Myths and Misconceptions: Muscle Soreness

Is it good to be sore after workouts? Check out this ACE Fit article to see if you may be over-doing it. Then come see us at San Diego Sports Physical Therapy for some great rehabilitation exercises to get you back on track. 619-756-7500

There is a common misconception that muscle soreness through exercise is inevitable and necessary to see results. For many, soreness acts as an indicator of a great workout. But this is a shortsighted view of exercise benefits and can have detrimental effects in the long run.

To clarify, this is not about the minor muscle stiffness that can be felt the day after a workout. This is about excessive soreness—the kind of soreness that lasts for a few days, has you avoiding stairs and dreading everyday activities such as putting on pants, getting in and out of a car, and even sneezing. Some people actually strive to experience this. And while a little soreness is safe and may motivate even the most sensitive among us, when it crosses the line toward debilitating movement, your body is telling you that you went too far.

The Science
In short, all muscle soreness is a result of microscopic tears that take place through workouts, followed by swelling as part of the repair and rebuilding process. This may sound like a violent way to treat your body, but it is a necessary process to stimulate changes that improve strength and fitness. But how much is enough? To answer this accurately, lets look at the available research and remove any anecdotal biases from the equation.

Cause and Effect
Many people argue in favor of soreness because they have experienced positive results and associate soreness with the results. But soreness does not necessarily equate with a cause and effect for the improvements. In fact, there is no scientific evidence that proves soreness gets better results. While there is a lack of research in this specific area, there is no shortage of research indicating that progressive challenges are responsible for improving fitness. The question then becomes, can we progress effectively without soreness? And the answer is a resounding YES.

Consider world-class athletes. No athlete, after falling short in competition, has ever said, “I should have trained to be more sore.” Yes, athletes do sometimes experience sore muscles from training. But it is neither the purpose nor the target of their training. In fact, workouts are often modified for athletes if they are experiencing excessive soreness. The measuring stick used to track success for an athlete has nothing to do with the level of soreness derived from day-to-day training and everything to do with the longer-term outcome of their training program and competition goals. In fact, too much soreness will negatively impact training and competition.

Overload
To improve fitness, it is true that an “overload” is required. This means you need to apply a challenge that is greater than what your body is accustomed to. However, this “overload” can be applied aggressively or it can be applied gradually. Many assume the more aggressively you overload, the faster you will see results. But the body is more complex than that and pain is its way of telling us to slow down with the overload.

Law of Diminishing Returns
Most improvements follow a basic premise of “the more you put in, the more you’ll get out.” However, there is a tipping point that suggests a certain level of extra work does not yield any additional benefits. In short, it means you are working overtime and not getting paid for it. This can be illustrated through the concept of exercise dosage. Much like medical prescriptions, too high of a dose does not provide additional benefits nor increase the speed of benefits. Additionally, repeated “overdosing” can invite negative consequences. Extreme soreness is often just that—an “overdose” to the body.

Why it is Important to Avoid Muscle Soreness?
The Hot Iron syndrome…
Most kids only need to touch a hot iron once. If you simply don’t like to feel pain, soreness is more likely to be a deterrent to exercise, not a motivator. In fact, it may be a subconscious reason it is so difficult to start up or get back to that first workout after a layoff.

Fitness should make everyday life easier, not harder…
Extreme soreness naturally alters choices for activity outside of workouts. If your weekly leg workout leaves you feeling sore for three days, and you choose escalators over stairs, it defeats the functional purpose of being more fit.

Tighten up those muscles…
This phrase, which is often used to describe a positive outcome, may literally mean “tighten” in this case. Consistent states of soreness can easily reduce range of motion and lead to permanent changes to your movement patterns.

Overtraining and overuse injuries…
Overtraining and overuse injuries take time to develop. Unfortunately, by the time they are noticed, you are too deep to reverse the process quickly. Aiming for and achieving soreness week in and week out is inviting either or both.

Distraction from more important goals of exercise…
Exercise and fitness success needs to have a far more sophisticated evaluation tool than the level of soreness. By aiming for soreness in the short term, we may be ignoring the true measurements of success for exercise, such as fitness, strength, functionality and longevity, among others.

How to Avoid Muscle Soreness and Still Achieve Great Results
Avoiding soreness is not the same as avoiding high intensities. High intensities and maximum effort can be reached through sensible and progressive overloading strategies. You just don’t want to start there. Gradual progressions are very effective and are a far more reasonable and comfortable way to improve fitness and reduce short- and long-term risks. This can be accomplished by understanding your current levels of fitness and strength, and applying small and frequent increases in intensities and volume according to where you are now—not the level you someday hope to reach.

Remember, fitness is built. It is not injected. Build it wisely…

By Christopher McGrath

Chris McGrath, M.S., is the founder of Movement First, a New York City-based, health and fitness education, consulting and training organization. With more than 20 years of fitness and coaching experience, McGrath specializes in a variety of training modalities including sports performance, injury prevention, post-rehabilitation and lifestyle/wellness coaching. McGrath is a Senior Fitness Consultant to the American Council on Exercise and has established himself as an international fitness expert.

WHY IS STRETCHING AFTER WORKING OUT IMPORTANT?

A: This is a great question because it addresses the importance not only of practicing stretching but also the best and safest technique for performing this valuable type of exercise.

Why stretch? Stretching increases flexibility, a key component of physical fitness that is often neglected. A greater degree of flexibility is believed to help prevent injury (and low back pain) and improve sports performance. We lose flexibility as we age, so practicing a regular program of stretching the major muscle groups can help prevent loss of flexibility and its associated negative impact on quality of life in our golden years.

