Solutions Without Information
Have you been offered a solution without that person knowing anything about you?
A proposed solution without information is not a solution. It’s a guess.
This story comes from a Facebook group of a very popular CrossFit programming company.
Someone posted that they had developed tendinitis in their elbows during the 13-week strict pulling cycle that they had just completed (as per the group programming). They were looking for advice.
The first comment is from a coach and gym owner.
“Smash scapula with lacrosse ball leaning on the wall, don’t do any movements that are more than a 5/10 for pain. Don’t take anti-inflammatories. Don’t ice. Do get a voodoo band and then message me when you get it”.
So far the only information from the person experiencing pain is that they just did 13 weeks of strict pulling. They say they have tendinitis. We do not know if that is a diagnosis from a professional or a self-diagnosis.
There is very little information.
So I ask this coach why he chose the scapula. I thought it was a more professional question than my alternative of “why are providing solutions without knowing what the problem is”.
The answer: “Anatomically I can’t tell you. I just know that where this is pain it’s often upstream or downstream causing it.
So what is NOT downstream from the elbow? The scapula.
But he’s going to send me some magical video of how to “fix” elbow tendonitis. I’m really looking forward to it.
To offer advice you need information.
Without information, anything is a guess. Guesses have a low likelihood of success. It’s ok to not know.
Information that would be beneficial:
What was their training volume like before the 13-week cycle? Especially with pulling movements.
Is the pain isolated at the elbow? Anything in the shoulder or wrist? Does it get better or worse with activity?
Do they have the mobility to get into the positions they need for the movements they want to do? Especially in the shoulder and wrist.
Any previous injury history?
What is their recovery like? How much do they sleep? What is their stress like?
These are only a few questions. There are plenty of others that could come up with a potential client.
Listen first. Get the information.
You Don’t Need To Spend Hours In The Gym
How much time should you spend in the gym?
Unless you are a competitive athlete you do not need to spend hours in the gym multiple days a week to see results.
These are the physical activity guidelines from the World Health Organization for adults age 18-64:
1: should do at least 150–300 minutes of moderate-intensity aerobic physical activity;
2: Or at least 75–150 minutes of vigorous-intensity aerobic physical activity; or an equivalent combination of moderate- and vigorous-intensity activity throughout the week.
3: should also do muscle-strengthening activities at moderate or greater intensity that involve all major muscle groups on 2 or more days a week, as these provide additional health benefits.
That's a minimum of 2.5 hours and a maximum of 5 hours of moderate intensity activity. A lot less as your intensity increases. They say you can increase those activity levels for additional benefits, but that isn’t elaborated on.
You can hit the minimums with 30 minutes of activity, for 5 days. Or by going to the gym for 2-3 days at an hour each session.
If you want to dedicate more time to the gym, that's great. But eventually there will be diminishing returns.
Maybe the additional time you spend in the gym could be spent on your recovery. Take a nap :)
Maybe the additional time you spend in the gym could be spent engaging in other enjoyable social activities that contribute to your mental health.
Maybe the additional time you spend in the gym could be spent preparing a nice meal. @hellofreshca sponsor me.
Just because you see someone else spending 2-3 hours a day in the gym, doesn’t mean you need to. Maybe they need to based on their goals. Or maybe they need another hobby.
Low Back Sore After You Deadlift?
Are deadlifts the problem?
Does deadlifting leave you with low back soreness the next day?
Deadlifts get a bad reputation for low back pain and soreness.
I often hear things like “I deadlifted yesterday and now my low back is sore, I must have done something wrong with my technique”.
Sure it’s possible that your technique could have been improved, maybe recruiting other areas of your body to assist you. Maybe leading to less soreness.
But soreness also doesn’t need to be bad. We don’t always want to be sore, but soreness is a normal response to training, including with deadlifts. I have yet to hear “My biceps are sore from pullups yesterday, I must have done something wrong with my technique”.
Deadlifts are a posterior chain exercise (back half of your body). Your low back is included in that. While we want your glutes and hamstrings driving the majority of the activity, your low back is absolutely involved.
Here are some things you could look at that could influence that soreness:
Recovery: How has your sleep and nutrition been? Are you adequately fueling your body? Were you giving yourself adequate rest between sets?
Training loads: Did you increase your training loads to volumes that your body has not experienced yet?
Movement quality: Was your movement quality better at different weights or reps?
Areas of strength: Is your low back simply not as strong as other areas of your body? Maybe it just needs time to catch up.
Soreness is normal and ok. It doesn’t need to stop us from progressing.
Chronic Intensity
Are you experiencing too much intensity?
If everything you do is at high intensity, where is your variety?
I used to coach group classes where consistently everyone would be so exhausted that they would drop to the floor, unable to form a complete sentence. I will no longer do that.
If every workout you do leaves you rolling around on the floor, is that variety? Or is it just different versions of the same thing?
Sure maybe there is variety in the movements that you do. But where is the variety in intensity?
You probably don’t need as much intensity as you think. Absolutely not every training session.
High level athletic teams don’t even constantly practice or train at high intensity. They have optional days. They have walk-throughs. They have film sessions. They have deload weeks. They even have rest days.
