Filling In That Hole

There's nothing like having a senior moment influence your workout.  Rather than run five-to-twelve one-kilometer pieces with rest cycles in between, I ended up doing a version of "ten the hard way" the other morning with my little run group.  Actually, in front of them.

Pete and I got to chattering about his injuries, fitness, training, and racing with about three miles to go.  He decided to run a five kilometer race in the morning, then turn around and race a second event in the afternoon.  Not surprisingly, he marveled at how much more fatigued - and how much more slowly - he raced that evening.

All this, naturally, provided a teachable moment on the joys of recovery.

It seems all too simple:  Exertion (stress) leads to decline in fitness (trough), then a return to homeostasis (baseline) and eventual supercompensation (peak), given enough time.  Add more stress before the return to baseline and you've begun to dig a "deeper hole."  Play your cards right with the level and timing of stress and rest, and over time the baseline is a little higher...that means the athlete is more fit than when they started.

If Pete had been running twice a day - or at the least the occasional run late in the afternoon, followed by a run early the following morning - I believe he would have known how a short recovery period would affect his second run.  He could have learned from trial-and-error how much rest, how much fluid and nutrition, and what specific techniques would have worked.  Or at least what would would not.

Research literature is loaded with many different recovery-enhancing modalities; some of which aren't as highly-touted or marketed as the more-questionable ones.  Naturally, not everyone will benefit equally from the same routine; what works best for you works best for you.

Protein and simple sugars - The latest and most popular blend of protein and simple sugars appears to be chocolate milk.  The moo-juice's advantages definitely lie in the ability to down serious grams of protein and carbohydrates in a matter of seconds almost immediately after the run ends.  Try THAT with a sports nutrition bar!  SlimFast shakes and the Gatorade post-workout shake have also been recommended by several coaches, too, but I started to wonder what the lactose-intolerant runner can do.  A poster on a fitness bulletin board suggested three parts chocolate-flavored soy milk and one part regular soy milk, which they claim has the same ratio of sugars and protein.

Hydration - Water, naturally, is the best choice for hydration, but you only need to drink until your thirst is sated.  A new book by one of my favorite 'smart people,' Dr. Timothy Noakes says the "hydration industry" is, well, 'all wet.'  We didn't have hydration "issues," he says in a recent British Journal of Sports Medicine podcast interview, "until about two decades ago."

Shower - There's nothing like a really warm shower after a hard run; if you have a handheld shower head (especially one with a massage function!) you can focus the flow along the muscles of the lower extremities.  Even though heat and cold treatments are questionable when it comes to muscle soreness, there are very few persons I know who have felt worse after a shower.

Rest - Besides, once you've finished a shower you're probably going to feel like laying down for a bit of a nap.  Even a couple of extra hours of sleep are beneficial to the healing process; sleep deprivation, on the other hand, was found to increase insulin resistance and decrease glucose tolerance, leading to a decreased time-to-exhaustion during exercise.

So, hanging out with the friends and sucking down a couple of adult beverages of choice after a morning's race is perfectly fine, as long as you're not planning to go out and do another race in the afternoon.

ISO A Guy With Initials After His Name

(EDITORIAL COMMENT: MY USE OF THE MASCULINE FORM DOES NOT MEAN I AM A MALE CHAUVINIST - USE OF MALE FORM ONLY MAKES FOR EASIER WRITING.)

Spent a few minutes after getting my weekly Six at Six beat-down talking to Mark. He asked me what I knew about chiropractic, & whether I had ever been treated by a doctor of chiropractic. I had to admit a certain degree of ignorance about the benefits of chiropractic; while I've read much in the running world about athletes being adjusted on a regular basis, I also had to look past some formerly/deeply-held (religion-based) convictions. I'm not in the mood to get into the theological side of this, so I'll stay with the semi-scientific side.

I spent 14 years working in the medical field, as an administrative person (transcribing doctors' orders), a file maintainer/receptionist & a transcriber (history/physical examinations, ER visits, progress notes, discharge orders, treatment notes, and so on). During that time I had close working/personal relationships with most of the relevant medical professions (doctors are willing to engage in some back-scratching to get their work expedited), which gave me the chance on many occasions to ask 'what's the difference between...?'

So, if I were to place the three forms of medicine on a spectrum, I would consider osteopathic medicine (practiced by doctors of osteopathic, or D.O.'s) at the center of the spectrum. Chiropractic, Homeopathic, Chinese and Ayurvedic would be on the left side; allopathic medicine (practiced by doctors of medicine, M.D.'s) would be on the right.

A V.A. friend of mine is a D.O. I would visit him on occasion in the Rehab Medicine department when I had an issue, or just to ask 'what would you do in this situation?' I always found his approach to medical issues to be pragmatic & holistic. He was more likely to try something outside the box than fall back on more traditional methods of treatment. I decided to see what Wikipedia had to say about osteopathic medicine, and whether I had gone far afield with my description to Mark.

Wiki says: "...osteopathy has been considered a form of complementary medicine, emphasizing a holistic approach and the skilled use of a range of manual and physical treatment interventions in the prevention and treatment of disease. In practice, this most commonly relates to musculoskeletal problems such as back and neck pain. Osteopathic principles teach that treatment of the musculoskeletal system (bones, muscles and joints) facilitates the recuperative powers of the body."There's a time & place for pharmaceuticals in the treatment of medical issues, but I'm always amenable to something a little more on the natural side. Mind you, the most important issue is not so much the type of initials after the name as much as whether they are compatible to your needs.

I have spent more time over the past two years in dental offices than doctor's offices, so it wasn't that important to me. However, after my episode in Panama City I knew I did not want to visit the general practitioner near my home. There's nothing worse than being an athlete who has a medical issue; a physician's visit usually leads to the typical 'stop running/cycling/swimming altogether' advice. I also could tell from the first visit the practice would not be compatible; contemporary religious background muzak & copies of Christianity Today are not preferred waiting room material for a recovering fundamentalist.

Fortunately for me, I was able to get the contact information for the physician my friend Steven sees. The guy's a masters' swimmer & does some of our long swim events, so he recognized me right away when he came into the examination room. Right away, I knew this would be a fairly comfortable fit.

And when it comes to your life, your health & your avocation, comfort is darn near everything.