back pain

THE FUNDAMENTAL FLAWS OF CROSSFIT

crossfit flaws rehab trainer Adelaide and Gold Coast.jpg

Dr Stuart McGill, an expert on spinal health, brought up some valid points in this article - https://www.t-nation.com/training/doctors-view-of-crossfit

Here is my opinion:

I had previously been involved in crossfit for about 4 years, mostly training myself and competing in local comps, I joined a box (cross fit gym) for 6 months and then stopped crossfit altogether. This was long before there was a box on every corner and the words “wod”, “snatch” and “kipping” were so commonly known. I’ve seen a lot of different boxes and coaches and experienced them first hand as well as from a distance. I’ve also watched many a crossfitter compete and train and the same pet hates rear their ugly heads each time.

I will keep this short, sweet & to the point…here is a list of my issues with crossfit:

  • Most boxes don’t assess an individual's movement capacity prior to throwing them in a class nor do they take a record of their previous injuries…therefore leaving them open to risk of injury! It is the coaches responsibility to ensure each individual is training to THEIR individual capacity and to keep them safe from harm.

  • Scaleable does not = safe…one size does not fit all, just because you scale a movement for someone does not mean that the particular movement or the combination of movements in a particular workout aren't harmful for that individual.

  • The programming is just as advertised, “random” - often unqualified level 1 cross fit coaches are programming wods and bunching together random movements that as a workout can place excessive load on certain structures which can lead to injury or cause repetitive strain.

  • Not having at the very least a basic Cert III Fitness Training qualification as a coach (Cert III is even far from enough in my opinion).

  • Not having a clue about the human body; motor control or biomechanics and being a coach…as a result not knowing HOW to correct someone’s form in a way that works for THEM or not having the ability to assess someone's movement capacity before they even start crossfit.

  • Repeating the same movement (i.e. olympic lifts; chin ups; ghd sit-ups) within an extremely high rep range (50-100 reps) is only asking for fatigue and injury to come onboard. If endurance is what you want…pick your movements carefully!

  • Don’t believe or think peeing yourself is ok during a workout…this should NOT be happening!

  • Teaching someone how to snatch/clean & press in 10mins....followed by allowing that someone to load a snatch/clean & press the next time they're in the gym and/or encouraging them to find their 1RM is irresponsible.

  • Doing complex movements at heavy weights for large amounts of reps is not good for anyones motor control or spinal health. Fatigue will set in quick and this is when injury occurs or faulty movement patterns are engrained.

  • Cheering on someone to finish a workout with horrendous form when the better thing to do is get them to stop or rest enough for their muscles to actually be able to perform the task well.

  • Cheering on someone who has just completed a 1RM of any movement with compromising form (I've seen some shockers!).

  • Focussing on the numbers (how much you can lift) over the technique.

  • Advancing people onto kipping pullups before they can actually achieve a single decent strict bodyweight pullup unassisted (it should ideally be about 5 reps strict before attempting kipping), I would argue that chin-ups are more of a complex movement and used for strength rather than endurance so should be kept as a low rep strength movement and therefore ALWAYS be strict!

  • Thinking it's cool and hardcore to push through injury or physical damage i.e. ripped hands/chunks out of shins. These things ALL affect motor control!

  • Cost of crossfit memberships are extortionate considering the quality of coaching in most boxes - cost should reflect the quality of the service…a lot of boxes have one trainer (who usually just walks around shouting “good job”; “push guys”; “you got this” & not correcting horrible form) to 15-20 crossfitters…that is unsafe in my book!

If you apply the above points to anything you will have a bunch of messed up bodies.

LOW BACK PAIN AND MOVEMENT

LOW BACK PAIN AND MOVEMENT

Movement is the best treatment for low back pain and recovery from discectomy.

MYTH BUSTING!

myth busting personal trainer rehab trainer.jpeg

There are two very common myths that people have been led to believe and I have them come up repeatedly in my work, I'd like to draw attention to them and ask that you please please please think before taking these myths on board.

Number 1 Myth:  "I need to do situps to strengthen my core"

What I would say to this:  No offence to anyone who has ever used this phrase but it is Balderdash!  

