Contraindicated Exercises vs. Contraindicated Lifters

Posted on Jun 11th, 2010 by Tony Gentilcore Tags: ,

At some point in our lives, 80% of people will have some form of lower back pain.  While lower back pain can be attributed to any number of things - aberrant motor patterns, mobility/stability deficits, lack of spinal endurance, or blunt trauma , to name a few -  I’d go so far as to say that 75% of those people (the ones who are physically active anyways) will usually point their finger at one specific training session where they tweaked their back performing either a squat or a deadlift.

Not surprisingly, these are the same people who will scour the message boards, tirelessly, warning people of the dangers of squatting and deadlifting.

Of course, if we were to dig deeper, we’d find out that their version of a squat is more like a rounded back goodmorning, and what they consider a deadlift is basically an epileptic seizure.

Nonetheless, the point I’m trying to make is that it’s rarely the exercise that’s the problem - it’s the lifter.  Both Eric and myself have always stated that there’s really no such thing as a contraindicated exercise, rather there are contraindicated exercisers.

Take someone with poor hip internal rotation, place a bar on his or her back, and have them squat, you’re probably asking for trouble.  Likewise, take someone with poor kinesthetic awareness, and have him or her try to lift a loaded barbell off the ground, and you’re bound to have issues.  Not always, of course.  But the risk increases exponentially when you have an unprepared lifter attempt an exercise that he or she isn’t ready for.

That said, I still believe that EVERYONE should learn how to squat and deadlift.  Both are basic human movement patterns that, for whatever reason: whether it’s poor mobility, some sort of kinetic dysfunction, inactive lifestyle, lack of core stability, tight this, stiff that - many people have forgotten how to do properly.  It doesn’t mean, though, they can’t re-learn it.

For example, the owner of the building where CP is located comes in and trains with me 2-3 times per week. He’s 70+ years old, which tells you a lot given that most people his age are sitting at home watching Murder She Wrote re-runs.

Unfortunately, though, while he has the spit and vinegar of a 20 year old, he still has the knees of a 70 year old.  As such, he about had a heart-attack the day I told him we were going to squat.  Matter of fact, it went something like this

Me: Jim, we’re going to squat today.

Jim: What the **** do you mean we’re going to ****ing squat?  Are you trying to kill me?  You know back in the day, I used to walk three miles to and from school in four feet of snow…..barefoot.   I used to hunt bear with a sling shot.  Dammit, I could have shown you young whipper-snappers a thing or two.

Once the dust settled, and I was able to explain some simple progressions we were going to take, we headed over to the TRX and I had him do a few sets of un-loaded, DEEP, body weight squats…..pain free.  He was sold.

Moreover, the same can be said about anyone with limited hip or thoracic mobility - which can make deadlifting from the floor a bit problematic.  Instead of trying to hammer square pegs into round holes, we can use something like the trap bar (with an elevated setting) which makes things infinitely more manageable, and safer.

Matter of fact, we don’t have to limit this to just squats and deadlifts.  Someone’s shoulder hurts when they bench?  While the simple answer would be to tell them to:

- Stop benching three times per week
- Implement more horizontal rowing into the picture, to the tune of 2:1, or even a 3:1 (pull/push) ratio.
- Push-ups, push-ups, and more push-ups
- Work on their technique, cause it sucks
- Add in more dynamic stabilization drills for the rotator cuff, like THIS
- Get some aggressive soft-tissue therapy done, whether it’s Graston, ART, or massage

Okay, so it’s not that simple.  As such, since most are going to bench anyways, why not show them some better alternatives, like floor presses or board presses?  They’ll still be able to “bench,” albeit with infinitely less stress on the shoulders.  Along with the stuff mentioned above, in a matter of weeks, they could be back to benching pain-free in no time!

In the end, it comes down to understanding that there are contraindicated lifters, not contraindicated exercises.  Understanding this point, as well as being able to make the necessary progressions, is oftentimes what separates the great trainers from the not so great.

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Comments ( 8 )

Progressions are always good. I’ve found trap bar deadlifts are extremely good because you can always start (like in your video) with the handles up and elevated and as the client progresses you can move it closer to the ground and eventually flip the entire trap bar over so it is more like a true deadlift.
Obviously this being excellent for people who have poor movement patterns (and/or muscle imbalances etc) you want them doing big-bang exercises, but still performing them relatively safetly.

Same goes for alot of other exercises, i.e. squats, goblet squats etc, you want to grease the correct movements wherever you can.

Joshua Richardson added these pithy words on Jun 11th, 2010 at 1:05 pm |

Tony,

In the limited hip and T-spine mobility scenario that you mentioned, do you prefer Trap Bar DL’s with the plates elevated as needed over a conventional deadlift with plates elevated (or rack pull from the current appropriate height) because in addition to a bit of extra elevation even without “propping up” the plates, it keeps the lifter more upright, which would lead to less chance of caving over due to the limitations in T-spine extension when compared to the conventional deadlift (on account of the load being a bit further out from the axis of rotation)?

Wes Davenport added these pithy words on Jun 12th, 2010 at 2:35 am |

@ Wes: in general, the trap bar is always a great starting point for most trainees. I prefer it over the conventional DL namely because most people have atrocious upper back posture, and it’s a lot easier for them to get into a more “neutral” position with it. Too, with the elevated setting, there won’t be as much hip flexion. Of course, as they improve, you can work on getting them closer to the ground - either by flipping the trap bar over, or using SUMO style DL’s, etc.

Tony Gentilcore added these pithy words on Jun 12th, 2010 at 7:35 am |

Great blog tony.

i definately have some contraindicated clients that need i need to get back to basics with. learned alot from You and the guys this week, thanks.

That guys’ deadlift is truly scary!

Nathan added these pithy words on Jun 13th, 2010 at 1:39 pm |

Great points Tony!

I feel that the majority you speak of are also the same ones that don’t want to take the time to implement board presses, box squat…and such.

It takes time to master these “simple” exercises. Like you mention there is more that goes into performing them properly so that they are beneficial.

BTW…great video LMAO!

Mike A added these pithy words on Jun 13th, 2010 at 4:00 pm |

I think that the featured video is actually very functional to the moves he will be performing in the club later that night.

Greg R. added these pithy words on Jun 13th, 2010 at 11:09 pm |

To include the facial expressions…

Greg R. added these pithy words on Jun 13th, 2010 at 11:10 pm |

Man, I haven’t seen the Weasel in years. His best quality was that he got really mad when people pointed out that his technique was horrible. He was entertaining on multiple levels.

Derek added these pithy words on Jun 14th, 2010 at 9:14 am |

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