big problem here with my left trochanter. I've been into running for the last 4yrs and have done a number of ultra's so my training history and programme is fairly comprehensive - this is one of the reasons I'm having trouble understanding this injury. That and the fact that I've seen a sports injury specialist with no concise diagnosis.............
About 4 wks ago when I was out for a training run (a local offroad hilly route) I slipped awkwardly and somehow prevented myself from falling. However, I felt something twinge in my left upper buttock close to the rear of my left trochanter. Thereafter on that run I became aware of a strange ache on the actual trochanter. When I got to my car about an hour later the pain had built up quite badly but was much worse when I stopped running and was sore for about 2-3hrs afterwards.
I went for two or three runs in the week after that and by the last one I was in so much pain after the run that I could barely walk. During the run the pain originates over the trochanter and slightly to the rear. I'm aware of a ligament or tendon (parallel with the ground - not perpindicular) which seems to be caught on the trochanter which flicks up and down as the left foot lands with every stride. After the run, the whole left hip is seriously tender and movement in any direction is restricted.
I've ruled out the ITB due to a lot of time spent creasing out any tightness with my foam roller (yes it was painful - but not so anymore).
I've been to see a registered masseuse, who has been unable to diagnose the problem.
I've also been to see a sports injury specialist who spent nearly 30mins puzzled by my problem. He passed me onto a colleague who seemed to spot the problem immediately - a weak right sided gluteus medius affecting the left piriformis which in turn is pulling on thre trochanter. He gave me some exercises to do which have isolated the gluteus medius.
Problem is, I was doing these sort of exercises anyway as well as a host of other injury prevention exercises - around 20% of my weekly volume is spent doing this type of work. I went for a 20min jog yesterday - first time out for 2 weeks and yet again it flared up.
The piriformis thing sounds like it might be true because I do have a sciatic nerve type pain in my upper left buttock but the ligament flicking over the trochanter isn't going away anytime soon.
I'm confused and desperate. There's only so much turbo trainer I can take! Anyone got any suggestions please? I've done everything I can think of (yes ice and stretching too)
I've been doing running stuff for a while now e.g. I'm a member of the Bob Graham 24 hour club but I've only just started really focussing on the whole thing in the last 6 months and recording my findings in my blog.
I'm beginning to understand that stress is a major player in affecting ones performance.
To respond to Ross first; Thanks for the tip re Daniels running formula. I do try to stick with the same effort on my runs. For example most of my runs are done at just below 70% of max heart rate - I wear a heart rate monitor when running. The problem is that it throws up all sorts of different paces.
This week so far has been a good example; no fatigue, same route but on monday my pace was 30 seconds slower than tuesday i.e. I was faster on tuesday for the same heart rate effort despite feeling rough!
Aside from these runs I do one submax session mid week and one LSD at the wknd.
To answer the query myself, I'm starting to come to the thought that perhaps stress plays a part. I have been a bit under the cosh the last 4 or 5 weeks and have noticed an overall irregularity - not just with my pace but my resting heart rate. The good news on this is that I am now starting to regain my mojo. Hopefully, if my hunch is right I'll start to see the pace mathc the effort more often from now on?
WFB, hopefully you can see the answer to your query above?
I'm kinda struggling to understand something at the moment; I am getting all sorts of times for one of my regular runs that I do despite always doing it at the same effort.
I train everyday, regularly twice a day with one submax session midweek and one long slow session at the weekend. Most of my other sessions are simple recovery runs. At the moment I do not do many tempo runs due to where I am with my training i.e. at the end of a base phase.
However, one of my regular runs is a short 4 miler always run at 67/68% effort. My pace for it has been as low as 7:45 and as high as 8:45min/miles. I don't think fatigue plays a role in this though, nor weather nor anything else I can think of. For example, I've just had a relatively easy weekend and therefore carried no fatigue into yesterdays or todays easy run. Yesterday I felt slow and ran at 8:45min/miles - the slowest I have recorded in 2 months of training. Then today, even though I felt rough (maybe got a bug or something) I did the same run at the same effort but 30secs/mile faster!!
I would've thought that I would've witnessed a natural progression through time and in the grand scheme of things my average timings have got better. Its just that I'm struggling to understand why there are so many differences in pace when I try to stick with the same effort.
I'm also struggling to understand the concept of training by feel. Often when I feel like crap my pace is better!
I've got a wee problem with my right achilles. about 2 and a half weeks ago during the Highlander Mountain Marathon I got a bursitis, this probably came on because it was over-compensating for an injury to my left achilles. Yes I know, I should go to the doctors - I have and he was about as much use as a chocolate ashtray. I've been told that I need to wait to see a specialist which will be in about 3 ficken months. Yeah exactly, like I'm going to put my life on hold for 3 months!
So anyway, the bursitis swelling went down in under 2 weeks and I was able to do an ultra this weekend past wearing a fairly comfortable pair of road trainers. The problem is that I still can't wear much else. Note, the ultra did not worsen the injury rather although the swelling went down I have been left with a small amount of swelling which is rock solid to touch - almost as if it is the bone that has grown. This causes me pain when wearing shoes and I often walk with a limp. This was the situation pre-ultra by the way.
Just wondering if anyone knows what this might be and can maybe let me know how long I can expect to suffer with this. I don't see it affecting my running as long as I'm on terrain that I can wear my comfy trainers on. However and unfortunately I doubt I'll be going anywhere near the fells for some time. The doc did say that he thought I'd need an operation for the injury to the left side, so maybe I can get both sides done at the same time if need be. Just means I'll be out for a while which is not good.