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David, I'm glad you're back on track (pun intended) with your running. I agree with most the advice you've generated. This is classic overuse syndrome. 18 weeks is not a very long training period for a first marathon, especially if your weekly base was less than 20-25 mi before starting. I highly recommend www.roadrunnersports.com for shoes (my hubby has done 28 marathons and I've done 3 -lots of shoes!!!) The info on chondromalacia was great. Steroid injections should only be considered as a very last resort; they relieve pain-causing inflamation, but can result in worsening of the underlying problem over time. Ibuprofen is also an excellent anti-inflamatory for sports injuries. Sandy's advice on glucosamine with chondroitin was very good. I've been using it this year myself with a very noticable difference in the intensity and amount of joint discomfort and inflamation I have. I also started biking one day a week this year (works another set of large muscle groups and helps train them for lactic acid metabolism- that's the stuff that makes your muscles feel sore and stiff the next day) and Yoga one day a week for disciplined stretching and increased flexibility. I'm 37, I've laid off of my training for the last 3 years with work/school/family, and now I'm training to do 5 marathons this season. I'm having the best training experience I have ever had before. I haven't had a single ache or pain lasting for more than 24 hours, and even those have been very few. Great topic!
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