Comrades Marathon training affected by piriformis injury

Comrades Marathon training affected by piriformis injury

Welcome back to Ask Coach Parry. The question today is injury related and comes from Anzonia. She says that she developed a piriformis muscle injury. She started to train but had to stop because running is painful. Her January consisted of bay-to-bay and Redhill where she suffered.

Do you think she can still train for her first Comrades Marathon? She intends to start training again slowly from the beginning of February. Currently she is doing strength training the core and aqua jogging as well. What is the best advice? The left side is always a problem on that piriformis.

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Brad Brown: Welcome back to Ask Coach Parry. The question today is injury related and comes from Anzonia. She says that she developed a piriformis muscle injury. She started to train but had to stop because running is painful. Her January consisted of bay-to-bay and Redhill where she suffered.

Do you think she can still train for her first Comrades Marathon? She intends to start training again slowly from the beginning of February. Currently she is doing strength training the core and aqua jogging as well. What is the best advice? The left side is always a problem on that piriformis.

Getting it treated

Lindsey Parry: The first thing is you need to get that piriformis treated and hopefully release that spasm. Effectively when we get piriformis injuries, and particularly ones that annoy us, it is generally because the sciatic nerve runs through the piriformis of some people.

Once it settles down, you will also need to keep maintaining that. Either weekly massage or physio to make sure that that piriformis doesn’t get angry again. Doing stability exercises and core, that should also help to stop it from flaring up.

But you are going to have to in the short to medium term, manage it with some active acute rehabilitation, like I said either a massage or physio.

If you are keeping yourself fit, you have managed to do 30km’s at bay-to-bay, 36km’s at redhill, I would add some cycling into your routine now. On a stationary bicycle. If you do that, then yes, go into February and build yourself up slowly through February.

As long as you are running consistently and well by March – that will give you plenty of time to get yourself ready for the Comrades Marathon.

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