Dr. Kelly Starrett on Foam Rolling & Pain Management
The Evolution of Foam Rolling
Foam rolling started, believe it or not, with pool noodles. Made in Killeen, Texas as a manufacturing byproduct, some clever physical therapist saw potential beyond their aquatic use. But those early rollers were far from ideal - too big, too hard, too square, or too soft. Today, smaller diameter rollers are generally more effective, as they better conform to your body's contours. Sometimes you need the precision of an elbow, forearm, or thumb rather than a broad surface.
Pain vs. Injury
Let's be clear about what constitutes an injury. True injuries involve clear mechanical trauma - think bone protruding through skin or hearing a snap. Then there are red flags like night sweats, dizziness, fever, or unexplained changes in bodily functions. These aren't mere soreness; they're medical conditions requiring professional attention. Learn proper foam rolling techniques for addressing routine soreness, but know when to seek medical help.
The Normal Accident Theory
Drawing from Charles Perrow's concept of "Normal Accidents," we can view the body as a complex system where trivial events occur in non-trivial systems. A stiff shoulder might not be problematic until you fall on ice, leading to a torn rotator cuff. What appears as a random accident is actually the natural expression of that system given enough time.
Pain Is Normal
In a recent survey of 100 high school athletes, only two claimed to be pain-free. This reveals a crucial truth: pain is inherent to the athletic experience. It's not always a medical problem but rather a request for change. The key is understanding how to use fitness training as a framework for managing nutrition, hydration, soft tissue work, and tissue reperfusion.
The D2R2 Model
When addressing tissue issues, follow the D2R2 model:
Desensitize: If something hurts, address it through techniques like scraping, isometrics, or rolling
Decongest: Manage swollen tissues, which heal slower and limit force production
Reperfuse: Improve blood flow to hydrate tissues and reduce pain
Quality Tissue
Healthy tissue should feel like "layers of warm silk sliding over steel springs." When tissues become stiff or fibrotic, our range of motion and performance suffer. Regular maintenance through mobility work helps maintain this optimal state, especially important for athletes specializing in asymmetrical movements like throwing or swimming.