Accessibility Tools

Skip to main content

WHAT ARE MY OPTIONS IF YOU DON’T TAKE MY INSURANCE?

The insurance industry has become increasingly difficult to work with as many large carriers have limited or completely closed off providers from joining their network.

In such cases, we operate as a fee-for-service facility and offer affordable plans that truly increase the value of our patient’s experience. But rather than take my word for it, let's do the comparison between traditional chiropractic and the difference at Gallagher Performance.

TRADITIONAL CHIROPRACTIC
Most traditional chiropractors spend 5-15 minutes per patient and often attempt to have them come 2-3 times per week for an extended period of time. Most patients only experience passive modalities and adjustments with a predictable routine of stim-heat-adjust-out the door. And if there is rehab, often it is supervised by unlicensed aides who instruct patients in exercises. Most traditional chiropractors will see a patient 18-24 times in order to resolve their problem. Depending on co-pay or co-insurance, the out-of-pocket expense can add up quickly. For someone who has a $25 copay, that means they will have $450-$600 of out-of-pocket expense.
THE GALLAGHER PERFORMANCE DIFFERENCE
At Gallagher Performance, you spend 30-60 minutes with your chiropractor, enabling faster recovery in fewer visits. Most of our patients recover in less than 8 visits, spend 100% of their time 1-on-1 with a board-certified rehabilitation chiropractor, and are provided with essential knowledge and tools needed to ensure pain doesn’t come back. Our approach will actually save you money while providing you with a higher quality of treatment. That’s value you can’t compare!

 

Bear Season: Join the Darkside

Note: This article is intended for entertainment purposes only. The nutritional advice that follows is neither “sound” nor “healthy”. However, from personal experience, this same advice has proved to be quite effective for achieving the intended results.
The days of 90 degree heat, high humidity, and constant back sweat are coming to an end. Autumn will soon be here. The cooler weather triggers the wearing of hoodies and sweatpants, the constant presence of static in your clothing, and the start of “Bear Season”.

Bear Season? What’s this you say?

I’m not referring to the hunting of bears. Although if I were on the topic of hunting, I’d have you know that I am in that camp of people who feel that if you’re going to hunt, might as well hunt an animal that will maim you if you miss.

But I digress. Back to the matter at hand.

Bear Season simply refers to that stretch of year (roughly October-February) when men should focus on getting big and, if you’re feeling adventurous, really, really hairy.

Gone are the days of being lean and “all chopped up” for summer. Those birds fly south for the winter.

For those of us who know the four seasons all too well, we realize that around the corner awaits the cooler weather of autumn followed by the bitter cold of winter. The cold ushers in the calling of a different breed of man. The man who answers the call of nature and won’t hesitate to pack on that winter insulation. He does so with the knowledge that not only will his body thank him, but his wallet too. As a larger version of your former self, you’ll constantly feel warm, capable of surviving the harshest of climates while also keeping that dreaded electric bill down as your home will be heated at lower temperatures during the cold months. It’s science.

Let us not forget that Bear Season brings forth the gift of the holiday season. With holidays like Thanksgiving, Christmas, and New Year’s, who wants the stress of looking great or losing weight? The holidays and colder months of the year are prime time for the best and most nutritious of foods. Foods fortified with refined carbohydrates, sugar, icing, and saturated fats. Foods that will have your blood sugar feeling like it spent the day at Cedar Point and send you into the most epic of food comas. Don’t miss out. Like Darth Vader once said, “Join the Darkside.”

Don’t become one of those people who fall victim to trying to lose weight and look great during the holidays simply for vanity reasons. For all those people who want to look their absolute best for holiday get-togethers with family or friends, I’d like to encourage an even greater amount of people to do the opposite.

Push back against the establishment.

Why not get as big and bloated as possible for these social events?

I’m talking bloated to the point where from 20 feet away people can’t tell if your eyes are open. Bloated to the point where people are concerned about your health and well-being. You know, the kind of concern where an individual pulls you aside, lightly grabs your forearm while leaning in to whisper, “Is everything okay?” Of course this is then followed by the puzzled reaction on their face when you answer, “Everything’s good. I’m doing this intentionally. I couldn’t feel better.”

