The Most Common Gym Injuries
By a show of hands, who has ever been injured by performing exercise at a gym? What’s the matter, can’t raise your arm? Perhaps you should read this post. (Thanks to Marta Montenegro, MF, MS, CSCS, NSCA-CPT, for providing the basis for this article.)
If you avoid exercising because of fear of injury you risk losing the many benefits of moving your body daily. Compare this to the risk of serious health concerns, coupled with the need to be energized for the demands of daily life, and the risk of gym injury seems minor.
What are the reasons for most injuries caused by exercise? In my experience they occur due to a common list of behavior:
- Improper Exercise Form and Posture
- Poor Exercise Technique
- Lack Of Appropriate Recovery Time
- Muscle And Joint Imbalances
- Lack Of Cross-Training Activities
- Ignoring Chronic Pain
Who gets hurt and why?
According to “The Overview of Strength Training Injuries: Acute and Chronic,” Current Sports Medicine Reports (2010). Moshe Lewis, MD, MPH, Volunteer Clinical Faculty, UCSF Chief, Physical Medicine and Rehabilitation, the lower back, knees, shoulders and ankles are the most frequent injury spots. The strength training overview report shows that males had a larger proportion of upper trunk injuries (26.8 percent) when compared to women (18.4 percent). Females had a larger proportion of foot injuries (22.9 percent) than males (11 percent).
Women are more likely to be injured in fitness classes, whereas men are more likely to cause injuries to themselves by lifting weights. Few men cross gender lines to join the females in these exercise classes that traditionally involve a rapid succession of twisting movements, a common root of injuries.
Avoiding these common injuries by following simple but practiced habits:
1. When Lifting Weights: Upper Body
Avoid excessive external rotation of the upper arm when doing shoulder press. If you are using machines, select a machine that provides a hand position that does not require excessive external rotation.
Similarly, if using free weights do not perform the overhead press or lat pulldown from behind the neck. Also avoid using a heavy weight that requires the use of momentum and induces poor form. Instead perform the exercise using a controlled motion and concentrate on good form.
In regards the chest press and triceps dip moves, avoid overextending the shoulder joint. Keep the arms close to the bench when doing dips. Likewise, when performing chest presses, keep the arms at a proper angle (70 to 80 degrees) in relation to body to avoid shoulder impingement. If you already suffer from shoulder impingement, do shoulder press with a neutral grip (palms facing each other) to avoid excessive pressure in this area.
2. When Lifting Weights: Lower Body
The back plays a primary role in overall body stabilization; therefore it has a role in all moves such as squats, deadlifts, leg press, lunges, standing exercises and rotational movement.
How to avoid it? First, check your form. One way to reduce the risk of injury is to maintain good form. With many exercises this means maintaining a “neutral spine” position where the pelvic areas is neither back nor forward. Image stacking your spinal disks like dominos; one gets out of alignment and the entire stack is compromised. Strengthen this area by doing a combination of static and dynamic moves such as:
a) Planks. Start with the basic, holding the position for up to 60 seconds, repeat 3 times. Progress gradually to planks lifting one foot at a time to then one arm at a time without twisting your hips and while keeping the back flat.
b) High And Low Cable Wood Chops (2-3 sets of 10-12 reps).
When performing free weight exercises such as squats and lunges, flex the hips and knees slowly, avoiding unnecessary forward momentum to complete each repetition. Keep your bodyweight over the middle and heel area of the feet. Very importantly, keep the knees aligned over the feet and do not let the knees go beyond the toes when descending.
To avoid excessive stress on the ligaments, don’t let the thighs go beyond a parallel position to the floor. Stop the descent if the lower back begins to round or the heels rise off the floor. When performing the leg press or similar movements on machines avoid using excessive weight. How do you know? If you find yourself slipping down in the seat and rounding your back to execute each repetition, then it’s too much weight. Performing the exercise in this manner places excessive strain on the tendons. As we age, tendons are the weak link the muscle-tendon chain, often the cause of chronic pain and injury.
Foot risks: The most common type of ankle sprains, lateral or inversion sprains, occurs when the foot is turned inward on the leg. Frequently the cause of injury can be stepping on an uneven surface, or landing with the bottom of the foot turned inward.
How to avoid it? In step classes the exercisers are required to step up and down at various angles. As the class progresses, in trying to keep with the cadence (or instructor), the participants can fatigue and lose their coordination. When this happens they don’t step unto or off of the platform correctly and they roll their ankle. Maintain good technique even if it means falling behind the cadence. Also remember that it is OK to stop for a while and catch your breath. Also, when lifting weights, perform the exercises in standing position and once you feel strong, mix up some moves with one leg lifted off the floor. It’s important to work on balance moves since we tend to spend so much time sitting.
Cardio Warning
For Ken Baldwin, assistant professor Department of Sport and Wellness SUNY-Plattsburg, everything starts with a good posture. Baldwin notes he is concerned when people are running, spinning or using the elliptical machine.
“When people hunch over and lean their head forward, they are not in good alignment, their back’s rounded out. Every time your heel hits the ground, you’re putting major stress on the back—from the lower back to cervical spine. If you do it for 20 to 30 minutes in the wrong alignment, there’s no wonder why your knees, hips and back are bothering you,”
How to fix it?
Baldwin recommends looking at the entire posture alignment when hitting any cardio machine. “Make sure both shoulders are level, the head is leveled,” he says. “When I look at them from the side with the ear, shoulder, hip joint going linear in a straight line, the better posture alignment allows more muscles to develop better in balance with the body.”
Four points of posture
1) Sit/stand as tall as you can—think about lengthening your vertebrae in your spine from your waist to your head.
2) Shoulders at 90 degrees, chest is held up high. When the lungs are realigned in proper position—they perform better.
3) Retraction: Keep your shoulder blades back/retracted. This works two major muscle structures, medial trapeziums and your rhomboids, and can help maintain posture.
4) Contract your abdominal muscles as if you were being punched in the gut. Use your breathing to maintain this awareness throughout the exercise.
5) Don’t rely on a machine to maintain good posture. YOU are the machine. Learn which muscles and technique work best for you.
Lastly, make a plan when you exercise, particularly at a gym. Arriving without a goal or structured exercise plan will leave you frustrated, misguided and at a higher risk of injury. Be smart, have fun, and do it daily.



