I have been teaming up with McInnes Wilson Lawyers to provide their clients and social media followers with information on optimal nutrition during injury recovery. This is the second post in the series but you can read the first post on inflammation here or here.
Stay tuned for our monthly blog post on a range of topics. For individualised nutrition advice that caters to your needs, I offer one on one consultations throughout Brisbane and the Sunshine Coast. Head on over to the Contact page to request an appointment.
- MWL: What are the signs and symptoms of the second stage of injury recovery and how long does this stage last for?
Injury healing involves processes that (1) fill in, (2) seal and (3) shrink the wound or injury. These characteristics of healing vary in importance and duration dependent on the different types of injuries. Injury healing, following the inflammatory response, involves a process known as the migration or proliferation phase. This phase begins 3 – 4 days after injury and continues from between 2 – 10 weeks dependent on the type and severity of injury. For example, a paper cut or sutured surgical wound will heal within a couple of weeks because the edges of the wound are in close proximity and the injured area has suffered minimal tissue loss. A fracture, on the other hand, can take up to 10 weeks in the migration phase as there are more complicated processes involved in an attempt to restore bone tissue and strength. Within 48 hours after an injury, a process called angiogenesis takes place in which new blood vessels begin to form from surrounding soft tissue which increases the blood flow to the site of injury. Any dead red blood cells are cleared away and other cells known as fibroblasts infiltrate the injured area and start laying down collagen. This is a vital component of this process as collagen is the most abundant protein found in our bodies and acts as the ‘glue’ that holds together the tissues of our joints, muscles, tendons, bones, blood vessels, hair, skin, nails, digestive system etc.
• MWL: What foods should you be eating at this time?
During the migration phase you will probably find that you are exercising less so your appetite decreases. Although your energy requirements during recovery are less than when you are consistently exercising, they are still higher than your day to day energy requirements when sedentary (your basal metabolic rate). This is due to the work your body is undertaking to repair injured tissue. Failing to meet these energy requirements by not eating enough coupled with lack of exercise may result in a loss in muscle mass as well an increase in fat stores.
Proteins are the building blocks for all of the cells in our body so consuming adequate protein is vital during recovery. The minimum amount of protein that should be consumed in a day is 1 gm of protein per kg of body weight. So, for a 70 kg person this equates to approximately 56 gm of protein each day. The needs of athletes are higher and they should be consuming closer to 1.5 – 2 gm of protein/kg of body weight each day. Your protein intake should be broken up over the course of the day and will ideally come from a variety of different sources. Protein sources include (but are not limited to): meat, tofu, tempeh, eggs, nuts, seeds, nut or seed butters (almond butter, peanut butter, tahini etc), lentils, chickpeas, beans or a good quality protein powder. The inclusion of healthy fats such as extra virgin olive oil, nuts, seeds, fish or fish oil, avocado, and flaxseeds/flax meal/flax oil remains important during this phase due to their anti-inflammatory properties (refer to previous post for more information). Minimally processed carbohydrates should also be included for energy from wholefood sources such as wholegrains, pseudograins (quinoa, buckwheat etc.), legumes, fruits and vegetables.
• MWL: Are there any other considerations we should be making at this time?
The main considerations during this period are ensuring you are eating enough each day to meet your energy requirements. This may mean that you ensure you eat every 3 – 4 hours even though you may not be feeling that hungry. Avoiding inflammatory foods such as high amounts of animal protein, alcohol, caffeine, sugar and highly refined or processed foods will also support the recovery process. It is also important to include variety in your diet to ensure you are obtaining a wide range of different nutrients to optimize your health and functioning of the body.