(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
Tribute #6 – Jessica Crate
It was apparent this was coming, right? This woman was all over my Rock ‘n’ Roll recap, so the inspiration was already foreshadowed and if you didn’t read the last post, then prepare to be inspired.
Jessica and I met on a set of commercial we were doing for some insurance company. I never actual saw the final cut, but then again, that happens quite frequently. We were actually placed in the roles of runners, which is why it made so much sense. I was in a conversation about running and all of the sudden, I heard this upbeat, sultry voice from behind me enter into the conversation. I turned around to see this tall, athletically thin, beautiful blond woman behind me. Her hair in a ponytail, wearing a Newton visor and radiating the intense positive aura all around her. There was more to this attraction then the minimalistic pure blood American male to the tall, stunningly gorgeous, platinum blond female(See? I am not denying the obvious). The energy radiating from this woman was intense.
We conversed in detail all the while waiting for the lighting to be rigged, and shots set up. I came to find her life as intoxicating as Jessica herself. This woman is an Elite Runner holding course records in the Gasparilla Half-Marathon, St. Pete Women’s Half-Marathon and the St. Pete Rock ‘n’ Roll Half-Marathon. As of last year she began competing in triathlon only to make it to Las Vegas for the 70.3 World Championships her first year. If that wasn’t enough, she also coaches other elite athletes, has her own marketing company, and recently created her own Not-for-profit. She is committed to giving back.
As I have continued to attempt climb inside her head and soul to try and understand what drives her, I have yet to hear her utter a negative word about anything or anyone. She truly believes in winning not only the race, but in life itself. If there is ever the opportunity to meet this unbelievable athlete and woman, do so. Before you know it, you will be winning to. Let me introduce you to my good friend, Jessica Crate.
Place of Birth: Victoria, British Columbia CANADA
If you’d like more information on where she will be next or to sign up for a training session, contact her at email@example.com
Or visit her website: www.jessicacrate.com
Tribute Tuesday #3 – Lisa Jamison
There are people that come into our lives that defy all expectation. Have you ever met someone whom you previously had heard about, or may even have spoken to, only to find out they not only lived up to their values and skill but by far exceeded them? It doesn’t happen often right? I can truthfully state this about my massage therapist, confidant, and friend; Lisa Jamison.
I was given a brief introduction to Lisa by my good friend Scott Bragan. He mentioned that he made massage a big part of his training, and in his opinion how much of an expert Lisa was, and how she worked with him on some injuries and ailments. I finally decided to talk to her and see if she could help me. (I will give you my story about my injury in another posting, but I currently have a L5/S1 herniated disc in my back) I had been going to a chiropractor for my injury and they were keeping me running, but I felt like I had to make frequent visits, but that all changed when I met Lisa. The first thing she did was look at my posture and how I hold myself, and immediately gave me analogies to think about, and exercises to do during the day to help. She assessed my injuries and then……and then, she went to work on me.
All I can say is O-M-G! That first massage was an experience. She loosened up muscles I didn’t even know I had, all the while telling me what she was doing and why she was doing it. Lisa and I are both talkers so we also were getting to know each other. It turns out, she is not only an LMT, but a USAT Level 1 coach, a Yogi, a Certified Personal Trainer and an IRONMAN. At this time I was still seeing my orthopedist and my neuro-surgeon. Lisa educated me more on bio-mechanics than either of my doctors, and when I questioned them about the aspects of my anatomy Lisa educated me on, they both looked like a deer in headlights. Lisa’s knowledge and experience was far superior. First impression; this woman knows her stuff.
|Lisa at Fight for Air Climb 2012|
As we continued our professional relationship we started to become friends, and I learned that she was not only passionate about helping athletes, but also para-athletes. She was close personal friends with Scott Rigsby, the first double amputee to finish the Kona Ironman! She was also contracted by tri-clubs all over the nation, to meet them at races and work on their athletes and their para-athletes. Whenever I had a question about about form, posture, or training Lisa always either knew or found a way to help me out. Second Impression; she cares about her clients and will go to great extents for them. Amazing!
Then she told me the story about her brother-in-law that passed a day before she was to compete in Ironman Florida. This immediately brought tears to my eyes, and continues to whenever I recall her words about him. She did end up competing in the race, but returned home immediately afterward. She said that her brother-in-law, Mike Dalton, wouldn’t have it any other way. Currently, she has dedicated herself to American Lung Association and the Fight for Air stair climbs across the country dedicating herself for another friend taken from her, John Foley. Lisa started Team Foley and she recruits athletes every year to do the Tampa Stair Climb at the Bank of America building. Last year I participated, wouldn’t you know it, WE WON! Yep, I stepped up the 42 flight climb with Team Foley and I would do it again in a heartbeat. As a matter of fact I am already signed up for 2013. Lisa also completes stair climbs all over to include the Sears (not Willis) Tower in Chicago. Can you imagine 103 flights? She does it and often.
