Friday, July 14, 2023

My Journey through Race to the Stones 2023

In this blog post, I share my journey overcoming obstacles, the moment I thought ‘Should I quit?’ and why I kept going.

Race to the Stones is a 100km race that goes from Lewknor (in Oxfordshire) to Avebury (in Wiltshire). It follows the 5,000 year old Ridgeway footpath, ending at the UNESCO World Heritage Site of Avebury stone circle.

My journey started from London Paddington to Swindon. But you could argue that it started when I booked the race in December 2021 😜. I had a lovely catch up with Alice before I boarded my train.  This was a race that we planned to do together in 2022 but it just wasn't meant to be. All is not lost as it allowed us to have our own experience with two completely differently journeys. ✨️ 

I booked into Campanile Hotel in Swindon which is about 30 mins from RTTS finish line where I needed to catch the shuttle bus in the morning of the race. I rested for a bit then decided I needed to get up and go and find my dinner and breakfast. 
Campanile Hotel

I needed to get to the finish line to get the shuttle so had to book a taxi to pick and drop me off by 5:30am. When I got to the shuttle there were lots of people there already. Chatty morning people. Journey took 1.5 hours. I ate my breakfast on the bus as it was way to early to eat at the hotel.

Start-line:
The start line area was buzzing with excitement amongst other emotions I'm sure. People running 100km straight through and those running it over 2 days started in the same area. The compere was amazing, just making every one laugh. Did some warm ups before we started the run. Made sure I was towards the back of my wave to avoid being stomped. 
Off we go:
Great start as the sky was beautiful, warm and dry. Took the pace really easy using the intervals of 20/1 (20 minutes running and 1 minute walking) that I had set on my watch. This was a guide and would walk up the hills and run when possible but it was nice to have something to work on. I decided early on that I was only going to think of one pit stop at a time and not the whole race.

Pit stop 1: 8.7km
Pit stop 2: 21.3km
Pit stop 3: 35.5km
Pit stop 4: 49.8km (Basecamp/Half way point)
Pit stop 5: 59.7km
Pit stop 6: 72.8km
Pit stop 7: 88.3km
Finish: 100.2km

Startline area

The first pit stop came very early on and all I needed at this point was the toilet so used it and left. The pit stops as you can see above were not evenly spaced out. The heavens opened up shortly before I reached this pitstop and the heavy showers continued for a few hours with thunderstorms and lightening and darker skies. I started to think, OMG is this how it is going to be for the rest of the race? After I realised that the rain was not going to be stopping, I decided to put on my Montane waterproof jacket which kept me 100% dry and warm. I was also absolutely grateful for my Merrell LongSky trail shoes as the ground started to get slippery and muddy. My mind started to think about all those people (in the facebook RTTS chatgroup) who said they would be wearing road shoes as the trail has been very dry over the last few weeks. I did my first change of socks at pit stop 3 as I could feel they were wet and I would really benefit from the change. I sat in the medics tent and changed into a dry pair of long compression socks. I couldn’t be bothered to pack the wet sock with my dry things so I threw them away! It felt so good to have dry feet again.

Half way point:

Each pit stop was stocked with a variety of food and drink choices and medics. All the volunteers were amazing and couldn’t have done more. At basecamp, I finally got to sit down. The plan was to stay here for 30 minutes to eat, drink, refuel and rest for a bit. I had jacket potatoes with cheese and beans. It was lovely and warm! Much needed and managed to just stretch my feet out and catch up on some phone messages from friends. Finished my food and used the toilet before I set off again. Heard ‘TRINA’, I turned around and it was Ade and Marcia from Black Girls Do Run UK. Ran over and gave them both a hug and chatted for a few minutes. So lovely to see familiar faces. They were both really surprised as they did not know I was running the 100km. Words of encouragement came flowing through which really boosted my spirits as I prepped to carry on again. I started running to join the path to carry on and I heard a few screams of ‘TRINA, TRINA!’. I turned around and it was more Black Girls Do Run UK ‘Tasha, Sacha, Linda and a few others.. sorry I can’t remember. OMG this meant so much and what I needed. I was so happy, as happy as they were to see me. There were 14 BGDRUK ladies running the 50km on the Sunday and they had just arrived at basecamp. What perfect timing… things happen for a reason! They were so proud of me and I felt the best I felt all day. As I set off, Tasha spotted one of her friends Kerry who was also running the 100km. We all chatted and then Kerry and I wet off together. It was my first time talking to Kerry though I did meet her when she completed Country to Capital 70km with Alice back in January 2023.

