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15 Replies Last post: Aug 17, 2007 1:45 PM by dragonsrouges   1 2 Previous Next
Click to view kristine25's profile Legend 632 posts since
Aug 17, 2007
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Aug 15, 2007 6:21 PM

What is "pain" and what is "injury"?

We all push ourself to the limits right? If we all stopped when something was physcially bothering us we would never get there right? How do you know what pain is acceptable and part of the challenge and when pain is an actual injury and needs treatment or rest?

This is a question I am constantly asking myself. I have pretty much ran/bike/swim injury free since January 2006 after recovering from a hip flexor injury. But I often feel "twinges". My mind goes back and forth from "oh it's nothing just train through" to "OMG, you better take some time off or it will get really bad". The problem is: I just psychologically cannot take time off. Or I guess it's just a problem if it is an injury. It took a complete lifestyle change to get from the 180 lb couch potato to where I am today and I am scared to death if I get injured and loose fitness, I'll never get it back.

The back of my left knee has been bothering me. Right where it bends, on the inside side. Does that make sense? You know, where it bends, on the side closest the other leg. I never had it bother me before, not until the bike leg of Lake Stevens. It hasn't gotten any worse since LS but it hasn't gotten any better. It's not fit. I rode 100's of miles on my bike without the issue. It wasn't bothering me at all when I run until recently. Now it's just noticeable, not painful, when I run.

Anyways, any advice about this in particular, or about pain vs. injury would be great!
Click to view jroden's profile Legend 1,683 posts since
Dec 11, 2007
1. Aug 15, 2007 7:45 PM in response to: kristine25
Re: What is "pain" and what is "injury"?
You may be getting to a point in the season when you have run out beyond the base you built and need to start the training cycle back over again by having a period of active rest and following with a block of base building and doing other sports, plus developing strength to counteract the imbalances you get from training the same muscles.

Learning to take time off when it's the best thing will make you a faster, fitter and better athlete. Using sports as a replacement compulsion will just lead to injury.
Click to view ussoccer's profile Legend 1,748 posts since
Dec 11, 2007
2. Aug 15, 2007 8:35 PM in response to: kristine25
Re: What is "pain" and what is "injury"?
quote:<HR>Originally posted by jroden:
You may be getting to a point in the season when you have run out beyond the base you built and need to start the training cycle back over again by having a period of active rest and following with a block of base building and doing other sports, plus developing strength to counteract the imbalances you get from training the same muscles.

Learning to take time off when it's the best thing will make you a faster, fitter and better athlete. Using sports as a replacement compulsion will just lead to injury.
<HR>

1!
Click to view juliemboyle's profile Legend 1,028 posts since
Nov 17, 2007
3. Aug 16, 2007 7:27 AM in response to: kristine25
Re: What is "pain" and what is "injury"?
Kristine: I agree. You've been going hard for a long time and you probably need a break. BUT that doesn't mean you have to do nothing.

What about trying some new things? I plan on doing this after Timberman as sort of a re-fresh.

You belong to a gym, right? How about taking a pump class? Yoga, pilates? A spin class (It's fun and different to do with lots of people and music!)

If you replace a run/bike or two with one of these, for a few weeks, it might be just the ticket to refresh yourself and give your body the break it needs.

Heck! I plan on doing NO trainer rides until Jan...I'll ride my bike outside and when it gets cold I am going back to my favorite spin classes for a few months, then in Jan....on the trainer and the serious bike training!
Click to view 3chilipeppers's profile Legend 696 posts since
Nov 3, 2007
4. Aug 16, 2007 7:39 AM in response to: kristine25
Re: What is "pain" and what is "injury"?
From Jeff Galloway's Book on Running:

"It is an injury if it's:
Functional: If it keeps you from running in a natural way
Continual: If it goes on for more than a week
Increasing: If it gets worse
Swollen: Compare the two knees, ankles, etc., to see if one is swollen.
Painful: Pain is the body's way of telling you to pay attention. Dr. Richard Schuster, a New York podiatrist, tells you it's OK to "run with annoyance, not pain." Don't us an artificial expdient such as medicine to override your body's signals and keep running."

It seems to me it is getting slightly worse, has gone on for more than a week, and is painful, so it's probably an injury, though maybe quite minor. Unless you rest completely, it will not get any better. I'd try heat on it as well. You have really been working hard, so your body is telling you it's time for some time off.

I agree with Julie- do something different. You won't go back to that couch potato. Yoga, swimming, walking, and other activities that don't stress it are great to do right now! I'd just rest for a week, then go back to doing light exercise and things that don't hurt it.

