Ironman Kona After Open-Heart Surgery: A 66-Year-Old’s Comeback

by Darrell Myrick

The Breakdown

It’s June 3rd, a little over three months until the 2022 Ironman World Championship in Kona, triathlon’s most prestigious race. I’m halfway up Glendora Mountain Road on my road bike, and my legs are failing me. My heart rate is well above the ceiling my cardiologist set, and I can’t push another turn of the pedals. I put a foot down and collapse onto my handlebars, sweating and gasping for air.

Glendora Mountain is one of Southern California’s iconic climbs — eight miles of 4–8% grade. For years, it was a route I treated as a warmup before long days in the San Gabriel Mountains.

But on this day, I can’t finish it.

Earlier that week I had also struggled through a two-mile run and cut short a swim. A quiet panic begins to build as I picture the Kona race on the horizon.

This isn’t who I’ve been. I had open-heart mitral valve repair surgery at the end of January. I’ve followed the rehab plan, taken the medications, and rebuilt carefully under my cardiologist’s supervision. By now, I thought I’d be climbing strong again.

Hunched over my bike, I’m forced to confront a difficult question: how do I reconcile my identity as an endurance athlete with a body that feels fragile and unpredictable?

The Backstory

I qualified for Kona in June 2021 at Ironman Coeur d’Alene. The race was later postponed due to the pandemic, delaying what had felt like a rare opportunity.

For years I had known I had a faulty mitral valve. It became impossible to ignore when I collapsed at Ironman Santa Rosa after going into A-Fib. Doctors diagnosed a moderately leaking valve but initially recommended monitoring since I was still performing well.

Three months after qualifying for Kona, I failed on the run at the Arizona Half Ironman when my heart rate spiraled out of control. That moment made the situation clear. I could no longer dismiss what was happening.

Surgery became unavoidable.

Shortly before my scheduled surgery date, I contracted COVID, which forced a postponement. By the time I underwent open-heart mitral valve repair at the end of January, my condition had worsened. Complications followed — recurring A-Fib episodes and heart rates in the 150s — leading to a 13-day hospital stay. Recovery would require patience, medical supervision, and a reset of expectations.

By February, Kona in October still felt distant enough to aim toward. I committed to rehabilitation cautiously, understanding that progress would need to be gradual and closely monitored.

Related post: I Found ‘Athlete’ In The Words ‘Heart Health’ – David Conover’s Story

Identity, Aging, and Doubt

Returning to training wasn’t only about racing. It was about returning to the discipline of what I call “The Ironman Lifestyle.” This approach to life has shaped much of my adult life. Endurance sport has required structure — sleep, nutrition, balance — and it has helped stabilize both my physical and mental health.

Progress, however, came slowly.

Another bout of COVID delayed consistent training until June. By then, I was twenty pounds heavier, detrained, and easily winded. Even walking pushed my heart rate into the 100s.

For the first time, I wondered whether my 66-year-old body would respond the way it once had. I had always trusted that steady work would produce improvement. Now, after weeks of effort, the gains were minimal.

The psychological strain weighed heavily. Physical activity had long been my safeguard against depression. Without measurable progress, doubts crept in.

Thankfully, I wasn’t alone. My family and triathlon friends believed in me when I struggled to believe in myself. Their steady encouragement kept me moving forward, even when results lagged behind effort.

Resetting the Goal

While still in the hospital, I had established three goals:

  1. Regain full mobility and daily function.
  2. Complete an Ironman.
  3. Perform competitively in an Ironman again.

By mid-summer, I had achieved the first goal. It became clear that chasing peak competitiveness this season was unrealistic. I shifted my focus to finishing Kona.

That adjustment brought relief. Instead of comparing myself to previous performances, I focused on building enough endurance to complete the race safely and within the allotted time.

In August, progress finally began to show. I lost weight, extended workouts, and recovered more consistently. With the help of training partners, I completed a 100-mile ride, an 18-mile run, and multiple 2.5-mile swims. They weren’t fast — but they were sufficient.

Consistent recovery after exercise is a key strategy for staying active with age. You can explore these insights further in our post on recovery strategies for triathletes over 50.

Race Week in Kona

I arrived in Kona six days before the race, joined by my wife and eight friends who made the trip to support me. Their presence felt like a reminder of how fortunate I was simply to stand on the starting line.

On race morning, I found a quiet place before my wave start and reflected on what had brought me there: being alive, having a supportive family, and being healthy enough to attempt one of the most demanding endurance events in the world.

