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Personal Trainers Issues What are the important issues of our industry? This is a discussion on everything from program design to professional ethics.

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Old 06-21-2008, 06:58 PM   #1 (permalink)
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Default Lumber spine injury 2nd time with pt

Hello. I just started working out at a gym for the past week. I joined on June 14th. I am 35 and am in good shape. I always ran (about a 13 minute mile) or participated in some type of sport. Never had any injuries. I weigh 113 and am 5"1. Anyway I wanted to try and tone up since I am getting older. I do not have a lot of experience with weights so I wanted to make sure I had good form and learned how to use the equipment correctly so I paid $1,000 for a PT. On my 2nd visit ( I was there on Tue this was Thursday) he had me lifting a 35lb dumbell from the floor in a squat position. This resulted in a bad injury to my lower back. My dr prescribed me a muscle relaxer for day, codeine at night and physical therapy for a month 3 times a week. My back is having spasms. What should I do? I called the gym and cancelled my pt contract (the district manager actually asked if I wanted to work with another trainer!!!! Uh my dr said no). The district manager said the trainer was new and said it was not their intention to hurt their members. He asked me to fax the dr's and medicine copies to him and bring them with me Monday. They want to meet with me Monday to fill out an accident report. Any advice? I have been paying the dr co-pays and gas to my appts. I did send a certified letter to the corporate office today detailing what happened and sending copies of my dr's orders and medicine. Do I need a lawyer? Will I be in pain for life now? Should the gym be paying for this?
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Old 06-21-2008, 09:22 PM   #2 (permalink)
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Very sorry to hear that this happened to you.

What kinds of things did you sign before you began the training? This could have a lot of impact on who gets the blame or who has to pay for what. Your best bet would be to talk to a lawyer and have him/her figure out if you can do anything.

There's no way anybody here could give you a definite answer on whether or not this has long-term physical indications. There are too many variables to guess via internet. However, I would venture to say that this likely won't be a life-long ailment, especially if it is only muscular.
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Old 06-22-2008, 02:00 PM   #3 (permalink)
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I would say that you definitely need to consult with an attorney and let him read over the agreement you signed before you meet with anyone at the gym.
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Old 06-22-2008, 03:29 PM   #4 (permalink)
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That is what everyone is telling me but I just want to be able to run again. Even now sitting here I feel the pain in my lower back. I am really pissed. I signed a waiver saying something like I can't sue if I get hurt at the gym however since I paid to get proper techniques and the trainer injured me I am not sure what that would fall under. I really just want them to pay my dr's bills (which is not much I have BCBS insurance) and my gas to the dr's. And I want to know why someone who is new is allowed to take on new clients at $1,000!!!! That is a lot of money for someone not trained properly. This gym was investigated by the attorney general's office in 2004 for misleading information when signing up new members and they had to settle with members for $138,000 and pay the AG $200,000 in legal fees. They also had to follow certain criteria when signing up new members like giving them 7 days instead of 3 days to cancel and when I signed up it says 3 days in the contract. There are a couple of other things they did not do either. Also my contract is signed with a fake employees name. It does not match the name on my credit receipt for the employee who ran my card through. Very odd. Amazing what you can find out on the internet!
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Old 06-22-2008, 10:24 PM   #5 (permalink)
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Don't worry.You will be fine. Most low back injuries goes away in like 3-4 weeks with or without any treatment.

You signing a waiver or informed consent doesn't really hold up in court as long as you can prove that they were negligent. It also depends on your state laws too.
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Old 06-26-2008, 10:45 AM   #6 (permalink)
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Quote:
Originally Posted by anoopbal View Post
Don't worry.You will be fine. Most low back injuries goes away in like 3-4 weeks with or without any treatment.

You signing a waiver or informed consent doesn't really hold up in court as long as you can prove that they were negligent. It also depends on your state laws too.
Good post.

PAgirl, it just sounds like a muscular injury, and you will most likely be fine.

It doesn't sound like the trainer was necessarily negligent. Perhaps inexperienced, but not negligent. There is no way of knowing by looking at someone that lifting 35 pounds off the floor will throw their backs out. As an experienced trainer I may have caught it, but I can't know for sure since I wasn't there.

My point is, one time picking up a light weight and injuring yourself may point to some serious weakness in the muscles that are proprioceptively responsible for protecting your lower back. You can't just "throw your back out" like that in one instance... That is years of compensating, and it revealed itself at that moment.

I get people all the time who tell me they were "just fine" and "threw their backs out picking up a newspaper." They really threw their backs out years before that when they took a desk job (or whatever they did that made them neglect their posterior chain).

The fact that you are an avid runner actually makes a good case for that. Runners are inherently not qualified to lift weights because their hips/glutes are so weak. Like I said, if I knew this about you and I started to train you, I may have caught it. I would have also probably recognized that you had poor posture throughout your movement (after doing a movement screen) and started with some foundation training. I just hate to second guess someone without knowing all the facts.

All that being said, I don't even know why our contracts have a hold-harmless clause on them... They mean absolutely nothing. If they did, I wouldn't have to carry millions of dollars worth of liability insurance. Fortunately I have never had to file a claim. It doesn't stop insurance from going up every year though. I think I'm in the wrong industry.

I am in the process of refunding a woman at my facility right now who bought some training and while working out with one of my trainers, "popped" her sternum. It hurt, but it was a minor injury. She got it doing partial bench dips. Her doctor was a typical hysterical overreactor who told her to give up weight training now and forever, and that she should have just stuck to running. Regardless of the fault or severity, I will refund her.

Honestly, doctors are some of the most ignorant people I have ever encountered when it comes to resistance training/biomechanics. Even orthos (especially orthos). They are trained to repair something torn, which makes them glorified plumbers, but not once through all my shoulder surgeries did I have one of them assess my posture and observe that I had short pec minor, weak lower traps. Nope... A trainer had to point that out to me! Doctors are quite simply not qualified to tell you how to train, but that doesn't stop them from doing it.

You wouldn't want me cutting you open and stapling your joints together... You shouldn't take training advice from a doc, unless you have legitimate tissue damage that needs to be surgically repaired. After that, listen to a physical therapist and then an experienced trainer (preferably with a good reputation, and not new to the industry).

In my humble opinion, getting a lawyer is overkill, unless they are just being jerks.

I hope your injury gets better soon either way. Back pain sucks. It does tell me a lot about where you need to focus your future training programs, but let's reserve that for another thread.
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Old 06-26-2008, 09:16 PM   #7 (permalink)
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Quote:
Originally Posted by Jean-Paul View Post
I am in the process of refunding a woman at my facility right now who bought some training and while working out with one of my trainers, "popped" her sternum. It hurt, but it was a minor injury. She got it doing partial bench dips.
That happened to me, too (the popped sternum, not refund). It hurt like a bitch and occasionally reoccurs if I'm not careful with stretching and watching imbalances between back / chest. Was it the PT's fault? Nah, it was mine for not doing basic stretches.

Lower back pain is so common, and like JP said it builds over time. You should be able to pick up 35 pounds from the floor in a squat position rather easily. Otherwise, it would've happened when you decided to pick up a bag of dog food, heavy box, or whatever anyway.
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Old 08-03-2008, 11:09 PM   #8 (permalink)
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What kind of assessment was performed before you started training?
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Old 08-04-2008, 06:06 AM   #9 (permalink)
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Ask your doctor for a referral to physical therapy.
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