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Ibuprofen, some negative impacts of it for athletes
- Thread starter StageLeft
- Start date
surfsatwerk
Lifer
That's a great article. I intend to change my use of painkillers to match their recommendation.
EvilYoda
Lifer
CF's favorite PT guy (well, I call him the PT guy), Kelly Starrett, had a great video on the CF Journal a few months ago. He was very insistent on avoiding ibuprofen unless specifically necessary.
Luckily, I'm without pain most of the time, and when something does hurt, I just ice it and rest. I don't like taking drugs for stuff in general (unless it's for fun reasons ^_^).
Luckily, I'm without pain most of the time, and when something does hurt, I just ice it and rest. I don't like taking drugs for stuff in general (unless it's for fun reasons ^_^).
StageLeft
No Lifer
I have also avoided it unless necessary. I think relying on medicine like a vitamin can't possibly be a good idea. For the most part the body will handle injuries in the ideal way, so to pop ibuprofen long term (I know some people do, like months or even years on end) is continually overriding the body.
Merithynos
Member
Interesting article, I wonder how the results translate in a less extreme setting (i.e. ~99.9% of all possible settings). I've spent most of the last 15 years playing 200-250 soccer games a year, and I know I'm one of those players that habitually takes Ibuprofen 60-90 minutes before the game...and at 33, it's pretty much necessary.
Something to think about though.
Something to think about though.
InflatableBuddha
Diamond Member
:thumbsup: I never take it unless necessary (such as when I had a wisdom tooth pulled). If I'm hurting after working out, I ice and rest.
Doesn't ibuprofen also negatively impact your liver function, or is that only acetemenophin?
SociallyChallenged
Elite
Oh please. I know of zero chiropractors that have even mentioned this. On top of that, chiropractors have no place being involved in telling people about medication. I'm sure, in your ultimate wisdom, that you knew that its normally anti-inflammatory action would take a opposite turn during activity. Yes, something that had to be proved to everybody else with degrees specifying in this type of thing via research.
SociallyChallenged
Elite
Most painkillers do some damage to either the liver or the kidneys so it's best to use them sparingly anyhow.
eits
Lifer
actually, we've been saying it for a long time because they thin the blood, decrease nutrients to tissues, and mask pain. how can tissues heal without nutrient rich blood? what happens when thinned blood surges throughout the body, unable to exchange nutrients and waste between cells properly? what happens when someone feels fine and wants to return to play because they took some anti-inflammatories, but they still haven't finished healing a tendon or ligament or something? it's common sense and physiology. it's not my fault that the pharmaceutical community gets tons of money from the fda to research and study drugs (and hides the negative information to make drugs more marketable).
this is partly why you see so many injuries in sports nowadays. yes, part has to do with steroids, but another part has to do with the overuse of cortisone injections in order to get players to return to the field. players go out feeling fine and playing on partial tears... one slight misstep and there goes your acl or your achilles, etc.
chiropractors don't prescribe medication, nor do they tell their patients to stop taking medications that another doctor has prescribed them. however, they can and do educated patients on side-effects of some of the medications they take and some of the risks they might encounter.
Hmm, I was doing this at the beginning of my return to working out again after a 5 year hiatus and I felt like it worked out great for pain when I took a single regular strength naproxen(Alleve) before going for a mile run. How I felt the next morning was an entirely different story however.
Now that I think about it, I don't think renally excreted NSAIDs for high-endurance athletes is the best option per se. The kidneys are already taking a pounding from the sheer amount of muscle damage pouring myoglobin into your renal tubules and causing a probably-not-beneficial effect on your kidney function. To add something exogenous that could potentially vasoconstrict your renal arterioles in addition to your body's own desire to retain-fluid-volume/vasoconstrict under extreme exercise might just allow the myoglobin to sit there and provide a toxic environment in your kidneys. Conversely, it could be good in that by shunting off more blood flow away from the kidney, it's actually preventing the toxic myoglobin from reaching the delicate renal tubules.
I dont know about this one... too many other things coming into play. There seems to be this delicate inter-play of giving the kidneys enough blood to not die, but still steering them clear of the toxins that accumulate in the blood from muscle breakdown.
