Less Shoe, Less Pain?

If you know me, you’re probably aware that patience is a virtue I just don’t possess. As such, sitting around waiting for my knee to heel has been, well, torturous. Yes, I have my stretching and my icing and my exercises, but basically, my doctor just didn’t give me enough information or treatment advice to satisfy me. There has to be more I can do to make my knees recover faster and function better. I need a plan.

The first thing I did was formulate a recovery/return to running schedule – a loose combination of this plan from InjuredRunner.com and my own adaptation of our half-marathon training plan. It’s pretty intense, and didn’t make me feel very optimistic, so I put my schedule aside and moved onto more research on how to improve my healing process and prevent my runner’s knee from coming back. My first stop was The Vitamin Shoppe for some supplements.

Running Supplements

The Glucosamine & Chrondroitin with MSM is supposed to promote cartilage healing, and has been shown to help knee pain in studies. (See here.) The reviews and anecdotes I’ve found online are pretty encouraging.

The Omega-3 Fish Oil is supposed to be a kind of super-supplement for runners: it reduces joint pain and inflammation, lubricates the joints, and enhances the body’s ability to recover more quickly after runs. (See here.)

The Zyflamend, Vitamin D and Folic Acid are also supposed to help with inflammation, among other things.

We’ll see if any of these make a difference. I’m most hopeful about the Glucosamine & Chrondoitin supplement – I’ve read accounts from runners whose knee pain disappeared for good after taking it for just a few weeks. I won’t expect anything quite that drastic, but I can at least be optimistic, right?

But buying the supplements still didn’t feel like enough. You know how people who have gone through a difficult situation are so desperate to assign blame that they’re really easily influenced by new ideas and ideologies? Well, consider me one of them – I’ve been drinking the minimalist running shoe Kool-Aid. I haven’t read Born to Run yet, but I’m interested. My friend Bianca is reading a book by Dean Karnazes – otherwise known as the guy who can run hundreds of miles without stopping – and he recommended InjuredRunner.com. I read their page about runner’s knee, and it suggested that the “pose method” of running may reduce knee pain. Some quick research enforced the theory – while minimalist running is tough on your feet and calves, it’s been shown to be much easier on the knees. It’s not that I don’t take injuries like plantar fasciitis or stress fractures seriously. It’s just that I’ve had knee issues my whole life, and now here I am with a knee injury. Clearly, my knees are the weakest link in my body. Shouldn’t I look into trying something that might better protect them?

The Vitamin Shoppe is in the same plaza as the New Balance store, so I couldn’t resist checking out my dream shoe – the WR1400.

New Balance WR1400

The store associate explained that the 1400 is a hybrid shoe – it’s on the minimal side, but offers more cushioning and protection than something like their Minimus. I told him about my situation, and he agreed with the newly-common belief that forefoot striking is much easier on the knees than heel striking. He also told me that there are both positives and negatives to the idea of transitioning to a minimal shoe while recovering from an injury.

Pros: Transitioning to a minimal shoe requires easing slowly into higher mileage and faster paces, and I’ll already be doing that, anyway. Plus, since I’m going to attempt to train my muscles to work differently in order to prevent the runner’s knee from coming back, I’ll be more mindful of the way my body is working, and might be in just the right mindset to change my stride. Then, of course, there’s the obvious: I have a knee injury. Forefoot striking puts less pressure on the knees. Duh, right?

Cons: The adjustment and transition period between heel striking in cushioned shoes to forefoot striking in minimal shoes isn’t easy. I’ll experience soreness and stress in new places, and that might be the last thing I need while I’m trying to recover from an injury. Also, if I fail to transition properly to forefoot striking and instead end up heel striking in a shoe with less heel cushioning, there’s going to be a lot less shock absorption, and my legs and knees are going to take an even heavier pounding. And lastly, while I expect to ease back in slowly at first, I’m going to have to pick up the pace as soon as possible if I want to run the half marathon. If I start adding a lot of mileage before my legs have adjusted to running in a minimalist shoe, I might run into new issues.

My thinking is that I could try out the 1400s on the treadmill for shorter distances and see how it goes, and stick to my cushioned shoes for running outside until I feel comfortable. If I tried the 1400s on the treadmill for a little while and it seemed like they weren’t going to work out, I think I could still return them.

