Posts Tagged ‘Krav Maga’

Audio by Jonathan Fader with additional commentary

Foreword:  This piece was originally written and posted on January 12th, 2017, it has been updated and re-edited for 2020. Last week our editor posted about his experience with injury in the martial arts, as well as injury anxiety in the post “Once Bitten, Twice Shy: Overcoming Injury Anxiety“. As a Martial Artist and Instructor I can say, without a doubt, that fear of injury and injury anxiety are a common, if not the most common, the reason why people abandon their martial arts journey. For some students, it is a situation they experience, witness, or hear about in class that pushes them past their comfort zone, which in turn triggers this fear (or self-doubt) and they stop coming. For others, they suffer an actual injury and never come back due to this fear. Then there are those who finish our first test (which is VERY HARD) and they no longer want to continue because the fear of further challenges sets in. To me, however, getting injured and coming back stronger is the sign that you may in fact be a true martial artist or warrior. No one ever said it was going to be an easy, joyous journey, but the skills and personal development you gain from self-defence/combative practice is more than worth it. This post discusses the most disastrous injury I have ever had and my road to recovery. I believe that if you truly understand your body and become your own doctor, learning how to properly recover and become stronger (with proper research), then it will reduce the fear of injury (which may be inevitable in martial arts training for most) allowing you to continue to grow, develop, and challenge yourself. Something that is increasingly important in a world were people no longer like to be challenged. With that in mind, read on for my story of injury, pain, and recovery.

Pound for pound, the knee is the strongest offensive strike that the human body can generate. But many folks out there, whether athletic or not, find out that, with one wrong movement, or one wrong hit in the wrong way, this strong offensive weapon becomes as limp as a wet noodle.

In my case, it was the dreaded anterior cruciate ligament (ACL) injury. I am not even 30 and my knees are already going! This can easily make a person feel old. It reminds me a line in the spoken word piece, Wear Sunscreen, by Australian producer Baz Luhrmann in which the advice is given:

“Be kind to your knees, you’ll miss them when they’re gone.”

Here I am, supposedly in my prime, and my ACL is torn on one side, making me I feel like an old man as my other knee is going too. Ironically, I’m surprised they lasted this long. As a Rifleman, Light Machine Gunner, and Sniper in the IDF, I often carried far too much weight for my little legs and knees to handle. Add to that all the road running I used to do… I guess my knees had a good run (pun intended).

People are consistently shocked by how quickly I recover, post-injury and post-surgery, and get back into regular activities. I’m usually met by skepticism and rolling eyes when I tell people, “don’t worry I heal fast!” As the doctor said, “It’s people like you I worry about the most.

Don’t worry, I heal fast!

wolverine_healing
I wish I could heal like Wolverine

I’m not Wolverine, and I don’t have a “mutant healing factor” or other superhuman resiliences. In fact, I don’t really even consider myself very athletic; one of the reasons I was drawn to Krav Maga. So why should I heal any faster than anyone else?

The truth is I don’t heal any faster than the average person. But I have a theory as to why people think and say such a thing.

Let’s begin by breaking down the injury and recovery:

First, I would like to be critical about the medical system. Even in Canada, we have a broken medical system, in my opinion. Generally, doctors are experts in acute injury diagnosis and treatment, but when it comes to post-injury recover they are almost clueless. They do not employ a holistic approach and they rarely understand, to the level that they should, aspects of medicine and healing. In Canada, though our medical care is largely covered (I say largely, since there are still costs…), there is a serious shortage of qualified professionals and equipment. In my case, when I was injured I knew it was something more serious than the “just a sprain” that the doctor assessed it as.

