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· Dan Frankel, physiotherapist and strength coach

The Basketball Game Didn’t Hurt His Back

Propel Fitness Journal, Issue 089

My client Vinay’s back went during a basketball game.

Not a rough one.

No contact. Nobody bumped him.

Eleven minutes in, on the break between games, he took one step.

His back locked.

He lay down right there on the court until it let go.

First back flare-up of his life.

And his first question was the one everyone asks.

What did I do?

The usual suspect

When your back goes, you look at the last thing you did.

The deadlift.

The cable row.

The sneeze while you were tying your shoe.

That last thing takes the blame.

You cut it from your program. You avoid it for months.

Then a few weeks later, it happens again.

On something else.

That’s how lifters get stuck in the flare-up loop.

They keep removing triggers and never look at what set them up.

What was in the cup

Picture your tolerance as a cup.

Everything you do pours something in.

Training. Work. Stress. The sleep you didn’t get.

Vinay’s week before the game:

His home was mid-renovation.

Sleep was short.

Training had been building, and his back had been grumbling during sets.

Any one of those, on its own, he handles fine.

He’s lived through renos. He’s trained hard. He’s had bad nights.

Stack them in the same week and the cup is full to the brim.

The basketball game was just the last drop.

Here’s the part that convinced him.

The only other time his back felt like this was a year earlier.

Right after an 18-hour flight to Japan.

No lifting at all.

Same cup.

Different last drop.

Two ways it overflows

More gets poured in.

A heavy block, a new job, a baby on the way, a house move, being sick.

Or the cup shrinks.

Poor sleep, high stress, hours stuck in one position.

Most flare-ups are both at once.

What to do with this

1. Look back two weeks, not two minutes.

After a flare-up, skip the interrogation of your last exercise.

Ask what else was going on.

2. Listen to the grumbles.

Vinay’s back was talking the week before the game.

That was the cup near the top.

3. Pour some out when life gets loud.

On high-stress days, cut your training volume. Sometimes by half.

You still train.

You just stop topping up a cup that’s already full.

4. If it spills, empty the cup first.

Blood flow. Sleep. Let the guarding settle. Keep some light load in.

Vinay kept training through his, lighter rack pulls included.

He’s already back to about 70%.

The takeaway

The drop that spilled the cup is easy to spot.

What filled it is where the work is.

– Dan


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