<p><span style="font-size:10pt;"><span style="font-family:arial;">I noticed that the book opens on the first page with the text:</span></span></p>
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<p><span style="font-size:10pt;"><span style="font-family:arial;">“This book is intended as a reference volume only, not as a medical manual. The information<br>
given here is designed to help you make informed decisions about your health. It is not intended<br>
as a substitute for any treatment that may have been prescribed by your doctor. …”</span></span></p>
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<p><span style="font-size:10pt;"><span style="font-family:arial;">Other than one study listed below (1), I couldn’t find any peer-reviewed published research on this topic by these authors. I don’t know if their assertions rest on science-based experiments with control and experimental groups, or if this is just their opinion. </span></span></p>
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<p><span style="font-size:10pt;"><span style="font-family:arial;">Working at an academic institution does not mean that your ideas have been subjected to analysis by an anonymous group of your peers as to their scientific worthiness or validity. It just means that you work at an academic institution.</span></span></p>
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<p><span style="font-size:10pt;"><span style="font-family:arial;">Soft tissue Injuries:</span></span></p>
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<p><span style="font-size:10pt;"><span style="font-family:arial;">If it is their opinion in the book, then based on my personal experiments I would agree with them in the case of soft tissue injuries. There may be some evolutionary reason for Delayed Onset Muscle Soreness (DOMS). Maybe as they suggest, it is best to just suffer through the discomfort.</span></span></p>
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<p><span style="font-size:10pt;"><span style="font-family:arial;">Massage</span></span></p>
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<p><span style="font-size:10pt;"><span style="font-family:arial;">I have found a few studies on the effectiveness of massage for controlling DOMS through <a href="http://www.scholar.google.com" target="_blank">www.scholar.google.com</a>, but they all based their results on control-group to experimental-group comparisons. I could not find any studies involving bilateral muscle injuries and treatment of one pain site while leaving the other site untreated. That would be a simple experiment to do.</span></span></p>
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<p><span style="font-size:10pt;"><span style="font-family:arial;">I did a small experiment immediately after an especially hard race; I had only one quadriceps muscle massaged by a therapist. The other was side was not massaged. The next day it seemed to me as if the discomfort (DOMS) was equally intense in both legs. Maybe massage helps some runners and not all. It didn’t help me.</span></span></p>
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<p><span style="font-size:10pt;"><span style="font-family:arial;">I recommend that other runners conduct similar experiments on themselves. In the case of equal bilateral injuries, treat one side only and determine if any of the treatments work for you. I could not find a correlation between DOMS and massage or hot or cold packs.</span></span></p>
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<p><span style="font-size:10pt;"><span style="font-family:arial;">Connective Tissue and Joint Injuries.</span></span></p>
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<p><span style="font-size:10pt;"><span style="font-family:arial;">I like Labduck’s comments on this area. </span></span></p>
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<p><span style="font-size:10pt;"><span style="font-family:arial;">In line with that I recommend that all runners carefully maintain a daily log. Each entry might include a rating as to the run’s intensity and note any areas of discomfort that that they experienced during the run. The next morning they might also record any morning discomforts. By doing this a runner can begin to understand how specific types of training, shoes, orthotics or terrain may correlate with specific muscle, connective-tissue or joint injuries. </span></span></p>
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<p><span style="font-size:10pt;"><span style="font-family:arial;">There is some research in the area of handling the discomfort due to connective tissue (tendonitis) and cartilage (joint) injuries with NSAID’s, but I don’t recall the findings. There was some connection with recovery rates.</span></span></p>
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<p><span style="font-size:10pt;"><span style="font-family:arial;">For me NSAIDs are essential for a good night’s sleep, when otherwise incidental back, hip and shoulder pains from my other activities can lead to a night of tossing and turning.</span></span></p>
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<p><span style="font-size:10pt;"><span style="font-family:arial;">Good discussion,</span></span></p>
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<p><span style="font-size:10pt;"><span style="font-family:arial;">Ted</span></span></p>
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<p><span style="font-size:10pt;"><span style="font-family:arial;">540<sup>th</sup> 5K in-a-row: <a href="http://mysite.verizon.net/tjacmc/History/Pace.jpg" target="_blank">http://mysite.verizon.net/tjacmc/History/Pace.jpg</a></span></span></p>
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<p><span style="font-size:10pt;"><span style="font-family:arial;">(1) Dysnatremia Predicts a Delayed Recovery in Collapsed Ultramarathon Runners, Clinical Journal of Sport Medicine: July 2007 - Volume 17 - Issue 4 - pp 289-296, doi: 10.1097/JSM.0b013e31804c779b</span></span></p>