When I decided that I was going to thru-hike the Appalachian Trail in 2026, I knew that I would need to improve my fitness. I had been taking bootcamp and martial arts classes for a few years, but backpacking for months requires a different kind of strength. I worked with a personal trainer who created a fitness plan to help me achieve my goals. My routine included one day of stretching and mobility exercises, 3 days of strength training, and lots of walking outdoors on varying terrain or using the stair climber while wearing my pack. My trainer also helped me fine-tune my diet and increase my protein intake to fuel muscle growth. I followed this plan until a couple of weeks before our trip to Iceland this past August.
In July I developed a persistent pain on the outside of my left foot which turned out to be peroneal tendonitis, an inflammation of tendons on the foot and ankle. I had to ice and rest for a week and then got custom orthotics for my shoes, which helped but were not ideal. The shoe inserts forced me to correct my foot alignment, but I continued to have pain. Apparently I had started walking differently to compensate for a toe injury and continued that even after I healed. I was reminded that our bodies work as a system and when we adjust our movements to avoid pain in one area, we often cause injury and pain somewhere else. I am sure that there is a life lesson to be learned in that!
Fortunately, I healed enough over a few weeks that I was able to enjoy our backpacking trip in Iceland. This was an amazing 5-day hike with unbelievable views. Our longest mileage day was almost 15 miles, and our greatest elevation gain was a little over 3000 feet. My foot was good for most of the miles, but it hurt after we stopped walking for the day. I would rubbed on some Arnica cream before falling asleep each night and it was good-to-go for another day. In other ways I am happy to report that my training paid off and I handled the distance and climbs with ease. Descents were another story though — my knees would begin to feel stiff and eventually bending them would hurt with every downhill step. This was not a new issue for me when backpacking but I had hoped that getting stronger would have alleviated. My new goal became to figure out what caused this knee pain and fix it.
After returning home I rested for a couple of weeks then went back to my fitness classes and martial arts training. I also started searching for ways to correct my knee issues. Learning from my tendonitis experience, it occurred to me that maybe I was just walking incorrectly. I researched “how to properly go downhill when backpacking” and eventually discovered the YouTube channel Chase Mountains and signed up for the Hike Flow Method program. To my surprise, the focus of the program was on feet and hips not knees. Apparently, knees are considered a dependent joint and are put under stress when feet, ankles and hips are weak. I learned several things from the exercises: First, I tend to lean too far forward and walk on the ball of my foot making my foot stiff and unresponsive. Second, I externally rotate my femur at the hip joint which puts extra strain on my knees. Third, I overuse my hamstrings rather than the stronger glute muscles when hiking. Now that I have figured out my problems I have added exercises to correct them.
In addition to the new exercises, I have begun wearing toe spacers periodically, do single leg balance exercises, and use a balance board to strengthen my ankles for the uneven trails, and I have mental cues I use to remind myself to walk correctly. Thankfully, I’ve been mostly pain-free on my training hikes…and sometimes I can even do descents more easily than my husband. Whenever I start to feel tension in my knees, I review my cues. Maybe I’ll hike a little slower for now, but eventually I hope that my pace will improve as these changes begin to feel natural.
I realize that my year of training is specific to me and might not apply to any of you who are reading this, but we all have challenges to overcome and learn from. Maybe you can evaluate how well you’re prepared to accomplish your next goal, whatever it might be. Then, figure out your weaknesses and do what you can to overcome them. A smooth trail never made a skilled hiker. 🙂