Question asked by Steve Leon 432 days ago
Recommended exercises for someone with back and knee issues?
I have a potential client who had back surgery in 2007 and has also had knee surgery (pin installed). She needs to lose 30+ lbs. What would you recommend?
Answers (7)
2
Hi Steve,
of course, you need medical clearance for this client and do an assessment as you would do for any other person.
With a history like this, it is rather certain that she has been in physical therapy for some time and should have PT instructions for exercises. With a bit of luck, you may even be able to talk to the physical therapist even though the surgery was a few years ago. You may also get some information from the doctor about restrictions, if there are any.
I usually start with the PT exercises and the results of my own assessment and slowly take it from there. Sometimes, vigorous cardiovascular exercise is not a good option, no matter how desirable to support weight loss. Losing weight, though, would certainly help, and 30 lbs. fortunately is not such a big number to make this a goal which can only be reached in years.
I wish you good luck.
of course, you need medical clearance for this client and do an assessment as you would do for any other person.
With a history like this, it is rather certain that she has been in physical therapy for some time and should have PT instructions for exercises. With a bit of luck, you may even be able to talk to the physical therapist even though the surgery was a few years ago. You may also get some information from the doctor about restrictions, if there are any.
I usually start with the PT exercises and the results of my own assessment and slowly take it from there. Sometimes, vigorous cardiovascular exercise is not a good option, no matter how desirable to support weight loss. Losing weight, though, would certainly help, and 30 lbs. fortunately is not such a big number to make this a goal which can only be reached in years.
I wish you good luck.
2
Hello Steve,
Great answers added to your question. PAR-Q, Assessments, medical release, etc.
If your facility has a pool, you can incorporate some aqua exercises/movements...low/minimal impact along with sensible nutrition. Take it slow and safe.
Wishing You Great Success!
Michael
Great answers added to your question. PAR-Q, Assessments, medical release, etc.
If your facility has a pool, you can incorporate some aqua exercises/movements...low/minimal impact along with sensible nutrition. Take it slow and safe.
Wishing You Great Success!
Michael
1
Mat exercises for the glute groups. I like to start with side-lying exercises: clam, hip abduction with leg at 45° hip flexion, and hip abduction with 0° hip flexion, ensuring minimal pelvic movement during motions, repeating each exercise 12-20 x each, slowly. After doing 2 sets on each side, I follow up with supine bridging, with heels as close to buttocks as possible, lifting hips while keeping heels on ground, repeating 15-20x slowly
Answered by Chris Gellert, PT, MMusc &Sports Physio, MPT, CSCS, CPT
432 days ago
ExpertVerified
0
Dear anonymous
What type of spinal surgery did she have? Also you mentioned that she had a pin out in her knee?
What specific knee surgery did she have?
Knowing this vital information is crucial to answer your question.
Then help educate you to help your client.
Chris
What type of spinal surgery did she have? Also you mentioned that she had a pin out in her knee?
What specific knee surgery did she have?
Knowing this vital information is crucial to answer your question.
Then help educate you to help your client.
Chris
0
I concur with Karin:
Food intake along with a sensible workout plan will facilitate in her success:
Also, for each new exercise you introduce, keep her back and knee in mind.
Food intake along with a sensible workout plan will facilitate in her success:
Also, for each new exercise you introduce, keep her back and knee in mind.
0
Hi Steve. I highly recommend having the client obtain her physician's approval to exercise and work with you, and then to try to work with and through her physician and other healthcare providers that she may be seeing (e.g. physical therapists etc) to help your client in a holistic way. Backs and knees are two areas of the human body that seem to suffer injury the most, so taking the time and care to gather as much information as you need from your clients healthcare providers before proceeding would be very helpful to the long-term success of your client.
I hope that this helps.
LaRue, CSCS
www.lecfitness.com
larue.cook@lecfitness.com
I hope that this helps.
LaRue, CSCS
www.lecfitness.com
larue.cook@lecfitness.com
0
Leave that alone if not comfortable dealing with injuries of this magnitude. Not worth it in the long term for you psychologically/financially IF something were 2 go wrong in a session.
I have learned to stay within my realm of experience & not try 2 be everything to everyone (Mr. Fix it, so i can get a payday)
Insurance is one thing but feeling responsible for a client re/injury to me, would be the worst mentally. It would challenge me @ every session after that, constantly questioning, being over diligent to a point of baby sitting & my people wouldn't tolerate that.
I have a certain schwagg bout me when im on, that would be broken and a problem evident.
If they experience consistent aggravation elevating to pain several times a wk/monthly & you are not qualified/confident you can assist them improve considerably LEFF IT ALONE MAN!!!
just an opinion, like a butt hole, we all have 1 & it deals w/s#@%
I have learned to stay within my realm of experience & not try 2 be everything to everyone (Mr. Fix it, so i can get a payday)
Insurance is one thing but feeling responsible for a client re/injury to me, would be the worst mentally. It would challenge me @ every session after that, constantly questioning, being over diligent to a point of baby sitting & my people wouldn't tolerate that.
I have a certain schwagg bout me when im on, that would be broken and a problem evident.
If they experience consistent aggravation elevating to pain several times a wk/monthly & you are not qualified/confident you can assist them improve considerably LEFF IT ALONE MAN!!!
just an opinion, like a butt hole, we all have 1 & it deals w/s#@%











