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!
Don’t Swim in Open Water
Unfortunately, the triathlon season started on a tragic note this past weekend at the Escape from Alcatraz Triathlon. Not long after diving into the frigid 50-degree waters of the San Francisco Bay, 46-year-old Ross Ehlinger, from Austin, Texas, suffered a fatal heart attack despite the heroic attempts made by the San Francisco EMS.
Unfortunately, Ehilnger was not the first to die of heart problems in the open water swim portion of the 
triathlon. Deaths have been on the increase in triathlons and the vast majority of them occurring during the open water swim leg. This post is not intended to scare into never swimming in open water or ever competing in triathlons, but provide information about the precautions to prevent these types of accidents from occurring.
triathlon. Deaths have been on the increase in triathlons and the vast majority of them occurring during the open water swim leg. This post is not intended to scare into never swimming in open water or ever competing in triathlons, but provide information about the precautions to prevent these types of accidents from occurring.1. Check yourself: If there is knowledge of health and/or heart problems or genetic predisposition to cardiac irregularities, get cleared by a physician before starting a training program and then again before racing. An EKG(Electrocardiogram) will depict any irregularities that may be cause for concern.
2. Warm up: Enter the water before the start to acclimate to the water temperature. If it is not an option, do jumping jacks, push-ups or jump squats to get the blood pumping.
3. Prior Wetsuit Swimming: If this is the initial open swim in a wetsuit, make sure to get some 
experience swimming in it to understand its somewhat constricting feel. Even a few laps in the pool helps.
experience swimming in it to understand its somewhat constricting feel. Even a few laps in the pool helps.4. Practice in open water: Open water swimming is very different from swimming in a pool and can be quite frightening It is therefore important to get some experience in open water; it might help unburden the uneasiness and nerves. Make sure to swim with others and there is a lifeguard nearby.
5. Work on the mental game prior to the next open water triathlon. There are a lot of things people tend to stress about, but with a little mental preparation, most situations that appear will not come as a surprise and can be dealt with.
These are a few small details I have gathered from Kevin Koskella, Tri Swim Coach, which are mostly common sense, at least to most triathletes, but if it can help one athlete be more prepared, I will quote Kevin and every other swim coach until my fingers fall off. (Then I’ll use my toes, and then my tongue.)
There have been deaths surrounding not just triathlon, but marathons and other endurance races as well. In my opinion it comes to preparedness. Evaluating skill, fitness and injury should take president over our ‘Go Hard or Go Home’ attitude.
Of course after the evaluation is complete and the fear of finishing has been quelled, ‘GHGH’ is a great mind frame.
“Just don’t DO IT…Do It RIGHT!”
Carpe Viam!
Rock n’ Roll St Pete Race Recap…Lessons Re-Learned
The crazy thing about not running “Best Damn Race”, was I felt like I needed another race to replace it. It wasn’t very long after I got home on Saturday, that I had typed in the URL for the Rock n’ Roll series and registered for the Rock N’ Roll St. Petersburg Half-Marathon. I have no idea what the driving need was. I have plenty of races on the calendar, so what was another half-marathon? I decided to chalk it up to the hype of BDR and the fact I wanted to race. Is that a distinctive trait in all endurance athletes? I have no idea. I humbly request that you take a few seconds, put yourself in my shoes and let me know if you think you would’ve done the same thing.
Ben, Pete and I at the expo
I always get excited to go to the expos. It isn’t the free stuff, or the vendors, it is the aura, the environment and the excitement of the race. This expo was no different. I wasn’t excited about any of the vendors or the new technologies, I was just excited to be there and take it all in.
Road ID did something new this year. They were engraving on-site. This was the first event I attended where this was an option. What a great idea, and it was so easy. Several kiosks were set up with their software running on it and all that had to be done, was pick the product (wrist band, dog tag, ankle band, etc), type the content of the engraving, slide your card to pay for it and they engraved it for you
Jessica Crate and I
right there. That was my exciting highlight of the expo, besides seeing my friend Kat(Sneakers & Fingerpaints) volunteering with Brooks and Jessica Crate hanging out with Powerbar.
