{"id":272,"date":"2014-12-22T20:21:28","date_gmt":"2014-12-22T20:21:28","guid":{"rendered":"http:\/\/ameliabooneracing.info\/?p=272"},"modified":"2016-02-08T17:39:57","modified_gmt":"2016-02-08T17:39:57","slug":"on-being-broken-rehab-and-recovery","status":"publish","type":"post","link":"http:\/\/www.ameliabooneracing.com\/blog\/uncategorized\/on-being-broken-rehab-and-recovery\/","title":{"rendered":"On being broken, rehab and recovery"},"content":{"rendered":"<p><em>Before I begin, let me preface that I am not a medical professional and hold no qualifications or certifications (even meaningless ones where you pay one thousand bucks for a t-shirt), and the last anatomy class I took was a 3 week unit in 9th grade biology. I am, however, a lawyer, so I know I need to cover my ass because inevitably someone may rely on this shit. So what I\u2019m saying here is solely based on my own personal experiences, observations, and the ever trust-worthy interwebs. Follow at your own risk.<\/em><\/p>\n<p>Injury is an inevitable part of being an athlete. It feels kind of weird to say that, for two reasons: (1) I\u2019ve never really considered myself \u201can athlete\u201d, and (2) up until about a year ago, aside from a few broken bones growing up, I\u2019ve never really been injured. Hurt, yes \u2013 but never a diagnosable injury that has taken me out of training for more than a week or two at a time.<\/p>\n<p><!--more-->Within a week of turning 30 (so stereotypical, I know), the wheels<\/p>\n<figure id=\"attachment_129\" aria-describedby=\"caption-attachment-129\" style=\"width: 176px\" class=\"wp-caption alignright\"><a href=\"http:\/\/ameliabooneracing.info\/wp-content\/uploads\/2015\/07\/FullSizeRender.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-129\" src=\"http:\/\/ameliabooneracing.info\/wp-content\/uploads\/2015\/07\/FullSizeRender-225x300.jpg\" alt=\"8 weeks before WTM 2014\" width=\"176\" height=\"235\" \/><\/a><figcaption id=\"caption-attachment-129\" class=\"wp-caption-text\">8 weeks before WTM 2014<\/figcaption><\/figure>\n<p>began to come off. 2014 was a year of recovery\/rehab from one injury, only to lead to another injury, probably resulting from compensating from the previous injury. Frustrating, to say the least.<\/p>\n<p><!--more-->So when people ask me how I came back so quickly from knee surgery to win World\u2019s Toughest Mudder, I tell them \u2013 LOTS of practice. Like any sport or skill, I\u2019d like to think you can get really good at rehab. While a lot of it has been through trial and error (I still have a problem finding a good balance), but I\u2019ve learned a fair number of things along this rehab journey.<\/p>\n<figure id=\"attachment_144\" aria-describedby=\"caption-attachment-144\" style=\"width: 206px\" class=\"wp-caption alignleft\"><a href=\"http:\/\/ameliabooneracing.info\/wp-content\/uploads\/2015\/07\/IMG_3093.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-144\" src=\"http:\/\/ameliabooneracing.info\/wp-content\/uploads\/2015\/07\/IMG_3093-300x300.jpg\" alt=\"My best friend for many weeks\" width=\"206\" height=\"206\" \/><\/a><figcaption id=\"caption-attachment-144\" class=\"wp-caption-text\">My best friend for many weeks<\/figcaption><\/figure>\n<p><strong>Focus on what you CAN do.<\/strong> Ok, so you\u2019re injured \u2013 it\u2019s extremely easy to wallow in self-pity and complain on social media about everything you are missing out on. But I guarantee, in almost every injury scenario, you are not doomed to sit on the couch and waste away to nothing for months. There is almost always a way to train around it. For example &#8211; the day after knee surgery, I was on the handbike. A few days later, I progressed to the ski erg. I could still do pull-ups, push-ups, ride the Airdyne with my arms, and LOTS and LOTS of bench press. Once the wounds healed over, I was in the pool swimming with a pull buoy between my legs until I was able to kick and aquajog.<\/p>\n<p>No, it\u2019s not going to be as satisfying as your track workouts or your heavy squats. But if you\u2019ve ever erged a 10k on a ski erg, lemme tell you \u2013 it ain\u2019t no walk in the park. It\u2019s going to be a different type of fitness you work on, perhaps, and you may lose a little top end, but you\u2019d be surprised how much you can do (especially to maintain that cardiovascular fitness) when you think outside the box.