Tuesday, 30 October 2012

Dr. Phil Maffetone Interview



Most triathletes have no doubt heard about the legendary Mark Allen and his six Hawaii Ironman victories. His training methods and spirituality are also well known within the greater endurance sport community, with low heart rate training being the backbone of his approach.

But where did this method come from?

Back in the early 1980s, an East Coast holistic practitioner and marathoner named Phil Maffetone began working with a young Mark Allen, gradually extending his practice to other professional and recreational athletes with amazing results. Phil’s “train slow to race fast” philosophy gained momentum in the endurance sporting world, yet this mantra is only a snapshot into his holistic approach to athletics and to life in general. One of the upsides of his approach is that it is refreshingly simplistic; many aspiring athletes of today lead an over-complicated existence, which often stunts their growth thus limiting their actual potential.

Phil certainly has quite an eclectic range of skills and interests, be it coaching world class athletes, healing sports injuries, writing and more recently as a singer/songwriter. He also maintains a comprehensive website containing regular essays and yarns from his life-long experience in his chosen field.

Phil kindly agreed to answer my questions about his background and philosophies.

Nature Gym: Phil, could you give us a background into your work as a holistic practitioner and later as a highly sought after endurance coach and advisor?

Phil Maffetone: Even before I got to college, growing up in the 1960s in New York, natural living and being holistic was something I gravitated to early—or perhaps I should say it seemed always to be with me. Studying Eastern philosophy, natural medicine and other innate things ultimately led me to more traditional training in anatomy, physiology, and the sciences, along with detailed studies in Chinese medicine, nutrition, kinesiology and other complementary subjects. Being an athlete, sports medicine was an important topic of study, and eventually I opened my own clinic. 

Photo courtesy of Dr. Phil Maffetone

When I first started seeing athletes with various injuries, it was clear that their training, and, quite often, other areas of their lives, was very much related to their main complaints. So looking at their training to make appropriate adjustments to avoid injuries became a necessity.
What began as a small local practice with joggers and runners turned into an international venture, working with professional and amateur athletes in virtually all sport. 

NG: While your work with Mark Allen is well known, you also advised many other top athletes back in the 1990s. How did you manage to convert Mike Pigg to your aerobic and fat-burning philosophy given that he was known as one of triathlon’s hardest workers ever?

PM: Like many athletes who initially came to see me, Mike was overtrained and hurting. He was also ready to retire. Realizing he could not go on training the only way he knew, Mike was ready to hear about other options. He was willing to try a different approach, but I suspected for only a short time. Fortunately, by training slower and eating better, he quickly started feeling better. But he still wondered if this was going to truly help him at a high level of competition. After a few months of slow training, his first race was a success—not only winning, but beating Mark Allen. At that moment I had his full attention.

NG: Could you give some insight into working with Mike during that period and how his training/racing approach subsequently evolved?

PM: Mike was a lot of fun to work with, even though he questioned everything I recommended. He not only wanted to get healthier, but get back to the top. And he wanted to learn. Like everyone else I worked with, I treated Mike like a unique individual, whose training, dietary and racing needs specifically had to match his body and brain. Most importantly, he learned the necessity of self-assessment. Every 3-4 weeks he would go to the track and perform an MAF test—running at his aerobic training heart rate. If his pace was faster than the previous test, we knew all was going well. Racing was also a test of sorts, and as he raced better, and started having more fun again, but without abusing his body. And, he also got healthier. Today, Mike still works out but doesn’t race. He does some coaching following a very similar philosophy.
 
NG: Having been involved with the coaching of triathletes since the early 1980s, what changes have you seen with regards to training and lifestyle of athletes compared to today? Have there been improvements, or is overtraining still rife?

PM: I began working with Mark Allen in 1983, but before that with a number of other triathletes beginning in the late 1970s. It was a very exciting and unique sport to be a part of from a coaching standpoint, and even participating in. I was already working with runners, cyclists, swimmers and other athletes, but now, to have one athlete who must excel at three endurance sports was a wonderful challenge.

Obviously, many things have changed in the thirty-plus years since

Overtraining may be worse now than in the early years of the sport, as there appears to be more physical and metabolic injuries. Physical injuries are well known, and, unfortunately, not a lot of people are without them. These include knee, back, hip and other joint and muscle problems. Barring trauma, such a bike crash, a physical injury is usually indicative of something gone wrong—in training or diet, with stress or hormones, or, as is most often the case, a combination of imbalances. 
Chemical, or metabolic injuries include fatigue, depression, or chronic illness (such as frequent colds or allergies). These kinds of problems are also often associated with overtraining. Perhaps the biggest difference today compared to 30 years ago is there are more over-fat athletes, and at all levels of competition. 
There also appears to be more unhealthy athletes now. A recent study of Olympic athletes, for example, found triathletes to have the highest levels of asthma (~25%).

NG: How do you define the term “holistic” when it comes to athletics? Have you ever encountered a truly “holistic" athlete?

PM: The term holistic is not well defined, and has been abused and misused for decades. Much like the word natural, it’s often used to impress others, lure consumers or to help people feel comfort, especially when selling a product or service.
I define holistic as the understanding that everything in life affects us—the food we eat, our physical activity, society, and all aspects of our environment. And it’s the knowledge that we have control of these factors to the extent that, by managing it well we can significantly influence our brain and body in a positive way. In other words, with very few exceptions, we are in charge of our health and fitness.
Being holistic is striving to achieve optimal balance in all we do, all the time. Humans have evolved as part of the whole environment, so we also must maintain a healthy world—all of our surroundings in the living environment, including the air we breathe, what we sense, see, feel, smell and hear.

