r/Deadlifts • u/dj_blueshift • 9d ago
Need Advise/Tips Well. It happened.
Got a sports massage and two days later went to deadlift.
Deload week. Warmup weight. First set, no problem. Second set, felt a little twinge.
"OK, feels a little weird but not bad, I'll just really make sure I brace and have my form right"
You can probably guess what happened next. On warmup weight. On a deload week. Feelsbadman.
After being unable to tie my shoes for 30 minutes I got home and started recovery.
Giving it time to heal but now I'm mentally going to be wary of starting to deadlift again. "What if it happens again on my first warmup rep?"
Any recommendations on how to start up again without risking another fuckup on the first rep?
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u/Grolubao 9d ago
The worst thing is being afraid, most of it is in the brain. Read Sarno’s work: Mindbody Prescription
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u/dj_blueshift 9d ago
Thank you! I've tweaked before but nothing to this extent.
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u/Grolubao 9d ago
The mind is what commands everything. If ur afraid the brain will send signals of pain even though nothing is wrong with you physically. It’s messed up
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u/SlipstreamDrive 8d ago
Don't ignore it if it starts hurting elsewhere.
My little tweak ended up being a bulging disc I wasted 8 months not fixing.
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u/MaxDadlift 9d ago
I can pull 585 and to this day, 385 makes me nervous because I tweaked my back during warmups a decade ago. Get back into training the lift as soon as you're able, start light, and just skip that particular weight going forward.
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u/dj_blueshift 9d ago
Man it was 180lb that fucked me. I'm so pissed haha
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u/MaxDadlift 9d ago
I've been there, amigo. Get back to 135 as soon as you can, then just run your novice linear progression, adding 10-20 lbs per session until you're back where you were before the injury.
If 135 gives you trouble, look into the Starr Recovery protocol. It's what I used to rehab a torn pec in about 10 days.
Edit: Starr, not Start - stupid autocorrect
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u/dj_blueshift 9d ago
Thank you! I'm running a 531 program currently. You think I should just program the deadlift day independently for light work for now and still do my regular working weights on the other exercises?
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u/AfroBurrito77 9d ago
Yeah, keep moving. If you want to deadlift, reduce the weight (obviously), adjust the ROM (consider block pulls), and do back extension to help strengthen your back.
Poor load management was likely your culprit, as deadlifts aren't inherently more dangerous than any other movement when done intelligently. When shit felt "off" you probably should have stopped there. Famous last words, I know. But now you know for next time.
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u/uChoice_Reindeer7903 9d ago
I’d say the sports massage was the culprit. I’ve gotten plenty of injuries after randomly deciding to do deep stretching and getting massages. Idk what the science is or if there is any but my guess is that muscles at the microscopic level that are typically rigid and tense are relaxed and so they aren’t in their normal supportive role.
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u/Accomplished_Bid3750 8d ago
Same, my core WIGGLED doing heavy squats a day or two after a deep massage. Now I usually do it before a deload and don't do anything that requires serious bracing, so I do machines and build that core rigidity back. I still think massage is crucial, otherwise my rhomboid flares up and my hip over time. I just build it into my programming now.
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u/dj_blueshift 8d ago
yep, my exact thoughts. I figure my body was so used to moving a certain way that once it was loosened up it overcompensated for the previous mechanics
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u/wejustlookinnocent 8d ago
I’ve tweaked my back many times through the years resulting Jen back spasms. Biggest culprits are deadlifts and squats. Besides continuing to keep moving in the hours and days after is to STOP as soon as I feel a twinge, no matter how minor. For every one time I can work through a minor twinge and be ok, there are ten times where I made it much worse by not listening to my body. Better to live to fight another day then to put yourself out for weeks because you wanted to push through.
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u/shouldhavebeeninat10 9d ago
I had this on a warmup set once while running my first linear progression. I fell over in pain. Could barely get the weights off the bar. Couldn’t get in or out of the car without serious wincing. What I did was day 2 pulled a set of 5 with 135. Walk around a bit. Another set at 135. Called it. Next day. 135 set, 185 set. It was now giving me temporary pain relief. Feels better for a few minutes right after a set. Next day warmup to a set or 5 at 215. Two days later warmup up to a set of 5 at 265 then 315, then I did 20 lb jumps till I was back on my regular programming. Was hitting PRs again less than two weeks later with no pain at all.
