Is Your Injury Caused by Pace or Distance?

By Runners World on 29 April 2013 in NewsBy Scott Douglas

You’ve probably heard that many running injuries stem from “training errors,” or increasing mileage or intensity too quickly. Is it possible to fine-tune that admittedly broad diagnosis? Is it possible to categorize running injuries by whether distance or speed is the more likely culprit?

Danish researchers think so. Writing in the International Journal of Sports Physical Therapy, they analyzed 2,002 running-related injuries described in other studies. Their goal, using clinical and biomechanical information on the injuries, was to look for underlying commonalities in the training of the people who had the injuries.

For about half of the injuries, the researchers found no such commonalities. Among these were medial tibial stress syndrome (AKA shin splints), and hamstring, hip adductor, and iliopsoas injuries.

For the remaining half, however, the researchers felt confident in classifying the injury as related to training volume or training intensity.

According to the researchers, the common knee injuries of patellofemoral pain syndrome (AKA runner’s knee), iliotibial band syndrome, and patellar tendinopathy are related to training volume, not intensity.

In contrast, the common lower-leg injuries of plantar fasciitis, Achilles tendinitis, and calf strains are related to training intensity, not volume, the researchers say. As the researchers note, these injuries are more common in competitive runners who do a higher percentage of their mileage at a fast pace than they are in recreational runners. The faster running, such as 400-metre repeats on the track, places greater strain on the tissues of the feet and lower legs than does easy running.

Do these categorizations matter beyond a well-that’s-interesting conclusion? Potentially. After all, when many runners ramp up their training, such as when pointing toward a marathon, they increase mileage and intensity simultaneously. This study suggests that if you have knee problems while doing so, you may have upped your mileage too quickly. Conversely, if your knees are fine but your calf, Achilles or plantar fascia start hurting, your body may be okay with your mileage increase, but isn’t yet ready to handle the increased intensity.

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Are You Ready To Run A Half Marathon?

It’s common to experience some anxiety over your first 21.1. To help you proceed calmly and successfully, we tapped into the experts to provide a training plan that gradually builds your endurance and confidence over 10 weeks.

We also asked experienced coaches with years of guiding newbies to the finish line to answer your training concerns.

Chill. You’re in good hands.

Q: When am I ready for a half?

A: If you’ve been running five kays three or four times a week for six months, you’re ready to start training for a half. This ‘base’ means your legs are strong enough to begin increasing mileage.

Q: How do I follow a plan?

A: As closely as possible. However, you can rearrange weekly runs to suit your schedule. Just allow for proper recovery time the day after long runs and tempo runs – rest or do light cross-training, says James Staten, a running team training coach. Click here for a beginner half marathon training programme.

Q: I like walk breaks. Is that okay, and how should I do them?

A: Sure. Start by taking walk breaks from the beginning of every run, rather than waiting until you’re tired. Experiment with different run/walk ratios – for instance, running two minutes and then walking one minute. Increase your run time as you get stronger.

Q: How fast should I run?

A: With our training plan you’ll do easy runs, long runs, and tempo runs. If you’ve run a race in the past six months, you can find out how slow or fast to do each by plugging your time into a calculator at runnersworld.co.za/tools/training-pace-calculator. If you haven’t raced, run a couple of kilometres as fast as you can. Plug your time into the calculator. Click on ‘Calculate’ to determine how fast to run all workouts in our plan.

Q: What if I need more than one day of rest after a long run?

A: Take it! Do some strength training and stretching on that second day off, says Lori McGee-Koch, head running coach for a popular sports club. But a few simple adjustments to your long run may banish that fatigue. ‘Slow down by 20 seconds per kilometre, take in more protein afterwards, or drink more before and during long runs,’ says McGee-Koch.

Q: How can I distinguish between pain I can ignore and pain I should worry about?

A: ‘If it’s an ache that subsides within 10 minutes of a run and disappears after a day or two, you’re probably okay,’ says Staten. But if it’s a sharp pain that forces you to change your form, call it a day. If it persists for a couple of days, see a doc.

Q: Is a 6:00 kilometre pace on the treadmill the same effort as a 6:00 pace outdoors?

A: No. ‘There’s no wind resistance indoors,’ says McGee-Koch. ‘And treadmills are smoother and demand less effort than outdoor surfaces, so it makes running easier.’ Set the ’mill to a 1.0 to 1.5 per cent incline to equalise the effort.

Q: Uh-oh. I couldn’t get my workout in today – now what?

A: Don’t worry. Enjoy your extra rest day and just continue with your schedule as planned, says McGee-Koch. If you try to cram a missed run into your week, you might interfere with precious recovery time, which could lead to injury. If you missed a long run, simply do the distance that you missed the following week.

Q: I missed a whole week of training – should I just give up?

A: No way! ‘Runners need occasional breaks to recover, so a skipped week can be an essential part of your training,’ says McGee-Koch. The week you resume running, scale back speedwork and long run mileage by 10 per cent. The following week, do your normal training. If your break was due to injury, however, you need to reduce your weekly mileage for up to three weeks before getting back on track, and may need to target a later race.

Q: I don’t feel like I’m getting any better – what should I do?

A: Don’t despair – it takes time to improve as a runner. Believe it or not, you are getting better every day, as each run slowly builds your strength and fitness. But it can be easier to take heart if you set small, manageable steps towards your bigger goals, says Dr John Gorvin, a sports psychologist and running coach. If you’re gunning to run 21.1 without stopping, aim to run two kilometres further or 15 minutes longer on your long run. If your target is a time goal, aim to shave a second or two off your regular loop.

Q: My friend keeps a running log – should I?

A: Yes. It’s a great idea to track distance, pace, weather, how you felt, and what you ate and drank before and during a run. It will allow you to go back and see how you coped with different workouts, weather, and fuelling strategies, so you can make necessary adjustments, says Gorvin.

Q: Can I race in the shoes I buy at the expo?

A: Please, no! You need to test your shoes on long runs, says Gorvin. Wear your chosen pair for a month and on at least two long runs (one of 15-plus kilometres).

10 Week Half Marathon Programme

24 April 2013

This 10-week half-marathon training plan for novices gradually builds mileage, blending long runs with faster-paced workouts to boost endurance and develop speed.

KEY

REST/XT:Ideally, do no exercise. Non-impact cross-training like stretching, yoga, or swimming is fine.

EZ Run: Run at a conversational pace or cross-train. When on a bike or rowing or elliptical machine, maintain a sustained aerobic effort.

LSD: Long, slow distance run that builds endurance. Run at a conversational pace. LSDs are rehearsals for race day – use them to determine your gear choices and fueling strategies before and during the run.

Tempo: These teach your body how to hold a faster pace over time. Do them at a comfortably hard pace, where you can talk in phrases. To find your tempo pace, see ‘How fast should I run?’ (facing page).

10-K Race: This ‘tune-up’ race is optional. If you choose to do it, use it as a race rehearsal for your half-marathon – practice what you’ll wear, eat, and drink, as well as your pacing strategy.

Got questions about the programme? Are you ready to run a half marathon? What happens when you miss a week of training? Don’t worry: we’ve got your answers, here.