I'm not a doctor, nor do I play one on TV. But when a surgeon from Dartmouth College suggests playing through the pain, I wonder if I can bill Medicare for advice that I've dispensed for free. Most middle-aged athletes have their share of minor medial ailments – sore elbows, bad backs, strained Achilles tendons, or trick knees. Dr. James Weinstein, a runner and doctor at Dartmouth, is no exception to the rule. When Dr. Weinstein strained his back, however, he committed sports medicine heresy – he went for a short run. Today, he makes far more money than I do by advising active adults to play through the pain (within reason) when their injuries are minor.
Traditional sports medicine recommended extended periods of rest for minor, nagging injuries such as tennis elbow. Injured joints were immobilized for months while their frustrated, soon-to-be flabby owners marked the slow passage of time. Today, Dr. Weinstein is joined by medical researchers who believe that if an injury is not severe, resting may prolong recovery. So where's the science? Doctors Freddie Fu and James Wang of the University of Pittsburgh Medical Center (UPMC) are studying tendonitis at the molecular level. They are growing and stretching human tendons in the laboratory and, in separate experiments, running mice on treadmills to induce tiny tendon tears. According to the good doctors, the results indicate that the repeated stretching of tendons that are already inflamed leads to the production of molecules that heal inflammation. As Dr. Weinstein may have said while lacing his running shoes, "physician, heal thyself".
As much as I'd like to send you a bill, please don't take "my" advice about playing through the pain. Do your own homework. Start by reading this excellent article in the New York Times. Then talk to your doctor – a real doctor – if you have questions or concerns. Use common-sense and remember that cross-training can help you to stay fit while providing a change of pace. "The easy way out", warns orthopedic surgeon Dr. Richard Steadman, "is to say 'Don't exercise'".
Steve Melito - The Y Files
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Re: Playing Hurt to Stay Healthy