Heat Exhaustion Vs. Heatstroke

Heat Exhaustion Vs. Heatstroke

By Coach Adolfo Salgueiro

Once again, the usual disclaimer: I am not a doctor, so please do not take medical advice from me. If you have any questions on what you are about to read, please consult a professional, which, yet once again, it is not the author of this blogpost. Now, let’s proceed.

Heat Exhaustion vs. Heatstroke

Running in the summer heat requires a certain level of preparation to avoid heat related issues, including death (Jonas Ferlin, pexels.com)

As we enter the Summer months in the Northern Hemisphere and the coolness of the spring weather turns into a combination of heat and humidity that can make even the most motivated runner miserable, the time has come to refresh our knowledge on two important concepts. It is extremely important to understand and differentiate the signs and symptoms of heat related illnesses, such as heat exhaustion and heatstroke. They are both serious conditions, but one can lead to death.

According to the Mayo Clinic’s website, there are three heat-related syndromes that may affect your body depending on your exposure to extreme heat conditions. In order of severity, they are: heat cramps, heat exhaustion and heatstroke.

Heat Exhaustion is caused by exposure to high temperatures, particularly when combined with high humidity and strenuous physical activity. Without prompt treatment, it can turn into a heatstroke, a life-threatening condition that can be prevented by avoiding entering in the heat exhaustion zone in the first place.

Heatstroke is a condition caused by your body overheating, usually as result of prolonged exposure to physical exertion in high temperatures. This most serious form of heat injury, it can occur if your body temperature rises to 104 F (40 C) or higher.

Certain conditions and medicines can enhance your risk of a heat-related illness. Ask your doctor if any of your medical history or current prescriptions can make you more susceptible to these diseases considering your level of physical activity during the warmer months.

I can’t state enough how important to know and understand the symptoms of each one of these syndromes. Not only it could help you prevent them, but it can avert a tragedy.


Heat Exhaustion

The evaporation of your sweat regulates your body temperature. However, when you exercise strenuously or otherwise overexert yourself in hot, humid weather, your core temperature (body\’s heat combined with environmental heat) fails to regulate, preventing your body to cool itself. A normal core temperature is around 98.6 F (37 C).

 If you don’t deal with this situation immediately, it may develop into a dreaded heatstroke.

The symptoms of Heat Exhaustion are:

  • Cool, moist skin with goose bumps

  • Heavy sweating

  • Faintness

  • Dizziness

  • Fatigue

  • Weak, rapid pulse

  • Low blood pressure upon standing

  • Muscle cramps

  • Nausea

  • Headache

Should you feel these symptoms, stop your activity immediately, move to a cooler place, drink cool water and/or sports drinks and rest. If these symptoms don’t get better within in an hour, contact your doctor. Remember you are avoiding at all costs to have this escalate into a heatstroke.

Heatstroke

Heatstroke not only requires immediate treatment, but it can quickly injure the brain, heart, kidneys, and muscles. Damage can get worse the longer treatment is delayed and lead to serious complications and, once again, even death.

The symptoms of Heatstroke are:

  • High body temperature (over 104 F or 40 C),

  • Altered mental state or behavior (Confusion, agitation, slurred speech, irritability, delirium, seizures),

  • Alteration in sweating (skin feels hot and dry to the touch),

  • Nausea and vomiting,

  • Flushed skin. (Skin may turn red as the body temperature increases),

  • Rapid breathing (rapid and shallow),

  • Racing heart rate (Pulse may significantly increase),

  • Headache (Throbbing).

     

Prevention

  • It is imperative to be proactive, both for ourselves and on behalf of our running mates, in the avoidance of situations that may trigger heat exhaustion during the hot summer months. The Mayo Clinic recommends the following:

  • Wear loose-fitting, lightweight clothing,

  • Protect against sunburn,

  • Drink plenty of fluids,

  • Take extra precautions with certain medications (ask your doctor),

  • Take it easy during the hottest parts of the day,

  • Get acclimated to the new weather conditions.

Last year we wrote a blog post on Training Adjustments for the Summer Months, which may be worth revisiting as we prepare for the upcoming weather conditions.

Let’s take a little bit of time and learn about heat exhaustion and heatstroke so we can prevent a tragedy.

 
2 Breathing Techniques to Improve Your Running

2 Breathing Techniques to Improve Your Running

By Coach Adolfo Salgueiro

A few months ago I bumped into a challenge with one of my coached runners. As soon as she reached mile 3 or 4, she got a side stitch. It didn’t matter what we tried with the timing on her nutrition or her fluid intake. Come that point, boom! Stitch! We needed to attack this problem and fast. Before it became a psychological issue.

