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Safely Reintroducing Exercise: A Comprehensive Guide to Avoiding Injury and Maximizing Results

Updated: Sep 27, 2024

After an extended period of inactivity, reintroducing exercise into your routine can be both exciting and daunting. Whether you're a former athlete, a newcomer or someone recovering from an injury or surgery, it's understandable if you're eager to get started moving again. It's crucial to approach exercise with caution and knowledge. This article will guide you through the process of safely starting or resuming various forms of exercise, emphasizing the importance of proper techniques, recovery, and injury prevention.


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Start with a Gradual Approach

I know you're anxious to get started and you're feeling super motivated. It's tempting to go all out and really push yourself, but one of the most critical aspects of safely reintroducing exercise is to start gradually. A study published in the Journal of Physiology found that detraining can lead to significant decreases in muscle mass, strength, and cardiovascular fitness within just two weeks of inactivity [1]. However, attempting to regain lost fitness too quickly can lead to injuries and burnout.


To avoid these pitfalls, experts recommend the following steps:


Consult with a healthcare professional: Before beginning any new exercise regimen, especially after a long break, it's essential to get clearance from your doctor [2].


Start with low-intensity activities: Begin with gentle exercises like walking or swimming to allow your body to readjust to physical activity [3].


Gradually increase duration and intensity: Slowly build up the length and difficulty of your workouts over several weeks or months [4].


Listen to your body: If something hurts, stop. Finding a modifications that work for you is imperative to avoiding injury. Ask a healthcare professional or certified athletic trainer for help if you need it.


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Getting Started: Guidelines by Exercise Type


Walking and Hiking:

  • Start with short, 10-15 minute walks on flat terrain.

  • Gradually increase duration by 5-10% each week [5].

  • Introduce hills and varied terrain as fitness improves.


2. Running:

  • Begin with a run-walk program, alternating 1 minute of jogging with 1-2 minutes of walking.

  • Gradually increase the running intervals and decrease walking breaks over time [6].

  • Aim to increase weekly mileage by no more than 10% per week to avoid overuse injuries [7].


3. Swimming:

  • Start with 10-15 minutes of gentle swimming, focusing on proper form.

  • Gradually increase duration by 5-10% each week.

  • Incorporate different strokes to work various muscle groups [8].


4. Cycling:

  • Begin with short, 15-20 minute rides on flat terrain.

  • Gradually increase ride duration and introduce hills as fitness improves.

  • Pay attention to proper bike fit to avoid overuse injuries [9].


5. Yoga:

  • Start with beginner classes or gentle yoga styles like Hatha or Restorative.

  • Focus on proper alignment and breathing techniques.

  • Gradually progress to more challenging styles as strength and flexibility improve [10].


6. Weightlifting:

  • Begin with bodyweight exercises or light weights to focus on proper form.

  • Start with 1-2 sets of 8-12 repetitions for major muscle groups.

  • Gradually increase weight and sets as strength improves, following the principle of progressive overload [11].


7. Pickleball, Tennis, and other Racquet Sports

  • Start with short practice sessions focusing on basic skills and footwork.

  • Gradually increase playing time and intensity as fitness improves.

  • Incorporate specific exercises to improve agility and hand-eye coordination [12].

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Why You Need a Post-Workout Routine

A proper post-workout routine is essential for recovery and injury prevention. Research has shown that post-exercise recovery strategies can significantly impact performance and reduce the risk of overuse injuries [13]. A comprehensive post-workout routine should include:


  1. Cool-down: Spend 5-10 minutes performing light aerobic activity to gradually lower heart rate and body temperature [14].

  2. Stretching: Incorporate static stretching to improve flexibility and reduce muscle tension. Hold each stretch for 15-30 seconds [15].

  3. Hydration: Replenish fluids lost during exercise to aid in recovery and prevent dehydration [16].

  4. Nutrition: Consume a balanced meal or snack containing carbohydrates and protein within 30-60 minutes after exercise to support muscle recovery and glycogen replenishment [17].