Number 2 Myth:  "I need to use a weightbelt to support my lower back"

What I would say to this:  Please see Balderdash comment above!

Now these are extremely common and easy mistakes to make as these days there is so much access to information out there that it is hard to sieve through the crap and find the honest truth. And I hate to say it but there are a lot of trainers out there who have very basic knowledge and either haven't been exposed to or sought out the truths as yet or don't have the understanding.

There are also issues of jumping onboard the "things that are cool" train and accessorising the crap out of yourself in order to look the part.  Last time I checked, all I needed to train was myself, just a body, maybe some clothes, leave the shoes at home though! 

Maybe a mate of yours trains in a belt and raves on about how "secure & strong" his back feels when he's lifting.  So you're like "cool dude, mind if I try?", then you're like "wow, I can lift more with this belt on and everything feels so tight".  Or maybe your trainer encourages you to wear one as they think it will protect your back.  If any of these scenarios ring true please please please stop and ask yourself WHY???!!!  

This important little 3 letter word has somehow become lost in society.  No one seems to turn around anymore and challenge what they are being told.  Everyone just accepts, particularly if it is coming from someone in authority or if it is someone you should be seen to trust.  Go out there and find the truth for yourself and then challenge it!

The thing with the situps is that your Rectus Abdominus (six pack muscle) is not your core! It does not protect your lower back and if anything can actually make things worse if you overuse your Abs and cause dysfunction in your system.  You can also do harm if you already have core dysfunction (which is highly likely if you have or have had lower back pain) and are doing multiple situps as your back will not be protected throughout the movement.

Your deep core muscles comprise of your Diaphragm (hence why I put so much emphasis on breathing when it comes to core function); Pelvic floor; Transversus Abdominus (TvA); Multifidus & to a degree your Internal Obliques as well.  Your Rectus Abdominus is a global muscle and is not designed to be a stabiliser.  The above mentioned muscles have to work in synergy (when you have a functional inner unit) to control Intra Abdominal Pressure (IAP) on lifting.  If any of them are out of sync and being lazy or even being overkeen and have become overactive then it blows out the whole system.

Weightbelts prevent you from being able to access your breath properly (creating dysfunction) and last time I checked you were born with a weightbelt, it's called your TvA ;-)...try using it!

If you'd like to know the secret to a stable lower back and a better functioning unit, let me tell you...FUNCTIONAL BREATHING! :-)  It's that simple, well initially anyway, that is where you start...no point in trying all these fancy core exercises or thinking 100 situps a day will save your back.  Start with breathing please!  Once again, please check my stability exercises library for the intro to breathing, My Youtube Channel has my video on it as well and you can refer to my facebook page for an awesome interview link on breathing and pelvic floor.

For further reading on why I hate the weight belt and how it is making your back WEAKER & DYSFUNCTIONAL, yes, I said WEAKER, please look back through my blogs for my blog post on the weight belt and all will be revealed in more detail!

Please feel free to leave a comment below if you can tell me the benefits of wearing a weightbelt. Same goes for the situps.  I'm very interested to know what people's views are or what they have been told.

THINK TWICE BEFORE YOU BELT UP!

weightbelt no good personal trainer rehab trainer.jpg

More often than not I see loads of guys and girls donning the weight belt during lifting sessions, regardless of whether it is a heavy strength session or a metcon that is being carried out.  

When did the weight belt trend begin and what knowledge have we gained since then?  

Do you even know WHY you are wearing a belt if you are someone who puts one on habitually before each session?  

I have tried to breakdown an article by Paul Chek on the subject to highlight the most important points made.  I strongly advise anyone with an interest in prolonging their low back health or anyone currently using weight belts regularly to read the full article here.

Weight belts have been known to be used as far back as the early 1900's, with no clear reasoning behind the reason for their use.  It may have been in line with medical trends back then to use corsets as a treatment for scoliosis and back pain?

These days there has been much research into the area of lower back stabilisation and low back pain resulting in a much more in depth understanding of the stabilising system of the spine.

