I came across an interesting fitness blog post recently. It is a great point of thought, I make it a point, regardless of the program design for my client to ask how do they feel. Asking and listening to a client is very important and should determine how you proceed before training. How do you all address this subject with clients.
I think that there is pain, and then there is PAIN. I have clients, all medically cleared, to whom pain is a factor of life, and exercise is a potential way to improve the situation. Arthritic conditions are an example; I have also trained a person prior to knee replacement surgery. In cases like this, I have no problem training people who have pain because it is in a controlled situation. With constant feedback from the client, it is often possible to bring the pain level down on the scale that Joanne mentions.
And then there is an unexpected and new pain. That’s when I stop, regroup, discuss and refer.