I consulted with a few coaches I know, and they gave me their suggestions and home remedies. While we found a couple of things to temporarily remedy the nagging stitch, they were not the permanent solution we were looking for.

While researching the issue I came across a book from 2013 called “Running on Air: The revolutionary Way to Run Better by Breathing Smarter”, by Bud Coats and Claire Kowalchik. This was a publication of Runner’s World Magazine, published by Rodale.

The book goes into details about many things that are not necessarily related to breathing. So, since this is not a book review, I am skipping them. But it does go into detail on the science and mechanics of breathing and breathing while running in layman terms. To my trainee, there were two specific aspects that not only made the difference, but solved the problem:

 

Breathing Techniques

Breathing from the belly and doing in in an add-number pattern may help you improve you running. Worth giving it a try (image from pexels.com)

1-   DIAPHRAGMATIC BREATHING

Known colloquially as “belly breathing”, involves engaging the stomach, abdominal muscles, and diaphragm, which means actively pulling the diaphragm down with each inward breath. Compared with coastal breathing, it helps the lungs fill more efficiently.

I cannot teach you diaphragmatic breathing in a few paragraphs, but I can tell you that I’ve been doing it for over 20 years, and it has worked for me beautifully. It also helps you strengthen the diaphragm, located beneath your lungs, which is the major muscle of the respiration process. It contracts and flattens when you inhale, creating a a vacuum effect that pulls air into the lungs. A stronger diaphragm means more air, more air means more oxygen for your body to burn, and less side stitches.

Regardless of your preferred type of breathing, a strong diaphragm will help you breath better, relax, meditate, improve digestion, and provide you the obvious running benefits that more oxygen in your system can offer.

If you want to learn more about diaphragmatic breathing, its benefits and strengthening exercises, click here for a YouTube video from the UCLA Integrative Digestive and Health Wellness Program, which can help you get started.

2 – RHYTHMIC BREATHING

I have been breathing on a 3/2 count (inhale for 3 steps and exhale for 2) for about 5 years, and the benefits have been tangible. I don’t even think about it anymore, it just happens. In my personal experience, it works better than the 2/2 I did for years. Once I got my hands on this book, I understood why, and it made sense.

It is because “the greatest impact stress of running occurs when the foot strikes the ground at the beginning of exhalation and also that core stability is at its lowest during exhalation”.

Based on this, it is easy to understand that by breathing on an odd count, you will be alternating sides each time you are at your weakest while hitting the ground. Think of it this way: In one mile, you will be hitting about 750 times on each side instead of 1500 on the same one. Multiply this by the number of miles you run in a week, a month, or a year, and if you are not breathing on an odd number count, my suggestion is you better start thinking about it, today.

How do you do it? Just do it. Three in, two out. It will be weird at first, but with time, it will feel more natural and within a couple of weeks you won’t even notice it anymore.

As for rhythmic breathing, there is plenty more to learn than what four paragraphs can tell you. So, if you are interested, this is a good book where to get started.

As for my trainee, she read the book, she started strengthening her diaphragm, breathing in a 3/2 pattern, and finished not one but two half marathons with a time beyond our wildest expectations. Oh! And no more side stitches.

My Case on Behalf of Glucosamine

My Case on Behalf of Glucosamine

By Coach Adolfo Salgueiro

 Before we get started, I am disclosing I am not a doctor, and I am not giving medical advice. What you are about to read is just my personal experience mixed with light internet research.

Glucosamine

Glucosamine and chondroitin are popular supplements used to treat osteoarthritis. About 6.5 million adults, or 2.6 percent of the population, have used one or both products

I’ve had issues with my left knee for a long time. It kept me from running for many years. It has always been my weakest link. But just like millions of runners, upon the recommendation of someone who I can no longer remember, I started taking glucosamine many years ago, and somehow, it kept the pain at bay and allowed me to keep running consistently for many years. This is my story, and I am sticking to it.

When I decided to give marathoning another try, as I was eyeing the New York City Marathon, I asked my doctor about Glucosamine. He told me there were no conclusive studies proving that it worked or that it didn’t. His professional recommendation was that if I thought it was beneficial to me, to keep taking it. If not, then don’t bother.

