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.
Great question. The first thing we have to ask is what type of pain are they in.
Fitness professionals should train within their scope of practice.
Since their is no regulation on personal trainers it falls back on your education and your national certification. ACSM is the only medical national certified agency that while completing and showing competency as a health fitness instructor for example allows you to train certain clientele based again on the competency that one has completed.
All of the other 100+ certification agencies are not comprehensive nearly as is ACSM.
As a physical therapist, I am trained to assess and manage pain. Now with advanced knowedge and taken two classes in chronic pain, I won’t train clients in chronic pain, because it will only exacerbate and foster the pain cycle.
However a person with mental pain(ie depression, anxiety, sadness) is pain. Will exercise hurt them? No, based on the science, research and recent studies, exercise will do just the opposite, increase a release of natural endorphins, blood flow, lower heart rate and blood pressure, change mood and decrease stress which we all know.
However a client with a given pathology, knowing the pathology, your distinct scope, education, training, and skillet should be the guide.
Therefore, if someone is in pain, is it really safe and logical to train them?
No it is not..