Great study though as it has brought up more questions that need to be answered so that your friendly neighborhood tri-athlete has the safest conditions possible for his/her extreme sport.
I guess people will just have to use their own best judgement in the mean time.
Now that I think about it, I don't think renally excreted NSAIDs for high-endurance athletes is the best option per se. The kidneys are already taking a pounding from the sheer amount of muscle damage pouring myoglobin into your renal tubules and causing a probably-not-beneficial effect on your kidney function. To add something exogenous that could potentially vasoconstrict your renal arterioles in addition to your body's own desire to retain-fluid-volume/vasoconstrict under extreme exercise might just allow the myoglobin to sit there and provide a toxic environment in your kidneys. Conversely, it could be good in that by shunting off more blood flow away from the kidney, it's actually preventing the toxic myoglobin from reaching the delicate renal tubules.
I dont know about this one... too many other things coming into play. There seems to be this delicate inter-play of giving the kidneys enough blood to not die, but still steering them clear of the toxins that accumulate in the blood from muscle breakdown.
Great study though as it has brought up more questions that need to be answered so that your friendly neighborhood tri-athlete has the safest conditions possible for his/her extreme sport.
I guess people will just have to use their own best judgement in the mean time.
Megatomic
Lifer
Thanks for the link Skoorb. I've gone all week without taking any pain meds and I feel at least as good as I did when I was using them regularly. Tomorrow I do a trail marathon and I'm gonna do it without meds. That'll be an interesting test and I'll report back on how I do without the ibuprofin.
Capt Caveman
Lifer
If you need to take something for your run, take acetaminophen.
Here's another article from Runner's World - Pill Primer
SociallyChallenged
Elite
Except Skoorb has posted another thread with research on most other pain killers weakening tendons and such. Acetaminophen is one of them.
Megatomic
Lifer
So my trail marathon turned into a trail half marathon. But I did get to test out not using NSAIDS. I fell numerous times, twisted both ankles multiple times, ran through briars and nettles, and sloshed through mud. I didn't take any meds before, during, or after the run and I have completely recovered. My ankles are slightly sore right now, but not swollen. My knees are 100% ok. And my groin muscles are only slightly tweaked. I am so embarrassed that I ever thought I needed to use NSAIDS to train.
ps - the run today was totally awesome. I highly recommend the Interlocken Trail to anyone looking for a good time, but be ready for roots, rocks, ditches, obstacles, and mud. 😀
ps - the run today was totally awesome. I highly recommend the Interlocken Trail to anyone looking for a good time, but be ready for roots, rocks, ditches, obstacles, and mud. 😀
Capt Caveman
Lifer
Sure if you take them in excessive amounts for long periods of time. A couple before a run isn't going to to do anything.
KingGheedora
Diamond Member
Sounds like Skoorb was taking pain killers before his runs on a regular basis. I'm not advocating this for others, but I would personally avoid taking acetaminophen or any pain killer on an kind of regular basis, even if it were just once a week.
SociallyChallenged
Elite
Well, to be perfectly honest, a lot of painkillers have the same effects on the body as ibuprofen. I wouldn't be surprised if acetaminophen made things equally as bad. And on top of that, excess isn't required to damage things. You take a normal dose once, do strenuous exercise, and you have significant microtears in your tendons. Do that several times to a very, very slowly healing tendon and you may have a large tear on your hands in no time.
Capt Caveman
Lifer
I wouldn't consider once a week, on a regular basis. Train on a regular basis or for a race/event, pains/injuries are part of life. Sometimes, you need to take some form of painkillers or inflammatory to get thru that marathon training, etc...
Koing
Elite Member <br> Super Moderator<br> Health and F
People shouldn't be taking ibuprofen as a quick fix. It should be used as rehab/ recovery when NOT training, not as a means to be able to train.
You can DEFINITELY do more damage as your masking the pain and are training through it.
But people do what they must. If they want to run 100miles and they are smashed up, they'll take what they want to get through it. Not good for the body but they will do it to just complete the race anyway.
Koing
You can DEFINITELY do more damage as your masking the pain and are training through it.
But people do what they must. If they want to run 100miles and they are smashed up, they'll take what they want to get through it. Not good for the body but they will do it to just complete the race anyway.
Koing
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