Ask Adrienne – The Pain Cave

“I [used to] imagine a comfortable chair where all I had to do was sit there and ride out
the storm. When I go in now (to the cave), I imagine grabbing a chisel and heading to
the farthest back portion of my cave to work on making it bigger,”
-Courtney Dauwalter.

I recently accepted an invitation to be on a Habanero team this August. For those not
familiar with this storied race, it’s a multi-distance event put on at the end of August and
starts at High Noon. Now who would not love that?! Really though, hard events like this
can help bring the best out of us as runners, as many of us thrive on community and
challenge. But anyway, this means I have to get out in the maximum heat of the day to
prepare, so naturally, I have thought of the subject of discomfort tolerance quite a bit
lately. Today I hope to give you all some insight and techniques in better managing the
near-inevitable trips to ‘the cave’ if you are pursuing your best out there.

A little on the science of effort-related pain: the sensations we experience are caused by
a web of processes in your mind and body. In general, pain is both a physical and a
psychological experience, influenced by one’s past, present, and anticipated future. It is
also shaped by social, psychological, and of course, biological factors. It can serve in an
adaptive role, but it also can cause harm—hence, our challenging relationship with it as
runners.

Alex Hutchinson’s book, ‘Endure: Mind, Body, and the Curiously Elastic Limits of Human
Performance’ discusses a theory by researcher Samuele Marcora that focuses on the
brain’s perception of effort and a human’s motivation to tolerate that effort. In short, how
much suffering can you tolerate? As Marcora wrote, rate of perceived exertion (RPE)
correlates to physiological strain, such as heart rate and blood lactate concentration,
which depends on workload (speed, intensity), the athlete’s fitness and health (including
nutrition and hydration), and, something we are all familiar with here in Texas,
environmental factors (temperature, altitude).

So basically, your experience with pain depends on, well, a lot of things. But let us not
get too much further into the weeds today, how about we discuss some ways to expand
or just form a more comfortable seat, in our personal pain caves. One thing to
remember is that the definition of pain is relative.

  1. You can start by asking yourself honest questions during activity, such as “is this
    ok with me?” “do I have the resources to continue?”, “Can I accept this right
    now?” I regularly use these during training and early on in races. Once you have
    made your assessment, proceed to committing to whatever effort or pace you’re
    performing.
  2. Okay, now that you’ve clicked “accept changes” in your brain, running the mile, or
    stretch or road, or delineated amount of time on your watch, becomes a solid strategy. I always recommend talking yourself through hard parts and reminding
    myself that what I’m feeling is normal and productive. For example, this summer I
    have been running tempos on the treadmill, and mentally, I never go beyond a 5-
    minute interval. This seems to be an acceptable amount of time that helps me
    expand my cave gradually.
  3. Another tactic that encompasses all the others is adjusting your comfort zone.
    According to Noake’s classic “Central Governor Theory”, we have to gradually
    challenge the things we are currently comfortable with. For example, set a goal to
    finish faster and ‘just see what it feels like” on the last interval of a track workout.
    Another way is to run with others who are slightly faster than you. Of course, we
    have to be realistic about who we choose to go with, but this helps those who
    need some external motivation to press their efforts. There also is the concept of
    co-regulation that can happen here-individuals feed off emotional states or one
    another (obviously, we want positive co-reg here!). Using a log and stating goals
    and intentions for races and workouts and de-briefing also helps the learning and
    re-learning process.
  4. Lastly, practice acceptance and aim to stay present. This can go a long way if we
    think what is happening is normal and part of growth and improvement!
    On a concluding note, I think it is worth noting that the pain cave is different than “hitting
    the wall”, running out of glycogen, or messing up hydration or nutrition. We are talking
    about something we can actively manage. If one or all of these occur, we can simply
    use it as data and look to make adjustments as we go. If we keep striving to grow and
    become better versions of ourselves, then chiseling away can become something we
    can master one run at a time.

Ask Adrienne: Taking Out the (Mental) Trash


“It’s all in your head.”

We’ve all heard this tired cliche a thousand times before. It’s as infuriating as the heavy
breather or foot stomper you can’t seem to shake off at the local 5k.

But the truth is, we’ve all gotten nervous before a race. Or thought about how other
runners are just better (or fitter, or prettier, or have cooler shoes, etc.). Maybe you’ve
given up in a workout or race and cannot figure out why it happened.

Tiresome as it may be, the fact is, is that running and progress (or lack thereof, sadly)
largely is in our heads.