Glucosamine is not cheap. A bottle of the good stuff can go from $40-$50 for a few months’ supply. So, when it was time to replenish the stash, with cash in short supply at that particular time of the month and with the recent lecture from my doctor, I decided to skip it. A couple of weeks later, my knee started to hurt and other joints felt stiffer. How could this be? There was no proof! I ran to the drugstore, got my glucosamine and a week later, the pain was gone. This is all the research I need.

Glucosamine

This is the brand I use and the results have been stellar. I don’t need much more research than that.

Then I thought: Of course! Why in the world would a drug company invest time, effort and millions of dollars researching the benefits of glucosamine when every drug store carries ten over-the-counter options from which you can purchase as many as you want, whenever you want? This is no moneymaker. No reason to invest just for the pure pursuit of knowledge. It works for me, and this is all I need to know. I am the research paper my doctor was unable to quote.

Glucosamine has been around since 1876. It is manufactured by processing a polymer from the shells of shellfish, shrimp, lobsters and crabs. It also comes from other animals such as cows and pigs. Newer versions made from fungi and fermented corn have been brought to market to cater the needs of vegetarian consumers.

Glucosamine is a dietary supplement, not a prescription drug. Because of regulations, in the US it is marketed as a supplement to support the structure and function of the joints. It is also directed to people with osteoarthritis. Tests have shown that you can consume up to 1500 mg per day with no adverse effects.

Glucosamine pills usually include a compound named chondroitin. According to WebMd, chondroitin is a substance that occurs naturally in the connective tissues of people and animals. As a supplement in higher doses than is found naturally, chondroitin is also a popular treatment for osteoarthritis.

Arthritis.org states that “glucosamine and chondroitin are popular supplements used to treat osteoarthritis. According to one estimate, 6.5 million adults, or 2.6 percent of the population, have used one or both products”.

Both glucosamine and chondroitin are usually found in healthy cartilage and have anti-inflammatory properties. “They also have some cartilage-protecting effects through a variety of different mechanisms,” says Chris D’Adamo, PhD, director of Research & Education at the University of Maryland School of Medicine Center for Integrative Medicine.  

Glucosamine and chondroitin protect cells called chondrocytes, which help maintain cartilage structure. In theory, these supplements have the potential to slow cartilage deterioration in the joints, and to reduce pain in the process. 

Sounds good to me!

I take the Kirkland brand with 1500 mg of glucosamine with 1200 mg of chondroitin, and it has worked for me. If I ever forget to take it for a few days or if my resupply delays, my body promptly reminds me. Once again, what additional research do I need?

Please don’t take medical advice from me. I am not a doctor, nor I wish to be one. Glucosamine with chondroitin works for me. If you have joint issues, I suggest you check with a real doctor and then give it a try.

7 Additional Bad Running Habits to Quit

7 Additional Bad Running Habits to Quit

By Coach Adolfo Salgueiro

Back in September of 2020, we published a post titled “7 Bad Running Habits to Quit”. I was surprised by the response it got, but especially how so runners identified themselves, including myself, as being guilty of one or more of these bad habits.

The more I thought about the list, and the more feedback I got, the more I realized there were plenty of missing bad habits that were not mentioned in the previous posting. Of course, neither that list nor this one, or the combination of both, is meant to be a comprehensive one, nor the final word on the subject.

So these are 7 additional bad running habits to quit:

Bad Running Habits

No runner is immune to bad habits. We always have to be on the lookout to avoid them

1.      Allowing fear of failure to derail your goals: Failure is inevitable. If we learned something from it, it will always be worthwhile. Always remember that when we don’t obtain what we originally were looking for, we gain experience, which can be used in the future, making future goals attainable, feasible and possible. Coach Steve Magness puts it this way: “Making failure something that isn’t big and scary, but something that leads to growth, goes a long way in helping dissipate the fear surrounding it”.  So, never fear failure. Embrace it.

 

2.      Running too hard on easy days: This is the cardinal sin of running. For some reason, most runners have a Superman complex that make them (or us, since I am included) believe that they are indestructible. An easy recovery run is not scheduled because your coach hates you. It is there to get the oxygen/nutrient rich blood circulating through your muscles so they can recover quicker, and you can then go for another enjoyable, hard session sooner while avoiding injury.

3.      Pushing for Results instead of letting them happen: When your program states 8×800 at 3:45; or a 30 -minute tempo run at 9:30/mile; these are guidelines. Nothing else. Of course, we all want to hit our targets and they are there for a reason. But we need to know when to quit. There is nothing to gain on a bad day by pushing on the last couple of repeats and needing a week to recover. We must know our bodies enough to understand where the fine line between being a badass and doing something stupid, lies.

