11/03/2018
This is a repost, but I've had a few patient's ask me this week about why they keep getting injured and if CrossFit is to blame...
Stop Blaming CrossFit for Your Injuries and What Your Pain Can Teach You
All of us have listened as family, friends and even our doctors tell us to be careful, “you will get injured doing CrossFit”. Or maybe you have an injury and were told that you need to take a break from CrossFit and rest.
Let’s set a few things straight.
Most people show up at CrossFit the first day with their own personal movement patterns. Often these movement patterns involve muscle imbalances; poor mobility combined with small specific weaknesses.
You are then told the WOD today involves S2OH (shoulder to overhead), 10 reps for 8 rounds. Your brain takes over and your body is really good at producing the end result. Despite imperfect form you were able to get the weight overhead the requisite number of times and didn’t feel any discomfort during the workout. Later that day you feel a sharp pain in the front of your shoulder when you are taking off your sweatshirt. The pain continues over the next few weeks, especially with overhead movements and reaching across your body. Unfortunately, you now have a rotator cuff impingement injury.
Did CrossFit cause this injury?
I think not. You were predisposed to a shoulder injury because of poor posture, weak scapular stabilizers, tight pecs and the inability for your shoulder joint to pass through a normal balanced motion on its way overhead. This injury probably started a while ago while sitting hunched over at your computer, driving the hockey carpool or holding your baby in one arm while making dinner with your free hand. All of these motions tend to put your shoulders in a poor position, tightening the top and front of your shoulders (upper traps and pecs) and lengthening and weakening the muscles between the shoulder blades (scapular stabilizers).
Another way to think about this is that both your left and right shoulders went through the same motion during the S2OH workout, so why is only one of your shoulders painful? The answer is that one shoulder moves better then the other or has less muscle imbalances, probably due to your daily movement patterns.
Why me?
Most athletes are pretty upset when their body causes them pain, but it can be a valuable learning tool. You usually seek medical attention, are told to rest, ice and take Advil. You may see a massage therapist, physical therapist or chiropractor to help alleviate the pain.
The key is not only alleviating your pain in the short term, but asking the harder question of why did this happen? This was not a fluke traumatic one-time injury. It was caused by a movement pattern ingrained in your brain. Take the time to learn why it occurred. Seek out a healthcare professional who is interested in not only getting you out of your immediate pain, but who understands your movement patterns and muscle imbalances and can teach you why you ended up with shoulder pain in the first place and how you can prevent it from happening again.
Of course, it is then up to you to do the work of correcting the imbalances and relearning the movement patterns. Remaining injury free so you can get on with tackling your next PR should be enough motivation!
Karen Anderson, MSPT
Karen.andersonpt@gmail.com