Coach Quip

87: 'Compression Boots'

Coach Quip 2023-04-24

Summary

Coaches Chris and Robin from Edge Athlete Lounge discuss compression boots while wearing them during the recording. They trace the history of compression garments from the 1400s through modern pneumatic sequential devices, covering the evolution from medical-grade tools for deep vein thrombosis and post-surgical recovery to accessible consumer products for athletes. The coaches explain the two main types of boot compression: peristaltic (individual chambers inflating and deflating one at a time) and pneumatic sequential (chambers building pressure progressively from foot to hip in a tidal wave pattern). They recommend using boots within 60 minutes post-workout for 30-60 minutes per session, emphasizing that timing matters because veins are still dilated and can flush more fluid. They cite Therabody data suggesting compression can reduce recovery time from 48-60 hours down to 12-24 hours. Safety precautions are covered including avoiding use during pregnancy without medical clearance, dialing down pressure for acute sprains, and never using boots if one leg is suddenly swollen (possible blood clot). The coaches also discuss pre-race recovery use, the social benefits of group recovery sessions, and practical tips like wearing light track pants and having supplies nearby before zipping in.

Key Points

  • Compression boot history spans from 1400s bandaging to modern pneumatic sequential devices
  • Two types: peristaltic (one chamber at a time) vs pneumatic sequential (progressive tidal wave pattern)
  • Use within 60 minutes post-workout for 30-60 minute sessions for best results
  • Compression may reduce recovery time from 48-60 hours down to 12-24 hours according to Therabody data
  • Pressure should never cause pain or numbness; typical range is 60-100 mmHg
  • Avoid use with suspected blood clots; get medical clearance during pregnancy
  • Pre-race recovery sessions can help athletes toe the line feeling fresh
  • Lower legs are at the greatest gravitational disadvantage and benefit most from compression assistance

Key Moments

All recovery is about moving blood to your core to flush lymphatic waste

Coach Chris explains that all recovery modalities, whether boots, yoga, ice baths, or walking, accomplish the same fundamental goal: moving blood toward your core so it can carry lymphatic waste out for processing. The lymphatic system has no pulse, so it relies on the venous system for transport.

"is we are moving blood to our core. That's it. Because your body, when you train and race and all of you use it, period, travel, it sends a lot of waste into your system. That waste isn't necessarily a bad thing, but the volume of how much it sends is exorbitant. It does a very poor job at regulating the volume. So all of that waste leaves through your lymphatic system, which is in your cords and your central cavity."

Compression can cut recovery time from 48-60 hours down to 12-24 hours

The coaches cite Therabody data showing that compression boots can dramatically reduce recovery time from 48-60 hours of normal drainage to 12-24 hours, which is critical for athletes needing to execute multiple quality training sessions per week.

"if we are looking at somewhere between 48 and 60 hours of normal drainage time without assisted recovery, we can actually get you bounce back in 12 to 24 hours using compression."

When not to use compression boots including blood clot warning signs

The coaches warn that if one leg suddenly becomes much larger than the other, especially in the calf, this could indicate a blood clot. Using compression boots on a blood clot could dislodge it, making this a critical safety contraindication.

"all of a sudden kind of one leg particularly a calf get very big and then the other one looks normal that's a big no no no because that is an indication that you might have a blood clot and the last thing we want you to do is put a compression boot onto a blood clot and dislodge it so if that is the case and you notice that you should just go to the ER instead all right the why why do we do"

Optimal timing and protocol for compression boot use

Getting into compression boots within 60 minutes of finishing a workout is ideal because the venous system is still dilated and ready to flush. Sessions of 30-60 minutes are recommended depending on when you start relative to workout completion.

"Getting into them within 60 minutes of being done is really ideal. Are you still getting benefits end of day? Absolutely. But, you know, ideally it's while your venous system is still nice and open and ready to flush."

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