If a client has had knee pain for a long time (chronic), is it “more acceptable” to work through some of that pain as opposed to if it’s more recent pain? Thanks!
This is a good question! I think it depends honestly! If it’s sharp pain, it’s not ok. If it’s dull pain that is constantly there, whether they’re exercising or not then maybe. In situations like that I always try to figure out whether or not the exercise is worsening the pain or not. If the exercise isn’t actually worsening the pain, and you’re doing things safely and controlled then it is likely ok.
These channel is so good and I can´t believe it hasn´t got more attention. I am newly ( VERY new trainer, ) and these videos are awesome!! I just got a client with LOTS of knee pains and I´m trying to collect information on how to help the client. Thank you SO much for all your videos, pls don´t stop!
Your videos have helped me understand the material given to me through my certification. Thank you for breaking everything down for me, I appreciate your content so much!
These videos are super helpful! Please do a video on how to work with clients that has recently had hip replacement surgery and have been cleared for exercise.
Good question! In these situations there is only a few things that you have some control over. If it’s normal post workout muscle soreness then all you can do is encourage adequate protein intake and some extra stretching/self myofascial release and other basic recovery strategies like that. If they’re dealing with joint soreness then ice for the first 48 hours or so can help. Recommend a few light stretches as well. That’s pretty much all that we can recommend while staying in our scope of practice.
Thank you I appreciate that! If you haven’t seen this video already, this is the one that would cover what you need to do with clients suffering from back pain. This includes lower back, mid back and upper back. ua-cam.com/video/Gh74JGBqqRM/v-deo.html
Honestly, I would do pretty much exactly what was shown in this video. Focus on strengthening the hip extra, and slowly progress things over time. If something is painful, make sure to back off a bit and lower the intensity.
You should do a video on injuries during a sessions. I just experienced this for the first time. 85 year old client was doing step ups and overs on a 4 inch step. She was next to the wall somehow lost her footing as stepping up, leaned onto the wall and then slid down very slowly. So not a hard fall but still it was scary. I think she just didn’t have the reflexes to gain balance quick enough. Anyway, I’ve never had an incident happen during a session. I had her stay on the ground, got my boss and we filled out an incident report. She assured us she was perfectly fine. She takes falls outside the gym too. She’s even missed sessions because of it. So the risk of falling is there, which is why I was working her balance. Anyway, I’m just curious what your take is on this. Sometimes these things could be out of our control. Perhaps the client slips on water that was spilt in the gym, for instance. But how do you handle an incident/injury or what’s your recommended protocol. Mine is definitely to avoid them at all costs. I’m not sure how this happened. Like I said she was right next to the wall and me! She had already done it a good 6 times. But it was scary, and made me feel bad as a trainer.
It’s definitely scary when stuff like that happens. In your case, it sounds like you didn’t do anything wrong. Unfortunately, you can do everything right and sometimes things still don’t go perfectly. I’m happy that your client is ok and that she is staying positive! I’ve had similar things happen. These days if I’m working with someone that age I only have them do step ups while they’re also holding onto a railing, or a squat rack or something for extra support. It sounds like you handled that part pretty well though. Anyways, I think you’re right, that sounds like a good topic idea! I’ll definitely add it to the list! Thanks!
Good question! It honestly depends a lot and that’s why I didn’t talk about it much. If a client has severe knee issues I’ll keep them on the recumbent bike. That’s probably the easiest piece of cardio equipment on the knees that’s available at a typical gym. If someone has moderate to minor knee issues, I’ll have them try the treadmill and elliptical. I’ll just keep things very slow and easy at first. Ultimately, you want to reduce impact a lot and see how they respond over time.
In many states and countries you can refer your clients straight to a physical therapist without sending them to a Dr. first. I typically do this now (in CT) because it’s just less hassle for the client.
I was recently certified and trying to learn so thank you for your helpful videos! I actually had a question qbout myself though. I have left knee and hip flexor pain that are both chronic but the knee pain isnt as often. I notice the pain when running or doing squats but it seems to be connected to the hip flexor pain and is on the inside of my knee. My left hip flexor also hurts when i squat too low. Trying to figure this out for myself but not really confident yet, what would you say the issue is? Also, i hope im not the only personal trainer with their own issues to fix as well as others lol
Hey April, there’s a good chance that you’re dealing with runners knee or patellofemoral syndrome. Neither of those two conditions is too threatening, but they can be annoying to deal with. Of course, it could be something else too. I’d focus on doing extra glute strengthening. Clamshells, fire hydrants, etc for glute medius. I’d also do extra strengthening for glute max too. Regardless of what’s going on with the knees, the extra glute work should help.
what you think about 90 degree squats with smith machine jeff? and how you think when client has anterior pelvic tilt and we train hamstrings we also should stretch them?
