My training at 37-ish

Goals
Fitter. Faster. Stronger. Wiser.
With continued learning and adaptation. Always tinkering.

Context: 37-year-old. 180cm. 75kg. Soldier. Student.

Basically, I want live well into old age, being able to contribute to society and avoid chronic disease (for as long as possible).

How do we do this?

As a start point, using the basic human evolutionary blueprint and applying it to the modern environment, I have found that for me, it has allowed me to look, feel and perform to a pretty good standard without too much compromise.

Simply put, try to keep my metabolism as healthy as possible (by eating whole foods), keep enough muscle mass and remain as mobile (by being active) as I can so that I can actually get around and do everything I want to do for as long as possible… and hopefully help a few people out along the way.

Once again, the caveat is that this is what has worked for me so far…

Food
For those who don’t know me, I have been following Paleo type nutrition for nearly seven years now. For the most part it’s just eating whole foods as often as possible, and cutting out highly processed vegetable oils and sugars as much as practicable.

I rarely count calories and eat when I’m hungry. On occasion, I’ll track using a smartphone application to get a ballpark estimate of how balanced my food intake is. Generally, I’d say my macronutrient breakdown would be roughly:

  • 50-60% fat;
  • 20-25% protein;
  • 15-20% carbohydrate.

Is that keto? Technically, no. It would be pretty close and there would definitely be times through out the year that I would naturally cycle into ketosis.

I normally train in a fasted state, or after a cup of black coffee with some MCT oil and collagen.

My basic plate is a piece of animal protein with a bunch of vegetables and/or salad topped off with some butter or olive oil and sea salt. I eat plenty of eggs and I enjoy full-fat cheeses and dark chocolate (85% min). Mineral water, black coffee and red wine, specifically pinot noir are my drinks of choice.

Mostly I’m eating two meals per day, usually after I have trained. Most of my calories would usually be consumed in the final meal of the day. Mostly because I have more time available in the evening to prepare larger meals.

Another reason would be that I’m more likely to be sharing a meal after work with friends or family and sometimes it’s just easier. Being flexible and understanding the process is key here. There’s nothing worse than being “that guy or girl” who doesn’t eat at a group meal because it’s five minutes into a proposed fasting window.

Finally, when you’re a person who is generally a eating low-carbohydrate diet, getting all of your carbohydrates in the evening can replenish glycogen stores (energy stored in the muscles), and the elevated insulin response helps produce more tryptophan, which allows the process of converting serotonin into melatonin, leading to a more restful sleep.

On occasion, I will eat a third meal, typically if I’m doing a bit more physically at work, if I’m planning an evening workout or if I’m hungry. Super simple.

Intermittent fasting and time-restricted feeding. There is a difference. As mentioned earlier, I mostly eat two meals per day. One meal post workout and one at the end of the day. This is called time-restricted feeding. All foods are consumed within a window of time, for example between 12pm and 8pm.

Intermittent fasting is exactly that. Intermittent, meaning occasional. I am metabolically flexible, meaning that I am well adapted to using fats or ketones as an energy source, allowing me to go longer periods of time without feeling hungry or craving food. Occasionally on a low tempo day, I would dabble in a longer fast of up to 24-32 hours. This wasn’t very regular, maybe once every 8 to 10 weeks.

Most weeks I eat out with my team mates on a Friday morning at a local cafe, and with friends one night which would usually lead me to the local Vietnamese Pho restaurant.

Supplements
I generally don’t take a lot of supplements on a daily basis. I really try to get everything through whole food nutrition. My pre-workout is usually just a cup of black coffee and I randomly use a whey protein powder post workout. Outside of that, it’s only occasional cycles of fish oil, cod liver oil and magnesium.

Magnesium. This is probably one of the most important supplements for me. Mostly taken post workout or in the evenings prior to sleep. Magnesium is vitally important to over 300 biological functions in the body and these days it’s not that easy to get enough from diet alone. Add in some intense training or workloads, and your requirement increases.

