Should I exercise with an injury? In this article we answer this age old question and provide some practical tips that you can implement immediately.
Training is going well.
You are getting in the gym a few times per week, the weights are going up, and you are feeling better.
Then boom, disaster strikes.
Seriously, there is nothing that can derail your progress quite like an injury.
It not only makes it harder to exercise, but depending on the type of injury, it may even make something as simple as getting off the couch seem like climbing mount Everest.
Combine that with the fact that an injury can also destroy your motivation, and you have a recipe for disaster.
But does it have to be this way? Does an injury have to derail your progress?
Which begs the question — should I exercise with an injury, or should I rest and wait for it to heal?
Should I Exercise With An Injury?
So, you get injured.
In my personal opinion, stopping exercise is the absolute worst thing you can do.
I mean, as far as I am concerned, this whole ‘fitness’ thing is a simple game of attrition.
You show up, you do the work, and you build momentum. Over time, actually showing up gets easier, and you start to enjoy this whole ‘exercise’ thing.
You begin to push yourself, not because your trainer tells you too, but because you want to see what you are capable of.
And then the results start to come rolling in.
With this in mind, I would argue that even in the face of injury, you should definitely keep exercising.
In fact, it would be silly not too.
Which leads us to our next point quite nicely…
How Should I Exercise With An Injury?
While I am a huge proponent of keeping that exercise momentum going, your exercise routine should change in the face of an injury.
1. Avoid Aggravating Exercises
First and foremost, you need to avoid any exercises that aggravate the injury like the plague.
- This means that if you have a knee injury, squats and lunges might be out of the question
- A shoulder injury may mean that you need to avoid all pressing movements for the time being
- And a lower back injury might mean that you avoid heavy squats and deadlifts for a couple of weeks.
This first step doesn’t have to be hard — hell, I could probably summarize it by simply saying “don’t be stupid“.
While this may be viewed as a negative step, it shouldn’t be.
In fact, this may actually give you an opportunity to get better at some movements you don’t normally spend much time with — which will only benefit you in the long run.
2. Double Down on Exercises That Feel Good
Step number two rolls on quite nicely from step number one, and really, it just makes sense.
Those movements that don’t cause you pain?
Train them hard, train them heavy, and train them often.
Use the opportunity to build strength in different movements and prioritize the growth of certain muscle groups.
In short, have fun with it.
3. Get it Checked Out
And finally, if your injury has been around for more than a couple of days and doesn’t seem to be getting any better, get it checked out by a professional (chiropractor, physio etc.).
There is a genuine possibility that your injury might benefit from:
- Some hands on treatment, or
- Some specific rehabilitation exercises
And a health professional can help you with both — which will ultimately get you back to 100% as soon as possible.
Take Home Message
While getting an injury is far from a good thing, it should not derail your progress.
By making some smart adjustments to your training you can keep exercising, and more importantly, keep seeing progress.
About The Author
Did you know that if you start running, there is a 30% chance that within 6 months you will stop.
But evidence from studies such as this one from Fokkema et al (where I pulled that number from) can help people like me understand why, so I can share it with people like you!
So firstly, why do people stop. For the participants of the study linked above, the main reasons were:
- Development of an injury.
- A low perception of physical capability prior to commencement.
- A lack of direction following an initial intro-to-running program.
The good news is that these pitfalls can be avoided if you acknowledge the fact that they exist before you start, and you implement strategies to get over them.
So here is what I recommend before you start running.
- Listen to your body. Running is hard on the body, but this is not a bad thing. Our body responds favorably to loading but if this load crosses a threshold injury can occur. So build gradually. If you start getting sore, walk it off. If you pull up sore the next day, roll your legs over on a bike. Prioritise sleep as that is when our body heals itself. Drink lots of water and eat nutritious food. Basically treat yourself well.
- Get Strong! If you doubt your physical capabilities, improve your physical capabilities. Getting stronger is simplest way to do this. Consult with a trusted Exercise Physiologist or Strength Coach and they can help you get stronger in a safe and appropriate manner.
- Think long-term. Most running programs for beginners aim to get you from 0 to 5km in about six weeks. Plan a six month goal. A 10-12km event is appropriate for that time frame. Search for an event that you would like to do in six months of around that distance and commit to it. Seek out a reputable Coach who can help you plan from week-6 to month-6 and beyond. Running gets easier with increasing experience. And the easier it is, the more enjoyable it is and more beneficial it will be to your long term health.
For more information on this topic check out these blogs:
Running is NOT bad for your knees
My 5 favourite types of running
Don’t run anymore? Who do you think you are?
