Running After Knee Mosaicplasty, OATS, and Meniscectomy

  What an incredible year of running it has been for me. Adjusting for some age-related decline, I'm back to running the way I did before my right knee surgeries of 2020 and 2021. I usually "asterisk" this by saying that I do most of the training I used to do, but I avoid big hills (especially downhills) and stay off uneven surfaces. After running a trail 100 miler and now returning to training on and around Sourland Mountain , I'm even back to doing those things (...although the 100 miler was on a non-technical trail and I'm taking it a bit easy on the downhills during my hill workouts, so I'm still making some concessions to maintain knee health). 2026 Review. I only ran two races in 2026...but they went really well. With one more week remaining in 2026 I currently hold the 3rd fastest 100K time in my age group ( link ), and the 9th fastest 100-mile time ( link ). I had intended to run the Frosty Looper 8-hour race as I did the last two years, but before si...

  Last Saturday I completed the Kansas Rails-to-Trials Extravaganza 100-Mile race in 20:03:52. I didn't run as fast as I hoped too, but I had a fun and memorable time with my amazing crew. I enjoyed the course, the excellent race direction, and super helpful and friendly volunteers. I highly recommend this race. The rain before and during the race slowed me down. The course is mostly a soft surface and it did get a bit too soft. My pacing was too aggressive early and my fueling strategy failed in a big way. I took a fall early in the race and had some pain in my right lower ribcage that I'm still feeling a week after the race. Even with all that, my crew helped me solve problems and get moving forward again and again. I'm proud I did not back down and ended up with a solid result. This was one of my most "ultra" of the ultramarathons I've run. After going home early during a couple of 24-hour races last year, this feels like a bit of redemption. This is my lo...

  It was great to return to my favorite race...the Jack Bristol Lake Waramaug Ultra Races 100K! I have nothing but good things to say about the race director, the volunteers, the families/crews supporting their runners and my fellow ultra runners who are so kind and friendly. A great place to spin 7.6-mile, slightly hilly/rolling road loops (around a beautiful lake) for most of a day. Despite the strong winds (20 mph with much higher gusts) that wore me down a bit and the on-and-off drizzle, I finished 100K in 9:48:47. This was good enough for 8th overall and 5th male. My watch says I covered 62.6 miles at 9:24 pace with a moving average of 9:14 (I had about 10 minutes of stopped time). According to the data posted at ultrarunning.com , I'm not only the fastest 60-year-old 100K runner in North America this year, but I'm the fastest since 2018 (which is as far back as the data goes). I realize there are not a lot of 60-year-old ultra runners and not a lot of 100K races (so the ...

  It's been a while, so I'm just checking in for a brief update (my first after turning 60 years old...YIKES!). The right knee continues to be stable and recovers from stressful workouts in a predictable way. After running 52.5 miles in less than 8 hours in December, I have decided to see if I can stretch that to 100k (62 miles) and am planning to race in April.  I'm training in 2-week "hard" blocks with one-week cutbacks to rest between blocks. During the "on" weeks, I do a long run and two medium-long runs with embedded speed work. This is similar to my typical training workload in 2018 and earlier when I ran my fastest ultramarathons. During my VO2max phase (already completed) I did one of the speed workouts (typically 3-min repeats) on flattish ground or the treadmill. The second quality workout included similar duration repeats, but was run up a hill or a high-incline on the treadmill. (I like having two different training stimuli targeting the same...

  Finally...I'm all the way back! After two sub-par races that had me doubting whether I could run at least somewhat competitive times in ultramarathons, I finally ran one that lived up to my training. The race (the Frosty Looper) is an 8-hour timed race, where you complete as many 3.75-mile loops as you can. Partial loops do not count. I covered 52.5 miles in 7:57:23. 7th overall in a strong field that included 200 finishers (in an ultra? in mid-December?? in New Jersey??? Yes! The team at Endless Endurance has really built something amazing here.). The Training.   After running a 24-hour race on October 5/6, I took 8 days off before restarting training. That gave me only 2 months to prepare for this race. I went into last year's version of this race (my first ultra after knee surgery) undertrained, but had a relatively good performance. I was able to carry my long run pace (10:something/mile) into the race and hold it for 8 hours. This year, I mostly tried to emulate what I...

