Got Pain? Don’t Stretch, Strengthen.

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If you’re like many runners, stretching is your first course of action when you feel pain. Sore Achilles tendon? Stretch the calf. Sore knee? Stretch the quads or the IT band.

The problem is, tight muscles are rarely the root cause of pain, so stretching rarely solves the problem. A better solution for chronic, training-related pains and injuries—one with more evidence behind it—is strength training.

Read the rest of the article, my latest for PodiumRunner.com.

Injury, A Sick Dog, & Getting Through a Bad Experience

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I call it the 24-hour rule… which is that after a big success or a bad failure, give yourself 24–48 hours to celebrate the success or grieve the defeat. But then, get back to doing the work itself.

The longer that you stew in a loss or ride the dopamine high of a win, the more you are becoming addicted to that. Whereas if you go back to doing the work itself, it’s a very embodied way of reminding yourself that, Hey, what I really like is the activity, not all the fortune, fame, external validation from the activity.”

That is sage advice from Brad Stulberg, author of Peak Performance and The Passion Paradox. I’ll return to it soon.

The past couple of weeks have been full of emotional highs and lows, frustration, elation, anger, and gratitude. I’m pleased that I came out feeling good in the end despite some disappointment. The big picture is this: I was unable to run the Grand Traverse Run on 8/31.

One week out – Toe pain

Metatarsalgia, aka ball-of-foot pain, roared to life exactly one week plus one day prior to the race. I’d had this in the past but hadn’t felt it in over a year. It was during an interval run. It wasn’t anything out of the ordinary. The pain typically subsides quickly but this time it didn’t. Anger/panic set in.

The 40.7 miles of high mountain running was already intimidating. My prior long race was a trail marathon at 26.2 mi. This was almost 15 mi. longer and it topped out at 12,000 ft. of elevation. I was staring into the unknown. Now, on top of it, a true painful problem was ominous. I was genuinely worried, not just nervous. This was the 2nd year in a row that an injury threatened to derail this deeply meaningful project. All the hard work I’d put in might be for nothing.

I scheduled time with a physical therapist. She assessed some surprising weakness in my hip abductors, specifically the glute medius. That muscle contributes significantly to foot posture. Her assessment gave me valuable information on how to address a weakness in my running but that solution would take time, weeks or months. I had to race in just a few days.

I also met with Dr. Nick Studholme at Studholme Chiropractic in Denver. He’s helped me in the past. He taped my feet to unload the area under the 2nd toe. This wasn’t a fix, but something to help me get through the race. Unfortunately, a short test run the day after the taping wasn’t good. My foot still hurt a lot. I was despondent.

Finally, I had a cortisone shot. I am not a fan of cortisone. The long-term effects of too much cortisone aren’t good. Cortisone is definitely not a fix, but rather a powerful band-aid. For my purposes in this situation, cortisone was exactly what I needed. It was time to run. I would deal with the injury later.

Fast-forward to the day before the race: I felt good. I had no foot pain. We were in Crested Butte and I felt positive. In the course of a week, I’d gone from despondent to optimistic.

A sick dog, a super wife, & damn you Google

Race time was 6 am. I would get up at 4:15 am to get ready. My wife and our dog, Diva, would make the 3+ hour drive to Aspen and meet me at the finish. We all needed rest.

Diva started a hacking cough/dry heave Friday afternoon as we checked into our hotel. We didn’t know why. Dogs do this some time. She gobbled grass. Lots of it. This also happens sometimes. She finally threw up. Typically that’s the end of the story but not this time. She kept hacking. Constantly. We figured it would stop any time. It didn’t. This kept on into the night. Diva paced and coughed, coughed and paced. No one slept.

Finally, around 11 pm, my wife got online and found two 24 hr vets in Gunnison, about 30 miles away. She would take our dog and let me sleep. A super wife! Time ticked away rapidly. Race time was racing my way. I slept.