  5. Self-massage or foam rolling: Use these techniques to help reduce muscle soreness and improve range of motion [18].


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Incorporating Recovery Time

Adequate recovery between workouts is crucial for preventing overtraining and allowing the body to adapt to the stress of exercise. The amount of recovery time needed depends on various factors, including exercise intensity, duration, and individual fitness levels [19].


General recovery guidelines:

  • For beginners or those returning after a long break: Allow 1-2 days of rest between workout sessions.

  • For strength training: Allow 48-72 hours of rest for each muscle group before training it again [20].

  • For high-intensity workouts: Allow at least one full day of rest or active recovery between sessions [21].

  • Listen to your body!: If you experience persistent fatigue or soreness, take an extra day of rest.


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Common Overuse Injuries and Warning Signs

Recognizing the early signs of overuse injuries is crucial for preventing more serious problems. Here are some common injuries and their symptoms:


1. Shin Splints:

Symptoms: Pain along the inner edge of the shinbone, especially during or after running.

Prevention: Gradually increase running mileage, wear proper footwear, and incorporate lower leg strengthening exercises [22].


2. Pulled Muscles:

Symptoms: Sudden pain, tenderness, or bruising in the affected muscle.

Prevention: Proper warm-up, gradual increase in intensity, and maintaining flexibility [23].


3. Tendinitis:

Symptoms: Pain and stiffness in the affected tendon, especially when moving the joint.

Prevention: Proper warm-up, avoiding sudden increases in training intensity, and incorporating eccentric strengthening exercises [24].


4. Runner's Knee:

Symptoms: Pain around or behind the kneecap, especially when running downhill or using stairs.

Prevention: Strengthen quadriceps and hip muscles, maintain proper running form, and gradually increase mileage [25].


5. Plantar Fasciitis:

Symptoms: Heel pain, especially with the first steps in the morning or after prolonged sitting.

Prevention: Proper footwear, calf stretching, and gradual increase in training volume [26].


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Safely Increasing Exercise Intensity

As your fitness improves, you can gradually increase the intensity and duration of your workouts. Follow these guidelines to do so safely:


  1. Follow the 10% rule: Increase your weekly training volume (duration or intensity) by no more than 10% per week [27].

  2. Incorporate progressive overload: Gradually increase the weight, frequency, or number of repetitions in your strength training routine [28].

  3. Use the talk test: During aerobic exercise, you should be able to carry on a conversation. If you can't, reduce the intensity [29].

  4. Monitor your heart rate: Use the Karvonen formula to calculate your target heart rate and stay within it during aerobic exercise [30].

  5. Periodization: Incorporate planned variations in training variables (volume, intensity, frequency) to optimize performance and reduce injury risk [31].


Conclusion

Safely reintroducing exercise after an extended break requires patience, consistency, and a thoughtful approach. By starting gradually, paying attention to proper form, incorporating adequate recovery time, and listening to your body, you can build a sustainable exercise routine that improves your health and fitness while minimizing the risk of injury. Remember that progress takes time, and the journey to improved fitness is a not marathon nor a sprint. It's taking a balanced approach no matter what type of exercise you choose.


References

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[2] Riebe, D., Franklin, B. A., Thompson, P. D., Garber, C. E., Whitfield, G. P., Magal, M., & Pescatello, L. S. (2015). Updating ACSM's Recommendations for Exercise Preparticipation Health Screening. Medicine and Science in Sports and Exercise, 47(11), 2473-2479. https://pubmed.ncbi.nlm.nih.gov/26473759/

[3] Garber, C. E., Blissmer, B., Deschenes, M. R., Franklin, B. A., Lamonte, M. J., Lee, I. M., ... & Swain, D. P. (2011). American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Medicine and Science in Sports and Exercise, 43(7), 1334-1359. https://pubmed.ncbi.nlm.nih.gov/21694556/