Kelli
Guest
5. Aug 16, 2007 8:00 AM in response to: kristine25
Re: What is "pain" and what is "injury"?
Pain is temporary, so just keep going. You'll know when you are actually injured, you will stop whether you want to or not. Reminds me a little of the Kardong quote 'People running 100 miles a week can eat anything they want because they will soon be injured and on a restricted diet anyway' or something like that.

j/k, see Jroden's post.

You say it is not a fit issue, but are you really sure? Pedal cleat wear or slippage, seat slippage, etc. can cause little annoying things.

Probably best bet is to take it easy and reevaluate as others have said.

Optimal stress with optimal rest.
Click to view pcsronbo006's profile Legend 1,584 posts since
Dec 14, 2007
6. Aug 16, 2007 8:11 AM in response to: kristine25
Re: What is "pain" and what is "injury"?
I've got a different take.

I am assuming you're getting some rest and doing RICE. Self massage, ice nightly (min), ibuprofen if your tummy tolerates (seveveral days solid, full time), etc.

Go get a massage. A really painful (ala good) deep tissue massage.

Once you recover from that, see if it still happens. If so, get thee to a physical therapist. Now, you might need a Dr note for that, so maybe that means a token Dr visit to ask for PT because you don't wanna do nothing else, thank you very much.

As someone in similar shoes, where I have many times pushed my body right up to the edge... this process brings me back, keeps me from going too far.

RICE does wonders, when done consistantly.
DT Massage helps unkink those areas that you just seem to keep p!ssing off
PT is the solution when you canonot figure which thing is causing it

I have a wonderful support crew and there is no doubt without my PT guy I would have ended up with a season ending injury by now. And sometimes, he kicks me out and sends me to go get a massage. Even when I didn't really think I needed one!
Click to view juliemboyle's profile Legend 1,028 posts since
Nov 17, 2007
7. Aug 16, 2007 8:46 AM in response to: kristine25
Re: What is "pain" and what is "injury"?
Ronbo brings up a good point.....get a PT that you love, cuz if you stick with this sport, you will need one. I had to go to my Dr. first, then I told them which PT I wanted to go to....do some research and make sure they are sports minded. My PT does sports training as well and the PT there that I last saw is doing IMLP next year, so she knows all about the training, etc, makes a BIG difference.

I went there first when I had been having some minor knee pain, went more as a preventative thing and they set me up with the correct stretches to do, etc.

Then, when I had the Achilles, went back. Now, if I feel anything coming on, I go straight to them, they do an "injury screening" free of charge.

Having a relationship with a good PT is key.
Click to view tri_coach06's profile Legend 662 posts since
Aug 14, 2007
8. Aug 16, 2007 8:50 AM in response to: kristine25
Re: What is "pain" and what is "injury"?
I agree with jr. It's time for some down time and some rest.

RICE as Ron says.

Can you still do exercise, sure just lower the intensity and the time out. I know this isn't want you want to hear, but SWIMMING will at least keep you in shape. You can do all the sets with a buoy to minimize the legs effect.

S
Click to view jroden's profile Legend 1,683 posts since
Dec 11, 2007
9. Aug 16, 2007 9:31 AM in response to: kristine25
Re: What is "pain" and what is "injury"?
One of the things I have learned over time is the need to allow for a period of time every year to let your body decondition so you can start the trainin cycle over. If you plan and execute it at the right point in the season, it's better than getting hurt and having happen because of injury.

When I read back on my training logs from the late 1980's, I was just banging away all year round, on the track 10 mos a year, racing twice a week, running hard, hard hard. When I read between the lines during that period, I saw some amazing results mixed in with countelss soft tissue injuries, nearly constant sinus infections, colds and all nature of physical problems that I just tended to bulldoze my way through because I was young. My time window as a good runner was fairly short, maybe 5 years total before it all cauht up. I think my present problems with running all go back to a bone-headed approach to training that stressed logging miles and following a "plan" rather than using my brain and following a large year-long training cycle.
Click to view jroden's profile Legend 1,683 posts since
Dec 11, 2007
11. Dec 25, 2007 4:28 PM in response to: kristine25
Re: What is "pain" and what is "injury"?
It's hard to just lay out a bunch of miles on the table and say if it's too much or just right, it really depends in part on how your body tolerates the various activities and at what level of intensity and efficiency you are doing them. Some people perform exercises in a grinding, pounding sort of manner, while others do not, that one variable can really have an efffect if you add up all the footfalls and pedal strokes that make up a year.