About The Author
If you are like me, you need to be told NOT to exercise, instead of TO exercise. Do you feel guilty, or perhaps even grumpy if you haven’t exercised in a couple of days? are you the one who on a holiday needs to exercise first thing in the morning so you can “tick that box” – and then dive into the breakfast buffet?! Is exercise one of those behaviours you have now just built into your life, like brushing your teeth, because it is good for you? yes, it makes you feel good, it helps to de-stress you, and its part of your health insurance, right?! But what if sometimes it works against you??
Some background to stress and recovery
This is a very practical blog, but a bit of background is important. Exercise works because it is a form of ‘stress’ for the body, that we need to physiologically adapt to. In the right doses, and with the right recovery, exercise makes us fitter, stronger, healthier and more resilient. But you know this. You feel it. intuitively.
Interestingly, the body doesn’t know where stress comes from. And it comes in many forms: yes, physical stress; but also in the form of the more commonly known emotional, or psychological stress; but also, toxic stress; inflammatory stress, etc. And these from many sources, such as the foods we eat; physical pain and injury; lack of sleep; toxic relationships; deadlines; financial pressures; public speaking; sick parents; our kids in trouble, etc, etc…. you know: life!
In the right doses, we can adapt to all those stresses. We can get more resilient, and develop a capacity to deal with all of them better, to lift the threshold line. As long as we actually adapt. And we do that by having the right balance between ‘stress’ (or strain) and recovery.
The balance between strain and recovery
Now, the word stress stresses me out. I much prefer, in this case, the word strain. Strain speaks to me of an overall tension; and overall load; that is useful. It achieves things.
Ok, one last bit of back ground, just to make sure we are on the same page. All that stress (strain!) can be positive if we actually benefit from it. If we get something out of it. If it leads to a positive outcome. And the crux of the argument here, is that we only adapt to strain when we recover. That’s right, you don’t get fitter while you exercise. You don’t get stronger while you lift weights. Those exercise bouts are the triggers for adaptation. but your body will only adapt while it recovers. And recovery comes in the form of the right nutrition, active recovery strategies such as massages and meditation, rest (knowing when NOT to exercise), and the all important SLEEP!
My new recovery coach
So let’s go back to your and my personality: the “I have to exercise today…”. We feel this way because we are convinced that today’s exercise bout will be good for us… but what if it’s not? what if our bodies (and minds) would actually do better having an easier day? can we bring ourselves to having an extra day off? or perhaps to just do some light stretching and foam rolling?
Since exercise is actually another form of stress, could that extra session actually tip us towards illness or injury, rather than away from it?? Well, there’s a plethora of evidence to suggest that the answer is unfortunately a resounding YES!
So what would it take to convince you to have an easier day? In my experience, hard objective data is typically what convinces me to change my mind… and sometimes someone to hold that data right in front of my eyes and force me to stare right at it!! does that resonate? I know that we have a LOT of clients at iNform like you and I. So over the last few months we have been doing some in depth research into existing tools that can measure how much strain our bodies are under and how well they recover, particularly while we sleep. We have looked at almost every activity tracker, exercise watch and smart watch in the market, and we feel we have found a winner.
Yep, my new recovery coach (with a little bit of accountability from my exercise physiology colleagues) is my new Whoop band. Funny name, but an incredibly powerful and smart tool to make sure we optimise our exercise, strain and recovery to get the most out of every day.
In a nutshell, it calculates the overall ‘physiological load’, or strain’ that your body underwent during the day. It then recommends how much one should sleep to recover from that strain. Based on how you actually slept, it rates your recovery and recommends the amount of strain you can get away with the following day. Very simple concept, supported by very smart technology! and it has helped me make some good decisions (against my initial intuitions) with the help of quality objective data displayed in easily understood displays.
I’ll tell you more about it in my next blog, unless you want more info earlier, in which case flick me a question in the comments below! I would encourage you to check it out at the link above, and keep an ear to the ground, as there’s a little offering coming up to iNform clients very soon!!
Click here for more information on our Whoop health coaching service.
About The Author
The deadlift is one hell of an exercise — but does that mean you should deadlift from the floor?
Lets find out.
In my opinion, the deadlift is one of the best exercises on the planet.
I mean, when it comes to whole body strength, it is king:
- It works every single muscle in the body (with a heavy emphasis on your legs and upper back)
- Has great carryover to athletic performance tasks (think jumping and sprinting)
- Improves your ability to perform various tasks of daily living
- Builds a sweet set of buns
Seriously, what more could you want?
However, with these amazing positives, there is one big fat caveat that we need to consider.
It needs to be performed with damn good technique.
See, the deadlift is pretty complex movement.
Moreover, the way in which the bar is positioned during a deadlift (in front of your body) means that it naturally places a lot of shear stress on your spine.
Now, to be clear, this is not a bad thing.
When the deadlift is performed correctly, this shear stress strengthens the muscles of your back and trunk. And the result? Over time your back becomes more stable, and less injury prone.
