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Thanks for the thread, Austin. My questions are around expectation setting.
I started lifting weights and working with a personal trainer a few weeks ago. I'm hoping it will strengthen or balance me such that chronic low level back pain and intermittent knee pain go away. There is nothing structurally wrong - chiro and fascia release both help some. Have you seen back and knee pain go away with weight lifting, particularly in older clients; and if so, roughly how many weeks should I give it to look for improvements?
Along those lines, I was looking at some mobility videos the other day, and he stated that inflexible adductors (?-inner thigh) is a common cause of back pain. Have you seen that in your clients? I'm casting about for anything specific to try.
Also, around expectations again, how long should I give it before looking for a change on the scale or with measurements? I trained earlier this year, and was 100% compliant with all the workouts and diet, but experienced zero change in weight or measurements after 30 days. (I quit, but not because of that - he put me on the elliptical, which I'd never done, and my knees hurt so much that I had to rest them for a couple of months.) I'm still fighting the discouragement and fear that "nothing will work" wrt weight loss. I'm in it for the long haul this time, just looking for some ways to stay motivated when I can't detect any apparent changes.
Thanks for any insight you may have.
Hey, thanks for the question.
I often see lower back pain associated with a weak core and being overweight. Overweight is such a general term. Being overweight the way I use the term means being at a bodyweight where your musculature isn't strong enough to properly support your posture. Other muscles (specifically the lower back), become overworked and fatigued leading to chronic pain. Weight training can significantly reduce this. The other thing I often see is tight hamstrings, the adductors can be involved, but tight hamstrings don't allow for proper mobility when you bend into a squat or deadlift. They inhibit your range of motion and can be a cause of pain.
Typically a person will see changes in strength before body composition. This is due to neural adaptions. Within the first month my clients become accustomed to the movements we do, are able to recruit more motor units and have the ability to generate more force (strength). Strength is very important in the quest for pain relief because as said before, weak muscles leave others muscle overcompensating and fatigue sets in — then pain.
Your routine should include a lot of leg and core work specifically —planks with isometric holds (your trainer should know what this means). Basically you plank, and actively brace your core and glutes. If you are planking correctly and someone touched you, every muscle should be tense. You should also include flexibility drills for the glutes, hamstrings and adductors.
Any trainer putting a client on the elliptical outside of a 5 minute warm-up routine shouldn't be training anyone. You'd be wasting your time and money. You should be learning the fundamental movement patterns which include, proper squatting and deadlifitng, pulling and pressing.
If your diet is in check and your exercise routine is in place, you should be able to see weight loss results in 30 days. However if you are untrained, I would focus more on your waist measurement rather a scale weight. You will be adding lean body mass to your frame and that can jade you into thinking you’re gaining weight, or not losing weight, but in reality you're adding lean body mass which you want and holding more glycogen in your muscles as they become more efficient with the workouts. A scale weight can be deceiving and should be taken first thing in the morning on an empty stomach to improve accuracy.
To answer your question, everybody is different. For a complete transformation, 6 months to a year is reasonable to see vast improvements. Many people workout for years to achieve their “dream body.” In 30 days you should be comfortable with the fundamental movements, stronger, slightly more flexible and losing fat. This is granted you're practicing those movements 2-3x per week and doing cardio on top of that. It also means you're being honest with your diet.
Hope that helps.
If you want further help, you can share your routine and we can go over it. I'd also like you to know that just because the gym has personal trainers, doesn't mean they're qualified to train. You can get a certificate online today answering a few questions. Personal training has such a low bar of entry that you’ll have top trainers working alongside trainers that are new to exercise. Gym's care more about the bottom line than the results of clients and will hire a good salesman over a good exercise specialist. This is in most cases I've witnessed and I once worked for a "luxury gym" charging upwards of $150 an hour and considered half of that a scam depending on who you were working with.