Fitness Article
of the Month
April 1997
Coming back
from injuries. Prepared by Robert Roos, this article deals with
Physical and mental techniques in healing injuries. Best of Health.
RM
On the Mend
HEALTHTRACK - JULY 96
A SUPPLEMENT TO THE PHYSICIAN AND SPORTSMEDICINE FOR THE WAITING
ROOM
If you're one
of the many people who find that a good half-hour workout every
day or two clears the mind and relaxes the body, a minor injury
that derails your exercise program may come as a shock. The point
of exercise, after all, is to have fun, reduce stress, and stay
healthy. But if you do get hurt, the shock may be less severe if
you know something about injuries and how to deal with them. By
understanding how an injury affects both your BODY and your MIND,
you'll be better equipped to recover.
Getting
Your BODY Back on Track
When you are
injured, you'll be likely to get back to your workout sooner if
you actively help your body recover than if you wait for the problem
to go away on its own.
Acute
Injuries
An acute injury
is one that's caused by a single incident, such as an ankle sprain.
Acute injuries usually trigger immediate pain and swelling. If you
suffer an acute injury that causes severe pain, or if pain and swelling
last more than 2 or 3 days, you should see your doctor. Otherwise,
your best bet is to use the "RICE" approach: rest, ice,
compression, and elevation. These steps prevent further injury and
limit pain and swelling:
R |
est |
Stop using
the injured part, or at least reduce the stress on it. If you're
in a game, don't try to keep playing. |
I |
ce |
Chilling
the injury helps reduce both pain and swelling. Take a bag of
ice (or frozen vegetables), wrap it in a towel, and hold it
against the injured part for 10 to 20 minutes at a time (less
for bony areas, more for fatty areas), with at least 10 minutes
between applications. If possible, do this several times a day.
|
C |
ompression |
Wrap the
injured part in elastic bandaging or a similar material |
E |
levation |
If possible,
raise the injured part above the level of your heart. Compression
and elevation both help prevent swelling and may speed healing. |
It
may not be practical to do all of these things, but the more you
can do, the better. You can also take a nonprescription pain-reliever
such as aspirin, acetaminophen, ibuprofen, or naproxen (if these
are safe for you).
After 2 or
3 days, as swelling subsides, you may find it helpful to use a heating
pad or warm water instead of ice. Warmth reduces stiffness and promotes
healing by increasing blood flow to the injured part. But don't
use heat in the first couple of days, because at that stage it promotes
swelling.
Steps to relieve
pain and swelling are only half of treatment. The other half is
activity. With most minor injuries, "early mobilization"--getting
the part moving again as soon as this is possible without increasing
pain--will speed healing.
The general
recipe for early mobilization is to start with gentle range-of-motion
exercises and then move on to stretching and strengthening exercises
as pain allows. For example, if you have a sprained ankle, you may
be able to work on range of motion in the first day or two by gently
tracing letters with your big toe. Once your range of motion is
fairly good, you can start doing
gentle stretching and strengthening exercises. The key is to avoid
motions that cause pain.
Overuse
Injuries
Overuse injuries,
also called "chronic" injuries, are caused by repeated
motions over time rather than by a single incident. Two common examples
are knee soreness in runners and elbow pain in tennis players.
Many of these
injuries are caused simply by doing too much or doing it too hard.
Just stopping your activity or cutting back for a while may solve
the problem. As in acute injuries, ice and nonprescription pain
relievers often help as well.
If rest, ice,
and pain relievers seem to eliminate the soreness, you can try gradually
resuming your normal exercise or sport. Be sure to warm up with
light activity (such as walking or slow cycling) before your regular
workout, and do gentle stretching exercises both before and after.
But if pain
and soreness don't go away, or your activity brings them back, it's
time to see your doctor. Sometimes, an underlying problem must be
corrected before an overuse injury will heal. The problem could
be a lack of strength or flexibility in a certain muscle group,
a slight anatomical defect, the wrong shoes, incorrect technique,
or a playing surface that's too hard or uneven.
Depending on
the injury, your doctor may have you do special exercises, wear
orthotics in your shoes, replace equipment, or suggest changes in
your technique. In most cases these kinds of steps will solve the
problem.
Make
Up Your MIND to Get Well
An athletic
injury can be an emotional as well as a physical setback. The pain
and swelling may be in your ankle, knee, or shoulder, but healing
depends partly on what goes on in your head.
That's because
an injury that limits your activity can feel devastating. It may
hurt your social life, interfere with your work and home responsibilities,
and, if you're a confirmed exerciser, take away your best stress-relief
tool. You may feel overwhelmed as you face the challenge of keeping
your life more or less normal while you recover.
The good news
is that recognizing the psychological and emotional dimensions of
injury can help you get on the road to recovery. Positive thinking
and an intelligent approach to healing will help you return to action
sooner. Below are some ways you can meet the challenge.
Knowledge
and Planning
Successful
recovery begins with understanding your injury. It helps to know
as much as possible about the nature and extent of the injury, how
long recovery is expected to take, and what you need to do to recover.
The best way
to learn these things is to work with your doctor and other healthcare
professionals to develop a plan for your recovery. Consider yourself
a vital participant in the planning. Although you may not be a medical
expert, you know best how the injury and the recovery strategy will
affect your daily life.
Attitude
Adjustment
Certain attitudes
and ways of relating to yourself and others will enhance your recovery:
1. |
Think of
your injury and pain as things that will go away. Write down
some positive statements about your ability to cope and recover,
and repeat them daily. |
2. |
Let your
emotions help guide you through the recovery process. Use your
desire to recover as a way to help you connect with your sense
of self and healing power. If you feel overwhelmed, nurture
yourself any way you can; when you feel emotionally strong,
use that energy to move forward. |
3. |
Try to
maintain your sense of identity and importance by doing things
that help you feel good about yourself.
Allow yourself to ask and receive help from others, and don't
neglect to express your needs and concerns to your healthcare
providers. |
Healing
Techniques
Three standard
techniques for relaxation and meditation are useful in recovering
from injuries:
Progressive
Relaxation: |
Alternately
tense and relax your muscles, moving from your head to your
feet. Memorize the feeling of relaxation, and try to reproduce
that feeling whenever possible. |
Breathing: |
Use controlled
breathing to modify stressful feelings and your response to
pain. Fill your lungs completely by extending your stomach as
you inhale, and exhale completely. Imagine an inflow of healing
energy as you inhale and a release of any negative energy as
you exhale. |
Positive
Visualization: |
Use visualization
and imagery to create an inner climate of healing. Start by
becoming as relaxed as possible: Music, progressive relaxation,
and controlled breathing may help with this. Then, imagine
a positive, nurturing scene or process. Some people like to
visualize a healing color or sound moving slowly through their
body. Others prefer to focus on the injury site and create
a healing image, such as "enriched blood flow."
Use this
technique to create a meditative, self-hypnotic state focusing
on healing. Practice it every day. This approach may also
help distract you from pain and help you fall asleep.
|
Prepared by
Robert Roos
This fitness
article is for educational purposes only. It is not medical advice
and is not intended to replace the advice or attention of health-care
professionals. Consult your physician before beginning or making
changes in your diet, supplements or exercise program, for diagnosis
and treatment of illness and injuries, and for advice regarding
medications. Thanks. RM
|