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2012-08-09 10:23 AM


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Subject: Pull Out of Sprint Due to IT Band Injury?

I have what I suspect is an IT band injury (sharp pain on outer knee, aggravated by run & bike & worse after exercising & when going down stairs). The doctor can't see me until next Wednesday. The problem is that I'm signed up for my first Sprint next Saturday & am not sure if I should do it.

I ran my first half marathon in May and my third ladies' tri (250m swim, 7mi bike, 2 mi run) 2 weeks ago. Both races were awesome! I did have knee pain on & off. But it wasn't bad enough to keep me from training until a few weeks before the ladies' tri when my knee started hurting so much that I had to cut runs & rides short. So I backed off on training and did ice, ibuprofen & the foam roller. I finished the ladies tri & shaved 3 minutes off my time from the same race last year!

Initially, my plan had been to get through the Sprint and lay off running & cycling for a few weeks afterwards. But last night, 5 miles into a ride, my knee hurt so much that I was in tears & had to stop. So now I'm having second thoughts. I've been looking forward to this race for over a year and will be so disappointed if I can't do it. But, if I couldn't get through 5 miles last night, I'm not sure I should attempt it. I don't want to pull out, but I also don't want to get seriously injured. Any advice? What would you do?

If I do decide to race, how should I train for the next 10 days? Start tapering & hope my knee stops hurting so I can finish the race? Or keep with the current schedule to build endurance?

Thank you!



Edited by cassandra1226 2012-08-09 10:25 AM
2012-08-09 11:40 AM
in reply to: #4354859

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Subject: RE: Pull Out of Sprint Due to IT Band Injury?
Ouch. I had IT band syndrome a few years ago while training for my first HM. Being stubborn I suffered through and went to the doctor once during training mainly so we could confirm it wasn't a tear or anything. Once I knew what it was I ran the race anyway then went to physical therapy. Since you don't know that it isn't something more severe I would be cautious. I went to urgent care first instead of the doctor because it was faster and they could do the imaging to see if it was serious. Maybe that is an option for you? Good luck and feel better!
2012-08-09 11:40 AM
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Subject: RE: Pull Out of Sprint Due to IT Band Injury?
Ouch. I had IT band syndrome a few years ago while training for my first HM. Being stubborn I suffered through and went to the doctor once during training mainly so we could confirm it wasn't a tear or anything. Once I knew what it was I ran the race anyway then went to physical therapy. Since you don't know that it isn't something more severe I would be cautious. I went to urgent care first instead of the doctor because it was faster and they could do the imaging to see if it was serious. Maybe that is an option for you? Good luck and feel better!
2012-08-09 12:39 PM
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Subject: RE: Pull Out of Sprint Due to IT Band Injury?

I'm going thru it right now.  I got a shot of cortisone and that really helped.  I'm also going to therapy.  You are doing right, use the foam roller several time a day, stretch your hips and thighs several time a day.  I would take a little time off for it to heal just walk (avoid going down hill if possible) and ice, ice , ice.  You can keep your endurance up by swimming.  Then if your leg feels like it, you may be able to do the tri, only you can tell that.

Good luck.

2012-08-09 12:48 PM
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Subject: RE: Pull Out of Sprint Due to IT Band Injury?

oh 1 more thing to try that has really helped, and now I'll leave you alone. 

Stand next to a door or flat wall that you can lean against.  Put your feet about 6 inches from the wall or door and lean back.  Now with your feet about 6 inches apart, keep your feet FLAT on the floor, (do not roll up on the side of your feet) start squatting with your knees going to the side about a 45 degree angle, not to the front.   Your range of motion may only be a few inches.  Do 50 reps 3 - 4 times per day.  This has helped me more than anything except the cortisone.

2012-08-09 11:27 PM
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Subject: RE: Pull Out of Sprint Due to IT Band Injury?
First, I ditto what was said about getting xrays. Second, trust your instincts and you'll make the right decision. I have had this injury many times before. I have had the cortisone injections, used a foam roller, ice, heating pad, rolling pin, tubes of bengay, rubbing alcohol, tiger balm, 15 dollar organic gels, Jacuzzi soaks, P.T., massages, gel injections (its late and I don't remember the exact name at this time. I also ran a 5k so I'm a bit tired) but the pain always returned. I researched it and found that it stems from (in my case) tight glutes, hams, and outer hips and yes the it too. Solution: stretching and strength training. I have been doing yoga ,googled and youtubed stretches/strength exercises and this is the first year I am without pain or injections. Good luck
2012-08-09 11:34 PM
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Subject: RE: Pull Out of Sprint Due to IT Band Injury?
Yoga, 4x per week, foam roller and ice after swim, bike and run or whatever cardio activity where I'm using my legs a lot. Ie cardio kickboxing. I also stretch b4 and after activities except for yoga
2012-08-10 9:12 AM
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Subject: RE: Pull Out of Sprint Due to IT Band Injury?
First, that is unfortunate due to the timing of the race. However, as an IT band pain survivor, if you are going to make tri's and significant effort activity part of your daily, I will say that it is particularly important to learn to deal with, triage, and rehab injuries as every single one of us gets them. So, chalk it up as an opportunity to learn. Second, I would tell you from personal experience that you must stop running for a while. From the research that I've done (and I'm not in any way a medical professional but I have stayed at a Holiday Inn or two), IT band pain is irritation caused by friction, creating inflammation and pain. This doesn't mean that you have to lock your shoes in a vault for six months but it does mean no running for a couple of weeks while you vigorously (and I do mean, VIGOROUSLY) incorporate foam rolling, icing, and stretching into your daily routine. In my case, that meant three times a day for each for the first week or two....the more the better. I personally had to shelve the shoes for seven weeks but haven't had issues since.Thirdly, upon the road back, plan on doing some strengthening exercises for you hips, glutes, etc. If you will check out www.strengthrunning.com, the author has a tremendous video presentation documenting great strength exercises for combatting IT band pain. I've used the exercises and have noticed not only no IT band pain but also better running overall and less tired legs coming off the bike.Lastly, go slowly on your recovery. While you are not running, get in the pool....a lot. It will maintain your overall fitness and allow you to use leg muscles without jarring as the healing occurs. Also, when you start back running, baby step it. I personally set a goal of running for 30 seconds and 30 seconds walking each minute for a single mile without pain for my first day and only did one more day that week. It was frustrating but I knew I didn't want to run in pain so I stuck to the plan.....and it worked.Good luck.
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