Kerry and I had a lovely run and chat together and power walked lots! The terrain was very rocky, uneven, muddy and slippery that we both became very anxious about falling. We ran alongside river, over and through it, through fields of broad beans and corn, along rutted trails, along roads and through a village as we made our way through the countryside. The views were amazing but I did feel like I spent a lot of time looking downwards for fear of falling or rolling my ankles. I made a conscious effort to enjoy the views as much as possible. Usually on my runs I stop frequently to take photos but I didn’t this time. As I started to get tired, I was becoming more and more frustrated with the terrain especially the chalky rocky path which meant that I was frequently skipping to the left then middle and then right then middle and left again, which went on for what seemed like forever. We chatted everything under the sun from food, to family, children, work and then the parkrun game when you say only ‘3’ parkruns to go etc! I mean who doesn’t play that game on a long run???
I went ahead of Kerry but said to her that I would wait for her at the next checkpoint – 72.8km. As I reached there I decided that I would change into my last pair of socks (3rd) so that I would be comfortable going forward. I noticed that some blistered were going to start to form on the balls of my feet and the medic kindly put some kineo tape across the balls of my feet as a form of padding and keeping it dry. My feet felt good and not as painful as it was beginning to feel. It was at this point too that Kerry decided that her feet were too sore to carry on and checkout sadly. I was extremely sad to leave her as I know she really wanted to carry on. So from 72.8km onwards I was going to be on my own but I was just ready to carry on and get this run done. It was starting to get dark at this point so headlights on and back onto the road, one pit stop at a time.

Supporters:
There were supporters EVERYWHERE. Not mine but they cheered me on. Throughout the whole event, I have to say that this was the best bit just having people in random areas cheering you on, most from their parked cars and standing on the side of the roads, some with jelly babies, others with their dogs. They gave a well done to everyone that passed them. Bear in mind that I had been out there for hours, so were the supporters, even in the dark. One gentleman said, for as long as you guys are running, I am going to be cheering. How lovely!!!

Struggle to finish:
From 88.3km to 100km: It was so great to get to this pitstop as I knew once I leave here it was ‘only’ 11.7km. There were two familiar faces who made my day. Samy and Alban! The best thing when you are feeling like this is seeing someone you know who embraces you and just wants to help you. I was given a seat in a lovely tent and offered tea and food which was amazing. Decided early on that at every pitstop it would be a 10 minutes maximum stop and then keep moving. So at this stop, it was just that. The end was in sight ‘sort of’ but I didn’t know how much harder it was going to get. Running in the dark when the terrain was so awful, sore feet and I was just beginning to feel super tired having been out on the trails now for 18 hours plus. I started to think about my mum. The pain my mum went through whilst in hospital was nothing compared to what I was feeling. I miss my mum more and more every day. The KM markers were great but started to feel further and further apart. I would like to say that the markers were great and very easy to see so was grateful for that. I was alone but never felt lonely. I did keep turning around to see if I could see any other headlight and sometimes I did but for a long time I didn’t. As I reached 95km, floods of tears came running through. I stopped for a moment with my hands on my knees. I was emotionally and physically drained at this point and although it was 5km to go, I knew it was still some way to go. The sky was getting brighter. 100km was so close as I ticked off 95… 96..97km markers. At this point there were familiar faces running towards me and as they passed me I said ‘have you finished?’, they replied no. You need to run up there to a cone and turn around!! I was like thanks.. but thinking WTF?... So I carried on and followed the instructions and red directional arrows to go round the cone and go back the way I had come and the finish would be in 2km. I started to think about ‘the stones’. I have to admit if it was ‘the stones’ that we drove past on the shuttle bus from finish line to the start.. it was underwhelming. But I tried to stay positive, as my goal was to get to the finish line and at this point was not bothered about taking photos with ‘the stones’. The finish line had crews and family members there waiting for other people and it was lovely to get the cheers and clapping. But then it was the medal and get your bag and it was over just like that.