After the disappointment of my previous attempt at a 24-hour race (on an egregiously hot day), I bounced back fairly quickly and was able to resume training. Calling it a day early turned out to have some benefits, I was able to recover quickly enough to try another 24-hour race that was only a little more than an hour's drive from where I live. The training:  I was able ramp up again quickly enough to get in a solid 7 weeks of training (after 2 weeks of recovery and allowing for 2 weeks of tapering). During that 7 weeks, I revisited VO2max work. I did 4 quality sessions and ended up boosting my VO2max (according to Garmin) to 56...a level similar to where I was before the knee injury (and a great number for a man who is almost 60 years old). I also revisited "steady state" intensity and did 4 solid workouts, covering as much as 11 miles at 7:22/mile pace. For the first time, I experimented with back-to-back long runs. I did this twice about 6 weeks and 3 weeks out from t...

  Alright. I promised a race report, so here it is. It went poorly. I only covered 63.75 miles and went home about 10 hours early. Not near my goals. Disappointing. I had problems with overheating, pacing, chafing (in a variety of anatomic locations), fueling, nausea, and finally the weather (lightning). So what didn't hold me back...my knee! As the purpose of this blog is to chronicle my return from 2 knee surgeries that didn't go so well, this is the key insight. My knee held up through training. I did 30+ mile long runs. Had an 87-mile week. Did VO2max, tempo, and steady state workouts. And my knee made it through all of that, got me back in the game, and I had an opportunity to compete in the sport I (usually) enjoy . Now...to whine about my race. It was hot. And humid. No breeze. No clouds. I didn't have the level of respect for the heat that I should have and waited too long to really slow down and concentrate on keeping cool. Felt ok'ish early and was doing the ...

One last check-in just to say that things went pretty well with my training to run a 24-hour race. A few hiccups but that is bound to happen over many months of training. My longest run was 39 miles. My longest week was 87 miles. That was the only week I broke 80. Steady state training went quite well...was able to average 7:30 min/mile for extended periods with a HR in the mid 150s. Tomorrow is going to be very hot and humid with the potential for thunderstorms. I'm not particularly good in the heat, so I'm going to have to be cautious. I'm going to try and go slow from the start (by slow, I mean 11-12 min/mile) and try to survive the daytime heat and get to the evening hours with something still left in the tank. I'll cover my fueling and heat mitigation strategies in the race report to follow. Thanks for following my story. Tomorrow could be a very interesting day if everything comes together. Good, bad, or ugly, I'll follow eventually with a report. Kind of funn...

  I'm writing this the day after my first week of  "steady state" phase ended with a disappointing long run. I overheated, didn't feel too well, and stopped at 26 miles instead of the intended 37 miles. Up until this run, everything had worked out mostly as planned. But this is hard stuff. It is a good reminder to me to stay humble and grounded. I'm blogging about this in real time...a fairly tale ending is not guaranteed. If I'm reaching the limits of what I can sustain...well...it is what it is. (Sorry...I know that is a wildly overused idiom...maybe my brain is still sore from yesterdays steamy long run.) Despite the "bobble" yesterday, training has gone generally quite well. The tempo phase came and went and I generally executed the key workouts well. On slightly cooler days, I was able to average below 7:10/mile at tempo effort. I'm happy my knee has held up to these sustained faster paces. Now during the steady state phase I'm going to ...

  Just checking in here to say that things have gone reasonably smoothly since my last post. I've now completed the VO2max phase. My best workouts included 5 x 800m on the track (pace=6:50/mile) and 6 x 3-min repeats embedded in a 9.2 mile run (image above, 6:42/mile). My HR has been peaking in the mid-170s (my max is somewhere around 180, I think) during these workouts. I'm real happy with how this has gone. Meanwhile...my mileage has reached a best week of 55 miles with a long run of 22 miles. I'm very much on schedule to achieve the 70+ mile/week range that I was hoping for. I have some minor niggles, but mostly I'm holding up well. My right knee has not improved, but it has not worsened either. I've bounced back well even from the 22 miler a week ago that was run a little slower than 10 min/mile pace. I'm surprised to have made it this far without another setback. I'm starting the tempo phase now. Did 3 x 6-min repeats at about 7:30/mile today, and held ...

