isometric exercise for tendons

Still Avoiding Things Because They Hurt? Recovery May Need a Different Goal

Most people think about recovery as getting back to where they were before something started hurting. Pain settles down. Movement becomes easier. Eventually, life gets back to normal. But I think that misses an important part of what recovery actually is. Recovery is not simply the disappearance of symptoms. Recovery Is Something You Build It […]

Most people think about recovery as getting back to where they were before something started hurting.

Pain settles down. Movement becomes easier. Eventually, life gets back to normal.

But I think that misses an important part of what recovery actually is.

Recovery is not simply the disappearance of symptoms.

Recovery Is Something You Build

It is the process of rebuilding your ability to handle the things that matter to you.

That might mean walking farther, getting through a workday, lifting your grandchild, returning to the gym, running again, or simply trusting your body enough to move without constantly worrying about it.

This is the idea behind the MovementSpark Recovery System.

It isn???t a specific treatment technique or a rigid exercise protocol. It is a way of thinking about recovery and making better decisions along the way.

And it starts with a simple question:

What does your body need to become capable of doing next?

Rest can help. But rest isn’t the destination.

When something hurts, reducing the stress on it can be useful.

Sometimes it is exactly what we need.

But there is an important difference between giving something an opportunity to settle down and making avoidance the entire recovery strategy.

Imagine that your Achilles hurts whenever you walk more than twenty minutes.

You stop walking.

A few weeks later, it feels better.

That sounds like progress.

But eventually you still need your Achilles to tolerate twenty minutes of walking. And if your goal is hiking, running or playing a sport, it needs to tolerate considerably more than that.

Rest may reduce the demand.

It doesn’t necessarily build the capacity you need to return to your life.

That is where recovery really begins.

The goal isn’t simply less pain. It’s more capacity.

This is one of the biggest shifts I want people to make when thinking about recovery.

Of course I want you to hurt less.

Pain matters.

But there is another question that is just as important:

What do you want your body to be able to do?

  • Walk the dog?
  • Work an eight-hour shift?
  • Lift your grandchild?
  • Run five kilometres?
  • Get back to gardening?
  • Play hockey?

Recovery becomes much clearer when we know what we’re trying to recover for.

Instead of asking only:

How do we make this stop hurting?

we can also ask:

What does your body need to become capable of doing again?

Now we have something we can build toward.

Think about demand and capacity

One of the simplest ways I know to explain many recovery problems is:

Demand ??? Capacity

Demand is what you ask your body to do.

Capacity is what your body can currently tolerate and recover from.

Problems often appear when the demands placed on us repeatedly exceed the capacity we currently have available.

That doesn’t necessarily mean something is badly damaged.

It may simply mean there is a mismatch.

Suppose you haven’t run for six months and decide to run 10 kilometres.

The demand has suddenly become much greater than your current running capacity.

Or perhaps you normally tolerate your workouts quite well, but you’ve had a stressful week, slept poorly for several nights and worked three long days.

The exact same workout may suddenly feel very different.

Your capacity isn’t determined by one muscle, tendon or joint in isolation. You are an adaptable human being, and sleep, stress, health, confidence, previous experiences and many other factors can influence what you can tolerate on a particular day.

This gives us two basic ways to change the equation.

We can temporarily reduce demand.

And we can gradually build capacity.

Usually, successful recovery involves some combination of both.

Pain is important information ??? but it isn’t a perfect damage meter

Pain can be frightening.

If something hurts when you move, it is completely understandable to think:

I must be damaging it.

Sometimes pain does tell us that something requires medical attention. New injuries, significant trauma and unusual or worsening symptoms deserve appropriate assessment.

But persistent pain is more complicated.

The amount of pain you experience does not always correspond neatly with the amount of tissue damage present.

Pain is an experience produced by a much larger biological system.

That means we need to pay attention to pain without automatically assuming every uncomfortable sensation means harm.

This distinction matters because fear can gradually make our world smaller.

We stop lifting.

Stop running.

Stop bending.

Stop trusting the painful area.

Eventually the problem isn’t only that something hurts.

We’ve also lost some of our ability to do the things that matter to us.

Recovery has to rebuild both.

