Tag Archives: postpartum

An Idiot’s Guide to Finishing an Ironman (and Staying Married)

As I write this I am now 4 weeks out from Ironman New Zealand. Which means that most of the big sessions are now in the bank, the mental preparation has been done, and the main part of what’s left is just getting excited to actually race soon! It will be almost 3 years since I last lined up for an Ironman, with a lot of water under the bridge in that time. This time around my goals are completely different: to finish an Ironman one year after my son was born. The training has reflected that with less focus on performance, more focus on efficiency and creativity – trying to get the quality sessions done around being a new mum and running a business (not easy but do-able). I’m aiming to get to the finish happy, healthy and with the ultimate prize at the finish line – seeing my baby boy Jude with my husband Patrick waiting for me.

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I must say it’s been a super fun lead up and I’ve been really lucky to have an awesome crew to train with. I’ve accidentally convinced one of the guys I ride with to sign up for his first Ironman (go Pete!), which has gotten me thinking about back when Pat and I did our first Ironmans. I also get asked a lot of questions from my patients about how I manage the training around family and work, how I stay motivated, and what Ironman training involves. I love to talk, so I’m more than happy to share some pearls of wisdom that I have learnt along my Ironman journey so far – which has included both tremendous highs and momentous f#ck-ups. I’ll never “know it all” and that’s what I love about the sport – it’s ever changing and always challenging!

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Ironman is Not Normal, and You are Not Superhuman…

…But in order to finish one, you need to get yourself to a point mentally and physically where the Iron distance seems “normal”, and your body is “scary fit” – that is, on any given day, you could bust out a 4km swim, 180km bike, and a marathon if you had to. So while on a more objective level Ironman isn’t “normal”, you should surround yourself with people who encourage you, have faith in you, and even better – have done it themselves. Avoid people who tell you how “crazy” or “impossible” it is, especially in the month before the race….and in the same spirit, maybe don’t tell every person you run into on the street that you are in Ironman training (unless you do want that negative reinforcement time and time over…plus let’s be honest, not everyone wants to hear about it).

I’ll never forget last time we did NZ Ironman, we were on the flight over and I found a documentary on this marathon runner on the in-flight entertainment list. I start watching it, and the theme of the whole thing was along the lines of being super dramatic about “how epic the marathon distance is, and how the training is the hardest thing you could ever face” and so on. Needless to say I had a chuckle and then turned it off – we were flying towards a race in which we were going to do a marathon AFTER swimming 4 km and riding for 180 km, on hills no less. We had spent the last several months mentally getting to a point where that was not only OK but appealing, so I didn’t need to hear about how hard the marathon is in great detail…

Final note on the Scary Fit phenomenon: it does not mean you are Superhuman. If you do stupid things, you will still break (see my previous post on Busso Ironman 2012 – “The Upside of Injury”). Super Fit is good; Super Stupid is not. Respect your body, be nice to it, and build into things gradually and with consistency.

Make a Priority List….And Stick to It

Mine goes like this:
1) My husband and baby boy
2) Running our Physio Clinic
3) & 4) Ironman training and Social Life.

The last two are tied because I sway between the two. The priority list becomes super important when you get to those tough decisions during the training block: you have a long run scheduled but you also have an invite for breakfast with girlfriends; or it’s your husband’s birthday on a Sunday when you have a 5 hour ride planned and a 3km swim with several hours of exhausted-getting-your-sh#t-together time in between the two. The priority list is important to help you decide when you should change the plan, so that you can get to race day and not only be fit but also still have a marriage, a child who knows your name, a business that’s still functioning and friends to tell you how awesome you are for finishing an Ironman. You may think I’m joking here but you would not believe how many Ironman athletes I know who can pull out amazing race times but are unhappy in every other aspect of their lives. A bit of perspective and some smart decisions go a very long way. Most Ironman athletes by their very nature (myself included) are very “Type A” control freaks; learning to be a bit more flexible with fitting training around your life and relationships (not the other way around) is key to getting it done and still being happily married at the finish line.

