Thursday, 6 February 2014

Fibula fail

Fibula stress reaction, possible stress fracture, 10 days of total rest: not words I wanted to hear today.

After what has been a positive January back into running and marathon training proper for Brighton in April, February has brought issues...some familiar, some not so. The hamstring hasn't been perfect, every run over 13 or so miles has brought the familiar nagging pain back and the sciatic nerve pain through my back. I think  the remedial core/strengthening work I'm doing a few times a week is bringing improvement but to be honest its hard to tell. I guess if you ignore an issue for as long as I did with the hamstring (which then turned into an IT band problem) then recovery is equally slow. Then earlier this week a completely new sensation reared its head - a very localised pain deep in my lower outer right leg that throbbed during both running and walking. I debated whether to still go along to the newly-joined Portobello RC for a hill reps session last night and decided to go with it to gauge how it felt. I felt it throughout but it was do-able. Then today just walking a few miles to work was a struggle.

My physio, Guy Van Herp at Meadowbank, thinks its a stress reaction of the fibula, which apparently is one of the most common sites for a stress fracture for ultra runners due to consistent overloading. Having never had any fractures or breaks before, its all new. He thinks it'll be a combination of  stepping up the mileage on the road rather than trail for Brighton (albeit gradually) and minimalist footwear - those lovely Altras. I tried selling a good case to him that they are super cushioned and I'd broken them in gradually - don't want to be ANOTHER of those people who injure themselves going minimalist - but he doesn't think gradual enough. I'd love to trace a trail right back to the heart of the problem but sadly the human body doesn't often let us do that. Probably also a classic case of not taking as long completely out of training as I should have last year with injury no. 1.

It's a game of patience now: wait 10 days with no loading weight on leg at all, see physio again and take it from there. I may or may not have to take further weeks completely off training after. Brighton may or may not be out. I don't want to start any race if I'm not 100% healthy.

Apparently there's ample opportunity to maintain fitness and even speed (of sorts): game plan hatched for the next few weeks involves Bikram yoga, back to the dreaded pool, intervals on the stationary bike. Bizarrely, I asked physio if a weekend of downhill skiing would be allowed, thinking he'd laugh me out the office, but he said yes - if the boot is high enough and I don't have pain when moving. We'll see!

Gutted to have to leave Porty RC after two sessions but hoping to be back soon. Their interval sessions are the perfect example of quality over quantity.