Hi Mike,
First of all, thank you so much for taking time out to answer all our questions.
Here's my situation: I had to pull out of FLM07 last year with just seven weeks to go owing to a posterior tibial stress fracture. The cause appears to have been overpronation and over training. Needless to say it was an awful experience. Anyone that's been through it will know what I mean.
But I got 'back on the horse', kept my eyes on the prize, got orthotics fitted, saw a physio regularly, and now a year later here I am getting ready to run next Sunday.
The trouble is my confidence. After last year's upset, I've been constantly paranoid about the same thing happening again. The orthotics have helped, but as training has progressed I have begun to experience pain in the affected area again (3 - 5 inches above my left ankle on the inside of my shin, on the tibia). As I understand it the first stage of stress fracture is periositis (inflammation) so I've just rested and until the pain has gone each time, trouble is that's taken longer and longer as the runs got longer. As things stand I have done the following long runs (chronologically):
1 x 10 miles
3 x 13.5 miles (including Reading Half in 1hr 58mins)
1 x 17 miles
1 x 16.5 miles (this was 2 weeks ago on 22 March) and my total training miles since August 07 are 380 with about 30 eliptical sessions (some up to 2 hours) in there as well. I am currently resting, having only run twice (2 miles and 3.5 miles) since 22 March because I still have a slight dull ache in the affected area. I have been using the eliptical as a substitute ('long run' on 30th March was 2 hours on the eliptical) since 22nd March. I would have loved to have trained harder and got up to 20 miles but alas it was not to be. I have run at about 9mins 30 sec mile pace on my really long (15 mile +) runs.
Questions:
1. have I done enough to run FLM next week? I would like to do sub 4.5hrs if poss but would be happy just to enjoy the day and get round - do you think I can do either?
2. would it be OK not to run at all between now and 13th April, or would you advise SOME running, even if it's just a couple of miles to loosen off, even if it aggravates my slightly aching leg? or would the eliptical be enough? should the priority be to allow any inflamation to disappear completely?
3. if I still have a kind of dull ache on the day should I consider not running? (ie will it only get worse until it 'snaps')?
Apologies for the length of this post, as you can tell I am obsessing about this a bit. I am prepared to go all out on the day and I don't care what happens during the race, I just want to finish. My head is a bit all over the place at the moment as I so badly want to do this and it's hard to see the wood for the trees, or the route for the runners (pick your own metaphor), I have been trying for years to run FLM (won't bore you with all the set backs) and this seems my best shot.
Any thoughts on an appropriate training strategy for the last 7 days?