The day after my injury, my doctor was overbooked (it happened late at night). So I went to the ER instead, which had a long wait time, as usual, due to overcrowding. Finally, after several hours, I see a doctor, only to be told they think it’s just a sprain. They sold me crutches and prescribed me light painkillers. A week later, I finally managed to see my regular doctor and was told something similar. The idea of an MRI scan wasn’t even mentioned until I went to a physiotherapist, which was covered by WorkSafeBC. This is appalling to me because, as far as I know, the sooner a proper, accurate diagnosis can be made the faster a surgery or rehab can happen, and the faster I can heal and recover. All these things would lead to a better experience for both the patient and medical professionals, with lower cost for the medical system overall.

The idea of an MRI scan wasn’t even mentioned until I went to a physiotherapist.

So why didn’t I get sent for an MRI right away? Well, if you are unaware, the whole nation of Canada has fewer MRI machines than some individual cities in America. This results in a long wait list, and even when you can get bumped to the front of the line through WorksafeBC, there is still a resistance to sending you.

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ACL Injury

If I had been sent for an  MRI within 2 weeks of my injury, as should have happened, they would have discovered that I had a seriously torn ACL and meniscus. But since it took about 2 months to get the MRI, albeit it was faster than the normal 6-9 month wait, they would have discovered it sooner and not wasted time thinking it was something less serious.

This means that, even in a country like Canada with a so-called advanced medical system, there are serious problems and you really cannot rely on the advice of just one so-called medical professional. A lot of times, these people are tired, overworked, and too accustomed to patients who exaggerate their symptoms. Although in my case, I was under-exaggerating my injury since I have a high pain tolerance; so they assumed it was nothing despite the details I was verbally indicating.

When I finally had the MRI, I was referred to a specialist. Once I saw the specialist, things moved forward rather quickly. Her question was basically, “so when do you want the surgery?” Great, right?

Back to the main topic about my not-Wolverine healing abilities:

Here is my theory as to why people have the perception that I heal faster than average; One of the biggest problems in the medical system is the over-prescription of pain killers. In my opinion, this is one of the main hindrances to how fast a person can get back to their normal activities.

When I am teaching my kids’ Krav Maga classes, often every little bump and every little scrape becomes a big deal. I always teach these children the same simple lesson:

There is a difference between pain and injury.

Pain is your body’s natural way of giving you feedback to assess whether something is a possible threat. However, it is a very simplistic system and doesn’t always know the difference between something that is actually harmful and something that is not. As a reasonably developed species, we should be able to use our conscious mind, based on our experience and the mechanism of the pain, to know if it just hurts or is an actually injury. I always tell my students that “pain is good and injury is not.” You should fight through pain when it is just pain, but stop when pain is related to an injury and take the care of injuries seriously.

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Pain is your body’s natural way of telling you there is possible danger. (Image source)

Thus, I am not a fan of pain killers prescribed by doctors. Generally, medication should only be used when necessary; such as taking acetaminophen for a fever, or NyQuil and DayQuil for a serious cold. It should also only be used a long as needed, which is usually a day or two. Yet, doctors often prescribe 2 weeks to a month, or more, of serious, heavy-duty painkillers, which can be highly addictive to a lot of people. They tell you the maximum you should take and for how long, which means that you should not take all the pills you are given, but people still do. Which leads us to…

The issue with painkillers and other meds

By taking painkillers for longer than you need just because you were prescribed them, it dulls your body’s natural pain responses and you can no longer “hear” your body’s feedback. Eventually, if you take them too long, your body’s pain threshold will have shifted and your overall tolerance to pain without painkillers will have been reduced. By the way, this is the start of addiction when it comes to painkillers, as you will constantly be trying to maintain your new pain baseline, which is now only achievable through the pills themselves. This is why heroin, when medically supervised by doctors in hospitals, is a better pain alternative than morphine and is less addictive. Yes, you read that right, but I won’t get too science-y. The fact remains that the layperson’s understanding of painkillers and other meds is dramatically limited.

Addiction issues aside, there are two main problems: Either, you diminish you ability to feel when pain becomes injury, then you push yourself too hard, or, you become docile and don’t know when your injury is ready to begin rehab because you no longer know the difference.

