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.
Common Injuries
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.)
Planning
- 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?
Strength Training
- 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?
Nutrition
- 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?
Mindset
- 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
Carpe Viam!
The New York City Triathlon – Before the race
Traveling for races is always exciting, but the opportunity to race in my favorite city in the world, caused an overwhelming explosion of emotions that may have actually hindered me. I will explain that last part a bit later, but let me start from the beginning.
In order to race in the NYC Triathlon from out-of-state, a lottery is performed and in February of this year I was notified that I had been chosen to race. At the time I was not quite sure about it, as my race schedule was already pretty full, but I had heard great things about the race, so I decided to go ahead and put it on the calendar. How many times was I going to be chosen via a lottery…right? I have entered the lottery for the NYC Marathon for the last 3 years and was never chosen, therefore I felt like this may be a one-time opportunity. I made my arrangements immediately, and found some inexpensive accommodations at Hotel Belleclaire which ended up to be a very nice boutique hotel on the upper west side of Manhattan, beautifully positioned directly between transition and the finish line.
The challenge I had was, how do I transport my bike to NYC. I had a few choices.
1) Tri-bike Transport which was $300 each way.
2) Take my bike completely apart and take it with me, then take it to a bike shop to be put back together for $75 and again when I returned, not to mention possible oversize luggage fees at anywhere from 75-150 bucks.
3) Use shipbikes.com and buy a reusable AirCaddy for $100 and then ship my bike via FedEx, directly to my hotel and back home for $100 each way with very minimal dis-assembly of my bike.
I chose option 3, which turned out to be very convenient. The Air Caddy came in a very flat box and was assembled in 10 minutes and my bike was then placed in the box within 5 minutes and ready to ship. It comes with a fork plate that stabilizes the bike in the box and then a series of other corrugated cardboard is placed around the bike which secures and stabilizes it even more. The only small adjustments that need to be made are to remove the saddle and seat post together, and fold down the aero bars. Each is just the loosening of two allen screws. I only had to bring my small bike tool with me in order to tighten them back up upon re-assembly. I taped up the box, added the label which is purchased through shipbikes.com and then called for a FedEx delivery representative to come by and pick it up. Easy breezy. It all happened like clockwork. Of course since this is the first time I was shipping my bike I was a little anxious, and I was going to be, until I re-assembled in NYC.
I left Friday Morning two days before the race and was so excited I could barely contain myself. Not just for the fact I had the opportunity to race in my favorite city I have ever been to, but I was also going to spend some time with friends I hadn’t hung out with in what seemed like forever.
All of the pics online of Hotel Belleclaire were of course beautiful, but in New York City it is sometimes a crap shoot. The marketing pics look great, but when you get there, sometimes you get a room that a little worse for wear. Hotel Belleclaire was absolutely beautiful and the service was first-rate. I was in my room for about 30 minutes when the front desk called just to ask if everything in the room was alright. I was a little shocked because I never experienced that before. It is such a simple concept to give a 30 second call to the guests and it made me feel kind of special. Before I knew it, there was a knock at my door and there was a bellman with my bike. Talk about service. After I put my bike together I phoned the front desk and requested that they store the box since the room was small. I didn’t really care about the size of the room since it was just me, but the box and my bike took up a little more room. It turned out that they could not find anywhere to store the box, so instead of just saying “Sorry, we cannot do anything about it”, they upgraded me and put me in a larger room to accommodate the box. That, was to me, an amazing touch. On Sunday after the race, I boxed up the bike and the concierge told me to just leave it in my room. Monday morning I received a text from FedEx notifying me my bike was picked up and that the estimated date she would be back home was Thursday. If you are going to be in NYC on the upper west side, I highly recommend the Hotel Belleclaire. I think you will enjoy it.
Now back to our regularly scheduled program(after my little endorsement).
After I checked in I planned on going to the expo at Hilton Midtown, so I started walking. The hotel was on 77th St. and Broadway and the Hilton was on 55th and 6th so it was 22 blocks south and two blocks east. No big deal, and it was nice outside so I decided to walk. Here is where I started with a little hinderance. I saw my favorite hot dog place in Manhattan. Grays Papaya. OMG! Now remember that I am about 90% paleo and I haven’t digested a slice of bread in over a year, so you can imagine how my system was going to react to a couple of white flour, processed, buns with grilled hot dogs and all the trimmings. They sure tasted good going down, however they left me in a lurch later that evening. Grays Papaya is famous in the city for their hot dogs and papaya drink. I had both and they were sooo good. It was like a sin to eat something that tasted that good as processed as it was. I always talk about balance right? Well, I figured I hadn’t had one in so long, it wouldn’t hurt. WRONG!!!! I will spare you the details of what happened a couple of hours later.