Cue The Inner Unit & The Outer Unit…

The Inner Unit consists of A)  Transversus Abdominis  (TVA) & posterior fibres of Obliquus Internus, B) Diaphragm, C) Deep Multifidus, D)  Pelvic Floor Musculature.

The Inner Unit consists of A)  Transversus Abdominis  (TVA) & posterior fibres of Obliquus Internus, B) Diaphragm, C) Deep Multifidus, D)  Pelvic Floor Musculature.

These muscles play a vital role in lower back stabilisation!  A study carried out in 1999 concluded that in people without back pain, the TVA fired 30 milliseconds (ms) prior to shoulder movements and 110 ms prior to leg movements.  During each variation of movements performed within the study there was still synergistic (muscles working together to perform a movement) recruitment of all inner unit muscles.  It was noted that regardless of movement plane or pattern of the subjects, the TVA muscle appeared relatively consistent in its activation pattern.  Researchers propose that the nondirectional, specific activation of the TVA relates to the dominant role played in providing spinal stiffness.

 "The TVA, in concert with other inner unit muscles (Figure 1), activates to increase stiffness of spinal joints and the sacroiliac joints (6,7,15). Activation of the inner unit provides the necessary stiffness to give the arms and legs a working foundation from which to operate. Failure of the TVA to activate 30-110 ms prior to arm or leg movements respectively has been correlated with back pain and dysfunction (6, 16). The inner unit is part of a system of stabiliser mechanisms, all of which are dependent on the integrated function of all inner unit muscles." - Paul Chek

Couldn't have said it better myself!  

The Outer Unit consists of many muscles such as the External Obliques, Internal Obliques, Erector Spinae, Latissimus Dorsi, Gluteus Maximus, Adductors and Hamstrings working together with the inner unit to achieve co-ordinated movement.

Here is a simplified version of the inner/outer unit systems.  Using a pirate ship’s mast as a human spinal column. While the inner unit muscles are responsible for developing and maintaining segmental stiffness, the bigger muscles, shown here as guy wires, are responsible for creating movement.

The Inner and Outer Units Simplified

The outer unit muscles of the trunk demonstrated here are (A) rectus abdominis, (B) internal and external oblique, (C) erector spinae; the outer unit actually contains other muscles, which have been excluded for simplification. The inner unit, which…

The outer unit muscles of the trunk demonstrated here are (A) rectus abdominis, (B) internal and external oblique, (C) erector spinae; the outer unit actually contains other muscles, which have been excluded for simplification. The inner unit, which contains all the muscles demonstrated in Figure 2. is demonstrated here as (D); the multifidus acting as segmental stabilizers for the purpose of controlling joint stiffness. To tighten the guy wires (A-C), which provide gross stabilization of the ship’s mast without synergistic tightening of the segmental stabilizers (D) would obviously result in increased potential to buckle the mast. The mast represents your spine!

"Recruitment of trunk stabilizers via EMG with and without a weight belt has been studied. These studies concluded there was increased recruitment of the erector spinae and rectus abdominis when wearing a belt. Now that you understand the workings of the inner unit, it should be evident that by recruiting the larger, gross stabilizers without proportionate recruitment of the inner unit musculature responsible for regulating joint stiffness, the result could certainly lead to spinal joint dysfunction or exacerbate an existing condition. It is also likely that prolonged use of weight belts will result in coordination problems within the inner unit muscles and among the inner and outer unit systems." - Paul Chek.

Now, all this said, if you are someone who regularly relies on a weight belt and this article opens up your eyes into entering the world of being Back Strong & Beltless.  Please refer to Part 3 of the article where Paul will talk you through the safe and necessary steps to take in order to wean yourself off the belt.  Your current movement patterns will be reliant on your weight belt and getting rid of the belt all of a sudden will no doubt result in injury.  Wean yourself off slowly and carefully and get your internal weight belt working for you instead!  Just as nature intended!  :-)

All references can be found on Paul Chek's full article.

Want to Know What's in a Kettlebell Swing?

Want to Know What's in a Kettlebell Swing?

Learn the first steps involved in getting your kettlebell swing efficient.