Pain in the Knee

The Power of Seven

Heptathletes are seen as among the most talented in the track and field discipline, as they have a variety of skills such as strength, speed, mobility and endurance. It takes a superior all round athlete to not only compete in seven heptathlon events, but to excel at all of them. Janet Wienand, South Africa’s new heptathlon champion, is one such an athlete. – BY MICHELLE PIETERS


Most athletes can only specialize in one discipline at the highest level and those who choose to take on more than one, generally limit this to a maximum of two or three events. Multi-discipline sport is not for the faint hearted. It requires a multitude of talent over several disciplines and above all, lots of hard work and hours of training!


Heptathletes are generally seen as amongst the strongest, fittest and most talented track athletes. They compete in seven events over two days: 100m hurdles, high jump, shot put, 200m sprint, long jump, javelin throw and 800m, with the first four contested on the first day, and the remaining three on the second day. It is a sport that only a handful of talented women worldwide take on.


BORN TO COMPETE
Being crowned the SA champion is nothing new to 24-year-old Janet Wienand, who at the tender age of nine was South Africa’s own junior 60m hurdles champ! Janet grew up in the Free State and sport has always been in her genes; her father, Boet, and grandfather were both provincial rugby players. It was inevitable that Janet would get involved in athletics as she was best friends with the children of a neighbour who was an athletics coach. She competed in high jump and hurdles in primary school but it was in high school that hurdles found a special place in her heart.


After school Janet qualified as a biokineticist at the Northwest University where she was coached by Dr Ria van den Berg, who had also coached South African top hurdler, Ockert Cilliers.


During this time Janet dominated the hurdles scene at Yellow Pages and South African track events, and established herself as one of the country’s best 400m hurdles athletes. She was crowned as the SA 400m Hurdles Champion four times in a row (2006-2009). And in 2006 she also took the African Champion title. Although her best time of 55.81sec placed her amongst the top South African athletes, compared to international standards it was unfortunately just not good enough.


TIME FOR CHANGE
Janet met Cyril Lawless, her husband, in Potchefstroom where he was coaching. They reviewed her career and decided it was time to give heptathlon a try. “I specialised in hurdles for seven years and I must admit, I was getting a little bit tired of it. At the same time I was also realistic and realised I would never qualify for top international meets or for the Olympics. I had to evaluate if it was worth carrying on with a career in hurdles.”


Heptathlon always seemed like a lot of fun and like something Janet wanted to try. She knew she had the speed for the running events. Long jump and high jump were not unknown territory, but she had no experience in the javelin and shot put field events. “I was a bit of a tomboy at school and could always throw stones very far. I thought if I could throw a stone that far, I could throw a javelin even further! So I decided to give it a go. I know I took a chance but looking back now, it paid off.”


Janet made the move to heptathlon at the end of 2009 and less than four months later, she was crowned the new SA champion!


SEVEN TIMES THE TRAINING
Training for a heptathlon is time consuming and can be exhausting. Fortunately Janet, who moved to Stellenbosch in 2008, has flexible working hours at the biokinetic practice she works at. “My boss is also a good sportsman, so he understands where I am at.”


Hurdles and high jump are naturally Janet’s favourite disciplines but she admits to still battling with the technique required for javelin throw and shot put. “Heptathlon is hard on your body. You have to excel at all the events and you can’t just be average. There are only a few athletes who can do this. What I sometimes find the hardest is being able to focus in between events. One needs to focus on each discipline but you also need to switch off between events. Often when you don’t perform well in one discipline, you feel a bit down and need to motivate yourself to perform in the next event. Heptathlon is sometimes emotionally more exhausting, than physically!”


Depending on the programme, heptathletes usually have an hour’s rest between disciplines. They are not allowed to leave the track. In each event the athlete scores points for performance according to scoring tables issued by the IAAF. The athlete accumulating the highest number of points wins the competition.


Janet trains six days a week and a minimum of three hours a day.


