Use Caution When Taking Anti-inflammatory Meds After Exercise
This past summer I fulfilled a long-time dream to become a certified running coach via the Road Runners Club of America organization. This was a two day in depth program in which the physiology of running was discussed, in addition to the students formulating training programs for future clients.
Day one was spent learning about the body and how it adapts to the rigors of running. I was surprised to hear that 70% of all people who take up running will, at some point in time, develop an injury. And while the risk for injury is a tad higher with runners than with other sports, this should not be a deterrent in starting a running program; but be aware that listening to your body and allowing for timely rest and recovery is essential to keeping you healthy as a runner.
As someone who has spent the better part of three years running, I have had my fair share of minor injuries, however nothing that has kept me away from the sport longer than a few weeks. In my recovery I did what I had read in so many running books and articles and that was to rest, apply ice, and take an anti-inflammatory to decrease the inflammation.
I was surprised to hear the new trend for runners is to avoid taking any anti-inflammatory meds, such as Aleve or Ibuprofen, for any aches or pain, unless advised by their physician. The reason, these meds have been shown to decrease tissue regeneration, decrease collagen repair, as well as increasing gastrointestinal and kidney issues when taking them over a long period of time. And because they are also a pain reliever, these meds can mask pain, therefore a runner may run through an injury unaware of the damage that may be occurring.
According to Dr. William Evans of The University of Arkansas for Medical Sciences in a seminar I attended in January 2009, he stated that "using analgesics blunts the normal adaptive response to muscle damage, therefore one should use these medications as little as possible."
Inflammation is part of the healing process, therefore by taking these meds you are stopping the body's natural response to heal which may lead to a longer recovery time.
I no longer take any analgesics after my runs. And if I need to take them for any reason, such as a headache, I was advised to wait at least 12 hours after taking them before I run. The moral of the story is to take things slowly with any exercise plan, whether it is strength training, running or playing a team sport. Listen to your body, ice any joint that may be sore and make sure you never work through pain. Pain is your body's way of signaling you to STOP.
Have you heard that using meds, such as Aleve and Advil, can slow your recovery process? Have you taken them in the past for such issues as muscle soreness? Would you be willing to stop using them and stick with a more conservative approach to healing and recovery?
Day one was spent learning about the body and how it adapts to the rigors of running. I was surprised to hear that 70% of all people who take up running will, at some point in time, develop an injury. And while the risk for injury is a tad higher with runners than with other sports, this should not be a deterrent in starting a running program; but be aware that listening to your body and allowing for timely rest and recovery is essential to keeping you healthy as a runner.
As someone who has spent the better part of three years running, I have had my fair share of minor injuries, however nothing that has kept me away from the sport longer than a few weeks. In my recovery I did what I had read in so many running books and articles and that was to rest, apply ice, and take an anti-inflammatory to decrease the inflammation.
I was surprised to hear the new trend for runners is to avoid taking any anti-inflammatory meds, such as Aleve or Ibuprofen, for any aches or pain, unless advised by their physician. The reason, these meds have been shown to decrease tissue regeneration, decrease collagen repair, as well as increasing gastrointestinal and kidney issues when taking them over a long period of time. And because they are also a pain reliever, these meds can mask pain, therefore a runner may run through an injury unaware of the damage that may be occurring.
According to Dr. William Evans of The University of Arkansas for Medical Sciences in a seminar I attended in January 2009, he stated that "using analgesics blunts the normal adaptive response to muscle damage, therefore one should use these medications as little as possible."
Inflammation is part of the healing process, therefore by taking these meds you are stopping the body's natural response to heal which may lead to a longer recovery time.
I no longer take any analgesics after my runs. And if I need to take them for any reason, such as a headache, I was advised to wait at least 12 hours after taking them before I run. The moral of the story is to take things slowly with any exercise plan, whether it is strength training, running or playing a team sport. Listen to your body, ice any joint that may be sore and make sure you never work through pain. Pain is your body's way of signaling you to STOP.
Have you heard that using meds, such as Aleve and Advil, can slow your recovery process? Have you taken them in the past for such issues as muscle soreness? Would you be willing to stop using them and stick with a more conservative approach to healing and recovery?
