Careful With NSAIDs

Today I was on a relay team, running the half-marathon leg of the Patriots Half Triathlon. One person swam 1.2 miles in the brackish water of the James River. Then, a second person rode his bike for 56 miles through woods, farmlands, and lakes on mostly flat terrain. Finally, I ran a half marathon -- 13.1 miles -- on a course that was delightfully shaded. Given that I was running at noon, on a hot and sunny day, I was very appreciative of the shade.

My time was an acceptable one hour, fifty minutes. I went in thinking it might be possible to average 8:45 a mile or better. I ended up averaging 8:27 a mile. That's better! It's time for me to think seriously about qualifying for the Boston marathon again (I've done that twice in the past 10 years, each time as I entered a new age bracket). 2010 would be the next time for me to do that. We'll see.

One thing is clear, however: I will not be using ibuprofen or other Non-Steroidal Anti-Inflammatory painkillers (or NSAIDs) prophylactically. In other words, I will not be taking ibuprofen before, during, or after races to ward off pain or to prevent pain from developing. I never have taken many NSAIDs period, and now I have new reason to avoid them: a report in the New York Times makes clear the health hazards of such practices. To quote the article:

"Those runners who'd popped over-the-counter ibuprofen pills before and during the race displayed significantly more inflammation and other markers of high immune system response afterward than the runners who hadn’t taken anti-inflammatories. The ibuprofen users also showed signs of mild kidney impairment and, both before and after the race, of low-level endotoxemia, a condition in which bacteria leak from the colon into the bloodstream."

Yikes! The article concludes that NSAIDs are appropriate only when a person suffers inflammation and pain from acute injury. Some would even dispute that, at least as a first resort, preferring instead the age old recommendation of RICE: Rest, Ice, Compression, and Elevation. Whereas NSAIDs reduce pain, natural practices such as RICE give a body the relief it needs to heal.

Right now I am running injury free -- always a cause for celebration, appreciation, and gratitude. But if and when discomforts begin, I will not be trying to mask or run through the pain with ibuprofen in my system. The risks are just too great. I hope you will do the same.

Coaching Inquiries: What's your pattern when it comes to NSAIDs? What natural approaches do you try first? How can you be more attentive to and respectful of your body? How you can you push your body to the limit without going over the top? How can you find a rhythm of work and rest that will keep you going for life?

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