Exercise accidents can happen, even to a personal trainer. Earlier this week I tore an extensor tendon in my left pinky while strength training. As a result, my ability to grasp heavy dumbbells is compromised by the new aluminum splint my pinky sports to help the injury heal.
Beyond the discomfort and medical expense, I felt distraught about the prospect of not being able to train my upper body using weights for several weeks. This injury could be quite a roadblock.
But then I thought, “been there done that”…with my clients. Over the years, I have faced dozens of roadblocks to design effective programs around numerous injuries and medical conditions. Some unique challenges included:
Roadblock: Earlier this month my client Hester, a surgeon herself no less, had surgery on her right wrist to remove a cyst buried deeply in the joint. Her doctor said she could not hold anything—not even light weights—for about a month. No room for mistakes in program design here.
Detour: Since no handheld weights could be used at all, the solution was to exercise the muscle groups that were not involved. Cardio intervals on an elliptical trainer and treadmill complemented a strength training routine that concentrated on the legs and core. After one session with this design, I added a twelve-pound weight belt that sat low on the hips to increase the intensity. Focusing a full hour on the legs and core resulted in “I haven’t been horseback riding in a while” sore legs the next day. The abs felt like John Hurt’s gut when the little monster from Alien burst out.
Roadblock: Several years ago I trained Lt. Colonel Monroe, the head of JAG for this area, during her assignment at Fort Monmouth. While walking briskly on the fort grounds as part of her cardio regimen, she stepped in what seemed to be a shallow puddle with a few leaves floating on the surface. Unfortunately it was a foot-deep pothole. A real ankle-breaker, literally
Detour: With a cast from her foot to just below the knee, doing lower body exercises was proscribed. However, the muscle groups in the upper body and core could be exercised if the legs were not involved. The solution involved doing chest, back, abs, shoulder and arm exercises while seated in a comfortable and sturdy dining room chair. SPRI elastic tubing with padded handles and dumbbells were used to provide resistance.
I can hear the whining now, “This hurts…I’m not up to exercise…I’m sick…blah, blah, blah.” Knock it off and find a way to do the best you can for yourself with what you’ve got today. With enough experience, confidence and technical know-how, a good trainer can navigate the roadblocks and detours that stand in the way of exercising through life’s bumps, broken bones and bruises.
Is there some illness or injury preventing you from exercising? And what are you going to do about it?
Hey Joe,
I have a very achy lower back now. Suggestions for strengthening or stretching? Especially with lousy, arthritic knees complicating things (and probably causing the back problems!).
Thanks,
Lisa
Hi Lisa, sorry for delay in responding. The snow has reeked havoc on my schedule. Your suspicion that arthritic knees may be a cause of your low back discomfort is insightful. Problems tend to “work their way UP the kinetic chain.” In the old days we used to say, “…the knee bone is connected to the hip bone and hip bone is connected to the back bone…”
The solution to your back problem begins with an accurate diagnosis by an orthopedist who specializes in the spine. Once an accurate diagnosis is made, strengthening exercises and flexibility training can be developed to help reduce your discomfort. I can recommend a couple of excellent orthopedists in the Red Bank, NJ area who may be able to help you. If you would like more info, contact me offline so we may discuss this in detail.
Once you have a good diagnosis, I stand ready to put on my AAFP Post-Rehab Technician hat to help implement a course of action prescribed by a doctor or PT.