Many of you read in my race report that my knee was solid, without tightening, for the entire 13.1 miles – a great and unexpected change as my 11 mile long run 2 weeks prior still had my knee barking by Mile 6. So what happened? The passage of time with a lot of patience, faith and determination.
I now understand that there is a physiological reason why PT is typically prescribed for a minimum of 6 weeks – it takes at least that long to create lasting and noticeable change in the body IF you’re diligent about doing the work. Last week Thursday I saw my PT, Mary, for the third time following a month away while dutifully completing my exercises everyday and working on triple extensions in personal training with Aaron twice a week as well. Mary conducted another videoed gait analysis. As we watched the slow mo version of myself 6 weeks ago compared to the present, there were noticeable improvements:
1) 6 weeks ago, I had some vertical bounce (undesirable, it uses extra energy), now it’s gone
2) 6 weeks ago, my left leg did not fully extend behind me, now my leg is straight
3) 6 weeks ago, my heel strike (not a bad thing, ~80% of runners are heel strikers) was more pronounced, as evidenced by a longer stride length. Now my stride has shortened, which means I’m landing less harshly on my heel. A shorter stride is important as it places your landing feet beneath your hips, which is where they should be, rather than out in front of your body.
4) 6 weeks ago, I had a strong left heel whip, now it’s greatly reduced, though still present. A heel whip means I’m turning my foot out to the side and whipping it around before straightening it upon landing. This is happening because my hip needs to be stronger so it can drive my knee up and forward – the heel whip is my body using my foot to pull that knee up. This is the only piece of my gait that needs further work, and to that end, Mary has prescribed a new exercise.
The beauty of PT is that you create lasting changes without knowing it. That’s also the downfall of PT and why so many people don’t stick with it. Discouragement can become overwhelming when you don’t see changes as quickly as you expect, so you lose faith in the process, talk yourself into it being a waste of time, quit your PT and never get your issue fully resolved. Fortunately I have that OCD quality that does not let me give up and the work I put into getting better paid off on race day. A perfect reward.
Mary has given me the green light to start speed work and trail running again. The speed work will start after my 2-week post-race recovery period ends, but the trail running will resume this weekend – Minooka Park! I had a follow-up with Dr. Noon at Nine today (Joe says it’s plain old wrong to see her at any other time expect for Noon J) and she concurred with Mary’s assessment, was impressed with my progress and approved on-going PT for as long as Mary deems necessary.
I forget if I shared that Joe saw Dr. Noon last week and was diagnosed with IT Band Syndrome as well. He will begin his own hip-strengthening PT soon – just as his arms/shoulders are improving, his attention will now turn to the knee/hip complex. Always something to work on!
For the next 6 weeks we’ll scale back our training, maybe hitting 20 miles per week with weekend long runs of 5-8 miles. Then we’ll start to ramp up for our September 10k and our late-October Half Marathon.