How does gaining 30, 40, possibly even 50 pounds sound? If that isn’t enough to seal the deal, then let me cover a short list of what you can expect over the duration of Bear Season:


  1. Breathing heavily while walking up stairs.
  2. Breathing even heavier while sitting.
  3. Sleep apnea. You’re welcome.
  4. Elevated blood pressure and cholesterol levels.
  5. Constant sweating.
  6. Intense pressure in your head anytime you bend over (ex: tying your shoes).
  7. Having to find new places to shop for clothes. Get familiar with Casual Male XL and the Big & Tall store, even if you’re 5’6”.
  8. The need to understand how much walking is involved before agreeing to go anywhere.
  9. The constant glares and stares of other people regardless of social setting.
  10. Being the guy nobody wants to sit next to on an airplane.
  11. Relatives or in-laws making sure you don’t sit in chairs that may not support your weight (i.e. whicker furniture).
  12. The bigger you get, the more attention from men you’ll get. Not in that way, just more of a, “Do you play in the NFL?” way.
Now you’re all in. You’re clearly convinced that Bear Season is for you and it’s time to give you the game plan. The game plan to lead you into bloated glory. You must be armed with the knowledge of how to execute your weight-gain and realize your full bloat potential. So without further adieu, here are some extremely effective foods to help you achieve your goal of being big, bloated, and a true beauty:
  • Pancakes and Waffles
  • Eggs (especially cheesy eggs)
  • Hashbrowns
  • Bacon
  • Bacon wrapped Kielbasa (aka Swine on Swine crime)
  • Anything casserole (i.e. sheperd’s pie, cheeseburger pie)
  • Chili (add queso and oyster crackers for that extra boost)
  • Red Baron oven-ready pizzas
  • Frequent visits to Dunkin Donuts, Wendy’s, Arby’s, Burger King, McDonald’s, Chick-Fil-A, Five Guy’s, Popeye’s, Qdoba, Chipotle, Red Robin, Buffalo Wild Wings or any combination of the above.
  • Pop, Gatorade, and fruit juices
  • Generous portions of Chinese food
  • Hibachi restaurants
  • Any All-You-Can-Eat Buffets
  • Cookies and Pasteries
  • Twinkies
  • Little Debbie cakes
  • Cereals such as Cinnamon Toast Crunch, Fruity Pebbles, Reese’s Puffs, Captain Crunch, Lucky Charms, or if you’re like our pap, you mix them all together.
  • Ice cream or Custard (the good kind made with cream, egg yokes, and sugar)
  • Add ranch, bacon, or cheese to anything that’s within reason
  • Salt, salt, salt, and more salt
  • Whole milk or Chocolate milk and lots of it
Keep your portions big. I mean so big it’s absurd. If people aren’t making rude remarks to you about how much you eat, you’re not eating enough. Simple as that.

Now that you have all that you need to get big and thrive during Bear Season, it’s up to you.

You truly only have one choice: Join the Darkside.

More related reading:

 
https://gallagherperformance.com/what-is-natural-talent/

A Few Words on Athletic Development

We get asked quite often about our training philosophy when it comes to athletes. Many parents want to know if the training their child will receive at GP is going to be sport-specific. While specificity in training matters, many of our athletes and their parents are surprised to learn how general or fundamental their training must be in the early phases. What needs to be clarified is understanding how much training experience the athlete has and the physical traits that must be developed. The vast majority of athletes we work with are involved in the sports of football, hockey, baseball, and basketball. Success in these sports are highly dependent upon power-speed qualities. We must train these athletes to develop the abilities that allow them to jump, sprint, cut, and dominate their opponents with brute strength. It's our job to make them bigger, faster, stronger, and more durable. It's our job to physical prepare them for the demands of their sport.

Aspiring young athletes are in need of building a broad foundation rooted in movements that will develop strength, speed, flexibility, and body awareness. For the evidence-based fans out there, we use movements and exercises that all have been proven through research to work. But more importantly, the exercises used have stood the test of time and have served as the backbone to athletic development programs for decades. Sprints, jumps, throws, compound strength exercises, Olympic weightlifting movements when appropriate, and general calisthenics have all play a role in the training of some of the greatest athletes in the world.

But the exercises are not simply enough. Almost every single one of our athletes must be exposed to a high volume of training without a high degree of variation. It's important to respect the neural adaptations young athletes or novice trainees undergo during the training process. High volumes of training will help ensure motor learning and skill acquisition while developing the connective tissue strength needed for more intensive training down the road.

