Chapter 8 – The Role of Nutrition in Musculoskeletal Injury and Recovery

By David Clayton, Andrew Holwerda and Ruth Wilde

“Whilst anti‐inflammatory nutrition might seem like an obvious approach when dealing with injuries, we need to be mindful that inflammation plays a crucial signalling role within tissue repair and return to play.”

Abstract

Musculoskeletal injury is a significant consideration in an athletic career, and appropriate nutrition is fundamental to the recovery process. This chapter outlines the phases of healing at the tissue level and summarises the current literature around nutritional support to connective tissue structures at different stages of recovery. It also explores the evidence for supplementation of micronutrients and enzyme cofactors as well as anti-inflammatory foods and botanicals. Timing should be considered for certain interventions, such as the use of bromelain, omega-3 fatty acids, curcumin and ginger, to ensure that healing inflammation may occur acutely as required, followed by unhindered resolution of tissue injury. Ensuring a whole food, low glycaemic, protein-rich diet should support resolution of inflammation and help to minimise loss of lean muscle mass during any periods of prolonged inactivity or immobilisation. This chapter highlights the importance of avoiding nutrient and energy deficiency in the injured athlete, and a case study provides a working example of how this may be assessed and managed, plus detailed nutritional support applied. Personalised care, understanding the foundational lifestyle factors that impact each athlete, and their genetic uniqueness, is crucial in supporting their physical and psychological recovery and return to training. 

Case Study

Musculoskeletal injury problems in a former distance runner – Dr Ruth Wilde

Downloadable figures
(original to this publication)

Figure 8.1b
Figure 8.3

Downloadable figures
(original to this publication)

Podcast

Protecting an athlete’s joints with nutrition and lifestyle – Dr Ruth Wilde

Learn more about integrative sport and exercise nutrition