Low Back Pain in Runners: Prevention & Treatment

If you’ve dealt with low back pain, then you know how debilitating it can be to do even the simplest daily activities. Improving core strength, flexibility, and correcting poor body mechanics are the key to managing and preventing pain. Continue reading to learn the exact exercises I prescribe to my clients that lead to maximum relief.

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Wake Up Those Glutes! Why & When You Should Include Hip Activation Exercises

Struggling with knee pain or tired legs post-run? What about having a hard time improving your pace? The answer may have a great deal to do with your glute strength. Waking up these very important hip muscles with activation exercises and general strengthening should be a part of every runner’s program.

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My Journey to Fast Running

Fast race times are not just for the pros. Anybody can train to improve their speed as long as they put their heart and soul into running and find the right plan for themselves. Some runners do better running every day or with high mileage plans, while others do best with minimal miles and more rest days. For me, it took some trial and error and lots of research to get faster. I am questioned almost every day on how I cut my race times in such a short period of time. It did not happen overnight. I put in a good amount of work and a part of my passion is to share my story in hopes that my tips help so many of you!

Once Upon a Time, I Ran ONLY for Fun

First of all, my initial BIG improvements had much to do with the fact that I was not focused on getting faster AT ALL during the years I was racing before I decided to make this my goal. I’d been a runner since 4th grade, participating in cross country and track and field on and off until I graduated from high school. I kept running in college only because I hated the cardio machines at the gym, and running was just something I knew how to do that was outdoors. A friend of mine suggested signing up for a half marathon, which I thought was crazy at the time, but she promised me that one day running 13 miles was going to feel like what 3 miles felt like back then. She was right. I signed up for the 2009 Miami Half Marathon and was hooked, but not how I am hooked now. I did not pay attention to finish times or pacing or anything that has to do with improving at the sport. All I cared about was staying in shape and the excitement of the races once a year.

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This is how I treated running up until 2016, when I randomly put on the Olympic Marathon Trials after reading about it in a Runner’s World Magazine. This was about 2 weeks after finishing my first Miami Marathon in 3:53. All of a sudden I got the urge to get faster—I figured, I actually like to run, I’m not bad at it, and the training plans I read in the magazines all seemed doable to me. A few weeks later I raced the Miami Beach Half Marathon and got my best time, 1:44, which I attribute to the motivation and adrenaline from my new found passion. That same week I bought a Garmin watch, new shoes, and signed up for the Ft. Lauderdale Half Marathon in November. Within those 8 months I spent hours researching training plans, advice and every amount of information I could to implement into my new venture.

More Miles Works

I went from running at comfortable paces 3 days a week to running 5 days, which included my long run and a speed workout that I would switch up every week. I believe it was the gradual increase in mileage and added speed work that got me a 9 minute PR in the half in only 7 months time! I was nervous to run more than every other day thinking I would get injured, but from everything I researched (and my research only comes from scholarly written studies, as I was taught in school—haha), I learned that as long as you SLOWLY add in the miles, keep it easy for the majority, and continue strengthening exercises, it can most definitely improve race times. This 100% worked for me. I ran the rest of 2016 getting up to an average of 75 miles per week.

I had already been a physical therapist at this point for 5 years, so I was super strict about injury prevention, recovery, and paying attention to my body. I raced the Miami Marathon in January 2017 and finish in 3:22—a whopping 31-minute PR! Of course, like the rest of us, I wanted more. After more research I decided to attempt the daunting 100-mile week before my next full marathon, but I knew this was going to come with some sacrifice. More miles = more sleep/downtime, more eating, and more recovery sessions. My baseline training over the summer that year was around 60-65 miles per week and I gradually added in more once the fall came around to hit 100+ miles for 3 weeks before I tapered for the race in January 2018. I cut another 16 minutes off of my PR that race. My half marathon PR came 3 weeks after that one where I cut 8 minutes from 2017.

After falling for the comments on how I wouldn’t be able to keep this up on my own, I decided to try out a coach, who initially kept me at decent mileage (although still 75% of what I was doing when I was at my best), and then dropped the milage down to 40 miles per week by the end of 2018. This actually got me out of shape and my streak was over. Since starting back up on my own this year I have gone back to my previous training plan, with much more updates, and finally feel back to my old self with even BIGGER goals!

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2015: 35 miles per week —> 3:53 full / 1:44 half

2016: 75 miles per week —> 3:22 full/ 1:33 half

2017: 100 miles per week —> 3:06 full/ 1:25 half

2018: 70/40 miles per week —> 3:14 full / 1:33 half

2020: 90 miles per week —> 3:03 full / 1:24 half

Varied Speed Work

I spent the summers incorporating short speed sessions—200-800 meter repeats and Fartlek runs. During my actual marathon training, my speed sessions varied every week. I alternated between mile repeats, continuous 200m on/off 10ks, Yasso 800s, and progressive ladder workouts at the track. I rotated between these workouts every 4 weeks and was able to see improvements in each once a month when it was time to repeat them. Since 2018 I’ve learned all about the benefits of longer intervals for distance running (which intimidate me!), so that’s what I’ve been incorporating these days with amazing results. My best seasons are those where I’ve managed to stick to one track session of shorter intervals and one tempo run each week. The rest of my running is all EASY paced. Click here to see a few examples of my go-to speed sessions.

