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Rest is the answer! The Guru explains to Carys that after an Ultra Marathon any tweak is magnified

Jun 25th, 2015

Hi there,

I recently ran a trail ultra marathon, which involved a number of steep ascents and descents. I tweaked my left knee running downhill and it now feels tender on the inside of the knee, along the top of shin on the attachment just below the knee and a around the kneecap.

My inner quad is also a bit sore. I rested for a full week and then ran on it as it felt normal again and it has now flared up again.

What’s the best course of action?

Thansk Carys

Jun 25th, 2015

The Guru Responded:



I hate to imagine all the excessive bone and tissue loading that occurs during a UM.


Your tweak becomes magnified and knocks the healing process off course for a longer amount of time than you would expect due to the excessive loading and the consequential physiological changes.


It’s sounds as if you’ve got a mash up between your MCL (ligament) and the under surface of your knee cap.


Give it at least 10 days rest – you ran after 7 so I’d wait for another 5. Your run (at +5 days) is a recovery run so no more than 5kms.


Allow your body to do what it does best!


The Guru

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