So? Good idea or horrible idea? Does anyone have experience with this transition? Any advice?

     

6 thoughts on “Less Shoe, Less Pain?

  1. I’ve had chronic knee pain/injuries since I was in 7th grade and I can tell you; glucosamine and doing knee strengthening exercises will help immensely. I also am sure to hit the weights once or twice a week and do leg presses to build up the muscles in the quad to better support the ligaments and cartilage around the knee. That also might help with any (potential) long terms running injuries if you think they’ll creep up again.

    I also am a heel striker, and I’ve found that if I alternate running with walking (running for 1-2 minutes, walking for 1), I don’t do it as often since I typically don’t walk heel-to-toe so my running form mimics my walking form. I also try one of those circuits running on my tip toes to a) flex out my ankle, and b) give my knees a break.

    Hope that helps!

    • Coolio — thanks, Shannon! When you say knee strengthening exercises, what do you mean? Squats and whatnot? Quad-focused stuff, or other muscle areas? I need to get back into a strength-training plan for SURE. I used to do weights every other time I went to the gym, and now I can’t even remember the last time I touched one of those machines!

      • Strengthening exercises, in my mind, is a mix of stretching and working out in ways that better support the knee. I found this pretty good summary of what kinds of things you can do both at home and the gym to help keep up your exercise/stretch while still supporting the knee. This regimen is pretty similar to the one my physical therapist “prescribed” in high school and it really works. http://www.sparkpeople.com/resource/fitness_articles.asp?id=363

        Also, doing squats with an exercise ball help a lot. I wouldn’t do squats without them, though, because then you might put too much pressure on your knee.

        I also don’t run as fast anymore. It sucks in a way since I want to boast that I can run a 10 minute mile, but I had to ease back my pace to about a 12/13 minute mile to make up the difference. It has helped a LOT. Not related to strength training, but it’s something that can keep you from having it happen again.

        I feel like I’m rambling; my bad. But keep with it and it will really make a difference – I promise!

        • Not rambling! Trust me, I eat up any info/advice on this situation like chocolate cake. I think I’ve read every article, forum and blog post that exists on the internet (though I actually have seen the link you just sent!). I am trying anything and EVERYTHING I can! I’m desperate! So I definitely appreciate all the help. :) Squats with a ball were on the things my doctor recommended (wall sits, technically, for now) so I bought a really cute pink soccer ball … cheers me up a little bit.
          Thanks, Shannon!

  2. You’re such a runner!!! I feel like we ALL do this — and i have SO many supplements and natural cures. I swear by my B-complex — i started taking it junior year of college when I lost all that weight and I know it wasn’t just because of that but I’m convinced it helped. Plus it’s so good for your skin, nails, and, in regards to running, ENERGY!!!! I’m also loading up on Vitamin D. I just bought some but I’ve feeling so drab — in runs and in lyfe — and my research (And runnerworld forums) have convinced me it’s the lack of sun! Let me know how these work! I remember reading all about this during my IT band disaster — I should probably take those fish supplements, especially with my mainly vegetarian diet.

    And I say try the shoes. I think you have a good plan to start on the treadmill. I just decided one day that I wanted lighter shoes. And by “decided” I mean I got a pair of 890s for free from a yoga/runners focus group I participated in for New Balance and they were too pretty to not run in/I needed new shoes anyways. Previously, I had SUPER supportive sneaks, and like I think I told you, I noticed my muscles were more sore — especially my bum — but in a few weeks I felt stronger than ever.

    And then I ran a marathon.

    So be careful but try it!!!

    HOPE YOU FEEL BETTER SOON GIRL!

    • Ahhh, B-complex! How could I forget! I have some and always forget to take it! I have a whole cabinet full of vitamins that I always forget about … in fact, I bought the folic acid at Vitamin Shoppe, then came home and realized I already had a bottle. Whoops. I forgot to include it in this post, but I read in a few places that Vitamin C could be really helpful, too — I hope it is!

      Thank you so much for all the support and advice you’ve been giving me — As i’m sure I’ve mentioned already, I probably wouldn’t have even started running if it weren’t for you saying “OMG YES YOU CAN DO IT!” :)

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