This template serves to lay the foundation for the neuromuscular qualities required to meet the increasing needs for speed and power development. It's simple math really. If an athlete improves relative strength, that athlete will be faster and more explosive. Keep in mind that that other factors can be at play too. For instance, that same athlete must also maintain or improve movement quality to improve speed and explosiveness.

However, these are only portions of what goes into a quality athletic development program. It's much more than simple "strength and speed". This is why we feel the value of a qualified strength and conditioning coach or athletic development coach is severely under appreciated. Unfortunately, far too many people have been misinformed by either poorly educated trainers or by the internet. They haven't experienced the difference guided athletic development can make in their performance. Having a coach to guide young athletes not only in their development, but also in areas such as nutrition and cultivating the mind set needed to achieve their goals can give them a huge advantage over their competition.

That's why we love what we do at GP. Not only do we get to work with clients and athletes that have big dreams and big goals, but we also help them develop habits that create a healthier lifestyle. When we have them giving us their best, they deserve nothing less than our best!

More related reading:

https://gallagherperformance.com/understanding-the-benefits-and-concerns-of-youth-strength-training-programs/

https://gallagherperformance.com/periodization-keep-athletes-track-fo-success/

https://gallagherperformance.com/the-essentials-of-speed-training/

Learning Through Misconceptions

After the recent posting of Two Years at Gallagher Performance, we received a generous amount of positive feedback. You all are too kind and please know that we truly appreciate it. Along with your feedback, we received a number of messages from people wanting to know, "What have you learned?"

That question really got my mind going. Honestly, another year in business teaches you a great deal. Certainly a simple sentence or two would not be sufficient to answer the question.

All things considered, this past year has provided several friendly reminders of why we do what we do at GP. Some of the biggest lessons learned came in the form of routinely dispelling common misconceptions when it comes to owning and operating your own business in the competitive health and fitness/training industry.

So, for your entertainment, we present to you our thoughts on a few misconceptions that we routinely encounter.

Misconception #1 – We work “Banker’s Hours”
One of the biggest misunderstandings we have come across is that professionals in the fields of health or fitness work Monday-Friday, 9-5 or that they work minimal hours a day to operate and fulfill the needs  of the business. In reality, owning your own small business is a 24/7, 365 days a year responsibility. When you are not handling daily business operations, you are either working countless hours answering emails and phone calls, programming for clients, filing necessary insurance paperwork, updating social media and blog content to creating an Internet presence, etc. When it’s all said and done, days can add up to 10-12 hours real quick. This becomes especially true during the peak seasons of spring/summer when our schedules fill up with high school and collegiate athletes.

People get into the health and fitness industry all the time because they claim how much they love it and that it’s their “passion”. Others get into to make a fast buck, never once realizing that it’s a job. It’s a fun job, but it’s still a job. You better love what you do because there are certainly easier ways to make more money while working less hours. With that said, we have learned over and over again that we love what we do.

Misconception #2 - Success Comes Quickly
Believing success comes quickly is another huge misconception, especially within the fitness industry. It seems as if no one wants to put in the real work. The honest, hard work earned through time. Earned through experience. Earned through the professional growth one gains by working with a number of clients of various backgrounds and developing a track record of success. The traditional approach to professional development appears to be old fashioned. Nowadays, newbies to the fitness industry would rather focus on growing their Facebook or Instagram following by creating the “appearance” of success rather than truly earning it. We have a small number of likes on our Facebook page and even fewer followers on Instagram, yet we continue to grow. We grow because of the track record of success we continue to develop, not because of some selfie posted online. If business success had anything to do with selfies and hashtags, we would have been finished long ago.

Similar to other successful businesses, our growth stems from putting in the work and building our business from the floor up. We did not build our business backwards by first creating a huge following while having little to no experience. Rather than focusing on creating a huge following, we prefer to focus on quality of service and building a track record of success, thankful that those who have worked with us are more than willing to tell others about our business. The process never goes as quickly as you'd wish, but there's more satisfaction in the climb than being at the top. We've learned that we love the process. We love the grind. We recognize that nothing meaningful ever came from quick and easy. Besides, the individuals hoping for "quick and easy" seem to be the ones who enter the industry and are out within a couple years. Likely because their "image" of success could not longer compensate for their mediocre results and what they lacked in knowledge and experience.