For example, you can say you have your bike fit properly, which is good, but the choice of gear, how you hold your feet when pedalsing, the ability to keep your knees close to the top tubes, your foot placement when pedalsing and how you climb hills can all contribute to your issues with your knee.

With endurance sports, the little subtle things can tend to add up over time and couse an injury, a worn cleat or running shoe, running on a slanty road--little stuff but it all adds up.

I guess what I was trying to say above is the point of doin this stuff is to develop the fitness and speed required to do well at specific events and then doing the races. The races themselves don't drive the year, your fitness and body is what dictates when and how you race--If you want to train for a half marathon, then you start by taking whatever time is needed for the pain in your knee to subside (do other stuff to stay fit) then setting the cycling and swimming aside to a degree and focus on the 6 mos of running that will be required to reach your potential at a long distance race, then allow some recovery time and start back up with the training required to reach your potential at triathlon, or whatever. You can't reach your potential just stringing together a bunch of junk miles all year round with races thrown in. You now know you have the ability to "finish" even long races, so the next challenge is to become more efficient in the sports, which can actually be a lot more fun and rewarding, you move from the realm of "participant" to more of an athlete in your outlook and approach to the sports.

http://This message has been edited by jroden (edited Aug-16-2007).
Click to view DavidD063's profile Legend 361 posts since
Jan 25, 2007
12. Aug 16, 2007 5:45 PM in response to: kristine25
Re: What is "pain" and what is "injury"?
This is a situation where using a heart monitor can be very helpful. It helps answer one key question: are you overtraining?

Overtraining is subtle in the beginning, then you start getting messages from your body (pain, slower recovery, poor training or race time, etc.).

Regarding your original question (a really good one) -- the difference between pain and injury -- here's a physiological answer.

Pain is an emotion (I'm not saying pain is emotional). It's a sense like our sense of heat or cold, or taste. Pain fibers from our body end in and are "sensed" in the emotional areas of the brain.

An injury is associated with overtraining (with the exception being trauma, such as a fall). You over-worked a muscle and the related joint, ligament(s) or tendon(s) got damaged. (I would say most non-traumatic, mechanical injuries are muscular, with secondary symptoms in other areas).
Click to view Yoshiko007's profile Legend 421 posts since
Nov 16, 2003
13. Aug 16, 2007 9:27 PM in response to: kristine25
Re: What is "pain" and what is "injury"?
What you are experiencing may not sound like an "injury" in a traditional sense, i.e. stress fructure or sprained ankle, however, it seems that an overuse injury is creeping up on you. I hear that majority of overuse injury stems from muslce inbalance. A weak muscle doesn't do a proper job so other muscles have to step in to compensate for it, and as a result, those muscles overwork thus get tight. For the last few years, I have had a hip pain and last year I couldn't even run a mile for a while. I soooo wished it had been a labram tear or something I could put a NAME on it and 'fix' it. I just couldn't come to terms that some weak muscles caused that much pain. I think I finally met a PT who recognized/explained well to me this being caused by my weak/under-utilized quads. (<- and this explains why I was just soooo slow on my bike, too, I think.) With very basic strengthening exercises (which I used to think there would no way to help me, a marathoner!). I haven't had much hip issues for the last few months, plus I can feel I am using more quad for running, and of course biking. It may be a good idea to see an experienced PT and get thorough muscle strength analysis. Small exercises to keep all muslces working the way they should be will save you lots of frustrations and tears, I believe. Good luck.
Click to view pcsronbo006's profile Legend 1,584 posts since
Dec 14, 2007
14. Aug 16, 2007 10:02 PM in response to: kristine25
Re: What is "pain" and what is "injury"?
quote:<HR>Originally posted by kristine25:
It doesn't seem like that much after all the HIM training. How do you know what to give up? All the workouts seem important and I still have two sprints to do this season.
<HR>


Ah-hah! You're still thinking like you are training for HIM. News flash.... yer not. You are not training for SPRINTS. So SPRINT volumes are more in order, no? So let's see... long bike? 15-18. Long run? 4. Swim? 1000.

WHAT you say? No freakin' way!!! I totally hear you. Just today I was whining in my head the ENTIRE time (no ipod) "Man I wish I could do an 8 miler today not a pidly little 4. This is about a waste of sweat"!!

But you have to ebb and flow. Long term, it WORKS. You're showing all the symptoms of overuse and you're aware enough to notice it. That's HUGE. So many people don't. So, RICE it... Massage it.... PT it... it will allow you to keep going year round.