Third impression – I am in love with this woman. I defy anyone to meet her and not feel the same way.
DOB: March 27, Aries
Grew Up: Vernon, CT
High School: Rockville HS
High School Sports: Drill team/Dance squad, figure skated(outside of school)
College: University of Connecticut
Sports: Inline Speed Skate (as an adult), Triathlon, Running
I studied Sports Med/Athletic Training in college. Through college I worked in the fitness industry (I was one of the early ones…”aerobic instructor”). After college I spent time working as an athletic trainer and teacher while still doing some fitness work on the side. At some point I could see that I wanted to spend more time working in the fitness industry, but liked the sports training model. It seemed to me that if people could take their workouts and view them as something as they “got to do” vs what they “had to do”, our health and fitness might be more enjoyable. I started personal training in the late 1980’s. I moved here in 1991 and have just kept plugging along. I read a lot, take a lot of classes, and just keep trying to throw something new into my “bag of tricks”. I went to massage school about 8 years ago.
If you could give me one adjective to describe the feeling you get when you are working what would it be?
I like the aspect of the day that keeps me looking for a different way to get the job done. Maybe that’s because I need to shake things up for my own sanity, and maybe that’s because healthy clients are in their for the long haul and may get bored doing the same thing over and over again. I can’t think of an adjective…but I do get lost in my own head while I’m working in a the quiet of massage. While training and watching people in their setting, it’s almost like I can get in their body and feel it.
|Lisa at IMFL|
When and why did you start competing in triathlon?
It was the late 90’s. I was working with a lot of triathletes, finishing up with a stint in speed skating and looking for the next sport. I knew I’d get involved in triathlon, but was afraid of the swim. I didn’t rush into it. I participated without training for a couple of years, then changed my workouts to focus on triathlon a little bit. After a few years I started legitimately training for it. Now it’s been a couple of years since I’ve raced. Not sure what will happen next.
What is one thing you love most about triathlon?
The people, the training partners, the group of people. I really like the balance of the group training for an individual sport. I like having to get lost in your own head in the midst of a crowd.
After being in the business as long as you have, what possesses you to still take the classes for continuing Ed that you do?
I have to for many reasons. I am self employed and live alone; if I don’t work, there isn’t money coming in. I learned very early on that people’s incomes can change, and you will be the first person they give up in difficult economic times. If I weren’t “multi-talented”, I wouldn’t work. I always have to be looking ahead to see what else I can do. Personally, I like a day that’s filled with different things. I enjoy being able to train a few fitness clients, work on re-patterning a skill with an athlete, do a relaxation massage, help with injury rehab, do some yoga, and meditate. I like group work as well as private work. I’m a teacher at heart, so as long as somebody is learning something, I go home feeling like I made a difference
|Lisa & the Goof at the Fight for Air Climb|
What was the turning point for you to decide make this a career?
All through high school I volunteered in hospitals and physical therapy clinics. I always said I wanted to work with a “well” community, or one that was injured but was motivated to come back strong. I started working in fitness in 1981 and it’s just all evolved from there. I’ve just had to set the path for what I’ve wanted to do.
What would you say is your greatest obstacle you ever overcame?
There wasn’t a career in “personal training” or “corrective exercise” or even massage during my early days. I’ve always referred to myself as a bit of a hybrid. Now the hybrid careers are becoming more popular. I wish I knew that…I would have saved a lot of time looking for the career that was right for me spent more time “just doing it”.
What is your greatest victory?
When I can help someone get that “a-ha” moment and their day/life/sport makes more sense
|For More Info and to register or help click above|
Albeit Augusta Part 2
I made it to the front of the dock where handlers had signs up with our ages and waves on them. I found my wave with ease and merged in the rest of the 40-44 males whom had last names that started with the letters I – Q. Now is when the nerves started to build up in my stomach and all the insecurities started to show their pretty little selves. “Did I train enough?” “Why didn’t I do more swim workouts?” “Why can’t I use a pull buoy?” “Should I really use a wet suit?” and the most famous insecurity that comes up before a race; “What makes you think you belong here with all these athletes?” I never can shake that one. (Read my “About” page to find out why.)
