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?
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
I personally have been involved with charities that specifically relate to Cancer for over a decade now. With that in mind and the fact the my friend Ben Mena has taken on a challenge with the The Little Things for Cancer and created a team to run the Marine Corps Marathon, I thought this would be an appropriate time to incorporate a guest post by my friend David Haas. His bio is at the bottom of the post, but he is very active in creating awareness and outreach for Mesothelioma. Enjoy this great article and pass it on to anyone you know that cane be of benefit. Carpe Viam!
How to Improve Nutrition During Cancer Treatments
Nutrition plays an important role in helping to prevent many types of cancers, but it also plays a major role for those going through cancer treatments and therapies. Eating the right foods can help you maintain your energy levels, gain needed strength to go through treatment and improve your quality of life. However, vicious side effects such as nausea, loss of appetite and extreme fatigue can seriously affect your ability to eat.
Learning how to side step these problems and improve your nutrition can make cancer treatments easier to handle.
Common cancer therapies such as surgery, radiation or chemotherapy often result in nausea. Since weight loss can lower immune system function, sap your strength, and lower your vitality, it’s particularly important to learn how to improve your nutritional condition when nauseated.
Start by eating smaller meals more frequently throughout the day. Sipping carbonated beverages, using foods or drinks that contain ginger; sipping clear soups and avoiding spicy foods can also help. It’s also important to stay hydrated, so focus on foods that contain plenty of liquids such as puddings, custards and creamy soups.
Loss of Appetite
The stress and emotional upheaval that comes with a cancer diagnosis can seriously affect your desire to eat. Uncertainty, fear of the unknown and strained family relationships only adds to the burden. Even if you don’t feel hungry, it’s important to eat a balanced diet that’s high in protein, fruits and vegetables. The University of Arizona Cancer Center suggests you take advantage of the time of day when your appetite is best.
Focusing on higher calorie foods for both meals and snacks will help because you won’t need to eat as much volume. Try adding fortified protein powders to milkshakes, snack on cheese and nuts, and add sauces or extra fats to your vegetables. Making sure you exercise everyday can also help to increase your appetite.
When you’re tied and worn out due to anxiety, medication, or treatment, poor nutritional practices only makes the depression or dragged out feeling worse. Getting plenty of liquids, exercise, and nutrient-dense foods in the form of colorful fruits and vegetables are important to keep the fatigue from getting you down.
While some causes of fatigue from cancers can’t be avoided, like the symptoms of mesothelioma, make sure you’re eating plenty of iron-rich whole-grain cereals, getting adequate sleep and eating enough protein foods such as eggs, beans and dairy. While paying attention to nutritional details can feel like it’s more trouble than it’s worth, keeping your nutritional intake high during cancer treatments can give you that extra edge you need to survive.
Joining the MCA in 2011, David Haas is the Director of Awareness Programs. In addition to researching much of the information available to our site’s visitors, David often blogs about programs available and campaigns underway at the Mesothelioma Cancer Alliance. David is a fitness enthusiast who frequently runs, climbs, and bikes for enjoyment. He is also very involved in outreach associated with awareness about the dangers of asbestos for many different organizations and groups of people.
Read more: http://www.mesothelioma.com/blog/authors/david/bio.htm#ixzz2PVMlj2OR
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 describe you as the best LMT in the Tampa Bay area. How and why did you start with massage and sports training?
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
Final Impression: I want to be just like Lisa when I grow up.