Running Preggers: Diastasis Recti

This is something I had never heard of before this pregnancy (my third). Diastasis Recti is a condition when the muscles of the abdomen separate, the rectus abdominis (six pack), separate. This usually occurs during pregnancy, however, it can occur because of other conditions. It’s what causes the classic “mamma pouch.” approximately 44% of women have it even at 6 months post partum and 33% at 12 months post partum.

This separation occurs to make more room for your growing uterus, which is exerting pressure on your abdominal wall causing the muscles to bulge forward. It’s not a tear, but a stretching of the linea alba, aka the connective tissue that runs vertically along the midline of your abdominal wall.

Diastasis Recti can cause serious health problems if the separation is large. Most women do not suffer from a large separation. It can cause back pain, pelvic pain, and basically you don’t have anything protecting your organs. It’s fairly easy to check yourself for a larger than normal separation between the abdominal muscles. Here is a video .

How to check for it: lay on your back with your knees bent like your going to do a bridge. Then pull your pelvic floor up and lift your head and shoulders like your doing a crunch. In this position place your fingers on your belly button and move straight up in a line feeling for the separation go three inches above and three inches below the belly button. If the separation is more than one finger widths you have Diastasis Recti. If it’s three fingers you should see a physical therapist.

If it’s two or less, there are some exercises you can do to heal at home. The central component of all of these exercises is the core compression. To do a core compression squeeze your core to draw your belly button in and up toward your spine while doing a forceful exhalation at the same time. Perform your core compression while doing these six exercises:

  1. Cat-cow without the cow
  2. wall sit
  3. single leg lift while lying on your back
  4. Standing inner thigh lift: lift one leg with a slight 45 degree bend in your leg and then move your foot in and up.
  5. side plank
  6. Tricep kickbacks: bend over at the waist and move your arms from 90 degrees to straight. You can use light weights if you have them.

Perform 2-3 sets with 10-12 reps 3-4 times a week. You should see improvement in 8-12 weeks. If you don’t, consider seeing a physical therapist. As always check with your doctor before beginning this program.

Exercises you should avoid are the ones which cause your abdominal muscles to push out (a sure sign that you’re increasing the abdominal pressure). Also any exercises which you cannot perform without arching your lower back off the floor.  These include push-ups, front planks, sit-ups, crunches (anything that has you raise your shoulders and head off the floor), and leg lowers (either seated or laying on your back).

As you recover from pregnancy and child birth, keep in mind that it took nine months to get your body into the shape it’s in and it’s going to take some time to get back to your pre-pregnancy shape. Be patient and be kind.

 

 

Postpartum Training adjustments

As the mother of a newborn, it’s obvious adjustments to my training plan will have to be made. I no longer have the luxury of going out on the trails at 7 am and not getting back until 3 or 4 pm. Well, I do, but that’s not the mother I want to be. I’m the mother who gets up at 2 am, so I can be home by 7 am for my baby. I’m the mother who runs on the road most of the time rather than the trail because the road is right outside my door (aka no drive time) and I can maintain a faster pace (aka not a technical route).

So what’s changed?

I’ve added heavy lifting to my training to build strength in my tendons and to prevent injury. This doesn’t add a lot of time to my workouts, but the benefits are huge. I’ve added squats and deadlifts. Yep that’s it. Maintaining proper form is essential, so if you’re going to add this make sure and watch some videos on youtube or have someone who knows what they are doing get you started. You only need to perform 4-6 repetitions at the highest weight you can do. You need to do this four to five days a week.

I’ve also added HIIT training to my schedule. You can do HIIT training for 10-15% of your weekly training and reduce your running miles by 15-20% without negatively impacting your performance on race day.

I run an up weekend and then a down weekend. This means every other weekend is high miles and the down weekend is half of the high mile weekend.

Another adjustment is acceptance of the treadmill. I know I’m going to have to find a way to tolerate and maybe even enjoy my treadmill running because I’m a mom who wants to be available when my baby needs.

What’s stayed the same?

I run four days a week. My runs are quality runs. I include hills (up and down) in most of my runs. I do a lot of core strength and balance training.

My times will increase as I’ll have to stop to feed my daughter, but every moment will be worth it, because she’ll give me the strength to get back out there and finish what I started. I’m a mom, and I’m an ultrarunner. I’ll continue to run 100s because I love it and because I want my daughter to see how strong she can be whether that’s in running or in whatever she chooses. I want her to know what dedication and commitment look like in the world.

