I've mentioned a few times some injuries that forced me to seriously cut back on the running, and even stop altogether for several chunks of time. And that's all I've really been able to manage saying about it because it's had me so. very. down. that I haven't had much positive to say. It all started after a 9-mile run in mid-July; my never-had-issues right knee felt a bit irritated, and it just spiraled from there into really bad IT band and piriformis (butt) issues, despite the fact that I cut way back and even avoided exercise altogether for periods of weeks at a time...very hard for me to do.
I used to always say when I heard about other people being laid up by things like IT band injuries that I didn't know what I would even DO with myself in that situation, because I couldn't bear to give up my workouts, though never
actually thinking this was a possibility - and then I got injured. And I didn't handle it well. Having to take time off made me depressed and crabby and anxious about loss of conditioning - plus everything else in life, since exercise is my anxiety-reducer. I was majorly bummed to miss a half marathon I had signed up for, I hated being out of my normal gym routine, not to mention that I was in pain a lot! Not a happy time around our house.
It's been a long road back to (almost) the amount and intensity of exercise I'm used to (and like), and back to my happy place, but over the weekend I was able to run a fun 15k race in Chicago with my parents and sister, and it went great - 11th of 1,728 in my division. I think I'm back, baby! And now I'm trying to be much smarter than my usual all-out 6-days-a-week exercise routine. I won't be taking for granted a well-operating body again - and I'll also be much more careful about keeping it that way! Five lessons I've learned (some more successfully than others, and most quite begrudgingly...) about dealing with workout injuries:
1.
Find the trigger points - the theory behind trigger point therapy says that pain in one spot does not necessarily mean an issue in that spot. You need to find the trigger point - the muscle spasm/knot - that's causing the pain to refer out, and then you need to release that point by massaging or applying pressure (tips/more info
here). You can do this on your own by rolling on
foam rollers,
massage balls (or tennis balls), or
roller sticks. LOTS OF ROLLING. That's lesson #1. I roll pre-run, post-run, while I'm watching tv, etc. I should have been doing it before getting injured - you don't want these things to build up (and then explode) like happened to me.
But when things do get really bad and built up, you need to bring in the pros. I've been going to
a guy certified in trigger point therapy and active release techniques. It's taken weeks to work out those points in my butt/knee (and then discover even more in calf, foot, etc.), very slowly - and painfully - working them out layer by layer. It's kind of like a combination of sports massage and physical therapy. And while expensive and painful I'm convinced that this is absolutely what got me on the road to recovery.
2.
Cut back but don't stop - rest is important when you're injured, but at first I basically just stopped - and I think that turned out to be a problem because it meant that I ended up sitting a lot more, in those hours that were usually taken up with running, spinning, and walking. And sitting is bad for you. I actually got worse for a while even though I was doing nothing because everything tightened up so much. So keep up some moderate (a word I have trouble with), low-impact activity, and try not to sit too much - I've been working standing at the kitchen counter with my laptop.
3.
Strength train - When you do a lot of one activity like running, you build up only certain muscles associated with that activity, and the other ones suffer for it, which is part of what can lead to injury. For example, apparently with runners, the
piriformis - a tiny little butt muscle that can cause a shocking amount of discomfort/pain - can get way over used and spasm, leading to all these issues... so to heal (and prevent) you need to strengthen all the glute muscles around there so that everybody's getting used. I found good
yoga and
strength tips for this on Runner's World, same thing for IT band.
Also, I kind of hate strength training in general because I find it so boring and it doesn't feel like a
workout when you're used to sweating on a bike for an hour, but it's clearly important to do some of this, and not just cardio workouts, to avoid muscle imbalances and of course to achieve better overall fitness.
4.
Find alternative activities - to pass the time while trying to let my body go through the healing process, I took two approaches to replacing the time spent on my normal workout routine. First, I tried out some new things at the gym that were okay on my injured parts, like swimming and yoga. I could at least feel like I'd gotten to the gym and feel less bad about not being able to work out. Swimming is somehow SO HARD (I can go out and run a 7-minute mile but can't swim more than 25 meters without stopping), so it was nice to try that a bit to give myself a new challenge, trying to swim just a little farther each time, which is part of the mental satisfaction I get from working out. And yoga is of course good to relax the mind a bit and also stretch out and loosen up my injured parts.
I also tried to use this as an opportunity to remember that I do have other hobbies besides working out! When I had to stop training for a half marathon that freed up a fair bit of time, so I pampered myself a bit with more reading time in the sun and with making a few craft projects, which I hadn't done in forever.
5.
Cut yourself some slack - much as running is my therapy, it also contributes to my need for therapy: not being able to do it made me realize how much of my identity and self-worth I was getting from things like my mile times and my weight and my ability to do it day-in and day-out. While it's great to have exercise as a hobby and feel good about achievements, it's not healthy at the levels I was doing it.
Still working on really internalizing this lesson, but having to stop/slow down for a while has been an important look at my unacknowledged attitudes and self-beliefs and an opportunity to learn to let things go, realize I'm much more than these abilities, and figure out how to set more reasonable self-expectations.
So those are some lessons learned for coping/recovering from a running injury like mine - of course some might require visiting an actual doctor or doing physical therapy...
Oh, and duh - when you're back in business,
keep doing all of these things! If you're lucky enough not to have dealt with an injury, you should start doing them too. Prevention as best medicine: believe me. Not that 30 is old (right?!),