Rehab for Strength Athletes

Targeted Exercises and Load Management for Injury Recovery in Powerlifters

The Problem with Movement Avoidance 

One of the biggest misconceptions in injury management is that avoiding certain movements is the best way to heal. While short-term modifications can be useful, prolonged avoidance leads to the need for reconditioning, loss of neuromuscular control, and greater difficulty returning to performance. Instead of eliminating irritating movements, focus on modifying and optimizing them to reduce excessive stress while staying engaged in training. 

Load Management: The Key to Recovery

Load management doesn't mean stopping training while injured, it means adjusting intensity, volume, and movement variations to keep training stimulus within an athlete's capacity. Proper mechanical loading encourages tissue adaptation without worsening the injury. Here's our approach to load management: 

• Modify Intensity: Reduce load (weight) to a tolerable level while maintaining movement quality. This could mean dropping from 90% to 60% of 1RM while focusing on tempo and movement pattern.
  
  

• Maintain High Volume: Reducing intensity while keeping volume elevated can facilitate ongoing progress and help manage fatigue.

• Alter Range of Motion: Performing lifts with a limited range, like pin squats or block pulls, can maintain a high level of movement stimulus while steering clear of positions that may cause irritation.

• Implement Exercise Variations: Substituting high-stress movements with variations that promote similar movement patterns can maintain strength while reducing aggravations. For instance, replacing competition back squat with squats using a Safety Squat Bar (SSB) for someone experiencing shoulder discomfort. 

Targeted Rehab Exercises for Strength Athletes

Rehabilitation exercises should be selected based on the specific demands of the sport and the individual's needs. Below are some common injuries and targeted exercises to help maintain strength throughout to recovery process:

Low back Pain

• Belt Squats - Enable squat pattern loading without placing excessive stress on the spine.
  
  
• Trap Bar Deadlifts or RDLs - Preserve posterior chain strength in movements with a more neutral spine position.

Shoulder Pain 

• Landmine Press - Allows for pressing in a more shoulder-friendly position while maintaining overhead strength.
  
  
• Tempo/Paused Bench Press: Minimizes the quick stretch at the bottom of the bench press.
  
  
• Scapular Control Work (Face pulls, horizontal rows) - Enhances shoulder stability for pressing movements. 

Knee Pain

• Tempo Squats - Slowing down the eccentric (lowering) phase reduces joint stress while reinforcing movement control. 
  
  
• Spanish Squats - Aids in reducing anterior knee pain while loading the quads. 
  
  
• Rear Foot Elevated Split Squat (RFESS) Lunges - Maintains unilateral strength, addressing hip stability imbalances. Can be adjusted to be more quad or hip focused. 

The Takeaway: Keep Training

Injury management for strength athletes should focus on smart adjustments rather than avoidance. By carefully modifying load and volume, and incorporating targeted rehabilitation exercises, athletes can maintain their strength during recovery. At Rugged Rehab and Strength, we assist lifters in working through their injuries, not bypassing them, ensuring they return to the platform stronger and more resilient.

If you're dealing with an injury and find yourself avoiding certain lifts but want to continue lifting, reach out—we specialize in keeping barbell athletes engaged in their training.