Why Your Muscles Shake During a Hard Workout

If you think you may be straining yourself during a workout, take a look at this article by Jay Cardiello. Then come see us at San Diego Sports Physical Therapy to get your work outs under control.

Pushing yourself during a workout is never a bad thing, and going so hard that your muscles start to shake is certainly a sign that you’re at your max—but your body may also be trying to tell you something. While many people pass this off as a simple sign that they’re out of shape and a majority of my fitness colleagues would agree that this trembling is not a great cause for concern, it could also lead to injury if you’re not careful to use proper form.

Let’s explore why your muscles may quiver during a barre class, Pilates, strength workout, or other type of exercise—and what to do about it.

1. Inadequate sleep. If you are heading into a cardio or strength training session feeling lethargic or lacking a good night’s rest, you will probably experience tremors at some point in your routine. [Tweet this fact!] The body continues to grow and heal when you get the proper amount of sleep. Disrupting this can cause your muscles to stay in a catabolic-like state. If you’ve been skimping on sleep, I recommend you skip the gym and stay in bed (if you work out in the morning) or head to bed (if you’re a p.m. exerciser).

2. Going to extremes. With fitness crazes like CrossFit and endurance events like Tough Mudder becoming the staple in mainstream fitness, people are really pushing themselves to the extremes these days. However, take caution and implement mandatory rest days into your fitness routine. Check out my last blog for the proper way to rest so you can keep up a sustainable workout routine and stop the shakes.

3. Too new, too much, too soon. If you try a new fitness class or jump into a new routine, at some point during your workouts you may feel your body start to wobble because working different muscles than you’re used to may be too much, too soon. While it may not be a cause for great alarm, it’s probably best to lighten up. You could place stress on other parts of your body in order to compensate for weaker muscles, which may cause injury. For example, if it’s your first time performing burpees, by the fourth or fifth one your legs may start to shake. Instead of resting, you decide to continue but with bad form, which can strain your lower back. Bad idea.

4. Dehydration. Your workout can be one of the best indicators of whether or not you are hydrated. When your body is low on water, your muscles and connective tissues have difficulty performing what they are meant to do, as improper hydration can cause an imbalance of your electrolytes, which are involved in muscle contraction. [Tweet this fact!] I recommend drinking half of your body weight in ounces daily. Remember, if you’re thirsty, you’re dehydrated.

SHOULD I DO STRENGTH TRAINING IF I HAVE CHRONIC BACK PAIN?

Is it a good idea to do strength training when you have lower back pain? Certain exercises may be beneficial to optimize movement and range of motion. Come see us at San Diego Sports Physical Therapy if you experience any of this pain.

Bruce Kelly

“I believe that there are always ways to train around injury short of being bedridden. And low back pain is no exception having had it myself off and on for over 40 years. The key is in finding what movements and exercises don’t aggravate it or cause pain. There is no one cause of back pain nor is there one solution. It could be due to muscular imbalances, motor control issues, structural issues or some combination of these.

“We train and have trained clients with a variety of injuries and orthopedic issues from joint replacements to low back pain to shin splints to broken feet. This is where the knowledge, experience and empathy of a good trainer can pay dividends.”

Sue Teoli
FT New Canaan

“One of the best things you can do to reduce back pain is to do strength training. Building up the muscles of your back will help to prevent further injury. Most back pain comes from a muscle strain or ligament strain. Having a strong core can stabilize and brace the spine to reduce injury. Exercises such as straight leg raises, wall squats, and bridges are a few examples of strength training while stabilizing the core.”

Stacy Adams
FT Central Georgetown

“Many of our clients come in with chronic back pain. This is probably one of the most common complaints. After analyzing the client, the problem often originates from a weak core, tight hamstrings and other postural imbalances. Once we begin working on correcting these imbalances, the majority of our clients’ back pain is significantly reduced or goes away. If you’re dealing with back pain or any other injury, it is important to engage in safe and effective exercise. This is the perfect opportunity to invest in your health and hire a professional trainer to assist you with your individual needs!”

Billy Pratt
FT Avon

“Everyone should do some form of strength training whether or not they have chronic back pain. The extent to which strength training can help ease or eliminate back pain depends on the causes of that pain. Low back painc aused by weak lumbar vertebrae and tight hamstrings may largely be helped by a progressive strength training program, while such a program may not be as effective at decreasing pain if there is a severely ruptured disc that requires surgery to correct.

“Strength training always carries at least some benefit — and more often, a lot of benefit — to those who suffer from chronic back pain. But like anything else it really depends on what is causing the pain and how the program is designed and administered. Making sure your plan is tailored to your specific needs is always the most important factor in how effective a strength training regimen can be, with or without the presence of chronic back pain.”

