Cyclists with a "Running" Problem

[Jackes]

The issue is not the treatment of the ITB, it's the timing.  

 

She picked up the itb a few weeks back and has made huge inprovement, but OMTOM is next Saturday.  She only feels it on the downhills.  

 

But it's not nice to toss away a years training and all the expenses and not finish the race just because the ITB wont let you on the downhills.

 

And yes, I realize she will not be the first and last and there is much worse sad cases out there...

[V12man]

Read  - what I said later - each person has to assess what they can or cannot take. I am not saying happily pop myprodols or cataflams at will. I know that I can take a couple of myprodols during an endurance event, because i also know that I make sure I am well fed and well hydrated. I am well aware of the risks

 

I do agree  -its not good advice to just say - take xyz.

 

Comrades are definitely covering their bases because people do stupid things - especially if they are injured...and I am amazed when people take 4 or 5 ..which is not uncommen

I did read what you said (some of it in arrears) - your advice is still terribly dangerous (even with disclaimers)

 

The only way to assess what they can or cannot take is to test renal function... period. This has some practical implications, and to do a proper job you would have to test at various environmental conditions and dehydration levels over extended periods - nobody is going to do that properly because you would have to create rhabdomyelisis (muscle stiffness/damage) for each test to properly check kidney function and the affect of this added to the NSAID reduction in kidney performance.

 

I have friends who can introduce you the the relatives of patients that have had kidney failure from NSAID use... even without endurance exercise being involved....

 

Still - just stay out of my ER.... don't want friends there for any reason.

[V12man]

The issue is not the treatment of the ITB, it's the timing.  

 

She picked up the itb a few weeks back and has made huge inprovement, but OMTOM is next Saturday.  She only feels it on the downhills.  

 

But it's not nice to toss away a years training and all the expenses and not finish the race just because the ITB wont let you on the downhills.

 

And yes, I realize she will not be the first and last and there is much worse sad cases out there...

The stretch will help, and she might well be fine to run  - I have given the same advice to many athletes - some have been about to bail on the next day because of it - and managed to finish (carbon29er will bear me out on this because I showed one of his clients who was hobbling around and packing up mid epic a couple of years ago)

[Hacc]

I am so against medication while running. One of my club mates landed in ICU with kidney failure because of Myprodol. She is 35 years old, has to go for dialysis twice a week and won't be able to run again. I don't think it is just Myprodol that caused it, but I am sure Myprodol made it so much worse.

 

To confess I gave a Mypaid (200mg Ibuprofen & 250mg Paracetemol) to one of my club mates at last year's Comrades. He had terrible knee pain at 15km to go and he was thinking of stopping. He is also against pills. I asked him if he wants it and he said yes. We finished together, the medication helped him to finish. I truly believe that running with pills shouldn't become a habit, and you shouldn't take it unless there is absolutely no other way out (except to bail). Some runners look like pharmacies. It is very dangerous as not all runners react the same way to pills while your body is under so much pressure. 

 

I am sure if you ask the Comrades / Ultra running field of South Africa at least 70% will have some sort of tablet with them.

[Hacc]

Howzeeet running crew. What's shaking? (Booked myself off the hub with assignments that were looming.) Seems like there are plenty of us doing OMTOM in both versions. 

 

Would be interesting to get a view of who is doing which and what their goals are. I'm doing the half as I (fortunately) have not qualified for the ultra... This will be my first OMTOM half. Have 2 Gun Run halfs and the Cape Town Marathon completed. 

 

Tube - 21km - Seeded D - Goal: sub 1:50

I am doing my 4th Two Oceans Ultra this year. The plan is a sub 6 as I am taking it easy, enjoying the view and not try to improve my times. I am not near my fitness level where I should be this time of year. Like a colleague of mine said, "Just wing it..." 