I woke up, middle of the night. They hadn’t returned They came in a little while later. Both 24-hour vets were closed. Google lied! Our dog was still sick but not worse. The prospect of racing was slipping away. My wife was seriously sleep deprived. Driving would be unsafe. We thought our dog probably needed a vet visit. I hadn’t had much more sleep. The reality of the situation dawned and it was clear I couldn’t race. I didn’t have words for this defeat. Rotten, bloody hell… Nothing else to do.

We headed home. Diva continued to improve. My wife and I had good conversation on the way back. No strife.

The rollercoaster continues

I’d built all this fitness so why waste it? I registered for the Sage Burner 55k in Gunnison at the end of October. We’ve only passed through Gunnison and never spent time there. Though this race didn’t have the epic appeal of the Grand Traverse, I was very happy and excited to run it and to spend time in Gunnison. More despair was around the corner though.

Sunday, the day after the race, I ran with the Denver Trail Runners at Gorgeous Kenosha Pass. It was a perfect, bright, cool day. No crowds on the trail. Three miles in the toe pain returns, just like before. I’m crushed, furious. No sense in running further, I’ll just hurt it more, I turned around and headed back to the trailhead.

On the return, I started to play with how my foot hits the ground and how I push off. I biased heavily to the outside of the foot. Not that I’m walked with my foot completely inverted but I deliberately created more pressure and more pushed through the outside of the foot. The pain decreased. I started jogging with this outside bias. Pain decreased more. I ran back to the parking area with virtually no pain. I turned around and ran back out to meet the group on the return. I finished having run just shy of 13 miles. Greatness! This was the polar opposite of missing the race. Another occasion where words don’t work to describe the feelings! Spectacular! I felt like this:

WAAAHOOOO!

Gratitude & no whining

Hard times and defeat always provide a learning opportunity. I can’t decide how I feel but I can decide how I react to those feelings. The pain of missing this race for the 2nd year in a row was powerful. Made me sick to my stomach. How could I react? Pout, gripe, and rage? Did my wife need to hear repeatedly how bad I felt, even though she already knew? Would complaining change the past? Nonsense nonsense nonsense! Complaining about something over which I have no control is a waste of energy and it may even be bad for my mental health. It’s bulls%it, to put it another way.

I did grieve the race though. I spent about 24 hrs feeling the disappointment. I felt sad and incredibly frustrated. There was no use in ignoring those feelings. But griping and whining had no place in the process. It was time to get back to work in preparation for the Sage Burner. My coach, Andrew Simmons of Lifelong Endurance has been a tremendous help. He’ll be guiding me for another couple of months.

There was a time in my life when I felt like my life was lacking a lot of things. I fixated on my failings and what I didn’t have. That wasn’t useful. Now I try to be grateful for the multitude of good people and things in my life. Specifically, in this case, I was and am grateful for the following: grateful that Diva got well; grateful for my wife who supported my efforts; hugely grateful for that good Sunday trail run during which my foot felt bad and then good; grateful for my friends, clients, and family who donated to NRDC (You can still donate btw!); grateful for being a trail runner with the chance to do something few people will ever imagine.

Everything isn’t always perfect, but most things are pretty good.

 

 

8 Ways to Improve Your Running Posture

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The position of the trunk and hips is critical for efficient, healthy running.

I’m pleased to share 8 Ways to Improve Your Running Posture, my latest article in Podium Runner. Running posture is vital for effective, healthy running. This article teaches you to mobilize joints that may inhibit good posture, and how to strengthen key muscles that reinforce good posture and make for stronger running. Here’s an excerpt:

Running is clearly a lower-body dominant activity. That said, you should understand that your body is an interconnected system more than it is a collection of parts. Running involves your entire body, from head to toes. That means your running posture—the position in which you hold your hips and spine while running—matters.

Optimal running posture is:

  • Comfortable: Able to run hard without pain.
  • Efficient: Use the least energy required for a given pace.
  • Minimally stressful: Forces generated by impact and propulsion are distributed evenly throughout your bones, muscles, and connective tissues.