When the horn sounded, the day began.

Race day at the 2022 Ironman Championship in Kona, Hawaii began with a relaxed swim in the Pacific Ocean.

The Bike: Managing the Effort

The swim was steady and uneventful. On the bike, I deliberately held back — riding about five miles per hour below the pace I would have targeted in previous years. Conservation was critical.

Around mile 100, climbing toward the scenic overlook on the Queen K Highway out of Waikoloa, fatigue caught up with me. A headwind and rising heat drained my legs. My nutrition stopped digesting properly, and nausea set in.

The final miles were about preservation. Speed no longer mattered. Forward progress did.

The Run: One Mile at a Time

In transition, I sat briefly and asked the only question that mattered: Did I have enough left to finish within the cutoff?

I realized I could think just as clearly while walking. So I stood up and began moving.

The first couple miles were slow — mostly walking. Anyone tracking online could see I was close to the time limit.

A few miles in, teammates met me on the course and told me the pace I needed to maintain. I settled into a controlled walk/jog rhythm, carefully monitoring effort to avoid pushing beyond safe limits.

At mile 18, I recognized something encouraging: I was slightly ahead of schedule. I could finish even with steading walking.

Relief replaced anxiety. The task became simple — keep moving.

🎧 Related Podcast: The Ironman Lifestyle – The Courage to Keep Moving Forward

Hear Darrell Myrick discuss this journey in more depth on The PhD Journey Unplugged Podcast Episode 52 .

The Finish Line

Turning onto Ali’i Drive, I heard the unmistakable voice of the longtime Ironman announcer Mike Reilly welcoming finishers with his iconic “You Are An Ironman” call.

I don’t remember much of the final stretch. I moved in what felt like a slow shuffle up the finisher’s ramp.

At the line, I unzipped my tri suit and revealed for the photographers the scar from my open-heart surgery — not for attention, but as a quiet acknowledgment of what the previous nine months had required.

Then I collapsed.

Friends volunteering at the finish line guided me to the medical tent. After IV fluids, monitoring, and a brief visit to a trash can to relieve my unsettled stomach, I stabilized. One doctor, smiling after hearing the story, suggested I might not have been the brightest participant that day. He may not have been entirely wrong.

Darrell Myrick’s support team for the 2022 Ironman Championship included his wife Roxann, who captured this picture on the race course.

What the Journey Taught Me

Endurance sport often mirrors life. Both demand focus, patience, and adaptation. Neither unfolds as a steady line of personal bests.

Recovery required accepting realistic expectations rather than chasing earlier versions of myself. The challenge was not recreating the past, but discovering what remained possible.

The months between surgery and Kona were frustrating, humbling, and at times frightening. But they were also clarifying. Progress did not arrive on my preferred timeline, and success looked different than it once had.

Like life, Ironman rewards steady forward motion — however modest — especially when circumstances force you to redefine the goal.

Nine months after open-heart surgery, finishing in Kona was not about proving anything. It was about gratitude, resilience, and the quiet satisfaction of continuing when stopping would have been easier.

Have Questions or Comments for Darrell?

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Ask Our Coaches: Running With A Root Meniscus Tear

Question

A veteran, 68 year-old male triathlete sent the following question for our coaches after reading the last issue of the Senior Triathletes newsletter:

Trying to get in shape for a 70.3 but have a torn meniscus root. Training ideas? Hoping to hold off total knee until fall and able to run some, bike and swim not affected. Injury hasn’t stopped me but slowed down. I am 70 and have done 6×70.3s and 2 fulls. Long time runner.”

Coach Jenn Reinhart’s Reply

Terry passed along the question you sent through the SeniorTriathletes.com website about continuing to train and race triathlon with a root meniscus tear. While I’m not an orthopedist, but I do have extensive experience with knee injuries—both personally and with athletes I’ve coached.

Over the years, we’ve worked through ACL tears, meniscus tears (including a root tear), MCL tears, patellar dislocations and fractures, and even total knee replacements. A root tear is a serious injury, and it’s important to approach it thoughtfully.

First and foremost, make sure you have a strong team guiding your decisions: your orthopedist, physical therapist, and coach. With a compromised knee, it’s critical to avoid compensatory patterns that can lead to secondary injuries in the hips, back, or opposite leg.

A physical therapist can assess strength deficits, range-of-motion limitations, and imbalances. I’ve also found that a well-cushioned running shoe can be helpful—visiting a specialty run store to find the right fit is worthwhile.