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Comments
Linda - 1/21/2010 1:35:24 AM
Inflammation is a major contributor to many disease states and in my opinion it is best to reduce it as much as possible, although there are other side effects to NSAIDS that are certainly to be considered also. - 12/12/2009 9:43:33 PM
http://well.blogs.nytimes.com/2009/
09/01/phys-ed-does-ibuprofen-help-o
r-hurt-during-exercise / - 9/2/2009 9:40:15 AM
Unless you are an expert you are probably better off letting your coach or orthopedist make the call though. - 9/1/2009 11:04:42 AM
As I was training for a marathon in 2005, I initially took Ibuprofen to relieve the aches from increasing my distance regularly. Once my skin started flaring up, though, I stopped taking the meds - but it was several weeks before my skin went back to normal! Since then, I've taken NO pills at all! Yay! :)
Cheers,
Maya
- 9/1/2009 2:51:00 AM
Prior to losing 240 pounds, I took Tylenol Arthritis every night before bed so that my aching legs and feet wouldn't keep me awake. Since losing the weight, I rarely take Tylenol, and never more than a day or two in a row. As a post-op gastric bypass patient, I NEVER take anti-inflammatories, as they would cause dire problems with my new "pouch." - 8/31/2009 10:50:50 AM
Thanks for the inforamtion I will be looking further into this. - 8/29/2009 4:01:56 PM
First of all, when you ice your shins, the purpose of that is to reduce inflammation. It also speeds healing time. So which is it?
My doctor has basically ordered me to take anti-inflammatories for particular injuries (I only take them when in severe pain). This sounds like a "non-medication" trend the hippies like to shove down everyone's throats but I doubt it has a lot of scientific basis. - 8/28/2009 3:32:54 PM
In short, ALWAYS listen to your body. - 8/28/2009 11:49:27 AM
When I first sustained the injury, he prescribed Motrin three times a day for two weeks stating that it was necessary to reduce the swelling to improve healing. Being the rebel that I am, I chose not to take any pain medication. At my follow up appointment yesterday he again stressed that I should be taking Motrin at the rate indicated for the same reason. I waited until this morning and took half the dosage he recommended. I was just working on SP, waiting to see if I would experience stomach issues or dizziness when I came across this blog.
I think that is the last dose of Motrin I'll be taking. My ankle is healing on schedule. The chip has mended and I am regaining flexibility due to physical therapy. I will continue to use ice if it swells or becomes painful.
I'm not advocating that everyone disregard the advice of their doctor based on "something they read on the internet". This article just reinforced what I've believed all along. - 8/28/2009 11:12:05 AM
Keep on keeping on!
Kat - 8/28/2009 7:51:35 AM
Now that I am starting a running program for myself, and understanding how athletes will try to "get past the pain" for their individual goals, I am paying greater attention to my body's needs and if I am going to lose sleep over an aching back, I will take the Aleve... but abusing any drug is just plain stupid... - 8/27/2009 7:49:41 PM
Our family Orthopedic Surgeon does not believe that inflammation is healthy and he also doesn't believe that pain is good. He recommends anti-inflammatory meds after surgery. And also when my sister broke her ankle but didn't need surgery; he felt the anti-inflammatory meds were good for her and that she should not be experiencing pain.
The only part I might agree with is some people will not allow the limb to rest if they don't feel pain. When rest isn't enough, I see nothing wrong with taking anti-inflammatory pain medicines. Just my personal opinion.
But I won't let the dentist extract a tooth without numbing me first either. - 8/27/2009 3:23:45 PM
When I trained for my marathon last summer I was taking ibproufen before, during, and after running during the last couple of weeks of training because of horrible shin splints. It was the only way I could run more than 2 miles without being in excruiating pain. In retrospect, it was absolutely stupid. Actually I knew it was stupid at the time. Really stupid.
I end up injured more than once a year so I need to start respecting what pain is trying to tell me rather than chewing more ibuprofen. I'm going to be really depressed if I can't run anymore because I've gone and made a mess of things.
Thanks for the blog - it will help me be a lifelong runner. - 8/27/2009 3:11:47 PM
Excellent article Nancy! - 8/27/2009 1:45:17 PM
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