Read the rest of the article, 8 Ways to Improve Your Running Posture.

Training Errors & Three Toos

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The three twos: Too much, too fast, too soon.

Lately, I’ve been listening to Jason Fitzgerald’s Strength Running podcast. As the name implies, his show discusses

Running too much, too fast, too soon is a recipe for injury.

strength training for runners. I think it’s excellent and full of useful information. If you’re a coach or trainer who works with runners, or if you’re a runner with an inquisitive mind who wants to improve your performance then you will enjoy it.

recent episode reminded me that training errors may be the most common source of injury among runners. Jason said he had a cross country coach who used the term the “three toos,” meaning too much, too fast, too soon. Many of us get hurt by running too many miles, running too fast, and doing either or both before we’re ready for all that training stress. Research shows that injuries are often preceded by inappropriate, excessive increases in training stress.

(This problem of excessive training isn’t confined to runners. Almost anyone from bodybuilders to cyclists to golfers with a zest for physical activity and competition, who believe himself or herself to be eternally bulletproof and able to withstand superhuman levels of grueling hard work may succumb. I think social media exacerbates the problem.)

I often write about aches, pains, and how to recover from injury. Much of what I do with clients involves doing specific exercises to either mobilize a joint, increase his/her movement skill, or get stronger in a specific way. My thinking (and I don’t think I’m the only one) goes that if this hurts then that exercise will fix it. That may not be the best way to approach a problem though. To get a full picture, I need to always remember to ask the question, “What happened before you got hurt.” Unless someone suffered an acute injury, it’s likely that he or she increased their training suddenly and did more work than his/her body could handle. Smart training is the best protection and that’s why hiring a coach to help you with your training is a good idea.

 

Running posture, glutes, cramps and Achilles tendinopathy

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I’ve written several times about my problems with Achilles tendinopathy and plantar fasciits. I’ve also written an article about cramping. My solution has been to strengthen the lower legs for the Achilles problem, and strengthen the adductors and hamstrings to fix the cramping. I think the strength work has helped, but there’s more to the story.

A few weeks ago I attended a running seminar with Jay Dicharry, a physical therapist and running/cycling coach. It was a superb course and I got to revisit some biomechanics and running technique concepts to which I’d been exposed in the past.

We discussed stacking the ribs over the pelvis while running. This posture helps take pressure off the lumbar spine and it puts the pelvis in a position to optimize the use of muscles that attach to the pelvis, especially the glutes. This posture enables a runner to use the glutes to propel the runner forward which is an efficient way to run in that the gluteus maximus is the largest muscles in the body.

I realized during this discussion that though my running technique had improved, I could improve it a little more. Specifically, I saw that I wasn’t using my glutes enough to run and as a consequence, I was using my calves and probably my adductors (which extend the hip along with the hamstrings and glutes) too much. Forward propulsion wasn’t being distributed evenly among these muscles. The glutes weren’t doing their fair share to create hip extension and the abs weren’t helping maintain good pelvic position. The calves and adductors were doing too much work. The overexertion was causing excessive strain on the Achilles and plantar fascia, and causing early fatigue of the adductors which led to cramps.

I believe I can also trace my ~10 years of low-back pain to this faulty running technique. Again, my lack of glute contribution demanded that I use lumbar extension to get my leg behind me.

This position brought on low-back pain, hamstring/adductor cramps, and Achilles/foot pain.

 

I’ve been running a little differently lately. I’ve become more aware of where my ribs are positioned in relation to my pelvis. I’ve also tuned in to my glutes. I work to feel them contract to push me forward. I’m aware of my ribs being stacked over my pelvis as I run.

This position is better for me. I’m stronger, more efficient, and I don’t hurt. The glutes and abs are doing their job.

This isn’t the first time in my fitness career that I’ve reexamined something I thought I understood only to realize I’d missed something significant. Coming back to information like this is similar to reading a good book a second time in that I see the same information in a different way. This second exposure to core and glute function expanded my understanding tremendously.

