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Successful Return From Running Injury – Getting It Right First Time

This weeks guest blog post in Training Corner comes from James Dunne at Kinetic Revolution and talks about successfully returning  from a running injury and getting it right first time. Please visit there website for more information on the services they provide http://www.kinetic-revolution.com/ and  Facebook Page.

How many of us have suffered a running injury, rested, diligently done our rehab and embarked on a progressive return to running plan, only to land painfully back at square-one?

I’d suggest that an alarming percentage of readers will be all too familiar with this frustrating pattern of recurring injury.

The question is, what can we do differently when it comes to the all important return to running stage of rehab?

Biomechanical Overload

When it comes to running injuries, any physio will tell you that there is a well recognised list of common running injuries – all overuse injuries sustained over time through biomechanical overload of a particular tissue of the body.

Put simply, if your body is moving and loading in a certain dysfunctional way that predisposes a particular tissue (muscle, tendon, bone, etc…) to being ‘picked on’, and you then add increased training load – something has to give – and injury usually occurs!

There are of course other less common running injuries – some due more to bad luck or bad planning than others (e.g. ankle sprain), but the common list is almost exclusively populated by overuse injuries.

Many different possible factors can contribute to these overuse injuries, and hopefully your individual treatment and rehab plan will have sufficiently addressed these, enough to enable your tentative and progressive return to running.

But once your physio gives you the ‘green light’ to recommence run training – don’t make the one big mistake I see made by runners almost every week…

The Biggest Mistake – Rehab Running Load

Once your physio gives you a return to running plan you may notice that the running volume begins very low.

Safely Building Up Your Running After Injury

Some of our athletes have asked us to put together an example 12 week running program for those who are coming back from injury.

This simple-to-follow program guides you through 3 months of gradual progression of running volume to safely build up running time as the previously injured tissues get stronger again.

Changing Your Running Style

Use the program below to provide structure for an important 3 month transition phase as your body adapts to a new running style.

This is particularly important to help runners avoid the common and painful ‘too much, too soon’ trap – when changing from a heel striking to midfoot or forefoot striking gait pattern!

IMPORTANT

All running to be completed at a easy pace.

No speed work until you complete this ‘return to running’ phase!

Don’t run on consecutive days – give your body time to recover.

Example Program

Week 1: 3 sessions of: (Run 1min : Walk 1min) x 10

Week 2: 3 sessions of: (Run 1min 30sec : Walk 30sec) x 8

Week 3: 3 sessions of: (Run 2min : Walk 30sec) x 8

Week 4: 3 sessions of: (Run 3min : Walk 1min) x 8

Week 5: 3 sessions of: (Run 4min : Walk 1min) x 8

Week 6: 3 sessions of: (Run 5min : Walk 1min) x 6

Week 7: 3 sessions of: (Run 10min : Walk 1min) x 3

Week 8: 3 sessions of: (Run 15min : Walk 1min) x 2

Week 9: 3 sessions of: Run 20min non-stop

Week 10: 3 sessions of: Run 25min non-stop

Week 11: 3 sessions of: Run 30min non-stop

Week 12: 3 sessions of: Run 35min non-stop

In the case of my program linked above, I like to use a run:walk approach to begin with. Logically this would make sense – there is a part of your body that had recently objected to the loading of running, so we now need to progressively load it again in your ‘rehab running’ (as I term it) phase. It hopefully seems logical that increasing training load / stress factors such as running volume or frequency by too much, too soon, might set your injury back.

But what about the other training load / stress factor, running intensity?

Running Intensity – Don’t Push Your Luck!

It seems to me that while most runners appreciate that run volume (milage) and frequency (how often you run) will determine training load, the other important factor training intensity (how fast/hard you run) gets overlooked.

Years ago, as a new graduate It took me a long time to realise why some of the keen runners who were clinically ready to return gradually to running would break down again very early in their return to running. I eventually realised how naive I was being!

I hadn’t overtly specified what intensity these low volume ‘rehab running’ sessions were to be completed at.

This was my big mistake! Some athletes will be anxious about returning to running and thus naturally run easy during these sessions. However, many others will use the rehab running sessions as an opportunity to release frustration at not having been able to run for weeks on end, and push themselves harder than is appropriate for their stage of rehab.

Certain types of athlete (not all) will see the following type of early stage ‘rehab running’ session…

10 x [1min run : 1min walk]

…as an opportunity to run reasonably quickly for 1min and get their breath back for 1min, ten times. Essentially a short interval session.

Remember – Speed, pace, and running intensity – in this situation all one in the same thing – is another important factor determining biomechcnical stress and strain on the body.

I quickly learned that, runners who are returning from injury need to learn to run easy – truly easy – to give their body the best shot possible at a successful return to running! With every athlete I now stipulate specifically that I want them to run at a conversational, aerobic, easy pace for the first 12 weeks, the rehab running phase after significant injury.

No matter how good it feels we don’t touch any speed work for that first three months. The factors we increase are initially frequency and volume, with intensity being the progression once the first 12 weeks is successfully completed.

 

About The Author James Dunne

James has an academic background in Sport Rehabilitation and a special interest in Applied Biomechanics. He currently coaches a large number of Runners and Triathletes across all levels of ability and performance. He’s grown a strong reputation for enabling athletes to improve their running performance and overcome running injuries through improving their Running Technique and developing Running Specific Strength.

 

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