{"id":4858,"date":"2018-01-05T18:55:13","date_gmt":"2018-01-06T01:55:13","guid":{"rendered":"https:\/\/www.bornfitness.com\/?p=4858"},"modified":"2021-01-21T12:09:11","modified_gmt":"2021-01-21T19:09:11","slug":"how-to-prevent-knee-back-and-shoulder-injuries","status":"publish","type":"post","link":"https:\/\/www.bornfitness.com\/how-to-prevent-knee-back-and-shoulder-injuries\/","title":{"rendered":"How to Prevent Knee, Back, and Shoulder Injuries"},"content":{"rendered":"<p>You know how some exercises seem almost too intimidating to perform? Chances are, you\u2019re right.<\/p>\n<p>Many exercise programs place you &#8212; and your body &#8212; in positions that leave you vulnerable.<\/p>\n<p>That\u2019s not to say you should never squat with a barbell on your back, <a href=\"https:\/\/www.bornfitness.com\/deadlift-guide\/\">perform deadlifts<\/a>, or do a variety of other exercises.<\/p>\n<p>But, it does mean that recognizing when you are at risk &#8212; and how to avoid putting yourself in a position to get hurt &#8212; are the first steps of assessing whether a program is right for you. After all, if you can stay healthy and exercise consistently, you will see results.<\/p>\n<p>Before you start another workout, let these tips be your guide to staying healthy, picking the right moves for you, and progressing to the more intimidating when they no longer feel like a challenge.<\/p>\n<h2>The Revolving Door of Pain<\/h2>\n<p>There are really only two ways you could hurt yourself in the gym. Call them \u201c<em>Whoops<\/em>!\u201d and \u201c<em>Wearing Down<\/em>.\u201d<\/p>\n<p>\u201cWhoops!\u201d refers to times when you do something like drop a dumbbell on your foot and break your toes (not that it would ever happen to you). If you dive into the data, you\u2019ll see these events are breathtakingly rare.<\/p>\n<p>Research published in <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/20139328\"><em>The American Journal of Sports Medicine<\/em><\/a> found that just of 0.2 percent of lifters were admitted to emergency departments\u2014over the span of 18 years. Four times more people wind up in emergency rooms due to <a href=\"https:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/mm6022a1.htm?s_cid=mm6022a1_w\">bathroom-related injuries<\/a> every year. Seriously.<\/p>\n<blockquote class=\"tweetable\"><p>You&#8217;re far more likely to wind up in AN EMERGENCY ROOM due to a &#8220;bathroom-related injury&#8221; than you are from lifting. Weightlifting is a tremendously safe activity.<\/p><\/blockquote>\n<p>Bottom line: Weightlifting is surprisingly safe, so you don\u2019t need to spend much time worrying about \u201cwhoops!\u201d events.<\/p>\n<p>The real danger &#8212; the revolving door of injury &#8212; is by \u201cwearing down\u201d &#8212; and it can oftentimes be prevented.<\/p>\n<p>Wearing Down refers to those times when a move just feels&#8230;not quite right. Like when you perform an overhead press and <a href=\"https:\/\/www.bornfitness.com\/shoulder-pain\/\">your shoulder says, \u201cstop!\u201d<\/a> Or when your elbows hurt when you bench. Or when you finish a set of squats or deadlifts and it feels like your lower back got more of a workout than your legs.<\/p>\n<p>These pains can start out subtle and may seem like no big deal, but they can grow into something serious (think: strains, sprains or tendinitis) over time. So it\u2019s important to tune in to these cues. Then you can address them before they become full-blown issues.<\/p>\n<p>\u201cThe vast majority of strength-training related injuries are due to overuse or poor technique, and can build up over time into more serious problems,\u201d explains California-based exercise physiologist <a href=\"http:\/\/petemccallfitness.com\/\">Pete McCall,<\/a> M.S., C.S.C.S., C.P.T.<\/p>\n<p>The good news? \u201cWearing Down\u201d injuries are entirely preventable. Rather than muscling through those times when your body sends you a warning shot, you can identify what they are trying to tell you. Then you can correct the problem.<\/p>\n<p>Or, in some cases, knowing that there are different variations of an exercise can help you avoid pain in the first place. You wouldn\u2019t do algebra before you could add, so why are you doing complex lifts before you master the basics?