Injuries · 4 min read

Bad back? How we train around it

How Sanctuary Fitness coaches people with a history of back pain: what we ask first, the movements that help, the ones we hold back, and when to see a physio.

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How Sanctuary Fitness coaches people with a history of back pain: what we ask first, the movements that help, the ones we hold back, and when to see a physio.

A bad back is the most common reason people give for not training, and one of the best reasons to start, done properly.

Section

What we ask first

What happened, what makes it worse, what makes it better, and whether you have seen anyone about it. If there are red flags or it is acute, Stevie will point you to a physio or GP before you lift anything.

Movements that usually help

  • Hip hinges with a kettlebell, taught slowly, so the hips do the work and the back does not.
  • Carries: farmer carries and suitcase carries build a trunk that holds you up.
  • Rows and pulls for a stronger upper back.
  • Split squats and goblet squats for legs without spinal load.

What we hold back

Heavy back squats, conventional deadlifts from the floor, and anything ballistic until the basics are solid and pain-free. That can be weeks or months. Nobody is timed.

The catch

Most backs get better with graded, coached strength work and worse with rest and fear. But coaching is not physiotherapy. If you need a physio, you will be told.

The first four weeks, roughly

Weeks one and two are hinge patterns, carries and rows at light loads, learning to brace before every rep. Weeks three and four add weight to the hinge and bring in the goblet squat and split squat. Nothing goes overhead or under a barbell until the pattern is right, and "right" is decided by how you feel the next morning, not by how the set looked.

What we do not do

No sit-ups, no loaded twisting, no rounded-back deadlifts, no "push through it". If a movement produces the pain you came in with, it is swapped that session, not next week. A tight or tired back after a session is normal; a sharp or nervy one is a message to Stevie the same day.

When to see someone else first

Pain that goes down a leg, numbness, pins and needles, or a back that has been bad for less than a fortnight: physio or GP first, then bring their notes. Coaching works alongside treatment, not instead of it.

Reading is the easy part. Message Stevie, free ten-minute chat

Questions

Quick answers.

Can I do the 8-Week Package with a bad back?

Usually yes. Classes are scaled and small-group Personal Training slots are used for the movements that need close coaching.

Should I see a physio first?

If the pain is new, severe, or comes with numbness or weakness, yes. I will say so at the consult.

Will lifting make it worse?

Badly coached lifting can. Coached, progressed strength work is what most back-pain guidelines recommend.

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Want a hand with this?

Reading about it is the easy part. Message me, tell me where you are starting from, and I will say what I would do first and whether the gym suits you. Free ten-minute consult, no contract.

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