After hanging out with Pete and the gang and seeing a lot of friends at the expo, it was time to head home and chill out for the night. Afterall, not only was I at the expo but I also did a little training ride on the bridges of Clearwater.
The next morning brought on the same excitement as always. I didn’t wake up with the overall feeling of competing, I was more content with the positive anxiety rolling through my body at the idea of running. Period. I love races like this, especially since when I walk around either the start or finish I always seem to find someone I know.
Cheryl & I at the Start
Driving to the event was not an issue. My plan was to just find a place near Tropicana field, on the street or a cheep garage between the start and finish line, but at the last second I decided I really didn’t want to deal with it, so I ended up parking at the Trop for fifteen bucks. This is one of the things I am not crazy about with the Rock n’ Roll race series. Everything is an extra charge. $15 dollars to park at the expo, $15 to park at the race, $5 for a shuttle from the finish line back to the start, $1 per runner you want to track, $5 for the runner to allow others to track and not to mention the $110 race fee. I do enjoy the local races just for the fact they are usually all-inclusive. Best Damn Race was the cure for all of this. One price which even at full price was cheaper ($70), and it included parking, all the good food you can eat, and all the beer you could drink, but I digress.
My first perception was that this race was already increasingly superior to last year, at least for me, because mother nature was giving us a beautiful 57 degrees that morning vs my last experience with the race which was a very cold 33 degrees. This for me was absolutely perfect. The temperature would rise but by the time I finished it still would not have hit 70. A small breeze filled the air with a clean scent, but I could not consider it wind. Even though it was still a little chilly I decided to tough out the wait for the start in just my race attire instead of bringing anything extra for gear check. As I turned the corner around Tropicana Field the start-line events came into my line of sight. There, looking down on the parking lot, were three huge banks of port o’ lets, a few tents for info, volunteers, water and food, and of course the corrals. My heart rate increased a little as the anxiety started to ramp up.
The Mini-Marathon was starting first, which was a 5k, and then the main event, the Half-Marathon, would start about 25 minutes later. Making my way into the arena, recognizable faces started coming into
Stephanie & I at the start
view. This running community, no matter how much publicity it gets, is still relatively small, so racing seems to promote seeing the same faces at most of the events. Even though I didn’t know a lot of the athletes by name they were recognizable, but of course it is not uncommon for someone to come up behind you and give you a big hug, or tap you on the shoulder to say hi. I ran into Margie and her friend she was running with, as well as Cheryl, Stephanie, Mike, Wibke, and a bunch of others which calmed me down tremendously. I decided that I would race this for fun and just let my legs decide what they were going to do. What I decided and what happened were two totally separate ideas.
Around 7:25 the corrals were filled and as I was bib number 1062 I was to start in corral number 1. The crowd noise was diminished to a slight whisper as this 13-year-old girl gave us a beautiful rendition of our national anthem, the gun went off and we were on our way.
My legs felt really good, my breath flowed easy and my form fell into place. I was listening to my iPod, but the volume was low enough for it to be drowned out by the local bands that were playing on the course every couple of miles. As I passed the first mile, I looked down at my Garmin which read 7:28 which was around 10 seconds behind the race clock, which made sense, but the pace was a little fast. I decided to keep on going and let my legs decide. My Garmin alerted me of my 7:30 pace at the end of the 2nd mile which turned out to be about a tenth of a mile
Feeling good
before I reached the race clock. This is not uncommon with races. The GPS signal grabs satellite data every three seconds and within a city, sometimes it does not make a connection for a few passes depending on buildings, and a variety of signals that can interfere with the accuracy. I where a foot pod to record my cadence as well as fill the gaps when the satellite is not available, but the algorithm that fills the gaps will not do so until I have recorded the history at the end of the event.