This is why post-injury and post-surgery, I rarely take painkillers for more than 2-3 days. I typically only use them to help me sleep and overcome the initial acute pain, which is often a bit more than I would like to deal with. However, even if I have to walk with a limp, I would rather get rid of the medication as soon as reasonably possible, than to rely on it like crutches and lose my body’s natural senses and abilities.

Generally, in both studies and anecdotes, evidence shows that the faster you get back to regular movement (within reason) the faster you can heal yourself. The body is both an inefficient piece of junk and an amazing machine. If you take painkillers longer than you need to and cannot receive the appropriate pain feedback, then you cannot properly heal yourself. Many also go wrong by using painkillers to “push through” pain, which is not advisable because then you cannot know when the body moves from pain to injury, and this is a crippling mistake for many athletes.

Listen to your body

If that means you don’t do anything that day, then you don’t. If you can push another day, then you do. But the sooner you get back into simple things, like moving, walking, and doing regular day-to-day activities, the better.

Have you heard of those people who work their entire lives, and then in their late-70s or 80s, they just stop or are forced to retire and then die? I think this is a great analogy for muscle atrophy.

If you don’t use it, you lose it.

Have you heard of that? Surprisingly, muscle atrophy can kick in very quickly, usually at around 72 hours of non-use. Which means if you take most doctors advice and rest up to six weeks, you will see major muscle loss and the recovery will be much harder. Often, doctors and physiotherapists hesitate to push people, and thus continue prescribing fairly basic exercises, which may be great for office workers, but not for the athlete.

As an athlete, sometimes safe, yet serious, strength training is required. For me, the results of my post-injury recovery were not happening as fast as I would have liked. It was my first experience going to physio, and I did everything they said. However, my impatience comes from being told to do very boring exercises with minimal results. What’s more, I would have to stop what I was doing 4 times a day, for 20-30 minutes, to do the exercises. It became a hindrance to my work with no benefit to my recovery.

So I started doing my own exercises, which limiting myself to light squats and deadlifts. Two months after my initial injury, I was doing 200lb deadlifts, no problem. Of course, I was wearing my knee brace and would end a set if there was any discomfort. However, with this approach I saw far quicker recovery than when I had just listened to the so-called experts.

I am not trying to discredit medical professionals, this is not at all what I am trying to say. The problem is that, due to the system, or lack of experience, or scarce resources, there is often a disconnect between injury and recovery. The sooner rehab starts, the faster people can get back to normal activities, the faster and better the overall recovery.

How do I know when my doctor is right or wrong?

Sometimes, of course, you should listen to professional advice when it is legitimate. In my case, I listened when the doctor specifically asked me not to bend my knee more than 90 degrees for 6 weeks, regardless of pain. This is to allow the fixed areas, specifically the meniscus, time to properly heal and become as strong as required. However, all that it means is simply that I should be careful and modify my exercise to adhere to that specific limitation. I can still attempt light squats with limited range of motion, despite what the doc might think.

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How I’ll feel when I finally get to do BJJ after all these months…

Healing and returning to normal happens faster when I listen to both my body and the advice of the doctor and physiotherapist. Your body knows itself best. As long as you are fairly self-aware and attuned to your body’s messages, you should let your body guide you. And, seriously, don’t rush. As an athlete, I know that pushing too much too quickly because you want to get back in the game and prove yourself, is not a good idea. For me, this has meant no Krav Maga or BJJ for at least 2 months, and no rolling or sparring for 3-4 months.

There is still a dispute as to whether it makes more of a difference to get surgery ASAP and then do physio, or vice versa. It is my opinion, as an athlete, that surgery should happen as soon as possible, and you should do physio before and after surgery. It is fairly conclusive that doing physio and rehab to get back to regular activities ASAP means a better recovery. In my case, the longer I had to wait for my surgery, the worse my other (uninjured) knee got. Having a surgery done ASAP means your body will not have to go through multiple healing processes and can get back to what you love to do with less risk of degradation of your other areas of the body due to compensation.