Management of Running & Lifting

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Near the beginning of the race – looking back at the Whetstone Mountains.

It’s seven weeks to the Grand Traverse Trail Run, my first ultramarathon. (Also, seven weeks remain to raise $3000 for Running Out of Time, my effort on behalf of the Natural Resources Defense Council. Do you want to help save the outdoors? Can you donate? Please do!) I ran a little over 40 mi. last week, which is high mileage for me. I’ll run about 35 mi. this week. That’s included some hard intervals, hill climbs, and heat. I’m also fitting in a few bike rides. I am feeling all that hard work. Deeply. I fade early in the evening, sleep hard, and wake up tired. (But I LOVE the process!) This isn’t alarming. It’s 100% normal for this stage of training. Consequently, I have little left for weight training.

Typically I do well with twice-weekly weight workouts. With all the running though, I’m averaging a weight workout once per week, and sometimes those workouts are minimal with just one or two exercises. I only have so much time and energy to expend. I can’t put my all into everything. This is the reality of resource allocation when it comes to physical activity.

The timing of lifting sessions and running workouts is important. Lifting compromises running performance in the short-term due to soreness and a diminished ability to generate force through the legs. I need strong legs for speed workouts and long runs, so I need to be strategic in planning runs and lifting sessions. This article from Runner’s World discusses research pertaining to lifting and running. It suggests several ways to combine them:

  • Run first before lifting if running and lifting on the same day.
  • Separate runs from lifting sessions by at least six hours
  • One example:
    • Day 1: Hard run
    • Day 2: AM easy run, PM weight workout OR
    • AM hard run, PM weight session on the same day

Fortunately, strength training once per week is entirely adequate to preserve strength and some research indicates I can get stronger with training only once per week. Paul Ingram at PainScience.com has summarized research on lifting frequency.

The benefit to constrained lifting opportunities is that I’m forced to focus on those lifts that will benefit my running the most. I must drill down to the essentials. Constraints like this are benefits disguised as obstacles.

 

31 Flavors of the Single-Leg Squat

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Balance and strength on one leg is essential for successful running.

Consider three truths:

1) Running is a series of hops from one foot to the other. Upon landing, you perform a partial, one-leg squat in preparation for the next hop.

2) Research suggests that strength training aids running performance, and

3) The principle of specificity says that to improve at a given physical task, training should resemble that task.

Given these truths, it seems clear you can benefit by including single-leg squats as part of a regular strength program. The hop-and-land sequence of running demands strength and stability in order to perform well and avoid injury.

To continue reading, follow this link to my latest article on PodiumRunner.com.

Collegiate Peaks 25-Mile Trail Race Report

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This is why I do it. (Photo credit to Woody)

I ran the Collegiate Peaks 25 Mile Trail Run on Saturday 5/4. My wife and I stayed in Salida, about 30 min away from the start in Buena Vista. That meant a dark and early wake-up of 4:30 am. Such is life sometimes.

We had superb weather: sun, clear skies and temps in high 30s at the start and highs in the 60s. Views of the Collegiate Peaks (above) were prominent and dramatic. For me, this is going to church.

The well-marked race course was mostly non-technical and followed Forest Service roads. There were some prolonged sandy spots which made for slow going at times but it wasn’t terrible. The sand was much less of an issue than the sand in Moab at the Behind the Rocks Race. A few of the climbs and descents were steep but most slopes were mild. The final few miles came through some fun singletrack of medium technicality. (I MUST come back with the mountain bike!)  Here’s the course elevation profile:

Collegiate Peaks Race profile

 

 

 

 

Runners encountered a shin-deep water crossing at about mile 10. I brought extra socks with me and changed into them soon after the crossing. I thought about gambling and continuing to run in wet socks but I didn’t want to risk blisters. My cold hands made removal of tight compression socks aggravating though. It took a little longer to change than I wanted but again, such is life.