Finish line 

Why I didn’t quit:
This was not an option. I deferred this race from last year due to a knee injury which I started rehab for in May 2022 to date. There was no way I was going to checkout and not complete. This race has been hanging over my head for a whole year and I was ready to get it off my shoulders. Yes I was extremely tired, yes I was starting to get blisters on the balls of my feet (sore but manageable pain) but for me to stop at this point it would have to be under medical advice. It got to a point from 72.8km where I was just power walking as I did not want to fall so it took much longer than I would have Iiked but I said that I would rather walk to get it done than stop. There were lots of other people who had walked it from the start so walking was always an option. My overall feeling of this event is that I’ll never run it again, not because of the distance but it just wasn’t what I thought it was going to be. Besides the difficulty of the terrain and awful weather, if it had been sunny and been too hot that would also have been unpleasant. However, for me it was hugely costly. £145 for the race entry, I then had to pay to defer, pay for shuttle to the start line, buy train ticket from London to Swindon, Hotel for 2 nights, taxi (4 times), geo tracker, train ticket back to London. I don’t even want to think about how much I spent but it is definitely not something I would do again.

Resilience to overcome pain and fear:
 I have always been a very resilient person but sometimes you just don’t know how strong you are until strong is the only thing you can be. At the last pit stop 88.3km moving forward became progressively more challenging. I did look behind me a few times but that was not the way I was going and just had to keep moving forward because if I stopped there was no one there to save me. I started to think of how proud of myself I was going to be once I was over the finish line. We are always going to be faced with challenges in life but if we think about how we are going to feel on the other side, I have no doubt that this will power you through.

Grateful for a seat! 

In the end, this race is the hardest one to date for many reasons. But it was also the one which I was happy to have completed alone without support as it really made me dig deep within my inner strength and showed my unwavering resilience and commitment to goals that I set myself. It allowed me to uncover the strength within which I didn’t know I had and push myself beyond anything I have ever done. Now this is what I can an experience.

Beautiful sunrise

Recovery:
So grateful that my knee has been FABULOUS and caused me no problems at all throughout the race. Happy with my strength work and rehab with Myoset. My right ankle which I rolled on May 14th also held up. However it did swell up after about 24 hours which is expected but not painful. I have been looking after it and as I write this report, it is much better (5 days later).

The hardest part of my recovery so far is sleep. No one told me that it would be so difficult to get a good nights sleep. Every night has been terrible to a point that I was almost in tears at night as I couldn’t sleep. I am trying to rest as much as possible during the day. Doing some yoga every morning, which has helped. I do not plan to run for 2 weeks but will start some gentle exercises from today (14/7).
I had a recovery session at Myoset on Monday which was amazing. One hour of back and legs compression massage was a blessing. Yes I walked there with my medal on feeling proud. Great to get out for a walk and stretch my legs as I had been working all day.
Recovery lounge at Myoset

Gear choice:
Socks: 2 pairs of long compression socks and 1 short socks
Shorts: Purchased from Amazon
Base layer: Montane
Tshirt: Montane
Pack: Osprey
Cap: Vaga
Sunglasses: Hygee
Fuel: I took a variety of tried and tested food with me ( pretzels, soreen loaf, salted peanuts, precision hydrate electrolytes, salt tablets and real salt in a bag, coca cola bottles). I had a cheese sandwich at checkpoint 2 which was great and picked up some other snacks including water melon πŸ‰. 
Top 3 take away learning:
- Do your strength training as it will support your body throughout the challenge. Grateful that I did as I felt good and it also aids recovery
- Gratitude: Be grateful for what your body can do and gratitude will you see through challenging times.
- I can do hard things. Giving up is not an option. When you think like that your conscious mind starts to believe and gives you the power to achieve more than you ever thought possible.