During the winter months I spend a bit more time indoors and get a little less sun exposure, so I add about a 10ml of Nordic Naturals Cod Liver Oil every other day. The Cod Liver Oil is a good source of DHA along with Vitamins A and D, which have a variety of health related benefits.

Training
Strength and conditioning. The last 12 months I’ve focused on compound movements for general strength and conditioning such as deadlifts, power cleans and overhead presses. The break down of sets has varied, with a focus of no more than 10-15 working repetitions per movement.

Heavy Turkish getups (up to 50kg), farmers carries and high volume kettlebell swings have also featured consistently in my programming.

These three exercises are so good for you that you could almost base your entire strength and conditioning program around them and constantly see improvements throughout the year.

More recently, I have broken down my workouts into the following workout template:

  • Vertical press/pull, hinge and loaded carry;
  • Horizontal press/pull, hinge and loaded carry.

Really simple. But I’m finding that keeping it simple is working well for me. I can also finish most workouts in about 30 or 40 minutes.

I’m not setting any world records with my weight training but I’m fairly strong and athletic for a nearly 40 year old, 75kg guy. I’m rarely injured and generally have the energy to perform every day. Oh, I can also run reasonably quick.

Running. It’s been mostly interval work and 5km racing. Occasionally, I’ll run a longer distance out to about 8km, but the days of longer endurance distance running are in the past. For me, its too taxing on the body, and just takes up too much of my time. My preference lately has been to run 50m to 400m intervals and every now and then I just get out and run around for 20 or 30 minutes.

I’ve enjoyed running some of the major running events throughout the year. Firstly, it’s nice to have short term training goals, but I believe that it can give you a pretty good snapshot of how you compare physically (at least when it comes to running) across society in general.

In the last twelve months I have competed in the following events:

  • Mothers Day Classic, 4k (17:43min)
  • Run Melbourne, 5.2k (23:09min)
  • YMCA Fathers Day Run, 5k (23:37min)
  • Melbourne Marathon, 5k (24:14min)
  • Portsea Twilight, 4k (17:43min)
  • Sole Motive Sunset Series Zoo Run, 5k (22:47min)
  • Sole Motive Sunset Series The Tan, 4k (17:20min)
  • Run for the Kids, 5.2k (23:48min)

I also competed in two virtual races with the New York Road Runners (NYRR), where you track a run locally and upload it to a global leaderboard.

  • NYRR Valentines Day Virtual, 5k (23:02min)
  • NYRR NYC Half Virtual, 5k (22:25min)

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Right now my training consists of three days of strength and conditioning combined with two or three days of running (mostly easy/mid level efforts and some sprint work). Each workout lasts about 30 or 40 minutes. This gives me a total of about three to four hours of dedicated training per week which allows me to have more free time to enjoy some of the other things in life, such as coffee and hanging out with friends and family.

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Lifestyle
Living in Melbourne, Australia. This is home. Most likely for another 2 years. Being around family and friends definitely makes life a little easier. The importance of good social connections is often overlooked when it comes to optimising ones health and performance.

A key point to note here is flexibility. No-one is perfect and you’re aloud to make mistakes. Everyone is human, and we all have to live in the present day. I love a cup of coffee and can be always found at cafe on the weekend post workout catching up with friends. I have my nights out which will almost always end up at a local wine bar.

Sleep. This is really important if you want to be at your best. I’ve tried really hard to get as close to 8 hours a night of solid sleep. Having a cool and dark place to sleep is a good start, combined with a fairly standard daily wake time (ie: fairly close to sunrise) will set you up for success. There is whole post here to flesh out this topic alone.

Sleep quality will impact your energy levels, blood pressure, insulin sensitivity, body composition, overall immunity, heart disease risk. The list goes on… It’s the closest thing to the mythical “magic bullet” for health and performance.