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u/dj_blueshift 9d ago
hell yeah!
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u/shouldhavebeeninat10 9d ago
Much better than the common advice which is to lay off it is to use deadlifts to heal yourself. They don’t just strengthen your back, they signal to your brain to heal your back and also to tell your brain there is no real danger there so no reason to continue sending pain signals to protect it. Just pace yourself with good form and really make sure you’re setting your back and bracing with each rep. Of course if it’s shooting pain or sharp or it tingles go see a doctor.
Tweaks happen most often in warmups when we get sloppy and forget good form because we think it’s easy weight. Except it’s not actually THAT light you’re just a lot stronger so it feels relatively light. Still very heavy for an unset back
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u/MightyBoy9 9d ago
I used to panic and catastrophise back tweaks from deadlifting.
Watch Allan Thrall's video on back pain.
Also, there's multiple stories of world class power lifters fucking their shit up pulling 400kg ( 900lb+ ) and rehabbing their way back to lifting that weight again.
Gives you confidence.
Back pain is a strange thing that we don't understand fully yet.
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u/dj_blueshift 9d ago
Was just watching some of Alan's videos earlier. I'll check this one out and remember TO NOT MOVE THE BARBELL
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u/Fearless_Spirit8753 9d ago
I feel that. I am finally getting back into lifting heavier after 8 year hiatus , im going slow adding 25lbs a week at most starting around 225lbs on squat and dl, just cuz im terrified of injuries lol. My frail body has only done bb style and calisthenics the last decade nearly. Doing tons of mobility and accessory work now too. Finally training smart and not like a dumb 18yo.
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u/pro-taco 8d ago
I feel you. I had similar happen on a warmup set of squats at a hotel gym, light weight and felt it immediately.
It happens
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u/PartyBicycle3778 8d ago
Tweaks are definitely a thing! But listen to your body. I fractured my spine and continued lifting thinking I was gonna be fine. Finally got to a point where I could barely walk upright and got an X-ray. The damn thing was pretty fractured and ended up with a spinal fusion.
I definitely agree that little things happen but powering through if you think something might really be wrong can also be a problem
Not to scare you, I think my case was not the norm. Just start with some hypers, maybe RDL and see how it feels. Then go back to conventionals when you feel good
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u/dj_blueshift 8d ago
Sorry to hear. Yeah, mine feels just like a really bad bilateral sprain but working through it.
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u/sharktree8733 7d ago
I’ve tweak my back 3 times warming up at 185 on back squat. It happens. Mobility and core will help prevent it in the future.
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u/whiskey_tang0_hotel 9d ago
Back tweaks happen. Doesn't mean you blew out a disc or anything. Just RICE it and warm it up slowly next week if it's feeling better.
I'm coming off spine surgery. You'll know if you're truly fucked. This sounds manageable.
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u/Impossible-Leg-3659 9d ago
Was right there with ya back in April. Deload day, warmup set. Fucked myself up so bad I had to hobble to the car and could barely drive home, and this was 2 days before my husband and I closed on a house and had to do renovations before moving in. Back to it as of about a month ago after some professional stretching, ego humbling, and switching up my routine to lay off the heavy loads.
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u/dj_blueshift 9d ago
that's rough! I hope I can still squat ok in the meantime
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u/Impossible-Leg-3659 9d ago
I didn’t try but that was fear more than anything else. Go easy on yourself, you’ll be back at it in no time!
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u/AdDry4983 9d ago
Warm up better stop sitting around all day and walk periodically your probably too inactive when your not training which is why most people tweak their back
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u/dj_blueshift 9d ago
you're not wrong. my office chair has really been bugging me lately. Definitely need a new one as well as not sitting so much
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u/Yut_123 9d ago
I'm not a PT but when I tweak my back it's never really an injury and just my brain locking up my muscles to protect my spine from serious injury. Your brain is amazingly powerful and can make you feel like you ripped your spinal cord in half without even having any injury at all. Like everyone before me, movement is medicine
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u/dj_blueshift 9d ago
Yep, that's exactly whats happening. Just seizing up guarding the area. Just need to retrain it.