• Monday: Track training (Repetitions of 200m or 800m sprints).
• Tuesday: The day starts off with a gym session where she concentrates on strengthening her legs. The afternoon is reserved for javelin throw and high jump.
• Wednesday: Back to the track for repetitions of 100m and 200m sprints.
• Thursday: More sprint repetitions on the track (200m or 800m).
• Friday: Long jump in the morning and a gym session concentrating on strengthening the upper body.
• Saturday:  Hurdles followed by shot put.
• Sunday:  Rest!


DISAPPOINTMENTS AND HIGHLIGHTS
“I was disappointed every time I could not make the Olympic qualifying time in the 400m hurdles. I also battled with a foot injury in 2007 and 2008, but fortunately that is over now.”


There have been many highlights in Janet’s career, such as the time she was crowned the 2006 African Champion in the 400m hurdles event. The biggest highlight up to now has definitely been winning the SA Heptathlon Champs in the very first year she participated in this sport.


“I love heptathlon! There is never a dull moment and you always have more than one chance to achieve. With hurdles you only have one chance; if you slip up, your race is over. With heptathlon you can make up for mistakes,” says Janet, who was the Boland and Maties Athlete of the Year for 2009.


DREAMS OF THE FUTURE
Janet’s short term goal is to compete in the Commonwealth Games in India in October. Her long term goal is the same dream all athletes have: the Olympic Games in 2012! “I would love to finish in the top eight at the Olympics in London.”


But for now Janet is enjoying her honeymoon in Mozambique and taking a well-deserved break before returning to burn up the track and field scene in South Africa!


PERSONAL BEST TIMES
100m hurdles  13.68sec
High jump  1.71m
Shot put  11.81m
200m   24.4sec
Long jump  5.9m
Javelin throw  37.8m
800m   2:12min


THE HISTORY OF HEPTATHLON
The name heptathlon derives from the Greek hepta (seven) and athlon (contest). The heptathlon has been contested by female athletes since the early 1980s, when it replaced the pentathlon as the primary women’s combined event contest (the javelin throw and 800m were added). It was first contested at an Olympic level in the 1984 Summer Olympics. In recent years some women’s decathlon competitions have been conducted, consisting of the same events as the men’s competition, and the IAAF has begun keeping records for it. But the heptathlon remains the championship level combined event for women. Jessica Ennis is the current world champion.


There are two versions of the heptathlon. The first is an outdoor competition for women, and is the combined event for women contested in the Athletics programme of the Olympics and in the IAAF World Championships in Athletics. The IAAF World Combined Events Challenge determines a yearly women’s heptathlon champion.


The other version is an indoor competition, normally contested only by men. It is the men’s combined event in the IAAF World Indoor Championships in Athletics. The men’s indoor heptathlon consists of the following events, with the first four contested on the first day, and remaining three on day two:
• 60m
• Long jump
• Shot put
• High jump
• 60m hurdles
• Pole vault
• 1000m
(Source: Wikipedia)


 

AKASIA ATHLETIC CLUB

TIME TRIAL REVIEW


AKASIA ATHLETIC CLUB
Address: 
Akasia Golf Club, Waterbok Avenue, Theresa Park, Pretoria
When: Tuesday at 17:30 (winter: 17:15)
Distance: 4/8km


The Akasia time trial starts in the parking area of the Akasia Golf Club and meanders through the suburb of Theresa Park. The first kilometre is run in Waterbok Street and is usually quite busy with traffic, but the
rest of the route is run on quiet roads with
little traffic.


The route combines a harder first half with an easier second half. The first 4km of the 8km winds all the way up through the suburbs of Theresa Park. Runners turn at the 4km mark and run on the same route all the way back to the golf club. Most runners make up for time in the second half as it is mostly downhill. The 4km route is 2km out and 2km back to the club.


 “Most of our runners take it easy on the first half but when they turn, they give it all they have,” says Fanus van der Merwe, club captain. Jack Mabidikame, holds the 8km course time (32:03) for 2010.


