Changing shoes

I usually rotate my running shoes
on a regular basis

One of the ways I have managed my chronically injured heel as I have sought to get running again has been by trying to manage my footwear.

For the past twenty years I have primarily used Nike Pegasus shoes and before that various other Nike shoes, a favourite being the Nike Elite.  I'm not dogmatic about using Nike's, and have occasionally used other brands for various reasons, including New Balance and Brooks shoes for years when they sponsored me in the early 1980s.

One reason Nike shoes has found favour with me is because they have tended to have higher heels with a larger drop between the heel and forefoot.  This decreases the range of Achilles tendon movement and I have always had problems with my Achilles (three operations on the left and one on the right).

However, even wearing the Nikes, my right heel was exceptionally painful a year or so ago, and not just because of Achilles tendonitis.  It was also highly sensitive to touch, often with searing hot pain on the surface of the back of the heel, even when just lying in bed, and there was a dull deep pain under the heel.

I have got back to running, despite medical advice that the heel was just worn out, by trying to treat all three problems after initially having nearly six months off running in the hope rest would fix it.  I'm sure the rest did help, but the methods below also made a big difference when I resumed trying to run.

The Nike Elite was my favourite training shoe for many years

Firstly, I decided to raise the heel even further, and after experimenting with various brands of heel raises found some hard 6mm raises that self-glue onto the heel of the shoe under the insole.  This means that my heel drop has gone from the standard Nike Pegasus drop of 12mm to 18mm, not ideal because it places extra strain on the tendon under the foot, risking plantar fasciitis, but workable for me.

Secondly, I decided I needed to reduce pressure on the heel from the shoe and increased my shoes size by a half and tried some shoes that gripped differently on the heel.  After research I found the New Balance 880v4 had the same heel drop as the Nike Pegasus (12mm) and I tried running in them for a change.  I also tied the shoe on my right foot exceptionally loosely (the usual test being the ability to put two fingers between the shoe and my heel) and got in the habit of smearing vaseline on the back of the heel to reduce friction.  It felt strange at first and my foot has come out of the shoe while running on a couple of occasions, not to mention more debris finding its way into the shoe during trail runs, but it's manageable.

Thirdly, I rested the underneath of the heel, which felt deeply bruised, by modifying my running style to favour the heel and try to avoid unnecessary pounding, particularly down hills.

Over time, the heel pain has generally diminished, though always there.  To reduce the chances of recurrence, I have also bought some larger Nike Pegasus shoes and now alternate so the shoe grip pressure changes regularly.

My latest heel pain setback occurred wearing the New Balance, so I am wearing the Nike more often, though still changing every couple of days.  This morning, after four or five days of New Balance, I switched to the Nikes for my short 6.5km run, and the pain was much reduced from yesterday.  Enough to convince me that I can get around the Deep Space Mountain Marathon on Sunday.  It's a two-lap course, so I can always pull out after one if the heel is bad.

You never can tell

Sunday morning, before my 28km run, was spent helping
at a drink station for Terrigal Trotters Bay to Bay
Running Festival.

When the alarm sounded at 5:00am, unusually for me, I lay in bed for a couple of minutes pondering whether I would get up.  I was tired, it was very cold and dark, and I dreaded putting my right foot on the ground, sure that the heel and Achilles tendon would be painful.  But, my car was booked in early for some repairs and I knew that if I was to get a run in this morning, I needed to get up.

The first runner through in the Half
Marathon was Olympian, Martin Dent.

I lay in bed rationalising.  It was easy to justify giving the run a miss.  Instead, I could go for a walk while the car was serviced.  After all, it was only nine days since I ran a marathon and there was nothing to lose by missing another day's training, especially after labouring through a 28km run on Sunday following the tempo 11km Trotters run on Saturday.  Also, my right heel and Achilles tendon have been particularly painful the last three weeks and would benefit from another day of not running.  It wasn't hard to come up with reasons to roll over for another hour or two of sleep, and the advice I was giving myself was the same as I would have given to another runner in my situation.

The leading runners in the later-starting 12km event
(yellow singlets) catch one of the slower Half Marathon
runners.

But a little voice in my head told me I was being soft.  That if I stopped thinking about it and just did what I needed to do, I would be home, with the run done, before I knew it.  I rolled out of bed, went through my usual exercise routine, did a few small chores and was out the door soon after 5:30am.  It was dark and cold, and in the far distance I could hear the surf pounding on the Copa beach.  My first few steps weren't as hard as I expected, nor was my right heel as sore as anticipated (I had switched to some older Nike Pegasus shoes that I hadn't worn for a while), and my spirits lifted.

I wasn't running very fast, but I was moving OK.  As the kilometres passed, I felt better and better and was actually enjoying the run through the dark suburban streets with just a glimmer of light beginning to brighten the eastern skies.  My heel got a little sorer, but was nowhere near as painful as it had been on the weekend runs.  I finished feeling refreshed and glad that I had run.  It's easy to justify a day off, and maybe it wouldn't have made any difference if I had missed the run, but I have seldom regretted forcing myself out the door.  And I know I will be happier today for having done it.

