Part 2: Running Through the Pandemic – Recovery from Injury
For the second installation of Running Through the Pandemic, I want to share my personal injury recovery from this year.
First off, injuries are no fun. As I’ve discussed training, time trials, and social distanced running with you over the past 2 months, I realize that some of you are in the same boat as me = unable to run.
In normal times injuries leave us without our beloved “Runners’ High”, often time a lack of focus, sometimes weight gain, and a general ambivalence about our path forward. It feels like this is magnified 10x via our current disruptive work environment, home schooling and overall lack of socialization.
I began to experience chronic knee pain in January. Unfortunately, this we not the typical tight quads and non-firing glutes. On July 16th, I had a scope of the knee to remove some loose pieces and examination of the trochlea head.
Not surprisingly, my surgeon discovered evidence of all the 60,000 miles of running my knees have endured over the last 30 years.
My recovery has been slow. I am near pain free walking but can’t do single leg squats which is one of the markers, my physical therapis Ky set as a prerequisite to running.
Frankly, this has left me unfocused in everyday tasks, less productive, generally ambivalent and somewhat rutter-less.
Sound familiar?
When I walked on at Penn State, my coach - the late, great Harry Groves, made this guarantee to me: if you train hard – you will improve and eventually get injured.
Coach Groves passed in February with a tremendous legacy of instilling strong work ethic in young men and I’m often reminded of the lessons he taught. He had a way of challenging us with lots of explicit-ridden acronyms such as “GOYFA”, where G = Get, O = Off, Y = Your and I’ll leave the F & A to your imagination.
With no running in the past 6 months and probably none until at least next year, I was forced to think of how I would move forward and get off my proverbial seat. The real impetus for the start of Runcoach was that running has always been more than a sport or exercise for me. When I’ve been stuck, running is the milieu for a path forward.
Almost always injuries are mitigated with physical therapy. Often times it is not the therapy itself, but the psychosomatic benefits of doing something as opposed to nothing. So, I continue to be religious with my PT.
After years of despising the bike and spin workouts, I’ve found a new, non-inflammatory love of the Peloton. There’s just something about that leaderboard and those spunky instructors urging me along. I’d love to follow you on Peloton and join you for a class and my user name is RuncoachTom.
Meanwhile, my former running partner, Lester (yellow lab) continues to need his exercise and at 8 years-old my knee injury is a Blessing for him. We routinely log 15K steps/day and sometimes stretch to 20K+.
The combination of my PT, the Peloton, and walking Lester keeps me moving forward. In these times, we need to find whatever we can to resiliently keep on.
I also am grateful for all the miles I was able to run and those still ahead. It is funny how much one appreciates something routine after it is gone.
For all of you who have been on the sidelines like me either currently or historically, I encourage you to focus on what you can do today, and the potential of what tomorrow may bring.
As always, any movement leads to activity which becomes a path forward.
Coach Tom’s Top-5 List for Moving Through Injury in the Pandemic
1. Focus on your physical therapy, flexibility and strength work as there are multiple benefits
Did you know having the incline at 0% is actually like running on a slight downhill. Don't slack off!
-Do not hold on to the handrail or console.
These are placed for safety, not to guide your activity. When you hold on to the rail, it hunches you over. This is not an effective running or walking form. It can cause lower and upper back pain. Keep your spin nice and straight, and pump your arms forward.
-Pay attention to your stride.
You should have the same stride as when you are running/ walking outside. Lots of people make the mistake of overstriding (landing heel first with your foot well ahead of your body's center of gravity). This is because the treadmill belt helps to move you forward.
To avoid this mistake, keep the belt at a pace you can manage. Keep your stride ligh and quick. If you have a device to track your cadence use it!
-Do not step on or off while the treadmill is moving.
Most treadmill injuries are cause by falling or jumping off a fast moving belt. If you need a quick break, use the pause function or slow the speed of the machine to a very slow pace, and step off.
Top prevent needing to step off, try to be prepared with a towel, headphones, water and your phone before you get started.
-Bring entertainment
To combat the boredom, bring music, a podcast, magazine, or movie to watch. I usually don't recomend using headphones outside for safety reasons, but inside it's perfectly find. Having entertainment will prevent you from constantly checking your time and distance, and allow you to relax.
