(Edited by Brad Minus) The Decision My 3 years of running experience started with multiple injuries including a couple of ankle fractures. However, I still managed to complete a marathon, a 50K and...
The Goof’s Guide to Common Injuries and Prevention
I believe I have started to write this post on injuries, a number of times, trying to be as clear as possible without seeming conceited or that the information I am giving is absolute. That being said I am giving this disclaimer:
The information in this post comes from experience, my personal research and conversations with Physical Therapists, Bio-mechanical experts, Orthopedists and other athletes. I am not a physician or medical expert, so please take this information as opinion based on cognitive research. Also, there is an exception to every rule and another explanation. I do welcome comments that give constructive criticism, but I make mention to this disclaimer first.
What causes injuries?
You might be surprised to hear that there are only two reasons runners (and other athletes) get injured; accidents and imbalance. Accidents are obvious right? For example; rolling the ankle stepping off a curb, falling, being hit by a bicycle, etc.
Imbalance will cover the why’s of the rest of the injuries. The human body is designed for every system to work in synergy, therefore when one piece of the puzzle is not operating a full capacity or efficiently, the other systems have to do more work. This is when the imbalance occurs.
When talking with Physical Therapists and Bio-mechanical experts I was shocked at some of the stories I heard. One story I heard was of a football player who was training, running 100s up and down the field carrying a ball. He had extended his shoulder just barely beyond its usual range of motion, and he ended up with severe pain in his opposite quadricep. “What?!!!!” was my initial reaction, however, I was then educated on the connective tissue (ligaments, tendons etc) which can be traced from the very top of our skull, down through our torso and into the extremities. Everything is connected.
As another example, one of the most popular injuries for newer runners are the dreaded shin splints or medial tibial stress syndrome (MTSS).
Scientifically it is caused tiny micro tears of the fibers connecting the medial soleus fascia through the periosteum of the tibia where it inserts into the bone. Due to the soleus becoming so week that the constriction starts to bow the tibia. In more layman’s terms, the calf becomes so tight due to weakness and inflexibility, that the connective tissue pulls on the bone. (There is some physiological proof and complaints that more runners are getting shin splints and other injuries due to training in calf sleeves and other compression gear, but I will address this in another post.)
This same weakness, fatigue in the calf muscle can also cause another popular injury. Plantar Faciitis. In this case, instead of the connective tissue weakening through to the soleus is pulls on the plantar fascia causing inflammation which can be debilitating.
An injury can be traced either by the athlete themselves or by a professional to a point of imbalance. Most likely somewhere within the full spectrum of the athletes, body, behavior and, do I dear say it, attitude.
How can injuries be prevented?
As a coach and trainer, my first rule, and one that I increasingly live by, is “Do no harm.” Therefore, I am always asking questions starting at a high level and continuing to get more specific. (The examples below are catered more toward running, but can be used in any sport.)
- Is the effort balanced through each week? (So, no high intensity days back to back)
- Is the volume balanced? (No consecutive high mileage days)
- Is the duration balancing?
- Is there enough recovery?
- Does the periodization allow for peaking at race time, but still allow for enough rest prior to the race?
- At what time in the plan does strength training make sense?
- This can be critical. If the strength routines are not designed to not only strengthen the muscles used for the sport, but strengthen them for the way they will be utilized, it can be detrimental. For example: Heavy squats for a runner. What is targeted? The glutes, and hamstrings. How are they being utilized in a downward and upward motion causing the hamstrings and glutes to gain size in that direction. How do we run? In a forward motion right? Well if there is more pull on the glutes in the sitting position gravity will work to pull backwards. That is working against what we want. It would be better to do air squats or light dumbbell squats where the motion is more forward which would be utilizing the muscle the right way.
- Are the exercises within the workouts specifically designed to strengthen a muscle, or group of muscles, in the same way they are utilized within the sport?
- Are the intensities, duration, reps and sets balanceing within the weeks of that period in the plan?
- At what time in the plan does strength training make sense?
Form and Technique
- Does the plan take into account work on form and technique either as a full workout or within workouts?
- Is it enough? Or Is it too much? (This is obviously specific to the athlete)
- When looking at the athlete do they look symmetrical? Are there any imbalances to the eye? (over-pronator, supinator, flares,)
- Is the athlete in the right shoes and equipment?
- Is the nutrition in strategic balance, fueling the muscles properly for the sport?
- Is there enough calories? Are there too many calories? Are the calories nutritional dense?
- Is this the right time in the athletes life for this race?
- Do they have a support system?
- is the plan fitting in the athletes life with minimal impact, or is there planning for the impacts ahead of time?
- What kind of attitude does the athlete have towards training and does the plan fit that attitude? Or should there be an adjusting of attitude?
There are definitely more questions I ask, however, I think these examples give a good idea of why balance is so important.
The term “overuse” is being used quite a bit, but what is it? It’s an imbalance of planning or lacking thereof. Tracing Injuries is completed from the highest level which would be the training plan, all the way down to the balance of strength and flexibility within the connective tissue of the body. Personally, I think it is amazing that on one hand our bodies can endure a lot, but if we don’t notice those little weaknesses, it will create an imbalance that could cause and injury that may or may not keep us from doing what we love most.
