Returning to running (safely!) after Covid

We runners are an impatient bunch. Tell us we can’t run for a chunk of time for whatever reason and our day loses its shine. It’s quite a different story if we’re choosing to not run, but force on us a week without running and it feels like forever – our souls are starved of joy. So, when we get sick, we desperately count the days before we can pull on our trainers and head out the door for our fix. 

We all know it’s never wise to run too soon after having flu, bronchitis, a chest infection etc. but many of us squeeze that timeframe tighter than we should and rush to get back. The past 20 months or so have added another contagion to be cautious about…  Covid-19 has not only limited the freedom of movement for active people the world over, it has also forced us to take recovery after being ill more seriously.

The medical world has shown that even though there is still more to learn about the long-term effects of Covid-19 on the body, it is clear that various organs, particularly the heart and lungs, remain under strain for some time after suffering the disease. Doctors recommend the return to normal activity levels should be cautious and gradual. 

I interviewed Dr Jason Suter, sports and exercise medicine specialist at Cape Sports Medicine in Cape Town, about the risks involved in resuming training too soon after having Covid. He put his thoughts in a nutshell:

“Physical fitness is one of the most important factors in lowering your risk for severe Covid. However, even fit athletes contract Covid and although rare, can suffer from complications associated with Covid infection. Myocarditis, for example, is inflammation of the heart and in an athlete the condition can be fatal. 

“By following a graded, guided protocol such as the one below, after a screening by your local sports physician you can safely return to your sport. Importantly, remember to look out for any mismatch between your heart rate and rate of perceived exertion (RPE) as it is often the first sign that you have not yet fully recovered.”

Click here for a simple five-level graded protocol (an easily printable PDF) to check where you are after suffering Covid, and to guide you safely back to training.

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Global - Virtual

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A virtual race which can be run at any time shown on the dates shown, on any type of terrain in any country.

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For runners from beginners to experienced as you choose your own course and challenge based on the guidelines and options set by the virtual race organiser.

Endurance - Multi-activity

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An ultra distance race including at least two of the following activities such as running, swimming, cycling, kayaking, skiing and climbing. It may also include different climatic conditions (eg ice, snow, humidity, cold water, mud or heat).

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Experienced multi-skilled athletes who have trained for the different activities included in this event. Admission to these races may be subject to receipt of a recent medical examination certificate. Check with the race organiser regarding entry requirements and any specialist equipment required such as a wetsuit, skis or a mountain bike.

Brutal

Elevation

Increase of up to 2000 metres with very challenging climatic conditions (e.g. ice, snow, humidity, heat or at high altitude)

Suitable for

Very experienced long distance ultra runners (min 3 years’ experience) or are doing regular long distance running (>50 miles) with elevation and conditions shown (where possible). Admission to these races is often subject to receipt of a recent medical examination certificate. Purchase of specialist kit is often recommended for these races.

Expert

Elevation

Increase of up to 2000 metres with some challenging climatic conditions (e.g. ice, snow, humidity or heat)

Suitable for

Experienced runners who have completed at least 4 ultras in last 12 months, or are doing regular long distance running (>50 miles) with elevation and conditions shown (where possible). Admission to these races may be subject to receipt of a recent medical examination certificate. Check with the race organiser regarding entry requirements.

Advanced

Elevation

Increase of up to 1500 metres

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Runners who have completed several ultra distances or similar events, or are doing long distance running regularly, with elevation shown.

Intermediate

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Increase of up to 1000 metres

Suitable for

Runners who have completed at least one ultra in last 6 months or are doing long distance running (>26 miles) regularly, with elevation shown.

Beginner

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Very little change < 500 metres

Suitable for

First ultra event. Runners completing a marathon or doing regular long distance running (>26 miles) in the last 6 months.