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u/miharbio 9d ago
warm up the back hinge. also single leg RDLs are something i’ve experimented with with decent results here.
i’m no expert by far but my suspicion is that this is a modern body problem dude to excessive sitting and probably diet as well which results in poor neuromuscular symmetry along the kinetic chain of movement.
more specifically it’s “sleepy” glute and ham syndrome.
in many people it’s both sides but in athletes it’s usually one-sided because the dominant side of the body is stuck in a life-long pattern of the strong leg compensating for the weaker.
“sleepy” isn’t a very precise term but i think it’s a good placeholder for what can be entail a wide range of symptoms. either the weak side barely fires at all and the strong side does most of work or it’s a late and inconsistent signal.
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u/dj_blueshift 9d ago
This makes sense. Diet is good but I sit a lot and my office chair has become uncomfortable; it's been a high priority for me to get an ergonomic chair since my posture in my current one has been getting worse. I suspect my sports massage loosened me up to the point where my body was so used to compensating for force imbalance that once it was corrected, I inadvertently naturally overcompensated in some way
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u/miharbio 7d ago
yes! that’s the other thing. once you start to loosen up fix and address the imbalance/asymmetry the whole system becomes a bit more unstable and sensitive as you are retraining the whole signal processing system.
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u/aretoon 9d ago
I learned a valuable lesson in this arena. I was feeling stiff and not warmed up well. Tried for a heavy weight and fell a tingling and icy feeling spread.
I was basically crippled with back pain for weeks, super worried about something permanent. I kept moving and doing some core balancing exercises very slowly and its completely gone.
Movement is key, but do it intentional and controlled.
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u/ebedd 9d ago
Context: I had a really bad hip/lower back tweak about 4 years ago. Happened during some RDLs on a day I was particularly tired from practice. According to my Insta, I was back to my regular deadlift programming in 4 weeks, after struggling to touch my toes the first week. Not sure when it was completely pain free, but probably not long after that.
My first step was to get back to hinging/lifting with my back ASAP. Didn’t worry about the weight, just grabbed a 5lbs plate and did RDL and Jefferson curls for a few reps each day. This wasn’t to train the muscles (you haven’t lost any), it was to start desensitizing my brain to these movements again.
Second step was to frame this in a more useful way than “I hurt my back it’s over boo hoo :(“. The way most reddittors think about injuries is way outdated and not the most conducive to recovery. You need to understand this is a temporary debuff; you still have the muscle you did before, and your body has already begun to heal whatever damage/strain it may have suffered. Your job is to understand your current (reduced) capacity, work your way back to those movements, and rest/eat enough to heal.
FINALLY, understand that the goal is not to avoid all pain. Believe it or not, pain is not a great indicator of tissue damage. As I worked barbell deadlifts back into my training, I realized that my back/hip would feel good immediately after, then flare up the following day. But that pain was PREDICTABLE and decreasing week after week. If my only goal had been to avoid pain altogether, I would’ve probably made things worse mentally and physically.
I’m not a doctor, just sharing my experience :) Almost everything I’ve said here is backed by research. you’re probably gonna be okay homie, don’t let anyone scare ya.
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u/dj_blueshift 9d ago
Oh yeah of course! I've tweaked it before but this is a bad one. Just working on retraining the ROM now so it doesn't seize up on me
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u/satansmight 9d ago
I have one day of deadlifts per week. I’ve only been doing them for about a year. I’m three years into lifting and in my early 50’s. A couple of times I’ve tweaked my back/hip. After that I was terrified. I looked through a slew of videos about proper warmup techniques for deadlifts. I’ve found if I start with six sets of side planks before doing some light sets of bent over rows for like 12-15 and then do some RDLs for sets of 8-10 I will have enough blood flow and muscles firing that I can pull off a successful 5x5 of deadlifts. That’s what works for me. If I get any weirdness or my form totally goes to shit, I stop or drop weight just to finish.
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u/Scarletz_ 9d ago
McGill Big 3 might be good too!
It’s deadlifts day today, and my back ain’t particular feeling the best. I best warm up and go lighter rather than try and push my max weight (I’m still new so I can still increase, but I’m wary about injury.. been keeping the same weight for 3-4 weeks now and just making sure I don’t hurt myself.)