<\/p>\n<p>Here, McCall and other top strength coaches share the most common causes of weight-room pain for each of the four major movement patterns\u2014squats (or \u201cknee-dominant\u201d moves), hinges (\u201chip dominant\u201d moves like deadlifts), push exercises, and pull exercises\u2014and explain what\u2019s happening. Follow their advice and you\u2019ll ensure that the lifts you perform do what they\u2019re meant to do: Build you up and make you stronger.<\/p>\n<h2><strong>Knee-Dominant Exercises: Squats, Step-ups and Lunges<\/strong><\/h2>\n<p><strong>What you feel:<\/strong> Knee pain (especially around the kneecap), low back pain<\/p>\n<p><strong>What\u2019s causing the problem:<\/strong> \u201cMost knee injuries for knee-dominant moves stem from improper tracking of the knee joint,\u201d explains Mathew Kite, C.S.C.S., an exercise scientist and general manager of <a href=\"https:\/\/www.d1sportstraining.com\/\">D1 Sports Training<\/a> in Dallas, Texas. Basically, your knee should go in one direction, but winds up going in another instead.<\/p>\n<p>In the case of the squat, your knees collapse inward, a position called valgus. Valgus knees place damaging side-to-side stress on your joint, particularly on your patellar tendon.<\/p>\n<p>Worst of all? \u201cGoing valgus\u201d isn\u2019t your knees\u2019 fault. The real culprit is a set of weak glutes.<\/p>\n<p>When your glutes aren\u2019t as strong as they need to be to handle the load on your back, your knees automatically fall inward in order to help you lift the weight. This is okay if it were to happen only occasionally, like on the last rep of your last set while setting a new max. (You\u2019ll see some powerlifters\u2019 knees go inward onsets when they\u2019re really going for broke.) But other than that, you don\u2019t want this to happen.<\/p>\n<p>Making matters worse, having weak glutes can cause you to lean too far forward when you squat. While a little bit of a forward lean is OK, having too much of one can put excess pressure on your lower back.<\/p>\n<p>There\u2019s one more thing that can cause you to lean forward excessively when you squat: poor ankle mobility. You\u2019ll know this is your problem if you feel that it\u2019s difficult to keep your heels on the floor as you lower your butt to the floor, McCall says.<\/p>\n<blockquote class=\"tweetable\"><p>WANT TO AVOID KNEE PAIN? DEVELOP A STRONGER BUTT.<\/p><\/blockquote>\n<p><strong>What you can do:<\/strong> Your first goal is simple: \u201cDevelop a stronger butt to save your knees,\u201d says Kite. Building up your glutes will help your knees track correctly (think of them angling toward the pinky toes when you squat or lunge). To strengthen them, try adding <a href=\"https:\/\/www.youtube.com\/watch?v=QUOb_c-edGE\">frog pumps<\/a>, <a href=\"https:\/\/www.youtube.com\/watch?v=KI6fjDqGZh4\">glute bridges<\/a> and <a href=\"https:\/\/www.youtube.com\/watch?v=cni12kKt6iQ\">hip thrusts<\/a> to your workouts.<\/p>\n<p>If you have a bar on your back, focus on pulling it down into your traps. That will help stabilize the upper part of your torso and prevent it from tipping forward, Callaway says.<\/p>\n<p>If you\u2019re having a hard time keeping your heels on the floor, McCall recommends foam rolling, stretching, and doing mobility drills for your calves prior to squats. Try taking them through their full range of motion with toes-elevated bodyweight calf raises.<\/p>\n<p>Lastly, you don\u2019t need to squat with a barbell on your back. Goblet squats &#8212; which are typically done with a dumbbell or kettlebell &#8212; are variation that is knee and back friendly, and it makes it easier to squat without your knees collapsing or body leaning forward.<\/p>\n<p><iframe loading=\"lazy\" title=\"How to Goblet Squat with a Dumbbell\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/1faY0DRRZY8?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<h2>Hip-Dominant Exercises: Deadlifts, Hip Thrusts, and Glute Bridges<\/h2>\n<p><strong>What you feel:<\/strong> Pain in your lower back (a.k.a. the\u00a0lumbar spine) or neck (cervical spine).