Running teaches us so much about everyday life.

 

 

Hip Engagement

This post has two parts. This is the first part. As runners, we aren’t too surprised when we end up with an injury in our quadriceps, hamstrings, calves, or pretty much anywhere in our legs. We may spend hours, days, or even weeks wondering what caused the injury- too much training, shoes, not enough sleep, too much junk food or whatever. After spending some time wondering how and why we became injured we start looking for ways to heal and then prevent future injuries.

Having strong engaged hips is essential for preventing injuries in every muscle and tendon below the hips. Increasing your hip strength and engagement leads to running faster and reducing injury risks.  Here are some drills and strategies to ensure you’re engaging and strengthening your hips to get the most bang for your buck.

  1. Lean forward, so you have your chest, over your knee, over your foot.

The forward lean while running allows you to engage your hip as the primary source of your forward momentum. It you’re upright you’re forcing your knee and ankle to do the work. You knee and ankle are supported by smaller muscles and thus they get tired and worn out faster than the bigger muscles of the hips.

  1. Mildly arch your back or at a minimum keep it neutral.

The mild arch in your back should come from just below your shoulder blades, rather than just above your pelvis at the lower back. There are tendons which connect your shoulder blade on the right to the hip on the left and the left shoulder blade to the right hip. This brings the power of your arm swing and shoulder into your running. This is something you want to maintain while running.

  1. Pawback pull.

This is one is the most complex and uses drills to perfect. The pawback ensures your foot lands beneath your center of gravity (reducing breaking) and it enhances hip extension (more power). Reducing the breaking forces when your foot hits the ground with each step and gaining more power with each push off should be enough for you to start doing this drill, but here are a few other reasons why it’s helpful: it preserves your quads because you don’t overstride, especially on downhills. It reduces shearing action inside of your shoe which reduces blisters.

How to do the pawback: from standing start by driving one leg up into a forward flexed position-knee up at a 90 degree angle. From there, flick the foot out in front of you. Then, pull it back so your foot returns to the floor. The important thing is when you pull it back flex that glute. Here is a video to make this more clear.

You’re obviously not going to do this while you’re running. How you pull these benefits into your everyday running is by being aware of your engagement of that glute and hamstring, which you’ve become very familiar with during these drills.

The next post will cover four more ways you can engage your hips and become a more powerful runner and reduce your risk of injury.

 

Protein Intake

We all hear so much about carbohydrates, but we don’t hear a lot about protein. Many runners think that since they’re not trying to gain muscle mass protein isn’t as important. And that is where they would be wrong.

Protein is essential for people who are trying to build muscle mass, but endurance athletes need just as much and ultrarunners may need more. The recommended amount of protein for the average Joe is 0.8 grams per kilogram of body weight. For endurance athletes the recommendation is 1.5-1.7 grams per kilogram of body weight. For ultrarunners, it jumps to 1.8 to 2.0 grams per kilogram of body weight.

Why we need so much protein? because we push our bodies on a regular basis. And we don’t just push them a little bit. We push them beyond what most people call reasonable. We need the protein to repair those micro tears that occur through our regular training. We need the protein to strengthen our muscles when we’re doing our weight lifting throughout the week. Finally, protein is converted into energy by our bodies, requiring us to take in a little more to make sure we have enough to repair and strengthen.

Our protein intake should be spread out over the day. You’re body can only process and use so much protein at a time so taking more than 25 grams at one time doesn’t do you a whole lot of good. Eating six smaller meals throughout the day rather than three large meals, makes spreading protein out much easier. You don’t have to use protein shakes either. There are many healthy sources of protein to fit any eating lifestyle. Obtaining all of your protein from animal sources has its health consequences. If you’re vegetarian or vegan, you need to make sure you are getting your protein from a variety of sources to ensure you’re getting all nine essential amino acids (there are more amino acids, but your body can produce all but nine of them).

Another myth is that you need to take in so much protein within a specific length of time after your workouts because your body is primed for absorption. This is true when it comes to carbohydrates, but not for protein. There isn’t a do or die time frame for getting it in after a workout. That said, it’s best to get it in as soon as you can so you don’t get behind in your intake for the day. Also, protein can help with the absorption of carbohydrate after a hard workout. This is only the case when your body is carb depleted. Ever heard of the 4:1 carb to protein ration after a hard workout? It comes from this benefit.