I called a good friend of mine, Michael who moved to the city almost four years ago. Michael and I used to to perform in plays and musicals together semi-professionally. Michael was keeping the dream alive in New York while I turned to health and fitness. To my surprise he was willing to go to the expo with me so I could check-in. The New York Triathlon required the attendance of all the athletes at a mandatory meeting in order to verify everyone had the information in the Athlete Handbook. In order to get your packet you had to attend a meeting and get your hand stamped. Because I had been to so many races prior and never usually went to the meetings, that I would be a little annoyed but the person whom MC’ed the meeting was hilarious and had us all in stitches. He also was great about getting the info out specifically and succinctly, so all of us whom attended could have our hand stamped and out of there in about 25 minutes. The rest of check-in was a breeze.
The expo was, well…interesting. Mainly because I was in a different part of the US, it had different vendors. What I did notice was that Zicco Coconut Water was a huge sponsor. They were giving out coconut water like it was, uh…water. Even in our SWAG there was one of those huge liter bottles that usually sell for around $9. I love Zicco so I was beyond freaking thrilled. The only unfortunate thing was that they only were giving the original version and I know that the chocolate flavor is amazing, but I enjoy the natural flavor too. The rest of the expo was what you would expect of a triathlon which is minimal compared to marathon’s and big road races, but it still had that great race aura and energy.
Michael and I hung out for a bit and caught up and then headed to Restaurant 44th&10th which is located, can you guess? You are correct. 44th st and 10 Ave just about 20 more blocks from the hotel. The place is a corner of a set of stores and is decked out in white with colors used as accents on the walls and cushions of the chairs. The food was amazing. I had the grilled tilapia with steamed spinach and a sweet potato, butternut squash mash. Deliciouso! For desert was a dark chocolate flour-less cake which tasted more like mouse, and an organic banana sundae. WOW! It was an outburst of flavors that stimulated my taste buds with the cool essence of banana, chocolate and toasted marshmallow. O-M-G was it good!
Now all fat and happy, Michael and I headed off to my hotel, so I could drop off all the swag from the expo and that, ladies and gentlemen, is when Grays Papaya decided to fight for control of my digestive system away from my incredible food from 44th&10th. That is all I have to say about that. Needless to say after a couple of syndicated comedies, conversations about theatre in the city and dealing with my stomach I wasn’t going anywhere else that night.
I woke up Saturday feeling a lot better. I took a shower, put together everything I needed for transition, which didn’t open until 2 pm, and headed out into the city. Around 1 pm I stopped at my favorite pizza place. The restaurant will remain, forever, a planned event whenever I am in NYC. The place with the best pizza on the planet. John’s Pizza on 44th St between 7th an 8th avenues. This place has the absolute best pizza with all natural ingredients I have ever tasted. The thinnest flakiest crust with a spicy tomato sauce, mozzarella that strings to ceiling if you let it and the best ingredients ever resting on top. Personally, I am a minimalist so I prefer a nice pepperoni and fresh garlic, but my friend Jorge Acosta whom joined me for this amazing meal, was all about the pineapple and Canadian Bacon. I never tried it, but I have to say it was pretty good too.
This part of 44th st is a kind of home to me. It is where all the best theatres are located. Across from John’s , Phantom was playing. Directly next door, Let it Be. A little further down and across the street was Lucky Guy with Tom Hanks and two doors down was the famous Sardis of which Jorge and I headed to afterward to continue catching up. Jorge is one of those guys who has had such an amazing life that we can just talk forever. If I wasn’t participating in the triathlon the next day, we would probably still be talking. He is an amazing and talented guy and I am so excited he is making it in NYC as an actor. Knock on wood, he hasn’t needed another job to get him by. That is how talented this guy really is.
I left Jorge and headed back to the hotel to grab my bike and head to transition in Riverside Park. There are
two transition setups for the NYC Tri. Yellow and Red. My wave was in the Yellow which was schedulted to start at 5:50 am on Sunday and included the pros and elites along with half the Age Group athletes, while red didn’t start until 7:20. The transition setup was just like any other triathlon, no
frills with metal rods to hang the bike from the seat. The only somewhat different protocol was the transparent bags that were handed out and highlighted during the mandatory meeting. This was new after the incident
at the Boston Marathon. Instead of bringing in a transition backpack like I usually do, now a plastic transparent bag is the only thing allowed to bring gear into the transition area. I didn’t want to leave anything besides my bike, so I personally didn’t bring anything at this point but my bike. I left my bike with a plastic bag covering the handlebars and seat and headed out to meet another friend of mine from high school, Kyle.
Kyle, a professional Opera singer, is just as interesting. He had just opened a show, so we were able to meet just outside of Lincoln Center for a bit before he needed to be at the theatre. Kyle has an amazing wife, Laura and an eleven year-old prodigy daughter. A prodigy in what? It would probably be easier to tell you what she is NOT a prodigy in . She is incredibly smart as well as an Olympic swimmer in the making. Maybe I can get lessons from her? Kyle and I talked for an hour about his shows, my races, Alana’s talent and Laura’s singing as well. When it was time to head out Kyle said something to me that made me so proud. He started with, “I know you will probably taught this but Laura and started doing this ‘Insanity’ workout and I feel better, taller and stronger than I have ever been.” I praised him, because I use the Insanity workouts and I am a Beach Body coach. I was so excited to hear about his and Laura’s results. He went on to tell me about how everything was better. He was singing even better, he felt taller, slept better and was craving the workouts. It made me smile when I heard about it. Right here was proof, that with a child that needed to be brought to school, activities, swim practice, his daytime rehearsals, night-time performances, and Laura’s full-time job, they both still found time to workout six days a week. Remember that living in New York City means taking even more time for transportation as well. There are very few people that are as busy as Kyle and Laura and they still find time, six days a week. No excuses. I love it.
