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Dr. Gordon has been kind enough to donate some of his time into answering some questions athletes, coaches and parents may have concerning running.  Below is his profile, and all of the topics he has covered.
 
Topic #3 - Over-Training
 

Over-Training…Is that possible?

 

Getting in shape, getting fit, and training for the upcoming racing season or even an event such as a marathon or triathlon require prolonged and sometimes intense physical training. 

 

Training can take months of running (long runs, hill work, speed work, etc), biking, swimming, and maybe weight training.  For some just working out hard day after day is a way of life.  We would generally assume that intense working out or training our bodies day after day, month after month or year after year would be good for us and our overall health.  Sometimes, however, the very acts of working your body in an attempt to make it more healthy, can go too far and actually cause injury or breakdown.  Today, we will be discussing the issue of over-training.  It is an issue seen in athletes and those who increase training or train intensely for prolonged times. 

 

What exactly is “over-training” and how do you know if you have it?  Specifically, over-training is a set of signs and symptoms that occur when your body is not able to recover sufficiently before getting in to your next workout.  Over time this cycle of starting the next training session before recovery causes breakdown of the very parts of the body that you work so hard to build up. Your body needs proper nutrition and restafter working out so that it can build up the areas that you worked.  This includes muscles, bones, your heart and your lungs.  The structures and systems of your body adapt to the demands you have placed on it before the rest time.  If your workout slightly exceeds your current ability, it will adapt toward what you did in a positive way.  If the workout far exceeds your ability, it will take a longer recovery time to adapt.  If the workout exceeds your ability too far, you will get an injury.

 

So what happens during the rest or recovery time?  Your body uses the nutrients you have given it during the rest time, especially sleeping, to build all of structures stronger.  If your muscles were stressed, they will build themselves stronger (or bigger).  If your heart and lungs were stressed, they will become more efficient.  If the bones and joints were stressed, they will be come stronger.  Two important points are involved in this recovery: 1) Nutrition and 2) Time.  Good nutrition including hydration and protein intake are extremely important, especially within 40 minutes after your workout.  It is a little more difficult to gauge whether you have rested enough for proper recovery but not too much.  The problem with over-training is that the signs and symptoms show up very gradually and can look like other problems.  Below are the hallmark signs and symptoms of over-training.

 

·     Recurrent or prolonged injuries like tendonitis or stress fractures.

·     Illnesses caused by decreased immune system function (bronchitis, colds, mononucleosis, etc).

·     Decreased performance (getting slower or weaker).

·     Amenorrhea in women.

·     Chronic fatigue.

·     Rapid loss of lean body weight (weight loss without body fat loss).

·     Increase in morning resting heart rate.

 

In general athletes suffering from over-training have injuries or pain that just doesn’t seem to go away.  They may feel like they are “run down” or chronically tired.  They may have colds that seem to last for a long time or seem to get sick repeatedly.  During over-training your body is essentially using too much of its resources to attempt to build up the areas being trained.  This can cause your immune system to be robbed of what it needs. 

 

Therefore, you get sick.  This is why nutrition is so important.  You need to be taking in the building blocks of recovery, namely protein.  Many of the other signs and symptoms are related to what you will see or feel when your body is breaking down instead of getting stronger or better adapted to your activity.  However, it is the last sign listed above that is the easiest to measure and track.  In fact increases in your morning resting heart rate can be one of the first indicators that you are getting over-trained.  Generally, you will detect an increase in your morning resting heart rate before the other symptoms or signs show up.  Tracking your morning resting heart rate in a log can be a great way to track your recovery.

All you need to do is check your heart rate first thing in the morning before you have your shower or drink your first cup of coffee (using the restroom is ok).  Record the result in your log along with a few comments about how you have felt over the last 24 hours since your last entry.  You can also track your body weight or body fat.  No need to track weight more than once a week, though. 

 

To take your heart rate, you can use a heart rate monitor that you might be using during your training.  You can also just do it manually on your own.  Just put your fingers to your neck just to side of your wind pipe (trachea).  You should feel your pulse.  If you don’t more your fingers around until you feel it.  You can also take your pulse at your wrist, inside your upper arm or in your armpit.  Count the number of beats for 30 seconds and multiply times two or for a full minute without multiplying.  Record the number of beats per minute you have measured.  Record the morning resting heart rate in your log daily. 

The heart rate should stay the same or gradually decrease.  Increasing heart rate over the course of time indicates that your body is working harder and harder at rest to recover.  If you notice that it is increasing by over 15%, take some extra days off or decrease the intensity until it returns to normal.  During your increased recovery / rest time, make sure you are getting at least 8 hours of sleep, taking in lean protein and are well hydrated.

 

Monitoring your body’s ability to recovery can make or break your goals whether they are fitness goals or performance goals.  Keeping a log is simple and cheap, but it could be the difference in peaking for your goal race or event and falling short.  It can keep you healthy before you even feel the other signs and symptoms.  As Ben Franklin said, “An ounce of prevention is worth a pound of cure.”

 

RUN ON!

 
Topic #2 - Shin Splints
 
As the weather begins to turn (eventually, anyway) runners will return to the roads and track with a vengeance.  They will be welcomed by warm breezes and melting piles of snow and…shin pain.  The dreaded shin splints rear their head like the ground hog that announces how much longer we have to wait for spring.  Unlike the ground hog, though, shin splints can linger on well into a racing season and may even shut you down altogether.  Here are the basics of shin splints and what to look for if they pop up.  There are basically two types of shin splints.  One is easy to fix, one can progress to debilitating stress fractures.
 