To make improvements in training we need to recover. If you aren’t feeling recovered from the previous day's training, you would probably benefit from reduced intensity. Especially your training is affecting other aspects of your life, like your mood, energy and sleep. And absolutely if your training is leaving you in pain.
Feeling Good Isn’t Enough
Does rehab stop when you feel good?
Rehab doesn’t end when the pain stops.
I’ve been that coach that heard someone was pain free after an injury and let them load a barbell with pre-injury weights. That’s not who I am now.
You strained your hamstring playing soccer on the weekend.
You are eager to get back to what you normally do in the gym. You want to get back to deadlifting, squatting, running and anything else your workout could bring. And of course you want to get back to playing soccer.
You are in pain so you go to get some rehab work done. Maybe that’s physiotherapy, maybe it’s chiropractic, maybe it’s massage therapy. Through a combination of manual therapy techniques you are able to be pain free, which is fantastic!
You can go through your day pain free now. You are back in the gym doing your normal activities.
So are you done? Are you back to 100%?
The healing time of a muscle strain can range from 1 week-6 months. Maybe you feel great at 4 weeks but your tissue healing still needs more time.
You need more time to heal and a graded return to sport or activity. You need measurables to assess your strength levels relative to your pre-injury state. This likely doesn’t happen by feeling pain free and then jumping in on a fitness class and going 100%. But this can happen with a team approach in your rehab (that includes knowledgeable coaches).
Rehab doesn’t need to be an endless loop. You don’t need to always bounce between injured and pain free.
It may take more time than you want it to. But the results will last longer too.
Mitigation>Prevention
Can we prevent it? Or mitigate it?
In the realm of injuries, mitigation is better than prevention. Because prevention doesn’t exist.
Mitigation is the action of reducing the severity, seriousness, or painfulness of something.
Mitigation accepts that there are certain things that are out of our control.
We can’t control that hidden patch of ice that you slipped on in the winter.
We can’t control that box that fell on your toe.
We can’t control the car that forced you off the road into a biking accident.
We can control the steps we take to have those uncontrollable things be less severe.
We can prepare ourselves physically to be able to recover quicker from those incidents.
We can make it more likely that a 6 month recovery becomes a 3 month recovery.
We can make it more likely that you can be less hindered in the ability to do the things you want to do.
There are those that will recommend you do some weird training to prevent injuries. Those things may look cool, but unfortunately prevention is not possible.
Because life is going to happen. We can’t prevent that. But we can make the most of it by being as prepared as possible.
When to Use a Foam Roller
When should you use a foam roller?
Let’s dive into some claims about foam rolling.
One of the big claims for foam rolling is decreased soreness. Studies have shown no negative effect of foam rolling (increased soreness) and found about a 2% improvement in perceived soreness. This was studied using a 10x10 back squat program and 20 minutes of foam rolling.
Some claim that it promotes blood flow. So does running, walking, squatting, biking, rowing, or just moving. You would have to foam roll crazy fast to match the amount of blood flow created by those activities.
Another claim is loosening muscles. A commonly spread idea is that it will loosen knots in your muscles. Unfortunately, it's not that simple. Let’s take someone who squats 500lbs. Their muscles and body structure have adapted to move 500lbs. A piece of foam isn’t going to do much to those muscles. But can change happen? Yes. But it won’t last long. Studies looking at improving range of motion showed that foam rolling prior to training can improve range of motion but that the improvement lasts approximately 15 minutes.
So how would I use it for myself or my clients?
To me, 20 minutes of foam rolling isn’t worth it for 2% improvement. I would rather manage the training volume and overall recovery (sleep, nutrition, etc) better. But for athletes, this could make a lot more sense. Athletes can’t control when their games are or how intense a game is. If it helps, do it.
For some people who feel restricted in movement, foam rolling could be useful. Let’s take someone who has very stiff ankles and it is restricting their squat or ability to run. Small bouts of foam rolling on the calf prior to training could provide a short-term window of improved range of motion. Next, we would use that range of motion. We would load it. Want to change your muscles? Load them. If we load that new range of motion, it will be more likely that that range becomes more permanent. So that eventually increasing range of motion could be less of a priority.
Lastly, the placebo effect is real. If you have been foam rolling, you enjoy it and are seeing results, then keep doing it. No need to change something that is working.
Shoutout to E3 Rehab for the majority of the content for this post. They have some great resources on the topic on youtube.
When Foam Rolling Isn’t Enough
Is foam rolling the solution for you?
You’ve got this knee pain that is affecting your ability to run. You love to run. It’s an escape for you, a part of your routine.
You see a video on Instagram of someone saying to use a foam roller to reduce knee pain. They seem smart. They run a lot too.
So you start foam rolling. You start with 5 minutes of foam rolling before your runs. It helps for 5 minutes but then the pain comes back.
So maybe more is better. You try 10 minutes of foam rolling. It helps for 6 minutes but the pain comes back.
This cycle continues until you spend 30 minutes before and after running on your foam roller.
That’s an hour of your day.
Is the foam roller the solution for you?
Maybe there’s a more appropriate solution for your needs.
