When Should I Stop Pushing Through the Pain?

January 30, 2018 | Raleigh Orthopaedic Team
Older Man with Back Pain

Written by: Suzanne Blakeney, PT, DPT, CSCS

“Ouch! Is this normal? Am I hurting myself? Should I just ignore the pain and push through?” Whether you are sticking fast to your New Year’s resolution, gearing up for another season of races, or preparing for your next sport season you have probably asked yourself these questions. They are common concerns, and while they do not always have an easy answer there are some key components to help you think them through.

Generically, the achy knee or shoulder you may be experiencing when you train is considered “Overtraining.”  Overtraining comes in many different forms. For most, it manifests as joint or muscle pain, prolonged soreness, or tightness. If continued untreated, it can also cause decreased appetite, sleep disturbances, decreased training performance, and chronic fatigue.  Some even experience increases in resting heart rate and blood pressure; others may also notice decreases in power and endurance during your exercise. If you notice these symptoms and feel that you may be overtraining, the easiest way to treat it is to take steps that allow your body to rest and recover.

Overtraining is common, and can occur after increases in training volume, intensity, or type without appropriate time for your body to adapt and condition. You should first look to these to determine if you made too many drastic changes in your routine, and adjust accordingly. Usually just dialing down intensity, speed, frequency, or duration can help.  If you have been pushing yourself hard and fast, it may be time to rest and back down to help your body recover. Most clinicians will recommend complete rest until the pain is gone or cross-training in non-painful modes.

The good news is avoiding overtraining syndrome is fairly straightforward: Value your body! Make sure you have rest days. Give your body days to recover during bouts of activity through light walking, low impact workouts, or stretching.  Speaking of rest, actually get some! Sleep is very important. It is when our bodies repair themselves, and you want to allow it time to do that. Our bodies need fuel as well as rest, so proper nutrition helps ensure you are getting a variety of nutrients from plenty of sources. And always, when starting a new activity or changing up your routine, take it slow and steady. Give your body time to adapt to the new demands, and never increase too quickly.

What if you’re already experiencing pain or discomfort? Counter to what your drill sergeant screams, pushing through will not bring relief.  Typically, it’s never a good idea to push through pain that is sharp, pinching, or stabbing, especially if you are feeling pain in your joints. When you experience such pain give yourself time to heal by stopping the triggering activity. Instead, cross train or perform light, non-painful activities. Pain is your guide and as long as that feeling is there you should not be pushing it. If you notice something is sore or tight after the activity you may want to re-tool your warm-up and cool-down routine. Spend more time stretching, improving muscle balance, or foam rolling.

As always, if you have a nagging pain that you are concerned about come into our clinics for a free injury screen at any time! Our therapists will be happy to schedule a 15 minute screen to determine the nature of the pain/injury and to direct you towards appropriate care.

Schedule an Appointment with Raleigh Orthopaedic

If you’re dealing with pain, discomfort, or an injury, don’t wait to get the care you need. Our expert team at Raleigh Orthopaedic is here to help you feel better, move better, and get back to doing what you love. Schedule an appointment online or call us at 919-781-5600 to be seen—often within 48 hours. For immediate care, we offer walk-in orthopedic urgent care services. Click here for hours and locations.

Disclaimer: The information on this site is for general informational purposes only and is not intended as medical advice. It should not be used as a substitute for professional diagnosis, treatment, or medical judgment. Always consult a physician or qualified healthcare provider with any questions you may have about a medical condition or treatment.

Suzanne Blakeney, PT, DPT

Suzanne Blakeney, PT, DPT is a physical therapist at Raleigh Orthopaedic Clinic.