<\/p>\n<p><strong>What\u2019s causing the problem:<\/strong> \u201cAn incorrect set-up,\u201d says Meghan Callaway, CPT. \u201cMany deadlifters set their hips too low and end up \u2018squatting the deadlift\u2019\u2014or they set their hips too high [and wind up rounding their back in order to reach the bar]. Both can place the body at a greater risk of injury.\u201d Having a rounded back or overly arched back stresses your spine in its weakest positions.<\/p>\n<p><strong>What you can do about it:<\/strong> Your goal here is to maintain what\u2019s called a neutral spine, which has a natural (but not excessive) curve inward at the lower back, then slightly outward at the shoulder blades, and back inward at the neck.<\/p>\n<figure id=\"attachment_4861\" aria-describedby=\"caption-attachment-4861\" style=\"width: 1920px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-4861\" src=\"https:\/\/www.bornfitness.com\/wp-content\/uploads\/2018\/01\/weightlifting_injuries_posture_image.jpg\" alt=\"Three images of standing posture, first (left) with rolled over shoulders, second (center) with forward head position, and third (right) with correct alignment. \" width=\"1920\" height=\"1080\" srcset=\"https:\/\/www.bornfitness.com\/wp-content\/uploads\/2018\/01\/weightlifting_injuries_posture_image.jpg 1920w, https:\/\/www.bornfitness.com\/wp-content\/uploads\/2018\/01\/weightlifting_injuries_posture_image-300x169.jpg 300w, https:\/\/www.bornfitness.com\/wp-content\/uploads\/2018\/01\/weightlifting_injuries_posture_image-768x432.jpg 768w, https:\/\/www.bornfitness.com\/wp-content\/uploads\/2018\/01\/weightlifting_injuries_posture_image-1024x576.jpg 1024w, https:\/\/www.bornfitness.com\/wp-content\/uploads\/2018\/01\/weightlifting_injuries_posture_image-700x394.jpg 700w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\" \/><figcaption id=\"caption-attachment-4861\" class=\"wp-caption-text\"><em>Image courtesy of Builtlean.com https:\/\/www.builtlean.com\/2016\/05\/30\/neutral-spine-posture\/<\/em><\/figcaption><\/figure>\n<p>\u201cMaintaining a neutral spine is what\u2019s going to keep that back healthy and ready for the next workout,\u201d Kite says.<\/p>\n<p>To achieve this when you perform a hinge-style movement like the deadlift, you want to think about getting as much movement as possible from your hips with as little movement as possible from your knees. Drive each rep with your hips, pushing your butt as far backwards as you can.<\/p>\n<p>A good way to learn this pattern is to set a foam roller (or anything that\u2019s straight, like a PVC pipe) against your back so that it has three points of contact with you, touching the back of your head, your shoulders, and your tailbone.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=_TfzOviOVes<\/p>\n<p>Another way to make sure that you are running the show with your hips rather than lower back is to make sure the weight remains as close to your body as possible during deadlifts, Callaway says. When you lower the weight, image the bar almost scratching against your shins, which will help keep the bar closer to your body throughout the movement.<\/p>\n<p>If deadlifts are difficult, there\u2019s no need to pull the weight from the floor. You can place a barbell or dumbbell on boxes or platforms. What this does is limit the range of motion to help you be in a position of power.<\/p>\n<p>That way, you can perfect the movement without getting into a position where you are overly rounded. As you can stronger and better, you can lower the boxes &#8212; or, you might find that you never need to pull the weight from the floor. Unless you\u2019re an Olympic lifter, there\u2019s no reason to hold to this belief unnecessarily.<\/p>\n<p>Or, you can do a <a href=\"https:\/\/www.youtube.com\/watch?v=QDEMmKocxbM\">staggered stance deadlift<\/a>. The joy of this variation is that it provides the benefits of a single-leg deadlift (where less weight is needed), without the advanced difficulty of balance. The back leg works like a kickstand to make it easier to move in a way that doesn\u2019t make your body vulnerable to injury.