It could be strengthening your hips, quads, calves, feet, etc.
It could be managing your recovery better through sleep and nutrition.
It could be managing your running volume more appropriately.
It could be a lot of things. And maybe it includes using that foam roller. But not for an hour a day.
Feel like you are spending time doing something and not getting the results you want in the time you have available? These are the problems I aim to solve.
When Advil is Dumb
That time Advil said something really stupid.
“Pain says you can’t. Advil says you can”
This quote is from an Advil commercial that popped up on my feed today.
One of their other messages is “pain will get you soon enough”.
It’s clever marketing. Saying that pain is going to get you eventually, might as well buy some Advil.
It’s also a band-aid. A temporary solution. Nothing that will address the underlying issues that would lead people to have problems doing the things represented in their commercials.
Activities like lifting a tire, walking to work, picking up your mail, playing with your kids at the park, building furniture or opening your oven.
There are issues there that Advil will not permanently solve. Sure maybe it helps short-term. But it’s not a solution.
What could be the solution?
Maybe the person is doing too much too soon and needs to address the workload.
Maybe they are stressed and have too much on their plate or are unable to effectively respond to stress.
Maybe the person has some range of motion limitations that are affecting their daily activities.
Solutions require a process, not a short-term pill.
Solutions require assessing where someone is currently at, to find the most appropriate path towards results.
Cooldowns
What’s the best cooldown? It’s more simple than you probably think.
How should you cool down?
Do you need a cool down?
Should you stretch in a cool down?
Should you use a foam roller during your cool down?
For general health I think this is a topic that has become way too complicated and overly emphasized.
Is it important? Yes.
Does it need to be long and complicated? Probably not.
So let’s keep it simple.
If you are training for general health this should be your cool down:
Do what you were doing for training, but slower, lighter, and at less intensity. Keep moving but move less and move slower.
The goal of a cool down is to bring you to the state needed to do your next thing and assist in recovery.
Basically don’t go from 100% to 0% right away. Do this gradually.
Some of this can happen naturally.
Were you lifting weights? Cleaning and deloading your bar is a part of your cool down. You are still moving things but at much lower intensity.
Finished a run? Gradually slow down to a walk and keep walking until your heart rate reduces.
Finished a CrossFit workout and then need to head home right away? If you walk to the gym, that walk is a part of your cooldown.
When training for general health, cool downs don’t need to be complicated. It’s unlikely you need any crazy foam roller, lacrosse ball or stretching routine. You need to move on to the next thing in your life. If you are spending a good percentage of your “training” cooling down, it's very likely that time could have been spent in better areas.
Cool downs become more intricate and important if you are a competitive athlete that needs to repeat their competition at regular intervals. But that is such a small percentage of the population.
What’s your cool down? Comment below.
Soreness ≠ Progress
Do you need to be sore to progress?
Do you need to be sore to make progress?
Short answer: No
Can soreness be a part of your training process while you make progress? Absolutely.
But you don’t need to be sore after every workout.
Soreness does not need to represent how hard you worked in the gym.
In training I want the results to speak for themselves.
I recently had a client mention that they were concerned that they weren’t working hard enough because they weren’t waking up as sore as they usually do.
But in two months they were able to double the number of pushups they can do, which is one of their goals. All while not being as sore.
That’s progress. And working hard.
This can be a challenging mindset to change. Society can often preach the “No pain no gain” mindset. That if you aren’t rolling on the ground afterwards, you didn’t work hard enough.
But why put yourself through pain if it’s not necessary. You can achieve results without pain.
I like to train smart. Training to improve your life and your health is a lifelong process. Let’s make that process as enjoyable as possible.
Could you be sore after a workout? Absolutely! That’s a normal outcome of the training and recovery process.
Do you need to be sore after every training session? No. If you are, this could be an indication of a recovery and training process that could be improved.
This is not to say don't work hard. Just work smart.
When Does Recovery Start?
When does your recovery start?
What do you do immediately after an intense workout? What is your post workout routine?
Do you stretch? Do you roll around on the ground? Do you hunch over and lean on your knees? Do you chug a bottle of water? Do you contemplate your existence?
Any of those things could make sense assuming there is intention to it.
When that workout finishes, when that last rep is done, when the clock beeps, what I often notice is what could be described as chaos.
That chaos often lacks intention.
When your workout stops, don’t stop.
Don’t stop functioning. Start recovering.
This means breathe, this means move, this means lower your heart rate.
Your cooldown starts as soon as your workout finishes.
It’s fine to lay down on the ground on your back or hands and knees after a workout. That’s assuming there is intention to it. Those positions are actually the easiest positions to work on your breathing mechanics. Get back to nasal breathing as soon as you can.
It’s fine to stretch after a workout. Maybe you have any area of your body that you know needs some additional attention. Maybe it helps you relax and calm down. That’s intention.
Workout ends, recovery starts.
For most of us, we are TRAINING to be healthy and fit. If we are in a position where we are consistently incapable of focusing on our recovery after a workout ends, we are likely regularly overtaxing our system.
Now if you are COMPETING for an Olympic medal (or insert athletic competition), do whatever you want, you’ve earned it.