So stay off the painkillers when you don’t actually need them. Get moving and get healing. When it comes to injury recovery, push when there is no pain, and rest or stop when you feel pain. Through time, you will know if the pain is related to the injury or whether it just hurts. Remember…

Pain is fine. Injury is not.

This is my secret. Simple, really!

Written: by Jonathan Fader

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Episode 52- Blog Post Series – What Pokemon Taught Me

You thought I was Done with this subject!?! Wrong! Here it is again in audio with additional commentary on the topics discussed of What Pokemon Taught Me. The blog Posts written earlier this year are as follows, “What Pokemon Taught Me about Losing“, “What Pokemon Taught Me about being OK with who I am“, “What Pokemon Taught Me about Health and Nutrition“, and “The First Line of Defense“.

Injuries can be frightening, recovery can be challenging, but keeping at it will stave off fear.
Audio by Jonathan Fader

Tearing my soleus – inner calf muscle – was the worst soft tissue injury I have suffered in my life (maybe I’m lucky?).  After skipping for 5min to warm up, I took part in an agility drill that involved jumping over a partner, then dropping prone and crawling under them.  On the third jump I felt and odd “squelch” sensation in my calf and tightness preventing me from extending my foot properly.  I stepped to the side and, thinking it was a simple cramp, I started stretching it out and working the muscle to loosen it, then continued into the next drill. (I found out later that stretching is the worst possible action of can take when dealing with a tear, as it, logically, exacerbates said tear!)

It turns out that tightening your calf/soleus through one activity (skipping), then immediately loading it in another (jumping) is a perfect storm for muscle mangling.  I was also informed, much to my chagrin, that soleus tears are so common in men over 40 that they are referred to as “The Old Man’s Injury” (ugh… time is real!)

Recovery was relatively straightforward; don’t stretch, take it easy for a few days, then slowly strengthen it by way of controlled exercise. I thought it wise to take time off of Krav maga, as bursting and kicking are fundamentals. Nothing too complicated, and not a terribly painful healing process.

On the road to a full recovery!  No problems!

However.

The first day back to training, after four weeks off, I was trembling as I prepared for class.  I felt totally fine on the way to the gym, in fact I was happy to get back at it, but as I took off my shoes to step onto the mats, my hands were shaking.  What if my first sprint sets me back to square one?

Over the years I have encountered many people who cite “fear of injury” as their main reason for not starting to train in the martial arts or self-defence (or to justify avoiding exercise altogether).  I get it; people don’t want to suffer injuries.  But, I’m not talking about “fear of injury” in the sense of “*whiny voice* don’t wanna get hurt”, that is simply good ol’ self-doubt paired with cowardice (let’s be generous and say “self-preservation”), I’m talking about the realistic fear of suffering a chronic, debilitating injury. 

I expect it is often the case that “fear of injury” in the latter sense is more accurately a “fear of re-injury;” you have experienced the physical/mental/emotional pain of injury and recovery, possibly accompanied by a loss of mobility for the duration, and most likely had to stop training, thus you don’t what to go down that road again (or worse, end up with a more permanent problem).

Of course, in the martial arts, or any physical activity, you must accept that there is a degree of risk involved simply from participating (some injuries are caused by partners and are, to a certain extent, out of your control.)  But in many cases the injury, as with my soleus tear, are surprising.  So it may be the unexpected nature of certain injuries that contributes to the onset of anxiety.  Sure, you walked in expecting to be punched, bruised, or, at worst, KO’d, you are at peace with those potential consequences.  But then you pull a bicep.  Okay, it could happen.  It heals, but not quite 100%.  Now you start to feel weaker along the chain or arm muscles.  This leads to you straining you wrist due to weakened overall punching form, etc..  Your willingness to take a punch did not prepare you for being hindered by a common sports injury.  Not only were you unprepared, but now this injury has led to diminished performance in a set of techniques, techniques that, in turn, diminish your overall performance.  Now you are less confident and less likely to push yourself and, by extension, less likely to improve.