<\/p>\n<p>And it also keeps you busy and helps you avoid pity party, table of one.<\/p>\n<p><strong>It\u2019s the little things<\/strong>. Physical therapy is kind of funny \u2013 almost any lower body injury can be traced to your hips pelvis, and glutes. If there\u2019s one thing in vogue, it\u2019s blaming weak glute meds. So a lot of the exercises are going to be the same whether you have a torn meniscus, a strained hip flexor, or lower back issues. PT exercises aren\u2019t glamorous \u2013 they are boring, tiny little movements. They are time consuming. You will use, at most, a few pounds to work on the stabilizing muscles. But failing to do these things, or even stopping for a few weeks once you\u2019ve started, can mean the difference between full recovery (or, preventing injury), and another few months on the IR.<\/p>\n<p>Even when I\u2019m not injured, I take 20 minutes most days of the week to go through a routine of core\/back\/hip exercises. Prehab is the best rehab.<\/p>\n<figure id=\"attachment_143\" aria-describedby=\"caption-attachment-143\" style=\"width: 179px\" class=\"wp-caption alignleft\"><a href=\"http:\/\/ameliabooneracing.info\/wp-content\/uploads\/2015\/07\/IMG_3083.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-143\" src=\"http:\/\/ameliabooneracing.info\/wp-content\/uploads\/2015\/07\/IMG_3083-225x300.jpg\" alt=\"stim\" width=\"179\" height=\"239\" \/><\/a><figcaption id=\"caption-attachment-143\" class=\"wp-caption-text\">stim to rehab injured leg<\/figcaption><\/figure>\n<p><strong>One size doesn\u2019t fit all.<\/strong> In the world of recovery, there are TONS of modalities \u2013 your standard rest, ice, compression, and elevation, plus fancier things like e-stim, lasers, ultrasound, dry needling, acupuncture, ART, Graston, massage, electroshockwave, prolotherapy, PRP, and the list goes on. Some people swear by certain ones, but for every believer, there is a naysayer on the other side. Everyone\u2019s body is different, so explore those that work for you. I\u2019m lucky to live a block away from the [the coolest place ever] Chicago Recovery Room, where I can access most of these modalties on a daily basis. And through trial and error, I\u2019ve learned a number of things \u2013 such as, dry needling is amazing on almost everything but the calves, ice baths get easier the more you do them, and the Compex stim machine plays rad music.<\/p>\n<p><strong>Get over yourself.<\/strong> When you consider yourself an athlete, rehab is humbling. When someone suggested aquajogging to me as a non-impact way to keep up my cardiovascular endurance, I balked. Images of 80 year old women in flowered bathing caps sprung to mind. But I swallowed my pride, joined a Chicago Public Pool with a deep end, strapped on the oh-so-stylish blue Aquajogger belt, and \u201cran\u201d laps. Did I get stares? For sure. But after a few minutes, I got over it. #zerofucksgiven<\/p>\n<figure id=\"attachment_145\" aria-describedby=\"caption-attachment-145\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/ameliabooneracing.info\/wp-content\/uploads\/2015\/07\/IMG_3140.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-145\" src=\"http:\/\/ameliabooneracing.info\/wp-content\/uploads\/2015\/07\/IMG_3140-300x300.jpg\" alt=\"All the cool kids do it. Or 80 year olds. Whatevs\" width=\"300\" height=\"300\" \/><\/a><figcaption id=\"caption-attachment-145\" class=\"wp-caption-text\">All the cool kids do it. Or 80 year olds. Whatevs<\/figcaption><\/figure>\n<p>Likewise, accept that you may have to start from ground zero. I\u2019d been Rx\u2019ing CrossFit workouts for years. But after knee surgery, I had to rebuild my squat from ground up. Air squats, then just the bar, then super light weight. Weights that once were negligible felt impossible. I\u2019m still not anywhere close to where I was pre-surgery, but I\u2019m not going to push it solely for the ego-boost of that tiny designation next to my name on the leaderboard.