This year will be my 16th as a soldier. Almost a lifetime. Whilst I don’t do too much soldiering these days due to my current role and position, I think it’s still important to keep those skills refined.

While it isn’t soldiering, I do like hiking and camping. Being outdoors is a pretty good escape. I try to get out every now and then for an overnight hike with friends, just to take some time out from the plethora of electronic devices and social media platforms that seem to take up so much of our lives today.

I was lucky enough to get away in January for a 3 week vacation to New York City. This was my fifth visit and it never ceases to amaze. I did a bit of sight seeing, revisiting some favourites, saw a show on Broadway, got to an NBA game and got to see my team win. Had the opportunity to meet new people and catch up with some old friends. I also drank a fair bit of coffee during the day and hot apple cider in the evenings.

Later this month I’m heading to the South Island of New Zealand for 10 days. I’ve never been and it’s something I’ve been looking forward to for sometime. I’m hoping to get a glimpse of the Southern Lights and maybe a bit of alpine hiking.

My parents have a holiday house on the Mornington Peninsula which I try to get away to every couple of months for a weekend. I’ve been going there my whole life and there is just something about coastal communities that is just relaxing.

My studies. This year I will complete a Diploma level qualification as part of a Bachelor of Nutrition. Doing this via correspondence which has it’s own unique set of challenges but overall I am enjoying it.

I don’t know what the next 12 months will bring, but I’m going to keep on tinkering and fine-tune ways to optimise health and performance as I move forward into the future.

The benefits of sled training

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Do you want to get leaner, build some muscle and improve overall physical conditioning? Try adding some sled training to your workouts.

Sled training is a highly effective and fun (sometimes) training modality that can be used in a variety of ways to improve general conditioning and non-specific athletic performance.

Here are some of the benefits of sled training.

Improved GPP
General Physical Preparedness (GPP), is the non-specific ability to be physically fit. Can you lift weight off the ground, push it overhead or carry it for distance? All of these things are GPP.

Improved body composition
Sled training is hard work. It’s also an awesome tool to build lean muscle mass and increase fat loss. There are many variations that can boost your metabolic rate and increase muscle mass. As you will be using you entire body as a machine, it can develop muscular density and hypertrophy, whilst also increasing fat loss.

Develops functional strength and acceleration
Sled training uses just about every muscle in the body whilst conducting real world movement patterns. It has to work as a complete machine in order to generate the force required to move the sled the required distances, developing overall strength and conditioning in the process.

Acceleration is a critical element in almost any sport, athletes are always working on developing their acceleration. Sled training can be programmed as a form of sprint conditioning, by forcing the body to move with speed against a controlled resistance, thus improving overall speed and power.

It’s simple, but hard work
Sled workouts are easy to program. Just load the weight and push, pull or drag. It will be hard work. It will elevate your heart rate to near max, it will leave you gasping for air and fatigue your entire body. It will make you better overall and generally harder to kill. Hard work pays off.

A lot of gyms are starting to add weighted sleds into their functional training areas, so if your gym has one, try giving it a shot for a few weeks. If your gym doesn’t have a sled or functional training area, then you should consider changing gyms.

The addition of sled training alone will make the move worth it.

The Med Ball Slam

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Athletic training has evolved greatly over the last hundred years.

Advances in technology and knowledge of the human body have reflected in the fine tuning of training methodologies used by the worlds most elite athletes and trainers alike.

Several exercises however, have remained constant throughout this time. The Med Ball Slam is one such exercise.

Med Ball Slams are an exceedingly simple exercise. Lift the ball high above your head, launch it into the floor beneath you, pick it up, do it again. It looks like child’s play compared to more technical lifts like the Snatch, but beneath its no-frills exterior, Med Ball Slams are building better athletic performance. Thus, the reason Med Ball Slams have persevered for centuries can be summed up in two words…

They work.

How to perform the Med Ball Slam
It is important to make sure you’re using an appropriate weight. This is not always the heaviest weight possible. The Med Ball Slam is an explosive movement.