Grateful for the amazing support along this journey from rehab to my first 50km Ultra in March 2023 to completing my first 100km.

Camino Ultra: Thank you for coaching through my first and second ultras. It is still sinking in. The best thing about having you as my coach (besides the fact that you are amazing humans) is allowing me to follow the training plan my way. You are thoughtful and flexible in your approach as coaches. You listened to my needs which changed often due to my rehab and another injury which occurred a few weeks out from race day. Couldn't thank you enough for getting me to the start line feeling ready and eager to take on my biggest race of all time. Thank you for allowing be to be my authentic self throughout our journey.

Alice: My trail sister. The one I was suppose to run this race with. The one who has supported and shared my long run miles with. Let's get back to the trails! 

Black Girls Do Run UK: Thank you for your hugs, cheers, support in the build up to this race and the best hugs at basecamp setting me off with the best mindset
 possible.

Merrell: Thank you for supporting me with all the trail shoes I could ever need . Forever grateful

Myoset: The best physios in town! Friendly and the most amazing tools in their recovery lounge. 

If you missed my previous blogs on my rehab journey:


Thank you for taking the time to read my post. Hope it has inspired to go for that challenge you have been putting off. We can all do hard things! 

Would love to hear your thought. Please comment below. If you have any questions, I am always happy to answer them.

Take care πŸ™‚ 


Tuesday, April 11, 2023

Rehab to Ultra - Part 3

Myoset


Final part of this journey of rehab to running my first ultra.

This is Part 3 and looks at my journey through January to March 25th 2023.

In January I had my rehab exercises updated and included the following:


I continued to use the gym to cross and strenght train and then either did the rehab exercises at home or in the gym. 

 My training plans were uploaded to Training Peaks app weekly by my coach and I stuck to the plans as much as possible. I added comments after every run to the session via app and I received weekly feedback via training peaks and whatsapp.

An example of my sessions in the app

At every physio appointment we discussed how and if I could make the start line of Lea Valley 50km. This was all I could think about and although it wouldn't be the end of the world if I couldn't run it, I would be absolutely gutted. 
 
Qasim then mentioned about a steroid injection offered by Injection Therapy. If I was interested, he would highly recommend this place as it is a  specialised ultrasound guided injection.
I researched like mad about what it is, side effects, lasting effects and everything else you can think of. I then made contact with Munir, practise owner and completed an online form and booked an appointment.

On the 26th January I attended my appointment. I thought the first appointment we would just talk but there was lots more to it. I completed more medical forms, Munir asked me lots of questions about what had happened, any ongoing treatments etc. He then started the ultrasound of both knees for comparison and he talked me through what he could see.
After the diagnosis, I was given an ultrasound guided cortisone injection for pain relief. I was asked not to run for at least 3 days but I should be good to go after this!


I was absolutely petrified as I hate needles! πŸ˜ͺπŸ˜ͺ It took alot for me to do this and I just couldn't mentally move forward knowing that it may take years of rehab for me to run 100% pain free. I couldn't bare the thought of this. Running has been my outlet for many years and even more so since losing my mum in October 2021. 

What got me through this was thinking about how my running will progress if the pain reduced and I could just concentrate on rehab and my training.  

This is a photo 12 hours after the injection. You can see the left knee/quad is heavily swollen.

First night after the injection, I could not sleep and had to take pain killers. I had the worst possible night ever! I cried internally!! It takes a whole lot for me to take pain killers. I have to usually be in tears, otherwise I usually just ride out the pain or ache. The next day the pain was all gone! And that was that! Day after day, week after week, I just kept waiting for something bad to happen or the knee pain to return... but it didnt. 

