Tag Archives: running injury

Synthetic perspectives on the running human body: Improving running economy is not the be-all, end-all.

Looking at the body from a synthetic perspective is a lot like looking at it from an evolutionary perspective.

As I described in a previous post, a “synthetic account” of the body—there is no such thing as a “synthetic analysis”—is one that looks at the human animal in its whole context in order to understand why it does what it does, (and what it is attempting to do).

A few theories have a strong synthetic component: Pose Method (which looks at the mechanics of the body in the context of the Earth’s gravitational field), Tim Noakes’ Central Governor Theory as well as his discussion on thirst and hydration, and Phil Maffetone’s MAF Method (which observes that prolonged athletic achievement cannot be produced without safeguarding and promoting the body’s health).

But most accounts of athletic performance out there look at the human body in a very narrow analytic sense. They typically only measure a few variables germane to athletic performance: running economy (also known as efficiency), speed, power, endurance, etc. In other words, they look at the body in the same way you might look at a race car: you analyze how the race car functions and how it performs while on the track. But you don’t worry very much about what it’s doing or what’s happening to it elsewhere.

In this vein, it is often argued that one running form (one particular set of kinematics) is better or more advantageous than another on the grounds that it is more efficient. Take a look at the title of these articles: A Novel Running Mechanic’s Class Changes Kinematics but not Running Economyand Effect of a global alteration of running technique on kinematics and economy. 

The body has to worry about a number of things beyond running economy: it has to save itself for future battles, quickly rest and recover in order to fulfill any number of foreseen and unforeseen functions beyond the scope of the athletic event, like for example to be unstressed enough to be able to engage smoothly and creatively with social environments.

So, when sports scientists come along and suggest that the best form for a particular athletic movement is what’s most efficient (in the sense of minimizing energy expenditure during the athletic event), they are ignoring some of the body’s broader imperatives.

Why? The simple answer is that the body’s lifelong goal of protecting itself is far more important to it than the very bounded goal of winning some particular athletic event (or chasing down some particular deer) at any cost. It doesn’t just want to get the deer. It wants to benefit from having gotten it.

What does this mean? That benefiting from getting a deer means that it might be better to wait until a slower deer comes by. Let’s suppose you don’t have enough energy to run at the speed and distance you’ll need if you want to catch the deer you want, and still be able to run with the form necessary to protect your body while doing so. You might end up catching the deer, but you might also end up with a blown knee or a damaged achilles. You might be put out of commission for a month or two.

Now let’s suppose that someone else uses a slightly more expensive form—expending more energy to maintain proper movement. They’ll be proportionally slower, but they’ll also be able to move much more and recover much faster. Over time, they’ll become the more powerful runners. Three or four years down the line, they’ll be catching much faster deer, much more consistently.

Of course, it’s important to be as efficient as possible: refining the way muscles work, and aligning them to work with gravity and impact forces (and not against them). But pursuing efficiency is not at all convenient past the point where the only way to get more efficient is to risk tearing tendons, degrading cartilage and connective tissue, and abrading bone.

This brings up another important point: while the safest form has a high degree of efficiency, the checks and balances necessary to produce it (and maintain it at high speeds or over many miles) also means that it is typically more expensive to produce than the “most efficient” form.

 Let’s say that the runner who blew his knee by going after the very fast deer has form X. Form Y might be more expensive, but it would also allow him to get faster over time. But let’s say that instead of getting injured by going faster, he decides to only chase the slowest deer, or run exclusively for fun. He might display the same injury rates as runner Y. But if we only look at injury rates without looking at speed, or running economy without looking at speed, or efficiency without looking at performance improvement over time, we might end up concluding that the wrong ways of doing things are actually better (or worse, that there is no “best” way of doing something).

Being faster (or fast for longer) is great. But that’s not good enough either. The same things that we said about efficiency can also be said about speed. Running with the form that lets you be fast safely, recover quickly, and improve consistently, is waaay better than “just running fast.”

A culture of injury

The endurance running hypothesis submits that humans evolved as desert persistence hunters—fast, long-distance running machines. Contemporary research has found no relationship between running and knee osteoarthritis. And the Tarahumara—the Mexican tribe of running people also known as rarámurihabitually run hundreds of miles per week while sustaining only a modicum of injuries. All of this raises the following question:

Why do we continue to insist that running is bad for the knees?

The most immediate answer is that, for a critical mass of westerners, running has actually created a variety of musculoskeletal and metabolic problems, enough so that it’s gotten a bad rap. However, especially in light of the above data, this doesn’t mean that running is bad. What it does mean is that we’re doing something fundamentally wrong.

Like most systemic problems, it has more than one source. Consider this: not only do we run in biomechanically disadvantageous ways, but we’ve done that for so long that the cultural consciousness has internalized this as the notion that running is somehow inherently injurious. Once this idea has been internalized, we lose any incentive, and any reason, to change incorrect patterns of motion. Because we’ve operated for so long under this conclusion, chronic injury and dysfunction becomes not only the standard, but also the norm.

However, it does more than that: chronic injury becomes the badge of the runner—a badge worn with pride. It is at this point that the culture of injury becomes fully cemented. If you aren’t injured, you’re not a “real” runner; you don’t share the burdens that we all share. You don’t go through the constant rite of passage that we all go through. You’re an anomaly, an exception. You’re special. Good for you.

With most runners, injury is the way of the world. Injury is a self-fulfilling prophecy that has everyone singing its virtues. If you aren’t injured yet, you keep training. It’s almost as if you look for injury. Why? Well, because if running is inherently injurious, if you’re not injured, you’re not doing it right. If you don’t have to constantly stretch and rehabilitate and ice and elevate, maybe it’s time to train a little harder.

So, what do we have here? A self-fulfilling prophecy, one which for the majority usually removes the possibility of running completely pain and injury free. The world in which we don’t have to RICE it up all the time, and foam roll our IT band isn’t one we’re used to considering.

Think that this world is a fantasy? Return to the evidence above. You’ll likely find that your skepticism is far more a function of the story we’ve been telling ourselves (and the socio-athletic system that’s emerged from it) than a function of the actual capabilities of your particular human body.

The first step to change this feedback loop is not, of course, to just go out and try to run like the rarámuri. That would be silly. Mere wishful thinking cannot ever replace good biomechanics and great training volume over the course of a lifetime, not to mention the benefits of being steeped in a culture of running. Most of us don’t have that, and never will.

But what we could do is to believe that it can somehow be different. We can believe that, given the evidence above, it makes sense to try and create the world in which we’re not plagued by injury, and beset by the notion that it is somehow an inevitability. Once we believe that, we can realize how antiquated the notion of “pushing through the pain” actually is.

If the plantar fascia begins to hurt, why not change something in our stride so that it stops? Change what? Go figure it out. But the injury is not inevitable. Only the notion of pushing through it—that useless phrase that our athletic culture has given us—makes it a certainty.