Canberra

Sunrise over Canberra from Red Hill.

I have been in Canberra the last few days, sadly, for the funeral of a loved and respected uncle.  A silver lining to the trip was the chance to go for a few short runs in the southern suburbs of Canberra along roads and trails I used to run when staying with my Canberra relatives many years ago.

The trail atop Red Hill.

Canberra is an ideal running location, with an excellent network of scenic bike paths complemented by trails in some of the hill and mountain reserves that dot the urban area.  Even running along the suburban streets is a pleasure with their wide grassy nature strips and mature native trees, although you need to be navigationally careful.  Straight roads are a rarity and most roads swing in arcs in one direction or another.  It's easy to lose your sense of direction.  A bonus for Canberra running is the weather, which is perfect for much of the year.  Humidity tends to be low and temperatures generally moderate, though you so need to be prepared for some hot weather in summer and sub-zero temperatures in winter.

Canberra suburbs from Red Hill.

I ran the same 10km loop, but in alternate directions, on each of the last two days in temperatures of around 2°C.  The course was a nice mix of those suburban streets and trails in the Red Hill Reserve where I saw a number of kangaroos at close quarters.  From the summit of Red Hill I enjoyed the expansive views of Canberra and its landmarks.  The runs were most enjoyable, though I could feel some marathon fatigue in the quads.  I know there are many other options for great runs in Canberra, short and long, and I have still only sampled a few.

Parliament House and the Canberra Central Business
District from Red Hill.

After the Macleay River Marathon last Sunday, I walked for exercise the following two days and then have run without straining since.  My right heel still bothers me quite a bit, but it's hard to know what are the most significant pain exacerbators.  I have been swapping the shoes around that I wear during the days and have been running in my Nike Pegasus.  I'm starting to think that even wearing the heavily-cushioned Hoka shoes for casual wear is a bad idea because I'm getting pain just walking around.  I think I'll stick to the Nike Pegasus for both casual wear and running for the next week or two and see if that makes a positive difference.

Hattah Lakes

Hattah-Kulkyne National Park.

We have had two very wet days in Copa, with puddled roads and overflowing storm water drains.  Having succumbed to the temptation to enter the Macleay River Marathon on Sunday, I have been tapering my training and only had a short 5km run on the schedule for today.  I thought I would have a good chance of dodging the showers given it was such a short run, but after a dry first five minutes the heavens opened and five seconds later I was saturated.  The rain teemed down for the rest of the run and I was cursing myself for wearing the Hoka shoes I was planning to use for the marathon.  They were also soaked.

Hattah-Kulkyne National Park.

I was wet and cold during the run and dreaming of running in warmer and drier places such as the Hattah Lakes in north-western Victoria where I have camped and run several times, many years ago.  Although there are lakes, it has a flat desert-like environment and is not particularly inspiring in a topographic sense.  But I have always enjoyed running somewhere different and have memories of mild temperatures, sparse scrub, sandy park roads and trails, and the occasional emu and kangaroo on the 22km run from the campground.  It must have been fairly easy running because on one occasion my training diary records that I covered the course at 6:00/mile (3:45/km) pace.

Hattah-Kulkyne National Park.

I don't expect to be running at that pace or in those conditions on Sunday.  The weather is supposed to improve, but it is still likely to be cool, showery and windy on what is an exposed rural course.  My heel is still bothering me, and I have decided to risk wearing the cushioned Hoka shoes instead of my preferred Nike Pegasus, in the hopes my heel will be better protected.  We'll see.

Quandary

The Terrigal Trotters crew at last year's
Macleay River Marathon.

It wasn't a big deal, but it's always good when a plan comes together.

For most of the past week I have felt stiff, sore and lethargic.  My right Achilles tendon has been particularly painful.  I have been paying the price for last Saturday's harder run, particularly the fast downhill technical sections, and Monday's 25km trail run.  Knowing I wanted to run the ANZAC Day run yesterday, the 10km Handicap today, and the 47km Bus Bash tomorrow, I decided after Monday to maintain my regular running routine this week, but to avoid pushing the pace, to run on roads and to tie my shoes more loosely.

Even surfaces and straight line running impose less strain on the Achilles, as does a slightly looser shoe, and the no pressure running was designed to address the lethargy and stiffness.  Even yesterday, I didn't feel that good, though there were some glimmers of better form near the end of the run.  But today, from the moment I started my warm-up, I felt looser and fresher, and my Achilles was the best it's been for five days.

Getting my timing chip removed after
last year's Macleay River Marathon.

Four weeks ago, on the same course as for today's 10km run, my time was 47:36.  My allocated handicap time today, based on performances last year before my heart and lung problems, was 44:00.  This ruled out any chance of a podium finish, which was a good thing. It eased what would otherwise have been self-imposed pressure to run as hard as I could.  Instead, I started the run believing that any time between 44 and 47 minutes would be good and was very happy to finish right on 44:00 after a slow start.  The plan had come together, though I still have to survive tomorrow's 47km Bush Bash.

