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Question asked by Susan Uylett 725 days ago

Exercising with Sciatica Injury

Hey Team!
I recently met with a potential client who is diagnosed with sciatica, she has had multiple surgeries and presently taking a muscle relaxant and pain medication.

She is primarily interested in Bootcamp style workouts. Are there any suggestions for training this client? Thanks in advance.

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Answered by Paul Daniels, PhD 725 days ago
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What is the etiology of the injury? I will assume it's from an impingement issue from a bulging or herniated disc. If that is the case then the two primary things to avoid are unsupported forward flexion at the hips and axial loading. Indicated exercises include core (ab and low back) strengthening exercises.

If the pain is the result of something else, please let us know.
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Answered by Natalie Smith 724 days ago
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Hello Susan Uylett,
I absolutely agree with Paul Daniels’ recommendation to support forward flexion moves. You will want to do a thorough consultation to find out what is going on with your client. She can do bootcamp as long as the exercises are customized for your client’s comfort level. Stretching properly daily is a top priority.

Thank you,
Natalie ~
Personal Trainer ~ NAPS 2 B Fit...
https://naps2bfit.com
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Answered by shilkiol Buirhe 723 days ago
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Answered by Nancy Korf 721 days ago
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Good answers above by Paul and Natalie.

I'd want to know more about the injury - how bad it is, doctor's recommendations for allowed and contraindicate movements. When in doubt, write out the proposed program and have client clear it with their physician or PT.
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Answered by Nancy Korf 721 days ago
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Did you also notice that when you post questions, similar topics appear to the right of your question?

For example, here's a discussion thread on topic for you.

https://www.ideafit.com/answers/what-do-you-do-to-help-clients-with-scia...
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Answered by Martin Petrofes 712 days ago
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You should definitely get clearance and recommendations/contraindications from the doctor, surgeon, physical therapist. and anyone else that is connected to this issue. Bootcamp as a general workout could be too aggressive. I would make sure the medical clearance be obtained to include/exclude exercises that you are considering. You may need to be able to provide information about how each exercise loads the participant. In the case that the client is cleared to work out, be prepared to regress or eliminatie any exercise that initiates discomfort for the sciatica (or any where else really).
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Answered by Harris Sophocleous 534 days ago
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I'm sure by now you have a better idea what to do with a client like this one, but me personally I would spend a lot of time in 1 on 1 training to figure out her limitations, strengths and comfortable level of exercising. Also teach her the proper form of different movements before I put her in a larger group.
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Answered by Nancy Korf 532 days ago
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How is this client doing? Did you end up working with her, and if so how has it gone?
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Answered by Nancy Korf 532 days ago
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How is this client doing? Did you end up working with her, and if so how has it gone?
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