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Rehabilitation: Setbacks and Balance

Jacob Simonsen shares in this series his rehab's ups and downs, as the Danish record holder for 10k, half marathon, and marathon recovers from overuse. This is the second article in the series.

Being back to running after an injury feels like regaining a part of yourself. It's both euphoric and risky. Euphoric, because the body remembers moving freely and strongly. Risky, because joy can quickly mask the body's warnings – and you might become too eager. That balance is exactly where I am right now.

My path back began after a stress reaction in the femur – an overuse injury that required a complete running break. The first three weeks were without a single running step. Instead, I was on the bike, carefully building up circulation and strength without stressing the injured area. It was frustrating – I wanted to be out there. But it was necessary. The body needed rest.

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First Steps, With and Without Help

Then I slowly started running on the Alter-G – a treadmill that reduces load by "holding" some of your body weight. It was a huge relief. For the first time in weeks, I could feel the running motion again, but without the full load.

I gradually increased the weight and distance until I could finally take the first steps outside. First short runs, controlled, calm. But then – suddenly – it started to look like real running. I managed to get a few good sessions where everything felt easy, natural... Could I be back?

And then came the setback.

Long-term Patience

It wasn't a major setback – luckily. But enough to slow me down again. Enough to remind me of the thin line you balance on in rehab. Because you want to get going again – especially when the goals are waiting ahead. It's a real challenge to be good at listening to the body, especially when you feel you're finally on the right track. When you feel almost healed, almost ready.

But I've learned – and am still learning – that it's in those moments you win or lose the long game. It's there you decide if you want to move forward for real, or just make a short-term gain. For if you push through and ignore the signals, you risk going all the way back to the start. And it's not worth it.

Right now, I'm a bit behind my original plan. But I'm still on my way. The process isn't linear – it's zigzagging, filled with small victories and necessary setbacks. And the most important thing is that I'm still moving forward. Not just towards running again – but towards running strong and sustainably again.

It's not just about coming back quickly. It's about coming back right.

 

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