[4] Kraemer, W. J., & Ratamess, N. A. (2004). Fundamentals of resistance training: progression and exercise prescription. Medicine and Science in Sports and Exercise, 36(4), 674-688. https://pubmed.ncbi.nlm.nih.gov/15064596/

[5] Hanson, S., & Jones, A. (2015). Is there evidence that walking groups have health benefits? A systematic review and meta-analysis. British Journal of Sports Medicine, 49(11), 710-715. https://pubmed.ncbi.nlm.nih.gov/25601182/

[6] Couch to 5K: week by week. (2017). NHS. https://www.nhs.uk/live-well/exercise/couch-to-5k-week-by-week/

[7] Nielsen, R. O., Parner, E. T., Nohr, E. A., Sørensen, H., Lind, M., & Rasmussen, S. (2014). Excessive progression in weekly running distance and risk of running-related injuries: an association which varies according to type of injury. Journal of Orthopaedic & Sports Physical Therapy, 44(10), 739-747. https://pubmed.ncbi.nlm.nih.gov/25155475/

[8] Gatta, G., Benelli, P., & Piacentini, M. F. (2006). The assessment of swimming efficiency in young swimmers: comparison between amplitude and variability of arm strokes. Journal of Human Movement Studies, 51(5), 383-394.

[9] Bini, R., Hume, P. A., & Croft, J. L. (2011). Effects of bicycle saddle height on knee injury risk and cycling performance. Sports Medicine, 41(6), 463-476. https://pubmed.ncbi.nlm.nih.gov/21615188/

[10] Cramer, H., Lauche, R., Langhorst, J., & Dobos, G. (2013). Yoga for rheumatic diseases: a systematic review. Rheumatology, 52(11), 2025-2030. https://pubmed.ncbi.nlm.nih.gov/23934220/

[11] Ratamess, N. A., Alvar, B. A., Evetoch, T. K., Housh, T. J., Kibler, W. B., Kraemer, W. J., & Triplett, N. T. (2009). Progression models in resistance training for healthy adults. Medicine and Science in Sports and Exercise, 41(3), 687-708. https://pubmed.ncbi.nlm.nih.gov/19204579/

[12] Casper, J. M., & Jeon, J. H. (2019). Pickleball: A new sport for older adults. Journal of Physical Education, Recreation & Dance, 90(6), 20-25.

[13] Dupuy, O., Douzi, W., Theurot, D., Bosquet, L., & Dugué, B. (2018). An Evidence-Based Approach for Choosing Post-exercise Recovery Techniques to Reduce Markers of Muscle Damage, Soreness, Fatigue, and Inflammation: A Systematic Review With Meta-Analysis. Frontiers in Physiology, 9, 403. https://pubmed.ncbi.nlm.nih.gov/29755363/

[14] Van Hooren, B., & Peake, J. M. (2018). Do We Need a Cool-Down After Exercise? A Narrative Review of the Psychophysiological Effects and the Effects on Performance, Injuries and the Long-Term Adaptive Response. Sports Medicine, 48(7), 1575-1595. https://pubmed.ncbi.nlm.nih.gov/29663142/

[15] Page, P. (2012). Current concepts in muscle stretching for exercise and rehabilitation. International Journal of Sports Physical Therapy, 7(1), 109-119. https://pubmed.ncbi.nlm.nih.gov/22319684/

[16] Thomas, D. T., Erdman, K. A., & Burke, L. M. (2016). Position of the Academy of Nutrition and Dietetics, Dietitians of Canada, and the American College of Sports Medicine: Nutrition and Athletic Performance. Journal of the Academy of Nutrition and Dietetics, 116(3), 501-528. https://pubmed.ncbi.nlm.nih.gov/26920240/

[17] Aragon, A. A., & Schoenfeld, B. J. (2013). Nutrient timing revisited: is there a post-exercise anabolic window? Journal of the International Society of Sports Nutrition, 10(1), 5. https://pubmed.ncbi.nlm.nih.gov/23360586/