This is where psychology comes in.

As athletes, each of us is different and has unique goals, experiences, and stories;
however, some common obstacles arise. And they don’t discriminate between the elites
and the “I run for fun” crowd. Trust me, I’ve seen it all. Confidence is something that has
got to be built and maintained to continue to improve, and it’s as elusive as a unicorn to
many of us.

In order to harness that unicorn, we must first identify the type of garbage in our heads.
If we do that, we can get to work on it and stop the self-sabotage and perform more
consistently.

Starting out, let’s examine the most common issues runners face and see if they
describe you from time to time. Personally, these are things I’ve dealt with in my running
as well (even sports psychologists need sports psychology). See, we’re all in this
together!

  • Recall the ‘I can’t do this’, ‘I’m not ready’, and ‘This will be bad’ moments in your running or life in general. Imagine if you killed just one or two of these thoughts during a race, or just simply accepted them as just, well, thoughts. If more positive or even neutral is happening, performance likely will go up (Basset et al, 2022).
  • Difficulty dealing with discomfort. That’s a lot of ‘D’s. But anyhow, “pain is weakness leaving your body” is just a meme caption unless you are willing to put yourself in the hurt locker (in a progressive and safe way, of course!). As much as runners love to run, so many of us frame discomfort as negative instead of normal.
  • Unfair comparisons to others. OMG, where do I begin? Learn to run in your own lane just a little more, and watch your running improve. Practicing self-awareness in the face of external static of images, times, and better shoes does nothing for us. Being aware of this before getting to the start line and doubling down on your own goals helps.
  • Rigid Goals. No PR = no success. False!

Does anyone feel me on this? Just like stretching and eating right (most of the time
anyway), taking the time to pull weeds and put the mental trash on the curb takes our
running to another, better place.


We’re going to dive into this more in the coming months, but know that oftentimes, it
really is just in your head. But there is hope!


Thanks for reading, and feel free to reach out with questions, comments, and healthy
debate.

References:
Bassett, F., Kelly, L., Hohl, R., Kausahl, N. (2022).Type of self- talk matters: Its effects
on perceived exertion, cardiorespiratory, and cortisol responses during an iso- metabolic
endurance exercise. Psychophysiology, 59, 1-14.

Ask Adrienne – Low Thoughts

Q: “How do you counteract the inevitable low thoughts of a massive training blocks
and/or setbacks?”


Good question and something I think we all deal with at some point. There are a few
strategies that may be beneficial depending on your goals, situation, and personality
style.


First and foremost, I recommend taking a step back and normalizing the low moments. I
think many of us run because it’s inherently a challenge, however, if you are like me, we
sometimes get lost in the sauce and feel like sport owes us one because of how hard
we work or how much we love it. Suddenly when faced with adversity, a bad mood, or a
bad day, negative thoughts may creep in.


The bad news is-we think up to 50,000 thoughts a day, and not all those thoughts are
going to be good. One strategy is to practice what is known in the Sport Psychology
world as the ‘Mindfulness Acceptance Commitment” model. This perspective is used in
Olympic and amateur athletes alike and involves working to notice our low or negative
thought patterns and just view them as, well, just thoughts. Simple, but not necessarily
easy, but still very worth practicing. How it sounds in my head is whenever I have a bad
run, I just try to mindfully notice the thoughts of “how are you still so bad at this”, or
“geez you’re getting old”, etc., as events that happen when I don’t get my way. Next
step is to accept that sport brings us feelings both good and bad and stay committed to
the process or the training block. (Note: if you are injured or intensely fatigued, don’t
hesitate to adjust!)


For those who are more concrete, data-driven thinkers, when we feel overwhelmed or
stuck, we may need to reduce the size of the task down into smaller goals or pieces.
This applies to training for a marathon, ultra, or just your first 5k. This can look like
taking things week-week or having a daily goal focusing on something within your
control (ex. Working on running form, pacing, or rehab for an injury). When things get
hard, think of what you know you can do, and focus on just that thing until its
completion. This is an example of the nebulous “process” everyone tells you to trust!


Lastly, when getting ready for a large training block or coming back from injury or other
setbacks, it helps to give yourself some grace on the front end and plan how you will
handle rough days, weeks, and doubts. Basically if ‘x’ happens, I will employ ‘y’
strategy, whether that be extra recovery, a day off, or just simply lacing up again and
giving yourself a chance to be successful again after a disappointing day. After all, all of
it is normal!