“Sometimes serious injury is a great thing for an athlete. It provides the chance to rebuild everything they never had in the first place.” – Charlie Weingroff
It’s not a serious injury, such as a stress fracture, but it’s a mysterious “chicken or the egg” injury. The only thing that’s clear is that I never rebuilt the foundation in my left foot that I’ve needed to, likely within the last 2 years. In January 2014, I had the most glorious, close to “runner’s high” 16K long run (on sidewalks). I felt good going out for 8K, then coming back I started to feel an ache in my left arch. No biggy, I kept running and I felt good despite that growing ache. I felt fantastic after I got home, all except for the fact that my foot was now swollen and I could barely bear weight on my foot. What happened? Well, I sprained structures within my medial longitudinal arch, without acute trauma, just from the magnitude of foot falls on pavement. Once my foot healed I didn’t end up running much in that spring semester due to other reasons. In the summer, I found myself riding and swimming more than running while training for my first triathlon. And here I am. I lacked stability then, and I lack it now. I’m unfortunately not hitting the roads or trails, training for Squamish 23K at the end of August. I’ve got a lax subtalar joint and lack of ligamentous strength that would reaaaallly be needed on the trails. So in one sense, I’m thankful that this is happening now, as opposed to a few weeks out from the race. In another sense, the bang to start my summer semester was to soak up the sun and train hard. Well, if you’re forced to couch surf like me, and desperate to get back to good health and action, here are some ways to maximize your recovery post-treatment.
If you want to get the most bang for your buck after seeing any therapist, be it an RMT (registered massage therapist), physiotherapist, etc., what you do immediately following your appointment matters. Think about this. If you’re seeking treatment due to chronic injury, you’ve most likely built muscular/fascial compensation patterns leading to your dysfunction. It takes adjustments, needles, massage, etc., to try to break that pattern and reset the nervous system so you can lay down new, better patterns to lead you to improved health. (Cue active rehabilitation exercises).
So how can you maximize your recovery post-treatment?
Most practitioners will advise you to drink plenty of water following a treatment and in the days after. Why? Well the body is made up mostly of water and it’s widely used as a transport mechanism to flush out the metabolites and toxins that hopefully got released when you were getting worked on. My wording may not be scientifically accurate, but essentially, we want to flush out the bad waste and replenish tissues with water and help bring in nutrients. It follows the same principles of why you would want to rehydrate following a workout. When you exercise you stress the body. When you are receiving thumbs, needles, metal Graston tools into sore tissues, that’s stress too. So in the same way, hydrating after treatments is just as important.
This would make most sense but it’s also something we easily ignore. Sleep is when the body can optimally repair. I remember reading about this on the internet in highschool when I was desperate to get better from my injury. Some article stated the importance of sleep under “Treatment”, so I immediately told my friends that I couldn’t keep talking on MSN and I slept super early. When your body is weaker than usual, trying to heal tissues, your overall body could use some extra ZzZs. The body always has healing to do from every day stresses, but with an injury, there’s additional damage control that it must deal with. Thus if you want to get reap the most benefits and get better faster following a treatment, it would make sense to get a good night’s rest and in the following days.
Now you must think we’re talking about recovering from a workout, not a treatment where it should have made you already better in the first place. But if you’ve suffered a muscle strain or tear, would it not make sense to also have good nutrients to create new tissue? Even if you’ve sustained a stress fracture, the body needs the proper balance of minerals and vitamins to build new bone. Most, if not all, of the vital nutrients that we need come from our diet. My former teammate in first year told me how if he felt slight muscle twinges (preluding to a blown-out strain) during practice, he’d make sure to eat extra protein and carbohydrates. And somehow, it would seem to help and he’d be good as new. Obviously it doesn’t really work, but when I was super desperate to bounce back from my grade 2+ hamstring strain, I was willing to try anything. Nevertheless, the concept is still important; if you want your body to heal, you need to provide it with a steady amount of good nutrients.
Keep Your Cool
If you let your stress levels peak after a treatment, it won’t help the healing process. Obviously this is a difficult thing for people that need to return to work, to taking care of the family, etc. But ideally you would try to keep things on the down low so your nervous system can hone in on your physical ailments and let the healing take place. If your mental state affects your exertion levels in a workout, then it will also do the same for your recovery. I’ve experienced first hand how mental stress can really put a damper on physical recovery. In addition, I get many questions from people asking if they can crosstrain or do other strenuous activity so long as it doesn’t flare their injury up. It depends on what stage of their injury they are at. Generally if it’s acute or they just received a huge treatment, then my two cents is this: in the immediate days, relax and let your body absorb the good changes elicited from the treatment. I always thought if you worked your other body parts really hard, then you’d be taking your nervous system’s attention away from the injured location. It would panic and be confused about which body part to focus its recovery on. Steve Magness found that having his athletes relax in a social environment immediately after workouts improved their recovery.
All of this is just about optimizing your healing and recovery to get you back to feeling better sooner. These minute details aside from making an appointment, attending the appointment and working with your therapist to solve your issue(s), and following their directions eg. ice/heat, exercises, are just things you might want to think about when trying to reap the most benefit from your treatments. It might also help you feel active in your rehab when you’re supposed to just couch surf and be passive. Most of the time, you get sore the day(s) after a treatment, just as you would from a workout. So why not take care of yourself in the same way as you would after a hard workout?Currently, I’m making sure that all of those are on point, doing banded rearfoot eversions religiously among other things that I can do without pain, and looking to rebuild the foundation that’s been missing in my left foot.
If you’ve made it this far, thanks so much for stopping by and giving up your generous time to read. I’m influenced by great blogs by strength coaches, such as Tony Gentilcore, Eric Cressey, Jon Goodman and Dean Somerset, just to name a few. They are able to elegantly present evidence-based facts, while sharing their opinion and humor, which make it really enjoyable to read. I hope I can mimic that to some degree, where my blogs are insightful, helpful and enjoyable to read at the same time. The main content here will likely just be some reviews and my thoughts about things. Examples of what you can expect from me in the next while are: reviews and my 2 cents on my arsenal of recovery tools such as MobilityWod’s Supernova or the R8 Roller; Why I Came to Love CrossFit, But Will Likely Never Crossfit Myself and 6 Things that CrossFit Games Athletes Taught Me.