Balanced Plan -> Period -> Weeks -> Workouts -> Balanced Form -> Body -> Mind
Improve Your Healing with DIY Sports Massage
Easy Exercises to Keep You Active
Of course, you know you should eat right and exercise. Most everyone understands the importance of fitness for health. Why is it so hard to stay motivated then? Consider the things that inspire you toward fitness. You may enjoy a particular healthy recipe or be a fan of a certain professional athlete. You might have a goal of running a race or participating in a certain sporting event.
The primary benefit of sports massage is to improve blood to the muscles. Sports massage is a highly effective healing technique also moves oxygen and nutrients to muscles. After you exercise, lactic acid builds up in the muscles. Sports massage can eliminate lactic acid buildup. You can decrease your recovery time by simply eliminating lactic acid buildup and improving the flow of lymphatic fluids. This process promotes the healing process (http://www.howtobefit.com/massage-for-runners.htm).
Consider these tips and methods of sports massage from the Pro academy of New York golf course, Shenandoah:
Frozen Water Bottle – Most athletes are familiar with the concept of rest, ice, compression and elevation (RICE). A frozen water bottle is an affordable way to ice the muscles and massage them at the same time. The ice will reduce the swelling and soothe your extremities as you roll your muscle with the water bottle. Consider this low-cost at-home massage remedy after your workout.
Tennis Ball – If you don’t need the ice, try a tennis ball to massage your muscles. Tennis balls can also be used on the back and legs also. This method is effective for working out the knots in the foot. You can roll the feet over the tennis ball from toe to heel for the most effective results.
Soup Cans – Soup cans are also used to massage the feet and legs. Consider rolling your feet over cans or rolling the cans over your legs to relieve tension and pain. As the pain dissipates from the area of the body
where the soup cans are applied, recovery will begin. This will prepare you for your next workout session.
PVC Pipe – this is an inexpensive alternative to foam rollers. 10″ pipe is best and it is easy obtained from your local Home Depot or Loews. If a little cushion is needed the pipe can be wrapped in several layers of contact paper and secured with duct tape. You can then use it to massage your calves, hamstrings and even you lower and upper back just by rolling on it. It will easily break up the toxins that are located within the muscle and allow them to pass through the membrane and out through the endocrine system.
Training is Better With Sports Massage
There is nothing better than a nice sports massage to start the healing process. Most athletes have made the massage a part of marathon training. Certainly, the benefits of these massages have been proven. Consider sports massage for less painful and more effective training. A healthy life is easy with simple changes. Take baby steps. Remember that moderation is key in all things. Indulge from time to time, but treat the body as the precious temple that it is. When setting your health goal start small. Choose a goal
that is attainable and reasonable.
(This was written by Michelle Pino with some added content by the IronGoof specifically for IronGoof.Com)
2 Races in One Day?
I thought it was kinda nutty when I was invited to the Sunrise/Sunset Challenge, but I wasn’t sure the impact it would have on me. I looked at the distances of the two races, Top Gun and the Twilight Triathlons, and thought, “What the hell? The two distances do not even add up to an Olympic. How difficult could it be?” What I didn’t count on was the increased effort level?
The plan was hammer the Top Gun and do the Twilight for fun. (I am a poet and didn’t even know it.) Yeah. Right. Considering I have been competing and training for more long course triathlons lately, I really thought I would finally be able to conquer the sprint. My last full sprint was two years ago, when I competed in a few sprints in order to get ready for a marathon my times were less than admirable. To be honest, I was happy with 1:20 at the time. Now, after a few Ironman 70.3s and last year’s full Ironman I really thought I could do a lot better. Figuratively, I actually did, but in my mind it still wasn’t what I wanted, but there were some small achievements.
I picked up an A-Train Tri member, Jaime Breibert, around 5am and headed out to Ft. DeSoto. After the experiencing the pay-to-park line for the Escape from Ft. DeSoto Triathlon, I was pleasantly surprised this event was exempt so there were no delays driving into the park. Nice! Like every other race I have competed or watched at Ft. DeSoto the organization of the event was outstanding. The line for body marking was minimal, the transition area was large enough to accommodate all of the athletes bikes, space for their transition setup and extraneous bags. Walking into transition I spent minimal time setting up my bike, helmet and sunglasses, towel, bike shoes, and running gear including my choice of shoes (this time being my Brooks Pure Cadence), running belt and hat. I wasn’t rushed for time, or inconvenienced by other athletes. It was smooth sailing which is always nice since it eliminates any unwanted stress.
I headed on down to the beach with Nick Zivolich and Jaime where the low pitched but high energy voice was repeating instructions over the speaker system. It was a nice and comfortable environment I have come to love over the past years. The energy of the upcoming race increasingly becoming more and more intense as the time for the first heat was getting closer. I caught up with a bunch of friends and familiar fellow tri community members I have accumulated over the last years. This is absolutely one of my favorite times of the race. I have been really lucky this year as my age group has been assigned early heat times, so the intense anticipation has been minimal. Last year, I was not so lucky, but I understand the race directors strategy of moving the groups around each year to be fair. It will be interesting to find out what they where I will be starting next year. I was in the fifth heat this year only 12 minutes after the first and immediately following Jaime’s heat.