4.      Controlling every parameter through your watch: Science fiction writers from just 25-years ago could not even imagine what wrist watches can do, today.  We still call them watches only because they are on our wrist. They are advanced computers. They measure pulse, oximetry, quality of sleep, recovery, resting heart rate, route, etc. And if that wasn’t enough, they can even tell us time. As great as all this is, we can’t become slaves to the graphs and let them overtake our training. They are but guidelines to consider, not the Gospel of running.

 

Bad Running Habits

Complicated graphics you can’t even understand are not going to make you a better runner. Concentrate on a few parameters you can control and understand.

5.      Thinking the unsexy stuff is worthless: Our training program will often call for easy recovery miles, or for an easy long run on a day we know we can push, or a foam rolling session, or a day off when we are still feeling strong. But never underestimate the importance of the boring stuff. It is there for a reason. To help you recover, to make you stringer, to make you versatile, to make you patient, to avoid injuries. All worthy qualities in a runner.

6.      Focusing on a system instead of the whole person: Anaerobic work, hill repeats, tempo runs, the weekend long run, or lactate threshold runs are staples of a well-balanced training program. But none of them work individually and this is not the time to look for personal bests. All parts all need to work as a well-tuned machine to provide the results you are training for. It is not in your best interest to set up a 5K PR in a tempo run when you are training for a marathon. Remember that the whole is always better than the sum of the parts.

7.      Believing that only running can make you a better runner: Cross training is basic for our running. If the only thing you do is run, you will most likely suffer overuse injuries.  If running is our main sport, such cross training needs to be in support of our running. Yoga, strength training, core workouts, stretching, biking, swimming, etc., can be beneficial by providing aerobic capacity, strength, flexibility or core stability. If you want to be the CrossFit champion in your gym, a marathon may not the best option at this point.

In the future I will most likely publish “7, Even More, Bad Running Habits to Quit”. Let me know if you want to contribute with one of them by leaving a comment, below.

The Mechanics of the Arm Swing

The Mechanics of the Arm Swing

By Coach Adolfo Salgueiro

Last week I wrote about the first aspect of arm swing biomechanics, which is pushing your elbows back. If you haven’t read that one yet, I invite you to do so by clicking here, before returning to this post. You will find the link back to this one at the end of that post.

US runners usually keep their arms in a 90-100 degree angle and do not cross their bodies as they swing. East Africans use a different technique. This is US Marathon record holder, Ryan Hall.

Pushing backwards is just the first part of the equation and by no means its only part. Many pieces need to be coordinated so the best biomechanical and energy-saving results can be reaped. As with everything else in our sport, it starts with a good posture. There is nothing to gain when you have a beautiful arm swing motion if you are not running upright, leaning forward at the correct angle, and not bending from your waist.

When it comes to arm swing, there are many components that need to work in a coordinated fashion. It must be a seamless symphony of motion between the upper and lower body. One where the arms will complement and enhance what is happening with your legs and feet.

Check what Coach Steve Magness has to say on this subject in his book The Science of Running: “it goes beyond just the arms and legs working in opposition; when they both stop, forward and backward motion is also coordinated. When the arm stops moving forward and is about to reverse direction the opposite leg should reach its maximum knee height before starting its downward movement. Similarly, when the arm reaches its maximum backward movement before switching directions and coming forward, the opposite leg and hip should be at their maximum extension backwards”.

Arms should be relaxed and that starts at the fingertips. When you tighten them in a fist, the rest of the muscles follow the trend upward until you reach the shoulders. This refrains the free flow of the arm swing. The best way to relax that kinetic chain is with the “potato chip technique”.

Pretend you are holding a potato chip between your thumb and index fingers. They are very fragile and will break if you press too hard. As you do this, the remaining three fingers will be forced to relax and easily positioned below the potato chip. This relaxation on your hands will start creeping upwards and relaxing your arms, as long as you are positioned properly. Avoid having your wrists parallel with the road, as it will make the relaxed wrists sag down. They should be perpendicular to the road.

East African runners hold their hands closer to the heart and cross their bodies as they swing. US runners have a different technique. This is Tirunesh Dibaba, from Ethiopia, winner of the 2017 Chicago Marathon, who also has two seconds in London.

Regardless of your arm swing technique, the movement begins at the shoulder, like a pendulum and not from the elbows. From there down, what I like to teach my athletes is to have forearms below the elbow at an angle from 90-100 degrees, with the relaxed hands at the end. As you push back your elbows, the relaxed knuckles should reach the hip, before changing directions. As you began to run faster or sprint, they will automatically start reaching further back.

