How to exercise muscles that are prone to strains?

Question

I have a few muscles that are prone to strains--lower right hamstring, right pectoral just where it meets the deltoid in my armpit.

I have strained these muscles multiple times both by working out and playing sports. I stretch, warm-up before workouts and ice afterwards. I don't use excessive weight on these areas but a pop followed by a forced 6-8 weeks of rest is still nearly an annual occurrence.

What can I do to protect myself against future strains?

Answer 1

BackInShapeBuddy has given you some great tips. Here is my advice in addition to scientific evidence to prevent recurrent muscle strains:

1. You will need to start performing dynamic warm-up. In addition, I strongly recommend you to perform 2 sets of 10 reps of burpee push-ups before any chest exercises from now on.
2. You will also need to start training your core even more.
3. Perhaps the most important routine you need to start looking into is to slowly adding eccentric strengthening exercises, particularly the pecs and the hamstrings.
4. For your eccentric hamstring exercises, you may want to start out with the single leg stance matrix reach. After a few weeks, you can try the kneeling hamstring curl.
5. For your pecs, you can try eccentric push-ups or going down much slower than usual, and this can be done for all chest exercises (presses).

Check out this website from Duke University. Please remember that eccentric strengthening exercises will put greater stress on your muscle fibers (extreme muscle soreness), thus you will need to start out easier (3 sets of 8-10 reps, 1-2 exercises for a few weeks) prior to moving towards the goal by doing 3 sets of 10-15 reps of 2-3 exercises 3 times per week as a regular routine.

In addition, you may also want to check your nutrition by drinking more fluid, particularly your sodium (electrolytes) and eating your potassium (sweet potatoes has the most). This should do it!

Answer 2

In some cases, strains come from muscle imbalances or weakness, and in other case they can be related to technique. In either case, when you do strain a muscle the following protocol works well:

1. Rest. When it is no longer causing a lot of pain, you can start on the rehab.
2. Compression and light work. It's better to do a lot of volume with low weight to get fresh blood flowing through the area to help speed healing.
3. Slowly increase the intensity until you are back to your previous level of work.

As to preventing it in the first place, it's going to require some coordination with a physio to discern what specifically is going on. I will say that the most common cause of hamstring strains are due to weak hamstrings because they are not regularly exercised. However, the most common cause of pectoral strains is due to technique. That may or may not apply in your specific case.

When exercising or performing sports:

• Warmup is important: if lifting weights, use light weight to get the muscles warm, and increase a little at a time until you get to the work weight. If doing sports, perform controlled bodyweight movements like squats, running in place, etc. that warm up the muscles you will be using.
• Regularly review and correct your technique: Take lots of video and review it. Sometimes you can spot things easily.
• Develop your proprioception (body awareness): If you pay attention, you can catch warning signs before they become something serious. Just as important, you should know how good technique feels.
• Perform helpful assistance exercises: assistance exercises either help you do your main exercises better, or they prevent injury. Typically they are done with lighter weight and higher reps. It's a perfect time to incorporate prehab into your normal routine.
• Work on mobility regularly: mobility work should be done after the main exercise, and can include loosening tight muscles, strengthening weak support muscles, stretching, and foam rolling.
• Exercise regularly: The weekend warrior mentality calls on your body to do things it spent all week forgetting how to do. This is a recipe for injury. Instead training 2-3 times a week for an hour each day spread evenly across all 7 days will be enough to be considered regular exercise.

Building each of these disciplines into your routine will help keep you injury free. If you are coming off a recent injury warmup in the beginning and mobility work at the end becomes much more critical.

Answer 3

Dynamic Warm Up - You mention stretching before workouts. Consider a dynamic warm-up rather than static stretching.

Physical Therapy - Also, since you have repeated strains, you may need some physical therapy to improve postural alignments and soft tissue restrictions. They will evaluate where you are tight and where you are weak and give you specific exercises to correct the imbalances.

Myofascial Release - Using a foam roller or tennis ball can help you release tight areas.