I’m generally against squatting with the smith machine. I think it trains the body in a pretty limited and possibly dangerous way. When a client has anterior pelvic tilt I spend more time strengthening the hamstrings than I do stretching them. I think some hamstring stretching is fine but too much could exacerbate some problems.
Yes! Most, if not all of this advice would apply to people with arthritis as well! Of course, every client is different so you may have to modify things a bit person to person.
Having shirts or uniforms is certainly a good idea. I don’t require them, I just require trainers to be wearing decent looking athletic wear, and that works too. As far as cheap equipment goes, the only really cheap stuff I buy are bands. I bought my cardio equipment used, which saved me a lot of money. My cable machine, although not cheap is still fairly affordable compared to many. I break more of that stuff down in this video if you haven’t seen it already: ua-cam.com/video/Y5IMogobY7I/v-deo.html
If a client has had knee pain for a long time (chronic), is it “more acceptable” to work through some of that pain as opposed to if it’s more recent pain? Thanks!
This is a good question! I think it depends honestly! If it’s sharp pain, it’s not ok. If it’s dull pain that is constantly there, whether they’re exercising or not then maybe.
In situations like that I always try to figure out whether or not the exercise is worsening the pain or not. If the exercise isn’t actually worsening the pain, and you’re doing things safely and controlled then it is likely ok.
@@SortaHealthyTrainerEducation thanks for the reply!
3/20/23 Viewing and learning; loved it!
This guy and Coach Greg helped me a lot as a new trainer 👏 keep up the good work. I appreciate you!
Thanks man! I really appreciate that! I’m a fan of coach Greg myself!
Your channel deserves a million followers, this stuff is golden
Thank you! I really appreciate that!
These channel is so good and I can´t believe it hasn´t got more attention. I am newly ( VERY new trainer, ) and these videos are awesome!! I just got a client with LOTS of knee pains and I´m trying to collect information on how to help the client. Thank you SO much for all your videos, pls don´t stop!
Thanks so much for your support and kind words! We’re not going anywhere :)
you are my true and only mentor. growing up my pt business by following your tips. thanks sir
Wow that’s amazing to hear! We’re honored honestly! I’m very happy that you’re finding our content helpful!
Just found this channel, pls don’t stop with these vids, they help a ton!
Thank you I appreciate that! We plan on making much more content like this!
I Loved your content you are amazing. keep doing videos like that here. Thank you so much!!
Thank you so much!
Your videos have helped me understand the material given to me through my certification. Thank you for breaking everything down for me, I appreciate your content so much!
So glad you find it helpful!
These videos are super helpful! Please do a video on how to work with clients that has recently had hip replacement surgery and have been cleared for exercise.
Thank you! We’ll definitely cover hip issues at some point too!
Just on time!! Thank God I found your channel! Too many clients with knee issues
Thanks! I’m happy that they’re helping!
great video as always bro
Thanks so much!
Thanks for this video I now feel more comfortable training clients with knee issues
Of course! I’m glad you found the video helpful!
I so glad I found your channel, very professional and useful information..(new PT) 👍
Thanks! I appreciate that!
Thanks for the continued great work sir!
Thanks JD I appreciate it!
This was incredibly helpful!! Thank you so much!!
Thank you! I’m glad that you found it helpful!
Another quality video. Thank you!
Of course! I’m glad you liked it!
Thank you sooooo much for this incredibly helpful video! 🙏
Thank you! I’m glad that you found it helpful!
What about the client who feels pain after a workout. What are some tip to help with recovery? Thanks for all the info
Good question! In these situations there is only a few things that you have some control over.
If it’s normal post workout muscle soreness then all you can do is encourage adequate protein intake and some extra stretching/self myofascial release and other basic recovery strategies like that.
If they’re dealing with joint soreness then ice for the first 48 hours or so can help. Recommend a few light stretches as well. That’s pretty much all that we can recommend while staying in our scope of practice.
If only I could like this video 1000 times...
Haha I really appreciate hearing that!
Awesome vid! Please make a vid about clients with lower back pain next
Thank you I appreciate that! If you haven’t seen this video already, this is the one that would cover what you need to do with clients suffering from back pain. This includes lower back, mid back and upper back.
ua-cam.com/video/Gh74JGBqqRM/v-deo.html
@@SortaHealthyTrainerEducation You legends! Thanks 👍😊
thank you thank you
Of course!
I had an acl+meniscus knee surgery.I went to the physio for 3 months and then he told me to search for a pt.And i want your guidance
.