This was a small race with 212 finishers. I finished in 5:05:38. That put me just in the top half overall and among men. I finished just barely out of the top half of men in my age group. I hoped to do better in that category but I’m not overly distressed. I prepared well, ran hard, and did my best. I do this for the experience, not with the expectation of winning.

Minor cramping

I’ve had some bad adductor and hamstring cramps in both legs in some longer races. I’m pleased this time that cramps only happened in my right adductor. They were minor. A sudden cramp hit with maybe three miles to go. I stopped briefly and stretched the area. I continued to sort of stretch it in a weird way while running. The cramp vanished in a few minutes and didn’t bother me any further. Minimal cramping in a long race gives me confidence that I’m on the right track with my strategy of direct strengthening of my cramp-prone muscles.

Not only will I continue with the strength program, but I also plan to run with mustard packets. Sound strange? You may have heard about the anti-cramping powers of pickle juice. The same anti-cramp effect seems to work with mustard too. The research is limited but it seems that the vinegar in both substances is probably the key. Apparently, the vinegar stimulates certain receptors in the mouth that trigger a neurological reset of cramping muscles.

No calf problems

The left calf gave me no problems. It feels strong and I will continue my strength program.

Metatarsalgia

Metatarsalgia or ball-of-foot pain in my left food reared its head in the final few miles. I’ve battled it in the past. It hasn’t been an issue at all since I’ve placed metatarsal pads in my shoe inserts. This could be a problem for the Grand Traverse. I plan to take the same approach as I have with my cramp-prone muscles and the calf: strengthen it. I have some ideas on how to specifically strengthen the toes.

Finally

Overall I had a fun experience. I liked the course, I liked the small size of the race, and my wife and I both liked Buena Vista. We look forward to a return. If you want a full-on Colorado trail race experience then the Collegiate Peaks Trail Race fits the bill.

Weight Training for Running

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Research supports the use of weight and plyometric (jumping) training to aid running performance. Read all about it here, here, here, and here. I lift and jump about twice a week. I expect specific outcomes from the exercises I use. This is a discussion of my strategy.

Plyometrics

In running, the muscles and tendons act as springs. As the foot hits the ground, the muscles and tendons of the feet and legs lengthen and store energy from impact. The stored energy is then released, propelling the runner forward through the gait cycle. (The Achilles tendon is an especially powerful part of the SSC equation.) This process is called the stretch-shortening cycle (SSC.) Plyometric training is a way to build stronger springs. There are many plyometric exercises to choose from. I use two exercises.

  1. single-leg hurdle hops: This consists of hopping over six low hurdles as quickly as possible. I try to land and balance in control on the very last hurdle. I rest then hop back on the other leg. I accumulate 50-70 contacts on each leg.
  2. two-leg pogo hops: This is a new drill for me. It’s different from a two-leg jump. I pull the toes up toward the shins when I’m in the air. I slap the ground hard on impact—using only the ankles—while keeping the knees nearly locked. I do 10 reps (20 foot contacts) x 5-7 sets for 100-140 total foot contacts.

You can find a thorough, concise discussion of plyometrics at Sports Fitness Advisor. Their series of articles explains the physiology of plyometrics, exercise selection, rep & set schemes, rest periods, and safety considerations. It’s a good resource.

Key strength exercises

  1. Calf raises: I worship at the altar of lower leg strength. I’ve been injured there and I want armor the lower legs against injury.  A calf raise is a great catchall for not only the calf muscles but the foot muscles and tendons too. Twice a week I do some sort of calf raise or jump rope. I work high weight/low reps and moderate weight/moderate reps.
  2. Step-up: I’m a trail runner so I step up. A lot. I’ve also had cramping issues in my adductors. My strategy for cramping is to a) go right at the cramp-prone muscles and make them stronger, and b) strengthen the supporting muscles so the cramp-prone muscles will have more help doing their job. This exercise does both. I work 5-10 reps typically for 2-3 sets.
  3. Various lunges: Running and lunging are biomechanically somewhat similar. They work the hip adductors, abductors, quads, and glutes very well. I lunge forward, sideways, and I rotate left and right to lunge. This is one of many lunges, the offset lunge.