Akasia Athletic Club does not have its own clubhouse, but makes use of the Golf Club’s facilities, and after the time trial, most members gather in the bar for some refreshments. “Some of our members want to run good times, but there are just as many who use the time trials as an opportunity to socialise,” says Fanus.


Difficulty Rating: 2.5 out of 5

Help! My knees are packing up!

A Run on the Wild Side

Marakele National Parks Marathon, Thabazimbi, 6 March 2010


This race was 42.2km of pure heaven. I can’t wait to return to this adventure next year. – BY JOHAN GRASSMAN


We arrived on the Friday at the Marakele National Park, just past Thabazimbi. There were various distances to choose from (5/10/21.1km) and most runners opted for these distances. There were only 63 runners running the marathon and I fancied my chance of finishing last was pretty good!


A profile of the route was posted on the park’s gate, where the race started. When I saw how difficult it was, I thought of rather running the half marathon! Unfortunately the gun went off before I could bail and off we went.


The first 7km were flat through the Bushveld and we saw giraffes, zebras and impalas. As we ran through a small tunnel and an electric gate it felt like we entered the wild side. We climbed for the next 5km (at certain points it felt steeper than Long Tom’s staircase!) As we turned onto a narrow tarred road one could see the beautiful Waterberg, but one question stuck in my mind, ‘How am I going to get up here?’


A never ending series of steep ups and downs followed. At the 13km mark all the runners were instructed to get on the back of a few bakkies  because a pride of lions were in the road! We did not argue and quickly got on! We were dropped off about 500m past the lions and carried on running.


The views were spectacular and there were long stretches where we could not see runners in front or behind us. At the 28km mark the drivers of the bakkies said we should run on the right hand side of the vehicles and jump on should a lion stand up (apparently the lions had finished breakfast and we did not look so good anymore).


The next 2km were downhill to the next water point. From there it was all the way back down a gravel road, through the same tunnel and on to the last flat 7km to the finish. We got a nice medal a t-shirt and free beer! This was a memorable race and I hope the organizers will keep entries limited. Somehow I felt much closer to God on this 42.2km of pure heaven. I can’t wait to return to this adventure next year.

The Weaker Sex?? No Ways!

The Croc Run

Fochville Crocodilian 32km & 15km


The Fochville Crocodilian was not the toughest 32km race I have run, but certainly one of the best organised races! – BY SHAWN COMBRINK


On Saturday, 13 February we took the 50 minute drive through to Fochville to experience the Crocodilian 32km race. Fochville is just off the N12, about halfway between Johannesburg and Potchefstroom. The main attractions along the route are mielie fields and gold mines.


This was not the toughest 32km race that I have ever run. The race started at the Crocodilian Hotel. It started with a gentle uphill run of 6km towards the N12. Just before the highway we turned around and ran back to the start! Then it was off towards Fochville. There were a few bumps on the way to the turning point at Memento Restaurant on the outskirts of Fochville.


The water points were well stocked with coke, ice cubes, bananas, potatoes and jelly babies. Just as well, because it was a hot day. The temperature was rising throughout the day. The Croc Pub at the finish line was a welcome sight for many runners and was busy all day!



 

Conquer Those Hills

The Monster of all Races

The 33rd running of the Medihelp Sunrise Monster started precisely at sunrise (06h08) on Saturday 13 March, from the Harlequin Club in Pretoria. This Groenkloof based race started in clear and cool conditions, and true to form took in a good few hills in the neighbourhood’s undulating suburbs.



The event consisted of the 32km Sunrise Monster, the 10km Mini-Monster and a more leisurely 5km baby monster fun-run for the not so adventurous. A total of over 5000 participants, including running legend Bruce Fordyce, competed in the three events, The organisers staggered the three race start times to overcome any early morning runner congestion.



This was the third consecutive year that Medihelp medical scheme has sponsored the event and with their support the race has gone from strength to strength, with an annual increase in the number of participants over this period. The sponsor also provided lucky-draw cash prizes to participants and spectators during the morning.