[18] Cheatham, S. W., Kolber, M. J., Cain, M., & Lee, M. (2015). The effects of self-myofascial release using a foam roll or roller massager on joint range of motion, muscle recovery, and performance: a systematic review. International Journal of Sports Physical Therapy, 10(6), 827-838. https://pubmed.ncbi.nlm.nih.gov/26618062/

[19] Kellmann, M., Bertollo, M., Bosquet, L., Brink, M., Coutts, A. J., Duffield, R., ... & Beckmann, J. (2018). Recovery and Performance in Sport: Consensus Statement. International Journal of Sports Physiology and Performance, 13(2), 240-245. https://pubmed.ncbi.nlm.nih.gov/29345524/

[20] Schoenfeld, B. J., Ogborn, D., & Krieger, J. W. (2016). Effects of Resistance Training Frequency on Measures of Muscle Hypertrophy: A Systematic Review and Meta-Analysis. Sports Medicine, 46(11), 1689-1697. https://pubmed.ncbi.nlm.nih.gov/27102172/

[21] Seiler, S., Haugen, O., & Kuffel, E. (2007). Autonomic recovery after exercise in trained athletes: intensity and duration effects. Medicine and Science in Sports and Exercise, 39(8), 1366-1373. https://pubmed.ncbi.nlm.nih.gov/17762370/

[22] Galbraith, R. M., & Lavallee, M. E. (2009). Medial tibial stress syndrome: conservative treatment options. Current Reviews in Musculoskeletal Medicine, 2(3), 127-133. https://pubmed.ncbi.nlm.nih.gov/19809896/

[23] Järvinen, T. A., Järvinen, T. L., Kääriäinen, M., Kalimo, H., & Järvinen, M. (2005). Muscle injuries: biology and treatment. The American Journal of Sports Medicine, 33(5), 745-764. https://pubmed.ncbi.nlm.nih.gov/15851777/

[24] Malliaras, P., Barton, C. J., Reeves, N. D., & Langberg, H. (2013). Achilles and patellar tendinopathy loading programmes: a systematic review comparing clinical outcomes and identifying potential mechanisms for effectiveness. Sports Medicine, 43(4), 267-286. https://pubmed.ncbi.nlm.nih.gov/23494258/

[25] Dixit, S., DiFiori, J. P., Burton, M., & Mines, B. (2007). Management of patellofemoral pain syndrome. American Family Physician, 75(2), 194-202. https://pubmed.ncbi.nlm.nih.gov/17263214/

[26] Goff, J. D., & Crawford, R. (2011). Diagnosis and treatment of plantar fasciitis. American Family Physician, 84(6), 676-682. https://pubmed.ncbi.nlm.nih.gov/21916393/

[27] Johnston, C. A., Taunton, J. E., Lloyd-Smith, D. R., & McKenzie, D. C. (2003). Preventing running injuries. Practical approach for family doctors. Canadian Family Physician, 49, 1101-1109. https://pubmed.ncbi.nlm.nih.gov/14526862/

[28] Kraemer, W. J., & Ratamess, N. A. (2004). Fundamentals of resistance training: progression and exercise prescription. Medicine and Science in Sports and Exercise, 36(4), 674-688. https://pubmed.ncbi.nlm.nih.gov/15064596/

[29] Persinger, R., Foster, C., Gibson, M., Fater, D. C., & Porcari, J. P. (2004). Consistency of the talk test for exercise prescription. Medicine and Science in Sports and Exercise, 36(9), 1632-1636. https://pubmed.ncbi.nlm.nih.gov/15354048/

[30] Karvonen, J., & Vuorimaa, T. (1988). Heart rate and exercise intensity during sports activities. Practical application. Sports Medicine, 5(5), 303-311. https://pubmed.ncbi.nlm.nih.gov/3387734/

[31] Issurin, V. B. (2010). New horizons for the methodology and physiology of training periodization. Sports Medicine, 40(3), 189-206. https://pubmed.ncbi.nlm.nih.gov/20199119/​​​​​​​​​​​​​​​​

 
 
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