Misconception #3 – Knowledge Doesn’t Have Value
This misconception probably bothers us the most and it stems from the typical, “Let me pick your brain....” scenario. Keep in mind; we realize that being part of the health and fitness industry is about helping others by providing sound advice and guidance. Ryan and I both went into business realizing that we will be providing a lot of free advice, but there is a fine line that must be respected. The health and fitness industry is both knowledge and service based, so a genuine respect for one’s knowledge would be very much appreciated. I would argue that the industry is primarily knowledge-based, as services (program design, nutrition structure, etc.) are dependent upon knowledge. However, unlike services, It becomes difficult to attach value to knowledge.

When it comes to receiving advice, it’s as it people assume advice should be given away freely. After all, it’s just information, right? Wrong. We field so many questions on a regular basis from people who are ultimately looking for free information. They are looking for guidance from a knowledgeable individual, in hopes of better organizing their own training or nutrition for their self-betterment. Usually it goes a little like this, “Real quick, how would you structure my workouts or my eating/macros so I am able to achieve ABC goals” Quality, experienced coaches understand that there is no “quick” answer to this question. If you have respect for a coach/trainer, please have respect for their knowledge and appreciate the fact that it supports their livelihood. It’s how they earn a living; it’s what they get paid to do. Respect the fact that you are receiving knowledge from them and there is value attached to that. Don’t be a serial freeloader.

Wrap Up
Misconceptions can prove to be a great learning tool. We recognize that dealing with these common misconceptions and many others is a part of job. So let's hear from you. To our professional colleagues and friends in the health and fitness industry, what are some of the common misconceptions you encounter on a regular basis? We welcome your responsible replies and comments.

More related reading:

https://gallagherperformance.com/are-you-promoting-independence/

Why Athletes Should Avoid HIIT Programs

High-intensity interval training (HIIT) is a system of training characterized by high-intensity resistance or metabolic training with short/incomplete rest periods in between working sets. An example of HIIT is often advocated by Crossfit WODs (workout of the day) and other similar programs.

According to the American College of Sports Medicine, HIIT is now the most popular fitness trend. HIIT has tremendous appeal to those looking to shed unwanted body fat and ‘lean up’ or ‘get in shape’ quickly because of its ability to burn body fat more efficiently. HIIT has been shown to produce greater improvements in both aerobic and anaerobic capacity with less overall training volume when compared to individuals who only perform steady-state aerobic exercise. In the public eye, a huge upside to these workouts is they typically take less than 30 minutes to complete. Sounds too good to be true, right?

However, what is rarely if ever mentioned, is the number of injuries sustained by participants.

In my opinion and experience, which may be similar to what others are also observing, the number of injuries associated with HIIT appears to be on the rise. What is especially significant to note is that these injuries are often debilitating in nature.

Not only is HIIT growing in popularity among the general population, but it also seems to be a growing trend among athletes. The point of this article is to discuss why HIIT is not an appropriate training program for athletes and provide some insight into why athletes should avoid programs that advocate high-frequency application of HIIT methods.

Why Athletes Should Avoid HIIT
First and foremost, when training with heavy weights or performing complex motor skills (i.e. jumps, throws, sprints) it is highly critical that proper technique is learned during the initial stages of training. This is the key to not only continual development in regard to strength and all other physical abilities, but is fundamental to injury prevention.

Proper technique is the key to ensuring that strength developed becomes more useful not just in athletic skills, but also in everyday activities. For athletes, proper technique serves as the foundation for efficient execution of sport-related movement skills.

So why does HIIT fail athletes?

What appears to be most important in HIIT is overcoming a prescribed amount of resistance or finishing a prescribed number of reps in a designated amount of time, regardless of how it is done. From the start, HIIT does not place technique as the number one priority. For your viewing pleasure, Youtube provides numerous examples of this. I can recall watching a Crossfit workout during which a young female participant is doing her best to finish an overhead press. She had to contort her body in every way imaginable in her attempt to get the bar locked out overhead. Needless to say, I did not like what I saw.