Runners in the flagship 32km race started at a brisk pace and it was not long before the eventual winner, George Mofokeng of Transnet, broke away in the off-road section in the Groenkloof Nature Reserve. He set up a sizable lead in front of the bemused buck and deer in the reserve.  He was never challenged thereafter and broke the tape in 1:50:30, almost 7 minutes ahead of the next finisher! 



The ladies race was won by Louisa Leballo of Gauteng Striders, who showed the rest of the ladies the way over the hilly route before finishing in a respectable time of  2:14:55. The men’s and ladies prize winners in the 10km event went to Nedbank runners  Lucky Miya (32:37) and Rutendo Nyahora (37:55).



Spectators at the finish were kept busy with entertainment and food and drink stalls as well as a special children’s area with jumping castles and face-painting. The event was fortunate to have the professional services of NETCARE911 as the medical support team. The presence of the roving NETCARE911Helicopter and Ambulances stationed at the venue provided spectator value in between attending to the medical situations which arose.



Unfortunately the cool weather conditions did not prevail throughout the morning, and the back markers had to deal with hot conditions towards the end of the race. However, thirsts were quenched with an adequate supply of ice cold fluids along the route and upon completion of the race at Harlequins.
All finishers, including the fun-runners, received commemorative medals for their respective events as well as a quality drawstring goody bag with the compliments of the sponsor, MEDIHELP.


 



 

Train Your Brain to Run

Running in Paradise

Langebaan on the Cape West Coast is more than just a holiday town with a glorious lagoon where every form of water sports can be enjoyed. Situated about 100km north of Cape Town, it is also the gateway to the West Coast National Park, often referred to as the ornithological capital of South Africa due to the vast number of bird species found here. It is estimated that each cubic centimetre of the lagoon’s wetlands contains 60 million living organisms, making this one of the most biologically productive areas in the world. It’s a stunning natural paradise – and a lovely setting for a road race!


At 5am the 1000 marathon runners got onto 17 busses at the finish point in Langebaan to take them to the start on the other side of the lagoon. After a 50-minute drive, the runners were greeted with coffee and rusks on the Atlantic Ocean beach of Tzaarsbank inside the West Coast National Park.


The race started at 6:30am, a few minutes before sunrise. As the sun rose, the runners came over the hill at the 3km mark to be greeted by an awesome view of sunbeams reflecting on a 10km-wide lagoon. With no cars allowed inside the park, only ostriches and the odd tortoise and the most festive water stations kept the runners entertained.


A trademark of this marathon is its food tables, with potatoes, bananas, sandwiches, chocolates and jellie beans on offer. The 36km water and food station is also the 15km station for the half marathon runners, and there is even beer provided for the extra thirsty runners needing ‘liquid courage’ before tackling the ‘Black Mamba’. This is the infamous, very steep 600m climb at the 39km mark! Thankfully, from there it is all downhill to one of the most scenic finishes overlooking the lovely lagoon.


The marathon was won by three-time Comrades winner Vladimir Kotov, who said he wanted to run a relaxed race without his watch – and then came within one minute of the course record with a time of 2:31:13, going faster than his pending Western Province masters men’s record. (Earlier in the week he set a new master’s record for 10km, but his winning time in Langebaan won’t count for the record books because the course is point to point and thus not record-eligible.) In his post-race interview, Vladimir announced that “this is the best marathon in the country!” Sandra van Graan won the women’s race in a time of 3:10:02.


The half marathon saw some 900 runners lining up this year under the start banner hoisted between two hobie cat boats in Langebaan. The circle route, also mainly inside the National Park, is nearly as scenic as the marathon route. The runners head out on a gravel road for the first 9km, then hit the tar as they pass a bird hide, some historical dwellings and more wildlife before the turnaround back into the town – but not before the ‘Mamba’ has been conquered!