When a nonathletic individual suffers an injury, he or she is faced with the difficulty of completing normal daily tasks due to pain and a loss of mobility. Once the person returns to pre-injury level, he or she is still only faced with the challenge of completing normal daily tasks. An athlete on the other hand, is not only faced with the challenges of daily functioning, but also faced with the challenge of returning to the field… the act of returning to play forces an athlete to participate in the exact activity that caused the injury initially.

(2008) “Fear of Injury, Kinesiophobia & Perceived Risk”, p.289, Injuries in Athletics: Causes and Consequences.

Thus the rational fear of injury, gained from experience, can be very real and, if left unchecked, can become a mental/emotional/physical hindrance. (In extreme cases, if your fear or anxiety is allowed to take hold and increase, you could end up with full blow traumatophobia, abnormal fear of injury, or kinesiophobia, fear of moving due to pain, both of which may diminish your quality of life and delay recovery.)

You enjoyed that activity you were engaged in (let’s assume so, otherwise why would you pursue it?), but now your recreation/fitness/lifestyle activity has betrayed you and the joy it provides is replaced by pain and fear.

I’ve been there, twice.  Trust me, it sucks.

So, how do we mitigate anxiety?

First off, when you are injured go see a doctor.  Have the injury treated if it requires immediate attention (eg. cuts and breaks). If it doesn’t require a trip to the Emergency Room, great, but still see a physician to check for related, possibly hidden injuries (eg. concussion).  Furthermore, seeing a doctor will help in determining the full extent and nature of the injury; for example, is it a soleus tear rather than the calf cramp you “expertly assessed” it as.

After receiving a professionally trained opinion regarding your initial injury, you want to take action.  While I am not a psychologist, it stands to reason that exerting or maintaining control and actively engaging in a solution that improves your situation should help reduce the anxiety surrounding the injury or mechanism of injury.  While this may not entirely eliminate the possibility of fear, as some is natural, it should reduce the intensity.  (Be mindful that “control” via avoidance could set you down the path of the aforementioned phobias.)

Know that, in the vast majority of cases, you WILL heal, you WILL get back to doing what you love.  Don’t give up, don’t stop taking care of your mind and body!  A positive mindset and an active participation in your own recovery will, logically, make it easier to face the injurious activity once more in the future:

