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100 Days to the Start Line: My Road Back from a Sacral Stress Fracture

  • Writer: Tina Christmann
    Tina Christmann
  • 5 days ago
  • 3 min read

The Stabbing Pain That Changed Everything

February 21st started as just another easy Friday run. I was in a recovery week after three solid

training blocks. At 20 minutes in, I felt a sharp sting in my left glute. I thought it was a niggle — something that would ease up. But every step made it worse. At the turnaround point, I was as far from home as I could be, and with a student field trip scheduled soon after, I had no choice but to hobble back.


That day, the pain escalated. Walking became difficult. Thankfully, my physio Jordan came by and suspected inflammation around the sacroiliac joint. I started anti-inflammatories and took time off running. Swimming replaced my workouts, and even cycling was off the table due to pain pushing through the left leg.


A Diagnosis I Didn’t Expect


Sacral Stress Fracture

After a brief improvement, and getting off the anti-inflammatories the pain returned. Alarmed by the lack of progress, my coach and physio recommended an MRI to rule out anything more serious. I never suspected a stress fracture — not with my strength work, proper fuelling, and consistent training. But the MRI told a different story: a 4cm stress fracture in my sacrum. And just like that, it was déjà vu. Five years earlier, I had the same injury — on the opposite side — right after transitioning from rowing to running. Back then, it made sense. I overtrained, under recovered, and wasn’t adapted to the impact of 100k run weeks. But this time, the cause was less obvious. I had been building my run strength and mileage for five years now and was hovering at a very conservative 40-50k run weeks.


Searching for Answers

We were left with three pressing questions:

  1. What caused the fracture?

  2. How do we prevent it from happening again?

  3. How can I return safely — and still race this season?


This is where the expertise of my friend Professor Olaf Uberschär came in — a biomechanics expert and researcher who had studied stress fractures in endurance athletes. I had taken part in his earlier research, and now he became part of the team guiding me through this setback. His insights pointed toward possible nutrient deficiencies — particularly in Vitamin D and calcium — and perhaps a period of compromised recovery. While we missed the chance to confirm deficiencies with a blood test, I began high-dose Vitamin D supplements and doubled down on rest and recovery.


Rewriting the Race Calendar

Olaf broke the hard truth: 100 days of no running. No Ironman South Africa. No 70.3 Venice. Initially, it crushed me. But it also created space — to heal, to reflect, and to reset my focus. Instead of race goals, I set a deeply personal one: to run a parkrun with friends on my wedding day in June. It became my anchor — realistic, meaningful, and just far enough away to give me hope


The Rehab Roadmap

Together with coach Grant and physio Jordan, we mapped out a phased recovery plan:


Month 1: Healing and Holding Back

  • Focus: Swimming (especially pull work)

  • No kicking, no pushing off walls

  • Pain-free cycling only

  • Daily check-ins with my body

I also travelled to South Africa — a bittersweet trip. I soaked in sea swims and family time but

watched my best friend Robyn race Ironman from the side-lines.


Tina and Robin in South Africa

Month 2: Gaining Strength, Slowly

  • Pain-free walking returns!

  • Double-leg strength work resumes

  • More structured bike sessions

  • Swim tests and low-intensity bike tests provide benchmarks

I set a fun side goal: hit 10 pull-ups by the end of rehab


Tina and Oli cycling

Month 3: A Glimpse of Running Again

  • Single-leg strength work returns

  • Intensity increases in swim and bike workouts

  • Confidence grows with hiking and gym progress

At day 80, I visited NK Active and ran for 8 minutes on their Alter-G treadmill at 50% bodyweight. A few days later, 12 minutes at 60%. A small step, but monumental.


Now, I’m nearly back to full-weight running. And I’ve got just three weeks to build to that 5k

parkrun on our wedding day.


tina on the Alter G at NK Active

Lessons from the Layoff

The 100 days passed faster than expected. And in hindsight, this injury became an unlikely gift.

Without races, life got simpler. I grew in the pool, stayed fit, and rediscovered my hunger to

compete — but more importantly, I once again gained the so needed perspective.


Racing doesn’t define me. Health does. Strength does. Balance does. And on that start line — at parkrun or Ironman — I’ll stand not just as an athlete, but as someone who chose the long game.


Tina and her parents in South Africa

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©2025 Tina Christmann

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