After the run, a friend was talking about the Macleay River Marathon which is on in six weeks time.  Last year, fresh from three weeks of hiking, I ran quite well for 3:24 without getting serious about the race.  I can hardly believe it, but I'm entertaining the idea of running it again.  Three months ago, I was wondering whether I would ever run again.  Am I being stupid?  Today's race, not taken seriously, resulted in a reasonable time for my age.  With a few more miles, and a few less kilograms, it's reasonable to think I could knock a few more minutes off the 10km time and run a comparable marathon time to last year.  But am I pushing too hard?  I don't feel like it, my heartbeat has stayed regular, and I am healthy.  Perhaps I should just treat the Atrial Flutter episode as a bad memory and get on with my running life.

Managing the Achilles

Today's flat even road run passing through Avoca Beach
took the pressure off my painful Achilles tendon injury.

For a year now, whenever I have been able to run consistently for a few weeks, my right Achilles tendon has become painful.  Achilles injuries have been the bane of my running life.  I guess there were deficiencies in my genetic design and an addiction to distance running didn't help.

The only long-term relief I have experienced came from major surgeries in which the tendon was cleaned up, the bursa removed, a heel spur removed and a corner of my heel bone cut off.  This was done to my left heel in my thirties and my right heel in my fifties and on both occasions it took a long time to recover.  Two earlier, less radical, surgeries on the left heel only gave relief for a couple of years each time.

Today's run included this flat section
approaching McMasters Beach.

Of course, surgery is the last resort, especially if it's going to stop you running for more than a year.  To avoid surgery, I have tried just about every possible treatment  - ice packs, massage, cortisone injections, post-run cold running water, anti-inflammatories, stretching, orthotics, heel raises, shoe heel cut-outs, running on flat surfaces, avoiding hills, doughnut bandages, alternating shoes - apart from retirement from long distance running.  My conclusion is that none of these non-surgical treatments provides a permanent solution.

At best, they are delaying actions, and that's what I feel I have been doing with my current right Achilles problem.  For a while the Hoka shoes seemed to place less strain on the Achilles (but more strain on my bad right knee).  Now, even they don't seem to provide relief.  My heel became very sore on Monday's long trail run wearing the Hokas.  For today's 15km run, I changed back to my Nike shoes and stayed on the road.  The heel was sore but didn't get worse, although I was running slowly.

I really don't want to have more surgery, so I guess I'll keep trying most things that provide temporary relief, short of cortisone or anti-inflammatories.  They just mask the problem while you do more damage.

Coast to Kosciusko

Runners line up for the start of the 2009 Coast to Kosci
on the beach at Twofold Bay.

For my training today, I ran the same local "garbage run" 10km course that I suffered through last week (see Benchmarks).  I still felt tired and sore from Monday's long run and my expectations for the run were low.  The first couple of kilometres matched those expectations but as I warmed up I felt better and managed to run all of the way, including up the Avoca Steps, which I hadn't managed a week ago.  My time was slow by historical standards, but better than last week.  Maybe I'm getting fitter.

Not all of my most memorable running experiences have been when I was running.  In 2009, I was asked by my friend, Carl, to be part of his support crew for the 240km race from the Coast to Kosciusko - sea level near Eden on the NSW south coast to the top of Australia's highest mountain, Kosciusko, 2228m.  Carl is a character and a well-performed distance runner, so it promised to be an entertaining few days, and I wasn't let down.  I wrote the article below about our shared adventure for the Terrigal Trotters newsletter.
====================================================================
CREWING FOR CARL

When I volunteered to join Steve as support crew for Carl in this year’s Coast to Kosciusko Ultramarathon, I thought we would be in for an entertaining weekend….and I wasn’t disappointed.

Carl motoring early in the race.

The fun started when we stopped by the beach south of Eden where the race would start the next day and Carl realised that he would have to negotiate 100 metres of soft sand before reaching the road.  The solution was two garbage bags, one on each foot over his shoes for the brief sand run the next day.  Effective, but not particularly sartorially elegant.

There was more fun the night before the run when Carl smeared Friar’s Balsam over his feet prior to taping them for the run and then managed to pick up every bit of grit and dust on the floor of our cabin with those parts of his feet not covered by tape.

After the pre-race briefing and dinner we only managed only a few hours sleep before the 3:45am alarm and our short drive to the beach for the 5:30am start, backlit by a beautiful sunrise over Twofold Bay.  Carl’s shoe coverings were a big hit and served the useful purpose of preventing him going off with the leaders and thus starting conservatively.  When we next saw the runners, after about 15km, Carl had moved through to 7th place in the field of 27 after being last onto the road.  He looked good and confident, although so did everybody else.

Climbing away from the coast.

By the marathon mark, passed in 4:02, Carl had moved into 2nd place, a steady 12 minutes behind Jo in the lead. Carl thought that Jo was the clear race favourite and was happy to be so close.  We were stopping every four kilometres to resupply Carl on the run and enjoying the breezy sunny day in the quiet rural valley.

The first major climb of the event occurred at about 55km when the road ascended 600 metres over a distance of 7km.  With the adrenalin pumping, and Jo only 7 minutes ahead after a toilet stop, Carl tried to run the whole climb and came unstuck with a kilometre to go and had to walk.  Incredibly, Jo powered the whole way up and then proceeded to run away from the field for the remainder of the race, finishing 5 hours and 26 minutes ahead of the next runner.