The first type shows up as soreness and pain on the outside front of the shin in the meaty part.  It is stretched by pointing the toes down.  This pain results from overusing the sore muscles (anterior tibialis) to pull the foot up as the heel strikes the ground during running and walking.  Actually, this muscle is more active in walking than running.  This version of shin splints is easily treated with icing, stretching, and perhaps temporarily altering your workouts to allow the muscles to get used to the increased work.  Anterior shin pain can also be the result of over-striding.  A video analysis of your running gait may be valuable for figuring this out and fixing it.
 
The second type of shin splints is the more sinister of the two.  It is characterized by pain on the medial side (inside of the leg) of the tibia.  The tibia is the big, weight bearing bone of the lower leg and is susceptible to twisting bending side to side.  Medial tibial stress syndrome, the actual name of this type of shin splints, can progress from a mild pain to a full-blown stress fracture if left unaddressed.
 
So what is the deal with medial tibial stress syndrome?  It is usually caused by pulling of the posterior tibialis muscle on the bottom third of the medial tibial in response to too much rotation of the tibia.  This is most commonly seen as over pronation of the foot.  However, over pronation may not be the cause, but rather the effect.  Tibial rotation can also be due to problems at the hip or core.  If you are a runner with medial tibial stress syndrome, get to a rehab professional who specializes in running injuries and biomechanical analysis.  The cause of the problem is usually due to muscle imbalances (weakness in one area and stiffness in another), training surfaces, sudden increases in training volume / intensity, or just simply how you run.  My best advice is to get your running gait analyzed and fix the CAUSE.  It is like having a car that is out of alignment.  Instead of dealing with tires that wear out too quickly, get the alignment fixed instead.
 
Bottom line:  Shin splints on the outside front of the shin: rest, ice, stretch, progress gradually.  Shin splints on the inside of the shin: rest, ice, see a rehab professional who specializes in running BEFORE it becomes a stress fracture.
 
RUN ON, FRIENDS!!
 
 
Topic #1 - Stretching
 

Stretching for Runners:  Overblown or Underused?

 

This is a question that I often get from new runners, elite runners and everyone in between.  The real answer is, “It depends.”  How’s that for politically correct?  The reason it depends is because not all stretching is done for the same purposes.  Here is the skinny on the facts of stretching.

 

Static stretching (stretch and hold) is the most common and most familiar type of stretching.  This type of stretch is isolated to a particular muscle or group and held constant for a period of time.  The goal is muscle relaxation and elongation.  To truly be effective these stretches need to be held for at least 30 seconds due to the time it takes for the nervous system to relax a muscle and let it stretch out.  Excellent research has been done on the effects of static stretching on running performance.  And the results are….(wait for it, wait for it)…STATIC STRETCHING IMMEDIATELY PRIOR TO RUNNING DOES NOT IMPROVE PERFORMANCE AND MAY ACTUALLY HINDER IT.  This should really come as no surprise considering muscles are calmed and relaxed after static stretching.  Of course muscles don’t contract well or powerfully immediately after being calmed down.  And for the “it depends,” if there is a lack of range of motion at a particular joint that is needed for the activity, the static stretching is needed to get that needed range of motion back.

 

What the research is showing is that dynamic stretching/warm-ups (lunges, squats, push ups, jumping, strides, bounding, etc) IS effective for preparing for running.  However, for many of us who have pretty normal flexibility and are going out for a normal tempo or long run, just starting out slowly and gradually increasing speed over the first 5 minutes is quite sufficient.

 

So as a runner this all means that you NEVER need to stretch again, right?  WRONG.  The fact is that static stretching still has a place in the lives of runners.  It needs to be done at the end of your run, not the beginning.  Static stretching (isolated and held for 30 seconds each) helps your body recover from your run and helps prevent getting stiffness in areas that you don’t want it and that can cause problems when it is there.

 

In a nutshell:

Before running = stretch areas that are too tight (generally IT bands, calves, hip flexors), start out gradually or do a dynamic warm-up

 

After running = stretch all major muscle groups with 30 second holds for each.  This should take about 5-10 minutes at the most.

 

Run On, Friends!

 

 
Dr. Jamey C. Gordon, DPT, PT, ATC, CSCS (DrGordonPT@gmail.com) - "Staff Doctor"

Dr. Gordon is a graduate of Washington University School of Medicine Physical Therapy Program with a master's degree in 1997 and post-professional doctorate degree in 2007, both in Physical Therapy.  He holds a bachelor's degree is in exercise science and athletic training from Manchester College.  He obtained Certified Strength and Conditioning Specialist designation in 2003.  He has worked with professional, collegiate, masters and youth athletes for rehabilitation and performance enhancement training and served as a volunteer for USA Baseball, USA Track & Field, Indiana Athletic Trainers' Association Reimbursement Committee Chair, and is on the board for Fort-4-Fitness and the World Baseball Academy.

 

Dr. Gordon has served as an adjunct professor of biomechanics, human anatomy and therapeutic modalities at Manchester College. He is a member of the National Strength and Conditioning Association (NSCA), the National Athletic Trainers' Association (NATA) and the American Physical Therapy Association (APTA).  His physical therapy practice (Select Physical Therapy) is located in Carmel, Indiana and Fort Wayne, Indiana and focuses on determining the biomechanical factors that cause injuries.  This includes extensive use of digital video analysis

 

Other professional activities include writing for www.PureHealthMD.com, doing weekly tv reports the last couple of years for health & fitness promotion as seen on http://www.indianasnewscenter.com/features/fitness, and speaking nationally on the evaluation and treatment of runners, effects of exercise on diabetes, diagnosis of the cervical spine using the Movement Systems Impairment approach, and general evaluation techniques for athletes.