In his book Run for Your Life, Dr. Mark Cucuzzella goes through his Five Principles of Running. Number 3 is “Use your arms and hands to set your rhythm”. The key here is that when you swing your arms from your shoulders using the strong lower trapezius muscles “your knuckles stay close to your sternum but should not cross your center line”.

As in everything, there is no one-size-fits-all technique when it comes to arm swinging. Elite East African athletes run with their arms tucked closer to their bodies, in an acute angle (about 45 degrees) and with their hands very close to their hearts. They also cross their torsos on the swing. In the US we carry our arms lower and we don’t cross. Regardless of what style you use, they both have relaxed arms, and they both push elbows back.

I tried this East African arm-swing style for myself and I did feel a change in my stride. It became shorter and started falling closer to my center of gravity. But it was exceedingly difficult to keep my arms relaxed in that position and it required extra effort to push my elbows back. My arms became automatically tense. But it works for Eliud Kipchoge and his running buddies, so we can’t discount it.

As for the many benefits of the proper arm swing technique, Dr. Cucuzzella adds that the arm swing will help also in providing stability, counterbalancing the movement of the opposite leg, balancing the pelvis, and helping maintain forward momentum. This alone should be enough for any runner to start paying attention to their arm swing technique, right away.

Please understand this is not a comprehensive research paper on arm swing. There are entire books and studies on this subject. It is just a review on the basics biomechanics and technique so you can understand how important this is in your running form. If you start being aware of your arm swing, you can make your running way more efficient.



The Key to the Arm Swing

The Key to the Arm Swing

By Coach Adolfo Salgueiro

 As a running coach, one of the most common issues I see in running form has nothing to do with heel striking or lack of cadence. It has to do with one of the most important, yet neglected, parts of our running biomechanics: the arm swing.

Key to the Arm Swing

Check that triangle between Meb Keflezighi’s left arm and his torso.

Gordon Pirie, British 3-time Olympian and a 1958 medalist in the 5000, says that “there is a lot more to running correctly than just getting your legs and feet working properly. What you do with your hands and arms is equally important”.

Arm movement balances our running form and usually is the culprit of many of the issues that happen below the waist. Fortunately, arm swing issues are way easier to correct that leg mechanics. A few basic exercises should assist you, unless you have skeletal issues that will prevent you to move your arms in the optimal way.

Grant Robison, a 2004 US Olympian in the 1500, observes that that is easier for runners to adjust their arm motion instead of their legs because arms are always in front of you, thus, they can be seen constantly, so you can really focus on them.

I read about a fascinating series of experiments led by Dr. Rodger Kram starting in 1999, which determined that about 39% of the energy used in running is dedicated to moving forward. Subsequent studies determined that 20% was used to the swing of your legs. When you include supporting your body’s weight and moving forward, you are talking about 90% of your energy use. Interestingly, he also found that the arm swing motion can provide an energy saving effect of 4% compared to not swinging your arms at all. Imagine what you can do with 4% extra energy.

The Key is Pushing Backwards

All the articles and books I’ve read about the biomechanics of running, and racewalking for that matter, agree that the key in the arm swing movement is pushing your elbow backwards. Robison says that “A powerful arm drive is 100 percent backwards. It is just the recoil that brings it forward. The stronger you can drive your arm back, the quicker your turnover will be, and the more reaction your feet will have in relation to that”.

Translation to that last statement: You want more cadence? Swing your arms faster.

I read in a book, but unfortunately, I couldn’t find exactly where so I could quote it and credit it accurately, that the great Meb Keflezighi, in order to find out if his arm swinging mechanics are working, he looks at his shadow. If he sees a triangle of light between his arm and torso, then he knows he is swinging back far enough. I’ve tried this and it works. Most likely you will only see the triangle in one arm, so to see the other one, turn your direction 180 degrees.

Of course there are other aspects of arm swinging that go beyond pushing backwards. For one, your arms need to be loose and your hands relaxed, starting at your fingertips. There can’t be any tension so they can swing back and forth and be part of the symphony of coordinated movement needed to achieve a good and energy efficient stride.

All this cannot be covered in the few hundred words of this blogpost. We will revisit this topic, next week for some additional biomechanical recommendations. In the meantime, start pushing those elbows back and reap the benefits.

If you want to read the follow up post, please click here.

 
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