Crossing the high plains.

Carl then settled into an even pace across the rolling high plains along dusty back roads, gradually increasing his lead over those behind him whilst losing ground to Jo.  Despite some nausea, which disappeared when he stopped taking the Succeed tablets recommended by Darrel (thanks, Darrel!) everything seemed to be going swimmingly and, after 12 hours, Carl seemed to be destined for a clear second place.

Steve following Carl on the bike.

Then we reached the end of the gravel road and almost immediately Carl began to have trouble on the camber with his infamous toes.  The pace slowed and the stops became more frequent.  “Imelda” had brought along a large crate overflowing with shoes and Steve and I now seemed doomed to try every pair on Carl in an effort to relieve foot pain.  One pair lasted only 10 metres before Carl returned to the car to change them and others wouldn’t have lasted much longer if we hadn’t adopted a selective deafness approach to change requests.
We had a bike rack on the back of my Nissan which was articulated so that, with some effort, it could be swung out to enable the rear doors to be opened without unloading the bikes.  The fridge, shoes and drinks (Carl had brought enough sports drink and bottled water to supply every competitor in the race……and their support crews) all had to be accessed via the rear doors.  We soon learned that the act of closing the door and replacing the bike rack was a signal to Carl to ask for something that required everything to be opened again.  You might ask why we didn’t make this stuff accessible via the side doors?  The answer was Carl had also brought two huge crates of food, including a round watermelon the size and weight of a bowling ball, most of which we returned to his home after the race, unused and unopened.  Carl pretty much lived on energy/breakfast drinks the whole way.

Carl still looking good.

Despite the severe pain from his toes and great fatigue, Carl soldiered on, running almost all of the time, but his confidence was taking a hit.  As night fell we got Carl’s night gear ready to wear.  Steve was very impressed with Carl’s two headlamps, both in their original unopened packaging and needing to be assembled, with price labels of, respectively, $5 and $15 (no expense spared!).  We were both impressed that it took three attempts to get the “right” reflective vest (pinning his race number on at each attempt).  We suspect there are a few workers at the place Carl works trying to find their safety gear!

Since midday, either Steve or I had accompanied Carl on a mountain bike, carrying drinks and snacks and offering words of encouragement……or dropping back when we had enough conversation.  As the night wore on this became more necessary as Carl’s mood became more pessimistic and he became more tired.  I had to keep finding things to talk about and occasionally shouting at him to get back onto the road.  Once he came to an abrupt stop, telling me that he had seen a couch on the road in front of him!

The sun sets on the high plains.

Around midnight, at the base of the major climb over the Beloka Range we set up a comfy bed for Carl beside the road and insisted he have a 15 minute sleep.  He claims he didn’t actually fall asleep, but seemed dead to us, and his mood was definitely better as he set off up the hill.  We were pretty sure we were being caught from behind by this time, but still hadn’t seen any closing runners' lights.  We crossed the Beloka Range in the small hours beneath brilliant starry skies and Carl picked up some momentum as we descended towards Jindabyne.  Paul, the Race Director, passed us in his vehicle and told us Phil was about 3km behind us with another two runners in the next 5km after that.

Steve following Carl on the last stretch to the summit
of Kosciusko.

Carl just kept on running all of the “downs” and “flats” and most of the “ups”, and I felt we were holding our own, although Phil’s support vehicle kept on catching up to us and then stopping to wait for him.  We skirted a slumbering Jindabyne just before dawn and set out on the steady climb to Kosciusko, about 50km away.

Carl’s pace was slowing again, he was feeling nauseous, and hugely fatigued.  We tried to keep him going in the hope that the rising sun would revive his spirits.  A low point was reached about 8am when the toe pain and fatigue became too much for him and he stopped to change his shoes.  He became disoriented and distraught and could not stand up without losing his balance.  At this precise moment, Phil caught and passed us.  Even though he must also have been exhausted, he could see Carl was in a bad way and enquired whether he or his crew could do anything to help.  We politely declined and encouraged Carl to begin walking again, with us walking either side for a short way in order to catch him if he fell.  It was heart-wrenching to see his pain and fatigue, but we knew how much he had invested to get this far and how much he would regret it if he didn’t continue.

Carl at the summit of Kosciusko.

He managed to stay upright and, after a few hundred metres, regained his focus.  In another couple of kilometres, we even managed to encourage him to run some of the “flats” and “downs”.  At this stage, I think Carl had accepted he wasn’t going to catch Phil and his focus switched to holding onto his third place.  We were sure that there were a number of runners within 10km behind, all moving faster than Carl.

He showed great spirit and, as we climbed above the tree line in the Alps on a beautiful clear day, we even got an occasional glimpse of Phil far ahead, and felt we were holding him to a 2km lead.  But, we also got sore necks from looking round to see if we were being caught from behind.  We soon heard that the first woman, Pam, was gaining on us, although we could not pick her out on the road.

