As a lot of people know, at the end of this 2013 racing season I had the misfortune of crashing out of the Tour of Utah with some relatively serious injuries. Basically, I got knocked out when I went down, I fractured two vertebrae at the base of my neck (cracking one and breaking a piece off of another), sprained my right shoulder and left wrist, fractured my right arm, and scraped up my face, neck and shoulder. Now I have some scarring on my cheek, eyebrow, and neck that will probably always be there, a bump on the back of my neck where I have an extra piece of bone that broke off of my spine, and some physical therapy exercises to get my shoulder back in the right shape. At the end of the day, no big deal.
So, what have I been doing this last month since the accident? Clearly I can’t ride my bike. How can I train or try to make progress towards my goals when I’m injured like this?
Summary (for those who don’t want to read much):
modify my diet (eat more like I would if I wasn’t an endurance athlete)
train on the trainer a moderate amount, 4-5 times a week, ~30m each time, with a few hard efforts
ease into cross training
do some strength building aerobic rides once back on the road
Well, for the first two weeks, there’s nothing I could do that was physically active. I was supposed to be wearing a cervical collar (a neck brace) and taking it easy. The most that I could do was to just walk around and do normal everyday stuff at home and at work. No hiking, no running, and definitely no biking. But, that definitely doesn’t mean I can’t make progress towards my goals. In this case, the main priority was to recover, with a secondary goal of not putting on weight when my training volume went from 15-20 hours a week down to zero. So, I tried to take it easy and gave myself as much time to sleep as my body wanted to take. During that time, I was sleeping anywhere from 9 to 11 hours a night. Usually it was a pretty normal 8-9 hours, but for the first two weeks, I definitely slept 10 or 11 hours every 2 or 3 nights, and considering the fact that I had a low level concussion was probably a good thing.
For my diet, trying not to gain weight and provide lots of good nutrition for healing bones, mending connective tissue, and making sure my brain was functioning properly meant that I focused on trying to eat plenty of fruits and vegetables, some nuts, a bit of fish and meat, some yogurt, oatmeal for breakfast most days, some eggs, and otherwise, just a lot less calories and almost zero refined carbohydrates. What on earth would I need high-octane carbohydrate fuel for? I definitely didn’t need it for training hard or racing, and if I had bread, pasta, and rice on a regular basis, I’d probably be producing insulin in higher amounts and storing more body fat than I would prefer to do. Going from very active to zero activity, some weight gain is inevitable, but I could try to minimize it… I tend to think of it this way: you always need a good balance of healthy nutrition with fruits, vegetables, legumes, nuts, maybe fish, meat, eggs, and perhaps fermented dairy, but then on top of that, you need extra fuel at a level that’s on par with your level of activity. So, if you’re not training, you just need good nutrition. If you’re training hard, racing, or what have you, then you need the same nutrition, but then you just add on extra calories and carbohydrate. Or, in the other direction, if you’re not training, then you can try to just limit the extra calories and carbohydrate that you aren’t using for training and racing.
After about 2 weeks, I was able to take my neck brace off, get on my indoor trainer, and even go running when my neck and shoulder felt good enough for it. Riding outside was against the rules for risk of falling, but just getting on the trainer was good. About this time, I was also considering some of the dietary changes I’ve tried over the last several years of racing as well as some of the research I’ve come across, and had decided, mostly for fun as an experiment, to try a reduced carbohydrate diet (similar to a Paleo type diet) for at least a few weeks as I started riding the trainer again and eventually got back on the road. At this point, my training consisted of 20-45m rides that were usually just pretty steady with a few hard efforts to get my HR up and my legs burning fuel at a high rate, even if only for a few minutes. Even if it’s short, riding a few times per week is way better for your fitness than not riding at all. Likewise, doing just a few hard efforts for some of that time will be much better than just riding steady. So, even though I wasn’t making any actual progress in my fitness, I was able to significantly diminish the detraining I experienced during this month away from the road.
While I was at it, trying a different diet as a fun experiment, I was interested to see how, if at all, my training would be affected by the change, especially as I got back out on the road. The aim for the lower carbohydrate diet would be to encourage my body to produce more aerobic enzymes while training in a glycogen depleted or partially depleted state, because some studies show that training while glycogen depleted is more effective for producing aerobic enzymes than training while fully glycogen loaded. Basically, I would hope to have better endurance as a result, even though training at a minimal volume. (The other side of this principle is that if you want to train your anaerobic energy systems and do very high-intensity efforts, you can do them with any diet, but you will be able to do more if you have more glycogen to burn during those high-intensity, anaerobic efforts. For this reason, I’m thinking I may experiment with cycling macronutrients in my diet this winter while doing blocks of endurance/aerobic training and higher intensity training. We’ll see, but I think it should prove interesting.)
Once I was able, I also wanted to start building up some running fitness in my legs by just doing a few shorter runs each week to put my bones under some running stress, so that more running later is less likely to result in a stress fracture or anything like that. That’s not to say that I or any other cyclist would necessarily be at risk for this, but it’s a distinct possibility, so I figure it’s smarter to hedge my bets and ease into it. Likewise, I used to be able to run 50, 60, or more miles per week on a regular basis, with long runs and intense intervals, and never really get that sore from it. Sure, I would be a bit stiff after a long run or a tough interval workout, but nothing that would inhibit my ability to run the next day. Currently, after riding and racing my bike almost exclusively for the last several years, just doing a 4 mile easy run ends up making me sore for at least 3 or 4 days. So, for various reasons, I’ve decided that my top cross training priority this off season is to get my legs to be more resilient when it comes to running, and to get to a point where I can run regularly without major soreness. To this end, I’ve been doing easy runs of 3-6 miles with some dynamic stretching and strengthening drills (lunges, bounding, etc.) and have done more foam rolling and light stretching after my runs than normal. Again, even though I’m not making huge progress in my aerobic fitness, at least I’m making good progress towards my goal of running regularly and with minimal soreness and discomfort. Ideally, I’ll be able to do longer runs and hard running workouts this winter.
Lastly, for at least my first few weeks out on the road, I’ll focus on doing steady to high-endurance riding with some tempo/threshold type efforts to just regain my strength and general power on the bike. I know that being off of the road for a month or more, and just riding the trainer for a bit in the meantime, there will be a lot of strength that will have to come back just to generate the kind of torque on the pedals that you usually do on the road. That will come back quickly, I’m sure, because among other things, your nervous system is usually one of the faster adapting systems in your body. But, at least for the first few weeks, the main goal will just be steady and high-aerobic work to regain a general baseline of strength and fitness.