13.1 mile run to Valhalla again

I love saying “I ran to Valhalla”. I did it again. And again, no, I am not crazy, I mean the town here in New York, not the grand hall in Asgard in Norse mythology where warriors go after dying in battle.

I managed to run 13.1 miles to Valhalla yesterday, 19 days after running the marathon, and 3 days after donating a pint of blood. This is my first almost long run after donating. Mostly due to the blood donation, it took me 2 hours and 18 minutes to complete this run, much slower than usual. I’m far from anemic, but I could feel an obvious difference, especially when running up hills. I felt weaker than I usually do while running this distance, and also had this weird, hard to describe feeling much of the way. My speed suffered as a result, and I dropped the balls more than usual.

I am currently eating a lot of iron rich foods to replenish my lost red blood cells. Within a week, or 2 weeks the most, I should be back to normal(I think it is safe to say I am fully recovered from the marathon, this isn’t an issue for me anymore). Still, it feels great knowing that my blood was used to help some sick people.

How long does it take to recover from a marathon?

So how long does it take to recover from a marathon? This is a question that is very difficult to answer. Obviously, the answer will depend on your age, your training, genetics, the difficulty of the marathon, and many other factors.

Just yesterday, exactly one week after running the hilly Yonkers Marathon(my first) in 3:51, I managed to run 13.2 miles(21.2 km) in just over 2 hours. I rested the day after the marathon and have been running short distances all last week, not exceeding 4.8 miles until yesterday.

The soreness as well as weakness from the Yonkers Marathon was mostly gone within 3 days. I think the weakness lasted a little longer. By yesterday I felt nothing at all. I wonder if all that cherry juice is helping. This interesting article in the NY Times attempts to answer the riddle of how long it takes to recover from a marathon – How Long Does It Take to Recover From a Marathon?

Dr. Urso advises runners to spend two to three weeks after a marathon doing what she calls a reverse taper. Before a race, most athletes taper by gradually decreasing the intensity and duration of their workouts.

After a race, do it in reverse, she suggested: Gradually build up with runs that at first last no longer than 60 minutes.

“I would guarantee that most runners will be back to baseline performance within two to three weeks of the marathon if they follow a program such as that,” she said.

This sounds like good advice, especially for those new to marathon running. However, if soreness is any indication, it took me just a few days to recover. Granted, I didn’t try running long distances until yesterday, and if I had I probably would have experienced some difficulty due to the marathon. I actually feel like I could run 26.2 miles tomorrow if I really wanted to, though I really should resist the temptation to do something like this. Just because I don’t feel sore doesn’t mean I have completely recovered. Not feeling sore at rest or while running short distances doesn’t mean I won’t experience soreness or even injury at mile 15 or 20. I’m contemplating running another marathon, though not sure where or when just yet.

So it looks like the answer to the question is “weeks”, but probably no more than 2 months. It probably takes longer for older runners to fully recover. Sure there are some people who run marathons every day or every week, but these runners usually train very rigorously and they are usually not that fast.

For those of you who have run a marathon, how long did it take you to recover?

Prolotherapy and knee injuries

If you are a serious runner, it is inevitable that you will either get injured or at least experience soreness from time to time. It happens to even the best of us. The most important thing you can do about injuries is do what you can to prevent them in the first place. Basically, don’t overdo it. Pain is your body’s way of telling you you are overdoing it. Also, strength-train your legs twice a week with ankle weights or resistance bands. Weak muscles may increase your risk of injury, besides preventing you from performing at your best.

The knee. Source – Wikipedia/Gray’s Anatomy

The knees of a runner are especially vulnerable to injury. After running a marathon, many if not most of the runners experience at least some knee soreness, and a significant number will injure or re-injure their knees.

Injuries to the knee may involve the cartilage(meniscii), ligaments, or both. The meniscii in the knees serve as cushioning to absorb shocks and allow for smooth motion within the joint. Ligament is tissue that connects bone to bone. ACL(anterior cruciate ligament) injuries are notoriously common among football players, as well as runners.

Minor ACL injuries can sometimes heal without surgery if physical therapy is undertaken. All too many athletes unfortunately can’t return to sport even after reconstructive ACL surgery.

Serious injuries to knee cartilage often require surgery too. These types of injuries seldom heal at all or may heal very slowly, depending on the age of the athlete. This is because knee cartilage receives very little blood flow to help it heal.

Prolotherapy is sometimes suggested as an “alternative” to surgery for knee and other injuries. At its most basic, it involves injecting an inflammatory agent(often dextrose, which is just another way to say glucose) into the injured area to bring about an inflammatory healing response. So if you hate needles, it may not be for you.

When it comes to prolotherapy and ACL injury, it shows some promise. According to the Department of Biometry, University of Kansas Medical Center, Kansas City, U.S:

In patients with symptomatic anterior cruciate ligament laxity, intermittent dextrose injection resulted in clinically and statistically significant improvement in ACL laxity, pain, swelling, and knee range of motion.

When it comes to prolotherapy and osteoarthritis(which is similar to “runner’s knee”), the Bethany Medical Center, Kansas City, reports that:

Prolotherapy injection with 10% dextrose resulted in clinically and statistically significant improvements in knee osteoarthritis. Preliminary blinded radiographic readings (1-year films, with 3-year total follow-up period planned) demonstrated improvement in several measures of osteoarthritis severity. ACL laxity, when present in these osteoarthritic patients, improved.

Prolotherapy still isn’t very widely available and is still getting investigated. Insurance providers seldom if ever cover this procedure. It has been studied for use in treating injuries in other parts of the body, with mixed to mostly negative results.

I’ve injured my knees in the past, but luckily they were all minor.