<\/p>\n<p>Or, for instance, being banished to the elliptical because you have to stay low impact. Look, there\u2019s nothing more I despise and think worthless than the elliptical. And getting on it made every part of me cringe. But if it\u2019s the elliptical or nothing, I\u2019ll take my 90\u2019s machine any day.<\/p>\n<p><strong>Do your research, but don\u2019t break the Internet.<\/strong> Ho boy, this is a doozy. Google any injury and\/or recovery times from said injury, and you\u2019ll find horror stories upon horror stories. A simple torn meniscus search tunrned up messages boards of people saying their knee still was painful a year post-op. It was enough to drive me into a panic \u2013 it seemed like NO ONE had a good experience with recovery. However, I had to take a step back \u2013 the people who are going to post on internet message boards are obviously the ones who were unhappy. If you had a smooth recovery and no complications, you aren\u2019t going to waste your time posting sob stories online.<\/p>\n<p>That being said, a bit of research is a good thing just to have a basic knowledge of your treatment options and the injury itself. Learn your anatomy, and how interconnected everything is. See if there is a treatment modality you are looking for available in your area. But stay away from message boards, chat rooms, and the like, no matter how alluring.<\/p>\n<p><strong>Find a good treatment team.<\/strong> Speaking of doing your research \u2013 take the time to find a good doctor and physical therapist (thanks Liz!) who understands your athletic background, your goals, and your chosen sport. Or a knee surgeon who understand (despite rolling his eyes), that you want to run for 24hours 8 weeks post-op.<\/p>\n<p><strong>There is no magic pill.<\/strong> Boy, I wish there was. I\u2019ll admit, I\u2019m a bit of a<\/p>\n<figure id=\"attachment_139\" aria-describedby=\"caption-attachment-139\" style=\"width: 205px\" class=\"wp-caption alignright\"><a href=\"http:\/\/ameliabooneracing.info\/wp-content\/uploads\/2015\/07\/IMG_1279.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-139\" src=\"http:\/\/ameliabooneracing.info\/wp-content\/uploads\/2015\/07\/IMG_1279-300x300.jpg\" alt=\"Tastes like cow hooves\" width=\"205\" height=\"205\" \/><\/a><figcaption id=\"caption-attachment-139\" class=\"wp-caption-text\">Tastes like cow hooves<\/figcaption><\/figure>\n<p>supplement fiend. The list of my daily vitamins and herbs is rather nauseating. But while probably 95% of those are worthess, but I also believe in the power of the placebo effect. Tumeric, collagen, hyaluronic acid, arnica, glucosamine, tart cherry juice, quercetin \u2013 you name an alternative remedy, I probably have used it. And despite my pill popping, I can\u2019t really tell you that any particular one has made any difference (I could also probably blame that on a very unscientific method of testing &#8211; the &#8220;kitchen sink&#8221; method). But if it makes you feel better to be proactively doing something, then I\u2019m not one to judge.<\/p>\n<p><strong>You can\u2019t outtrain an injury<\/strong>. I\u2019ve tried. You can add in all the physical therapy baby exercises you want, but if you are still doing the offending activity that caused the injury (e.g., running), you aren\u2019t going to recover.<\/p>\n<figure id=\"attachment_118\" aria-describedby=\"caption-attachment-118\" style=\"width: 215px\" class=\"wp-caption alignleft\"><a href=\"http:\/\/ameliabooneracing.info\/wp-content\/uploads\/2015\/07\/10461966_10100489415693852_8771204500189578480_n.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-118\" src=\"http:\/\/ameliabooneracing.info\/wp-content\/uploads\/2015\/07\/10461966_10100489415693852_8771204500189578480_n-300x300.jpg\" alt=\"Rest Day\" width=\"215\" height=\"215\" \/><\/a><figcaption id=\"caption-attachment-118\" class=\"wp-caption-text\">Rest Day<\/figcaption><\/figure>\n<p><strong>Sometimes less is more.