Your body’s ability to absorb protein when it is working, like in a training run or a race, is very limited. Most people are fine with about 1% of their fuel intake being protein. Much more beyond that and you could suffer some GI issues because protein is harder for your body to break down, which means it could be sitting in your stomach sloshing around for some time.

Block It

We all get stuck in a rut, but it can be really easy to do with your workout routine. I know I’m guilty of this on multiple occasions, with both my running and with my strength workouts.  There are a few problems with the rut: first, you don’t make any progress; second, you lose motivation; third, it’s boring!

The first is the most important for runners who want to improve. Not all runners want to improve. They are content running their six miles four days a week at a comfortable pace. That’s not me. I want to get better and I like to see progress. Even if improvement isn’t your think, staying motivated to get out there and not being bored the entire time should be enough for you to want to change things up every few weeks.

Many runners work through their training in blocks. Blocks can be four, six or eight weeks long and during each block you focus on a different aspect of your running. That doesn’t mean you drop other aspects of training, they just aren’t the focus point. Other runners switch things around by every other week. And still others, do a rotation over a ten-day period.

Strength Blocks: Starting a block rotation with strength is great because the number one goal of strength training for runners is to reduce risk of injuries. There are three types of strength training typically used by runners. First is body weight. This uses light weights or no weights with high repetitions. The idea is it builds strength and stability without the mass. Second is plyometrics. Plyometrics are explosive movements, such as jumping and springing. These are great but need to be implemented in small dosages especially at the beginning. Third is heavy lifting. Heavy lifting is low repetitions and max weight which strengths your connective tissue. Lifts should be done very slow and controlled. You’re runs during a strength rotation should be lower in intensity because you’re kicking up the intensity with strength training.

Speed Blocks: during your speed block you’re going to have an intense speed workout once a week and then throw in some fartleks during your long run. For your weekly intense session, choose different types of work outs. Don’t just do 800s. There’s nothing wrong with doing a week of 800s, just don’t make it an every week thing. Use pyramids, tempo runs, ladders, or 400s.

Hill Blocks: during your hill block you will have one run a week dedicated to running hills and then you’ll throw in extra hills for your long run. You can run hill repeats or find a long steady climb to conquer. If you’re doing short repeats, walking the downhill is fine, but you’ll have to find some longer downhills to practice downhill running. Downhills will tear up your legs if you don’t build them into your training.

Build Blocks: As endurance runners, especially at ultra-distances, your long run is going to stay in the weekly rotation. However, if you’re not doing a build phase, you’ll only do one long run a week rather than the back to backs. You can also choose to run one long run and then the next day a ten-mile run. But if you’re not in a build block, you’re not increasing the miles on that second day.

The important part is that you are changing things and challenging your body in new ways. Using the same workouts doesn’t get you more of the same results. It gets you a flatline.

 

HIIT

High Intensity Interval Training (HIIT) is something every runner should be adding to their training routine, but especially runners who find themselves short on time for those extra long runs. Interval training is not new to runners. Most think of it as speed training such as 800 or 400 repeats. But HIIT can and should be more than just speed interval training. HIIT that incorporates strength moves helps build total body fitness in a way that just speed interval training doesn’t do.

HIIT is hard. You should be close to maximal effort. If you ever feel nauseous, light headed, or dizzy take a break before getting back to it. Some experts say that fifteen minutes of HIIT provides about the same physiological benefits as three hours of long slow distance. That does not mean you can train using only HIIT.

Adding in HIIT once or twice a week will actually allow you to reduce your total weekly miles by 10-20% without losing any fitness gains you’ve made. Many running coaches recommend that 20% of your training should be HIIT because of the many benefits you will reap. HIIT focuses on the fast twitch muscle fibers and as endurance runners we don’t tap into these all the time, but we do when our slow twitch muscles are fatigued because we begin to recruit anything we think will help. Training those fast twitch muscles will give a boost to your slow twitch as they become fatigued.

Another benefit of HIIT is the psychological training. HIIT makes you push through barrier after barrier when your body is screaming stop. You can tap into those experiences when things get hard out on the trail. Other benefits of HIIT: it’s very effective at burning fat, it boost your metabolism, and builds muscles

How long your HIIT workouts should be will depend on your current fitness level and your fitness goals. You can start with 20-30 minute and build up to 45-60 minute workouts. Here is an example of a HIIT session you can start with.

If you are recovering from an injury do not start HIIT training until you’re fully recovered. The intensity will increase the likelihood of re-injury. Warming up before a HIIT session is essential to reduce the risk of injury.