I tested the knee on a very short run on the 4th day. I was actually quite scared to run. Have you every been scared to use something because of a strong fear of it going so wrong? I was petrified to run! Every possibility of things going wrong went through my mind! I walked, then walked some more and then more.  Eventually after 15 minutes of walking, I attempted the run, and guess what it was OK. It did not hurt but I just kept waiting for something to happen.

I felt scared at the start of every run for about 3 weeks. Eventually I just forgot all about it. πŸ™πŸΏ

Progressively I felt stronger, continued doing my long runs, home and gym workouts, squats, training felt magical and I started to look forward to running the 50KM.


Continued with my rehab exercises and also added skipping to my sessions which is something I couldn't do before due to the impact. 
Whoever wrote this and left it on the mirror in the gym, could obviously see into the future! πŸ™πŸΏ

I started taking this in January and have not missed a day. For many years I have purchased vitamins with good intentions and just was not consistent.  I am so happy that I have been taking these everyday as I definitely feel that they have contributed to keeping my joints stronger.  I sometimes forget that as we get older we need to be more mindful of these things.  

Throughout February and March, I continued to follow my training plan and things progressed really well even the long runs. 

Plenty of nutritious food! This is one of my favourite breakfast - pancake wih blueberries and strawberry 

So this was it. The big day.
 
The biggest smile for making the start line
25th March 2023 means so much. But it was a process. One that was bigger than me. I am so grateful for the amazing support I had around me and also proud of myself for not giving up and being patient. Being injured and the recovery process is extremely difficult and you have to bear in mind that it is not just the physical aspects that you need to repair.

Although I had the injection and the pain is not there, this is only a temporary fix. I must continue to strenght train to keep my knees strong. Failure to do this will send me back to where we was last year and I definitely do not want that. 

With these injections,  you can have a maximum of 3 a year but I do not want ANYMORE! I would prefer to follow my physios advice, eat well and take the multivitamins I need to look after the joints and cartilage. 

The Mental Side Of Coping With Injury

1. Ask for support - Reach out to friends and other runners about the challenges you’re experiencing. Most will empathise with you and might be able to lend advice on some strategies.
2. Invest in yourself - Seeing a private physio can be expensive but I 100% believe in getting a diagnosis of what is actually going on. As much as we can receive great advice from other runners, it is always best to seek medical advice if it is an on going injury.
3. Find gratitude - Seek gratitude in the things that you can do. A lot of times we focus on the things that we can't.  Believe you me, it makes a huge difference.  You may also encounter and try new things that you will enjoy too.
4. Celebrate - Slow progress is still progress and it is still worthy of a celebration. 

I loved reading this post Maryke Low wrote where she explains the five stages of dealing with an injury.

I would love to thank:

- My friends, family and running community for their continued support
- My physios
- Camino Ultra coaches
- Pretty Athletics for their amazing products which I used throughout my training esp the muscle oil.

I hope you have enjoyed reading my journey to running my first 50km. It has been a journey of learning. I can hand on heart say that I have learned alot about myself and I feel emotionally,  mentally and physically stronger. I will never take for granted the importance of strenght training ever again! πŸ€ͺ🀣

Always happy to receive any feedback or if you have any questions, do please message me. My inbox is always open. πŸ™πŸΏπŸ˜Š





Tuesday, April 4, 2023

Rehab to Ultra - Part 2


Hope you enjoyed reading Part 1 of my journey to my first ultra. If you haven't read it,  I would suggest you go back and have a read so that it all makes sense.

This is Part 2 of that journey from September 2022 - December 2022

So I ran The Big Half on 4th September using the run/walk interval of 3/1.


I couldn't have asked for a better race. The method worked really well in the sense of not putting too much pressure on my knee and eleviating fatigue. If you want to find out more about the benefits of interval running, please read my blog post - Does interval running really live up to the hype?

So funny to hear that other people were also using the same device - Gymboss as we could her the ‘beep’ beep’ beep’. At first I thought people were looking at me and was conscious of walking straight after the sound went off so I would wait like 5 or so seconds before stopping but once I started hearing the other ‘beep’ and just started to ignore the others, I just got on and enjoyed the run. 