Descending Kosciusko.

We were still at Charlotte Pass when Pam’s crew arrived, confirming that they were close behind, but Carl could smell the end now (he “only” had to run the 8.2km to the summit of Kosciusko and then return to Charlotte Pass to finish).  He looked stronger than for some time, and set off along the rough trail with Steve and I following on mountain bikes.  After a couple of kilometres we met a runner (not in the race) coming the other way who said that Phil was only a kilometre in front.  Carl’s competitive juices began pumping and he ran up the steep trail virtually non-stop to the hut 2km from the summit where we had to leave the mountain bikes.  We persuaded him to pop a couple of Nurofen to help deal with the toe pain on the forthcoming descent, and he set off running up the last bit of the trail to the summit with Steve and I, in our biking gear, in hot pursuit on foot with camera and drinks.

The end.

We still hadn’t seen Phil or his crew and wondered whether we had somehow missed them.  Then, just as we came into view of the summit cairn, there they were coming the other way.  Phil was still running, but had some problems and didn’t seem up to defending his second place.  A kilometre later, just after crossing a small snowfield on the trail, Carl overtook him and raced away towards the finish, opening up a gap of 17 minutes, to finish in 31 hours and 27 minutes.  On that last section, he seemed to be running as well as he had the whole race.

Second place was a just reward for Carl’s Herculean effort.  Steve and I felt privileged to witness the guts and determination he showed in dragging himself back from the depths of despair after such a good start, to achieve such a great result.

Some cause for optimism

Near the start of the Dubbo Gully Run

As the early test results come back, I'm becoming more positive about a return to running.

So far, no evidence has been found of more sinister underlying conditions that could have led to a blood clot forming in my veins and migrating to my lungs.  However, I still need an Echocardiogram early next week to rule out any heart disease or other heart issues, so am not out of the woods.

On the other hand, an Ultrasound Doppler examination of my right leg yesterday, found a small clot just beneath my right knee and close to the site of severe knee pain I experienced following a 30km trail run on the Dubbo Gully course three weeks ago.  There is no pain there now, and there hasn't been for several weeks, so it seems reasonable to surmise that the clot may have been larger when the pain was greater.

Crossing Mangrove Creek on the Dubbo
Gully Run

What led to such a clot forming, and why didn't I pay more attention to it?

Firstly, I have had significant right knee pain for more than six years now (see Post titled "Adaptation"), so I expect it to be sore after a long run.  However, I recently switched from wearing Nike Pegasus shoes, a model I have worn for decades, to another brand that promised more cushioning.  I was wary about changing shoes because I know different brands and models can change the stresses and strains imposed on the legs making you potentially more vulnerable to injury.  However, I have also been struggling with a painful chronic right Achilles tendon injury and been stymied on several long runs, including the Melbourne Marathon, by lower back pain and associated sciatica.  A shoe offering a softer ride and different pressure on the heel was worth trying and I bought a pair.  After a couple of weeks and several long runs in the new shoes, positive signs were that my Achilles tendon was less painful and there had been no back trouble.  Offsetting this was a minor worsening of my knee pain, which seemed to have moved to just below the patella on the inside front of the leg.  Following the Dubbo Gully run, the pain was particularly intense, especially on the hour-long drive home, and was sufficiently painful to cause sleeplessness the next two nights.  It now seems likely this pain was associated with deep vein damage.

Part of the Dubbo Gully route

Three risk factors probably compounded the development of a clot in the vein.  I was dehydrated after the run, but drank sparingly in the next four or five hours, increasing the viscosity of my blood.  Unusually, I had a three hour nap (while still dehydrated) on my bed when I got home, during which my heart rate would have dropped to its usual low resting rate (~45 bpm).  Finally, I have low blood pressure anyway.

My guess is that the coincidence of the new shoes changing the stresses on an already damaged knee, dehydration, a post-run nap, and low blood pressure led to Deep Vein Thrombosis.  The next ten days saw parts of the clot break off and travel to my lungs and the development of Pulmonary Embolism.

Through gradually increasing the daily dosage of Warfarin, my International Normalized Ratio (INR), a measure of the clotting tendency of my blood, has reached 2.1 (the desirable range is 2.0 - 3.0) and the daily Clexane injections have ceased.  I'm still not allowed to run, but I played golf this morning and have been walking about 5km per day this week without ill-effects.  I haven't discussed it yet with the doctor, but I'm hoping I can resume unpressured jogging after a scheduled visit in a week's time, provided the Echocardiogram doesn't yield any concerns.  Fingers crossed!

1981 Melbourne Marathon

The lead bunch in the 1981 Melbourne Marathon at
about 5km.  I'm on the left and eventual winner, Andrew
Lloyd, is in the centre wearing the hat.

I ran a very gentle 5km this morning, telling myself that I was feeling fresh and in good form for Sunday's Melbourne Marathon.  It was very slow, but none of my chronic injuries were very painful, so that was a good sign.  Later I travelled into the city to pick up my race pack from the Runner's Expo and chatted with some friends I met there, before lunching with the son of a friend who will be running his debut marathon on Sunday.  All of these little events and meetings help build the anticipation for Sunday's run and are part of the marathon experience.  We're all wondering how things will turn out on the day, and just want to get running.