Protecting Your Knee is Priority #1

That said, with a root tear especially, protecting the knee from repetitive impact is essential. In some cases, an untreated root tear can significantly increase joint stress and accelerate degeneration. Long-term knee health needs to take priority over any single race or season.

If swelling increases, pain escalates during or after workouts, or you experience catching/locking sensations, those are signs to reduce load and reassess. Symptom progression should guide your training decisions in close coordination with your medical team.

Strength and balance are at the top of the list to maintain your activities with a knee injury.   Having a thorough strength routine to keep your hips, glutes, quads, hamstrings, & calves strong, will go a long way to helping your injured knee.   Maintaining good balance and core strength are also important as we age.

Lower Stress Running Alternatives

There are several effective alternatives to running that can help maintain fitness while limiting impact:

1. AlterG treadmill or Lever system

Both reduce landing forces by decreasing body weight. AlterG treadmills are expensive but often available in PT clinics. The Lever system is a more portable and affordable harness option. If available, you can split a long run between supported treadmill running and outdoor running. For example, during a 2-hour session: 30 minutes outside, 60 minutes on the AlterG/Lever, then 30 minutes outside. This reduces total impact while preserving some specificity. When running outdoors, softer surfaces like trails or tracks are preferable to concrete.

2. Elliptical training

A great low-impact alternative. Many athletes use the elliptical for Zone 2 sessions. For quality workouts, you can warm up on the elliptical, complete intervals on the treadmill or outdoors, then return to the elliptical for cooldown volume.

3. Deep water running

Aqua jogging is excellent for maintaining run fitness without impact. An aqua belt can help maintain proper body position. The resistance of the water allows you to closely replicate run mechanics, provided you have access to a pool deep enough to avoid foot contact.

Consider Non-Running Options For Your Training Program

1. Rowing (erg)

Rowing offers strong cardiovascular and full-body conditioning benefits. Proper form is essential to avoid secondary strain. Many gyms offer structured rowing sessions similar to cycling interval classes.

2. Substituting bike volume

You can also trade some Zone 2 runs for additional bike sessions. Improving bike fitness can pay off on race day by reducing overall fatigue heading into the run. 

Have Questions?

I’m happy to answer any questions about implementing these alternatives. I’ve used all of them in my own training over the past decade and have seen athletes successfully maintain fitness while protecting their knees.

Let me know how I can help.

Jenn Reinhart

512-762-7759

Jennifer@reinharts.org

Jenn.reinhart@tridot.com

TriDot Master Certified Coach

USAT Level II Certified Coach

IROMAN U Certified Coach

Happiness is Moving Forward!

Sign for Coaching thru TriDot or RunDot

https://app.tridot.com/onboard/sign-up/jenniferreinhart

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Join the Conversation

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Medical Disclaimer

This content is for educational purposes only and does not constitute medical advice. I am not a physician. Always consult your healthcare provider before making training or treatment decisions. You assume full responsibility for your participation in any exercise program.

USA National Senior Games Includes Triathlon

I first became acquainted with the Senior Games through Jeanne Minder, whose triathlon story appeared on SeniorTriathletes.com on September 6, 2018. Jeanne was the gold medalist in triathlon at the 2015 National Senior Games held in Minneapolis-St. Paul, Minnesota. According to the NSGA website, her time that year was the 7th best overall in the Women’s 60-64 age group.

Then, in 2023, I spoke with Joe Simonetta, whose first triathlon was at that year’s National Senior Games in Pittsburgh, Pennsylvania. Also, at least once a year, I read in The Villages Daily Sun about residents of The Villages, Florida who compete in Florida’s Senior Games.

I decided that it was time for me to complete the picture of State and National Senior Games in the United States. The resulting post was published in February 25, 2025. This post is an update for 2026.

History of the Senior Games

The first Senior Games, called the Senior Olympics, was held in Los Angeles, California, in 1969. Soon, the new movement spread to other states as the benefits of promoting healthy lifestyles through education, fitness, and sport became recognized.

Then in 1985, the National Senior Games Association (NSGA) was formed to recognize the need for organized athletic events to celebrate active aging of older adults. Their published mission was: “Promoting the benefits of competitive sports, physical fitness and active aging to adults ages 50+.” The first National Senior Games was held in 1987 in St. Louis, Missouri.

Jeanne-Minder-Minnesota-Senior-Sports-Hall-of-Fame-Award
Jeanne Minder was the 2015 Gold Medalist in the Women’s 60-64 Age Group Triathlon. She was later inducted into the Minnesota Senior Sports Association Hall of Fame.