RESULTS
42.2KM MEN
1 Vladimir Kotov  BLR/Century City 2:31:13
2 Samson Gulubela  Atlantic 2:34:32
3 Thembelani Zola  Mr Price WP 2:40:18
42.2KM WOMEN
1 Sandra Van Graan  Edgemead 3:10:02
2 Jacoline Haasbroek  Stellenbosch  3:15:45
3 Patricia Adams  Metropolitan  3:17:01
21.1KM MEN
1 Sibusiso Mbingeleli  Mr Price WP  1:08:10
2 Bernard Rukadza  Guguletu (Zim) 1:08:45
3 Avukile Ntongana  Mr Price WP  1:09:50
21.1KM WOMEN
1 Nomvuyisi Seti  Mr Price WP  1:23:46
2 Buleulina Mtshagi  Celtic 1:25:26
3 Jacqueline Bakkes  Paarl 1:25:52

The Right Stretch

Pain in the Knee

I have been power walking for 4 years and completed the Comrades last year. In December I decided to start running and have since completed a few half marathons. I now have this pain below my left knee when I stand up. I can barely walk. When I start running I hobble the first few hundred metres. It usually then warms up and I run with no problems. But when I stop running the pain sets in again. I have been to a physio who told me that it is not Runner’s knee as I initially suspected. I am now in pain whenever I stand, even though I have backed off training. I have iced the area and covered it with medicated patches, but nothing seems to work.


ANSWER
Knee injuries can be very difficult to manage and treat and seldom resolve on their own. A correct diagnosis is always needed before a treatment and management program is started for any injury. I suggest seeing a sports physician or knee orthopaedic specialist so a full clinical history and examination may be performed to establish the actual cause the pain.


Runner’s knee or anterior knee pain or patella-femoral pain, is only one possibility that could be causing the pain that you are feeling. Runners and walkers by virtue of their chosen sport will have some degree of cartilage damage to the patella-femoral joint, which can present in many differing pain patterns. Typically pain presents when walking up and down stairs or when rising from a seated position.
Meniscal injury should also be considered. Chronic degeneration of the menisci may present in any endurance athlete as pain and swelling of the knee, or locking or catching of the knee through extension and flexion of the knee.


Tendinopathy pain is due to chronic degeneration of the involved tendon, which is typically stiff or painful when immobile and resolves with movement. This is due to chronic overloading of those structures leading to micro-trauma, poor healing and degenerative scar tissue build up.


Having established the correct diagnosis, the management program should then include:
• Offloading and rest of the affected area
•  Stabilization and protection of the knee joint
• Symptomatic relief
• Promotion of healing
• Intervention where needed (conservative vs. surgical)
• Correction of any bio-mechanical issues
• Education of the patient in preventative measures
• Gradual return to sport



Modern Athlete Expert
Gavin Shang
Sports Physician at the Rosebank Centre for Sports Medicine and Orthopaedics in Johannesburg. Holds a Masters degree in Sports Medicine and has worked with numerous top local and international sports people over the years.

Shaun’s Back Again

Am I Eating too much Honey?

I am a 61-year-old runner. I eat healthy, I am slim and train six days a week. I keep bees and therefore love honey. I eat about three dessert spoons full a day! As I am sure you are aware honey contains 1.5% sucrose, 38% fructose, 31% glucose and 7.5% maltose. My last check up was in June 2007 and my cholesterol level was 4.6. However I was not eating honey at that time! My question to you is will the consumption of so much honey effect my blood sugar and insulin levels and subsequently my cholesterol? Would you recommend honey in place of corn syrup during races? – Richard Acheson, Hout Bay


ANSWER
Honey is an interesting carbohydrate food. Honey, like sugar, is a simple carbohydrate. The final composition of mature honey varies but a typical analysis is given as glucose 34%, fructose 41%, sucrose 2.4% and water 18.3%. The unique feature of honey is however that it is high in fructose. Fructose, unlike glucose, in the blood is converted primarily to glycogen in the liver, a process that does not require insulin. Corn syrup has similar levels of fructose as honey.


Studies using high-fructose corn syrup have shown that although fructose does not cause a raise in blood glucose levels it causes an increase in undesirable triglyceride levels in the blood, and therefore increased cardiovascular risk.