The next day I booked myself in at Myoset for a Normatec leg recovery session. The leg compression helps to increase circulation, revive muscles, and reduce swelling. It is widely used by elite athletes and consumers throughout the globe. I absolutely love these boots! Wish I could afford them but these sessions are the next best thing. I mean to be fair, I don't have the storage space for them either πŸ˜„. 

The compression boots is part of the resources you can access in their recovery lounge. I think the compression boots are affordable:

Taken from Myoset website as of 4/4/23


I soon returned back to rehab work using the exercises as designed by my Physio saved in the app.
 I also continued my sessions in the gym 2-3 times a week. I ran only once or twice a week max on the treadmill. Most weeks it was only once and for only as long at there was no excruciating pain. Please note that there was always some discomfort at the beginning of every run during this time as it took a while for the knee joint to warm up. I always completed warm ups and cool downs too without fail.

1 mile run 

Gym rehab session

Gym rehab session

At my next appointment I spoke to my physio Qasim about running Lea Valley 50km in March and if this was something we could work towards as I had pretty much written off 2022 at this point. I also feel less frustrated if I am working towards a goal.

Qasim was still concerned about the pain in my knee and although we were making some progress, there were days when the pain was constant and I felt like 'would this knee ever get better?' So he wrote me a letter to provide to my GP to request a 2nd MRI scan with the hope in them being more specific with the scan also looking at my tibia.

Thankfully I didn't have to wait too long for an appointment. I received a letter to attend an appointment on 12th September.

Whilst waiting for the results I continued with my rehab and run/walk sessions that I could do. During this period, I removed myself from alot of social runs as I would not be able to keep pace and didn't want to fall out of rhythm with my current set up and risk further injuries.  I either did solo runs, run with 1 or 2 people at a time who were aware of my interval running or a track session where I was in total control.

Exploring the trails - mostly walking with some short bursts of running. Running Vest

Special session with One Track with Steph Twell - track session (run/walk)

Exploring the Greenways with Caro

October London Marathon - loved cheering!


Greenways run courtesy of Camino Ultra. Trails are a perfect mix of running and walking.

Squad race with ON Running at Lee Valley Velo Park with Stronger Together crew

Kendal Mountain Festival in November

I had the pleasure of attending the festival with Merrell and then talking on stage with Sabrina and Dan. What an amazing experience to have been invited to do this. Merrell have provided me with some amazing opportunities over the past year and this has to be number 1! 

There were no new finding from the MRI and no injury to my tibia. From this I continued to work with my physio and we progressed with my rehab programme. 

In November I was fortunate enough to be offered to be coached by Camino Ultra by Paula. I jumped for joy and said yes happily! Couldn't have asked for anything more. I mean, being coached by trail and Ultra experts... grateful! πŸ™πŸΏ

My plan was personalised and worked around my family life. The sessions were delivered via the Training Peaks app and were a combination of easy runs/easy, Steady, Hard runs, rest days, cross training days and as the weeks progressed long runs were added. 

November consisted of rehab exercises and starting to train for Lea Valley 50km. The start of the training plan was very easy and my coach and I agreed that I would stick to my run/walk intervals of 3/1 which seem to be working well. 

In December as I began to feel stronger I decided to move from a 3/1 to 5/1 run/walk. This felt great and I stuck to this moving forward. It was really important that I ran my easy runs easy (how hard is this?). This is extremely hard! It takes a lot of practise especially as the norm is to naturally speed up as the body gets warmed up and into the running flow. I have to keep an eye on my pace and bring it back at times, which was really important. 

Thank you for taking the time to read Part 2 of my journey to my first ultra. 

Always happy to receive any feedback or if you have any questions, do please message me. My inbox is always open.  πŸ™πŸΏπŸ˜Š


Rehab to Ultra- Part 1

Welcome and thank you for checking out my rehab journey to running my first Ultra.