But, if your deadlift technique is poor, then this shear stress is not going to be a good thing.
In fact, it may even result in injury.
What we could only consider ‘not so good’ (AKA my eyes are bleeding) deadlift technique
Good Deadlift Technique (AKA How to Deadlift)
What does good deadlift technique look like?
While there may be some slight variances in deadlift technique between individuals (things like stance width and hand position, for example), there a few general rules that must be adhered to at all times.
- Your whole foot making even contact with the ground
- Armpits positioned over the bar
- Back in a neutral position
- Head in line with spine (so not looking too far up or down)
- Bar positioned over your shoe laces
- Hips back, feeling a whole lot of tension in your hamstrings
If you tick these six boxes, then you are in the prime position to perform a safe and efficient deadlift.
And it should look a little something like this (performed by yours truly):
But (there is always a but…), it does need to be said that not everyone will have the mobility required to get into the bottom position of a deadlift safely.
Which begs the question…
Do I Need To Deadlift From the Floor?
In short, no — you do not.
While I am a firm believer that everyone should deadlift in some way, shape, or form, I also believe that you need to tailor an individuals exercise prescription to their current capabilities.
This means that very few people will actually be able to perform a barbell deadlift from the floor.
Or at least in the initial stages of their training journey anyway.
Which is fine.
See, we have a myriad of deadlift variations available to us that offer the same benefits. Importantly, most of them are easier to perform than a traditional barbell deadlift, as they don’t require quite as much mobility.
In short, they are harder to stuff up.
Then over time (as you become more competent at the movement), you can gradually transition into performing a deadlift from the floor.
The Best Deadlift Variations
With this in mind, I thought I would outline my favourite deadlift variations.
I normally prescribe each of these in the order listed for 4-6 weeks each (before moving onto the next one), for 3 sets of 8-12 repetitions, twice per week.
By the end of the process, you will be in a very good position to start deadlifting from the floor
- Elevated Kettlebell Deadlift
- Sumo Kettlebell Deadlift
- Trap Bar Deadlift
- Romanian Deadlift
- Conventional Deadlift from Blocks
- Sumo Deadlift
As I am sure you can see, these exercises become gradually more challenging.
In this manner, each progressive variation requires a little more mobility, and becomes a little more complex.
However, once you have spent a good 4-6 weeks training each of them you will have your deadlift pattern down pat.
As a result, you will be primed to start deadlifting from the floor!
Take Home Message
The deadlift is an incredible exercise, however, there is no need to perform it from the floor if it sits outside your current capabilities. In fact, you can perform a number of deadlift variations and get exactly the same benefits.
So give some of the variations listed in this article a go, and make sure to let us know what you think!
About The Author
Load management principles are used daily in high-end strength and conditioning/sports settings and are critically important in measuring relative injury risk and determining optimal load.
However, the concept of load management may not be limited to high-performance sports or training settings. There are principals of this concept that are applicable in non-sporting settings (eg. day to day activities, work, and leisure). Exploring the wider contexts to which load management principals can be used may assist in reducing overuse/chronic injury risk for the general population.
Let’s Talk Science
A concept developed based on the idea of an ideal training stimulus having the capability to maximise performance through the use of appropriate training loads while limiting negative training consequences (injury and fatigue). The ACWR describes two workload zones, the ‘sweet spot’ and the ‘danger zone’ which represent the likelihood of subsequent injury.
The ‘sweet spot’ is represented in the graph below as a ratio range between 0.8 and 1.3. The ‘danger zone’ is represented as a ratio greater than 1.5.
Calculating ACWR & Load: Acute vs Chronic
In a training setting, this is typically calculated over a 7-day block (average of daily acute workloads). Measures of the sessional rating of perceived exertion (sRPE) times by the duration of the training session would represent the acute load for a day. Example: If sRPE (perceived difficulty) of a 100-minute session is 5 this would equal 500 arbitrary units (AU) (5*100 = 500 AU).
The chronic load can be calculated as an average of the acute workloads.
Week 1: 500 AU
Week 2: 700 AU
Week 3: 600 AU
Week 4: 300 AU
Chronic Load: (500 + 700 + 600 + 300)/4) = 525 AU
ACWR: Acute Load (Week 5: 700AU)/Chronic Load – (700 / 525) = 1.3
To give some commentary to the above equation: If the acute workload for week 5 was to be 700 AU then the ACWR for that period would be 1.3. A value of 1.3 would represent the top end of the “sweet spot” bracket, meaning that the subsequent injury risk for that week is relatively low. If that acute load was to change to say 900 AU then the ratio would be 1.7 and the injury risk would be relatively greater.
Application to YOU
Both internal and external load is inevitable in the workplace, there is no hiding from the fact. The table above displays the application of the ACWR as a load management tool for individuals across a wide range of occupations. As you can see all scenarios have the capacity to create positive or negative outcomes. The outcome is primarily dependent on the preparedness of the individual to that specific task.