Chronic fructose consumption has also been shown to substantially increases lipogenesis (fat molecule formation), resulting in increases in triglycerides compared to consumption of equal amounts of glucose. These studies have however been done using corn syrup and not honey.


Honey also contains small amounts of vitamins, minerals and antioxidants that are not available in refined sugar. It used to be thought that the amounts of vitamins and minerals were inconsequential in terms of any protective benefits, but recent studies have shown that there may be mildly cardio-protective benefits to consuming honey over sugar.


In terms of your cholesterol I think it is more important to focus on an overall balanced healthy cholesterol-lowering/maintaining diet, and use your 3 table spoons honey as 3 servings of your total carbs per day. You would however then need to avoid any other refined carbs, especially high-fructose corn syrup products, throughout the day. These 3 servings of honey should be ideally spread throughout the day (in small quantities) to avoid a high glycemic load at one time in your blood and thereby avoid any potential spikes in blood sugar levels.



Modern Athlete Expert
Christine Peters
Dietician at Sunninghill Medical Centre, Johannesburg. Member of Morningside Country Club with eight years running experience, including two finishes in the Two Oceans Marathon.

Fighting Fit

Help! My knees are packing up!

I recently ran a half marathon. Subsequently, my right knee took a bit of a knock all around, particularly on the outside. It has been two weeks, and it is not getting any better. Could you please give me an advice on this? – SAMSON XULU, SANDTON


Answer
Knee pain in runner’s can have many causes and the main aims of management should be based around attaining a proper diagnosis from the proper specialist such as a sports physician or orthopaedic surgeon.
Some relief will be found in simple treatment principles of PRICE (protection/rest/ice/compression/elevation) where implemented appropriately and as necessary. However, if the exact cause is not determined and corrected, the underlying issues will remain and symptomatic treatment will only provide relief for a period of time before the condition becomes problematic again.



Pain on the outside of the knee could be from various structures in or around the knee. Joint surface cartilage, menisci or ligaments may be involved but the most common disorder in runner’s causing pain on the outside of the knee is iliotibial band (ITB) syndrome.



The ITB is a thickened fascia, which extends from the pelvis and passes over the lateral femoral condyle on its way to attaching to the proximal aspect of the tibia.



ITB syndrome is a common overuse injury especially in runners and cyclists, presenting with pain over the lateral aspect of the knee. It is thought to be a friction-based condition, where the ITB tendon runs anterior to posterior across the lateral femoral condyle, causing inflammation to the underlying bursa.


However, recent research has challenged these traditional views and re-studied the functional anatomy and biomechanics. Anatomically they have shown that the ITB is fixed to the distal femoral shaft and thus back and forth movements are unlikely to occur. Biomechanically, an unfortunate narrow vector is created with poor pelvic and gluteal instability, which when combined excessive internal tibial rotation, a lateral to medial compression of a highly innervated fat pad occurs between the ITB and the femoral condyle.



Management of the ITB syndrome is either conservative or surgical. Conservative measures include correction of any underlying biomechanical disorders, to correct the instability of the pelvis and core as well as any internal tibial rotation that exists. This would be achieved with the help of a biokineticist and a podiatrist. ITB stretches before and after exercise are useful and can be incorporated into any warm up and cool down regimen. Physiotherapists can help to relieve the pain in the area and surrounding structures.


The use of oral non-steroidal anti-inflammatories (NSAIDS), analgesics or infiltrating the affected area with cortisone will be at the discretion of the attending sports physician or orthopaedic surgeon. If these conservative measures do not improve the condition with rehabilitation after an 8-12 week period, surgical intervention is then the decision of the orthopaedic surgeon.



Modern Athlete Expert
Gavin Shang: Sports Physician at the Rosebank Centre for Sports Medicine and Orthopaedics in Johannesburg. Holds a Masters degree in Sports Medicine and has worked with numerous top local and international sports people over the years.