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Video: Will intense workout help prevent injuries?

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    >> on the quest to stay healthy, millions of americans are treated for sport's related injuries every year. one doctor is trying to prevent them before they happen with a total body work out. he's completed 29 marathons and nine iron man triathlons. i had to check it out for myself. whether you're an athlete in your 20s or 70s, exercise can take a toll on your joints.

    >> i have run 23 marathons.

    >> i certainly have gotten injured from running.

    >> hopefully once i'm past my knee injury i will be a more intense athlete.

    >> 30 seconds.

    >> reporter: according to dr. jordan metzel it's the lack of body strength that leads to injury.

    >> everybody here is a runner, tri athlete and wants to prevent injury. rather than spend time in doctor's offices i want them to prevent injuries.

    >> reporter: which is why he created the iron strength work out which he teaches twice a month in new york.

    >> it's strength and cardio. you can do it a couple times a week. this helps anybody at any level.

    >> reporter: i have had a couple of injuries.

    >> all the injuries are related to not having the muscular support around your skeleton. i will teach you how to reduce the loading force on your bones. the stronger the muscles, the less likely you are to get injured.

    >> reporter: with dumbbells and determination i was ready. i'm already going for the water. this will be a long class.

    >> i have no balance.

    >> just like running.

    >> reporter: harder. halfway through the class i was feeling the burn.

    >> i won't be able to sit down tomorrow.

    >> reporter: at the end it was a combination of squats, push ups and jumps which is the burpee.

    >> they kick my butt.

    >> i hate them.

    >> reporter: the person who did the most took home the burpee cup.

    >> i'm not winning it. i'm trying to survive.

    >> reporter: the workout is about more than winning a trophy.

    >> i was nursing injuries, running through pain.

    >> not going to get injured again. hopefully with this kind of strength training which is good for my body.

    >> i just want to be as strong as i can. i want to be the hottest body an old broad can have.

    >> reporter: that looks darn good as well. the winner was 33-year-old joey egan the first to do 55 burpees. i hate them. dr. metzel, good morning.

    >> good morning.

    >> you put me through it. it was a great workout and it taught me a lot. one of the most common mistakes people make when they get out there.

    >> the key mistake as far as i see it as a sports medicine doctor is people don't goal set. i know people watching on tv thi think, i'm home with three kids. i don't have time for a work out. but give yourself a goal. ballroom dancing , the track, lack of goal setting is the most common thing i see in my practice.

    >> and be realistic with goals, too. there are fitness misconceptions out there. first, coffee is a good idea before a work out. true or false?

    >> rejoice. it's true. the science on coffee is convincing. maybe two cups can increase skeletal muscle contractility. you get more.

    >> with the milk?

    >> sure.

    >> stretching before exercise is worth the effort. we hear it a lot. true or false?

    >> if you're a stretcher before exercise, it's probably not as good as you think. we start with a dynamic warm-up. instead of bending over and touching your toes, easy jumping jacks or jogging in place can warm up your muscles and get you ready for exercise in a safer way.

    >> warm-up is key. bad injury lands you in a doctor's office and people always think you end up with a torn -- if you have a torn ligament that shows on mri that you are going to need surgery. is that true?

    >> as technology changed we have seen a shift. mri has changed the face of sports medicine . we see all kinds of things. i brought an mri to show you. mri shows me the inside of somebody's knee.

    >> when you see this you can get around this working out?

    >> the red arrow points to the tear in the meniscus. the important thing to impress upon patients all the time is just because something shows up on mri doesn't mean it needs surgery. patients need to educate themselves as to what needs surgery and what doesn't.

    >> there is a lot more on the website about your workout as well. doctor, thanks. coming up, we'll tell you how to cut the financial

By
TODAY books
updated 3/14/2012 3:46:52 PM ET 2012-03-14T19:46:52

Having completed 29 marathons and 9 Ironman competitions, Jordan D. Metzl, M.D. knows a thing or two about taking care of himself. In "The Athlete's Book of Home Remedies," Dr. Metzl shares his insight, fixes and injury-prevention tips to keep your body fit. Here's an excerpt.

You hurt. Maybe it’s just a nagging pain, something in your knee.

