Overuse injury: How to prevent training injuries

Thinking of starting a new physical activity program or ramping up your current training routine? If so, you may be at risk of an overuse injury — which could ultimately prevent you from being active. Find out what can cause an overuse injury and how to safely increase your activity level.

Common causes of overuse injury

An overuse injury is any type of muscle or joint injury, such as tendinitis or a stress fracture, that's caused by repetitive trauma. An overuse injury typically stems from:

• Training errors. Training errors can occur when you enthusiastically take on too much physical activity too quickly. Going too fast, exercising for too long or simply doing too much of one type of activity can strain your muscles and lead to an overuse injury.
• Technique errors. Improper technique can also take its toll on your body. If you use poor form as you do a set of strength training exercises, swing a golf club or throw a baseball, for example, you may overload certain muscles and cause an overuse injury.

Risk factors for overuse injury

Although an overuse injury can happen to anyone, you may be more prone to this type of injury if you have certain medical conditions. Overuse injuries are also more likely to occur as you get older — especially if you don't recognize the impact aging can have on your body and modify your routine accordingly.

For these reasons, it's a good idea to talk to your doctor ((*and health care team)) before starting a new activity or ramping up your current routine. Your doctor may offer tips to help make physical activity safer for you. If you have a muscle weakness in your hip, for example, your doctor may show you exercises to address the problem and prevent knee pain.

Avoiding overuse injury

Most overuse injuries are avoidable. To prevent an overuse injury:

• Use proper form and gear. Whether you're starting a new activity or you've been playing a sport for a long time, consider taking lessons. Using the correct technique is crucial to preventing overuse injuries. Also make sure you wear proper shoes for the activity. Consider replacing your shoes for every 300 miles you walk or run — or at least twice a year if you regularly exercise.
• Pace yourself. If you're starting a new fitness program, avoid becoming a weekend warrior. Compressing your physical activity for the week into two days can lead to an overuse injury. Instead, aim for at least 150 minutes of moderate aerobic activity or 75 minutes of vigorous aerobic activity — preferably spread throughout the week. It's also a good idea to take time to warm up before physical activity and cool down afterward.
• Gradually increase your activity level. When changing the intensity or duration of a physical activity, do so gradually. For example, if you want to increase the amount of weight you're using while strength training, increase it by no more than 10 percent each week until you reach your new goal.
• Mix up your routine. Instead of focusing on one type of exercise, build variety into your fitness program. Doing a variety of low-impact activities — such as walking, biking, swimming and water jogging — in moderation can help prevent overuse injuries by allowing your body to use different muscle groups. And be sure to do some type of strength training at least twice a week.

Recovering from overuse injury

If you suspect that you have an overuse injury, consult your doctor. He or she will likely ask you to take a break from the activity that caused the injury and recommend medication for any pain and inflammation.

Be sure to tell your doctor if you've recently made changes in your workout technique, intensity, duration, frequency or types of exercises. Identifying the cause of your overuse injury will help you correct the problem and avoid repeating it.

When you think the overuse injury has healed, ask your doctor to check that you've completely regained strength, motion, flexibility and balance before beginning the activity again. When you return to your activity, pay special attention to proper technique to avoid future injuries.

Playing it safe

Don't allow an overuse injury to prevent you from being physically active. By working with your doctor, listening to your body and pacing yourself, you can avoid this common setback and safely increase your activity level.


This article originally appeared on Drugs.com

Are Trigger Points Affecting Your Athletic Performance?

Trigger points cause real problems for athletes.

Not only are trigger points exquisitely painful, but they also affect movement. Trigger points inhibit range of motion by keeping muscles short and stiff. They also weaken muscles, causing them to tire quickly and recover slowly. They produce excessive muscle contraction that can partially disarticulate joints or cause nerve entrapment.

That’s the bad news: Trigger points can seriously inhibit athletic performance. The good news? Acupuncture can help. So can self-care (see tips at the end of this article!).

How does a trigger point form?

A trigger point is a hyper-irritable muscle band with a predictable pattern of pain referral. It forms when the process of muscle contraction and release goes awry.

Muscle overload or trauma causes the muscle band to contract too strongly. Such excessive contracture increases metabolic demand and also squeezes shut the network of capillaries supplying the nutrition and oxygen to the region.

This results in a local energy crisis, perpetuating the cycle of contracture. The muscle band cannot release and a trigger point forms.

Can stretching relieve trigger points?

A muscle harboring a trigger point will be too painful to stretch fully. The pain (and subsequent inhibitory reflex) will prevent you from sufficiently lengthening the muscle band.

What’s more, forcing a stretch will often result in injury (muscle strain) and do nothing to resolve the trigger point.

Think of a trigger point like a knot in a rubber band. Stretching the band will cause it to snap, but it will not release the knot. To restore full stretch to that rubber band, you first need to unwind the knot.

Acupuncture is the most effective way to release trigger points

The acupuncture needle provides a mechanical disruption to the trigger point. It halts the vicious cycle of energy crisis in the muscle. Restored to its full length, the muscle recovers its normal blood supply and metabolism, and it can function fully.

You might be wondering, does having acupuncture on trigger points hurt?

Many release techniques require direct pressure to the trigger point, which is by definition painful. Often a trigger point is too irritable to tolerate much additional mechanical stimulation. But a needle can reach the depth of the trigger point without irritating the hyper-sensitive tissues above or around it. There is simply no other technique that can boast such precision.

And acupuncture achieves immediate results. A single well-placed needle into a trigger point will elicit a twitch followed by reduced muscular tension and increased range of motion. Such immediate feedback is immensely satisfying for someone who has been dealing with pain and dysfunction in that muscle for weeks, months, or even years.

3 self-care tips for preventing trigger points

Increase training loads slowly

Trigger points form due to persistent muscular contraction, strain, or overuse. To prevent their formation, don’t do too much too soon—and make sure you have adequate recovery between workouts. Get enough quality sleep to ensure your body can repair itself efficiently.

Maintain range of motion and muscle balance

This requires some work. Regularly take your body through the opposite range of motion you use in your sport. A good rule of thumb is to lengthen the agonist, and strengthen the antagonist.

For cyclists who spend hours in the saddle with forward shoulder posture, this means increasing range of motion in your pectorals, and strengthening the rhomboids and other muscles of the upper back. Runners typically benefit from lengthening the hip flexors (psoas and quadriceps) and strengthening the hip extensors (glutes and hamstrings).

Break up adhesions

You need to be doing something on a regular basis to normalize tight, overworked muscle tissue.

Supple, flexible muscles don’t get injured. Using a lacrosse ball, a foam roller, or even your fingers, apply direct pressure to a tight muscle band for 8-12 seconds. Taking the muscle through its range of motion while compressing it will break up adhesions before a trigger point forms.

This article originally appeared on Acutake and was written by Ginna Ellis.