Get Moving For Life Blog

Chronic knee pain, not associated with direct trauma such as a fall or twist, is often a result of long-term muscle imbalances. If you are experiencing pain that is either getting worse or not getting any better, have your doctor or physiotherapist assess it. As Kinesiologists, we look at the entire chain of movement. This means watching clients move while doing strength and flexibility tests to discover where muscle imbalances are.

Assessments include overhead squats and single-leg squats. Some things that show up are weak outer hips/tight inner hips, tight hip flexors/weak glutes, weak quadriceps/tight hamstrings and tight calf muscles. When these movements are not completed in a balanced and optimal manner, we first address any muscle tightness or weakness to develop smoother, more functional movement patterns. This is much before any type of loading is done; body weight is often enough.

Areas to focus on are: Quadriceps, Hamstrings, Calves, Glutes and Upper Body. The following are some suggestions. Remember to let joint pain be your guide; be aware of your own limits and start gradually. A little muscle discomfort is a sign that you are challenging your body; it is when you rest the following day that your body adapts. We suggest that anyone unfamiliar with these exercises hire a Kinesiologist or knowledgeable Personal Trainer.

If you are new to weight training or are rehabilitating from an injury, start with the beginner exercises.

Phase I - Isolated Beginner (4 weeks):

To fatigue (when form fails), 1-3 sets, 60-second rest between sets or complete as a circuit. 2-3 days per week with one day of rest, e.g., cardio or light physical activity, in between.

Here are ten easy steps you can take to prevent back injuries during lifting. I thought about them when I was part of a team of over 100 volunteers who were taking down the Biathlon Venue at the Vancouver 2010 Winter Olympics.

I had participated in the Olympics as an Anti-Doping escort for the athletes throughout the games. After my job was done, I heard that the stage crew had plans to take down the range and stadium in an hour and a half -- a sizable task. Volunteers ranged from the fit who were used to manual labour to the unfit who were not used to lifting tasks. Even though I was not part of the stadium or range crew, I stuck around to give everyone an extra set of hands and make a further contribution to the Olympics.

The enthusiasm of the volunteers really struck me. We all bonded together and, unified in our goal, worked really well as a team. Some of things we had to move were awkward wooden scoring tables, v-boards (blue lane course markers) and 6 x 4 feet pieces of wooden fencing which had to be carefully packed and stored in a hut down a hill for future events. While I was participating, I observed that many of the other volunteers didn't seem to know how to lift, push, or pull properly, thus putting themselves at risk for injury. My concern for their well being inspired this list.

Follow these 10 tips to help prevent back injuries.

2. Bend Your Knees: Always try to use the bigger muscles in your lower-body to do most of the lifting, and keep your spine in a neutral position. Deadlifts and Stiff Leg Deadlifts are great training for this. Seek professional help learn the proper technique.

3. Stay in the Box: To reduce the stress on your body, carry heavier items between your mid-chest and mid-thighs. Use a step-stool or ladder if you need to lift something over your head. This will keep the heavier items close to your body.

4. Use Both Hands: If you can, use both hands when lifting or pushing heavy or awkward items. This splits the load on your spine and engages muscles on both sides of your body.

5. Limit Twist: Rotation of the spine is a natural movement used in many sports and occupations, but if you are not used to twisting that much or have a limited range of motion, it can place you in harm's way. Try to make sure that your body is directly facing whatever you are lifting or pulling.

6. Pivot Hips: If you have to move something from one side to another, shift it by rotating your hips. For example, lift your right heel to pivot your hips if you're moving the item from right to left; lift your left heel if you're going from left to right. Your hips will shift with the object you're moving, reducing the risk of injury.

7. Take Breaks, Change Tasks, Change Positions: Muscle and ligament fatigue is one reason we end up with an injury. Many jobs are highly repetitive -- for example, someone loading warehouse shelves all day or an iron worker bent over in one position for long periods of time. Repetitive motion causes the tissue to fatigue in the same way that bending a twig over and over or simply holding it in a bent position for several minutes will cause it to eventually break.

8. Ask for Help: It is better to distribute the effort between two or three people rather than trying to lift something that is very awkward or too heavy for you. Another option is to use pulleys, a cart or machinery like a winch or a snowmobile rig. Unless you are trained, 45lbs is the maximum weight that the general population should be lifting at one time, to reduce the risk for injuries.

9. Engage the Core: Core strength comes from the ability to activate the proper sequence of muscles for the intensity needed. This creates the appropriate amount of intra-abdominal pressure to stabilize the spine when pushing, pulling, lifting or rotating. The outer muscle layers like the obliques are used for movements like rotation and side-bending. Read Getting to the Core of Reducing Back Pain for more information.

10. Keep the Back Straight: Flexion, extension and rotation are natural ranges of motion for the back. We also have natural curves in our backs. Many people I see have trouble differentiating hip flexion/extension with spine extension/flexion. Stand tall, keep the vertebrae still while tilting your pelvis back and forth like a bowl. It rotates around your femurs (thigh bones). Keep the back straight (with the crown of your head reaching away from the tailbone in a straight line) and in neutral (restoring the natural curves in your spine).

We had chain of people who were about two feet apart handing each other wood blocks for the load out. Other groups pushed the sleds the last few feet after they were dropped off by snowmobiles. To my knowledge, this all happened without injuries.

Keep these tips in mind to reduce your chances of a back injury. If you are recovering from a back injury, or want a Lifemoves Kinesiologist to show you more ways to move properly so you can stay active, please fill out a consultation form or email us at consultations@lifemoves.ca