Maybe it’s a serious pain—borderline agony—in your lower back. You want to know what’s wrong, of course. But there’s something else: You’re an athlete. You might be a weekend warrior, or you might be a serious competitor, but either way, you just love to be out there doing it. You love the adrenaline. You love your chosen sport. And you want, more than anything, to get back in the game. How long will this pain keep you out? What can you do to help yourself right now? Do you need a doctor’s care?

This book will answer all of your questions. You see, I’m a doctor. I’m also an athlete.

Natalie Morales on the workout that whipped her into shape

Am I a doctor first, or an athlete first? Neither. I’m both at all times, and those two identities constantly feed off each other. If I’m on mile 24 of the marathon stage of an Ironman, you can bet that the doctor in me is assessing how I feel. You can also bet that the athlete in me is disregarding my own advice and fighting for the finish line, damn the consequences. And when I evaluate a patient with knee pain, the athlete in me is reminding me of what it feels like to be out of the game and how important it is to get that patient back to full form.

Becoming a doctor was probably my fate. My dad is a pediatrician, my mom is a psychologist, and two of my three siblings became medical doctors (the other guy has a PhD but gives medical advice freely). Helping people is in my DNA. When I was a kid I used to do rounds with my dad, carrying a little plastic doctor bag. Little did I know that my little candy pills would one day be replaced by antiinflammatories.

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I also love sports. In high school, it was soccer and baseball. In college, I played even more soccer while doing pre-med. Then I did my first triathlon on a mountain bike in Columbia, Missouri, as a third-year medical student, and it was the most fun thing I’d ever done. As I swam in a semi-polluted lake, I kept thinking, This is awesome, I want to keep doing this.

Flash forward a few years and I was diving headlong into Ironman-level races where you swim 2.4 miles, bike 112 miles, and finish with a 26.2-mile marathon. During my first Ironman, I carried a microphone for CBS’s The Early Show as its medical correspondent, thinking that if I was going to die, there at least should be a record of it. It was insane, I loved it. I’ve now done nine of those, and each was a killer in its own way. The Hawaiian Ironman is the hottest 12 hours you’ll ever spend anywhere. I felt like a cooked lobster and couldn’t have been happier.

So, you see why the combination of medicine and athletics seems so natural to me. People like you and me who play games or run races get injuries, from simple strains to broken bones. Having that athletic background fed my medical training, and vice versa.

Now I’m a sports medicine physician at New York City’s Hospital for Special Surgery, the number-one hospital for orthopedics. Every day I go to work and realize how lucky I am to help people achieve their goals. My practice has more than 20,000 patients, and I treat athletes of all ages and ability levels, from kids to adults, football players to dancers. (I’m also the sports medicine physician for the Radio City Rockettes.)

I focus on nonsurgical sports medicine. That means I try to keep people moving and find alternatives to surgery whenever possible. Sometimes surgery is both necessary and helpful, but not always. If there’s a way to get an athlete back in the game without surgery, I try to find it.

Rodale

That’s where this book comes from. It’s the combination of what I do professionally and personally—15 years as a doctor, 30 years as an athlete. It all comes together here. I want you to stay healthy, and if you do get injured, I want to help you get back to whatever activity it is that you love as quickly and safely as possible. One of our greatest gifts as humans is our ability to move. Anyone who lives an active lifestyle—whether it’s as a serious competitor or a weekend warrior who just likes to drip a good sweat for fun—knows what I’m talking about. We weren’t built for couches and cubicles. We need to move. And when that ability is compromised by pain, you need solutions at your fingertips. I want to get you moving again.

I’ll be honest, sometimes you’ll need a doctor. I’ll tell you when—and you’d better go. But many times you’ll be able to use these home-based treatments to fix yourself and get back to what you love doing. Knowledge empowers you. I’ve always said, “If you’re an athlete, see an athlete.” An athlete-doctor, athlete-nutritionist, athlete–physical therapist, etc. I have a whole network of athletes for my patients. Athletes understand athletes. Use this book to help yourself.

The athlete will see you now.

Excerpted from THE ATHLETE'S BOOK OF HOME REMEDIES by Jordan D. Metzl, M.D.. Copyright © 2012 by Jordan D. Metzl, M.D. Excerpted with permission by Rodale.

© 2012 MSNBC Interactive

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