Looking specifically at the receptionist, the increase in acute load may come from working longer days during a busy period or working more days in the week to cover for a colleague who is sick for example. These factors can drive up the acute load, inherently increasing injury risk (eg. overuse injuries, such as a repetitive strain injury), leaving the individual unable to work.
However, this doesn’t only apply to occupational tasks…
Simple scenarios such as going for a 10km bike ride after just dusting your bike off from a 10-year absence of use or going on an overseas holiday where you may be walking over 10km per day while being lucky to clock up 2km at home during a normal day; both are examples of a spike in acute load far beyond that of the chronic load.
Take Home Points
- Ensure that you are prepared for any task you will be completing; whether it be walking, running, cycling, gardening, working, playing sport.
- Be mindful of what your body is used to and try to avoid the spikes in acute load for any given task; should you want to reduce the risk of developing any injuries.
About the Author
What is the core?
‘The Core’ is essentially a collective term to refer to the primary muscles at your centre. These muscles collectively bring stability to the spine and support movement of the limbs. The core makes up nearly half the body, and includes all the muscles that attach to the pelvis and spine.
To the rehabilitation world the core is the thoraco-lumbar-pelvic (trunk) complex. It is composed of as many as 35 different muscle groups! These muscles connect into the pelvis from the spine and hip area. In order to simplify the Core muscles I usually divide them into four regions; back extensors, abdominals, lateral trunk muscles, and the hip muscles.
The core as a cylinder, not a 6 pack
Put simply, you can think about the core as a cylinder; it has a bottom (the pelvic floor muscles), a top (the diaphragm) and sides (the abdominals, obliques and back muscles). I’ve put in some diagrams to really help you see how all these muscles come together to create ‘the Core’.
the front of the core, the most superficial muscles
The back of the core, the most superficial muscles
See how it looks like a cylinder? You can see the deep back, front, side and pelvic floor muscles
the deep back muscles of the core
the lateral or side muscles of the core
The core’s VIP: The Diaphragm
We already know that it’s primary function is to stabilise, but how? Well, this is where the diaphragm is really funky and important: the core creates stability when it generates intra-abdominal pressure by a gentle ‘drawing in’ action from all sides of the cylinder at the same time… but particularly from the diaphragm being a secure lid.
So what happens if our diaphragm doesn’t function optimally?
Well, studies have looked at the associations between lower back pain and diaphragm functioning. One study in particular found:
- Comparing people with lower back pain (LBP) to people without, the LBP group had less diaphragm movement when they inhaled and exhaled
- The difference was more noticeable during inhalation, and they noted the diaphragm was positioned higher than the other pain-free group
- This finding was even more pronounced when they added a level of physical exertion (a simple postural task)
The researchers hypothesize that this dysfunction of the diaphragm may exacerbate syptoms of lower back pain by increasing the anterior shear forces on the ventral region of the spinal column.
It’s all very interesting. But how does this information help you?
Well, it means you now know where to start if you want to prevent or start treating lower back pain. Let the process of holistic treatment begin…
How to train and strengthen your core
There are a plethora of ways to train your core. Let me tell you, sit-ups and crunches are NOT THE ONLY WAY! (they’re actually the worst way). Now that you understand how the core functions, you can see how it comes into play all the time, not just when we try to isolate it. Since our centre of gravity resides within our pelvis, and is where all movement begins; our core becomes fundamental for creating stability of all our lower limb movements. This even includes simple ankle and knee movements!
- Diaphragmatic breathing
- Transverse abdominus activation
- Pelvic tilts
- Isometric exercises (no movement) e.g. dead bugs
Then build strength and control:
- Animal crawls
- Bird-dog (4-point alternative arm leg extension)
- Forearm plank and side plank
Then implement into:
- Compound movements e.g. lunges or lunges with single arm press
- Dynamic movements e.g. cable rotations
- Unilateral exercises e.g. single arm cable or dumbbell press
There are many exercises that I prescribe to my patients for core strengthening. The exercises include basic body-weight movements, sometimes really simple exercise to increase body awareness, proprioception and neuromuscular connection; it doesn’t always need to feel like its burning for it to be having seriously positive benefits!
Our philosophy is to progress things to more functional movement patterns where they have to rely on core strength and stability to complete movements with good technique and control.
A strong and stable core can improve optimal performance throughout the whole body and enable you move better, move more, and move longer, as well as preventing injuries!
If you want to train with me, you can book online here: https://informhealth.com/people/jacinta-brinsley/
If you want to read more of my blogs, click here: https://informhealth.com/author/jacinta-brinsley/
If you’re interested in doing yoga with me, click here: http://bit.ly/iwanttodoyoga
About the Author