What was even more disturbing to me was hearing the other members of the class cheering her on and applauding her when she finally locked out the bar overhead. They were encouraging her effort with absolutely no attention or care about her technique and safety. This is just one example of many that indicates how overcoming the weight was more important than how the lift was performed.
Other daily workouts may prescribe high-intensity metabolic conditioning that often requires participants to train to the point of exhaustion and, sometimes, to the point of throwing up. The mindset and main objective is primarily focused on overcoming a specific quantity of work as opposed to expressing quality in the work.
It is this mentality that can be detrimental to athletes and the general fitness population as well. There is a reason why physical therapists and chiropractors love Crossfit and other HIIT programs. HIIT programs are pretty good at producing patients.

Another unwanted factor associated with HIIT is the high degree of fatigue and lactate training loads. For athletes, how can they master movement and skill execution or build speed and strength in a fatigued state? The answer is they cannot. This is something the majority of coaches and trainers must understand. Lactate-based training is widely over-utilized and misplaced. This ultimately cuts into more productive training methods and increases the need for recovery. When it comes to HIIT programs, recovery is often not sufficient and will potentially push participants into a chronic state of fatigue or create an over-trained individual. Keep in mind, injuries are more likely to occur in a fatigued or over-trained state.

When it comes to HIIT, training principles regarding periodization, progressive overload, mastery of technique, specificity of training, and individualization of training are completely ignored. These principles, among others, are highly important when it comes to the safety and effectiveness of training athletes. They have been proven to be foundational in producing the most effective results from any training program.

Final Words
Training and sport science tells us that HIIT programs or any randomized high-intensity program is not conducive for efficient training and development of athletes in regards to strength, speed, power, and other physical abilities. Sure it may be trendy, but ask yourself does the program or exercise routine provide the development you want? Remember, development is always specific to your training demands. Also, ask yourself if your current training methods are more likely to make you a better athlete or a patient.

Related Articles:

Interval/Sprint Training vs Cardio: Which is Better for Fat Loss and Physique Development?
Training Hard vs Training Smart
Have You Mastered Your Movement?
2 Reasons For Your Lack of Results
Training for Elite Athletes

Year One at Gallagher Performance

After completing my Sports Injury and Rehabilitation residency in September 2012, making the decision to start up this business with my brother, Ryan, was one of the most daunting tasks I have ever encountered, including all the efforts to get it started and keep it growing. Considering I had offers for some well paying jobs all over the country, why would I possibly want to take the risk of launching a business? As a sports chiropractor with a specialization in rehabilitation, I had job offers to perform patient rehab in established offices, working as little as 20 hours per week. I could do that along with writing, consulting, and putting on seminars – all while enjoying plenty of free time. However, I saw a huge problem. That wasn’t me. As much as I enjoy what I do as a sports chiropractor, I equally enjoy assessing and evaluating athletes, designing training programs, coaching, being in the gym, training, and helping athletes achieve their goals. There was no way I could find personal fulfillment in my job unless I could be directly involved with both the training and therapy of athletes. More money or less hours didn’t matter to me.

About the time I was wrapping up my residency at Palmer College, Ryan was finishing his massage therapy schooling and working full time as a trainer while residing in Ohio with his wife, TIffany. For years, we had dreamed and talked about starting our own business that integrated not only our services, but our educational and professional backgrounds. We knew we had a unique approach and the desire to provide quality in our sports performance training, chiropractic, massage, and nutritional services. We believed that if we did things for reasons that were in line with our values, the business would grow to provide fulfillment beyond just money. We wanted to measure our success by delivering great results to our clients and athletes.

GP opened in April 2013 and has experienced steady growth every month since our opening. Our sports performance training services have become increasingly popular. With the summer upon us, athletes are coming in looking to capitalize on their off-season by improving their abilities (speed, strength, power, agility, etc). Each athlete we have worked with has seen tremendous results, which speaks to our business model, the individualized approach we use with each athlete, and the character of our athletes. We are receiving large amounts of referrals, which, to us, is the greatest compliment our business can receive. Slowly, GP is gaining the reputation for having an approach that is unlike any athletic development program in the area.

We have seen our sports performance training services utilized by athletes who participate in soccer, cross country, basketball, baseball, lacrosse, hockey, and football. We even have a client who is preparing for military special operations in hopes of becoming a Navy SEAL. With that said, our training services have especially become popular among football and hockey players (high school, college, amateur, and junior level).

