So I have decided to focus on the 1500/1650, partly because I seem to have misplaced the three fast twitch fibers I once owned, and partly because guys named Smith are now swimming the 500 and even the 1000. Geek suggested that I build my endurance with dryland work, but unlike him I have a job and limited time to train, and I don't really want to give up pool time. Any suggestions?
I am well aware of the concept of tendinosis and the rationale for not treating inflammation. I tried that for awhile and continued to experience pain. I discussed this with my orthopedist who shared my view that pain = inflammation and recommended anti-inflammatory treatment along with PT.
Interestingly, while I was taking Vioxx my migraines completely disappeared. They recurred when I stopped. It was later learned that the drug was very good at migraine prophylaxis.
Interesting points. There is no question that shoulder problems are painful, but the link to inflammation seems suspect. I attended the ACSM conference in Indianapolis a couple years ago and there was a presentation on the evidence for treating these kinds of injuries with NSAIDS. If I remember correctly, one of the presenters said that there is no evidence for inflammation in many of these persistent problems (swimmers shoulder, achilles "tendinitis", tennis elbow, and other select areas where the blood supply is not all that great to begin with.) Animal studies seemed to show that NSAIDS could retard healing rates for some injuries, particularly fractures. There was some talk about how Tylenol works as well as NSAIDS in blinded studies for pain control, but without the possibility of weakening tissues. One of the other areas of investigation--and I am not sure if this panned out or not--was to use nitroglycerine patches to promote blood circulation to poorly vascularized areas like the elbow. The use of eccentric exercise here to promote inflammation and expedite healing was also discussed.
As far as migraines go, I used to be a regular sufferer of these, but their frequency has definitely decreased over the years. One headache doc from Chicago I interviewed for a story once told me that this is not uncommon. With age, he said, virtually everyone undergoes some hardening of the arteries, and as the arteries in the brain lose some of their elasticity, their ability to spasm and trigger migraines similarly decreases.
Who would have thought there might be a silver lining to atherosclerosis of the carotids?
In any event, I wrote about my last (knock on wood) migraine for my vlog. As a fellow sufferer, you might find interesting a strategy I developed for myself while in the throes of migraine suffering:
forums.usms.org/blog.php
Good luck with your shoulders, and again, great time on the 1650!
I am well aware of the concept of tendinosis and the rationale for not treating inflammation. I tried that for awhile and continued to experience pain. I discussed this with my orthopedist who shared my view that pain = inflammation and recommended anti-inflammatory treatment along with PT.
Interestingly, while I was taking Vioxx my migraines completely disappeared. They recurred when I stopped. It was later learned that the drug was very good at migraine prophylaxis.
Interesting points. There is no question that shoulder problems are painful, but the link to inflammation seems suspect. I attended the ACSM conference in Indianapolis a couple years ago and there was a presentation on the evidence for treating these kinds of injuries with NSAIDS. If I remember correctly, one of the presenters said that there is no evidence for inflammation in many of these persistent problems (swimmers shoulder, achilles "tendinitis", tennis elbow, and other select areas where the blood supply is not all that great to begin with.) Animal studies seemed to show that NSAIDS could retard healing rates for some injuries, particularly fractures. There was some talk about how Tylenol works as well as NSAIDS in blinded studies for pain control, but without the possibility of weakening tissues. One of the other areas of investigation--and I am not sure if this panned out or not--was to use nitroglycerine patches to promote blood circulation to poorly vascularized areas like the elbow. The use of eccentric exercise here to promote inflammation and expedite healing was also discussed.
As far as migraines go, I used to be a regular sufferer of these, but their frequency has definitely decreased over the years. One headache doc from Chicago I interviewed for a story once told me that this is not uncommon. With age, he said, virtually everyone undergoes some hardening of the arteries, and as the arteries in the brain lose some of their elasticity, their ability to spasm and trigger migraines similarly decreases.
Who would have thought there might be a silver lining to atherosclerosis of the carotids?
In any event, I wrote about my last (knock on wood) migraine for my vlog. As a fellow sufferer, you might find interesting a strategy I developed for myself while in the throes of migraine suffering:
forums.usms.org/blog.php
Good luck with your shoulders, and again, great time on the 1650!