<\/strong> Everyone knows the ills and dangers of overtraining. But have you heard of over-rehabbing? Probably not, because I just made that up. If you are like me (and I&#8217;m assuming lots of athletes out there are), you want a solution to the problem, and you want it now. And if you hear that ART and acupuncture and ice baths can help, then you are going to TAKE IT TO THE LIMIT and do all of those things, in every spare waking minute you have (which is a lot more than you usually have, since you can&#8217;t spend that time training).<\/p>\n<p>But, just like your body needs rest from training, it needs rest from rehab. Things like dry needling are great, but only within reason. Sometimes, your body just wants a break. Do nothing. I&#8217;ve heard (though I can&#8217;t confirm), that it&#8217;s excellent at healing itself.<\/p>\n<p>Find out who you are, aside from racing (or physical activities). Completely easier said than done. Over the past 3 or 4 years, so much of my identity has been completely wrapped up in obstacle racing. My friends, my social media feeds, my day-to-day all involves training and random people covered in mud. And there&#8217;s a great sense of loss, of confusion, when that is taken from you. So then rather than dwell on missing that (I actually found disconnecting myself from social media to be a necessity right around my surgery), find out what else you love. Pick up a new hobby. Rediscover something you used to do or love. For me, that was picking back up my old daily New York Times Crossword habit, connecting with friends I had neglected for too long, realizing that I also really kind of like lawyering, and watching a LOT of professional wrestling. Thank God it&#8217;s also football season, so I could fixate on my fantasy team get annihilated (thanks for awful season, Drew Brees) and (obviously) the Seahawks. Granted, these things can&#8217;t replace the hole you feel from being sidelined, but they can certainly distract.<\/p>\n<figure id=\"attachment_140\" aria-describedby=\"caption-attachment-140\" style=\"width: 204px\" class=\"wp-caption alignright\"><a href=\"http:\/\/ameliabooneracing.info\/wp-content\/uploads\/2015\/07\/IMG_1384.png\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-140\" src=\"http:\/\/ameliabooneracing.info\/wp-content\/uploads\/2015\/07\/IMG_1384-204x300.png\" alt=\"Yes, you - you will be back. \" width=\"204\" height=\"300\" \/><\/a><figcaption id=\"caption-attachment-140\" class=\"wp-caption-text\">Yes, you &#8211; you will be back.<\/figcaption><\/figure>\n<p>Injuries happen, and I&#8217;ve resigned myself to the fact that, as long as I keep pushing my body this hard, I&#8217;m always going to be battling little niggles here and there. But it&#8217;s about catching them early, and being smart (or, smarter than I normally am).<\/p>\n<p>So here&#8217;s to a happy, healthy, and injury-free 2015.<\/p>\n<p>(Now someone find me some wood.)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Before I begin, let me preface that I am not a medical professional and hold no qualifications or certifications (even meaningless ones where you pay one thousand bucks for a t-shirt), and the last anatomy class I took was a 3 week unit in 9th grade biology. I am, however, a lawyer, so I know &hellip; <a href=\"http:\/\/www.ameliabooneracing.com\/blog\/uncategorized\/on-being-broken-rehab-and-recovery\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">On being broken, rehab and recovery<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6,7,1],"tags":[],"class_list":["post-272","post","type-post","status-publish","format-standard","hentry","category-rehab","category-spartan","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>On being broken, rehab and recovery - Race Ipsa Loquitur<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/www.ameliabooneracing.com\/blog\/uncategorized\/on-being-broken-rehab-and-recovery\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"On being broken, rehab and recovery - Race Ipsa Loquitur\" \/>\n<meta property=\"og:description\" content=\"Before I begin, let me preface that I am not a medical professional and hold no qualifications or certifications (even meaningless ones where you pay one thousand bucks for a t-shirt), and the last anatomy class I took was a 3 week unit in 9th grade biology. 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