That finished my day. I went back to the room, took a shower and fell into bed exhausted. I know it would feel like no time at all, before the 3 am alarm would go off and my phone would remind me again at 3:10. I would try, but I wouldn’t get as much sleep as I wanted.
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.
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 protected]
Or visit her website: www.jessicacrate.com
Carpe Viam!
The 1st week: Are my goals realistic?
I have come to the realization that even I, as the epitome of the positive mental attitude, still hear those negative voices in my head. For all the conversations I have with clients, friends and other athletes about going out and just having fun, I still have grand notions of finishing races with a PR(personal record) and while working out this week those goals seem daunting.
I had three Lactic Threshold tests I had to complete this week; one each for swimming, biking and running. While just doing these tests I felt like I was really out of shape, and truth be told, I did take an off season for the last couple of months, at least by triathlete standards. I did complete at least 5 hour long workouts a week with a half-marathon and a 10k thrown in there, and, oh yeah Ragnar, but I wasn’t in “training” mode per say. This week I started back “in training” and my goals seem so far off and this is only my third day.
Monday, I completed my Bike and Run LT tests which consisted both of a 10 minute warm up, followed by 40 minutes of the event at a pace that burned my legs and put me into a feeling of oxygen deprivation but not so much that I couldn’t complete the full 40 minute main set which was then followed by a 10 minute cool down. My running LT is 173 and my biking LT is 165. I looked into my future workouts they are noted with requirements that include the LT. For instance: Bike 12×1 minute climbs at LT+10, meaning I should be climbing and my heart rate should be 175. Sounds like fun doesn’t it? I know my body will acclimate, hopefully I won’t make a mess before it does.
Tuesday, I completed my first bike workout and strength workout. The bike was 8-12×1 minute climbs in the saddle at a RPM of 50-60. Now my normal riding RPM is 85-95, so you can imagine the resistance that had to be on the bike. I ended up doing it on the spin bikes at LA Fitness, because, well, there are no hills in my general vicinity which is Tampa, Florida. Nothing but flatland here. I have to travel 45 miles north to San Antonio to get any resemblance of some hills, and during the week, that just is not happening. Why? I have a responsibility to this activity called “work”. I wish I could sit here, blog and comment all day, but unfortunately I cannot. I blog in between meetings, lunch and then edit when I can. This workout while being fun, was what I would call, THE QUAD KILLER. It was brutal.
Unfortunately, I was late getting to the gym so I was not able to get my strength workout in, so I showered, drove to work and then returned that evening. Luckily, I always have an extra set of workout clothes in the car. (I think I got that from Ben Mena. He is notorious for spontaneously telling his girlfriend to just drop him off 10-15 miles from home and after changing into a spare set of shorts and shoes he runs home.)
I haven’t worked out with weights in a while, and I know from my studies of the anatomical makeup of muscles and the neurological systems of the body that there is a “breaking in” period no matter how much experience you have lifting. In order to activate the pleasure center of my brain instead of the pain center, I had to drop the weight down and do the exercises concentrating on good form. It was a circuit of 5 supersets and it was not easy, no sir, not easy at all. Deadlifts, pull-ups, squat to overhead thrusts, medicine ball wood choppers, side planks, cable twists and more. I felt beat to death afterwards. Of course, I understand my body enough that I had to stretch very well afterwards or my back would be yelling at me later.
I also learned why I really enjoy working out in the morning. It was extremely busy at the new South Tampa LAF last night. I barely got a parking space, and I ended up having to do most of the movements in a tiny little space, while other members were just waiting to pounce. It was at that point I read myself the riot act and vowed that no matter how much I had to do during the week, I would just wake up early to finish all of my workouts in the mornings.
That vow started this morning as I was up at 4:30 and ready to leave at 5 even though my first workout was track at UT which didn’t start until 6. That workout was brutal as well; 800-400×3-1mile-400×3, at least this week I didn’t falter until the last 400 and only by a couple of seconds. As soon as I finished and cooled down I headed to LAF to do my swim T-test. Basically this is 1000 meters swam as if I was in a race and then the average time of a 100 meters is considered my T-Pace for workouts. Future workouts for example included “4×100 at T-pace – 10 seconds”. I have been working really hard on my body position in the water, but I am still really slow. (Notice I am not mentioning what my T-Pace actually is.) With a pull buoy or fins, I can go forever at 1:50 min per 100m, but without I am…well…a little slower.
After going through all of this, I guess I feel like I should. There is a long journey ahead. I might as well enjoy it.