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Cari Fit

Cari Fit

Fitness Advice, Workout Tips, and Inspiration

treadmill

How To Heal A Torn Meniscus Without Surgery

Over a year ago I had just signed up for another marathon and was excited because it was going to be my first one in a few years since having a second baby. Then, a few weeks into my training I tore both of my menisci in my knee and I was devastated. But, with some patience and dedication, I was able to rehab my knee myself and avoid surgery. I wanted to share my story in case any of you have been going through the same thing.

I’m still not sure how it exactly happened but one morning I realized it hurt to bend my knee when I was lying in bed and then the rest of the day it just felt weird. Meniscus tears usually don’t happen from running – but rather an abrupt movement or twist of the knee. I suspect I was just playing with my kids when it happened and just didn’t feel any pain for awhile. For a couple of days my knee just wouldn’t bend and I felt a weird pressure. Then, about 2 days later I looked down and I was like OMG! my knee was the size of a grapefruit. I started icing it and just trying not to do much (which is hard with 2 little ones!). I kept thinking the swelling would go down but it barely did. About a week later I went in to see an orthopedic surgeon and he did an MRI. He then told me that I had torn not one – but both of my menisci in my knee. He offered to “drain” it there to relieve some pressure but I decided not to since I wasn’t in a lot of pain. He said that it may not get worse but that it probably wouldn’t heal on it’s own and many people opt to do surgery. I was really upset and thought I would never be able to run again. But, I decided to try to manage it on my own and see how far I could go with my recovery before giving in to surgery. I had heard that surgery can sometimes make your knees worse – especially if you already have arthritis in that area, which I do from years of running.

I started by really resting my leg and not doing workouts. This was super hard because part of the reason signing up for the marathon was to lose the rest of my baby weight (more on that later!). But, since I couldn’t run at all I was really bummed out. After about 6 weeks of only minimal core and upper body workouts, I added in some light walking. I even tried to jog super slow but the minute I took a few strides I had pain and gave up. After a couple of months mini squats and lunges (1/2 range of motion) were ok but I had to be careful not to lunge or squat too deep. After about 4 months of so-so workouts, I started by walking faster for cardio and doing a little more strength training (If you’d like details on what I did – comment below). Then, I think after about 6 months I slowly started to jog just a little. I still had a tiny bit of uncomfortableness and irritation so I didn’t go far. Over the course of about 9 months I slowly worked my way back up to 2-3 (slow) miles. This past Spring (1.5 years after) I began jogging more and more outside and on the treadmill and slowly increasing my speed. I started adding in more glute and quad workouts too to really stabilize my knee. I feel like this is key. When you have a weakness (often in the glutes or quads) it can offset your knee and make you prone to injury. I had success with this before when I had runner’s knee. Finally, after over a year I was able to get my sprint speed back up! I was so happy a couple of months ago when I was almost back up to full speed at 11.5mph (1% incline) on the treadmill! I really thought I would never get back up to that. It’s still a little slower than I used to do and my overall running speed (and distance) is not like it was before kids – but I have hope!

So, if you have a torn meniscus…here is what I would recommend:

  • Try to rehab your knee yourself first – if you have the time (and dedication) to do it and you aren’t in any pain. But, if you and your doctor think surgery is the best option, then by all means – do that.
  • Stay off your knee at least for 6 weeks then slowly add back in some cardio options that don’t hurt (like walking).
  • Focus on upper body and core the first 4 months and then slowly add back in some non weight-bearing glute and quad exercises that don’t strain your knee.
  • Once you are pain free – add back in light jogging for just 3-5 minute intervals at a time and then walk 2-3 minutes. As your knee starts to handle that, increase your time intervals so you are running 5-7 minutes and walking 2-3 minutes.
  • Once you don’t have the pain and can jog slowly for 20 minutes at a time, then you can start to increase your speed a little. Just follow the 10% rule: don’t increase your speed or overall distance by more than 10% in one week.

*I am not a doctor and highly recommend you consult your doctor first before deciding to treat any injury yourself. This is just my advice and my personal experience.

Gain Confidence and Overcome Your Fear of The Treadmill

During this past summer (and even fall), I did more of my running indoors on the treadmill vs. outside because it was sooo hot here in Houston. I haven’t always been a fan of the “dreadmill” and have even struggled with it from time to time. But, once you overcome your fears, get some confidence and relax  – the treadmill can be great!

I did many of my training runs (mostly short interval sprints and hills) on the treadmill over the last few years whenever I was training for races. I really like the fact that you can run “hills” to improve your speed and endurance – even if you don’t have access to an actual hill! But, running on the treadmill wasn’t always easy for me. I would sometimes get disoriented because I was on a machine facing a wall or had at tv right in my face. Or, one time I was doing very fast sprint intervals at the gym where I worked as a trainer and literally flew right off the back! Luckily I wasn’t hurt but I was so embarrassed! But, I just got right back on it and pretended nothing happened (even though I’m sure everyone around me thought I was crazy!). That falling spell actually messed with my mind a little during my next few runs and I was nervous that I was going to trip. Luckily I didn’t, but I had to remind myself that “So what if I do?! It’s no big deal and you already know what to do.” Before I became “a runner” I was always worried people were judging my slow speed. That also prevented me from relaxing and being able to enjoy my run but also go faster and/or longer.

Tips For Conquering the Treadmill

Go slower than you think you need to go. This is especially true if you are not an experienced runner. Don’t worry what someone next to you is doing. Odds are they can’t see your speed anyway, nor do they care. “Running” can start at a slow 4.0mph or 4.5mph and you can keep it there as long as you need to! Maybe in a few days, weeks or months..slowly increase your speed or try intervals (see below).

Try intervals. Don’t think you can hold the same pace for 20-30min and worried you will get bored? Play with your speed. Mix in walking intervals if you are new to running and faster sprint intervals if you are more experienced.

Run on an incline. After my incident where I fell off the treadmill (see above), I found that running on a low incline or doing hill intervals made me feel like I was not going to fall off the treadmill. In a way I felt like I had more traction, even though I was on a little incline. I felt like my shoes were gripping the treadmill better and I had more control over my running.

Find a machine with a good view. Don’t use one that faces a wall or has a tv right in your face. For me, this made me a little dizzy. If you like to watch tv and it works for you – great…but for many it gets in the way. Look for a machine with a lower/shorter tv, one without a tv or just turn the tv off and try to gaze off to the side when you run. Also, sometimes treadmills have “virtual” runs where it seems like you are running through a city or trail. Sometimes that will work for me if the scenery is realistic and not animated, etc.

Don’t be afraid to jump off to the side. I know many running “studios” and popular classes discourage people from doing this – but I’ve been doing this for years. Sometimes if I just need a quick break or need to grab a sip of water, I will place both hands on the treadmill railing and jump (not crazy jump – just little hop) off to the side. If you are worried you may fall, you can attached the security strap.

Check your shoes and clothes. Sometimes your shoes might be too slick for the treadmill surface. As a running store (or look online) for ones that are better for treadmills. Also, make sure your laces are double tied (to avoid tripping). Wearing the right clothes helps too. I usually prefer capri pants, a great running bra and tank. I often run in a cap too so that tiny hairs don’t get in my face and distract me.

Above all – just know that you aren’t the only one that has struggled with treadmill confidence! It can happen to anyone – even trainers and “runners”. Just like a bike – if you fall off, get right back up and try again! Don’t give up!

 

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