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Involve Your Family and Friends – it’s supposed to be FUN

Following on from the above point – I try to combine points 1, 3 and 4 by training with my husband and friends where possible, and if we get really creative, our baby boy Jude as well (usually for part of a long run in the Mountain Buggy). I have a Cycling Wife (thanks Carly) plus a bunch of guys who are always keen to come for part or all of my long rides (I’m talking 4-5 hours on the road). I do think that for newbie Ironman athletes, it’s important to do some of the big sessions on your own to ‘get into your own head’ – more as a confidence thing to prepare to do it on race day – but I don’t think it’s healthy to be doing all of your sessions on your own.

There’s a tradition in Ironman to go back to the finish line after you’ve done your race to cheer on the rest of the athletes and bring them home. You have up to 16 or 17 hours (depending on the race) to get the distance done. I always say that everyone should experience an Ironman finish line at least once in their life – even if it’s just watching the athletes finish. Watching the emotions of the age group athletes as they come down that finish chute after what’s likely been the hardest physical and mental thing they’ve ever done, hugging their husband or wife and crying with tears of happiness, pride, relief, joy…. In a world where we are bombarded with negative news stories and surrounded by obesity and chronic diseases, it’s heartwarming to be reminded of what the human body and mind is capable of doing when it is treated well. It’s a sight you will never forget, and it’s one of the many reasons why we will continue to travel away to triathlons as Jude grows up – so that he too can be surrounded by such an uplifting and inspiring group of people doing extraordinary things as a reminder of how positive life can be. Personally, I found watching my husband finish his first Ironman far more emotional than finishing my own first Ironman (and it still makes me teary thinking about it). There’s something special about being on that journey together. Race day is the celebration, but there’s a lot of hours of training that happen in the lead up, and involving your loved ones makes it so much more special.

Reality Check: Lower Your Standards

You can pick up any fitness magazine these days and they’ll have you believe that not only is Ironman achievable, it’s even easy – it must be, since every Tom, Dick and Harry is doing one now (Men’s Health Magazine and Triathlete I am talking to you). Not only that, but the Holy Grail of landing a Kona spot (ie qualifying for the world championships) should be on your “goals” list now too, apparently.

What these magazines fail to address is the reality of the Age Group Ironman World: lots of unhappy marriages; lots of athletes running away from something in their lives or having a mid life crises and training 30 hours a week, or worse – the newbies that sign up and never make it to the start line because the training alone leaves them broken and disillusioned.

Be clear on your goals, and see the situation for what it is: if you are considering doing your first Ironman, just aim to get to the finish line HAPPY and HEALTHY. Full stop. The athletes that qualify for Kona are insanely talented and spend upwards of 20 hours a week year in, year out training for that right. They will be at the finish line not long after the Professional Ironman Athletes are. Forget about everyone else racing; just set your own goals, focus on enjoying the journey, and allow yourself to be proud of your efforts. Less than 1% of the world’s population will ever finish an Ironman; you should be proud of that, no matter what the finish time is.

The Serious Stuff: Get a Good Coach (+ Dietician + Physio)

OK I’m a Physio so I can’t help myself: I am always mystified by people who are willing to drop 6k on a bike, 1k on race entry, god knows how much on travel, accommodation etc….and won’t invest any money at all in a coach, let alone a good one (yes, just like anything you get what you pay for with coaching). Trust me on this one: you will get way more confidence, speed, fitness and less injuries if you have a decent coach as compared to a decent bike. A new time trial bike might make you look super fast but the joke’s on you when the old ladies on their road bikes start passing you in the second half of the bike leg (I’m not joking…). I’ve had the same coach for the last 5 years: he knows my body; knows how to handle me; when to push and when to back off. Doing an Ironman without him guiding the process would feel like trying to swim without my right arm. Triathlon is an expensive sport but you can spend money wisely to get the most out of your journey.