Senior Games in the United States Include Triathlon

Today, Senior Games are held each year in most states of the United States. These competitions include a wide range of individual and team sports from Archery to Volleyball, including Triathlon in some states. Individual sports that may also be of interest to triathletes and other multisport endurance athletes aged 50 and over include several distances each of swimming, cycling, and running. However, not all states include all sports or triathlon in their schedule. The table below includes websites for the many State Senior Games where you can see the list of activities and their schedules.

The NSGA also hosts the biennial National Senior Games, held in odd-numbered years. This world-class competition celebrates the athletic accomplishments of older adults and inspires people of all ages to be active.

The National Games brings together over 11,000 participants ages 50 to over 100 years, to compete in over 25 sports. These sports include individual triathlon and the triathlon relay. Athletes who wish to take part in the National Senior Games must qualify for them in the preceding year.

State Senior Games in 2026 serve as qualifying games for the next National Senior Games. The next National Senior Games, held in alternating years, will take place in Tulsa, Oklahoma from June 30 through July 11, 2027. The general schedule for the 2027 National Senior Games will be published by the end of March 2026.

To qualify for the National Senior Games, athletes must meet the following criteria:

  • Age: Be at least 50 years old by December 31st of the year prior to the National Senior Games.
  • Qualify to participate in the National Senior Games during the year prior to the National Games. This means that those who will compete in the 2027 National Senior Games must qualify for these in 2026.

Qualification Criteria Vary by Sport

Standards for qualifying for the various sports is where things become, or at least appear to become, complicated. To uncomplicate this matter, NSGA publishes an extensive Rulebook. Anyone thinking of competing in the National Senior Games should review the NSGA Rulebook.

In the Rulebook, you will find that NSGA publishes minimum performance standards for many sports, such as archery, golf, swimming, and track and field events. These standards typically define a certain score, time, or distance by gender and age group at their state’s Senior Games required to qualify for the National Senior Games. For other sports, such as tennis and volleyball, finishers qualify for the National Senior Games by achieving a certain place among all competitors within their state’s Senior Games.

Triathlon and Other Multisport Endurance Events at State and National Senior Games in 2026

The table below shows the states which host a triathlon in 2026. If you live in one of these, you may wish to participate in a triathlon in your home state. However, this is not a requirement for competing in the 2027 National Senior Games triathlon. Here is why.

Triathlon is considered a “Limited Event”. According to “2027 National Senior Games – Limited Event Verification Form Instructions“. Rule D states that National Senior Games’ participants must complete one triathlon during the qualifying period January 1- December 31, 2026. These triathlons need NOT be USA Triathlon-sanctioned races.

If you plan to compete in the 2027 National Senior Games triathlon, you must also complete and submit the “2027 National Senior Games – Limited Event Verification Form” before February 15, 2027. Organizers of some state triathlons say they will submit your times to NSGA for a modest fee. However, I recommend using the NSGA’s Limited Event Verification Form and following through directly with NSGA.

2025 Senior Games Schedule

Comments

Do you have questions about either State or National Senior Games? Or do you have an experience with these to share? Share these in the Comments below.

Also, please let us know if you plan to compete in the 2027 National Senior Games triathlon.

Comments: Join the conversation below — Click on “Subscribe” (located above the Comment box) if you’d like to be alerted to replies to your Comment. Even if you do not submit a comment, you may subscribe to be notified when a new comment is published. Please note that I review all comments before they are posted.

Ask Our Coaches: Will A New Bike Help With Knee Pain?

Question

A veteran, 68 year-old female triathlete sent me the following question for our coaches:

I have a Trek 2500 (yes, it’s a dinosaur). I have been doing triathlons for 25 years but my knees are starting to hurt when pushing on the bike. Are there bikes you could recommend that require less pressure on the knees (I am 68).”

Coach Tony Washington’s Reply

Hi! First off, congratulations on 25 years of triathlons—that’s an incredible achievement, especially at 68. Your bike has been an amazing partner on so many adventures.

Your Trek 2500 is indeed a classic (it dates back to the ‘80s and ‘90s with its aluminum frame and more aggressive road geometry), but it’s no surprise knee issues are cropping up after all that mileage.

Knee pain in cycling often stems from overuse, improper biomechanics, or age-related changes like reduced joint lubrication or arthritis. The good news is there are plenty of ways to address it without hanging up your wheels. I’ll focus on bike recommendations that could ease knee pressure, while also covering fit adjustments, crank length, pedals/shoes, saddles, and other factors as you requested.