In yesterday's blog I wrote about how much the Melbourne Marathon was a part of my earlier running life and about my experience in the first Melbourne Marathon in 1978.

The leading bunch at around 5km of the
1981 Melbourne Marathon with me in
the foreground

By the time I ran the 1981 Melbourne "Big M" Marathon, I was recognised as an experienced marathon runner and a podium prospect in the races I ran.  I had also dealt with some career-threatening injuries, particularly a serious lower back problem, and was never sure I would make it to the start line of any particular event.  Another injury, to my left Achilles tendon, was serious enough to warrant anti-inflammatories and I was scheduled for surgery a month after the race.

My success in the 1978 "Big M", and subsequent personal best of 2:19 in the 1979 Victorian Marathon Championship, had also attracted a minor level of sponsorship with Brooks Shoes.  There was no money involved, but they supplied me with shoes and running clothing and I agreed to wear their running attire at certain events.  This was the case for the 1981 "Big M", and they had supplied me with their latest and greatest marathon running shoe a month before the event.  I wore them in lead-up long runs, including the week before the marathon on forestry roads from our weekend shack in the mountains about an hour east of Melbourne.  When I returned from that last long training run, while still wearing my running gear, I decided to cut up a fallen tree on our property before showering.  A log slipped as I was cutting and knocked the chainsaw down to my left foot where it neatly sliced through the top of one of my new shoes, but incredibly didn't draw any blood.  This is one of several occasions in my life where, but for some good fortune, serious injury or worse would have been incurred.  I had to sheepishly call the Brooks rep, explain my mishap, and request a replacement pair of shoes, which he supplied.

Around the 15km mark of the 1981 Melbourne Marathon,
Andrew Lloyd and I began to get away from the field

The race itself had a good field, including two-time winner, Andy Lloyd from Sydney, known throughout Australia as the "Fun Run King".  Andy later won the City to Surf Fun Run four times and represented Australia on the track, winning a Gold Medal in the 5000m at the 1990 Commonwealth Games (worth watching on Youtube).  He was a superbly talented and versatile runner who was probably wasting his time on the marathon at this early stage of his career.  Anyway, the pace was solid and steady from the start at about 16:00 per 5km, and a large bunch gradually thinned out until around half way, it was down to just Andy Lloyd and me.  After I had shadowed him for a while, he tired of my presence and began to throw in some surges, running faster for a few hundred metres and then backing off.  After a few of these, it had the desired effect and I dropped off as well.  With about 6km to go, his lead had stretched to about two and a half minutes, even though I was still running reasonably well.  At this point there was a slow climb on the course (Fitzroy Street) before a seemingly endless long finishing straight along the broad and tree-lined St Kilda Road.  The climb must have taken its toll on Andy because when I turned into St Kilda Road, I could see him and the lead car ahead and began making some ground on him.

Nearing the finish of the 1981 Melbourne Marathon
(2nd, 2:19:30)

My club, Kew-Camberwell, traditionally manned the 40km feeding station for the "Big M" Marathons, and one of the thrills of my life remains running through a tunnel of my screaming club-mates as I closed in on the tiring Andy.  Alas, I left my run too late and finished 27 seconds behind him in 2:19:30.

The postscript to this story is that Andy turned down the winner's prize of an all expenses paid trip to run in the 1982 Boston Marathon, and it was passed to me.  He had been the two previous years and apparently didn't feel the need to go again.  It was very generous of him to let me have the trip, and I took extra pleasure in watching his accomplishments in subsequent years.

Ridgetops Tour

Northern Flinders Ranges

All body parts seemed to be creaking when I rose this morning, and my bad knee had been painful at times during the night.  Such is the price of a longish (barely) run, up and down steep hills and along trails, when old and unfit.  I knew that this morning's "easy" 10km would not be very easy, and that proved to be the case.  The further I went, the looser my limbs became, but I was slow and my knee hurt.  Despite all that, and a slow time for my regular 10km, my mood was good.  Providing I don't slip back into injury, I can sense that I'm getting fitter and I know that the aches and pains will diminish in the next week or so if I soldier on.

In the absence of other news, I thought I would include another anecdote from my running past.  This one tells the tale of a long run during a camping trip to the Arkaroola section of the northern Flinders Ranges with another couple in the early 1980s.   See the St Mary's Peak post for the story of another run on an earlier vacation.  Below is an edited version of the story submitted to the Kew-Camberwell newsletter about the run.

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THE RIDGETOPS TOUR

The Ridgetops Tour trail

For those who haven't had the pleasure of travelling the Ridgetops Tour, a comparison of it with the Luna Park Scenic Railway is justified.  Pratty and I decided to run the length of the track and then to push on for another four or five miles along a disused, impassable trail to Paralana Hot Springs where we were to be met by our wives who were going to drive there via another route. We estimated the total distance to be about 20 miles (32km) and set off early to avoid the heat of the day after trying to memorise the wall map we had seen.  The track wasn't open to the public and the only access was via commercial tours, so there were no maps available and we were not sure we were even allowed to go there.