When I crossed mile three at a time very close to my 5k PR time, I knew that I was at a pace that was way too fast for my fitness level at this time, but I was feeling really good, so against my better judgement I continued. My pace stuck at a range in-between 7:26-7:40 until mile 8 and that is when it caught up with me. Even though I was sticking to my nutrition, I started to feel the ache in my legs, and the tightness in my chest. I got a hold of my breathing checked my posture, leaned in a little more and kept going, but unfortunately, my pace for the next 3 miles steadily increased. I was pretty consistent with the people around me up to this point. I played cat & mouse with a few of the runners, and I was passing people here and there and feeling pretty good about it, but for the last few miles, I would start to get passed. Between, nine and ten, I saw Ben
Seeing a familiar face. Thanks Ben Mena
Mena on the side taking photos. A familiar face usually helps, so I turned toward him and mucked for the shot, pretending I felt a lot better than I actually did. My legs started getting heavier as we headed toward a small bridge, and I noticed Jessica Crate heading the opposite way toward the finish line, along with a lot of other familiar faces in that elite athlete group. Just on the other side of the bridge my watch alerted me to mile 11 and a lap time of 8:31. Out loud I yelled at myself, “Are you f***ing kidding me?” which gained me a few smirks and a couple of double takes from the others around me. I assessed my form, and my efficiency and noticed I was pretty much jacked up, so I slowed my breathing, lifted my arms to put me back in the right posture, tucked my hips and leaned from my ankles. I glided through the next mile at was alerted that I covered it in 8 minutes flat. “Better”, I thought to myself, but I was weakening and I knew it. I only had 1.1 miles left and while no matter what the finish line would be crossed, but it would be the longest mile of the race.
In a period that felt like two minutes went by when I saw Jessica running the opposite way, which could only be her cool down run, when I yelled and waved and before I knew it, she was in front of me. Yelling at me to stay with her. Her commands kept calling my ego to release anything I had left. “Bring your
Elite Athlete Jessica Crate
arms up, relax and let’s do this!”, is what I heard from her as I started leaning more and lifting my legs. “400 meters Brad kick it into gear, c’mon let’s go!” is what sparked my kick. I could see the finish line, it was right there all I had to do was take everything I had and just push to get there. Jessica’s last words to me were “50 meters left, GO!!!!” and I took off with everything I had left. Honestly, it hurt, but the pain subsided the nanosecond I crossed the timing mat. The race clock said 1:45 on the nose when I crossed and I was disappointed in my time, but not in my effort.
My chest was tight, my back started to twinge a little as I retrieved my medal, took photos and started gathering after race treats. Water, Gatorade, chocolate milk, bananas, strawberries, granola bars were basically shoved into my hands and I hadn’t even left the finish corral. I didn’t know what to do with it all, but I thought the race should really hand a plastic bag to the finishers so it could be collected without effort. After all, we all just ran 13.1 miles, the blood isn’t exactly flowing to our brains.
Sexiest woman on the course Karen D.
I found a nice secluded spot to drop all my goodies, and start my post-run routine of lunges, stretches and squats before I started socializing. I caught Jessica at the VIP tent and thanked her for bringing me in and then proceeded to hang with Tara Lee, Cheryl, Karen, Teresa, Holly, Mike, Brian, Stephanie and who knows how many others at the beer tent while we listened to Sean Kingston play live on the stage of North Shore Park.
I didn’t pay for shuttle ticket out of principal, and I kinda decided prior to the race I would just run back, which was probably going to be more of walk by the way I felt. I said my goodbyes to friends at the beer tent and headed back to the VIP area to say goodbye to Jessica, when she told me that she parked at the Trop as well, so we could just run together. “You know, I don’t run as fast as your slowest jog.”, I told her, but she just blew that statement off and we ran back. When I say we ran, I am not kidding. This girl runs like the wind and even though we were keeping a good pace for me, I know she had to keep looking back and slowing down. I will say, when I reached the car, I felt
In the beer garden
pretty good. Looser and more agile. This was a feeling I was going to have to remember. All in all, 16 miles for the day wasn’t to shabby.