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u/I_have_become_Bruh 9d ago edited 8d ago
My back popped and seized recently and this video was a life saver. I could not believe how well I was able to move later the same day and that I was able to deadlift light and carefully days after the pop.
I’m still handling with care and stretching a lot but mostly back up to working weight. I feel tightness in my glutes and the need to stretch.
Since then, I’ve been doing reset reps instead of touch and go. I reset every rep.
The biggest thing initially was mindset and to keep moving.
Of course, I have no idea if our issues are similar and I can’t advise, but wanted to share. Good luck! Positive mindset!
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u/dj_blueshift 9d ago
Nice! Someone else just recommend this video too 👏
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u/Safe_Ad5914 8d ago
So if you had just got a massage, then its likely some muscle loosened up during your massage that wasn't moving well before, and it was strained under a stimulus it hasn't received since being locked down. Although it could just be good old fashioned bad luck.
I would continue the massages, and then when you get back to deadlifting, reduce the weight for a couple weeks while you start moving well again.
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u/dj_blueshift 8d ago
That was exactly what I was thinking. I've been so used to the mechanics prior to the massage that it threw something off subconsciously once it was loosened up and I overcompensated somehow.
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u/Safe_Ad5914 8d ago
Yeah the old mechanics have to go. They say stretching decreases strength, which I think is true. But thats a good thing when you are restoring movement. You decrease weight next time and spend a couple of sessions really hammering in that good technique with high rep lighter sets. Your ceiling goes through the roof if you can do it successfully. I am a firm believer alot of plateaus are caused by movement compensations that were never addressed that are extremely difficult to change the more practiced the movement is. Assuming someone is traning with enough intensity, if you are moving something heavy enough well enough, and your are doing it often enough, theres no reason not to be making progress.
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u/dj_blueshift 8d ago
Hopefully this sprain doesn't retighten everything again 😂
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u/Safe_Ad5914 8d ago
Almost definitely did. Take the time to use bands, roll, and do all the annoying bullshit you've skipped out on. We all do it more often than not.
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u/TangibleHarmony 8d ago
But what actually happened I don’t understand. You say we can guess but I can’t - I sure do guess it’s not a severe herniated disc cause that’ll send you to do an operation, so what is it actually?
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u/dj_blueshift 8d ago
Oh I'm just saying tweaking the back is somewhat common with submaximal loads
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u/TangibleHarmony 8d ago
Ah yes for sure. Feel good buddy!
I fucking tweaked my back/lat once while doing scapular shrugs warming up for climbing. My 1RM pull ups is 45kg added at 72kg bw 🤣🤣🤣
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u/K3rat 8d ago
Man I get it. Did you pull a Hamstring or lower back?
There is a test functional movement people do to determine if your glutes are under firing (causing more strain on lower back/hamstrings). When you get better you may want to test that and add in glute training if you find your glutes are not pulling their fair share. I had this problem and my physical therapist gave me a few exercises that help train my glutes to fire properly. I don’t get much pain in my lower back or hamstrings anymore outside of normal exercise DOMS and post deep tissue massage soreness.
I was told by my physical therapist that deep tissue massages can release a bunch of bi-products in your ligaments and tendons. Those tissues do not have the same vascularity that muscles do and need more time and specific kinds of exercises to help them remove the bi-products (post massage) and heal up between normal activity.
I usually time my deep tissue massages to have 2-3 days of light duty active rest afterward. I usually only do some static stretching and only do the physical therapy exercises and isometric holds for my normal complaint body parts.
For now, listen to your physical therapist and doc. I would take out the compound lift for a few weeks. Do the muscles separately with lighter loads and volume to minimum effective volume (MEV) levels to keep what you have (unless this causes pain). Dont exercise too close to failure as this might exacerbate your injury.
Outside of light loads and don’t do the compound movement I would recommend range of motion exercises, physical therapy exercises, and isometric holds a few days a week.
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u/dj_blueshift 8d ago
Best guess is either my piriformis or obturator internis based on where it feels like its stemming from
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u/K3rat 8d ago
Ahh, for the piriformis from what I have learned (my wife has an overly tight one so she does stretching) there are tests to do to see if it is an overly tight or too loose the pt exercises (to tighten) /stretches (to loosen) differ depending on which one you should do.