It is true that I wasn't at peak fitness for this little exploit, but I feel that I should point out that the reason I started to fall behind on the precipitous hills at an early stage in the run had more to do with the large hole which opened in the sole of my left shoe and continually filled with sand and gravel than Pratty's scintillating pace.

The northern turn-around point for the Ridgetops Tour
(we continued down the track at the bottom of the photo)

After ninety minutes, we were caught by that day's organised Land Rover tour.  The tourists expressed some amazement at our stupidity, but nevertheless, gave us some liquids, which were rather scarce (actually non-existent) in this part of the world.  Amongst the tourists, there were, almost inevitably, people who Pratty knew (he always meets people he knows in the strangest places).  The fact that they were schoolgirls was never explained to my satisfaction.

After two and a half hours, we reached the turnaround point for the tour at about the same time as the Land Rover (which had made some detours) and, after another beggared drink (it was now quite hot and the tourists were beginning to regret the drinks they had given us earlier), and next-to-useless guidance from the tour driver as to the direction we were to take to get to Paralana Hot Springs, we set off in the general direction of Cape York down a boulder-strewn trail.

I don't remember a lot about this last five miles, apart from heat, glare, thirst and circling birds of carrion as we pushed slowly on along dry river beds and across rocky clearings.  I do recall that Pratty was no longer pushing the pace.

To everybody's considerable surprise (including my own), we arrived at the Springs more or less on schedule and without getting lost.  Training was light for the next few days.

Orthotics or not

Representing Croydon Harriers in the UK National
League 3000m Steeple (9:43.8, 4th) in May 1975

I put my orthotic insoles into my running shoes this morning with the intention of running an 11.5 km course after the Thursday morning track session at the Terrigal Haven.  I hadn't worn them since Tuesday morning's run, and they felt uncomfortable as I walked around during the track session.

Afterwards, as usual, I returned to my parked car and stripped off to prepare for my own run.  My feet still didn't feel comfortable with the insoles, so I decided to take a chance and remove them for my run.  It was at this point I realised that I had put my orthotic insoles into my shoes without removing the original shoe insoles.  Duh!

This still left me in a quandary as to whether or not to I should run with the orthotic insoles.  My preferred long-term option is to return to the regular insoles, but as mentioned yesterday, I have short-term concerns that my sore arch still has some way to go before reaching full function.  I had managed an easy 5km yesterday, but would a harder 11.5km this morning set me back.  To a non-running reader this issue would seem trivial, or even insignificant.  But most runners can identify with the small decisions that need to be made on a daily basis with respect to shoes, socks and insoles, especially when dealing with an injury.  What works best, and what is the cost of a poor decision?

I took a calculated risk and went with the regular insoles (originally supplied with the shoes) and could immediately feel the difference.  The ground felt harder underfoot and both calf muscles were very tight.  This wasn't surprising and confirmed to me the wisdom of ditching the orthotic insoles as soon as feasible.  They are more cushioned than the regular insoles, with the advantage of softening foot impact, but I fear the extra cushioning will atrophy the foot muscles that usually take the strain.  Similarly, the orthotic insoles have a slightly higher heel and this will lead, over time, to the Achilles tendon and calf muscles shortening.  This is fine as a short- or medium-term strategy for dealing with Achilles tendon injuries, but I believe there is a cost in terms of stride length and running balance.

My arch was maybe a little more sore at the end of the run, and the run seemed very hard work, especially the two long climbs.  However, I was happier when I saw my time was just under 58 minutes.  I had set out cautiously and slowly and never felt like I was trying to run fast.  Assuming my arch doesn't become more sore in the next 24 hours, I'll have to decide whether to use the new, lighter and lower (in the arch), insoles that arrived in the mail today.

Shoe therapy

Hoka Shoes

Many of my friends in Terrigal Trotters have recently been switching to Hoka shoes which have thick cushioned soles.  They certainly have been building a loyal following and have enabled a number of runners with chronic foot problems to begin running again.  There is plenty of good-natured banter within the Club about the benefits of the shoes and the Luddites who have refused to switch.  Certainly there are those who think it would help me with my current foot problems.  I'm somewhat sceptical that will solve my particular problem but accept that they have made a big difference to some of my club-mates.

Vibram Five Fingers Minimalist Shoes

At the other end of the spectrum, there are still some runners at the Club wearing minimalist shoes and I often dream of the days when I could comfortably run track and beach sessions on grass, and even occasionally on concrete footpaths and roads, in bare feet.  I would love to be able to run in bare feet again, but am rational enough to know that those days ended around the age of twenty and I think there is sufficient evidence now that such minimalist shoes are risky for many runners, especially if they are switching from shoes with raised heels.

Off-the-shelf insoles with moulded arch supports

There are also many Terrigal Trotter advocates of professionally made orthotics, and these have also been suggested as a solution to my arch problems.  I'm reluctant to spend significant amounts of money on custom orthotics, primarily because I don't think the benefit will justify the cost.  During my army days, I did develop a significant arch problem and began wearing an off-the-shelf plastic orthotic which, eventually, did seem to do the trick.  Similarly, I learnt to deal with chronic Achilles tendon injuries by constructing heel raises out of old rubber thongs and wore these for many years during my prime.  I still ended up with a number of surgical operations, but believe these cheap heel raises enabled me to run many miles in training and races with less pain.