<\/p>\n<h2>\u201cPush\u201d Exercises: Bench Press Variations, Push-ups, Shoulder Presses, Triceps Extensions<\/h2>\n<p><strong>What you feel:<\/strong> Shoulder pain, elbow strain, wrist discomfort.<\/p>\n<p><strong>What\u2019s causing the problem:<\/strong>\u00a0Not keeping the wrist, elbow, and shoulder stacked during bench and shoulder presses can also introduce instability in the shoulder joint, Kite says. Bending your wrists can also introduce pain.<\/p>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_4863\" aria-describedby=\"caption-attachment-4863\" style=\"width: 1920px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-4863\" src=\"https:\/\/www.bornfitness.com\/wp-content\/uploads\/2018\/01\/weight_lifting_safety_tips_bench_press_born_fitness.jpg\" alt=\"Weight lifting safety: A young man bench presses with no spotter. Looks cool, but highly unsafe. \" width=\"1920\" height=\"1080\" srcset=\"https:\/\/www.bornfitness.com\/wp-content\/uploads\/2018\/01\/weight_lifting_safety_tips_bench_press_born_fitness.jpg 1920w, https:\/\/www.bornfitness.com\/wp-content\/uploads\/2018\/01\/weight_lifting_safety_tips_bench_press_born_fitness-300x169.jpg 300w, https:\/\/www.bornfitness.com\/wp-content\/uploads\/2018\/01\/weight_lifting_safety_tips_bench_press_born_fitness-768x432.jpg 768w, https:\/\/www.bornfitness.com\/wp-content\/uploads\/2018\/01\/weight_lifting_safety_tips_bench_press_born_fitness-1024x576.jpg 1024w, https:\/\/www.bornfitness.com\/wp-content\/uploads\/2018\/01\/weight_lifting_safety_tips_bench_press_born_fitness-700x394.jpg 700w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\" \/><figcaption id=\"caption-attachment-4863\" class=\"wp-caption-text\"><em>Benching without a spotter is another good way to hurt yourself. Don&#8217;t do this.<\/em><\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p><strong>What you can do about it:<\/strong> \u00a0Think tight, tight, tight\u2014all of the way from your wrists to your core.<\/p>\n<p>To get your wrists in order, you need to start by gripping the bar correctly. Here\u2019s an instance where what \u201cfeels\u201d natural\u2014and what most people do\u2014is actually wrong.<\/p>\n<p>Watch Starting Strength author Mark Rippetoe explain how to properly grip the bar for a press <a href=\"https:\/\/youtu.be\/CnBmiBqp-AI?t=1m57s\">starting at 1:57 in this video<\/a>. Note that the process depends you placing your palms on the bar first, rather than wrapping with your knuckles first. Properly placing the bar across your palms will stack the weight on the bones of your forearm, making for a more powerful (and far less injury-prone) press.<\/p>\n<p>From there, you\u2019ll want to keep your core muscles engaged, obliques braced, and rib cage down (no flaring!). \u201cThis will help prevent the spine from hyperextending,\u201d says Callaway. She adds that if you can\u2019t press a weight while keeping a natural curve in your spine, you need to decrease weight. It also wouldn\u2019t hurt to build your core strength with the help of exercises like the <a href=\"https:\/\/www.youtube.com\/watch?v=Cba4g5VgKq8\">dead bug<\/a> and <a href=\"http:\/\/tonygentilcore.com\/2010\/08\/everything-pallof-press\/\">Pallof press<\/a>.<\/p>\n<p>Still concerned about pressing? For one, barbells are not necessary. You can challenge your muscle just fine with dumbbell variations or even bands or cables. If your shoulders are vulnerable with the bench press, try a <a href=\"https:\/\/www.youtube.com\/watch?v=eHhq6_yQ7JA\">floor press<\/a>, instead, which will limit the range of motion. Worried about overhead pressing? If you have a landmine (or you can just place a barbell in the corner of a room), try <a href=\"https:\/\/www.youtube.com\/watch?v=hpnEi2ApFt0\">this press variation<\/a>, which is easier on your shoulders and elbows.<\/p>\n<h2>\u201cPull\u201d Exercises: Rows, Pull-ups, Face-pulls, Biceps curls<\/h2>\n<p><strong>What you feel:<\/strong> Shoulder pain, wrist discomfort, tennis elbow<\/p>\n<p><strong>What\u2019s causing the problem:<\/strong> \u201cNot controlling the lowering (eccentric) part of the lift,\u201d Callaway says.