  • Grab a med ball.
  • Assume an athletic stance and hold the med ball at waist level in front of you.
  • Rise up onto your toes as you bring the med ball overhead.
  • Explosively contract your abdominals and drive your chest down to slam the ball into the ground with as much force as possible.
  • Retrieve the ball as it bounces up and go into your next rep.
  • Your feet should remain in a good athletic stance throughout the exercise.

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All about Resistant Starch

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What is resistant starch?
Resistant starch (RS) is a type of starch that is not digested in the stomach or small intestine, reaching the colon intact.  Simply put, it “resists” digestion. This explains why we do not see spikes in either blood glucose or insulin after eating resistant starch, and why we do not obtain significant calories from resistant starch.

There are four types of resistant starch:

  • RS Type 1 – Is found in grains, seeds and legumes and resists digestion because it’s bound within the fibrous cell walls;
  • RS Type 2 – Is found in some starchy foods, including raw potatoes and green (unripe) bananas;
  • RS Type 3 – Is formed when certain starchy foods, including potatoes and rice, are cooked and then cooled. The cooling turns some of the digestible starches into resistant starches via retrogradation;
  • RS Type 4 – Is man-made and formed via a chemical process.

However, this classification is not so simple, as several different types of resistant starch can co-exist in the same food.

Depending on how foods are prepared, the amount of resistant starch changes. For example, allowing a banana to ripen (turn yellow) will degrade the resistant starches and turn them into regular starches.

Where to find resistant starch
Resistant starch occurs in a number of natural foods. Some legumes, many tubers such as potatoes, and many fruits, especially unripe bananas and plantains.

There are several supplementary sources such as raw potato starch, plantain flour and tapioca starch. Raw (not sprouted) mung beans are also a good source of resistant starch, so mung bean starch (found often in asian grocery stores) can also work.

Food for your gut
Just like anything other living organism, your gut bacteria requires a food source. They need to eat to survive, and certain food sources are better than others. Simply put, resistant starch is a high quality food for your gut bacteria. This is the very basic, but most important function of resistant starch.

How does it work?

A healthy human gut has hundreds of bacterial species, outnumbering all other cells approximately 10 to 1. The overall balance of these bacteria has an important effect on health and wellbeing. Resistant starch resists digestion until it reaches the colon where it feeds your good bacteria.

The good bacteria feeds on resistant starch and produce short chain fatty acids, with butyrate being the most significant due its beneficial effects on the colon and overall health.  Butyrate is the prefered energy source for the cells lining the colon, it also has a role in increasing metabolism and decreasing overall inflammation.

Below are just some of the health related benefits backed by science to consuming resistant starch.

Improve gut integrity and overall gut function
As mentioned earlier, resistant starch improves the overall quality and functionality of your gut bacteria. It also inhibits endotoxins from getting into circulation and can reduce leaky gut, which could have a positive effect with regards to allergies and autoimmune conditions.

Improved insulin sensitivity
Consuming Resistant starch improves insulin sensitivity, even in people with metabolic syndrome.

Lowers the blood glucose response to food
A popular reason people avoid even minimal amounts of  dietary carbohydrate is the blood glucose response. It’s too high. Resistant starch lowers blood glucose spike after meals. This reduction may carry over to subsequent meals.

Reduces fasting blood sugar
This is one of the most commonly mentioned benefits of resistant starch. With a reduction in blood sugar levels, resistant starch may help you avoid chronic disease and improve your quality of life.

Increases satiety
In a recent human study, a large dose of resistant starch increased satiety and decreased subsequent food intake.

Enhanced magnesium absorption
Most likely because resistant starch improves overall gut function and integrity, resistant starch increases dietary magnesium absorption.

Consuming resistant starch may also have the following benefits:

  • Improved body composition;
  • Improved thyroid function;
  • Improved sleep.