My arch was still a little tender today after yesterday's abortive run, and I didn't go for a walk or run.  Instead, during the afternoon I visited a very large mall nearby to see whether I could find some shoe insoles that incorporated good arch support.  Eventually, in a Nike store, I found some excessively-priced arch supports which I purchased (I'll be looking for cheaper online versions when this new pair wears out).  I do feel they are supporting the injured arch, but will withhold judgment on whether they will enable me to resume running more quickly.  I'll try walking a couple of kilometres tomorrow morning and take it from there.

Shoes

Yesterday, I took delivery of some new Nike Pegasus shoes I had purchased online and christened one pair with a 6km walk around Copa this morning, including some steep hills and steps.

I wore the new shoes in the hope that their cushioning and arch support would be better than my current Pegasus shoes.  I could feel the arch support pressing on the painful area of my right foot, suggesting that it was, perhaps, offering more support than my older shoes.  Consciously walking on the outside of the foot almost eliminated the pain and I remain hopeful that I might be able to jog lightly, pain-free, on Sunday.

When runners consult me about injuries, I often suggest they try wearing different shoes to see if that makes a difference.  Even if they are the same brand, slight manufacturing variations and differing levels of wear can make a difference.  I have been wedded to Nike Pegasus and its forerunners for many years and am now reluctant to change brands for fear of creating new injuries.  However, I don't think there's anything special about them - it's more the devil you know versus the devil you don't.



Taking a break while hiking the Appalachian Trail in 1986

Like many runners who started in the 1960s and 1970s, some of my earliest shoes were cheap Korean and Japanese imports bought primarily because they were light and cheap.  Later I graduated to some of the early Tiger models which met the same criteria.  I think that, when you are young, your body is more adaptable and forgiving, so you can get away with less support and cushioning in your shoes.  Someone once told me that there are fat pads in our feet which provide cushioning and that these break down as you get older.  This is consistent with my own experience.  For instance, back in 1986, at the age of 35, I hiked the 2,200 mile Appalachian Trail up the east coast of the U.S., mostly in a pair of New Balance running shoes.  Despite carrying a pack that averaged 20 kilograms, I had few foot-related problems.  When I resumed my long-distance hiking career a few years ago, wearing running shoes, I experienced severe pain in the soles of my feet after a few days.  After switching to good quality hiking boots, offering support and cushioning, I have had no foot problems.

Although I favour Nike, I think that there are many excellent running shoes out there these days.  In my earlier career, apart from Tiger, I also wore Brooks, New Balance and Adidas for extended periods and found them all good.  Every individual is different, and every individual needs to experiment with different shoes until they find the brand and model that suits them best.  Sometimes, if injuries persist, orthotics might be needed.

Niggles or injuries

Tuesday, 4 June 2013

My feet were still red, swollen and itchy from the leech bites when I got up and I tied my shoes more loosely than usual to ease the discomfort.  However, my main concern was how my right groin niggle was going to feel on this morning’s run.  If it was worse than on Sunday, then I would be smart to rethink my training plans for the remainder of the week.  I was hoping to do another long run tomorrow as part of my comeback, but knew I would be stupid to do that, if I had a worsening injury.

The climb out of Copa is never easy

I have found that it is often the second day after a long and/or hard run when any injuries show up.  I’m not sure if there’s any medical basis for this theory, but maybe the general soreness and fatigue on the day after a long run can mask injuries.  I also sometimes wonder whether long runs generate certain reactions in the body that facilitate lubrication and movement and that it takes these responses a day to fade away and reveal the extent of any specific injuries.

Anyway, this morning I set out with a little more trepidation than usual on the second day after Sunday’s long run.  The first kilometre of my usual recovery 10km is mostly flat and I jogged very slowly as I examined my body for any signs of injury with every step.  My right knee and Achilles were a little sore, but although I could feel some minor pain in the right groin, it didn’t seem any worse than on Sunday.  The second kilometre of this run is a steady climb, and as usual, I was warmed up by the time I reached the top.  Despite some general stiffness and lethargy, I felt comfortable and went on to complete the run without any problems in a reasonable time for the course.  I never force the pace or run to a time on these recovery runs, just cruise along at whatever pace feels comfortable.  The time I run for the known course gives me good feedback on how recovered I am.  By tomorrow, I should feel a bit fresher and will take the risk of a longer run.

I have entered the Macleay River Half Marathon on Sunday, more by default than for any other reason.  Sharon was entering the associated marathon, and since we were going to be there for the weekend anyway, I decided I might as well have a run.  However, during today’s run I began question the wisdom of running the Half.  I would probably end up running faster than was good for me at this time and maybe risk injury for no reward.  Instead, depending on how the next few days of training goes, maybe I will upgrade to the Marathon, if I can, and just treat it as the next long run in my comeback series of long runs.