Episode 224 — Training When You're Sick: The Above‑the‑Neck Rule
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In this episode of the No Limits Map to Triathlon podcast, host Todd Milcom shares his personal experience with illness and offers a practical framework for training while sick. Drawing from his own recent bout with a cold—after his family members fell ill—he outlines the 'Above-the-Neck Rule': if symptoms are limited to the head and upper respiratory tract (like sneezing, runny nose, or mild sore throat), light, easy training is acceptable, provided intensity is reduced and heart rate is monitored closely. However, if symptoms extend below the neck—such as fever, body aches, chest congestion, or fatigue—training should be avoided entirely in favor of rest and recovery. Todd emphasizes that pushing through illness can prolong recovery and damage long-term progress, advocating instead for a slow, heart-rate-guided return to training. He shares how he used this rule to cautiously return to swimming and strength training after a week of illness, reinforcing the importance of patience and listening to the body. The episode concludes with a motivational message: being sick doesn't mean abandoning your goals. Instead, it’s an opportunity to practice resilience and come back stronger. Todd encourages athletes to avoid the trap of self-pity and overreaction, reminding them that recovery is possible and that consistent, smart training will eventually restore confidence and performance. He closes with a virtual high five, urging listeners to keep showing up, stay committed, and trust the process.
If symptoms are above the neck (e.g., runny nose, sneezing, sore throat), light training is acceptable—keep it shorter and easier than normal.
If symptoms are below the neck (e.g., fever, body aches, chest congestion, fatigue), prioritize rest and avoid training to prevent worsening illness.
Use heart rate as your primary guide when returning to training after illness—elevated HR for easy efforts signals the body isn’t ready.
Avoid chasing pace, power, or watts during recovery; focus on perceived effort and readiness over metrics.
Returning to training too soon or too hard can dig a deeper hole—progress is better served by patience and gradual re-entry.
…and 2 more takeaways available in PodZeus
Introduction: The Reality of Getting Sick
Todd introduces the episode by sharing his recent illness and sets the stage for a practical, empathetic discussion on training while sick, emphasizing that everyone will face this challenge at some point.
The Above-the-Neck Rule Explained
“If your symptoms are above the neck, sneezing, congested, running nose, try training, but keep it shorter, keep it easier than you do normal workouts.”
When to Avoid Training: Below-the-Neck Symptoms
“If your symptoms are below the neck... don't train. I want you to prioritize rest and recovery. Seriously, R&R.”
My Personal Recovery Journey
Todd shares his own experience of getting sick, attempting to teach a bike class while recovering, and how pushing too hard set him back, reinforcing the importance of pacing.
Returning to Training: The Heart Rate Guide
“Even if it doesn't feel like it's that hard, watch your heart rate. Because if your heart rate is higher than it should be for an easy effort, you've got to back off.”
“Even if it doesn't feel like it's that hard, watch your heart rate. Because if your heart rate is higher than it should be for an easy effort, you've got to back off.”
“If your symptoms are below the neck... don't train. I want you to prioritize rest and recovery. Seriously, R&R.”
“If your symptoms are above the neck, sneezing, congested, running nose, try training, but keep it shorter, keep it easier than you do normal workouts.”
Host
Todd Milcom
person
No Limits Map to Triathlon Podcast
media
Biking
other
Swimming
other
Tylenol Cold and Flu
other
Running
other
Zoom Bike Class
other
Ruvion
product
Weight Room
other
Caffeine
other
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