Honestly, I would do pretty much exactly what was shown in this video. Focus on strengthening the hip extra, and slowly progress things over time. If something is painful, make sure to back off a bit and lower the intensity.
You should do a video on injuries during a sessions. I just experienced this for the first time. 85 year old client was doing step ups and overs on a 4 inch step. She was next to the wall somehow lost her footing as stepping up, leaned onto the wall and then slid down very slowly. So not a hard fall but still it was scary. I think she just didn’t have the reflexes to gain balance quick enough. Anyway, I’ve never had an incident happen during a session. I had her stay on the ground, got my boss and we filled out an incident report. She assured us she was perfectly fine. She takes falls outside the gym too. She’s even missed sessions because of it. So the risk of falling is there, which is why I was working her balance. Anyway, I’m just curious what your take is on this. Sometimes these things could be out of our control. Perhaps the client slips on water that was spilt in the gym, for instance. But how do you handle an incident/injury or what’s your recommended protocol. Mine is definitely to avoid them at all costs. I’m not sure how this happened. Like I said she was right next to the wall and me! She had already done it a good 6 times. But it was scary, and made me feel bad as a trainer.
It’s definitely scary when stuff like that happens. In your case, it sounds like you didn’t do anything wrong. Unfortunately, you can do everything right and sometimes things still don’t go perfectly. I’m happy that your client is ok and that she is staying positive!
I’ve had similar things happen. These days if I’m working with someone that age I only have them do step ups while they’re also holding onto a railing, or a squat rack or something for extra support. It sounds like you handled that part pretty well though.
Anyways, I think you’re right, that sounds like a good topic idea! I’ll definitely add it to the list! Thanks!
Very Helpful , Thank You.
But what about Cardio ? Which Workouts should we avoid for these Clients
Good question! It honestly depends a lot and that’s why I didn’t talk about it much. If a client has severe knee issues I’ll keep them on the recumbent bike. That’s probably the easiest piece of cardio equipment on the knees that’s available at a typical gym.
If someone has moderate to minor knee issues, I’ll have them try the treadmill and elliptical. I’ll just keep things very slow and easy at first. Ultimately, you want to reduce impact a lot and see how they respond over time.
1:55 I thought you need to see a doctor first, so then he refers to a physical therapist
In many states and countries you can refer your clients straight to a physical therapist without sending them to a Dr. first.
I typically do this now (in CT) because it’s just less hassle for the client.
I was recently certified and trying to learn so thank you for your helpful videos! I actually had a question qbout myself though. I have left knee and hip flexor pain that are both chronic but the knee pain isnt as often. I notice the pain when running or doing squats but it seems to be connected to the hip flexor pain and is on the inside of my knee. My left hip flexor also hurts when i squat too low. Trying to figure this out for myself but not really confident yet, what would you say the issue is? Also, i hope im not the only personal trainer with their own issues to fix as well as others lol
Hey April, there’s a good chance that you’re dealing with runners knee or patellofemoral syndrome. Neither of those two conditions is too threatening, but they can be annoying to deal with. Of course, it could be something else too.
I’d focus on doing extra glute strengthening. Clamshells, fire hydrants, etc for glute medius.
I’d also do extra strengthening for glute max too. Regardless of what’s going on with the knees, the extra glute work should help.
@@SortaHealthyTrainerEducation thank you so much for the advice! I really appreciate it ☺️
what you think about 90 degree squats with smith machine jeff? and how you think when client has anterior pelvic tilt and we train hamstrings we also should stretch them?
I’m generally against squatting with the smith machine. I think it trains the body in a pretty limited and possibly dangerous way.
When a client has anterior pelvic tilt I spend more time strengthening the hamstrings than I do stretching them. I think some hamstring stretching is fine but too much could exacerbate some problems.
How do you create paper? I don’t even know how to do anything on the computer like that lol
When you say paper are you referring to the workout chart?
people with osteoarthritis too?
Yes! Most, if not all of this advice would apply to people with arthritis as well! Of course, every client is different so you may have to modify things a bit person to person.
quick question, should I have shirts in my studio for me and my trainers to wear? can you recommend cheap gym equipment?
Having shirts or uniforms is certainly a good idea. I don’t require them, I just require trainers to be wearing decent looking athletic wear, and that works too.
As far as cheap equipment goes, the only really cheap stuff I buy are bands. I bought my cardio equipment used, which saved me a lot of money. My cable machine, although not cheap is still fairly affordable compared to many. I break more of that stuff down in this video if you haven’t seen it already: ua-cam.com/video/Y5IMogobY7I/v-deo.html
@@SortaHealthyTrainerEducation Thank you for your input! looking forward to more days in the life and vlogs!
😅😅
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