that group got into the cars and drove back to the warm I tried to dry off a little and warm up while I waited for the 7pm group. In the end five of us ran a 4 and a half mile route at a steady pace while the rain got heavier and heavier. My neighbour who had urged me to start a group was one of them and even though she said it was faster than her usual pace, managed to keep up. I was so proud of her. The other people were equally brilliant and at the end, despite the drenching we all got, said they were glad they had come along.

When I came home I was buzzing. I felt like I had done a really wonderful thing. It hadn’t felt like a chore to me, I had shared something with others that I truly love and they had all seemed to like it. One of the chaps in the beginners group said he had used to run half marathons but over the years had put on weight and encountered health problems. He said without the group he would probably never have tried going out on his own. I felt a lump in my throat when he told me this as I realized what a massive step this man had taken and a huge leap of faith to come along to my group, trusting me to help him.

I love running, this is no secret to anyone I know. Last night demonstrated to me how simple and yet so wonderful running can be. It is something that is accessible to the majority of people whatever their motivations for doing it. You can do it in almost all weathers and you don’t need anything really fancy or expensive to do it. I know people charge for beginners courses and running coaching but I don’t want to. There is a little club on the verge of blooming, made up of like minded people who just want to run with some support. To charge for that would be against everything that I think running is about. I know some people do make a living out of it but I wouldn’t want it to be a job. I just want to help other runners and enjoy my running at the same time. I really hope this club isn’t a flash in the pan and that we can keep it going because I think it would be great for everyone in our community. Maybe some of the beginners will develop a love for running in the same way I have.

 

Buds

I haven’t posted here for ages. I used to feel awful if I hadn’t blogged and I’d sometimes feel a pressure to post something, anything, just so people would know that I was still here. That pressure seems to have dropped considerably in the past few months and this is probably for a number of reasons: no races to post about, being ill, being unable to run regularly, enjoying the holidays with the kids and having nothing to say (I don’t see the point in posting for posting’s sake). However when I sit and think about it the main reason that I haven’t posted that much is that I have let life sweep me off my feet a bit and I have surfed that wave with gusto.

Before Christmas I had to present to my peers and to sports physiotherapists who I admire (one of whom has worked at many Olympic Games). I was a nervous wreck so I made preparing a priority. Regular running went out the window but I didn’t notice so much because I had another task at hand. The week before Christmas I had a written assignment to give in and then on the first Monday back after Christmas I had to do another presentation. After the presentation on Monday I realised that this was another module completed (as long as I pass) and I am a step closer to completing a Masters degree in Sports and Exercise Physiotherapy. Just thinking about that has helped sow a tiny seed of professional confidence in my psyche, something that I feel has been missing for me since I left my full time job nearly five years ago.

On Tuesday and Thursday this week I completed my Sports Trauma Management qualification. My confidence rose again over the two days as I realised I enjoyed being a pitchside physio before the kids came along and that actually I hadn’t forgotten how to manage a spinal injury or how to spot a potential head injury.

This confidence then seemed to become a physical confidence. I managed a couple of runs without ending up feeling down and dismayed. I enjoyed them for what they were, no pressure, not training for anything, just running for the love of running and it felt unbelievably good. It goes to show how when I feel mentally well and stimulated I enjoy being active that much more.

Then yesterday evening I discovered that someone has set up a local village running group. And all of a sudden I was offering my help as a running leader and as a source of physio advice. Today they made me an admin and contact for the group. I also received an email from someone who wants me to contribute to an article they are writing for Women’s Running. They seem to have sought me out especially for their feature. I couldn’t quite get over it. When I told my husband he said ‘when are you going to start believing me when I say that you are awesome?’

I struggle with compliments and recognizing that I might be good at something. I was brought up with the attitude that you don’t push yourself forward because people don’t like show offs, and I really think that has impacted on me as an adult. I’ve tried to fight against those little entrenched mind paths for a long time and coming up to 36 I might just be starting to win myself round to the fact I’m not half bad.

I’m really excited about what’s ahead of me in the next few months. A dissertation and hopefully an MSc, meeting lots of new runners and maybe the occasional race. There are many little buds of confidence appearing in many areas of my life. I’m hoping I can nurture them all into bloom.