  One of my favorite quotes has always been "Only those who will risk going too far can possibly find out how far one can go." (TS Elliot.) In that spirit, I'm not going to settle for just a successful return to ultramarathoning (see previous post), I want to see how close to my "old self" I can get and maybe even do something I've never done before. I'm still very far from normal after the right knee cartilage surgeries I had in 2020 and 2021. Even this far out from the surgery, I think there is room for improvement. I don't have full range of motion and there is still much stiffness and a little bit of pain to deal with. If I were to completely focus on doing what is best for knee function, I would imitate what has been done so successfully for athletes returning to team sports that require speed, strength, and agility. I would drop all this mileage and do some sprinting at least several times a week. I would work harder on strength training for th...

Okay, so after 4.5 years, 2 knee surgeries, and 1000+ hours of physical therapy, I've been able to get back to ultramarathoning. What exercises, strategies, and approaches seemed to work for me and what didn't seem to help? I'll explore that below. So, what worked? Start from where you are. Progress rehab and training very, very gradually. Patience.  The general approach that ultimately helped me return to ultramarathon form was the same one that enabled to me to become successful at the sport in the first place: play the long game and sneak up on amazing a little at a time. To return to running, what I needed to do first was to re-learn how to walk. Once I could walk for 5 minutes without my knee swelling so much that I couldn't walk again for several days...I had the foothold I needed to get started. It is important when you are starting a training program to begin from where you are. The first several weeks should be boringly easy. You need to not only start with som...

  I'm back! Yes, I did make it back to ultrarunning! I ran 45 miles in 7:43:29 at the Frosty Looper 8-hour race in Pennsauken NJ last Sunday. That was good enough for 17th place out of 120 finishers. To all who have supported me, encouraged me, treated me, and/or rehabbed me...THANKS! After 4.5 years, 2 knee surgeries, and over 1000 hours of physical therapy and rehab, I was able to get out there again...and not just to start and "give it a go"...but to run well and finish strong. The Race.  The race started at 8 AM on Sunday morning. It was in the low 50s and windy for most of the race with occasional drizzle. In the last hour it started raining a bit more steadily...but overall the conditions were better than could be expected for mid-December in NJ. My plan was to run 10:something minutes/mile for as long as I could. I knew I could hold that pace for 22 miles since I did it in my last long run. I also knew that I could probably go much further at that pace since my hea...

Just a brief update here...the long runs I've done for the past 3 weeks have covered 19, 22, and (today) 15 miles. I'm tapering a bit and hoping to toe the line for an 8-hour timed race in 2 weeks. My peak weak covered 46 miles total. I've continued with the 1-minute fast/1-minute slow intervals over the last 3 weeks with top speeds under 6:30/mile. I'm far less trained than I've been for any ultramarathon (and less trained than for all but one of my marathons), but I think I have the fitness to give it a try and hope for a middle-of-the-pack or better finish. I'm shooting to cover over 40 miles. I still have some doubts about making it to the start line. My surgically repaired right knee is aching a bit. In addition my left knee has become sore. It's a bit stressful at work right now (and preparing for the holidays) and there are lots of "bugs" going around. If I can get through these two weeks and get to the line...that would be quite a triumph. ...

The tweaks I have made to my training since my last setback have paid off. By keeping my long runs slower, I have been able to go as far as 16.5 miles in a single run (at about 10:30/mile pace) and 37 miles in a 7-day cycle. I'm happy that I've been able to go much farther this year.  It's not out of the question that I will try to run an ultramarathon by the end of the year. Everything would have to go well over the next several weeks for that to be possible. If things don't go well...I'll back off and start thinking about maybe doing a long race in the Spring.  My plans for the next few weeks include doing some speedwork (as I've been doing...see below) and trying to move my long run to 18 and then 20 miles. If it is just not there...I'll back down. The race I'm thinking of doing is a timed race in mid December. If the next few weeks go well, I'll follow up with more on the length of the race and how I will approach it. My knee is still a little bi...