[ADe]

I took of from running, stretched, did functional strength exercises etc over the past 2-3 weeks and my ITB is much better, but I have lost about 2 months training and have decided to call it quits and not do Two Oceans. I am sure I will be able to push through on the day, but am worried that it would just make it worse and derail the rest of my season.

 

All is not lost as I now have a decent base to work from going forward. Time to shift my focus to triathlon training.

[Stretch]

well that escalated

[Khronis]

Terrible advice - never ever take NSAIDS immediately before, during or after any endurance activity.

 

The effect on Renal (kidney) function can be extreme, and life threatening, especially when associated with even mild dehydration.

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4034033/

 

Permanent kidney damage is NOT what you want - ever.

 

Comrades also has a position - trust me its accurate

 

http://www.comrades.com/marathoncentre/faq/2-uncategorised/317-medical-information

 

And to save you clicking on it..

 

The third way is DO NOT TAKE ANY MEDICATION AT ALL during the race, especially anti-inflammatories [e.g. Voltaren, Cataflam, etc]. This also includes other pain killers and supplements for cramp etc. There are increasing numbers of runners developing renal failure after Comrades, and one of the major contributing factors to this trend is the taking of anti-inflammatories during the race. Renal Failure is a serious condition and can be fatal.

 

Things like slow mag and cramp block not recommended ? Always thought they were fine to take during physical activity.

[Andrew Steer]

well that escalated

No man, we're all on the same team here   

 

Just need people to seriously question and think about those pills when taking - like Hacc said, some people pop them like they are smarties. I have taken a single Anti-inflam around the 70km mark at Comrades, I might well do it again. But it will be just the one, and seriously only if I really need it...

 

It's probably still a stupid decision, but at least it's a relatively informed one   

[Pieter1]

Things like slow mag and cramp block not recommended ? Always thought they were fine to take during physical activity.

Yea me to. I would usually take two or three during a long event. Well slow mags. How about the usn cramp blocker?

[V12man]

Things like slow mag and cramp block not recommended ? Always thought they were fine to take during physical activity.

They can lead to other metabolic issues because you can get your electrolyte levels out of whack quite easily - especially if taken to excess - which some people do - it's kind of complicated to explain without a background in physiology, and a ton of typing from my side, - that said....

 

If you want chapter and verse - read https://www.amazon.co.uk/Waterlogged-Serious-Problem-Overhydration-Endurance/dp/145042497X

 

This is pretty practical and written for laymen.

[V12man]

well that escalated

Nope - we are all friends here  See Hacc's post above.... and trust me - Dialysis is a life sentence... only way to get out of it is a kidney transplant.... and that's only temporary.

 

Personally I think they should drug test ALL comrades runners for nsaids and ban them from future runs if they test positive..... and just add the cost of the test to the entrance fee - in the interests of the runner.

[Ed-Zulu]

I absolutely LOVE these type of grown up threads (and Lady Pro's), but hell man, you can't get this type of info and level headed advise for free anywhere.

 

You guys rock!

[Andrew Steer]

Nope - we are all friends here  See Hacc's post above.... and trust me - Dialysis is a life sentence... only way to get out of it is a kidney transplant.... and that's only temporary.

 

Personally I think they should drug test ALL comrades runners for nsaids and ban them from future runs if they test positive..... and just add the cost of the test to the entrance fee - in the interests of the runner.

 

So you're a bit on the fence about the use of NSAIDS in endurance events   

[NordicElf]

There is still a grave risk if you just take one myprodol right? getting the feeling that some people think 1 or 2 is ok? My understanding is that isn't, right?

[SeaBee]

First Ultra, having done the half and the trail run previously.

 

Would love to go sub-6 - but since this is my first, main aims are to finish and have fun (take lots of pics!  ) along the way.

 

Hacc, thanks for that summary of tips! 

PS - I am also one of those not on the fence about NSAIDS in endurance events. No go... If it does not catch you on the day, it does damage anyways. Is one event worth the risk? (But that's just my 2c...)