Why bed rest doesn't help low back pain
In acute low back pain, staying still delays recovery. Here is what current guidelines recommend, and what to do in the first 72 hours.
Read article →An athlete who cannot reproduce their training times in competition experiences one of sport's oldest frustrations. The result is usually interpreted as "my head wasn't right" or "I can't handle pressure". Those interpretations make things worse rather than explaining them.
I competed at national level for years myself. I know exactly what race morning feels like — and I know that trying to eliminate that feeling is the wrong target.
A rising heart rate before a race, shaking hands, the feeling in the stomach — this is the body preparing for performance. Blood flow shifts to the muscles, reaction time shortens, attention narrows.
The relationship between arousal and performance is not a straight line but an inverted U. Performance drops when arousal is too low, and drops again when it is too high. The band in between differs for every athlete: some perform best highly aroused, others calm.
The practical conclusion: the goal is not "being calm" but knowing your own optimal band and tuning into it.
The same bodily sensation can be read two ways:
The second reading is not invented optimism — it is a more accurate reading of the sensation. There is good evidence that reframing physiological arousal as preparation improves performance. A significant part of the work I do with athletes is built on this reframing.
A fixed sequence — warm-up, music, getting changed, final checks — reduces uncertainty and pulls attention away from external distractions. A routine is not superstition; it produces predictability, and predictability lowers anxiety.
An internal focus ("is my arm coming through right?") disrupts fine motor skill. An external focus ("push the water back", "look at the target") produces smoother and more economical movement. Where attention will go during the race should be decided in advance.
An outcome goal ("win") is outside your control and increases anxiety. A process goal ("hold the pace through the first 25", "two extra strokes off the turn") is within your control and anchors attention to something achievable.
Improvising a phrase in the moment is difficult. Short, instructional sentences prepared in advance work better: "hold your pace", "shoulders loose", "your own race".
This deserves separate treatment, because the mechanism differs. Here the anxiety centres not on performance but on fear of re-injury. The athlete protects themselves: slowing, hesitating, avoiding movements perceived as risky.
That protective pattern is itself an injury risk — and it appears even in athletes who pass their physical tests. This is why return-to-sport programmes should address strength and fear together.
This article is for information only and does not replace individual assessment.