Avoid the Pain-Injury-Surgery Cycle!
When working with people at my facility I always need to help them get over the “no pain, no gain” myth. Actually, I guess I should say that I need to help them
understand it better. You see, muscular “pain” and discomfort are alright and needed – if you are not uncomfortable you are not pushing hard enough to elicit a change in the body.
However, joint pain is a totally different thing. Joint pain is a sign that your body is not moving correctly and is much like the “check engine soon” light has gone on in your car. You can ignore it for a while but a break down is going to eventually occur.
So, gutting through an exercise when your knee, low back or shoulder are talking to you is not the type of “no pain, no gain” you want. The vast majority of surgeries and rehabbing going on in the sports arena are not acute, traumatic injuries like those that occur when you crash on a bike. Most of them followed a pattern similar to this:
Step 1: You notice a little pain in an area while you are participating in a sport or working out but it goes away after you get into your workout a bit.
Step 2: The pain doesn’t go away as fast and now it tends to linger for a while after training, sometimes for a day or two afterwards. You can still work through it; it is just a bit more annoying now.
Step 3: You have to pop a few Advil before training in order to keep the pain under control. Without some sort of pain reliever you just couldn’t train as hard. You are also much more likely to need a day or two off after a hard workout to let the painful area recover.

Step 4: You are forced to go see your doctor after the pain relievers stop working as well and you can not get through a workout without some serious consequences. Your doctor says that you have some sort of tendonitis or bursitis or some other “fill in the blank-itus”. You get some physical therapy prescribed and you do the work but it doesn’t seem to get a whole lot better.
Step 5: You are now scheduled for surgery. Maybe the pain just got so bad you couldn’t take it any more or a minor impact injury caused something to “break” but you now have some serious damage to a key joint that is going to impact you for the rest of your life.
This process may take years to get through but the sad part is that a lot of active people tend to go through this cycle a couple of times in their lifetime. Think about how many people you know that have had a knee “cleaned up” or a shoulder “tightened”. This speaks volumes about the poor level of understanding about preventing these injuries in the first place.
With rare exception, bad movement causes pain. In addition, where the pain shows up is usually not where the real problem is. Look at the joint above or below the area that is painful for dysfunction and you will find the real culprit. The low back is a great example of this – low back pain is not caused by a “weak” low back but instead from poor hip function and mobility. Ignoring the hips role in low back pain will never take care of the problem and will result in a lot of pain relieving drugs or, God forbid, surgery.
Don’t spend the next few months ignoring the pain and simply popping some pain relievers or just sitting on the couch to “let it rest”. Work on your mobility
and core strength. Clean up your movement and get strong on that movement.
The secret to progressing each year is to address things when they are still in the Step 1 or Step 2 phase of the pain-injury-surgery cycle. You’re stuck with your body for a long time so take good care of it – you’ll be stoked when you’re 70 and can still be active and have fun!


warming up. You think “I can just skim over this” and get to the workout. Well, if you’re tight from a long day, or night (whatever the case may be), skimming over your warm up will again make a bad situation worse when you go to workout. You’re piling weight and reps on top of bad movement, which will only lead to injuries.


As an excerpt from the article states: “The inability of joints to function normally places stress on the joints above or below. In the book
Now, think about the aforementioned relationships for a minute. If you experience knee pain, can you also think about your hips…or ankles? Do you think that possibly you are doing more work with your knees, essentially causing a joint that requires stability to become mobile in order to compensate for its surrounding joints?


Remember that song you’d sing as a kid…your ankle bone connected to your leg bone, or something like that? Well, the same goes for our muscles. Along with learning to create movement properly, I’d highly suggest either learning about trigger points and addressing them yourself, or consulting a local professional that knows about trigger points and can help you sort yours out.