Adding resistant starch to your diet

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In a modern diet a person may only consume about 5g of resistant starch daily, compared to many traditional diets where 20g or 30g was consumed per day. You can add resistant starch to your diet by either consuming it from a food source or through supplementation.

Several commonly consumed foods are high in resistant starch. These foods include, raw potatoes, cooked and then cooled potatoes, yams, green bananas, various legumes, lentils and raw oats.

These foods are commonly high-carbohydrate foods, making them out of the question if you are following a low-carbohydrate nutrition plan. However, even if you are eating a low-carbohydrate diet, you can still see some benefit from consuming some resistant starch.

You can add resistant starch to your diet without adding any dietary carbohydrates. This is where our supplements, such as raw potato starch come in to the equation.

Raw potato starch contains approximately 8g of resistant starch per tablespoon and almost zero digestible carbohydrate.

It is cheap. It does have a fairly bland flavour, but it can be added into your diet in a variety of ways, such as by adding to foods, smoothies or mixing it with water.

Four tablespoons will give you about 32g of resistant starch. Like most supplements, it is important to build up, as too much too soon may have disastrous results.

There doesn’t seem to be any reason to consume much more than that anyway, as excess amounts seem to pass through your body when you reach about 50g per day.

The benefits of Magnesium

Magnesium (Chemical Element)

Magnesium is the fourth most abundant mineral in the human body and the second most common intracellular cation (positively charged ion) after potassium, magnesium is required for the healthy function of most cells in your body, especially your heart, kidneys and muscles.

Magnesium’s benefits can include reduced symptoms from conditions such as chronic pain, fatigue and insomnia. Magnesium may also provide protection from a number of chronic diseases, especially those associated with aging and stress.

Essential to life, necessary for good health, and a vital component within our cells, magnesium’s benefits help our bodies maintain balance, avoid illness, perform well under stress, and maintain a general state of good health.

What conditions can benefit from Magnesium?
Magnesium is known to reduce muscle tension, lessen pain associated with migraine headaches, improve sleep, and address neurological disorders such as anxiety and depression.

Conditions linked to magnesium levels include:

Pain:

  • Headaches;
  • Muscle cramps and spasms.

Mental health and sleep:

  • Anxiety;
  • Depression;
  • Autism and ADHD;
  • Restless Leg Syndrome;
  • Insomnia.

Other conditions:

  • Psoriasis, Acne and Eczema;
  • Asthma;
  • Hypertension (elevated blood pressure);
  • Diabetes;
  • Osteoporosis.

Magnesium works within our cells. The powerhouses, factories and regulators of the body’s systems.

Because it is a necessary part of hundreds of biochemical reactions occurring constantly inside our cells, magnesium’s presence or absence affects the brain, the muscles, and the heart and blood vessels.

The importance of Magnesium?
There are fifteen essential minerals required by our bodies to function properly. These can be divided into trace minerals, those required in very small amounts, and major minerals, those required in larger amounts.

The six major minerals required in excess of 250 mg per day include:

  • Calcium;
  • Magnesium;
  • Potassium;
  • Phosphorus;
  • Sodium;
  • Chloride.

Magnesium impacts nearly all of systems of the body due to its cellular and molecular function. It has vital role as a co-factor to over 300 enzyme functions.

Not only one of the most vital and essential enzyme co-factors, regulating more reactions than any other mineral, but magnesium is also responsible for two of the most important cellular functions: energy production and cellular reproduction.

Magnesium and heart health
Insufficient magnesium tends to trigger muscle spasms, and this has consequences for your heart in particular. This is especially true if you also have excessive calcium, as calcium causes muscle contractions.

Magnesium also functions as an electrolyte, which is crucial for all electrical activity in your body. Without electrolytes such as magnesium, potassium and sodium, electrical signals cannot be sent or received, and without these signals, your heart cannot pump blood and your brain cannot function properly.