On a similar note, it’s worth spending the money on seeing a good sports dietician and a physio before you start your big training block. This is particularly important if you have any injury history, or if you are looking to alter your body composition and get advice on race day nutrition and how to train that aspect of the race. If you go out there and start downing Gu’s for the first time on race day you will spend more time in the port-a-loos than on the bitumen; there’s a reason they call nutrition the “fourth discipline” of triathlon. Your body can store about 90 minutes worth of glycogen for exercise, so the nutrition plan becomes super important if you want to race for upwards of 12 hours and finish in one piece. A Physio can help with bike set up, core work and screening for injury risk so that you can strengthen up before an injury derails you.

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If you have goals of doing a triathlon or even an Ironman one day but don’t know where to start, don’t hesitate to reach out to one of us and have a chat – or even better, come along for one of our group runs or rides. We can help guide you with your training (see our Bio on Ironman coach (and my coach) Scott DeFilippis on our home page) as well as your injury prevention plan, bike set up, dietician referral, sports nutrition products and much more (we stock Gu nutrition products at First In Physio).

Thanks for reading and as always, Happy Training! You can follow the final weeks of my journey to NZ Ironman on Instagram @KRISTY_SHANNON – I’d love to heave you along for the ride. Thanks to everyone who has reached out already, it really means a lot to have your support along the way. Race day is the 5th March, 2016.

Kristy Shannon
Director and Principal Physiotherapist
First In Physio

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Returning to Sport after Pregnancy

Exercising after pregnancy has many physical and psychological benefits which will help you return to your pre pregnancy fitness and sport. Many of the physiological changes of pregnancy can persist for several months post partum, but exercise can speed up and assist your recovery.

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Benefits of postnatal exercise include:

 

  • Increased muscle strength
  • Increased cardiovascular fitness
  • Decreased back pain and incontinence
  • Reduced postnatal depression
  • Assistance with weight loss
  • Improved mood and energy
  • Reduced stress
  • Improved sleep

Exercise postpartum must be gradually increased and individualised as each woman’s pregnancy experience is different. Due to hormonal changes, your ligaments and joints are more lax which increases the risk of an injury, however keeping your muscles as strong as possible will decrease this risk. Soon after pregnancy, gentle abdominal and pelvic floor exercises can be introduced.  These muscles will be lengthened and weakened which decreases your spinal and pelvic stability, increasing your risk of back pain and injury. Strengthening these deep core muscles will also assist with any incontinence or bladder problems after childbirth. If you have had abdominal separation (Rectus Diastasis), which occurs in up to 70% of women during pregnancy, specific exercises can be introduced under the supervision of a Physiotherapist or Exercise Physiologist to facilitate closure of the stomach muscles. This is important for preventing back pain, but also for preparation of any future pregnancies. Back strengthening exercises will also be beneficial for restoring your posture, reducing neck and shoulder pain, and for ease of lifting and carrying your baby.

 

Many women post partum, look forward to returning to running or team sports. Our Exercise Physiologists can guide you through a safe home or gym based strength and cardiovascular program suitable for your chosen sport, which meets your individual goals. They can also show you several exercises where you can incorporate your baby, allowing special bonding time for mum and bub.  Working with an Exercise Physiologist will help you to return to sport as soon as possible, whilst minimising your risk of injury.

 

No referral is needed to book an Exercise Physiology appointment, and most private health funds will rebate a large proportion the fee.

 

For more information or to book an appointment please call our friendly reception staff on 4783 7284.

 

 

References:

  1. Artal, R., & O’Toole, M. (2003). Guidelines of the American College of Obstetricians and Gynecologists for exercise during pregnancy and the postpartum period. British journal of sports medicine37(1), 6-12.
  2. Pool-Goudzwaard, A. L., ten Hove, M. C. S., Vierhout, M. E., Mulder, P. H., Pool, J. J., Snijders, C. J., & Stoeckart, R. (2005). Relations between pregnancy-related low back pain, pelvic floor activity and pelvic floor dysfunction. International Urogynecology Journal16(6), 468-474.

