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Not
only is it important to prepare for triathlons by swimming,
biking and running, it’s necessary to learn how to avoid
injuries that come from training, competing or everyday life.
Injuries ruin your gains from training and keep you sidelines
from competition. That’s why it’s doubly important to learn the
causes of triathlon injuries so that you can prevent them. I’ve
complied the most up-to-date information on swimmers, runners
and cyclists so that you can learn from the mistakes of others
and thereby prevent them from happening to you.
A triathlon- related injury is considered
to be any injury that occurs while training or racing in a
triathlon. The largest misconception about triathletes is that
their cross- training routines make them less prone to injury
than other athletes. In reality, studies show that triathletes
have an injury rate of 75 percent. Among Ironman competitors,
that figure skyrockets to 91 percent.
Since the body is a complex mechanism that
relies on combinations of muscle groups for power, balance and
shock absorption, its not as uncommon for an untreated
dysfunction in one part of the body to lead to problems
elsewhere. For example, a knee injury can cause the low back to
become excessively stressed, thus resulting in low-back pain.
Triathletes’ high frequency of injury stems
from the complexity of the sport and the broad range of
knowledge needed to train and compete safely. The triathlete
must learn about appropriate equipment specifications, proper
body mechanics and overall training programs that prepare the
body for the physical stresses of triathlon. Because experience
is most often your best teacher, you can prevent injuries by
understanding the medical literature on injuries as they relate
to swimming, cycling, and running.
Low
rate of swimming injuries. Swimming has the lowest rate of
injury and the fastest rate of recovery among the three
disciplines. Shoulder pain is the most frequent symptom, causing
at least temporary interruption of training and racing for 66
percent of all elite swimmers. In comparison, shoulder pain is
experienced by 57 percent of all pro pitchers, 44 percent of
college volleyball players and 29 percent of all javelin
throwers, according to medical studies.
The large number of hours needed to excel
in swimming, as well as the high frequency of shoulder movement
needed for each training and competitive session, causes the
higher rate of injury among elite swimmers. In most cases,
swimmers suffer shoulder injuries resulting from overuse
syndromes.
Treatment can include a combination of
rest, icing, anti-inflammatory medications and physical therapy
to eliminate motions that aggravate the shoulder muscles.
Recovery should also include modification of stroke mechanics
through proper coaching to decrease injuries, repetitive
motions. With proper care and training, injured swimmers
generally recuperate quickly and completely.

Beware of cycling trauma. Trauma is the most common
cycling-related injury. The arms, face, head, and legs are the
most often injured body parts. Approximately 600,000 cyclists
visit emergency rooms each year because of training, competition
and recreational accidents.
Collisions with automobiles account for
nearly 99.5 percent of all cycling deaths and a similarly high
percentage of serious injuries. Of course, the best solution to
this widespread problem is training in areas with less traffic.
Closed race courses also decrease the chances of potentially
life-threatening injuries.
If traffic-free environments are not
available, pay close attention to surrounding vehicles whenever
you ride. Remain constantly alert, so that you can react quickly
to potentially hazardous situations.
Sixty-two percent of all serious injuries
among cyclists involve head trauma, a fact that underscores the
importance of helmet use. Helmets reduce the likelihood of
serious skull fractures by about 85 percent and decrease the
incidence of facial injuries by more than 73 percent.
Cyclists can also fall prey to overuse
syndromes that may cause pain in specific regions of the body.
Around 60 percent of all competitive cyclists will experience
serious neck or back pain during their careers. Knee pain is
also common.
Other common overuse cycling injuries
include ulnar neuropathy, a type of nerve damage to the ulna
nerve of the wrist; and iliotibial syndrome, a tightness of the
iliotibial band of the leg. Most of these problems can be
prevented by adjusting the bike frame to your individual needs.
Proper therapy can aid in reducing the symptoms.
Runners and overuse injuries. While cycling causes the most
traumatic injuries, running has the highest incidence of overuse
syndromes. About 90 percent of all runners experience injuries
that will interfere with their training and competitive
schedules.
Knee pain is the most common injury symptom
among runners. Other frequent types of dysfunction include shin
splints, Achilles tendinitis, plantar fascitis and iliotibial
band syndrome.
Intrinsic or extrinsic factors cause
running injuries. Intrinsic factors relate to actual anatomical
features and motor functions- such as leg length and foot
mechanics- that you have little control over. Extrinsic factors
relate to external conditions experienced during training and
competition, including running surfaces, shoes, schedules,
distance and intensity.
Time is on your side if you’re a runner,
because the rate of injuries tends to decline as you gain more
experience. Researchers believe this tendency results from the
fact that the musculoskeletal system becomes stronger after
years of exercise and actually learns to function more
efficiently. Runners also tend to run “smarter” with experience,
learning from their earlier mistakes. Therefore, they become
less prone to common overuse syndromes.
Who
treats the triathlete? If you learn how to prevent injury,
you may not need to know who treats injured triathletes. But,
just in case…a recent survey of triathletes showed that 65
percent sought professional help for their injuries. Physicians
were the most frequent type of professional sought after, while
physical therapists were seen by triathletes with the second-
highest frequency.
Putting knowledge to use. Your best bet at preventing injury
is a training program that features balanced strength,
flexibility and endurance through appropriate weight- lifting,
stretching and cross- training. Your body copes with the varied
stresses associated with triathlon competition when you exercise
musculoskeletal groups that are related to swimming, cycling,
and running.
According to medical literature, triathlon-
related injuries are generally temporary. You can usually
recuperate fully with proper medical and rehabilitative
treatment. If you recognize the early symptoms of common overuse
syndromes and react swiftly to traumatic injuries, you can avoid
chronic dysfunctions and return to your sport with relatively
brief interruptions in your training routines.
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