Be sure to aware of your form still. Nice and tall spine!
Jerric restarted his relationship with running after a 15-year hiatus. His return has been nothing short of remarkable. While juggling the demands of family, a career, and training, he recently set a 27 minute personal best while completing the NYRR NYC Virtual Marathon. Read about his "not so secret" tips for success!
Major milestone:
I started running around Christmas 2018 after 15 years! Then I completed by 1st marathon in Chicago in October 2019 (finish time 4:18). Just completedmy 2nd marathon the NYC (virtual) in October 2020, big personal best of 3:51
What is the secret to your success?
There really is no secret here - you must put in the time and work for training. But I also view my running time as my "me" time." I reflect on my day ahead, I catch-up on podcasts, I listen to audiobooks, I let my mind wander...
What is the biggest obstacle to reaching your goals and how do you get over it?
The biggest challenge is balancing running with family and career. There are days when I have an early meeting so I will wake up really early (4:30am) to get my run in. If it's important enough, you'll get it done.
What is the most rewarding part of training?
Nothing beats crossing the finish line. While overall health and wellness is the over-arching goal (and Runcoach shows how you are improving which is very encouraging), crossing a finish line is a tangible milestone on this journey. And thinking of all your family and friends who support you through the good times and bad as you cross that finish line is humbling.
What advice would you give to other members of the Runcoach community?
Follow the schedule Runcoach gives you. If you stick with the schedule, you will hit your goals. Also, be honest with yourself. If you can only run three times a week, put that in your profile so your schedule reflects this and it's not a stressor.
Anything else you would like to share?
Runcoach has really been good at predicting race performance for me. I keep doubting I'll hit those times for a race but I've managed to. The app is great and has helped me reach my goals. My coach, Hiruni, is always there to keep me focused. And no big deal but she's an 11 time Sri Lanken national record holder :)
What feedback would you offer on the Runcoach experience?
Runcoach has been key in my running journey. The free version gives you a training program that is flexible and will adjust automatically for missed runs and multiple races. The paid version gives you 1:1 coaching (mine is super-friendly and helpful!) and allows for even more customized training schedules. I'm very happy with Runcoach!
It occurs to me that we spend a good deal of time with emphasis on the keys to our training approach:
However sometimes I see even the most organized, motivated runners miss out on some of the basics. Everyone knows to wear sweats and bundle up in the winter months, but what about the kind of cold Fall presents. It's tricky to dress for the 40 - 50*F (5-15*C) days.
As always I am most concerned that all you remain healthy. Remember if you're healthy, you're aerobic economy can be continuously developed through stress, recovery and compensation/conditioning.
So here are a few basics for running attire in the 40-60 degree temperature range. 
As you run you will feel warmer, that's your body's engine heating up. That's why I suggest dressing for how you will feel 20 minutes into the run then the first mile. If you are running long, bring a change or clothes of a warm sweatshirt to change into after you finish up. It's never fun to be sitting in your frozen sweat on the drive home.
Written by Jennifer Van Allen
Updated by Hiruni Wijayaratne 
One of the most challenging parts of getting fit is staying healthy and injury free. Dr. Ashley Perrott is an Ironman finisher, busy mom, and family medicine physician at Novant Health Salem Family Medicine in Winston-Salem, North Carolina. (See photo, left, of Ashley with her parents and brother). Dr. Perrott is answering some of the most-common questions our users have on staying on track.
Muscle soreness can be expected for 1-2 days after a more intense workout or more intense week of training. This soreness should improve daily. Recovery with rest or light workouts after an intense workout can help muscle soreness and stiffness. Try a light massage or foam rolling.
Muscle injuries lasts longer than 1-2 days. You may notice the inability to complete a light workout or even regular activity. Rest will generally help this pain. Any pain that gets worse with activity should prompt the athlete to reduce speed/intensity to avoid injury. Muscle pain or weakness that persists despite rest is a reason to see your MD.
Joint or bone pain, swelling, or redness may represent more significant injury. Certainly a specific episode of injury (rolling ankle, falling, tripping) that causes deformity should prompt an evaluation at the MD in some fashion.
If your joint pain feels worse with pressure on that joint (expecially if your are just resting and can feel the pain) schedule a doctor appointment immediately.
