This week's issue was inspired by my wife, who pulled her hamstring and calf while training for a half marathon this Saturday. The timing couldn't be worse, and it's something every athlete knows well: injuries always seem to strike at exactly the wrong moment. In this issue, I want to cover what actually helps with lower body sprains and strains, plus how to handle the mental side of being sidelined.

What Actually Works for Lower-Body Sprains and Strains
Lower-body injuries are some of the most common setbacks for both runners and pickleball players. Ankles, calves, and hamstrings take considerable stress during quick changes of direction, sudden sprints, or long training days. The good news is that most sprains and muscle pulls respond well when you manage them correctly in the first few days and avoid the mistakes that can make them linger for weeks.
Rest, but Not Too Much
The old advice used to be strict rest, but now we know that while it's important to give the injured tissue a break, complete inactivity can actually slow healing. The better approach is what some sports doctors call "active rest." For example, if you pull your calf, you should stop explosive movements but still keep the area moving with gentle range-of-motion exercises or light cross-training like cycling or pool walking. This approach helps maintain circulation and prevents the muscles from tightening up unnecessarily.
The RICE Principle, Updated
Most athletes know RICE (rest, ice, compression, elevation), but recent research shows that ice is best used early for pain control rather than as a long-term treatment. Swelling is actually part of the healing process, so the focus should be on controlling pain enough that you can move safely. Compression sleeves or wraps and short bouts of elevation become more useful after the first 24 to 48 hours. Think of ice as a temporary tool rather than the main treatment.
Loading and Strengthening
Once the initial pain improves, it becomes important to load the injured tissue gradually. This means gentle strengthening exercises that target the injured area without flaring it up. For an ankle sprain, this could involve balance drills on one leg or resistance band exercises. For a hamstring pull, start with isometric holds like pressing your heel gently into the floor before moving on to light bridges or curls. Progression should feel steady rather than rushed.
Supportive Gear and Quirky Tweaks
This is where some of the more interesting oddities come into play. Runners sometimes swear by kinesiology tape for added support, and while the science remains mixed, the placebo effect is often real enough to be helpful. For pickleball players, something as simple as swapping out worn grip tape can reduce subtle compensations in the lower body that lead to strains. Another lesser-known trick involves using contrast showers by alternating hot and cold water on the legs to stimulate circulation and reduce soreness.
The Big Don't
The one thing that consistently makes lower-body injuries worse is ignoring them completely. Playing through pain in a calf or hamstring almost always leads to longer recovery times. It might feel like toughness in the moment, but it usually means weeks of lost playing time later.
TLDR
Active rest beats strict rest
Ice helps with pain in the first 24–48 hours, but don't overdo it
Gradually load and strengthen the injured area
Consider small tweaks like grip tape swaps or contrast showers
Don't ignore lower-body pain. Playing through it usually makes recovery longer

The Mental Side of Injury and How to Handle It
If you have ever been sidelined by an injury, you know the physical pain is only part of the challenge. The mental side often hits much harder. Suddenly you are not training, not playing, and you start wondering if you are falling behind everyone else. That frustration can lead to risky choices like rushing back too soon, or it can drain your motivation entirely. Understanding the psychology of recovery becomes just as important as knowing how to rehab your body properly.
Acknowledge the Frustration
One of the most common mistakes people make is trying to ignore how frustrated they actually feel. Pretending you are fine with being injured usually makes the setback feel even worse. A better approach is to recognize it openly and honestly, yes, this is annoying, yes, the timing is terrible, and then reframe it as a temporary obstacle rather than a permanent identity shift.
Stay Connected to Your Sport
Injuries often make players feel isolated, especially when their usual social circle is built around training sessions or regular matches. Staying connected becomes crucial for mental health during recovery. Show up to practice even when you cannot participate, watch film sessions, or work on strategy and game knowledge. Maintaining that sense of belonging helps prevent the mental spiral that can happen when you feel completely cut off from your normal routine.
Focus on What You Can Control
This principle is simple but remarkably powerful in practice. Instead of dwelling on everything you cannot do right now, shift your attention deliberately to what remains within your control. Maybe you cannot run or make cutting movements, but you can work on upper body strength, flexibility, or even mental drills like visualization. Athletes who channel their energy into controllable actions tend to recover not only faster but also with significantly less emotional strain.
Mindset Tools That Actually Help
Several strategies have solid evidence supporting their effectiveness during injury recovery. Visualization, specifically imagining yourself performing movements correctly, has been shown to help preserve motor patterns during injury downtime. Breathing exercises and mindfulness training can reduce stress hormones, which may even improve tissue healing rates. Journaling is another underrated tool that provides real benefits; writing down daily frustrations and small wins gives you perspective and keeps your progress visible over time.
The Reinjury Fear
Even after your body has healed completely, your mind can still hesitate to trust it again. Fear of reinjury is incredibly common, and trying to ignore it only makes that fear grow stronger. The solution involves gradual exposure rather than avoidance: start with low-stakes drills, build confidence step by step, and let your brain relearn that your body is trustworthy. Confidence returns naturally when small successes begin to pile up consistently.
TLDR
Injuries are mentally tough. Acknowledge the frustration instead of suppressing it
Stay connected to your sport to avoid isolation during recovery
Focus on what you can do, not what you cannot
Use evidence-based tools like visualization, breathing exercises, and journaling
Address fear of reinjury with gradual exposure, not avoidance
Lower-body injuries are never enjoyable, but they remain part of the reality for anyone who trains or plays regularly. The key is to approach them with both patience and strategic thinking, giving your body what it needs to heal while also keeping your mind in the right place throughout recovery. I hope this week's breakdown helps you feel more prepared the next time your legs remind you that they also need proper recovery time.
Boris.
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Disclaimer: This newsletter is for educational and informational purposes only and does not constitute medical advice. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read in this newsletter.


