If they have clearance and I understand their issues and situation, it is not a problem. I have had many clients come to me with issues that I wasn’t ready to work with and I used those as opportunities to learn and grow. I contacted their physician/surgeon/therapist/etc. and got educated for free on how to work with them. I spent hours of my free time studying and researching to be more prepared and able to handle the situation comforatbly. There were a few times when the issues were clearly beyond our scope of practice and I referred them back to their physician for a more appropriate referral. Usually to a physical therapist. A few of those eventually got cleared to work with me and came back. If their physician feels I can conservatively work with a client, I will do what I need to in order to do the best job I can. The few times that I didn’t, the client didn’t come to me with a referral or clearance and needed to be educated about the seriousness of their issues.
I agree that a medical release is important. I also like to accept the challenge because often times Trainers are the ones who can help with the condition.
Most physicians cure with pills and your experience as a professional will get them better results.
I had a client that had such a major knee surgery she was dragging her leg. I help her so much she stopped physical therapy! It was a challenge and I did work on a lot of modifications, but in the end she is walking straight and no longer dragging her foot.
Most likely, you will be the best medicine for your client.
Hope that helps!
The answers are all great. MS is particulary challenging condition. Keeping core temp down is essential. Equipment like the Schwinn Air-Dyne which helps to cool the client while working out can be very helpful. I would advise against taking the strength workout to temporary muscle failure.