Capacity and confidence.

Your body needs stress

This sounds strange when you’re hurting, but stress is one of the ways the human body becomes stronger.

Muscle responds to resistance.

Bone responds to loading.

Tendons adapt to loading.

Your cardiovascular system adapts when you challenge it.

The goal, therefore, isn’t to avoid all physical stress.

The goal is to find the right stress.

I call this Strategic Physical Stress.

Useful physical stress has four qualities.

It is appropriate for your current ability.

It is purposeful, because it connects to something you actually want to be able to do.

It is progressive, because the challenge gradually increases as you become more capable.

And it is recoverable.

That last one is especially important.

A useful question I often ask is:

What is the most challenging thing you can do and still recover from predictably?

That is often where productive training and rehabilitation live.

Not doing nothing.

Not destroying yourself.

Somewhere in between.

Stress + recovery + repetition = adaptation.

Recovery is partly about creating successful physical experiences

This may be my favourite part of the whole process.

Recovery isn’t only about strengthening tissues.

It is also about accumulating experiences.

You load your Achilles and discover:

That was okay.

You walk farther than expected:

I handled that.

You do some squats:

My knee tolerated those.

You have a little discomfort after exercising, but it settles by the next day:

That didn’t mean I damaged myself.

Each successful experience gives your brain and body new information.

Over time, something powerful can begin to happen.

Your body develops more capacity.

And you develop more confidence in your body.

This is why I don’t think rehabilitation is simply about finding the perfect exercise.

It is about creating successful physical experiences.

Flare-ups don’t necessarily mean you’ve gone backwards

One of the most discouraging moments in recovery happens when things have been improving and suddenly the pain returns.

It is easy to think:

I’m back at square one.

Usually you aren’t.

Instead of treating every flare-up as failure, I prefer to treat it as information.

Ask:

What changed?

  • Did you suddenly walk farther?
  • Increase the weight?
  • Add another workout?
  • Spend a weekend gardening?
  • Sleep badly?
  • Have an unusually stressful week?

Sometimes the answer is obvious. Sometimes it isn’t.

But the response is usually similar.

Temporarily reduce the aggravating load.

Return to something you know you tolerate.

Let things settle.

Then begin progressing again.

You are not starting over.

You are adjusting the dose.

A good recovery plan should eventually make you less dependent on treatment

Hands-on treatment can be useful.

So can medication, exercise, education, recovery strategies and many other interventions.

I use several of these approaches in my own clinical work.

But I don’t want someone to leave treatment believing:

Paul fixed me.

I’d much rather they leave thinking:

I understand this better now. I know what I can do. And I know what to do if it bothers me again.

That is a very different outcome.

The ultimate goal is agency.

You begin recognizing your own patterns.

You understand what your body currently tolerates.

You know when to push a little.

You know when to back off.

You can respond to setbacks without panicking.

And gradually you need your practitioner less.

That’s success.

Six questions can bring a lot of clarity

When recovery feels complicated, I come back to six questions.

  1. What matters to you?
    What are you trying to get back to?
  2. What may be happening?
    What is the most reasonable explanation for what you’re experiencing?
  3. Where are you now?
    What can you currently tolerate?
  4. What is getting in the way?
    Is the biggest limitation pain, strength, mobility, confidence, sleep, stress, workload or something else?
  5. What is the next useful step?
    Not twenty things. What matters most right now?
  6. How will we know it is working?
    What will you be able to do that you can’t do today?

Those questions turn recovery from something vague into something we can work with.

They give us a starting point.

They give us a direction.

And they give us a way to adjust the plan as your body responds.

So, what’s your next step?

Recovery rarely follows a perfectly straight line.

You try something.

Your body responds.

You learn.

You adjust.

Then you try again.

Over time, the aim is to close the gap between what your body can currently handle and what your life asks it to handle.

That might mean returning to running.

That might mean getting through a workday comfortably.

That might mean lifting your child, walking through the river valley, playing a sport or simply moving without constantly worrying about your body.

Whatever the goal is, the question I would start with is:

What is the next thing your body needs to be able to handle to get you closer to the life you want to live?

That is where I think recovery should begin.

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