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Weight Training Injuries
By: Karen E. Tanner, Taylor University
Weight training:
Get strong,
Burn calories,
Reduce stress,
Get injuries?
Starting a weight-training program is a great way to meet the needs of our body while also relieving stress and helping
our self-image. When done with the proper techniques, weight training is a valued and pain-free part of the daily
workout. Unfortunately, many individuals who train with weights regularly do not utilize proper technique, are
skeletally immature, or use anabolic steroids. All of the involve a high risk of injury. The weight-training injuries
sustained not only harm the body, but they also reduce the individualâs motivation to continue because of the pain
experienced.
Of the injuries sustained, two basic categories are present. First, acute injuries are classified as those that are
attained from a macrotrauma (or one sudden incident). These commonly include:
- Sprains: involves ligaments, articular capsule, synovial membrane.
- Strains: stretch, tear, or rip in the muscle, fascia, and/or tendon.
- Tendon avulsions: tendon is separated from the attached muscle.
- Compartment syndrome: increase in pressure within the muscleâs compartment causing weakness.
Poor lifting technique will cause stress on the body's soft tissues, thus forcing the body to adjust. Many times these
ãadjustmentsä biomechanically put the body into an injury prone position. To make matters worse, using heavy weights
in the mechanically disadvantaged positions can cause injury to the tendons, ligaments, and muscles. Several cases of
weight-training injuries have been associated with the use of anabolic steroids. Steroids are designed to cause
strength and muscle mass gains in the user, but they may cause physiologic changes in the soft tissues which makes them
more susceptible to injury when under a load. Children's skeletal immaturity leaves them at risk to injure their growth
plates. For this reason, the American Academy of Pediatrics has established guidelines for children who train with
weights.
The second type of injury, classified as chronic, is attained from microtraumas (or repetitive stress). The most common
cause of chronic injury is excessive training or, once again, the practice of improper technique.
Common chronic injuries associated with weight training include:
- Rotator cuff impingement: diffuse shoulder pain that increases with overhead activity.
- Thoracic outlet syndrome (TOS): compression of the subclavian artery and brachial plexus in the neck and
shoulder.
Specific exercises that can potentially damage the rotator cuff include the upright row, military press, and the
ãpectoral deckä machines. Injury to the rotator cuff is more common in people over age 40 but can occur in anyone
presenting shoulder pain. Lower back pain can occur as a result of too much weight, improper form, or weakness in
adjacent muscles. Symptoms of TOS include pain, sensation of cold, muscle weakness, muscle atrophy, and paresthesia.
Obviously the extent of injury and treatment surrounding weight lifting injures are broad. Thus, if you have any
questions regarding a current injury or if you would like more information on proper lifting techniques, please contact
the staff at the KSC RehabWorks. We would love to help!
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