The heart has the highest magnesium requirement of any organ, specifically your left ventricle. With insufficient amounts of magnesium, the heart simply cannot function properly. Elevated blood pressure, cardiac arrhythmia, cardiovascular disease (CVD) and sudden cardiac death are all potential effects of magnesium deficiency and/or a lopsided magnesium to calcium ratio.

This systematic review and meta-analysis published in 2013,  concluded that circulating and dietary magnesium are inversely associated with CVD risk. Simply put, this means the lower your magnesium intake (and the lower the circulating magnesium in your body), the higher your risk for CVD.

Other notable effects include:

  • Is an important factor in muscle relaxation and heart health;
  • Creating energy in your body by activating adenosine triphosphate (ATP);
  • Allows nerves to send messages in the brain and nervous system;
  • Aids and regulates the body’s use of calcium and other minerals;
  • Assists in bone and teeth formation;
  • Regulates the metabolism of nutrients such as protein, nucleic acids, fats and carbohydrates;
  • Regulates cholesterol production and helps modulate insulin sensitivity;
  • Assists in energy production, DNA transcription and protein synthesis;
  • Maintains the structural health of cell membranes throughout the body.

Foods high in Magnesium
Magnesium in food sources were once commonly consumed, but have diminished in the last century due to industrialized agriculture and a shifting to more modern westernized diets. Below is a list of foods that are high in dietary magnesium:

  • Pumpkin Seeds;
  • Spinach;
  • Swiss Chard;
  • Dark Cocoa Powder;
  • Almonds;
  • Coffee.

Who should supplement with Magnesium?
Magnesium has been linked to reduced incidence of common conditions such as high blood pressure, diabetes, and metabolic syndrome in large peer-reviewed, long-term studies.

Studies today focus on whether active magnesium supplementation may be one of the missing links to preventing these diseases, as well as several disorders affecting the brain, muscles and skin.

The good news is that magnesium supplementation is a safe and effective way for most people to ensure they are getting enough magnesium to stay healthy, before deficiencies arise.

How much Magnesium to supplement
While the RDI for magnesium is around 310 to 420 mg per day depending on your age and sex, many experts believe you may need around 600 to 900 mg per day.

What is Overtraining?

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Recovery is one of the key components to high performance in sports but is rarely appreciated by most athletes ranging from the weekend shuffler to the elite level endurance athlete. Conventional wisdom would suggest that the road to success is hard workouts, and the more the better.

A highly motivated athlete, no matter how elite, who has placed recovery on the back burner, will soon enough experience total fatigue. Waking up in the morning tired, unable to complete the easiest of training sessions. This can go on for days, weeks or even months. You’re overtrained.

How Overtraining can occur
Below is a list of just some of the reasons an athlete could become overtrained:

  • Inadequate recovery between training sessions;
  • Too much high intensity training, typically for too long;
  • Sudden drastic increases in distance, length, or intensity of exercise routine;
  • Daily intense weightlifting;
  • High volumes of endurance training;
  • No vacations, breaks, or off-seasons;
  • For athletes, excessive competition at high levels (i.e. trying to win every race);
  • Inadequate nutrition, typically in the form of caloric and carbohydrate/fat restriction;
  • Insufficient sleep;
  • High amounts of stress and anxiety.

Common Symptoms of Overtraining
There are many symptoms of overtraining, ranging from physiological to biochemical or even a compromised immune system. Here are some of the more common signs and symptoms of overtraining.

Physiological and Psychological

  • Decreased performance;
  • Decreased strength;
  • Decreased work capacity;
  • Changes in heart rate at rest, exercise and recovery;
  • Increased frequency of breathing;
  • Insomnia;
  • Loss of appetite;
  • Increased aches and pains;
  • Chronic fatigue;
  • Depression;
  • Apathy;
  • Decreased self-esteem;
  • Difficulty concentrating;
  • Irritability.

Immunological

  • Susceptibility to illness;
  • Slow healing of minor scratches;
  • Swollen lymph nodes.