Reoccuring pains, these are aches and pains that show up like clock work should be addressed. Shin splits, IT band stiffness, runners knee, achilles tendonitis are all chronic pain that tend to simmer down and flare up as you increase activity. It's critical to address the root cause of these pains, perform corrective exercises, and break the pain cycle for good.
Have a question about staying healthy and injury free? Contact Us.
As with any new adventure, when you are starting off, it can seem dauting to set a goal. To take some that stress off, we’ve asked our coaches for their top tips.
A goal, no matter the caliber is critical to keep you focused. A goal should be ambitious, but not so wild that it will take you an exceedingly long time to reach it. As a beginner, you will see various levels of successes rather quickly. Use this to your advantage and set several personally relevant goals.
(1) Exercise Regularly – Run consistently
This can be simply to run/ walk/ move your body and sweat 2 – 3 times per week, for a month. Building a routine is the first step toward meaningful change in your life. Your body adapts the more times you teach it to do a skill. Continually running/ walking will improve the response within your body
(2) Run a Specific Distance
Be it one kilometer, mile or 5K – marathon, set a distance that you can be proud of completing. Time or pace is not relevant at this point. This is a personal record of the farthest distance you can cover in one-go.
(3) Run Non-Stop
Set yourself a goal to run on-stop over a realistic distance. At first you can even make it a goal to run around your neighborhood without stopping, then move up to a loop around your local park.
(4) Select a Race
Live events are a rare luxury for now, but you can still register to support a race organization which is meaningful to you. Most virtual races will send you a finisher medal, and other awesome swag. These are treats to reward you for reaching the goal.
(5) Weight Loss
Lots of people start running to lose weight. Just like setting your eyes to run a certain distance, you should set a weight loss goal for each week and each month. Experts recommend 1-2kg (2-5 lbs) as a safe weekly weight loss goal.
So, where do you see yourself on December 31, 2020? 
In a time of chaos, limited social life, increased time spend at home, apparently more "free" time, have you taken the time for some self-reflection. As runners, we are conditioned to set goals based on upcoming races. Well, that's not a sure thing anymore.
Does that mean you shouldn't set goals in favor of not having your heart-broken time and time again? Absolutely not. There is still plenty to strive to accomplish, endorphins to collect, and lifestyle changes to make.
1. Revisit personal annual goals
You may have wanted to run a Boston Qualifier or finish your first ultra-marathon. With both of those events now cancelled, think about why you wanted to reach those goals.
- Set a smaller goal. Think running a personal best in a one mile - 5K or completing your longest long run ever. Things you can control as an individual have a higher chance of success.
- Was your audacious goal tied to hopes of weight loss, or a more consistent running routine? That can still get accomplished. Start by setting up your schedule to allow you to dedicate 20-30 minutes per day to exercise. Repeat this for a few weeks, and you're at the start of a routine!
Once you set and complete smaller goals, you are more likely to remain motivated to reach the big, long-term goals. Otherwise, losing motivation could make your goals seem unattainable and increase the chances of veering off course.
2. Attend to your mental and physical needs
Take this strange “down time” from always needing to be in tip-top shape to rebound physically and mentally.
Aches and pains should not be part of your everyday life. If there is an area in your body that’s troublesome, take the time to rest and heal. Then discuss a plan of attack, which includes specific exercises to strength the supporting muscles and tendon with your coach. Same goes for a mental refresh. Burn-out is extremely common among distance runners. Take some pressure off yourself.
Working toward big breakthrough require both physical and mental energy, so it is important that both aspects are attended to when making an appropriate goal for the next time around. If emotions are high or you are unusually physically worn down, setting a goal will more difficult and irrational.
3. Take inventory about what you liked and disliked about your past races
Did you use to race for charity and find your cause to be a crucial motivator? Did you enjoy (or not enjoy) any travel involved to get to your race site? Were you enthused by the crowds or did you enjoy the solitude of a less populated and more scenic race route? Pick the top three enjoyable aspects of your race experience as well as the three aspects that were most problematic to help narrow down what types of races/ goals will suit your preferences.
Once you have a list and your motivators and dislikes, let’s get to work setting up the next challenge.
4. Use the resources at your disposal
This is especially key when we consider the change of seasons. If you live in a region where the winters are particularly cold or the summers particularly hot, or if you have become accustomed to doing long runs or challenging workouts during hours that can go from light to dark depending on the season, keep these in mind when selecting your next goal.