<\/p>\n<p>Many people put their body at risk by not controlling the lowering phase of the pull-up. If you are allowing your body to free-fall from the top position, that could be part of your problem. Doing so exerts additional force on the joints from your shoulder blades, shoulder, elbows, and wrists. The effect can hold true when you&#8217;re doing biceps curls, rows, and any other \u201cpulling\u201d exercise.<\/p>\n<p><strong>What you can do about it:<\/strong> Start by using lighter weights. If you can\u2019t control a weight both up and down, you\u2019re just asking for injury. In general, if you can\u2019t control the weight for 2-3 seconds on the descent, the weight is probably too heavy.<\/p>\n<p>Next, if you know that lowering the weight can lead to injury, it only makes sense to emphasize that type of training. Turn a weakness into a strength and you won\u2019t get hurt. Here\u2019s how it works: \u201cTake three to five seconds to lower your body [from the pull-up bar] or the weight,\u201d Callaway says. You can do this with almost any exercise. And the benefit isn\u2019t just injury prevent; research shows that focusing on the eccentric can cause more of the good \u201cmicrotears\u201d that helps your muscles become bigger.<\/p>\n<p>With each rep, pretend that you are pinching and slowly releasing an orange from between your shoulder blades. Then, keep your entire body tight and braced to keep your body in a more stable position and prevent swinging (ak.ka. don\u2019t kip). Engaging your core properly will be especially helpful on \u201changing\u201d moves like pull-ups. <a href=\"http:\/\/tonygentilcore.com\/\">Tony Gentilcore<\/a>, C.S.C.S., explains the proper way to set up for these moves in this short video:<\/p>\n<p><iframe loading=\"lazy\" title=\"TonyGentilcore.com Coaching the Hollow Position\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/DmMQn4vstTA?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<p>While pullups are an effective exercise, they\u2019re not necessary. For bodyweight pulling, you can do inverted or bodyweight rows. The closer your body is to parallel to the floor, the harder the movement becomes.<\/p>\n<p>Also, if you\u2019ve experienced elbow pain (or something like tennis elbow) in the past, McCall recommends try performing some or all of your pulling exercises with a palms-up (supinated) grip or with your palms facing each other (neutral grip). The rotation of your palm changes the stress you put on your shoulders, and, therefore, makes the movement more kind to your elbows.<\/p>\n<h3>READ MORE:<\/h3>\n<p><a href=\"https:\/\/www.bornfitness.com\/shoulder-pain\/\">The End of Shoulder Pain<\/a><\/p>\n<p><a href=\"https:\/\/www.bornfitness.com\/why-do-squats-hurt\/\">Why Do Squats Hurt? (And How to Fix the Problems)<\/a><\/p>\n<p><a href=\"https:\/\/www.bornfitness.com\/deadlift-guide\/\">The Complete Deadlift Guide<\/a><\/p>\n<p><em><a href=\"http:\/\/www.kaleishafetters.com\/\">K. Aleisha Fetters<\/a>, M.S., C.S.C.S., is a Chicago-based personal and online trainer. She has a graduate degree in health and science reporting from the Medill School of Journalism at Northwestern University and regularly contributes to Men&#8217;s Health, Women&#8217;s Health, SELF, U.S. News &amp; World Report, TIME, and SHAPE. When she&#8217;s not lifting something heavy, she&#8217;s usually guzzling coffee and writing about the health benefits of doing so.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Training in the gym is one of the safest things you can do. But bad movement patterns can make some exercises risky. Here\u2019s how to correct issues before they become injuries. <\/p>\n","protected":false},"author":18,"featured_media":4862,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[569],"tags":[10,45,24,403,23,165,450,977,719],"class_list":["post-4858","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fitness","tag-fitness","tag-gain-muscle","tag-health-2","tag-injury-prevention","tag-muscle-2","tag-strength","tag-training","tag-weightlifting","tag-workouts","bf-level-all-levels"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>How to Prevent Knee, Back, and Shoulder Injuries<\/title>\n<meta name=\"description\" content=\"Bad movement patterns can make some exercises risky. 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