Knee injury during marathon plan

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    Hi endurance enthusiasts,

    I’m currently in week 13 of my 18 week marathon training plan. I have a marathon scheduled for Sept. 17th.

    During the long run of week 10 (23k) I noticed knee pain at the end of the run and afterward. Luckily the pain disappeared during the rest day and I continued training without pain that week.

    During the long run of week 11 (25k) the pain started again after ~2h of running and was severely noticeable at the end of the run. I had also trouble walking the days afterward. I tried to continue with my runs in week 12, with slight pain. I skipped the workouts on Friday and the long run on Sunday (17k) hoping my injury will heal up sufficiently.

    Today, in week 13, I did my Tuesday run and now feel a slight pain again. I doubt that I will be able to complete the long run next Sunday (27k).
    I self-diagnosed with ITBS, if that is of relevance, and have started with specific mobility and strength training for that injury on a daily basis.

    What would be the best strategy going forward, if I’m still aiming to complete the marathon on Sept. 17th?

    Best regards,

    • This topic was modified 11 months, 3 weeks ago by senpo.

    Hey Sebastian!

    I’ll start off by saying I’m not a medical professional, so I’m not able to give you advice on the knee injury; however, I do have a few recommendations that I would tell my athletes in a similar situation.

    How old are your shoes? Most of the time, strange pains that creep in during training, MAY be rectified by getting in to a new pair of shoes. It’s normal to rotate in a new pair of shoes every 300-400 miles. During marathon training, those miles can add up before we know it!

    I think stretching and foam rolling would be a HUGE benefit to you also. If you want to attempt the long run this weekend, you may want to consider a run/ walk plan. This can be anything from 90/30 sec, 10 min/ 2 min, etc. The idea with run/ walk is that there is less impact overall, allows muscles to have less fatigue, and uses different muscles than continuous running. The run/ walk ratios can be anything you want them to be.

    I hope you get some relief before your marathon!


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