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Weinstein and a number of leading sports medicine specialists say that is outdated and counterproductive. In fact, Dr. Weinstein says, when active people consult him, he usually tells them to keep exercising. The idea, these orthopedists and exercise specialists say, is to use common sense. The specific advice can differ from specialist to specialist. Some, like Dr. Weinstein, say most people can continue with the sport they love although they may need to cut back a bit, running shorter distances or going more slowly.

Others say to cross-train at least some of the time and others say the safest thing to do is to cross-train all the time until the pain is gone. You might end up cycling instead of running, or swimming instead of playing tennis. William Roberts, a sports medicine specialist at the University of Minnesota and a past president of the American College of Sports Medicine.

He and others acknowledge that the advice to keep moving may come as a surprise and that some doctors feel uncomfortable giving it, worried that their patients will do too much, make things worse and then blame their doctor.


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Roberts said. Richard Steadman, an orthopedic surgeon in Vail, Colo. Medical researchers say that they only gradually realized the importance of exercising when injured. A few decades ago, Dr. Kocher said. At the same time, in a parallel path, researchers were learning that painful conditions that are essentially inflammation — arthritis and chronic lower back pain — actually improve when patients keep moving.

Now some researchers, like Dr.

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Freddie Fu, a sports medicine expert and chairman of the orthopedic surgery department at the University of Pittsburgh Medical Center, and a colleague, James H-C. Wang, are studying minor injuries at the molecular level. Their focus is on tendinitis — the inflamed tendons that are the bane of many exercisers and that affect 15 to 20 percent of all Americans at any given time. The symptoms are all too familiar — pain, swelling and soreness. To study the injury process, Dr.

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Wang grows human tendons in the laboratory, stretching them repeatedly. In separate experiments, he has mice run on treadmills until their tendons begin to show the tiny microscopic tears that occur in the early stages of tendinitis. So far, Dr. Wang reports, he and Dr. Fu learned some important lessons: First, forceful stretching of tendons elicits the production of molecules that are involved in inflammation.

But small repeated stretching of tendons that are already inflamed leads to the production of molecules that heal inflammation. That suggests moderate exercise can actually speed healing. And now, their preliminary results suggest that the usual treatment for tendinitis — taking drugs like aspirin or ibuprofen — can help reduce inflammation when the injury begins.

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But after inflammation is under way, they can make matters worse. But medical experts caution that people have to be careful if they try to exercise when they are injured. Fu, who is himself a cyclist, Dr. Roberts, and Dr. Steadman say the first priority is to see a doctor and get an accurate diagnosis in order to rule out a serious injury. View all New York Times newsletters. Others, like Dr. Weinstein, say that such an injury, a broken bone or a torn Achilles tendon, for example, has symptoms so severe that it is obvious something is really wrong.

Weinstein said. And if you tried to exercise, it would hurt so much that you just could not do it.

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Before exercise, he said, take one anti-inflammatory pill, like an aspirin. Ice the area for 20 minutes.

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Then start your usual exercise, the one that resulted in your injury, possibly reducing the intensity or time you would have spent. When you finish, ice the injured area again. The advice involving an anti-inflammatory pill, Dr. Weinstein said, is based on something surgeons know — in most cases, a single anti-inflammatory pill before surgery results in less pain and swelling afterward. It also is consistent with Dr. The icing is to constrict blood vessels before and after exercise, thereby preventing some of the inflammatory white blood cells from reaching the injured tissue. Steadman, who works with injured athletes in his clinic, does not advise trying to go back to your old exercise on your own until the pain is completely gone.

Play it safe, he said, and cross-train. Breakups are hard for everyone. And while it's always OK for your feelings to change or evolve, no one wants to be put through the runaround.


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If you're not really sure what you want, haphazardly calling it quits with someone just to ask them to get back together with you can be painful and confusing for all parties. Though you're always allowed to do what's right for you, Martinez shares that taking time to think before making any major decisions like dumping your boo can be a more considerate practice. Of course, if you've been thinking about the breakup for a while, and you know that you and your boo aren't compatible, or you feel like you could repair your relationship, but you don't really want to, Martinez shares that it may be time to walk away.

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While it may be incredibly painful, being honest with yourself about your needs and emotions can help you decide the next steps to take. Regardless, if being with them is causing you extra stress, it may be time to walk away. While life and daily stress affect every relationship, you deserve to be with someone who lifts you up and has your back.

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