Remember, this isn’t medical advice—consult a doctor or physical therapist to rule out underlying issues, and consider a professional bike fit (around $150–300) for personalized tweaks.

Understanding and Reducing Knee Pressure in Cycling

Before jumping to new bikes, let’s tackle why your knees might be hurting and how to minimize strain. Cycling is generally low-impact and great for knee health because it builds strength without pounding, but pushing hard (like in tri bike segments) can overload the patella (kneecap) or surrounding tendons. Common culprits include a saddle that’s too low/high, misaligned cleats, or an aggressive posture that forces your knees into extreme flexion.

Key Adjustments Beyond the Frame

Bike Fit: Start here—it’s often the fix for 80% of cycling knee pain. Aim for a saddle height where your knee has a 25–35-degree bend at the bottom of the pedal stroke (leg almost straight but not locked). If it’s too low, you’ll overload the front of the knee; too high, the back. Fore/aft position matters too: Your knee should align over the pedal spindle when the crank is horizontal. A pro fitter can also check for leg length discrepancies or hip imbalances common in seniors.

Crank Length: I’ve moved most of my athletes to shorter cranks. I’m 6’5” and use 160mm cranks. I have set all time power PRs from 5 secs to 5 hours. One of my athletes is 5’5” and switched to 145mm. This helped he correct knee tracking and much better hip movement. Shorter cranks reduce hip angle at the top of the pedal stroke. Less strain when your hips and knees are at most extreme angles of the pedal stroke can really help with the pain.

Shoes and Pedals: Clipless pedals are great for efficiency in tris, but poor cleat setup can cause pain. Position cleats so your feet are neutral (not toe-in/out), and consider float (e.g., 6–9 degrees) to allow natural knee movement. For less pressure, try pedals with more float like Speedplay or switch to flat pedals temporarily for training. Shoes should be stiff-soled but comfy—brands like Shimano or Specialized offer wide fits for aging feet. If you have arthritis, look for vibration-dampening insoles.

Saddle/Seat: Your Trek’s saddle might be too narrow or firm after years of use. Opt for a wider saddle (140–160mm) with a cutout to reduce pressure on soft tissues. A good bike shop can measure your sit bones and should have loaner models to try before you buy. Models like the ISM, Specialized Power or Bontrager Verse are popular for endurance. Raise the handlebars or add aero bar risers for a more upright posture, which reduces knee flexion and forward lean.

Other Tips for Reducing Knee Pain

  • Warm up with 10–15 minutes of easy spinning and stretches (quads, hamstrings, IT bands).
  • Pedal at a higher cadence (80–100 RPM) to “spin” rather than mash—it’s easier on joints.
  • Strengthen supporting muscles with off-bike exercises like squats, lunges, or clamshells twice a week.
  • Build mileage gradually (no more than 10% increase per week), and use RICE (rest, ice, compression, elevation) for flare-ups.

Bike Recommendations for Less Knee Pressure

These tweaks could make your current Trek more knee-friendly, especially for training. If pain persists, a new bike with geometry that promotes less aggressive positioning might help.

If the above tweaks aren’t working. Consider these two types of bikes. They are available at your local bike shop. Ride as many as you can to see if they fit better.

  • Endurance Road Bikes: These have relaxed geometry (taller head tube, longer wheelbase) for upright riding, reducing knee bend and pressure. Great for tri training and races with aero add-ons.
  • Hybrid or Comfort Bikes for Training: More upright than road bikes, with wider tires and cushier saddles—perfect for knee relief during build-up miles or on your indoor trainer.

In Conclusion

If you’re sticking to competitive tris, an endurance road bike with aero tweaks might be the sweet spot—test ride a few to see what feels best. Many shops offer senior discounts or demo days. Keep racing strong; with these changes, you could add another 25 years!

Related post: Five Factors For Selecting a Bike For Triathlon

Cheers,

Tony Washington

Senior International Captain/Grandpa

Founder and Head Coach – Team No Coasting

Certified IRONMAN U and TriDot Coach

Certified TriDot Pool School Lane Lead

(972) 533-8583

https://app.tridot.com/onboard/sign-up/tonywashington

Questions

Do you have questions for Tony about selecting a triathlon bike? Post them in the Comments below.

Comments: Join the conversation below — Click on “Subscribe” (located above the Comment box) if you’d like to be alerted to replies to your Comment. Even if you do not submit a comment, you may subscribe to be notified when a new comment is published. Please note that I review all comments before they are posted.

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