I wished Jaime and Victoria luck and intensely watched them swim out to the first buoy. Just a quick disclaimer. I totally and utterly suck at swimming. For me triathlon is survive the swim and get on the bike where the competition really begins. Not that I haven’t been working at it, but honestly, if for some reason I have to skip a workout, I’ll skip a swim before a bike, run or strength workout, but I digress. The horn finally went off and my personal race had started. I had been analyzing my swim prior to this, and just recently had the epiphany that maybe my pull of my arm through the water was possibly to shallow to allow me any kind of real speed. I usually finish with the heat behind me, and even sometimes with the heat behind that one, but this time following my experiment of dipping my arm deeper and pulling a little harder, (Voila!!) I actually finished in the middle of my heat. As I ran to my bike I noticed silver swim caps in front of me and coming behind me. A huge smile came over my face as I was slipping into my bike shoes and put on my helmet and sunglasses. I really couldn’t believe it. At this point I already felt like a winner.
I ran out of transition, jumped on my bike and headed out to the course I knew so well, due to all of the brick workouts I completed here with my A-Train Triathlon family. My goal; keep my speed above 21 while keeping a cadence under 96. The whole ride was pretty uneventful. The same word came out of my mouth more than anytime in the short period I have been racing. I continually yelled the word “left” as I was passing other athletes on my right, of course it was disconcerting when I heard it coming from my left. The ego boost came when I finished the final roundabout yelling “left” to a male athlete that had passed me at the beginning of my ride. As, I came into transition the only thought was how fast can I get in and out of transition, start the run and whether or not I had pushed a little to hard on the bike. According to my computer I had averaged well above 21, so was that too much?
I pulled on my shoes, grabbed my hat and ran out of transition buckling my race belt with my number attached to the front. I grabbed water on the way, a little disappointed when it turned out to be very warm, but it was wet. As I started trying to increase the cadence I noticed that my legs were very heavy, not a good sign. I kept saying to myself this is fine, just lean from the ankles and let gravity fuel your momentum. As much I told myself to lift my legs and lean a little more, my body refused to submit to what my head was commanding. I continued through the first mile to the fort, and very, very slowly my legs started to loosen a little, and my cadence started to increase. Passing the 1 mile aid station, I noticed a little more energy in my step and my hip flexors obeying my will. Then I turned the corner and I remembered. Crap! The middle mile of this race is on SAND! The lower extremities of my body surprised me as they adapted immediately to their new environment. I guess all those beach runs with Amy Eck had actually done something for me. All of the sudden I found myself enjoying the run. My legs stretched out, by body leaned, my cadence finally reached 180 (I think) and I was flying. Who would’ve thought feeling all that resistance under my feet would actually transform into moving faster? Not me, but after begging my body to obey earlier I was not going to look a gift horse in the mouth, so before my body decided any differently I picked up my pace. Turning on the path back to the asphalt I caught another athlete with a 44 on his calf. Hmm…an athlete in my wave I will place in front of…cool. With that thought completed I noticed another male runner in front of me with the number 41 on his calf. My only thought; “You are mine!” With the finish line in sight and the 3 mile marker on my left, I started to sprint with the finish line getting larger in my view and the runner in front of me coming closer and just a few feet from the timing mat, I caught him and jumped in front. A short term goal accomplished. I was so wiped out I could not immediately put my foot on the stool in order for the volunteer to remove my chip. I had to step over to a section of baracade and keep myself from falling for a quick second. After a half a minute I recovered enough to get my chip removed, grab some water and meet some friends at the end of the finish line assembly. Jaime had just finished and Speedy Nick was there already dried off and drinking some water.
With as exhausted as I was how was I ever going to this again in less than 12 hours?
After greeting some friends and coaches, watching some other friends and athletes come across the finish, I headed out to find some water and Gatorade. I noticed some preliminary results were posted, so I walked over in the hopes mine might just be posted and as luck, good or bad, would have it they were. My first split was the swim, and I was pleasantly surprised 7:53…cool. Less than 2 min per 100m…I’ll take that considering my miserable swimming performances leading to this race. Second split was the bike..26:51 averaging 22.3 MPH…Sweet! I never did that before. Finally, a 26.35..5k run. Well, I have run much faster, but not during a triathlon. 8:33 miles per minute…honestly I thought I did better, but I accepted it. More Bricks, more bricks, more bricks.
Overall, 1:06:36. A personal record(PR) since my last Sprint was 1:19 so you would think I would be happy and at first I was, until I looked at my place; 38th with only 67 athletes in my age group. Not even in the top 50 percent. That dropped me from my high pretty fast. There were still runners on the course so maybe there a few more in my group out there where I can at least be in the top half. As I check the results while I write this, it turns out there were I am ranked 39th out of 84 so I made it, just barely but I did make the top half.
The end of the morning consisted of congratulating friends, socializing and grabbing some breakfast at Lucky Dills in downtown St. Pete. I couldn’t have imagined a better morning.
Next up, the two race day continues.