This is Part 1 of that journey from May 2022 - August 2022

My last long run happened on 13th May in Oxford whilst Alice and I were supported to recce (to become familiar with the area) part of the Race to the Stones route which I was planning to run in July 2022. A beautiful run, the weather was glorious. Being out on the trails is what I love the most.  However, the pain in my left knee was too much. I pushed through as much as I could but we called it quits after around 24km. I am surprised I even lasted that long! I probably shouldn't have run that far... hindsight is a wonderful thing πŸ˜‰

Bugs everywhere! Had a fly stuck up my nose 20 minutes before this. Thought I was going to have a panic attack. So horrid! 

When I got home, I knew I had to get a GP appointment and what I know I needed the most was an MRI to find out exactly what was going on.

Let me take it back a bit. So the initial pain was cause by a fall I had on January 16th 2022 whilst on a social group run in Ruislip Woods with our lovely Black Trail Runners, led by Sonny.

Ruislip Woods social run 
 
I then ran Manchester Marathon in April not feeling 100% but not in any pain as such. Don't get me wrong, I thought with R.I.C.E (Rest, Ice, Compression, Elevation) this would help with my recovery by relieving the pain and any swelling and it would all be better soon. It was actually quite the opposite. 

Here goes the start of my recovery. First thing on my mind was that I definitely was not going to be running 100km in July so I contacted Threshold Sports and asked to defer to 2023. This was the right thing to do. Only thing that annoyed me (more than the injury itself) was that I had to pay £30 late deferral fee after already spending £164.50. £4.50 was administration fee πŸ™„. I'm saying annoyed but that's putting it mildly. Guess I had no choice but looking at that, you might as well say I paid £200. 

 I receive my MRI report back on 19th May which was delivered initially by a phone call from my GP. I mean getting a call from your GP is not usually good news, right? Well it wasn't good news. My GP read out the findings in the report and ended the call by saying 'let me just be clear,  do not run unless a physio gives you the go ahead '! That was quite scary and felt 'final'.

With that, I made an appointment with Tyler at The Body Therapist in Stratford, East London.  
Tyler demonstrating what could be causing the knee pain

I emailed him the report so he could have a read before hand. Disappointed was an understatement. I met with Tyler and after an examination was given the following:

For 0-5 days:
➡️ Anti-inflammatories prescribed by pharmacist
➡️ Use ibuprofen 10% gel as suggested on the packaging in between oral medication 
➡️ Ice after activity
➡️ Contrast therapy of hot and cold on "non-active days"
➡️ Tubular bandage to wear on active day, but not when exercising and do not wear to sleep.
➡️ Start exercises from home (sent via an app)

For 5-10 days:
➡️ Continue with ibuprofen gel
➡️ Continue with tubular bandage
➡️ Continue with ice after activity
➡️ Continue with contrast therapy
➡️ Try run a 3km, maybe a 5k.
➡️ Exercise at home, in the gym x2 week
➡️ Cross-training at the gym using the bike or stairmaster

I purchased Ibuleve 10% gel which provides max strength pain relief from Amazon.

I purchased Flarin which is a lipid formulation and provide relief from joint pain and inflammation. It was easy on the stomach. I don't like taking pain killers at all let alone for a few days so it was important for me to find something that 'hopefully' was easy on the stomach. 

In terms of the 3km run that Tyler suggested above,  that was a non starter. I ran for about a minute and had to stop. The pain was there almost immediately.  Disappointed but I knew that this was not going to be a quick fix as hopeful as my physio was.

Consequently returned for several physio appointments whilst following the rehab programme and using the gym to cross train. 

