Filed under: Fitness
You’ve been training, and now you’re in pain. It could be you’re having a painful introduction to one of your tendons. Strong tendons connect your muscles to the bones in your body and help you move by pulling on the bones when your muscles contract. Damage to tendons can occur from repetitive activities (including running and firing your weapon repeatedly over an extended period of time) or from sudden movements that put too much stress on a tendon. If you can’t avoid these activities, then pay attention to the warning signs that a tendon could be reaching its breaking point: pain, especially when moving the affected area; swelling over the area of pain; and, possibly, loss of motion in the joint.
The best way to avoid having to get treatment for tendonitis is to prevent it from happening in the first place! Follow these tips:
- Overall health: Maintain a healthy diet and weight, and check out HPRC’s Nutrition domain.
- Posture and body mechanics: Pay attention to your posture and make sure that you use correct body mechanics, especially when lifting and moving heavy objects.
- Maintain adequate muscle strength so your body can react to stresses you place on it.
- Maintain adequate flexibility.
- Consider proper workout gear, especially footwear.
- Activity modification: Rest the affected area. This could mean taking some time off from activities that cause pain and further damage. For example, if you’re a runner with Achilles tendonitis, try biking instead until the tendon has healed enough.
- Ice: Cold can help to decrease pain and swelling.
- Physical therapy: Gentle stretching and strengthening exercises, as well as massage, might help but should be done under the supervision of a healthcare provider.
- Anti-inflammatory medications: Ask your physician about medications that can help your condition.
- Bracing or casting might be needed in severe cases.
You should see your doctor right away if you experience fever, redness, and warmth in the affected area, or multiple sites of pain. For more information on injury prevention, check out HPRC’s “Preventing common injuries,” which covers six specific areas of injury: wrist and hand, knee, ankle, rotator cuff, back, and IT band.
There are many components that contribute to a Marine's optimal readiness, including physical fitness, diet and nutrition, injury prevention, and fatigue management. A balanced and effective approach for optimum performance and combat conditioning should address all four aspects. That’s where HITT comes in.
HITT is a comprehensive strength and conditioning program that takes into consideration the physical demands of operational activities to help Marines optimize their combat readiness. The HITT program focuses on the key components of superior speed, power, strength endurance, combat readiness, and injury prevention.
The four major components of the HITT program include:
- Injury Prevention (including active dynamic warm-up)
- Strength and Power
- Speed, Agility, and Endurance
- Flexibility and Core Stability
The HITT workout program can be customized as a training tool for a unit or an individual. It can also supplement your current training routine. The workouts are divided into three different modules to address each of the four components listed above.
- Athlete HITT develops basic strength and speed using barbells, kettle bells, dumbbells, speed harnesses, resistance trainers, and sleds.
- Combat HITT develops functional strength and endurance using suspension trainers, ammo cans, partner drills, and endurance training.
- Warrior HITT develops explosive power and agility using Olympic lifts, plyometrics (jumping exercises), battle ropes, cones, hurdles, and ladders.
Exercise videos provide instruction and demonstrations on how to do the exercises and movement properly. The program also uses periodization to promote long-term training improvements while avoiding over-training. Lastly, the program is categorized into specific phases, each with its own objectives and set of training parameters:
- Pre-Deployment Phase (Warrior, Combat, Athlete). The main goal is to build overall strength and performance, similar to “off-season training” in a traditional sport setting.
- Deployment Phase (Combat). The objective is to maintain overall fitness levels and reduce the risk of injuries while deployed. This is the Marine’s “in-season training”.
- Post-Deployment Phase (Athlete). The emphasis is reintegration/strengthening. If a Marine were to sustain injury or lose a significant level of performance, this phase would help get him/her return to full training status.
HITT is endorsed by the National Strength and Conditioning Associations (NSCA) Tactical Strength and Conditioning (TSAC) Department. By implementing the latest cutting-edge training methods and sound science, the HITT program builds fitness for today's tactical athlete – the United States Marine. Read more about HITT and other Marine fitness information on HPRC.
Injury prevention is critical in maintaining optimal performance and operational readiness. Ankle sprains, knee pain, and back pain are very common injuries in the military. Take the time now to protect yourself from injury, and you’ll be glad you did later. Read our , compiled from our recent injury prevention series of posts.
Anything can disrupt your usual workout routine—summer travels, PCS, deployments, or injuries. If you need a way to stay in shape whatever the snafu, give resistance bands a try. Resistance band training involves targeting particular muscles by pulling and stretching elastic bands. Resistance bands come in different shapes, sizes, and even colors. Some look like oversized rubber bands; others look like cables or tubes. Depending on the length and type, these bands provide progressive resistance throughout various exercises. Unlike free weights, resistance bands also can be used to target key movements, such as a golf swing or a tennis serve. This focuses the exercise on targeted areas and can lead to stronger, more powerful muscles.
Resistance-band training has been studied for all types of people and for different types of activity levels, from NCAA Division I athletes to nursing-home patients. A study with people who were out of shape found that resistance exercises led to the same kinds of improvements in weight loss and strength as weight machines. In another study, athletes who trained with resistance bands were stronger and more powerful than those who used free weights alone. Resistance bands also can help improve muscle strength and range of movement after injury.
What’s more, resistance bands are relatively cheap, lightweight, and easily portable, so you can continue training even when you’re far from a gym. However, if you’re new to resistance bands, you need to learn to use them correctly to prevent injury and maximize your workout. If you’re interested in learning more about training with resistance bands, check out this pamphlet from the American College of Sports Medicine.