Biochemical

  • Negative nitrogen balance;
  • Flat glucose tolerance curves;
  • Reduced muscle glycogen concentration;
  • Decreased hemoglobin;
  • Decreased iron serum;
  • Mineral depletion;
  • Elevated cortisol levels;
  • Low free testosterone.

Overcoming Overtraining
The only way to overcome overtraining is adequate rest along with sound nutrition. Overtraining usually results from training mistakes, most commonly is an imbalance between stress and rest. This usually occurs as an athlete suddenly increases their training workload in either volume or intensity, sometimes both.

Overtraining can be avoided by following a long-term, structured training program that has scheduled rest and recovery days. A reduction in workload for a single training week, every 6-8 weeks is also very beneficial. Taking the time out to reduce both mental and physical stressors of the modern world can help with recovery.

Training programs should be unique to the individual athlete, taking into consideration, age, experience, susceptibility to illness and injury, along with any personal goals.

Iliotibial Band (ITB) Syndrome – Is your ITB killing you?

If you’re an active person, and especially if you’re a runner, Iliotibial Band (ITB) Syndrome is one of the most common overuse injuries that can sideline you. Though many people suffer from ITB Syndrome, few understand what it is and how to treat it.

If you’ve ever had ITB Syndrome, then you know how much it can hurt, and how it feels like it’s never going to go away.

It’s one of those pains in your knee or the outside of your leg where you go out for a run or a ride, and have to limp home. Many suffer with this injury for months. It’s like a knife digging into the side of your leg or knee. The ITB is an extension of a short muscle on the side of your hip called the Tensor Fascia Lata (TFL) as well as your gluteus maximus (glute max) muscle, (that’s your behind). The ITB extends from the TFL and glut max down to the outside of your knee.

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Symptoms
Pain occurs anywhere along the ITB, usually at the insertion (by the knee) or somewhere in the middle. You’ll have pain running, riding or walking [usually down] stairs, and anytime you try to bend your leg, especially after keeping it straight for a while.

Sometimes, even waking up in the morning will be like an ice-pick in your leg. If you’ve ever had an ITB problem, you probably went through a whole slew of treatments and still had it for 3-6 months; that is very common and no fun.

Causes
ITB Syndrome occurs typically from the following reasons:

  • Often there is an actual weakness of the TFL or glute max itself. 75% of the ITB is made up of  the glute max – the major muscle you use to jump, climb, squat, run, ride your bike, and even just to get out of a chair;
  • A muscular imbalance between the inside and the outside of the leg;
  • One or both of those muscles could have fatigued from wearing the wrong type of shoes or orthotics;
  • An old injury that is still haunting you, but you don’t know it because the pain is gone, but your body has compensated;
  • An insulin issue from eating too many carbohydrates creating a gait disturbance, or even from a digestive problem, (gut inflammation can inflame the ITB);
  • Overtraining.

Treatment
Once you notice ITB pain, the best way to get rid of it is to rest immediately. That means fewer miles, or no running at all. While you’re backing off on your mileage, you can cross-train. Swimming, pool running, cycling, and rowing are all fine. If you diagnose an ITB problem early enough treatment can be as simple as rest, massage and stretching.

Medical treatment is cortisone shots and NSAIDs (Non-steroidal anti-inflammatory drugs) for inflammation and if that doesn’t help, then surgery can be recommended to cut and release the band (in severe cases).

Other keys to treating ITB and speeding a healthy return to the track are as follows:

  • Stop running. It’s simple – if it hurts to run, don’t run.
  • Increase strength. Simple exercises to strengthen the glutes, quadriceps, hamstrings and core muscles can aid a speedy return to the track.
  • Massage the injured area. Using a foam roller and/or a tennis ball to work out tightness in my glutes, quadriceps, ITB, hamstrings and hips.
  • Better quality sleep. Most recovery and healing happens when you’re asleep. Aim for 8 or 9 hours minimum of quality, unbroken sleep.