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Injuries

If you're gonna be a trail runner expect that at some point you are going to get hurt. How you manage that injury will help or hinder just how well you get better as a trail runner. I've learned this lesson several times over and finally learned to listen to my body.

So how do you deal with an injury? What is an injury? I'll be honest, my first running injury I didn't call an injury. My groin just hurt and I didn't know why. I remember I wasn't able run for a day or two and then I was right back at it. If I had known then what I know now, I would have taken a much more focused approach. But even with my next injury, which ended up being a biggie I still had little to no idea what was going on just that I had some sort of pain that kinda went away while running.

So what I've learned from that injury has served me well with all my others. First, at the first sign of pain, slow down. What I mean by that is do less miles, do slower miles, do some other activity that doesn't cause the pain; or do some combination of these. It takes 7 days for fitness levels to start dropping, so you won't be loosing any fitness if you take a little time off. If it is longer than 7 days switch activities drop back or stop running and do something else. It becomes this idea of you can pay a little now or you can pay a lot more later. So take a break!

When taking a break doesn't work get a professional involved. Find a doctor and or a physical therapist who you can work with. Find one who doesn't think running is a bad thing and doesn't think doing a lot of miles is a bad thing either. Finding one can take a while. I've had a chronic pain injury for about 5 years. I went through 3 different doctors, first one just wanted me to get a shot of cortisol and buy inserts and didn't want to problem solve.  Next came the one who x-ray and found 2 different issues referred me to a physical therapist only after the meds they gave me didn't fix the problem wasting about 1 1/2 to 2 years. Fours years into this injury I finally found a doctor who didn't think I was crazy and began to offer solutions as well as telling me, such that I understood it, what was going on. From here I got better and in less than 6 months from that meeting I'm running pain free for the first time in 5 years. So find folks to work with who want to keep you running. I now have a doctor who specializes in running injuries and a physical therapist who is all about keeping me moving that I trust. 

My biggest injury has been called 'insertional Achilles tendenosis' basically where my Achilles attaches to my heal was starting to come a part. I've been dealing with this for about 5 years. I learned about the Alfredson Protocol which deals with loading the calf muscles with the goal of making it bigger/longer. I took 12 weeks off from running, started going to the gym to keep my fitness up, got a personnel trainer to help me with my running form and started doing the Alfredson Protocol.  By the end of the 12 weeks I was nearly pain free and I've continued with the protocol now nearly 6 months later I'm 95% pain free. If I had know what was going on 5 years ago there's a chance I wouldn't have this bump on my heal from my body having to repeatedly try to repair itself with out resting.

My other big injury has been from rolling an ankle. Most of the time a little roll doesn't slow me down, but I've had a couple of ringers that force me to take some time off from running and walking, like a week or two. But I did take the time off and ended up stronger because of it. I started doing near daily ankle work to keep them strong. 

Recently I strained my adductors such that I wasn't able to finish a run. So at this point I've learned my lesson and I took 2 days off, searched for adductor strain stretches and started into getting back to running. I cut my miles totally off from running for 2 weeks, but took a 3 mile walked nearly every day. I cut my monthly miles almost in half. After 3 weeks I slowly started to add running back into my workouts. By the 6 week mark I'm basically back to my previous mileage. 

Lesson to learn, take the time to heal up and get help when you can't figure it out!

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