  1. Get Checked Out – After the initial injury, you will want to see both a doctor and a physiotherapist, preferably a sports focused one (if you can, everyone’s resources differ.)  I say both because doctors are great for diagnosing and treating acute injury, but physio specialists are better for helping you develop and execute a recovery plan.
  2. Understand Your Injury – You don’t just want to heal your wounds and get back at it; you want to understand why and how you were injured, in order to reduce the chances of a re-injury and so to your fear of re-injury.  Take the responsibility of learning about the anatomy and physics that got you into trouble in the first place, and then get better.  Sometimes this means understanding basic kinesiology, sometimes it means learning to keep your hands up in sparring.
  3. Set Rules and Expectations – Be honest about your limitations and create guidelines for yourself in order to stay active in a safe manner.  Everyone is different, and every injury requires a different approach to healing and rebuilding.  Here are some general considerations:
    • Modify Activities – Go slower, engage in reduced intensity or lower impact versions of exercises/techniques/drills.  It is in your best interests to be honest and realistic. For example, in the martial arts, it is unlikely that you can train throws, takedowns, or groundfighting while recovering from an injury. But, again, it varies based on the nature of the injury. Talk with your instructor, any competent one will be able, and willing, to accommodate you.
      • Are you allowed to “audit” classes?  Ie. Attend class to watch and listen, but not participate.  This is a good way to stay in the headspace of your activity while healing.  Plus you will be surprised how much knowledge you pick up by watching others
    • Be Realistic About Severity – Be aware of how limited you are in range of motion and level of exertion. Are you able to participate safely (for yourself and others)? Will one wrong step re-injure you, or worsen the severity?  It may be that some time off is required.  Talk with your instructor!
    • Know Thyself  – Yes, more, deep self-reflection is required!  Are you the type of person who can actually sit on the sidelines, will you follow your own rules?  If you are like me, possessed of a sometimes reckless willingness go harder than you should, let those around you know your self-imposed limitations and let them help you stay accountable.  If you cannot keep yourself reined-in enough to train safely, maybe do something else to keep fit while you recover?
  4. Keep Active! – Don’t fully stop unless you really have to.  “Stay off it” isn’t always accurate, scientifically informed, advice, even coming from a doctor.  Broken arm?  Focus on your lower body, or use this as a time to start engaging more cardio work. I find that Humans have a sort of mental inertia, stopping fully will make “getting back on the horse” much harder.  Additionally, your removal from any activity allows you way too much time to think and creates a void for negative memories of the injury to grow and exaggerate, impacting your comfort level with said activity when you return, thus increasing the possible onset of fear and anxiety (if you return at all).
  5. Re-Check – Reassess the injury as it heals, then reassess the plan for recovery in parallel.  Also, don’t neglect your mental well-being throughout the process!  Consider how you are feeling; what are your thoughts regarding your return to action, do you feel a creeping dread, do you feel fine until it it’s “go time” (like I did)?  Should you see a counselor to help with overcoming the fear of re-injury or the anxiety of returning to 100%?  There are sports therapists who specialize in “Sports Counselling (Mental Strength Training).”

At the end of the day, you have to decide your own path.  I assert that if you be truthful with yourself, take an active role in your recovery, even if that means modifying exercises or sitting out on certain drills, you will be able to ease back into your favoured activity while you heal.  Yes, I have a hard time sitting on the sidelines, and too many times I have said “of course I’ll spar!” when I know I shouldn’t, and set my healing back a week.  So, for me, injuries often mean time off to protect me from myself.  (Honestly, if I was into mountain biking or rock-climbing I’d probably be in a wheelchair or a pine box by now.)

But that doesn’t mean I quit!

I’m currently dealing with a back injury.  But I’m actively dealing with it! When I’m not training Krav Maga, I’m doing my physio-assigned back exercises, I’m reading about self-defence theory, I’m working on basic kicks and punches with my daughters (“To teach is to learn”), I’m running, I’m working with a personal trainer for core strength, I’m focusing energy on changing my diet to improve my physical performance.  And before I know it I’m back into the lower impact basics (“Defence”) classes.  Those go well, so then I’m planning ahead for where my back needs to be in order to ease back into the “Warrior” classes. (and I probably should be auditing the “Novice” coloured belt classes)

Adopt the mindset that this is temporary and you WILL overcome it as you would any physical challenge.  Some people say “I was injured while biking, I’ll never get on a bike again.”  But, in my opinion that leaves behind a part of your life that you enjoyed, it narrows the breadth of your experience and allows you to give into living based on fear.  That’ a slippery slope, and life is too short!

Written by: Corey O

https://www.stitcher.com/podcast/urbantacticsstudios/warriors-den?refid=stpr
https://podcasts.apple.com/ca/podcast/urban-tactics-krav-maga-warriors/id969549693?mt=2
Episode 50 -Blog Post Series – Self Defense is not just physical

Welcome back to UTKMs Warriors Den Podcast with host Jonathan Fader. This is the first of many Blog Post Series podcasts where whenever we write a series we will add it as a blogpost with additional commentarty. This series covers a variety of topics including, Digital Self Defense, Financial Self Defense and Mental Self Defense. This series as read and discussed by Jonathan Fader, UTKM Lead Instructor.