I’m Injured, Now What?

Find the silver lining in your injury

By Doug Balzarini

**Disclaimer — I’m not a doctor and I’ve never played one on TV** My thoughts on this topic of injuries are simply from my personal experience and the experience of my clients and athletes. I am currently dealing with a shoulder injury due to my poor arm-bar escape technique, so this subject is fresh in my mind at the moment.

The focus of this article is to discuss what you do AFTER you have sustained an injury. Are you going to be proactive and get better? Are you going to cower in the corner of the stall like Jim Carey in “Dumb & Dumber”? I vote being proactive; accept it, get your required rest and rehabilitation work going, work on your imbalances, and come back stronger and better than before.

Injuries occur for a variety of reasons and come in all shapes and sizes. They can range from a bump on the knee to severe sprains, fractures, and dislocations. Regardless of whether you’re a professional athlete, weekend warrior, or housewife, chances are you are going to get injured at some point.

GET OVER IT Being proactive means we have determined the severity of the injury and now it’s time to plan the best course of action. If warranted, rehab work may be required. When it comes to rehabilitation and injuries I have always said when in doubt, refer out. I think it is vital to have a solid network of rehab specialists at your disposal. Physical therapists, ART specialists, massage therapists, Chiropractors, MDs, etc; the stronger your list, the better your chance for complete recovery. If you’re a trainer or coach reading this, you should have a network already in place so you can make recommendations for your clients and athletes. If you don’t, then start researching today. A colleague of mine, Eric Cressey, said it well in his “Proactive Patient” article “it’s better to know who you’re going to contact when you get injured than it is to scramble to find someone on a moment’s notice when you’re already in pain.” http://ericcressey.com/7-tips-for-your-physical-therapist-visit

Personally, I always try to learn from my injuries. If I have a muscle imbalance or mobility issue; I will really try to focus on that in my training to help fix the problem. I like to know why I got hurt and then work to correct the issue so it doesn’t happen again. Mr. Einstein said it best when he said, “Doing the same thing over and over again and expecting different results”.

WHAT DO I DO NOW? CONTINUE TO IMPROVE… Just because you have an injury does not mean you get a free pass from training. Of course, this depends on the nature and severity of the injury. Sadly, the calories we consume during an injury still count so we need to keep moving. These setbacks just require us to get a little more creative with our training. Two alternatives to consider are the use of machines and expanding your programming. Even though I’m not a huge fan of training with machines; this may be a time when it’s ok. At least until the injury is healed. This is also a great time to focus on those aspects of a complete program that we tend to rush through such as our flexibility exercises and joint mobility work. If you have a lower body injury you can continue with your upper body training, incorporate your lower body rehab movements and spend some extra time on those mobility and flexibility exercises that will help to prevent the injury from reoccurring.

PERSONAL EXPERIENCE My rundown from this past year includes 3 injuries; an oblique strain, plantar fasciitis, and a labral tear.

Oblique strain – This injury occurred during a grappling session. I figured my lower body movements would be unaffected and I could still focus on my upper body pushes and pulls. I was proven wrong when my first attempt at a pull-up resulted in me on the floor writhing in pain. As soon as I began to pull my body towards the bar, I felt a searing pain in my oblique muscle. Pull-ups are already my favorite upper body exercise; however, this drove the thought home even more. It incorporates so many muscles that you wouldn’t think of. Ironically, it wasn’t too long after this incident that I read a great article by Bret Contreras titled, “Inside the Muscles – Best Ab Exercises”. Bret showed us that your abdominal muscles play a major role in performing pull-ups. The take-away from this painful lesson is that pull-ups are a great “core” and “ab” exercise. I love to tell my clients that we are going to train abs today and I walk them over to the pull-up bar. http://www.t-nation.com/testosterone-magazine-627#627#best-ab-exercises

Plantar Fasciitis – This is an issue I’ve dealt with on a couple occasions now. Years ago it was simply improper programming on my part while training for my first ½ marathon. This past year, however, I have discovered that it has occurred due to an old ankle injury I sustained back in high school. At the time of my symptoms, my right ankle range of motion was literally 50% of my left. Since then I have incorporated ankle mobility exercises, daily calf stretches and lower leg foam-rolling, and that discrepancy is improving. The take-away lesson is that I need to work on my lower body mobility EVERYDAY. My lack of ankle dorsi-flexion and extreme calf tightness are keeping me from running which is something I really enjoy.

Labral tear – This was the injury I prefaced at the beginning of the article. I’m an amateur grappler (emphasis on amateur) and I attempted to pull my arm out before my opponent locked in an arm-bar position. Needless to say, I shouldn’t have pulled, he had it locked in solid, and I have had shoulder pain ever since. After a couple days of rest and ice, I saw a sports chiropractor and a DPT who both determined it was a probable labral tear. I realized bench pressing and any overhead work were out. I began with two weeks of A.R.T., physical therapy and laser therapy. Next, I began to focus a lot more on training the small, intrinsic muscles of my shoulders. External rotation work, Y’s, T’s, W’s, scapular retraction, lower trap recruitment, and rotator cuff stabilization movements were now first and foremost in my routine. While I’m not at a 100%, I feel like I’m getting better everyday and this injury will be a blessing in disguise as my overall shoulder health will be greatly improved.

FINAL THOUGHTS I listed these three injuries as examples to help make my point. An injury is not an excuse to keep you from training. Just be smart and have that strong referral network at your disposal. We are at our best when we are moving! So, listen to your body, fix what needs to be fixed, and continue to get better everyday.

About Doug Doug currently works at Fitness Quest 10 as a personal trainer, strength coach, and Operations Director for Todd Durkin Enterprises (TDE). A Massachusetts native, he earned his Bachelor’s degree in Exercise Science with a minor in Business Management from Westfield State College. Since moving to San Diego he has completed some graduate work in Biomechanics at SDSU, obtained an ACE Personal Trainer certification, the NSCA-CSCS certification, a TRX instructor training, EFI Gravity instructor training, FMS training, Spinning certification, and received his CPR/AED instructor status. He has also appeared in 8 fitness videos, written numerous fitness articles, completed a MMA Conditioning Coach certification program and has competed in multiple grappling tournaments. Prior to working at Fitness Quest 10, Doug worked for the American Council on Exercise as the Continuing Education Coordinator where he was responsible for managing over 400 continuing education providers. For more information please visit www.todddurkin.com, www.fq10.com, and http://twitter.com/dbstrength. Want to use the article above? As long as you include the bio blurb at the bottom, you are welcome to use the article in your own publication.

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About kylesands
Director of Marketing at Fitness Quest 10

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