You’ve heard it all before: You need to get at least 30 minutes of moderate to intense exercise each day to help prevent chronic disease and improve your health. But what do you do for the other 23½ hours? If the answer is sitting (or sleeping), then you might have what is known as “sitting disease.”
It sounds like a joke. Unfortunately, it’s not. If your typical day is spent sitting at a desk, sitting while commuting, sitting down for dinner and TV afterwards, and then going to bed, you’re putting yourself at a greater risk for chronic diseases such as heart disease, diabetes, high blood pressure, and even cancer. Studies consistently show that the more time you spend sitting or lying down, the greater your risk for chronic disease and early death. The simple act of standing up has even more physiological benefits when compared to sitting. The “active couch potato” phenomenon shows that even people who are relatively fit and meet the minimum requirements for daily exercise still exhibit risk factors for metabolic syndrome and other chronic diseases as sitting time increases. Sure, you might take the dog out for his morning walk, or maybe you even did PT before work; but the truth is that the more time you spend sitting the rest of the day, the greater the risk for disease.
You can see from the infographic below (from the American Institute for Cancer Research) that even those who engage in moderate amounts of exercise and physical activity are still at risk for cancer if 12 or more hours in the rest of their day is spent seated or lying down. The risk gets lower as people move more and sit less during the day.
Time is often a major reason that people say they don’t get enough exercise or physical activity during their day. It’s true that work can get busy, but it might just take a little creativity to turn it into a productive work AND physically active day. Here are some tips to help get you up and out of your fancy ergonomic chair.
- Bike or walk to work if possible.
- Take the stairs instead of the elevator (or at least partway if you work on a high-up floor).
- Turn your meeting into a walking meeting.
- Walk down the hall to give someone a message rather than email or call them.
- Stand up while talking on the phone.
- Don’t eat lunch at your desk; walk to the cafeteria or a nearby park, even if you packed your lunch.
- Find out if you can get a standing or walking desk at work.
- Buy a pedometer to track how many steps you take per day.
Doing what you can to increase the amount of time you spend standing, exercising and being physically active will improve your chances of a longer and healthier life,
Physical fitness is important at any age, and it’s especially important that children begin leading healthy, active lifestyles early on. Regular exercise for kids can build strong muscles and bones and promote overall health. Exercise can also boost kids’ self-esteem, improve sleep, and stimulate learning in school. But do you know what kinds of exercise your children or teens should be doing? Check out HPRC’s Answer, “Put some fun in your children’s fitness,” to find out.
A 2011 study of musculoskeletal injuries in an Infantry Brigade Combat Team deployed to Afghanistan found that low back pain due to stress and strain on the back (not actual spinal cord injuries) was the most common complaint. Common causes of back injury include overuse, poor physical conditioning, and incorrect body movements when lifting and moving objects. Fortunately you can decrease your chances of injuring the muscles and ligaments of your back. The key is prevention: Stretching is one way to help prevent lower back pain, but it’s essential to use correct posture and body mechanics when you pick up and move objects such as heavy ammo cans! Daily back exercises (from the Mayo Clinic) and stretches can help strengthen your core and improve your posture, and the University of Maryland offers more valuable tips for prevention. If you’re experiencing back pain, however, you need to see a qualified healthcare professional for an accurate diagnosis and exercise program.
Staying in the physical condition you need for demanding duties and missions means that you are at risk for specific types of injuries, and rotator cuff injuries are common among service members. The rotator cuff is actually a group of muscles key to shoulder movement, including the ability to perform overhead activities. For those who are preparing for the CFT, this includes performing the Ammo Lift.
Warning signs of a shoulder injury can include not only pain and abnormal sounds during shoulder movement but also a decrease in strength and mobility/motion. What can you do about it? First, check with your healthcare provider to make sure that your injury does not require medical treatment. Then:
- Rest your injured shoulder! It is important to allow adequate time for healing.
- Use the RICE and ISE methods.
- Strengthen the muscles that control shoulder movement.
- Make sure that you have adequate flexibility of the rotator cuff muscles.
Of course, it’s always better to prevent injuries in the first place. To help reduce your risk of rotator cuff injury, it’s important to develop the strength and flexibility of the related muscles. For specific information on rotator-cuff exercises and self-care, check out these suggestions from MedLine Plus (a service of the National Institutes of Health) and this conditioning program from the American Academy of Orthopaedic Surgeons.
The Human Performance Resource Center is here to serve Warfighters and their families, commanders, and healthcare providers. If you’ve visited before, you probably know that we focus on “total force fitness.” But do you really know what that means—or how HPRC got started? If you’re curious, check out this PDF that describes HPRC, what we do, and the vast amount of information we cover. In addition, you may have noticed that we use the term “human performance optimization” throughout our site; this article also explains what that means.
The physical demands of military life are challenging, and if you’re not prepared, they can lead to injuries. The injury prevention series we’ll be running over the next several weeks will provide you with information and strategies for preventing some of the most common injuries: those to the knee, ankle, rotator cuff, back, iliotibial band and wrist/hand. Prevention is key: Taking time for the small stuff may have big payoff down the road. Much of what the exercises done for recovery after an injury can actually be done to prevent the injury in the first place. Stay injury-free for optimal performance! Check back soon for the first in this series.