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Writer's pictureSimon Houston

The Essential Role of Strength Training in Preventing and Addressing Shoulder, Knee, and Back Injuries




If I had to guess, I'd say about 30% of new clients at Metabolic Movement present with some sort of injury or limitation that make them apprehensive about working in a gym.


In the journey to maintain a healthy, active lifestyle, the importance of strength training cannot be overstated. Particularly for individuals over 40, strengthening exercises are crucial not only for enhancing overall fitness but also for preventing and rehabilitating injuries in the shoulders, knees, and back. These joints are essential for a wide range of movements, and when they are compromised, the impact on daily activities and overall quality of life can be profound.


The Prevalence of Musculoskeletal Issues

Musculoskeletal issues, particularly in the shoulders, knees, and back, are incredibly common among older adults:

  • Back Pain: Approximately 85% of people will experience back pain at some point in their lives, with prevalence significantly increasing after the age of 50​ (ScienceDaily)​.

  • Knee Problems: Osteoarthritis, the most common form of arthritis, affects the knees of around 57% of people over 55, leading to pain and reduced mobility​ (Versus Arthritis)​.

  • Shoulder Injuries: Conditions like rotator cuff tears and impingement syndromes become more prevalent with age due to the degeneration of shoulder tendons​ (Versus Arthritis)​.


"My lower back pain has gone. I have a twinge now and then, but compared to before I started training with Metabolic Movement, it is so much better. Before PT with George, I would have weeks and weeks of really sore lower back that was restricting other activities (gardening, walking, DIY, etc). So for me, it has been revolutionary." David, MM Client and CEO, 55


The Role of Strength Training

Strength training plays a vital role in both the prevention and rehabilitation of injuries in these critical areas. Here’s how:


1. Enhancing Joint Stability and Support

Shoulders: Strength training can significantly enhance the stability of the shoulder joint by strengthening the muscles of the rotator cuff and the scapular stabilizers. Exercises such as shoulder presses, rows, and external rotations are particularly beneficial.

Knees: Strengthening the quadriceps, hamstrings, and calf muscles through exercises like squats, lunges, and leg presses can improve knee stability and reduce the risk of injuries.

Back: Core strengthening exercises, including planks and bridges, alongside lower back exercises like deadlifts and hyperextensions, support the spine and reduce the risk of back pain.


2. Correcting Movement Patterns and Biomechanics

Proper strength training helps in correcting movement patterns and improving biomechanics. This reduces the risk of injury due to poor mechanics. For example, strengthening the shoulder muscles can correct postural issues and prevent impingement syndromes. Similarly, targeted knee exercises can ensure proper alignment and mechanics during activities, reducing the likelihood of ligament strains and meniscal damage.


3. Enhancing Proprioception and Neuromuscular Control

Strength training improves proprioception, the body’s ability to sense its position and movements, which is crucial for joint health. Exercises that challenge balance and stability, such as single-leg squats or stability ball exercises, enhance neuromuscular control, providing better protection for the shoulders, knees, and back.


4. Facilitating Recovery and Reducing Recurrence

After an injury, strength training is essential for rehabilitation. It helps rebuild muscle strength, restore range of motion, and improve joint function. A well-structured strength training program addresses the underlying causes of injuries, such as muscle imbalances or weaknesses, thus preventing recurrence.


Practical Tips for Effective Strength Training


Start Slowly and Progress Gradually: Begin with low resistance and focus on perfecting your form before increasing weights or intensity to avoid overloading the joints.

Diversify Your Exercises: Incorporate a variety of exercises to target different muscle groups and prevent overuse injuries.

Prioritise Recovery: Ensure adequate rest and recovery to allow muscles to repair and grow stronger. Avoid overtraining and ensure proper nutrition and sleep.

Seek Professional Guidance: Especially if recovering from an injury, working with a physical therapist or certified trainer ensures your strength training program is safe and effective.


"When I started with Simon I could barely brush my hair and struggled to dress myself as I simply could not lift my arms above my head. I had already had two steroid injections in my shoulder and the only other option left was shoulder surgery, which didn’t come without complications. However. With working with Simon the pain has gone and I haven’t seen the consultant for 18 months. I am so delighted. And my shape has changed… definitely for the better!!" - Debbie, MM Client and Entrepreneur, age 55



Strength training is a powerful tool for maintaining joint health and preventing injuries, particularly in the shoulders, knees, and back. By enhancing joint stability, correcting movement patterns, and improving neuromuscular control, strength training can prevent injuries and support recovery. For those over 50, incorporating a structured strength training program into your routine can help maintain a pain-free and active lifestyle, ensuring you continue to enjoy your favorite activities without the burden of joint pain.


Investing time and effort into a structured strength training program can pay dividends in joint health, mobility, and overall quality of life. So, pick up those weights, perfect your form, and give your shoulders, knees, and back the strength they need to support you in all your endeavors.


A Pro's Perspective

Former European Tour golfer and Ryder Cup player Paul Broadhurst, now in his 50s, emphasizes the importance of maintaining flexibility and strength:


"In my prime, I could drive the ball over 300 yards regularly. Now, at 57, I've had to adapt my training regimen to stay competitive on the senior tour. I've incorporated more strength training and flexibility work, especially focusing on my core and rotational movements. It's not just about maintaining distance off the tee; it's about preventing injuries and enjoying the game for years to come."


The NHS Perspective

The NHS strongly recommends strength training for adults and older adults. According to their guidelines, adults should do strengthening activities that work all the major muscle groups at least two days a week. This, combined with flexibility exercises, can help maintain muscle mass, bone density, and reduce the risk of falls as we age.


Maintaining our range of movement and strength as we age isn't just about sports or lifting heavy weights. It's about quality of life - being able to play with grandchildren, tend to your allotment without pain, or simply carry your shopping bags without struggling. Whether you're an avid golfer, cyclist, swimmer, or just enjoy a brisk walk in the park, staying flexible and strong will enhance your enjoyment and performance. So let's get moving, stay flexible, and keep strong!

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