Have you ever run again after a hard race? How did you feel?
Carpe Viam!!
Workout Wednesday
The Revolution 3 Florida 70.3 is 5 days away and I feel like I am still working out pretty hard for this “so called” taper week. The workouts are shorter in duration but a little more intense. Yesterday’s workout ended up being a 4 mile tempo run on Bayshore.I started, as always with a warm-up of Dave Scott drills, ballistic stretches, high knees, hamstring leg-ups, booty kickers and bounders. My main set consisted of a 1 mile run at an 8:15 minute mile, Four 3 minute sprints with 45 seconds rest in between, and another 1 mile run at 7:45. I cooled down with my usual routine of 50 walking lunges, 50 monkey lunges, 50 squats, 50 crab walks and static stretches. Does that sounds like taper week to you? At the time I didn’t, but afterward I understood. I was fatigued to a point where I was recovering fast, but I felt like I could do more. I am not sure if it will actually do anything for me as far as strength or speed, but it did boost my confidence, which was just fine with me.
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| Bayshore Tuesday Morning |
This morning (Wednesday), I looked at my plan and an expletive was about to come through my mouth for two reasons; a) I didn’t sleep well the night before, and b) I really thought this was taper week. As I perused the scheduled butt kicking I was about to give myself, I realized I might have been wrong. Here was my bike trainer workout this morning:
Warm-Up – 50 single leg drills on each leg, 100 single leg drills on each leg, 10 minute spin in the small chain ring
Main Set – (and get this) Pyramid Intervals: 1 min sprint, 1 min spin, 2 min sprint, 1 min spin all the way to 6 min sprint, 1 min spin and back down to 1.
Cool Down – 15 min spin and 1 mile transition run
I didn’t expect a workout of this intensity this morning, but at the conclusion, dripping with sweat, I realized how ready I was for this weekend. I might not do as well as I did in Augusta, but I am sure going to give it one hell of a try.
Speaking of workouts, the off-season is coming up and my goals are to develop some leg strength that will allow me to average 24 mph on the bike comfortably, arm, core and back strength to allow me to propel in the water, run faster, and stay in the aerobars longer on the bike. I also would like to increase my flexibility to keep relieving pressure on the injury in my lower back.
Here is one of the first workouts I ever did to comeback from my back injury which helped me attain the base cardio, core and strength I have today and which has allowed me to enjoy the success I have been having. (Well, at least I think it’s success.)
Warm-up: (1 set x 10 reps)
- Walking Knee Hug
- Lateral Jumps
- Fwd Lunge w/ Overhead Reach
- Jumping Jacks
- Reverse Lunge w/ Twist
Core (3 sets x 10 reps)
- YTLI Raises
- Swiss Ball Plank
- Single Leg Glute Bridge
Strength – Supersets (3 supersets x 10 reps)
- Prisoner Squat/T- Push up
- Dumbell(DMB) Reverse Lunge/Inverted Row
- DMB Single Leg Romanian DeadLift/DMB Push Press
- DMB Lateral Lunge/Pull up
Cardio Ciruit (20 reps of each exercise x 3 rounds)
- Kettlebell Swing
- Burpee
- Squat Jump
- Shuttle Run
It’s a pretty good workout and can be done in about 45 minutes with minimum equipment obviously. As with any workout whatever you put in, you will get out and with this workout it is no different. I thought I would share it as a portion of Workout Wednesday. I will continue to bring you different workouts each week whether I get them from my past experience or from research I find. If you have any workouts you are passionate about or WODs (workout of the day) you enjoy. Feel free to submit them via the contact form and I will post them and credit you with a guest posting.
Carpe Viam!