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How to Support Recovery of Soft Tissue Injury with Nutrition

  • August 1, 2022
  • Nutrition
EducatorsParents

Kristen Ziesmer headshot.If your athlete has torn, ruptured, or otherwise injured a muscle, tendon, or ligament, they’re dealing with a soft tissue injury. These injuries can be frustrating, since the area that’s injured can look perfectly normal, but on the inside, the body is hard at work trying to heal. While your athlete is on the bench, it’s important to make sure that their nutrition is supporting the healing that their body is doing.

Here, TrueSport Expert Kristen Ziesmer, a registered dietitian and board-certified specialist in sports dietetics, is sharing her best tips for helping an athlete navigate this trying time.

 

Eat enough protein

Make sure that your athlete is consuming adequate protein to maintain muscle mass and help boost recovery, says Ziesmer. For most athletes, you can assess how many grams of protein per day are needed by multiplying their weight in kilograms by 1.6-2.5.

Protein is made up of amino acids, and one of the most important for healing is leucine. “Leucine is an amino acid that stimulates muscle protein synthesis, which reduces breakdown of muscles and soft tissues,” explains Ziesmer. “You can find leucine in dairy products like milk and yogurt, or egg whites.” If your athlete is vegan, you’ll need to make sure they’re using multiple protein sources to get the full range of amino acids, including leucine. Soybeans and legumes are also good sources.

 

Stay hydrated

Ziesmer advises athletes to drink at least half their body weight (in pounds) in ounces of water per day at minimum. “Water is going to carry nutrients around to your body, which helps with healing and repairing,” she explains.

 

Eat fewer ultra-processed foods

Close up of unwrapped fast food items including pizza, burgers, and fries.Ultra-processed foods and drinks (like candy, soda, and chips) might taste good in the moment, but they can be inflammatory and slow down the healing process, says Ziesmer. It’s tempting to indulge your athlete when they’re in the midst of recovering from an injury, and while a treat or two is fine in moderation, overdoing it can impede recovery. Not only are ultra-processed foods high in inflammatory compounds, but they also take away healthy eating opportunities. It’s harder for your athlete to eat a big salad with grilled chicken for lunch after eating a bag of chips.

 

Eat antioxidant-rich and anti-inflammatory foods

“Colorful fruits and vegetables tend to have high antioxidant content, and these are going to help reduce the oxidative stress on the body that happens as your athlete tries to heal from an injury,” Ziesmer explains. “Berries are a really good option, such as strawberries, blueberries, and blackberries. Dark leafy greens, nuts, seeds, avocados, broccoli, peppers, tomatoes, carrots, and sweet potatoes are all rich in antioxidants and key vitamins as well.”

 

Spend time in the sun

While getting outside may not sound like nutritional advice, it actually is just that. “Being outside for 30 minutes between 10 a.m. and 2 p.m. is optimal for absorbing enough vitamin D,” says Ziesmer. “Vitamin D is important for recovery as well as performance. If you’re deficient in vitamin D, you’re hindering the recovery process.” Sunshine will likely boost your athlete’s mood as well, since it can be tough feeling stuck inside while recovering.

 

Add helpful whole food extras

Fresh salmon pieces.While using supplements to speed injury repair isn’t advised, your athlete can still benefit from the right intake of certain foods. Foods rich in omega-3 fatty acids, nitric acid, collagen, and vitamin C may help improve healing while strengthening the damaged tissues. “Salmon and sardines are the best options for whole food-based omega-3 fatty acids, and beetroot juice and tart cherry juice are great sources of nitric acid,” says Ziesmer. “Bone broth with an orange is a perfect way to get collagen as well as vitamin C—and it’s best when your athlete has these two compounds together.”

 

Modify food intake

Depending on the situation, your athlete may need to slightly tweak the calories they’re consuming. Rather than looking at an injury and forced period of rest as a reason to cut back on calories, though, reframe it as a chance to swap some fast calories, like white pasta and bread, for more nutrient-dense carbohydrate sources like wild rice and vegetables, says Ziesmer. The athlete won’t require as much energy for training, but still needs to fuel for recovery, so they can lower carbohydrates or swap them for fruit or vegetables, but protein intake should remain the same or higher.

Young athletes shouldn’t be thinking in terms of caloric intake unless they’re working with a registered dietitian to do so. Instead, focus on healthy plates. Visit our meal planning page here to see a sample of a recovery/easy day meal.

