I am a 38 year old fit and active male. In April of 1996, I stress fractured my femur at the femoral neck and lesser trochantor (that area connecting hip flexors to femur?). This I did running while training for a half. There has been no clear determination as to how this ocurred, however, increasing distance too quickly, fast downhill running, and favoring an opposing leg's muscle injury are all possible explainations. Recovery time has been extreemly long (4 months on crutches, 14 months before commencing walk/runs) but am now up to 3 runs, of 5-6 miles each, per week.
I am planning on participating in a local organized marathon training program starting in January to prepare for my first marathon in May. My question is how can I best ensure a safe training period and marathon, and should I take any special precautions relative to gait analysis or training modification? I recently checked out normal in a 3 point bone density scan.
Wow - tough break...I wonder why it took so long to get you back...Eric, stress fractures are a problem of unusual biomechanics. Make sure you get a good gait eval, orthotics, and a really good butt strengthening program - the butt being the primary decelorator of the femur during the stance phase. You should be able to jump and hop before you run to far, and you should be able to jump and twist and hop and twist landing on the injured leg without pain as you stick the landing.
Practice sprinting as well as stopping suddenly to test the legs ability to cope with acceleration and decleration. Run in circles and figure eights to add other forces to the mix. Good luck.