It's a great podcast (available on itunes or here) with some great simplified explanations about modern pain science and applying it not just to those clients with chronic pain but really with any client...including your rabid runners.
Two big messages include RTF and Rest
1. RTF stands for rush to failure. It is a reference to accelerated protocols that may actually jeopardize clients by being overly aggressive. It is also a reference to our expectations to be better immediately and return to what we want to get back to regardless of the messages are body is sending to the contrary. Lesson: listen to your body and remember to be patient. Often our rush to return leads to compensations, additional injuries and increased risk of future recurrences...don't get caught in that trap!
2. Rest: Chris Johnson, an endurance athlete and physical therapist himself, notes that most endurance athletes when reflecting on their training wish they had rested more. Mind you this isn't the same as just sitting around, but its more an approach to how your train. A classic example in physical therapy is that the physical therapist will give the okay to begin a walk to run program and the client thinks well if a little is okay then a lot is better. When the body is healing (physical therapy) or undergoing stressful training (athletes - endurance or otherwise), it needs rest. This can include increasing your sleep, reducing your training, volume or any number of things. Another prime example of the value of rest and overtraining is the story of my good friend Kim and one of her girlfriends who were training for a marathon. Kim's training consisted of, well, very little specific to the marathon (she was in the Air Force and thus stayed generally fit…but she wasn’t an avid distance runner by any stretch). Her friend had a regimented program that included 20 plus mile runs in the weeks leading up to the event. Kim and her friend both completed the race; however after the race the friend was exhausted, sore and in pain while Kim was ready to go out on the town at Disney World. It's an anecdotal story, but that's not to say it doesn't have its merits.
That's it for now. Stay Healthy and stay active!
All the best,
Dr. Chris Wilson, PT, DPT, CHES