The knee rehabilitation exercises included:

Gym Bodyweight Programme
Quads
- Straight leg raise
- Walking lunges (abandoned due to knee pain)
- Step-up  - heel to floor

Hamstring 
- The Diver
- The Glider
- The Extender

Glutes 
- Cross-over step-up 
- Glute Bridge single leg
- Double/single leg glute bridge

Calves
- Single leg calf raises
- Single leg calf raise with knee bent

Gym Programme
Calves
- Double leg calf raises
- Single leg calf raises 
- Double leg press calf raises
- Single leg press calf raises 

Core
- Twist slam ball 3-9kg
- Dead bug

Hamstrings
- Hamstring curl machine
- Kettle bell swings
- Dead lift

Quads/glutes
- Hip thruster - barbell on hips
- Seated knee extension machine single leg
- Bulgarian split squat
- Single leg press 
- Double leg, leg press
I joined the gym for the first time in about 10 years. Years back I was guilty of joining and attending for a few weeks and then continuing to pay my membership and not attending. I joined my local Pure Gym which was less than 10 minutes walk from home and opened 24 hours a day which was perfect meaning I could go early in the morning before work. The benefit of flexible working! 

Taking the anti- inflammatory (Flarin) was amazing as the pain totally disappeared.  I used to feel every single step when walking up stairs or even bending down to sit. All gone! Felt magical, but after stopping this after a few days, the pain returned.  I knew I couldn't keep on taking pain killers, nor would I want to so I really needed to work with my physio for recovery. 

Due to where the swelling and pain was located (under my knee to the right), my physio believed I also had Pes Anserinus Bursitis. My diagnosis from the MRI is chrondomalacia. To me and you it is also known as runners knee which is when there is a damaged cartilage behind the patella (knee cap). There isn't just one cause and can also be wear and tear. 

I continued these exercises at home and the gym including some cross training on the bike. I was plesantly surprised how well I got on with the exercises and using the gym. As I got stronger through the rehab, I was given permission to start  couch to 5k at the end of July. This had to be the best way as I am so much better when I follow a structured plan. I followed this for 3 weeks and then purchased a gymboss which you can use to set interval times for an activity. 
In June,  I volunteered at the Lea Valley 50km that I was suppose to be running. This would have been my first ultra and part of the training run for Race to the Stones. Also love cheering on others, so it was a beautiful experience with the Camino Ultra family. A great day seeing Alice and all the other finishers smashing out an ultra! So inspirational πŸ™ŒπŸΏ 

At the end of June, I had a feeling that I needed more support from my Physio and things just didn't feel quite right so I did some research and came across Myoset. I booked an initial appointment, took along my MRI scan and had a detailed appointment and explained what has been happening over the last few months. Instantly from the assessment it just felt right and a rehab package was put together. Acupuncture was included in the follow up sessions too. This is not my first time having acupuncture but that doesn't make it easier as I don't like needles. I absolutely know the benefits of having it so it just made sense.
I preservered with this new rehabilitation programme and started attending spinning classes at my gym. Absolutely loved this! Omg! It was basically a night club on a bike. The instructor was awesome and I got my friend Gosia to attend weekly with me.
When we weren't at spinning class, I was coaching Gosia as she was training for  London Marathon.  This was a great distraction and I loved it. Always brings me joy helping others.

Gosia at one of our coaching sessions in Victoria Park

Throughout July and August, I did 2 runs a week and continued with my rehab exercises at home and in the gym.  I used the gymboss and set the intervals for 3 minutes running and 1 minute walking. 

I had booked to run The Big Half on 4th September 2022 and was contemplating if I should run it or not. I spoke to my physio and he suggested that I did interval run/walk/run and see how that goes. So from this, I formally started to use 3/1 in my training runs. I made sure to only do shorts runs as I know I can run a half marathon before so this was not a concern. My main focus was not making this injury worse.

With training going well I decided that I would run the race using 3/1 run/walk method also known as jeffing. My friend Ray wanted to join me and this was going to be a new experience for us both. 

Thank you for taking the time to read Part 1 of my journey to my first ultra. 

Always happy to receive any feedback or if you have any questions, do please message me. My inbox is always open.

See you soon for Part 2 😊


Kielder Marathon Training

Hey there,! As I kick off my journey toward the  Kielder Marathon  in October, I thought I’d share my weekly training plan here....