 

Consult an expert

Nutritionist talking to a patient.If your athlete is going to be away from sport for a while, it’s likely worth checking in with a dietitian to come up with a nutrition strategy to promote recovery and avoid inflammation and unwanted weight gain or weight loss. This is also a great chance for your athlete to dial in their nutrition, learn to cook some new dishes, and experiment with different foods without worrying about how it will affect game day. If your athlete has had issues with disordered eating in the past, seeking professional help is even more important, since injuries that take them away from training can be triggering for athletes who struggle with body image issues.

______________________

Takeaway

When recovering from an injury, good nutrition matters just as much as it does when an athlete is training hard. It’s important to make sure your athlete is eating plenty of protein in addition to inflammation-fighting fruits and vegetables, while also cutting down on ultra-processed foods to avoid inflammation in the body. Finally, consult with a dietitian, especially if the athlete is going to be out of the game for a while or has struggled with disordered eating in the past.

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Goal-Setting Lesson Video Transcript

Hi. I’m Trevon, Trey, Jennifer. Team USA wheelchair basketball player, paralympian, and true sport athlete. Today, I want to talk to you about goal setting. And there are three things that I would like you to know. First, successful athletes set goals and a planned roadmap. Second, goals should be written down, assessed over time, and changed if necessary. And third, goals need to be challenging in order to be worthwhile. As a freshmen at Edinboro University, I was a part of a team that made the national championship game. And at that time I recognized I was the low man on the totem pole, but I felt in my heart that I knew my dreams were so much bigger than winning a national title. I wanted to make Team USA. I knew what achieving my lofty goal was not going to be easy and that I would need to work hard every day.

So, as a reminder, I created a pyramid of goals that I kept right above my bed. This pyramid reminded me of the accomplishments that I was working towards and visually represented my need to create a solid foundation underneath me before reaching the top. In the bottom roll of my pyramid of goals I listed goals such as obtaining my bachelor’s degree, becoming a scholar athlete award recipient, and becoming an All-American. The middle row listed winning a national title and playing for a professional team. And at the top row, the most challenging of them all, I listed becoming a gold medalist for Team USA.

By understanding that there are smaller stepping stones to achieving my ultimate goal of being on Team USA, I was able to stay motivated and to stay focused on completing the smaller stepping stones fully before moving onto the next one. Now I’ll be the first to admit that not every goal that I listed on my pyramid was accomplished, but seeing my goals every day when I went to bed, I was able to push through the days that I felt like doing nothing in hopes of achieving the bigger picture. Remember, create a clear goal roadmap, assess your goals often, and continue to challenge yourself. I hope that you never stopped dreaming big or reaching for the stars. And I look forward to seeing where your roadmap takes you.

Body Image Lesson Video Transcript

Hi, I’m Kara Winger, Olympic javelin thrower, and true sport athlete. Today I want to talk to you about body image and I have three things I’d like you to know. First, healthy thoughts often lead to healthier bodies. Second, there are varying body types and no one’s body is exactly like another. And third, true beauty goes deeper than the skin. As a multi-time Olympian, I’ve experienced a lot of variation and progression in my training. My coaches and I adapt to my training frequently, all with the goal of supporting my long-term success and health in the sport of javelin. I’m talking to you about body image today because sometimes even with the best of intentions and a common goal in mind, the changes you make to your training habits can prove to be detrimental if made for the wrong reasons. In the lead up to the 2012 Olympic trials, I was told in order to improve my performance on the field, I should try to become a leaner, skinnier version of myself.

So I changed my diet. I went along with what I was being told to do, even though I’d had great success at a slightly heavier weight and higher body fat percentage, and became much leaner than ever before. It seemed like a successful change at first, but I didn’t have nearly the results I’d had before. And I believe becoming leaner than my body naturally wanted to be was what caused my ACL to tear. In the end, it cost me heavily going into the 2012 London games. The takeaway for me, and hopefully for you, is that it’s important to know what works for you and your body and to not compare yourself to others. You should do your research and experiment with your diet to find what makes you feel the best, rather than focusing on what you look like. Today, if I feel like having a chocolate chip cookie, I have one, just not every day.

I’ve learned what a properly balanced meal for my body looks like and I recognize food as the fuel that keeps me throwing. I hydrate and allow myself time to recover. And I listen to and communicate with my body so that I can be the best version of myself. In the end, you are in control of how you see, treat, and respond to your body. We only get one and it’s amazing to discover how many things our bodies can do. Be a true sport athlete. Love who you are in this moment and get excited for all the places your body will take you.