If it’s difficult to spend a great deal of time outside, then select a goal that’s short and fast, so your efforts can be concentrated appropriately. Remember, improving your speed is a valuable tool for any runner.
What a crazy year this has been. We’ve gone through a pandemic of the century, lost loved ones, observed the pain & suffering of so many, and seen our running industry turned upside down.
I’ve read countless inspirational stories from many across the U.S. and around the world. As I’m hopeful that we may be through the worst, I thought it might be helpful for me to share my experience of the last six months with our wonderful Runcoach customers and anyone else that might find my perspective helpful.
This is a bit selfishly cathartic for me but I’m hopeful my experience and some advice may be beneficial.
This will be a 6-Part Series with the following topics:
Running with Bad Air Quality
Recovery from Injury (My Knee Surgery)
Alternatives to Running with Current Restrictions
Some Perspective on Black, Indigeneous and People of Color from a Running Lense
Running After Coronavirus Symptoms
Our Path Forward to Road Races & What We Can Do Now
Running with Bad Air Quality
Many of us in the northwest part of the country and now with extensions to the midwest, have experienced extremely poor air quality from the tragic fires in California, Oregon, Washington and Nevada.
As runners, we always want to push through adverse conditions. I haven’t been running (more to come on that topic) and I’m acutely aware of the detriments of inactivity. However I believe that poor air quality has long-term bad effects. So what can we run in and what can’t we?
Here are my thoughts:
AQI readings above 100 are a non-starter - please find alternatives (see below)
AQI readings in the 80-100 range may have an effect and should be considered with caution
AQ below 80 is probably safe but you should still listen to your personal biometric feedback in this range
Personal biometric feedback is your breathing within and after a run. There is a difference between wheezing and heavy breathing. Think of wheezing as strained breaths where you can feel it down deep in the lungs. You will feel wheezing from asthma and unhealthy air during and after your run. We don’t want to run through wheezing as the lungs are remodeling to transport necessary oxygen and some tissue could be dying.
On the other hand, heavy breathing is normal and we experience this through heavy exertion. A great marker to distinguish between the two is how you feel after a run. You should not have labored breathing or any wheezing within an hour of workout completion.
Here are my favorite sites/apps to check the air quality.
Purple Air - this site uses a community of personal air sensors at residences and businesses to provide a view of your area’s AQI
AirVisual - this is an app available for iPhone and Android users; it uses 10,000 locations to evaluate, predict, and report on current and future air quality
So what to do if the air quality is poor?
Wear a mask?
I’ve been walking in an N-95 mask which seems to keep out many particulates; there are many varieties to choose from
I haven’t experienced the new Under Armour sports mask but heard it is comfortable for runners
Run on a treadmill if possible
Consider an alternative workout indoors such as the Peloton (more on this in an upcoming post), Elliptical, pool for swimming or deep water running, or any of the HIIT or other at-home workouts with a cardio focus
Adjust your plan - ask your coach or look at the forecast and pick a better day to run
The bad air quality won’t be here forever. In these times, it is important to remember those who have lost lives, homes, pets and much worse in the fires. Still the loss of your workout is personal and not to be diminished. I like to think of how much I appreciate running in these times and the hope that I will have the opportunity to run in clean air soon.
Congratulations to all those who have completed their goal virtual races over the last few weekends! Whether you are basking in the afterglow of a milestone reached, or still awaiting the joy of the finish line, it is important to consider the crucial training period of recovery.
Previously on the blog, we’ve covered a variety of topics related to recovery that are worth a quick read or re-read. These include:
Throughout each of these, the main thread is the message is to take recovery seriously. One of the ways runcoach differs from template training plans or social training groups that focus solely on the one goal race is the inclusion of a recovery cycle into your plan. As runners ourselves, we know that running is an ongoing pursuit for many, marked brightly with the signposts of big goals along the way, but more importantly, something we enjoy doing every day.
When you take recovery seriously you can enjoy your daily running without the inconveince of the world of injury or illness.
I know "recovery" doesn't win medals, or get the awe from your friends the way a hard workout or race does. Think of it this way, if you don't recover forget about the next finish line, a new start line maybe further away than you'd like.
