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Five Most Common Gym Injuries

An expert reveals what you need to do to stay off the DL

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Whatever your fitness goals, getting injured surely isn't one of them. But according to a study from the University of Arkansas, there has been a 35 percent increase in gym injuries in recent years.

Personal trainer Justin Price, M.A., who owns The BioMechanics, a corrective exercise and functional fitness facility in San Diego, says there are two main reasons for workout-related injuries. The first is poor posture during the day, which eventually weakens your entire musculoskeletal structure. To combat this, make sure your computer screen is positioned in a way that you're not straining or hunching to see it.

The other mistake is trying to do too much too fast, in both reps and weight. "The problem that got you into the gym didn't happen overnight, so you can't undo it overnight," says Price, who co-authored the book The Idiots' Guide to Functional Training.

In other words, those 50 pounds can't be erased in one mega-marathon treadmill session. And popping blood vessels by overweighting the bench press isn't going to take you from Christian Bale in The Machinist to Christian Bale in Batman in one hard-core workout.

To get started, find a certified personal trainer (Price recommends one with the PTA Global, NSCA or NASM certifications) to make sure you're using the right technique and try to think of yourself as your own trainer by not making your goals too personal. "Think of working on your body as a third party. If you remove your ego from the situation you can be realistic about your goals," says Price. You'll be able to prevent injuries like the ones below, which Price says he sees most often.

FOOT AND ANKLE
Cause: When trying to explain foot and ankle injuries, Price starts at the top of the body. "People spend their days in front of their computer with rounded shoulders. When your shoulders are rounded and you stand up, your weight falls to the front of your foot," says Price. Take that misplaced center of gravity and put it into running shoes, which naturally tip you forward with a heel higher than the toe, and your feet and ankles start to bear the brunt of any impact.

Prevention: "You should look for a running shoe that isn't too high in the heel, or try a walking shoe, cross trainer or tennis shoe," suggests Price. By helping spread the impact to the whole foot, you'll prevent problems like plantar fasciitis, achilles tendonitis, anterior compartment syndrome (a compression in the front of the ankle), lateral compression syndrome (a compression at the side of the ankle) and bunions.

KNEE
Cause: That damn desk job again, unfortunately. "We don't use our hip muscles during the day. Then we decide to go kickbox or do bootcamp," says Price. The result is injury to the . . . knee? "If our feet aren't stable, due to improper footwear, and our hip muscles aren't strong, the knee gets all the stress," says Price, who says that leg extensions, curls, and presses don't help resolve the problem because they don't strengthen the muscles of the feet and hips.

Prevention: "A better exercise would be lunges. With a lunge your hip and ankle are bending together, stabilizing and strengthening the knee," says Price. To get even more benefit, do lunges both forwards and backwards, then side to side (also known as "step and squats").

LOWER BACK
Cause: Three strikes and your day job is officially in the dog house in terms of your physical health. "If someone is rounded throughout the day in their upper back, and then they go to the gym and do an overhead shoulder lift standing, their upper back cannot extend properly. They straighten and arch upward from their lower back, which has a nervous breakdown [anything from soreness to more permanent injury] because it's getting all the stress," says Price.

Prevention: Remember to stretch and strengthen your upper back to compensate for all that hunching you do at the office. Price suggests super-setting in straight-armed wall squats in with the rest of your lifting regimen. "Sit against a wall. Flatten your lower back into the wall, by tilting your pelvis under you. Straighten your arms in front of you, and try to raise arms up to your ears, without letting a gap form behind your lower back," says Price. And whenever you can, exercise standing up—really, you've sat enough at the office, right? "Standing helps you engage bigger muscles in your body," says Price.

SHOULDER
Cause: If you haven't been convinced to hang up your mouse and pick up a hard hat, this just might do it. That carpal tunnel you're complaining about 9-5 could contribute to a gym injury after-hours. "Your arms have to internally rotate when you type, which puts pressure on the shoulders," says Price. "Then you go to the gym and do chest press, shoulder press, pushups, all also with your arms rotated in," he notes. The outcome? Supraspinatus tendonitis, an overuse injury of the rotator cuff.

Prevention: You need to externally rotate your arms to balance your shoulders, and a great way to do that is by rowing with cables. "Grab the cables in front of you and pull the arms back, rotating your palms away from you and behind you," says Price.

NECK
Cause: The other four areas being out of whack lead to a misalignment in your neck, says Price. "If you sit with rounded shoulders, your neck follows your upper back, but then your eyes need to look at the screen, so you arch your neck and you get pain," says Price. As if work wasn't a pain in the neck enough, you get to the gym and that poor posture follows you all the way to the bench press, where the real trouble starts, when you're lying on the bench but your back isn't flush with the pad. "A lack of mobility and extension in your upper back will put stress on your lower back and neck," says Price.

Prevention: Clearly, when doing the bench press, make sure your lower back and neck are supported properly. Then, avoid putting additional stress on your neck with exercises that cause you to raise your arms over your head, especially if you've just put in a 12-hour day. Finally, strengthen your mid and upper back—and improve your posture—by doing reverse shrugs. "Sit at the lat pull down. Grab the bar in front of you and do straight arm pull downs. Pull down just the shoulder blades—not the arms—and go just slightly in front of you for three to four inches," says Price. You'll feel it in your lower traps—which, once strong, will help you maintain your posture—and health—whether you're at the office or at the gym.

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