Reflecting back on the past year, there have been lessons learned and constant reminders of why we do what we do at GP. To begin with, we are consistently reminded that regardless of sport or competitive endeavor, the primary goal of any physical preparation program is to prepare the athlete for the demands of the competitive season and/or higher levels of competition. This sounds simple in nature, but is incredibly complex at times as an overwhelming majority of our young athletes need to master the fundamentals of general calisthenics and body weight exercises before introducing the execution of movements with either increasing resistance using external loads or at increasing velocities.  Some of our programs may not seem “advanced” and it’s for a good reason. Too many young athletes, and sometimes their parents, have bought into the idea that they should be training “like the pros”. Kids need the basics, and a lot of them, before more advanced training can be introduced.

Another lesson we continually learn at GP is the importance of promoting structural balance and recovery for our athletes. At any age or level of competition, it’s imperative to recognize the stress an athlete’s body experiences during their competitive season(s). Often a number of precautions and considerations must be made from the onset of training and throughout the duration of the off-season to restore balance to an athlete’s body and facilitate recovery. This becomes increasingly important as an athlete ages and progresses through higher levels of competition, as they accumulate greater amounts of wear and tear. The recovery and regeneration protocols used at GP have been a welcomed addition to our athletes’ programs, since many of them have never been introduced to approaches that keep them healthy and their performance levels more consistent. We do whatever it takes to keep our athletes healthy and injury-free as they seek to improve specific performance markers.

Something else we have come to appreciate more and more is how valuable the education our athletes receive is to them. In talking with our athletes, we have consistently discovered that they do not understand how or why an athlete must train according to the demands of their sport. This is a foreign concept to many of them. The educational process provides our athletes with the knowledge they need to understand how an athletic development model is applied to their sport. This has proven to be invaluable because our athletes truly appreciate understanding the mistakes they have made and understanding they are receiving guidance that has their best interest in mind, based solely on their needs.

The educational process and witnessing the development/results each of our clients and athletes achieve, to me, has been the most fulfilling part about what we do at GP. The smile a young kid gets when they step on the scale and see that they are 10 pounds heavier or the high-five and genuine enthusiasm shared when they set a new personal best in strength, jumping, or speed makes it all worth it. And as for our clients who are training to lose fat and/or improve general fitness levels, we love to get feedback that their body feels great, they are training pain-free, and are able to enjoy the training process while maximizing the benefits of their efforts.

The vision for GP was an easy one to establish. Ryan and I made the choice to build a business that was fulfilling both personally and professionally. The process has not been an easy one, but it has been rewarding and we are enjoying it.

We also acknowledge that GP would not be what it is without the consistent support we receive. A sincere thank you goes out to all you – clients/athletes, parents, family, friends, social media followers, and professional colleagues – for your continual support over the past year. Without you, GP would not be what is today, and we look forward to many more years to come.

More related reading:

https://gallagherperformance.com/why-we-arent-popular/

https://gallagherperformance.com/two-years-at-gallagher-performance/

 
 

Nutrition for Faster Recovery from Injury

As an athlete, injury is unfortunately part of sports. Athletics have varying degrees of both assumed and inherent structural risk to the human body, arguably making many sports we love to compete in “dangerous”. However, injury is not simply unique to sport. Frankly, injury seems to be part of life. Sure, there are preventative measures one can take to minimize or reduce the risk of injury. The reality is, there is no such thing as complete injury prevention. Similar to the weather, an honest professional will tell you we cannot forecast injury with absolute certainty. Yes, there are athletes who carry higher or lower “chances” of injury based on their movement quality and must be managed accordingly to minimize exercise-related or non-contact injuries. In some circumstances, such as collision/contact related injuries, injury is something we have little control over. Despite the lack of control we may have when it comes to injury, we do have the potential to influence the recovery and healing process for the better. This is good news since getting back to sport or living a "normal" life as quickly as possible is something most people would sign-up for in a heart beat.
Understanding the Healing Process
When you suffer any form of injury, the site of injury enters a traumatic state and inflammation occurs. For most people, inflammation brings negative thoughts to mind and their initial reaction is to stop it in its tracks. I mean, isn’t that what we’ve been told for years? But, is inflammation really unwanted or should we consider that it is part of our body’s process responsible for healing? The truth is, the right amount of inflammation is a good thing and necessary to initiate the healing process from injury. Inflammation provides signals to the body that something is wrong with certain structures or tissues. The body responds by kicking your immune system into high gear to start repairing damaged tissue.