For athletes, the same applies. In addition, striving to reach ones athletic potential is a key part of being holistic.

But holistic is not a black and white thing, so I can’t say that a particular athlete is or is not holistic. I think Mark Allen was the best example of an athlete who was dedicated to being as holistic as anyone can be.

NG: A hypothetical question for you: if an athlete were to develop a calcaneal bursa on the back of their heel, would this be due to overuse of the calf or soleus muscle due to the athlete’s excessive hill running or an imbalance of the posture?

PM: It’s not possible to even speculate on this or any other sign or symptom in an athlete, without thoroughly evaluating him or her. But I’ll play along, hypothetically.

Anything can cause anything—the body’s complex mechanisms of compensating for even minor imbalances, pain or mechanical deviations from normal is incredible and can produce a whole set of other problems. I will say that in my experience, most mechanical injuries in endurance athletes are due to muscle imbalance. This causes other physical strain on joints, ligaments, tendons, other muscles, and bones, producing secondary symptoms. One reason conditions become chronic is that the cause of ones injury is never found and treated—most remedies today, unfortunately, are symptom-oriented.

Muscle imbalance often is the result of improper and or overtraining, the wrong shoes, reductions in health, or other reasons.

NG: You are an advocate of strength training for performance and general wellbeing, but not in the conventional sense. Could you describe your approach to strength training and how athletes of all levels can incorporate it into their everyday lives?

Photo courtesy of Dr. Phil Maffetone
 PM: Many of today’s strength training approaches can impair aerobic fitness and endurance because of the stress they create. Stress is associated with hormonal changes in the body, such as elevated levels of cortisol, which have negative effects throughout the body. This is a complex subject and I can only briefly mention some of the important aspects here, but one problem with traditional gym workouts for strength is that the specific exercise, each set, is done to fatigue. While this increases muscle strength, it also builds bulk, and for the endurance athlete the added body weight is counterproductive. Think of the Olympic weight lifter who is very strong but not as bulky as the body builder with big muscles (and much less strength).

Lower reps (maxing out around six reps, which is about 80% of ones max power for that weight), and resting sufficiently between sets (at least two preferable three minutes or more) can accomplish this feat.

In addition to muscle, the proper weight workout should also strengthen bones. By not lifting to fatigue, you’ll get bone and muscle strength without added bulk or impairing aerobic/endurance function.

NG: What are your thoughts on the recent emergence of “barefoot” or “minimalist” running, given that you were one its original proponents over two decades ago. Is it a fad, or do you see any longevity in this emerging industry?

PM: Part of the problem is the mass hype generated by the companies that sell these so-called barefoot or minimalist shoes. Just the notion of a barefoot shoe is silly. And, most of the minimalist shoes I’ve seen are nowhere near minimal. My hope is that consumers will realize the harm of most shoes and stop buying them. There are plenty of good shoes out there, but harder to find in the jungle of junk shoes.

Photo courtesy of Dr. Phil Maffetone

NG: Muscle flexibility and endurance sports has long been a topic of heated debate, with many athletes practicing yoga and/or extensive stretching programs, whilst others do not perform any sort of flexibility component. What are your thoughts on this subject?

PM: The scientific research is finally catching up with the clinical knowledge that stretching is not only unnecessary for proper flexibility, but is a source of potential harm. Certainly, there’s much less stretching going on in the endurance world today than years ago.

One problem with many athletes is that stretching causes or maintains muscle imbalance (defined as the combination of a muscle that’s too tight and one that’s too long or overstretched). In addition, an active warm up (walking or slowly running or biking) can significantly improve flexibility.

The actions of running, cycling, swimming and other endurance activities don’t require the extreme flexibility needed in sports such as gymnastics. Yet many endurance athletes try to achieve that level of flexibility. Injuries most often occur in muscles and joints that are either inflexible, or too flexible. 

NG: You are the author of several books and your frequent essays that appear on your website are highly informative and enjoyable to read. How do you manage to come up with so many ideas for your blog articles? Do you find that your writing is rather therapeutic?

PM: Thanks and two interesting questions. I think after all the years of writing (now nearly 40) I’m finally getting good at it, creating my own unique style and voice. This makes writing very enjoyable, and perhaps for the first time. I could see how this could also be therapeutic. Writing is an extension of my desire to help people, which I did for so many years in my clinic. Being able to explain complicated issues or topics most people are unaware of is a challenge and can be very rewarding.

Photo courtesy of Dr. Phil Maffetone
I’ve never had a problem coming up with topics to discuss, there’s always something new to write about. I read the scientific/medical research nearly everyday, trying to keep up to date with the latest studies being published in hundreds of journals. In addition, I receive many questions from athletes via my website, which I often can’t answer due to time, but this feedback provides ideas for articles too.

NG: Are you still an active athlete? What kind of fitness regimen do you keep these days?

PM: I am very active, working out almost everyday. The workouts vary with the time of year, weather, what I’m feeling, and the other things. Throughout the year I do two or more daily workouts that might include biking, hiking, running, and swimming. If I’m not performing natural Paleo-type physical work outside (building fences, lifting large stones, cutting fire wood, etc.) I do an indoor weight workout as I described above. I no longer compete, so my workouts are less structured and more intuitive. So I often don’t know how far I go, the pace or even the time.