Workout ONE 30 minutes

3 minute dynamic warmup: Jumping jacks, high knees, lunges, inch worms, and leg swings.

1 minute rest

First set: 1 minute pushups: 20 second rest; 1 minute squat jumps: 20 second rest: 1 minute front plank: 20 second rest: repeat.

Second set: 1 minute burpee: 20 second rest: 1 minute dumbbell row: 20 second rest: 1 minute bicycles: 20 second rest: repeat two times

Third set: 1 minute mountain climbers:  20 second rest: 1 minute dumbbell/kettlebell swing: 20 second rest: 1 minute split squats with a jump: 20 second rest: repeat two times.

When to Walk in an Ultra

Ultrarunners walk. It’s just one piece of ultrarunning and knowing when and how long is essential to finishing at your best. The easy answer to the question of when to walk, aka power hike, in an ultra is, you walk all the uphills. But if we wanted easy, we wouldn’t be ultrarunners now would we?

Do all ultrarunners power hike? Yes, at the 100 mile distance everyone is going to do some form of power hiking on the uphills. At the 50k distance, it will depend on how steep and long the hills are. At the 50 mile and 100k distances, pretty much everyone is doing some power hiking.

The factors that go into a decision to power hike rather than run are: the length of the race, the steepness of the hill, the length of the hill, your training/conditioning, current weather/trail conditions and your current physical status. None of these factors can be considered without thinking about the others. It’s a multifaceted decision. The only one that takes priority over the others is your current physical status.

Your current physical status is how all of your bodily systems are functioning. Uphills can be a perfect opportunity to rehydrate and refuel. The slower pace may allow your body to absorb water and fuel easier, but don’t count on it. Hiking up a long steep slope can be just as taxing as running hard on level ground. If it is, and your stomach protesting at everything you put into it, you may be better off trying to refuel on the downhill or on a flat. If you’re experiencing pain, hiking an uphill is a good time to assess the situation. You’ll be using different muscle groups to climb, which may help you rule in or out particular muscles as the problem. It will also give sore/cramping muscles a chance to recuperate.

There may be times where hiking flats and downhills is the most appropriate course of action given your physical status and you shouldn’t be ashamed of this, at least you’re still moving forward. If you’re vomiting or have diarrhea walking/hiking is a must. You need to give your body a chance to regulate and it can’t do that if you’re pushing the redline.

The length of the race plays a major roll in when you begin your power hiking. The longer the race the earlier you’re going to begin hiking. Changing to a hike allows you to engage different muscles from those you use for running. This change gives muscles a chance to rest and prepare for the next time they’ll be needed as the primary force. This is true even in a very flat race with little to no uphills.

The grade (steepness) of a hill can demand that you hike rather than run. At some point, a hill becomes so steep it’s just easier and often faster to hike. Whether this is an 8% grade or 15% grade depends on you. Research says a grade of 15% is the point at which it becomes more energy efficient to hike than to run up a slope. However, keep in mind this research was done with individuals who were fresh. In other words, they hadn’t already finished 75 miles and they didn’t have 95 miles to go. The best way for you to figure out where you are, is to practice. Train on all types of grades and hit them at different times in your long training runs.

The length of an uphill is important too. Maybe you’ve come to a hill with a moderate grade and thought, “It’s runnable.” But is it runnable for three miles? It’s okay to start running it and then decide a bit later that it’s no longer runnable. You can even take a run/walk approach to these types of uphills.

Weather and trail conditions can also dictate when you should be running or hiking. Rain and snow can change visibility. Swampy conditions can conceal rocks and other hazards. Heat can change a mild runnable slope into a death march.

What you don’t want to do is walk due to a mental block or because you’ve hit a psychologically dark mood during your run. The only way to avoid this is by having a plan of action. When you get the first inkling of a drop in your mood or mental state, ask yourself if you’ve kept up on hydration, electrolytes and fuel. If you haven’t, start there. If those systems are where they need to be, initiate your positive mood plan. You can use imagery, mantras, recalling when you’ve overcome other challenges, or repeating positive words. For these to be most effective, you need to develop them in your training.

Your training is the key to knowing when you should hike and when you should run. Training on hills is going to give you the strength (mental and physical) to conquer those hills that are within the realm of sensible and the wisdom to know when it’s not sensible. The definition of what is runnable and what’s not is going to change, and you need to be able to evaluate yourself and each hill under the current circumstances.