When injured, the body needs to recover and you must supply it with the raw materials needed to promote optimal recovery. These raw materials come in the form of calories, protein, dietary fats, vitamins, and minerals from whole food or supplement sources. Ideally, nutritional strategies for injury recovery must be customized to the individual for optimal response. However, applying some general considerations can be beneficial in speeding up your return to play.

Nutritional Strategies for Injury Recovery
1) Calories
When injured, there is an increase in what is known as your Basal Metabolic Rate (BMR). BMR is essentially the energy (or calorie) expenditure while your body is at rest. When recovering from injury, BMR has been demonstrated to increase by 15-50% since your body is using more energy to repair and regenerate damaged tissues. The rise in BMR means you must increase your caloric intake accordingly to ensure optimal recovery.

For example, if your caloric intake is 3,500 kcal/day, your new caloric requirements could range from 4,025-5,250 kcal/day (15%-50%) during the recovery process.

2) Protein
Protein is an essential component of our cells, bones, muscles, organs, connective tissues, and skin. Protein is made up of individual amino acids. Amino acids are important for the repair and remodeling process that injured bone, muscle, or connective tissue undergoes during the healing process. The amount of protein the body utilizes for injury repair is significant and your daily protein intake will need to increase accordingly. To gain an understanding of how your protein intake should be adjusted during the healing process, let’s consider the following:

The average, sedentary individual may require an intake of 0.8g/kg of protein per day.  Athletes and highly active individuals can often require 1.0-1.5g/kg of protein per day.

          Example:  200 lb athlete = 91-136g of protein per day
That same athlete, when injured, may need 1.2-2.0 g/kg of protein per day.

          Example: 200 lb athlete = 110-182g of protein per day.
3) Dietary Fat
Dietary fat consumption should be devised to promote tissue healing and minimize unwanted inflammatory responses. It is well known that trans-fats and omega 6 fatty acids promote inflammation in the body. During the initial stages of healing, it is important to consume an appropriately balance of omega 6:omega 3 fatty acids. Consuming more omega 3 fatty acids helps to keep inflammation at adequate levels.

Rather than putting on number on dietary fat consumption during the recovery process, focus on making better food choices. This means increasing the consumption of quality, healthy fats such as coconut oil, butter, fish oil, avocados, and olive oil while doing your best to minimize or avoid eating foods high in omega 6 fatty acids such as fried foods or food sources that contain safflower oil, cottonseed oil, corn oil, and soybean oil.

4) Vitamins and Minerals
Vitamins and minerals are nutrients required by the body in relatively small amounts, but are critically important for a number of metabolic reactions essential in allowing the body not only to survive, but also to thrive. The process of recovering from injury only places a greater importance on key vitamins and minerals to ensure that metabolic processes involved in cell proliferation and tissue remodeling occurs appropriately.

Micronutrients such as Vitamins A, C, D, K and the B vitamins along with minerals such as magnesium, copper, and zinc can enhance the function of the immune system, assist in inflammation control and collagen synthesis, improve the production of red blood cells, and improve healing rate. Supplementation recommendations will depend upon appropriate therapeutic doses, as well as the individual and the extent of injury.

5) Herbs, Spices, and Tea
Certain herbs and spices have demonstrated impression abilities to manage inflammation during the acute phases of recovery. Some of the herbs and spices can even help reduce dependency of anti-inflammatory drugs.

Some examples of herbs, spices, or teas that can assist in inflammation/pain control as well as tissue regeneration are turmeric, ginger, garlic, bromelain, and green tea.

Concluding Thoughts
It’s important to help your patient, clients, or athletes understand sound nutritional habits and patterns during the injury recovery process since it brings special considerations to the forefront. Consuming adequate calories to provide enough energy and sufficient amounts of building blocks (both macro and micronutrients) for tissue repair and regeneration is critical to appropriate healing. When it comes to inflammation, remember the name of the game is inflammation control not inflammation suppression. Inflammation is needed for healing, but must be kept to sufficient levels. Both too little and too much inflammation can interfere with and delay the healing process.

Allow these nutritional strategies to work for you. Not only will they promote a faster return to sport and competition, but also ensure more comprehensive healing while reducing associated risks of re-injury.