Billy Beyer
FT Basking Ridge

“Here in Basking Ridge we strongly advise strengthening the core to alleviate further back pain and problems. We also advise working on flexibility of the hip flexors and hamstrings. Anyone with chronic lower back pain should always start off slow and gradually graduate to more complex exercises. Keep it simple and safe!”

– See more at: http://corp.fitnesstogether.com/our-solution/fitness-tips/should-i-do-strength-training-if-i-have-chronic-back-pain/#sthash.bsct90EF.dpuf

Golf Injury Prevention

Although golfing does not involve high intensity cardiovascular activity, injury is still possible. Give this article a read to learn more about golfing injuries and ways to remedy them. Then come to see us at San Diego Sports Physical Therapy to rehabilitate your injuries today – 619.756.7500

Many people consider golf a low-level physical activity without much risk for injury. Many injuries can be caused by playing golf, however, including injuries to the ankle, elbow, spine, knee, hip, and wrist.

According to the US Consumer Product Safety Commission (CPSC), there were more than 55,000 visits to hospital emergency rooms for golf-related injuries in 2009.

Types of Golf Injuries
Most golf injuries are the result of overuse. By repeating the same golf swing motion over and over again, significant stress is placed on the same muscles, tendons, and joints. Over time, this can cause injury.

Golfers most often experience hand tenderness or numbness, and may also have shoulder, back, and knee pain. Golfer’s elbow and wrist injuries, such as tendinitis or carpal tunnel syndrome, may also occur.

Golfer’s Elbow
Leading the list of injuries is golfer’s elbow, technically known as medial epicondylitis. Golfer’s elbow is an inflammation of the tendons that attach your forearm muscles to the inside of the bone at your elbow. The forearm muscles and tendons become damaged from overuse — repeating the same motions again and again. This leads to pain and tenderness on the inside of the elbow.

One of the best ways to avoid elbow problems is to strengthen your forearm muscles and slow your golf swing so that there will be less shock in the arm when the ball is hit.

The following simple exercises can help build up your forearm muscles and help you avoid golfer’s elbow. For best results, do these exercises during the off-season, as well.

Squeeze a tennis ball. Squeezing an old tennis ball for 5 minutes at a time is a simple, effective exercise that will strengthen your forearm muscles.

Wrist curls. Use a lightweight dumbbell. Lower the weight to the end of your fingers, and then curl the weight back into your palm, followed by curling up your wrist to lift the weight an inch or two higher. Perform 10 repetitions with one arm, and then repeat with the other arm.

Reverse wrist curls. Use a lightweight dumbbell. Place your hands in front of you, palm side down. Using your wrist, lift the weight up and down. Hold the arm that you are exercising above your elbow with your other hand in order to limit the motion to your forearm. Perform 10 repetitions with one arm, and then repeat with the other arm.

Low Back Pain
Low back pain is another common complaint among golfers. It is often caused by a poor swing. The rotational stresses of the golf swing can place considerable pressure on the spine and muscles.

Also, poor flexibility and muscle strength can cause minor strains in the back that can easily become severe injuries.

Here are some simple exercises to help strengthen lower back muscles and prevent injuries.

Rowing. Firmly tie the ends of rubber tubing. Place it around an object that is shoulder height (like a door hinge). Standing with your arms straight out in front of you, grasp the tubing and slowly pull it toward your chest. Release slowly. Perform three sets of 10 repetitions, at least three times a week.

Pull Downs. With the rubber tubing still around the door hinge, kneel and hold the tubing over your head. Pull down slowly toward your chest, bending your elbows as you lower your arms. Raise the tubing slowly over your head. Perform three sets of 10 repetitions, at least three times a week.

Yoga and Pilates. These exercise programs focus on trunk and abdomen strength, as well as flexibility.

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General Injury Prevention Tips
One of the best ways to get ready for your golf game might be considered old-fashioned. Before your round of golf, do some simple stretching exercises, focusing on your shoulders, back, and legs. Then get a bucket of balls and hit a few golf balls on the driving range. It not only will help your game, but will make you healthier in the long run.
Protect your skin by using sunscreen. Wear sunglasses to filter out UVA and UVB rays, and wear a hat with a visor to shade your eyes and face.
Make sure you are well hydrated before, during, and after your game. Replace your fluids, whether you feel thirsty or not.
When riding in a golf cart, keep your feet inside the cart. Players have broken ankles when their feet have gotten caught under moving golf carts.
Always be aware of your environment and other players on the course. It is possible to sustain a soft-tissue injury by being hit by a golf ball.
Source: US Consumer Product Safety Commission (CPSC), 2009; Agency for Healthcare Research and Quality.

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Last reviewed: August 2011
AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. This information is provided as an educational service and is not intended to serve as medical advice. Anyone seeking specific orthopaedic advice or assistance should consult his or her orthopaedic surgeon, or locate one in your area through the AAOS “Find an Orthopaedist” program on this website.