63 - Sports Chiropractor Peter Kissel

What this episode covers

If you're a fan of the show, please support us [https://ei.supercast.tech/]! * 1:45 the evolution of chiropractic treatment and education * 9:15 sadly the injury prevalence for most endurance athletes is high: typically 50-80% of at least a minor issue * 9:45 the Kissel Hierarchy of Injury Prevention * Strength training: high load, low reps, compound movement-focused, more frequently in the off-season * Appropriate and systematic increase in volume - aka load management * Gait retraining ONLY to address recurring injuries * Listen to your body and don't ignore symptoms * Education and understanding of injury root causes and fixes * 14:30 the difficulty of quantifying training load and global stress with devices * 19:15 a trip down a data overload tangent * 23:15 if it ain't broke… * 24:00 more on strength training * From BSJM: 3-6 sets, 5-15 reps, 60-80% of 1RM, compound lifts, 2-3x weekly in the off season and less frequently during large-volume endurance training phases * The purpose of strength training is global tissue resilience and strength rather than a corrective for a specific issue * 26:30 the evolving nature of evidence in sport science * 29:00 gait retraining to address recurring injuries * Care must be taken to use gait training to improve economy * 33:45 updated guidelines for training with an injury: cessation of activity may not be the right answer in all cases. * 35:45 the significant role of how quickly treatment for a soft tissue injury is started after the injury in recovery time * 39:30 the role of education in positive outcomes * 41:15 humans are resilient! * 44:45 the evolution in treatment of tendon injuries * Used to be treated through stretching and rest * Imaging like ultrasound is no longer recommended in diagnosing or assessing tendon injury * Contemporary prescription is heavy, slow loading of the tendon to a low pain threshold * 52:00 traditional shoe prescription is nonsense To get in touch with Peter and to book an appointment, contact Totum Life Science [https://totumlifescience.janeapp.com/locations/totum-roxborough/book]in Toronto or the Proactive Athlete [https://www.theproactiveathlete.ca/] in Burlington.