Wednesday, September 28, 2005

Pain .. Pay Attention

runninginjury
Hi all, especially increasing their mileage in preparation for Singapore Marathon, pls take note....
Pain In Athletes by Stephen M. Pribut, DPM
“...When something hurts, pay attention. ”
Pain affects training and athletic performance. But pain is also an important sign that must be paid attention to. It gives you feedback on how your body is currently working and warns you that things are not going well. Pain can cause you to alter your stride and result in other injuries. The biomechanical changes that you make as a result of pain can cause more pain, stress fracture, strains, and other injuries far away from the site of the original problem. When something hurts, pay attention. Find out why it is hurting and what you should do to make the pain stop.
Remember, pain is not normal. Your feet, legs, back, arms and any other part should not be hurting and interfering with your sports activity. This is a warning. If you want to succeed you will have to make changes, see your doctor, and find out why it hurts, what to do and stop the pain so you can safely continue your sport. To do otherwise is to risk serious injury and a long time interruption of your sports activity.

OveruseOveruse is the cause of most sports injuries seen in a clinical practice. make sure you read and pay attention to the online article on how to "Stay Out Of The Doctor's Office" and avoid the terrible "toos". Too much, too soon, too often, too fast, and too little attention paid to pain.
“...Overuse is the cause of most sports injuries. ”

Pain Scales
The proposed phases of pain by Robert Nirschl M.D. is thorough and applicable to pain in non-athletes as well. The scale of Pribut is a simplified approach for the athlete to consider.

Pribut Pain Protoypical Staging Of Overuse Injuries In Athletes
Stage 0. No pain is present before, during or after activity. Minor discomfort may be experienced at various times during training or racing.
Stage 1. Pain or stiffness after activity. The pain is usually gone by the next day.
Stage 2. Mild discomfort before activity that goes away soon after exercise is commenced. No pain is present in the latter part of the exercise. Pain returns after the exercise is completed (starting within 1 to 12 hours later and lasts up to 24 hours).
Stage 3. Moderate pain is present before sport. Pain is present during sport activity, but is somewhat decreased. The pain is an annoyance which may alter the manner in which the sport is performed.
Stage 4. Significant pain before, during, and after activity. The pain may disappear after several weeks of rest.
Stage 5. Pain before, during, and after activity. The athlete has stopped their sports participation because of the severity of the pain. The pain does not abate completely even after weeks of inactivity.



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