A Good Sport Lesson Video Transcript

Hi, I’m Izy Isaksen, Team USA, Modern Pentathlon, Olympian, US Army Sergeant, and True Sport Ambassador. Today, I want to talk to you about being a good sport. There are three things I’d like you to know. First, real winners act the same toward their opponent, whether they win or lose. Second, follow the rules and be a gracious winner and respectful loser. And third, sportsmanship reveals your true character.

I started competing in Modern Pentathlon eight years after my older sister and three-time Olympian, Margaux Isaksen, began competing. I soon realized that people often compared the two of us. I would overhear spectators and teammates asking, “Who’s the better athlete,” and “Who’s going to beat the other.” Instead of letting outside pressures create a negative experience for us, I chose to practice winning and losing with grace and respect. I know that it would have been easy to let our hyper competitive mindset affect our relationship, but instead we decided to support and cheer for each other, regardless of our own performance. My experience of competing against and being compared to my older sister, taught me to focus on how to perform at my best, rather than putting wasted energy into wishing for others to fail.

I believe that sportsmanship reveals true character. So, no matter what situation I encounter during competition, I know it’s important to always treat people with respect and be a good sport. Remember, be a fierce competitor, find grace in all your victories and losses. And I hope to see you out there.

What Kind of Coach Do You Want to Be? Video Transcript

Edwin Moses: You’re a coach. Maybe what you want is very simple, for everyone to just run in the right direction, score for their own team, to try and try again and again. Maybe you want your athletes to become all stars. You want them to earn trophies, medals, win titles. You want them to reach the highest height their sport allows. And wanting all of that, of course, that’s good. But as every great coach discovers, developing a great athlete means nurturing, nurturing the even greater person within. Truth is, you have even more influence than you know.

You have the ability to affect even deeper change, to take what’s in your hands and do something even more extraordinary. You can be both the coach who provides the skills needed to win the game and the coach who helps them learn and succeed beyond the sport, to become all stars wherever they land in the future, and to enjoy their lives more now, because the confidence and courage they find working with you will stay with them when they need it the most. There are games to be won, lives to change. Coaches have the power to do both.

I’m Edwin Moses, and the lessons I’ve learned through sport have challenged me, guided me, and shaped my life forever. What kind of coach do you want to be?

THE SIMPLE TRUTH: DECODING THE SUPPLEMENT INDUSTRY VIDEO TRANSCRIPT

At first glance, dietary supplements look the same. They seem safe and healthy, but just because the label says a product is a dietary supplement, that doesn’t mean it’s safe. Unfortunately, you can’t tell whether a product is safe or not just by looking at the label. Most vitamins, minerals, fish oil, and other supplements containing nutrients are probably just fine, but supplements are not evaluated or approved by FDA before they are sold. Although it is rare for vitamins or minerals to be contaminated with drugs, there has been at least one case of a vitamin containing an anabolic steroid.

At the other extreme are products that contain drugs, stimulants, anabolic steroids, or other hormones. Even though these are not technically dietary supplements, many of them are labeled as supplements. For example, body-building products sometimes contain anabolic steroids or Selective Androgen Receptor Modulators, known as SARMs, or other hormones. Some pre-workout or energy products contain illegal stimulants like DMAA, ephedra, or other amphetamine-like stimulants. Weight loss products might contain prescription drugs like sibutramine, or hormones, like human chorionic gonadotropin, also known as hCG. All natural or herbal sexual enhancement products might contain hormones or Viagra-like drugs. Products like these can harm your health and career, but they’re for sale online, in some nutrition stores, and they’re labeled as dietary supplements.

When you pick up a supplement, especially one that promises performance enhancement, you don’t know if it belongs in the “Mostly O.K.” pile or in the “Dangerous” pile. After all, two products might look the same, but one might contain just amino acids and other legitimate ingredients, while the other also contains anabolic steroids. Because of this, FDA has issued a warning about certain categories of supplements: body building products, weight loss products, and sexual enhancement products. Be extremely careful when considering a supplement in one of these categories. We strongly recommend that you avoid products in these categories.

Even when FDA tests supplements and finds dangerous ingredients, companies sometimes refuse to recall them. Sometimes, they simply repackage their product and continue selling it under a new name. Just because a product is on a store shelf doesn’t mean it is safe. You need to do your research and be an informed consumer. The dietary supplement industry is enormous. Supplements that appear to be safe could actually be dangerous products in disguise. If you use dietary supplements without doing your research, you may be taking serious risks with your health and your career. Please visit USADA’s Supplement 411 for more information about dietary supplements.