Pregnancy and Exercise

IMG_0432_2The American College of Obstetricians and Gynaecologists recommends the accumulation of 30 minutes or more of moderate intensity physical activity on most, and preferably all, days of the week during a normal, healthy pregnancy. We now know that exercise – whether in the form of running, swimming, Pilates or anything in between – is hugely beneficial from pre-conception right through to the post-partum stages.

 

Benefits of Exercise to Mum and Bub include:

  • Significantly Reduced risk of Preeclampsia (hypertensive disorders during pregnancy)
  • Significantly Reduced risk of gestational diabetes;
  • Reduced incidence of Low Back Pain during pregnancy and post-partum
  • Improved tolerance of labour with increased fitness and strength levels, and faster recovery post-partum;
  • Improved bone density with weight-bearing and strength exercises;
  • Reduced incidence of pregnancy-related carpal tunnel syndrome with water-based exercise programs;
  • Psychological benefits including reduced rates of pre- and post-natal depression;
  • Improved placenta development
  • Reduced morning sickness symptoms in some women;
  • Better circulation throughout the body and to the placenta
  • Less constipation and bloating;
  • More energy and better sleep;
  • Lower rates of incontinence;
  • Improved muscle support for the pelvis

 

 

 An Exercise Physiologist can help with:

  • Prescription of a home exercise program for low-risk pregnancies, and supervised exercise sessions for higher-risk pregnancies;
  • Managing safe exercise around the many physiological changes occurring, such as increased joint laxity, weight gain and a changing body;
  • Prescribing appropriate exercises to minimise your risk of Rectus Diastasis (split abdominal muscles), a common condition affecting up to 67% of pregnant women;
  • Prescribing a balanced weekly exercise programme based on your individual fitness and health, and adjusting throughout the pregnancy;
  • Pelvic floor exercises to assist with prevention of incontinence and other bladder problems;
  • Answering any of your questions about exercise during pregnancy – from elite athletes through to previously sedentary mums-to-be. Common questions include: “how hard can I go?”, “Is it safe to run/ride/strength train while pregnant?”, “what precautions do I need to take while exercising?”, “what are the warning signs to stop exercising?”.

 

 

A Physiotherapist can help with:

  • Management of common pregnancy complaints such as pelvic and low back pain;
  • Advice regarding physiological changes occurring during pregnancy and how to help manage them;
  • Preventing neck and back pain during breastfeeding
  • Managing early return-to-exercise programs post-partum.
  • Retraining pelvic floor muscles after childbirth
  • Caesarean section recovery

 

Pregnancy is a wonderful time full of many changes both physiologically and emotionally. Always check with a health professional (your Doctor, Obstetrician, Exercise Physiologist or Physiotherapist) before starting any new exercise program.

 

 

 Do I need a Referral?

  • No referral is needed to book in with an Exercise Physiologist or Physiotherapist. Our professional staff maintain constant communication with your doctor and Obstetrician, to ensure that everyone is up to date with your exercise and health plan throughout the pregnancy and beyond.

 

 

What is the Cost?

  • If you have private health cover you will be able to claim on these services. For more information on prices and to make a booking, please call our friendly reception staff on (07) 4783 7284

 

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References:

 

O’Toole, M., Artal, R. (2003). Guidelines of the American College of Obstetricians and Gynaecologists for exercise during pregnancy and the postpartum period. British Journal of Sports Medicine 37:6-12

 

 

Pinto, Kristina.; Kramer, Rachel. Fit and Healthy Pregnancy: How to stay strong and in shape for you and your baby. VeloPress books, 2013, Boulder, Colorado.

 

Pivarnik, J., Chambliss, H., Clapp, J., Dugan, S., Hatch, M et al (2006). Impact of Physical Activity during Pregnancy and Postpartum on Chronic Disease Risk. Medicine and Science in Sports and Exercise – Roundtable Consensus Statement 0195-9131