Stretching properly involves a slow, steady elongation of the muscles and tendons to the point of tightness—never pain—and holding the stretch for several seconds. (Never use bouncing or ballistic-type stretching, which can cause injury.) It is best to stretch muscles that have been warmed up internally from exercise as opposed to cold muscles. In fact, stretching cold muscles can actually increase risk of injury, as a cold muscle is more prone to strains! Think of a muscle as if it were a rubber band. If you stretch cold rubber, it snaps and breaks; however, if you warm the rubber first, it stretches more elastically and fluidly, like taffy.

Stretching is different from “warming up.” A warm-up is what you do before you begin a bout of exercise and generally consists of a low-intensity version of the exercise you are planning on engaging in (such as a fast walk before a jog). A good exercise routine would be to warm up (work up a light sweat and raise the internal temperature of your muscles), followed by a series of brief stretches, then perform your exercise bout, warm down and end with another series of stretches. Practice this plan and you will have a well-rounded fitness routine.

Posted by Dr. Janet Brill

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EXERCISING WITH OSTEOPOROSIS: BUILD BONES, STAY STRONG

It’s still possible to train even if you have osteoporosis. Read this article from Fitness Together to see how you should train with this condition safely. Then come see us at San Diego Sports Physical Therapy for all of your training and therapy needs! 619-756-7500

When you think about what your body’s bone structure looks like, flashbacks of the lanky skeleton hanging lifelessly in your science class are probably the first thoughts that come to mind. The bones in your body, however, are much livelier than their classroom counterparts as they are made up of living and growing tissue that continues to get denser as you become a young adult. As you age into adulthood, you can begin to lose more bone mass than your body produces, putting you at a higher risk of bone breakage and osteoporosis.

Reports from the National Osteoporosis Foundation (NOF) earlier this year indicated that 57 million Americans are affected by low bone density conditions or osteoporosis. By 2020, the NOF estimates that half of all Americans over the age of 50 are expected to have low bone density or osteoporosis. Whether you have osteoporosis now or at risk of developing this common condition, there are steps you can start taking today to help reduce the rate of bone loss in your body.

Feed Your Bones, Build Strength

If you are one of the millions of Americans suffering from osteoporosis, it’s important to be proactive about reducing the loss of bone density by adopting healthy exercise and nutrition habits. A diet rich in Vitamin D and calcium can help make bones harder and stronger, while a well-balanced nutrition approach that includes a mix of dairy, lean protein, fruits, vegetables and healthy fats can feed your body’s framework with the nutrients and minerals it needs to support weak bone areas and reduce the risk of bone loss.

To enhance the flexibility and strength of your body’s foundation, it also is important to keep the bones moving with a combination of weight-bearing cardio, muscle strengthening and core balance exercises, says Sue Teoli, personal trainer and studio owner at Fitness Together New Canaan. The NOF recommends 30 minutes of weight-bearing exercises daily (walking, elliptical, swimming, stair climbing), a combination of upper body and lower body muscle strengthening exercises (using body weight or resistance equipment) two to three days per week, and a variation of balance, posture and functional exercises each day depending on the area you are the weakest.

“It’s imperative to keep exercising if you have osteoporosis,” Teoli advises. “Anytime you improve your muscle strength, it’s good for your body. But, when you have osteoporosis, exercising can strengthen your bones first and foremost, while helping to slow down and prevent your bones from deteriorating.”

Break Out of the Cycle of Bone Loss by Getting Active Safely

Many people with osteoporosis may be reluctant to exercise as they may be afraid of getting hurt, breaking a bone or making their condition worse. While it’s recommended to consult with your doctor before starting any fitness routine, it can be very beneficial to the health of your skeletal and muscular systems when you focus on improving your physical fitness strength, balance and mobility.

“I tell all my clients, but especially my older ones, that strength in the lower back, abs and core is one of the most important things for your body,” says Teoli. “When you balance, you engage every muscle in your body. I think it’s important to focus on core strength and balance whether you have osteoporosis or not.”

It’s always important to think safety first when starting any workout routine by being aware of the inherent risks and staying in tune with how your body feels before, during and after you work out. Teoli advises her clients with osteoporosis to be aware of the following precautions before they start working out:

Refrain from high-intensity interval training as the jarring, jumping and high joint impact typically associated with these types of workouts increases the risk of bone damage and breakage.
Never flex your spine forward like when doing a traditional sit-up as this movement puts too much strain on the vulnerable sections of your spine and mid-section. Instead, opt for other less forward-bending core movements such as the plank.
Be careful with bending and twisting your body in different directions, as these movements can increase the risk of compression fractures in the spine.
“My philosophy is to start out slowly and progress slowly,” says Teoli. “If you start out with vigorous exercises, you run the risk of injury. I believe in taking baby steps with my clients and working on a movement until they master it.”

If you have osteoporosis and are ready to start an exercise program to build your bone strength and physical fitness levels, Teoli suggests going back to the basics. A sample workout plan that she would suggest for her clients with osteoporosis includes the following elements.

Upper body strength movement like a modified push up.
Lower body strength movement like a body weight squat while leaning against a fitness ball along the wall or straight leg lifts if you have knee issues.
Core exercises such as planks or balance exercises using a BOSU ball.
Weight-bearing cardio movements such as walking, stair climbing or elliptical.
You can choose to do each exercise either for a set amount of time like 30 seconds each or for a certain number of repetitions such as 10-15 reps. Either way, the focus of your fitness plan when you have osteoporosis should be on working out your body and supporting healthy bone structure.

– See more at: http://corp.fitnesstogether.com/our-solution/fitness-tips/exercising-with-osteoporosis-build-bones-stay-strong/#sthash.TDCy9CFf.dpuf