LOTS of Eating

It’s a good thing I love to eat, because marathon training allows me to eat twice as much as I used to! When I was training early on, I believed I could eat whatever I wanted. That is the most untrue statement for runners. First of all, we don’t burn as much as we think—in an hour-long run I burn around 350-400 calories. That’s probably just about a slice of pizza! Second of all—if you want to improve your performance, you must think of food as fuel, rather than pleasure…at least 90% of the time. Following a high-quality diet of the right amount of macros and calories will keep your body at a healthy weight, help you last longer during any run, and help prevent injury. In my opinion nutrition plays a bigger role in performance improvement than anything else. Once I started increasing my calories, especially carbs, I saw a massive spike in energy, better sleep, and more strength during speed sessions. Mid-run fueling switched from an intake of 200 calories (a pack of PowerBar chews) during an entire marathon, to over 1200 calories! This was a game changer for long runs and races—I am never exhausted afterwards like I used to be.

Quality Recovery

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Recovery has many different sides. It includes sleep, elevating the legs, use of compression, icing, stretching, massage, physical therapy, foam rolling, and full rest days. It sounds like it requires so much time, and it does, but without these components, you risk being able to run more, hit paces, and recover from workouts quickly. This is probably my weakest area. If I skip something one day, it’s usually not my runs, strength training, or eating. I used to skip stretching, go to sleep late, and sometimes walk around too much on my complete rest day. Now, I am slowly learning to prioritize recovery—going to bed earlier, using my Normatec compression boots, getting a massage every few weeks, and stretching after every run. Since being more strict about this, I rarely get sore or feel fatigued legs on my runs—and I’m running around 90 miles per week right now!

Make Time for Cross Training

During the off season I was going to the gym 4-5 times per week for at least 45 minutes. Of course as I start to run more, I shorten my gym sessions, but make sure they stay high-quality and that I hit every muscle group. My workouts are mostly full body sessions, with a big emphasis on all core muscles, at least 3x per week. I NEVER skip the strength training—I remind myself of the time I was injured and how horrible it felt, and that is enough to get me to do the work. I also make time to go for walks and use the stationary bike—this will only be a couple times per week for 20-30 minutes.

This is MY Plan, Not YOURS!

As I mentioned in the beginning, adding in all of these components is totally doable for anyone. The only obstacle most people have is lack of time, but with a little sacrifice, and shifting of your schedule you can find time for each and every one of these components. The one thing you don’t want to sacrifice in order to add more miles is sleep—it is VITAL if you want to run well. You don’t need to run every day, and it’s actually okay to not have a full rest day. You just have to make sure at least 75-80% of your runs are easy. If you are stuck and unsure about how to structure your training to get results, a coach may be the answer—even if it’s just for one season. Don’t hesitate to reach out to me with any questions or if you’d like to join my team and have me be your coach!

My Current Training Schedule & Fall Race Plans

My decision to take a long break from racing has made my training schedule a bit foggy this summer. Since I haven’t yet decided on whether I will race anything more than a 10k this fall, I have been taking it easy, not worrying about skipping some days or not pushing myself as much. The fall is quickly approaching, though, so if I do decide to race a half or full marathon, I want to be ready to finish strong with a PR or at least a very good workout!  The last couple of weeks I have started a new, and steadier schedule, which I hope to keep for another month or two until my “real” training starts.

Strength Training

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This is something I have been extremely strict about since my last race. I have always made time for the gym, but was doing pretty much the same workouts most weeks. I started heavier lifting this summer, splitting up body parts most days. Now I have been making sure to stick to four days of strength training, mixing up my routine every week. At least three of these days are at the gym using machines and dumbbells, and I’ll squeeze in another day of 30-40 minutes of resistance band and bodyweight exercises. Most of my workouts are my own, but I do get loads of inspiration from fellow Instagram fitness buffs! Consistent strength training has been what has kept my joints healthy and free from injury. If you normally experience back or knee pain, I suggest you start hitting the weights! It will make a huge difference if you want to keep up your running routine. 

My current training plan looks like this: 

Monday         AM: 10 miles (either with 3-4x1 mile hard OR 5-6 miles at tempo pace)

                       PM: 45-60 minute gym session – legs/biceps/shoulders/abs circuit

Tuesday         AM: 8-10 miles easy

                        PM: 3-5 miles easy

Wednesday    AM: 8-10 miles – 3 miles easy + 8x200m uphill/downhill repeats + 3 miles easy

                         PM: 45 min gym session – chest/triceps/back/abs circuit

Thursday        AM: 8-10 miles easy

                         PM: 3-5 miles easy

Friday              AM: 8-10 miles easy + 30-40 mins band/bodyweight legs/abs circuit

Saturday         AM: 13-16 mile long run + 30 mins full body gym session + lots of stretching

Sunday             OFF 

Of course, depending on my schedule I will have to switch things around at times. If I have less time one morning, I will run shorter and increase the miles on another day if I feel good. If I have somewhere to be on Saturday morning, I will do my long run on Friday. I am fortunate to have a flexible schedule, so I can get my training done without excuses!

Potential Fall Racing Plans

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Since I have never raced a 5k (I know, crazy!), I am thinking of signing up for the Turkey Trot this year and have that race be my debut. I did not have a great 10k last year, so the short distance makes me more nervous than racing a full marathon! I am looking to stay local for any other race I plan, so my options will most likely be a half in Ft. Lauderdale in mid-November or West Palm Beach in December. These will be great workouts to prep for February’s Miami Marathon, which is where I plan on having an extra large PR. I do not want to get too comfortable going too many months without any races on the schedule, and I know signing up for races is a huge motivator to train hard, so I will most likely decide what I am doing within the next month or so. Stay tuned!