muscle

Do You Want Ice With That?

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Several years ago I was working with an elite marathon runner who was training for the Olympics here in Flagstaff. During one session, I noticed that her legs were very cold to the touch. When I asked her about this she replied, “Oh, I just got out of an ice bath”. I commented that an ice bath sounded painful. She said, “My legs get so heated during a 26 mile run that the ice feels wonderful”. At the time I couldn’t understand how that could be until I ran my first marathon, after which I tried the ice bath. What I can tell you is “the ice feels wonderful!”

I noticed that after running 26.2 miles and an ice bath, my muscles felt better then when I did a shorter training run of only 16 or 18 miles without an ice bath. Without the ice, I felt more ache and stiffness in my muscles causing me to hobble around later in the day. After the ice bath, my muscles felt more revived and resilient (albeit still a bit achy) even though I ran about 10 miles farther! Was it just my imagination? The fact is there is some science to support my experience.

By now most people know to treat a muscle injury with ice.   But the ache and irritation post workout isn’t really an injury, so common sense would say there is no need for ice.  This is true for the average type of workout.  But if you are in a prolonged training regimen, like training for a marathon run, ice is indicated for post workout recovery.  Here’s why.

Prolonged and continuous muscle use like in distance running and cycling that lasts longer than two hours, generates so much heat that increased blood flow to the muscles is needed to bring additional oxygen to the tissue, as well as provide cooling during the workout.  The increase in blood flow causes the surrounding tissues to stretch which creates additional irritation and is the cause of much of the post workout muscle ache.  When ice is applied within 30 minutes of the workout, the swelling of the muscles related to the increased blood flow is reduced thereby minimizing the secondary tissue irritation.

Additionally, studies have shown that ice is effective in reducing the sensation of muscle pain.  This is likely the reason why I felt so much better after running the marathon followed by an ice bath.  The effects of the ice on the muscle inflammation was what enabled me to feel relatively normal the next day, rather than hobbling around.

There is a problem with ice however.  It’s when ice is used during a workout or competition to treat muscle pain with the hope or expectation of returning quickly to physical activity.   A new study shows that using ice during an event (like in football, or baseball), where there is a break in the action (like half time or between innings), using ice to mitigate muscle pain can reduce physical performance and possibly increase the risk of muscle injury upon returning to the action.

Studies have found that athletes experienced reduced muscle strength as demonstrated by not being able to jump as high, spring as fast, or throw a ball as far up to 20 minutes after icing.  The theory is that the ice slows the speed of the electrical impulses running through nerve cells and thereby reducing the effectiveness of the muscle.

The study used an icing period of 20 minutes and the researchers concluded that if ice is used during physical activity, it should be followed by a period of slow warming for at least 15 minutes before resuming the activity.  The researchers caution that relying on ice to reduce muscle soreness to get an athlete back into a game is inadvisable.   They recommend sitting out the rest of the game so you can be ready for the next game.

But if it’s the end of the event, feel free to jump into the ice bath and enjoy it.  Just don’t plan on moving too quickly for a while after.

 

 

Paul Kulpinski is a licensed massage therapist, holistic wellness educator and co-founder of Mountain Waves Healing Arts in Flagstaff, Arizona. Information contained in this blog should not be taken as medical advice. Readers are advised to validate the information presented here with other sources including your personal physician for information specific to you.

Avoiding the New Year’s Day Weight Loss Resolution

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Holiday TreatsAs I write this we are only one week into the holiday season of feasts, office parties, and sugar plum treats and just 31 days away from the New Year and the popular resolution to lose some weight.  Maybe this year could be different.  Maybe this year, we could avoid adding the pounds during the next 31 days that we will resolve to remove 32 days from now.

First, let’s face some facts.  When we use the term weight as in “I’ve gained 15 pounds just from Thanksgiving” or “I need to lose some weight from all those holiday parties,”  what we’re really talking about is fat. We make the mistake of substituting our fat gain with the notion of weight gain.  Granted, if you add fat to your body, you will gain some weight.  But if we are only focused on weight, we are missing the mark.

Fat is by design the most efficient mechanism for our body to store energy.  It is so efficient that fat can hold 2.25 times the number of calories (energy) per pound than either carbohydrate or protein.  That’s why the human body evolved the ability to efficiently store energy in this very portable structure.  Look at it this way, 1 pound of fat contains 3500 calories.  That’s easily a two day’s supply of energy in just one pound!

