Thursday, April 7, 2011

Working on recovery




So I've been dealing with triceps/elbow issues, first reported here, which turned out to be tendinitis.
In the meantime, I've been working on a three-pronged recovery approach. Here are the components:

1. Rest. Not doing movements which aggravate this injury. In this case, no presses or jerks. Obviously that means no long cycle work either. Surprisingly, because the injury is essentially inflammation of the tendon tissue in the elbow, any movement that involves bending the elbow can also aggravate the tendons. That means I have to limit cleans and pull-ups as well.

2. Instituting an injury prevention program. Right now, that means a focus on range of motion (ROM) work, as well as stretching and other flexibility work. I am doing ROM work throughout the day at my desk, and as a warmup and cool down. You can find the foundation of the ROM and flexibility work I practice in Beyond Stretching: Russian Flexibility Breakthroughs by Pavel Tsatsouline. The material in this book was later divided into two of Pavel's later books, but I prefer this one. Pavel does not break down the concepts as simply or as user friendly as he does in his strength training primer Power to the People, but even though it is imperfect, it is the best book I have found on overall flexibility and range of motion.
The ROM work is very similar to traditional Tai Chi warm ups, and the ROM exercises commonly practiced throughout Russia. As for "stretching", it's important to note that the best flexibility work incorporates a type of isometric strength training. This type of flexibility work not only strengthens muscles; it also causes a relaxation response that rapidly increases flexibility. Known as PNF stretching it was developed decades ago by Herman Kabat.
In addition to ROM and PNF work, I've resumed a more expansive yoga practice. I've been a student of yoga since 1994, and was interviewed about my yoga practice for the 2003 book Real Men Do Yoga. Author John Capouya also interviewed a number of pro athletes for the book (Eddie George is on the cover), and he wrote what I think is the most accessible introduction to yoga I've ever read, especially for men more accustomed to weight training and watching ESPN than new age type stuff. I think I was featured as the token "regular guy" among the famous types, and to show how yoga can reduce stress if you have a demanding job (I was in charge of prosecuting most of the child murders in Atlanta at the time). Like the PNF stretching, I rely on yoga for strengthening as much as I do flexibility.

3. The last prong of my rehab is maintaining conditioning. Like most injured athletes, I have been overly concerned about maintaining my sports conditioning while I allow my injuries to heal. This anxiety motivates many athletes to resume sports training before their bodies are ready, and results in re-injuries that are often worse than their initial problem. So part of this is simply giving the athlete a challenging workout to do so he won't hurt himself with a premature resumption of training. Another part of it is selecting an appropriate exercise plan to keep the person in good physical condition for health, irrespective of his athletic goals.
American Kettlebell Sport trainer and coach Cate Imes suggested I try a circuit that included kettlebell swings and jumping rope. Kettlebell Sport athlete (and physician) Matt Schinabeck also recommended swings as a way to maintain the special endurance for kettlebell sport, and, reading the training diary on his blog, I see that he practices what he preaches. Based on their advice, I've combined kettlebell swings with jumping rope to make a challenging circuit. Basically I jump rope for one minute, do a one minute set of left handed swings, jump rope another minute, then complete a set of right handed swings without stopping. I complete this circuit 5 times for a total of 20 minutes. It sounds easy but its a good workout.
If you are looking for a good jump rope, I highly recommend this one. It's the most durable jump rope I've found, and it swings better than any of the ones I used when I was boxing. It comes in two lengths, including one specifically made for tall guys like me. I've had mine for close to 10 years now.

So that's it for now. I'm hoping that within a few weeks I can resume sport training again. If so, I merely want to rehab well enough to make Rank I numbers again in the GA State Championships. In the meantime, I'm working on another piece about injury prevention by practicing sound technique. Until then, I'll leave you with the front cover of Mr. Capouya's book. Take Care and God bless,

David

Friday, April 1, 2011

Disappointment

So I re-injured my arm. And I figured out what was wrong.

I have tendinitis. And not just in my left elbow, but my right one, too.
I was making progress again, and I expected to resume training with the 28 kg kettlebells again by April 1st. But after an easy set of 2x24kg long cycle on Wednesday, March 23rd, I thought I'd follow up with a second set of 2x24kg instead of the easier set with 2x20kg I had planned.

Big mistake.

My left arm told me so, after just 17 reps. I felt a another pain in my left triceps and elbow area, and set down the bells. I thought it was no big deal at the time, but the next day I could tell I had re-injured it.

In the meantime I've done some research about my symptoms, and I've figured out I have tendinitis. Basically, an inflammation or irritation of the tendons.
Some relevant facts for kettlebell sport athletes (taken from WebMD):

1. Tendinitis is most often caused by repetitive, minor impact on the affected area.
Gee, I wonder who that applies to?

2. There are many activities that can cause tendinitis, including:

* Gardening
* Raking
* Carpentry
* Shoveling
* Painting
* Scrubbing
* Tennis
* Golf
* Skiing
* Throwing and pitching
* Kettlebell lifting


Ok, so I added that last one. But now we know.

3. Poor stretching or conditioning before exercise or playing sports also increases a person's risk.

Yes. See my last blog post.

Now for the best part:

4. Initial treatment of tendinitis includes:

* Avoiding activities that aggravate the problem (edited to add: even if it's your only hobby)
* Resting the injured area (even if it makes you stir crazy).


And for the coup de grĂ¢ce:

5. Tendinitis may take weeks to months to go away, depending on the severity of your injury. This is true even if you have a meet planned and its the only one less than one hundred miles from your home in the next year.
Ok, so I added that last sentence, too.

Looking forwards, I also found this advice at WebMD:

How Can I Prevent Tendinitis?

Include warm up and cool down exercises and stretches in your exercise routine. As a general rule, a good warm-up is five minutes for every 30 minutes of planned exercise. One hour on the treadmill or elliptical trainer requires 10 minutes of warm-up. Vary your exercises and gently stretch all the muscles and tendons you are planning to exercise.


Really, if this is the worst thing that happens to me this year, I should count myself blessed. But I was so looking forward to competing in the GA State Championships this June, and I was expecting to make my CMS rank. Even after the first injury, I thought at the very least I could dominate in the 24kg (amateur) division. At this point, I may not even be able to compete. It's starting to look very doubtful.


I've had some workouts (like last night for example) that feel really easy at the time, but leave my arm(s) sore and in a little worse shape the next day. Last night it was super-setting 2x24kg cleans and jumping rope for 22 minutes. Even thought I'm not in pain today, my left arm is stiff and a little worse off, and won't heal doing that.


I'm not really sure what to do. Looking at the big picture, I'd probably be best served by just completely bailing on any kettlebell lifting for the next few weeks, and concentrating only on rest and recovery. In the meantime I'll learn a new joint mobility and stretching routine, and maybe work on squats. I'll report back when I've decided.

Until then, good lifting and good health to you.
God bless,

David