|Starting out on the bike|
|Starting the run|
Before I knew it I was at mile 3 wondering where the miles went, especially when my watch had me doing under 9 minute miles. Of course I expected that to change as my body became a little more tired and I started to walk through the aid stations. The run in Augusta is two loops around the center of town around Broad street. It was loaded with spectators and I enjoy it. Sometimes there is even some great signs that people make. I have seen some funny ones, like “Toe Nails are for sissies” and “Chuck Norris never did an Ironman”, but my favorite to this day is still “If triathlon was easy they would call it football.” That one always cracks me up. Not that it is true. Take it from someone who has attempted both American football the other football we call soccer, they both have there different definitions of tough. Triathlon is just the endurance tough because it doesn’t stop for numerous hours, where in the other kinds of football they usually only last 2-3 hours and they have these things called “timeouts”. In triathlon we don’t have timeouts, the clock doesn’t stop because you have a foul or a penalty. It just keeps going.
|The last mile
(took off my hat and
sunglasses for the picture…LOL)
The crowds seemed to have grown on my second loop and I kept my eye out for Jessica who was sporting her bright yellow tank top and green hair. It was supposed to be yellow as well, but unfortunately it didn’t work out that way. I never did see her the whole run, but nevertheless the crowd cheered everyone on. A couple of little kids were on the side holding their hands out and cheering hoping we would run by and give them a high five. There were families out just hoping to get a glimpse of their sons, daughters, husbands, wives, mothers or fathers. As I was running, my photographer’s eye kept seeing Norman Rockwell, paintings. This really was a very clean, forthright city with an old soul. I couldn’t help but smile a lot of the time, at least until mile nine. I couldn’t believe it, the plan was working just fine but at that point, cramp, side stretch…ouch. I forced myself to run until the mile 10 aid station where I walked and grabbed water and a cup of coke while breathing as deep as I could. When the pain subsided a little, I started to run only to be struck down again by the pain. I grabbed a gel packet and a salt tab hoping they would help and they did, for a short while until I arrived at the mile eleven aid station and ate an orange. At this point, I didn’t care. I had 2.1 miles left and I wasn’t stopping. If I had to leave my intestines on the sidewalk and pick them up later that’s what I was going to to. I picked up my pace, blocked out everything and headed for the finish line. I didn’t even see the mile twelve marker, but I felt the vibration of my watch which told me now I had just a little over a mile to go. I kept looking down at my watch, 12.1, 12.24, 12.35. I felt like this was the longest mile of my life, but I was wrong. I finally made it to the split. Left for the first lap and right to the finish and I was going right. Here is what turned out to be the longest stretch of the run. I had no idea that a quarter mile could feel like an eternity and when I finally did see the finish, I felt like I was in the movie; “The Shining”, when the little kid is looking down the hall and it keeps getting longer and longer? That exactly what it felt like. I looked down at my watch and noticed what it said 19:54. Crud! I wasn’t going to make it. I lifted my legs and increased my cadence just hoping I could get one little ounce of speed and I got it, but just a little too late.
|Best race of my life!|
After receiving my medal, taking a couple of pictures and having my timing chipped removed from my ankle I headed over to the refreshment tent a can of coke from this pool of ice and ran in to Russ. He told me that he finished around 4:28. This kid is a machine and that just proved it. We congratulated each other and I went over and got a massage, but not before disposing of the first coke and grabbing a second. While waiting I finished that can and by the time I finished up with Caroline, the LMT who took care of me, I felt like a million dollars. With exception of a twinge in my back, which for me is normal due to my injury, I really felt good. No pain, no soreness and due to the adrenaline still pumping from having such an awesome performance I felt like a rockstar, and I never really felt that way before.
|Beth and I|
As it turned out we all had a good race. Celeste PR’d, Chris finished under 6 hours, Bruce beat me by one second, and as it turned out Russ actually took first place in his age group and was on his way to Las Vegas, but the story of the weekend was Beth. Beth had gone through a lot just to get to the race. Besides this being her first 70.3, she never biked really prior to this year, she had an injury that kept her from running for over 3 months, so she was very freaked coming into this. Wouldn’t you know it, after having a goal of just finishing under 6:30:00, her official time was 5:47:16. We were all really proud of her. You can read all about her experiences on her blog Discom-BOB-ulated Running.
So here we go!!
It’s January 9th and I have been trying to provide a base now since November 6th. I think I am doing pretty well. I couldn’t swim 600 yards without changing up strokes from freestyle to sidestroke, to breaststroke. Now I can go about 800 yards with strictly freestyle..at least in a pool. Yesterday, January 8th 2011, I ran the Disney Half-Marathon without stopping in 1:59:32. It is not great, but not that this is an excuse, but it was extremely crowded and I was in the very back of the pack. Last week I cycled 40 miles, with a 5K run at the end. I think as far as my endurance factor goes I am a little a head of the game.