In a balanced diet, we take in calories from three sources:  protein (lean meat, beans, eggs, dairy, soy), fat (animal, plant, nut), carbohydrate (vegetables, fruits, grains, sugar and everything else that isn’t protein or fat).  The body burns up the calories from each of these food sources  in two ways:

  • Basic Body Function (Basil Metabolism):  breathing, heart and circulatory function, glandular activity, cellular activity, digesting food, regulating body temperature and such.
  • Physical Activity:  walking, climbing stairs, dusting, mopping, bicycling, swimming, rugby playing, climbing Mt. Everest, and so on.

You’ll notice that you don’t have much control over your basil metabolism.  These functions are pretty automatic.  What you do have control over however are your voluntary physical activities.  These are activities that use skeletal muscle to initiate the physical movement.  The only difference is the type and intensity of the physical activity you choose.   You are free to make your physical activity housecleaning or climbing Mt. Everest, yet the Himalayan trek will burn up a whole lot more calories than applying the floor wax even though they both are using many of the same muscles.

So if you are only mopping the kitchen, but eating like your on the summit team for Everest, you’ll be eating more calories than your muscles need.  Since the body never lets a good calorie go to waste, it automatically puts it around your waist for future use.  After all, your body never knows when your mind might actually force it to attempt a summit of Everest.  That’s how we become over-fat and during the holidays we are at the greatest risk for this pattern.

During the month of December, the average person will add about 1-2 pounds of fat.  That’s equivalent to eating an extra 225 calories per day that isn’t burned off by physical activity.

The reason is all of those holiday parties, feasts and snacks provide enough calories to climb mountains, while at the same time we are slowly decreasing our physical activity (if we were active at all).  Our physical activity decreases for a variety of reasons, like less daylight, colder temperatures, and less time in general because we are attending all of those holiday parties.  So it’s not just about too many calories, it’s also about less activity which allows our muscles to weaken and atrophy which reduces their ability to burn calories.  Do you see the vicious cycle?

So now, more than at any other time of the year, it’s critical to keep up your exercise routine to maintain the muscle mass that will burn the calories you eat.   If you’ve already begun to lighten your workout, don’t fret, just get back onto the routine before you get any further into the holiday season.

Secondly, don’t obsess about all of the temptations.  Go ahead and indulge a bit and don’t deny yourself.  Do keep it in moderation however.  Ask yourself before you eat:  “am I hungry?”  If you are, what do you want to spend your calories on?  Choose well and you’ll feel good about what you are eating and you’ll be honoring your body without overloading it with excess energy that will have to be stored for tomorrow.

By maintaining or even increasing your physical activity now, you’ll be less likely to add the additional fat that prompts the New Year’s weight loss resolution.  More on that one next month.

Happy Holidays!

Resources:

Covert Baily Fitness

Boost Your Metabolism with Weight Lifting

Why Food Turns into Body Fat

The Confusing Calorie

How Calories Work

Paul Kulpinski is a licensed massage therapist, holistic wellness educator and co-founder of Mountain Waves Healing Arts in Flagstaff, Arizona. Information contained in this blog should not be taken as medical advice. Readers are advised to validate the information presented here with other sources including your personal physician for information specific to you.

Treating Muscle Injuries

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Neck and Shoulder PainImmediately after suffering a muscle injury, is it ice or heat?

The rule of thumb is captured in this acronym:  RICE.

Rest
Ice
Compression
Elevation

First, stop all activity that involves the the injured area to provide rest.  Second, apply ice for at least 20 minutes to reduce swelling that can cause secondary injury to the muscle fibers.  Apply compression with a wrap to the injured area to prevent swelling.  Finally elevate the injured area to prevent blood from pooling and creating additional swelling.

If you have severe pain, broken skin, or are unable to use the injured area at all, seek medical help immediately.

So when would you use heat?  Heat is useful in non-acute situations or after an injury is well into healing (usually after 72 hours).  Notice that the main intent of the RICE treatment is to reduce swelling.   Heat increases blood flow and swelling, so is counter productive with an acute injury.

Overworked, fatigued and tired muscles respond well to heat.  The additional blood flow helps to free up muscle fibers and increase movement for these conditions.   The key in using heat is to move the affected area by gently stretching or walking after the application of heat.  This helps prevent the return of the original condition after the heat is removed.

If you’re using heat as part of your rehabilitation of an injury (after the 72 hour acute phase), always follow up the application of heat with a round of ice therapy.

There’s more information on hot/cold packs available at Mountain Waves here.

Paul Kulpinski is a licensed massage therapist, holistic wellness educator and co-founder of Mountain Waves Healing Arts in Flagstaff, Arizona. Information contained in this blog should not be taken as medical advice. Readers are advised to validate the information presented here with other sources including your personal physician for information specific to you.