When Bad Things Happen to Good Exercisers

"There I am," a very fit patient is saying, "out on my five-mile run, motoring my way up a steep incline. Suddenly, I feel a throbbing pain in the middle of my right shin. Oh, no, I think, not again."

As things turned out, the patient recovered from the shin splints1 quickly, but he knew he'd dodged a bullet. "Why did I get hurt?" he wanted to know. "I wasn't doing anything wrong.…What can I do to make sure this doesn't happen again?"
All very good questions. One answer is - basically − we need a plan for exercise. A powerful strategy that helps us train smart and train safe. When you're working this way − training smart and safe − then you can also train hard.

Training safe and smart means paying attention to what's happening in your body as you do your workout. "Paying attention" is a learned skill. It requires focus and repetition. Visualization is an important part of focus ─ and, if you're working on visualization, you're definitely paying attention!

You can visualize when you're running, too.
• Visualize an erect, fluid spine and strong abdominal muscles.
• Your head is upright, you're looking forward and slightly down, and your chest is open.
• Your arms are active yet relaxed, and your shoulders sit comfortably on your rib cage.
• Visualize a long stride, a soft landing, and a strong pushoff, with your leg kicking straight behind you.

Training smart means trusting your instincts, rather than listening to your ego. This is a tough one. At the time, it seems so important to do that last rep. Now, you can do that last rep if you maintain your form. Form is everything. If you have to sacrifice form in order to do those last few reps, you may get an unexpected, unwelcome result.

Likewise in running. When your form breaks down, that's a signal to slow down and recover your good mechanics. If your training is done with attention to proper, effective form, you'll be more likely, when the time comes, to run a good race at a good pace.

And, of course, we want to do these things to be healthy and well. The American College of Sports Medicine2 states, "Resistance training, particularly when incorporated into a comprehensive fitness program, reduces the risk factors associated with coronary heart disease and non-insulin-dependent diabetes, prevents osteoporosis, promotes weight loss and maintenance, improves dynamic stability and preserves functional capacity, and fosters psychological well-being."

As in much of life, there's a fine line between training hard and overtraining. Remember, the benefit of training is for the long term.

1Couture CJ, Karlson KA: Tibial Stress Injuries: Decisive Diagnosis and Treatment of "Shin Splints". Physician and Sportsmedicine 36(6):29-36, 2002
2Kraemer WJ, et al: Progression Models in Resistance Training for Healthy Adults. Med Sci Sports Exercise 34(2):364-380, 2002

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  • "Dave, Hard to put into words how much better I feel. After I left your office, I returned to the shop preparing to go home due to my pain. A customer came in needing a set of 4 tires. I somewhat resisted but decided to gut it out. Halfway through the set I realized I headache was gone. Amazing. Thanks so much for your care and professional expertise."
    Mike
  • "Definitely The Best Experience

    Dr. Silbert is a caring, compassionate and extremely knowledgeable practitioner. My appointments not only relieved my pain but also my mind, as he patiently gave me more insight as to what was really happening in my body. He was very reassuring and confident that he could help my condition. Definitely the best experience I have ever had with anyone in the medical field."
    Kate J.
  • "Active Release Therapy

    I found the staff at this office to be very friendly and helpful. They made me feel like an old friend. Surprisingly I was recommended by an ER doctor for “Active Release Therapy ” on my back and was surprised to learn that Dr. Silbert is the only chiropractor within about an hour drive that does this therapy. It is a slow process and I’ve only had 2 appointments but I would recommend them to anyone. Thank you."
    Cindy R.
  • "My training has resumed my competitive level

    While home training this summer, I began to encounter discomfort while working out. The joints around my knee were giving me pain. My greatest fear was I would have to give up my bobsled racing. A family friend recommended I see Dr. Silbert. After one visit I noticed a difference right away. My body is moving better and my training has resumed my competitive level. The success of my office visits has made my teammates want to see Dr. Silber."
    Valerie S. USA Women Bobsled Team