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Possible Stress Fracture!

So I've self diagnosed myself with a stress fracture in my fibula. I"m 3 weeks out from IM CHOO and I"m in need of some help. I'm more prepared for this race then I've been for the last 6 and I just want to get to the start line with my CTL that I've been putting in the bank. I would like to take out running completely for the next 2+ weeks until the race. I can swim and bike and maybe even aqua run (never tried this). I just don't want my CTL to start dropping this far out as I feel like its just too long. Can you help me rework the plan to accommodate this?

 Thanks!

Comments

  • Stress fracture > CTL

    CTL doesn't matter if you are injured, sick, etc. Or rather, race day doesn't care what your CTL is if you can't run. image

    So...you should switch to bike focused plan, which looks like this:

    Mon - Swim + Water Run
    Tue - Move Wed Bike here, but no Run.
    Wed - Swim + Water Run
    Thu - Repeat bike from Tuesday (best effort, don't worry about hitting FTP)
    Fri - Swim + Water Run
    Sat - As planned, no brick
    Sun - As planned

    Swim + Water Run is basically your swim workout PLUS 15 to 20 minutes of water running. This isn't so much run fitness (you are solving it with extra bike time) but run biomechanics / dynamic movement, etc. There's a page on Water Running in the Wiki, with a link to a good article on how to make it a bit more challenging with a tether...here's a direct link to save you time: http://bit.ly/2cbsRMl Basically these would be more interval like sessions (think 1' on, 1' off) as you are warmed up from the swim workout.

    Let me know what you think!!!

    ~ Coach P

    Ps any plans to change footwear or see a DOC?
  • Thanks Patrick, I took off yesterday and today completely as the Tuesday run hurt more then I hoped it would. I pulled up from the run and that's kinda when I figured out what was going on down there. I'm seeing a Ortho guy tomorrow and I"ll go from there but you are right.....and my focus now has shifted to just getting to the start line. As for now I"m probably not going to attempt any workout until I have no pain in my leg. I've been having some discomfort down there for 2 weeks but I thought it was just my calf and such being tight, it wasn't until Tuesday that I figured out something was badly wrong. I'm just in fear that I wont even be able to race. I hope to jump on the trainer this weekend and in the pool tomorrow but I'll let my leg make that call. I've never had a stress fracture before so this is all new to me.
  • I had a stress fracture in my fibula that kept me out for 9 months simply because I didn't lay off.... meaning doing nothing. The diagnosis is made by MRI. get an accurate diagnosis and then stay off of your leg. My first ortho said I could just take it easy but he didn't know what a triathlete is. It took breaking my other foot (trying to continue to work out) to get me to stay still. Missed Boston, CdA and many fun rides and runs. Was in a boot for 6 weeks.

    MRI then get off your feet! Then.... figure out what the muscle imbalances were that caused it

      the rule of ortho:  if it hurts don't do it.  I could not put pressure on my pedals without pain so riding was out.  I could not walk without pain! but I had to work ....  pushing off the wall at the pool hurt... so aqua jogging was okay with OWS.  sorry to jump in there coach, but if an MRI shows it, he has to stay off for two weeks at least... don't make the mistakes I made.

  • Patricia, thanks for the info! I will not do anything that causes pain, as soon as I get a fair diagnosis from an actual doctor then I might reach out to you if that's okay? I can walk with almost no pain so I'm hoping this one isn't that bad! I just want to race and then after that I can take a year off if I need to. With number 3 arriving any day now it will kinda be mandatory for me anyhow, questions is can I run 26 miles with it?
  • don't do anything that hurts for at least 10 days, preferably two weeks. If no pain then you're good... You can always do the race with pain if need be... but then you're looking at 6 weeks at least recovery from that with a boot to ambulate.  these are more of a nuisance than a clean fracture as the bone is soft and mushy due to multiple small fractures in the bone.  I used a bone stimulator for a while but the only thing that really worked was getting off my feet.  In the long run, focus on strengthening the lateral abductors of the hip and core stabilization plus using a flat shoe have helped....  (low to no rise)

  • Chad, any update for us?
  • I tried to do some water running and swimming but still had pain so now I'm 100% off of it until I feel like testing it. I have MRI today. At this point only goal is to get to the start line, not really concerned about what fitness I'm losing. I just want to race image
  • Amen. Refocus, and continue. Let me know what the diagnosis was when you can!
  • Well, it is confirmed a stress fracture. It feels a bit better but I will give it a whirl! Kinda weird going into a race and not working out for almost 3 weeks. Doc said I probably won't do much more damage except that I'll need more recovery time if I race. I'm least towing the line and see what happens.
  • stay off of it! swim! splint for walking.... or boot. I had a boot.
    and... ask for the ultrasonic bone stimulator. I'd put that thing on every night and in the morning to try to get the bone to heal up. I've had them in my feet before and thy heal up in two weeks. The fibula takes longer... muscle attachments are the thing that caused it... repetitive pulling on the bone... it hurt when I would bike or walk... best wishes! it will get better but listen to your body....
  • While you aren't in a great place physically, you have made all of the right decisions to be as ready as possible on race day. Fit or unfit, that is all we can ask of you. Put your energy into the short-term future, and plan out a race that you can be proud of. there is still plenty of racing to do!!

    side note, if you plan on using anti-inflammatories or pain medication just a gentle reminder that we recommend using Tylenol as it is processed in the stomach. No matter what you use, be sure to stay hydrated if you are taking anything.
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