4. Leg curl: Cramps have been a problem in my hamstrings too. This exercise should help strengthen the hamstrings appropriately. It’s also a good glute exercise. I’m able to do almost 20 reps in the single-leg curl. That’s a little high for strength work. I need to find a way to weight this exercise but I’m not sure how…

Other strength exercises

I consider these exercises less vital to running but useful nonetheless. First and foremost, I enjoy lifting. I also like to stay generally strong and resilient and I want to maintain my lifting skills.

  1. Back squat: I like to squat. Squats build general total-body strength. I work up to three heavy sets of three reps. This keeps me from being very sore and doesn’t overstress my nervous system.
  2. Incline press, standing press, or dips: I like to maintain some general upper body pushing strength. I work various rep ranges from 3-10.
  3. Pull-ups: Same as above.
  4. Ab wheel rollout: It’s one of many good ab exercises. I do two to three sets of 10-15 reps.
  5. Hitting the heavy punching bag: I’ve done a little boxing training with another trainer and I watch boxing videos. Hitting the heavy bag, throwing combinations, and doing something very different from running is a lot of fun.
  6. Road cycling and mountain biking: I’m a cyclist! Gotta pedal the machines sometimes. I’m happy if I get two rides per week.

When to lift?

I get the lifting in when I can fit the lifting in. I aim to lift twice a week. I prioritize the calf work and the plyometric work as I believe those are the most important to my running. Running, work, and other responsibilities dictate that some weeks I may only get one day of lifting in.

A common phrase among coaches is, “Make the hard days hard and the easy days easy.” Thus, I try to lift on the hard running days, which are Tuesdays and Thursdays. The problem is I feel better when I have 48-72 hrs between lifting sessions. That means I often lift on easier days. I typically try to do plyometrics on easy days. Plyos should be done in a non-fatigued state. On some lifting days, I feel tired or sore from running, or I may not have time to do everything, so the workout may consist of only one or two exercises for one or two sets. Other days, I feel great and I have plenty of time so I get more work done.

In the grand scheme, I’m more concerned with being consistent, and less concerned about following a precisely perfect schedule. Brad Stulberg has good thoughts on consistency:

Training Update: 10 Days Until Behind the Rocks

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I’m running the Behind the Rocks 30k in Moab, Utah on March 23rd. It’s my first race of the season and my first race since my calf injury last year. I’m happy to report that all my parts feel strong. I’m pleased and proud to have overcome the problems from last year. Strength training aimed directly at the calf has been the key.

Calf exercises

Calf and lower-leg strengthening is my religion. I do specific calf strength exercises twice a week. I rotate among the following exercises. I also jump rope and do other two- and one-leg jumping exercises at least once a week:

I use several different weight and rep schemes for the exercises:

  • Heavy loads for <6 reps. This builds strong muscles and strong, stiff tendons. Stiff tendons are like stiff springs. Stiff tendons absorb and transmit forces efficiently which makes for efficient running.
  • Moderate loads for 8-15 reps. This builds muscle bulk. More muscle mass helps make muscles strong and durable.
  • I may go as high as 20-30 reps for the mini-squat. That’s due to the soleus muscle (the main muscle in that’s worked in the exercise) being comprised mostly of endurance muscle fibers. I typically put a barbell on my back.
  • For the jump rope, I’ll mix two- and one-leg jumping and I’ll jump for about 1 minute x 5 sets.

Other key exercises

The hip hike and offset lunge are great exercises for lower legs, quads, glutes, hip adductors and hip abductors.

I like the single-leg tubing squat as well.

Coaching

Finally, Coach Andrew Simmons of Lifelong Endurance has been indispensable. He listens to me, pays attention to detail, and inspires confidence. I’m grateful to have his guidance. If you’re looking for a running coach, I recommend him highly.