More related reading:

https://gallagherperformance.com/3-simple-steps-to-reduce-your-risk-of-sports-injuries/

https://gallagherperformance.com/the-hidden-causes-of-sports-injury/

https://gallagherperformance.com/resetting-bodys-function-post-injury/

https://gallagherperformance.com/dietary-fat-is-not-the-bad-guy/

Stay Hydrated: How Much Water Do You Need?

What you need to know:

  • Adequate water intake or hydration is determined by many factors.
  • Common advice such as "Drink 8 cups of water a day" or "Drink half your body weight in ounces" are far too simplistic and may not provide you with the water you need.
Why Water is Essential to Health and Performance
"Dehydration of as little as 2% loss of body weight results in impaired physiological and performance responses."
As your body's principal chemical component, water makes up roughly 60 percent of your total body weight. Every system and cell in your body depends on water. Water is essential to normal human function.

Lack of water leads to dehydration, a state that occurs when you don't have enough water to allow your body to perform normal functions. A review published in the Journal of the American Dietetics Association states that "Dehydration of as little as 2% loss of body weight results in impaired physiological and performance responses."

To put that into perspective, this would equate to losing almost 3lbs of water for an individual who weighs 150lbs. That may seem like a lot of water to lose, assuming that one must exercise a lot or resort to extreme measures to lose that much water. But let's take a closer look and see just how easy it is to lose water without exercising.

According to the Guyton Textbook of Medical Physiology, the same 150lb individual will lose about 2.3L of water daily from urine, feces, sweat, and insensible water loss through the skin and breathing. 2.3L equals almost 5lbs of water loss per day from normal body function. This estimation does not factor in a warmer climate. Naturally, sweat rates increase in warmer weather, so this same individual could lose up to 3.3L of water a day.

It should be clear that becoming dehydrated is not a difficult task. There is a common misconception that dehydration only occurs in people that sweat a lot due to exercise or warmer weather. This couldn't be further from the truth. Normal bodily functions can lead to dehydration if water intake is not addressed appropriately.

The importance of adequate water intake has important health considerations as well. There are studies that have demonstrated individuals who stay well hydrated are less likely to experience:
  • Cancers of the breast, colon, and urinary tract
  • Urinary stone disease
  • Mitral valve prolapse
  • Childhood and adolescent obesity
Meeting Your Basic Daily Needs
In sedentary individuals, it appears that men require about 12 cups of water per day and women require about 9 cups of water per day. Whole foods are estimated to provide 4 cups of that daily water total. Another 1 cup of that daily water recommendation comes from 'metabolic water' or water that your body makes from metabolic processes, thus making this water you don't have to worry about consuming.

So for the sedentary individual, they will require about 7 cups of water/fluid per day since the remaining 5 cups of water will come from food and normal metabolic function. This is assuming that one is eating enough to meet their calorie needs.

It's important that any fluid you count toward your daily total is non-caffeinated or non-alcoholic. Caffeine and alcohol raise water needs in the body. If you consume either of these, you will need more water.

Water Needs in Response to Physical Activity
As for athletes, there is strong evidence in the research showing that dehydration will have major impacts on endurance, strength, intensity, and mood. When it comes to athletes, little research has been done to determine exactly how much water intake is needed to prevent dehydration. This likely explains the wide variety of answers one can potentially be given when attempting to figure out how much water they need to rehydrate. The honest answer is, "It depends." The reality is, there are a number of factors that play into understanding how much fluid intake an athletes needs to appropriately rehydrate.

Athletes or active individuals will generally require greater amounts of water due to increased muscle mass, metabolic activity, and sweat rates. So how much water will an athlete require? For starters, we can make a safe assumption that athletes eat more food during the day than the average person and that they have a higher metabolic rate. With this in mind, they will be getting more water from food sources and metabolic function. Depending on the climate an athlete exercises in, daily water intake may need to increase to an additional 2-4L (8-16 cups) on training days. Water intake must be based on factors such as activity level, body mass, sweat rates, and climate.

Bottom Line
A safe, general guideline for athletes and water intake would be to consume 1/2 gallon of additional water on non-training days. When it comes to training days, an athlete may require a gallon or more of water per day to maintain adequate hydration levels.

Source:

Kleiner, S., Water: An essential but overlooked nutrient. Journal of the American Dietetics Association. Volume 99, Number 2, 200-206, 1999.