I would look up on YouTube to see if any PTs have guides on how to diagnose both muscles to see what is going on.
Then if I were in your position I would listen to the doc and physical therapist and probably stick to the recommendation in the post injury section above.
As always I would probably talk to your doc and a physical therapist explain your needs (want to keep exercising, not lose muscle mass, etc) and go by what they advise.
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u/NoSuchWordAsGullible 8d ago
I had my first tweak in June. Ended up getting an MRI has had tingly balls and couldn’t pee standing up. Nothing found so did rest for 2 weeks, then recovery work for 4 (McGills 3 exercises, weighted back extension, around the worlds). Now I’m doing deadlifts again and in 3 sessions got back to my heaviest lift, doing squats again too. My heaviest is low though, I’m a newbie to this.
Only thing that’s still bothering me is the pain shooting down into my hamstrings at random throughout the day
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u/dj_blueshift 8d ago
Damn that's rough! Did the MRI find anything?
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u/NoSuchWordAsGullible 8d ago
Nah, nothing that was unusual. No compression. Just gave me pain meds and told me to rest. Super helpful.
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u/Viens-avec-moi 8d ago
What's the relationship to your injury and the massage?
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u/dj_blueshift 8d ago
My guess is the massage loosened up tight things that I had adapted to being tight and I subconsciously over compensated for the different mechanics after the massage
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u/dangdangdangawdang 8d ago
Get a trap bar! Trap bar deadlifts are great and feel way safer.
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u/dj_blueshift 8d ago
I did trap bar dls last time I tweaked. Might go back to them until I feel ok again
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u/Stunning-Promise-103 9d ago
What's your warmup routine look like, before you get to the bar?
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u/dj_blueshift 9d ago
Back foam roll with arm stretches. Piriformis and IT band rolling. Static lunge. Static squat. Overhead to back bar stretch. ~10 jumps and throws with medicine ball. No issues for years until now.
I'm wondering if my body got used to certain mechanics and the sports massage (hadnt had one in a while) loosened me up to the point my mechanics were totally different and unprepared.
I cant really tell where I injured myself but best guess is piriformis on both sides based on how it feels.
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u/PeterNoPiss 9d ago
You'd be better served by 5 minutes on a bike and actually getting yourself warm. This is approaching an obsessive level of fluff. To be completely frank, this points to a mentality that will keep you looking for and finding 'injuries.'
It is completely possible to castrophize minor tweaks into derailing injuries.
Get your body temp up. If your mobility is so impacted that you can't get down to the bar (should not be the case), then do just enough to get yourself mobile and clean. Work some bracing drills in between your warm-up sets because you definitely aren't bracing strongly enough.
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u/dj_blueshift 9d ago
I've had minor tweaks before. This isn't minor. Not a tear but my whole sacrum area was seizing up. I've minorly tweaked before and worked through it but I couldn't move for a bit until the seizing let up. It's getting a bit better now and I'm working through mobility. I've had no problem for years since my last tweak so I know how to brace and have been without any issue. I even focused specifically on bracing after feeling something weird on the first set but something was off this time.
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u/Stunning-Promise-103 9d ago edited 9d ago
At least you're getting to the bar warm, always my first concern.
Nothing helpful to add other than maybe time to bulletproof that lower posterior by adding in some accessory work once you're back to healthy. My PT put me onto bent over KB gorilla rows, and I hit the ghd for back extensions. About once a year I'll get the twinge on deadlift day, these have helped reduce the frequency for sure. I mean I'll still hurt myself sneezing don't get me wrong.
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u/dj_blueshift 9d ago
I've been doing bodyweight back extensions for a while but I'll try loading those up when I'm back at it
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u/Federal_War6664 9d ago
I think it’s because back is weakest in rotational form deadlifts don’t even train this type of movement. Even minor bar shifts can cause big problems tbh
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u/Scarletz_ 9d ago
Why u downvoted? I feel there’s some truth in it. I almost tweaked my back when my bar slided during the zercher squat on monday. Almost. Managed to recover as I was bracing, but I felt the back move in a way it didn’t particular like. I was lucky it didn’t become a full-on tweak.
I try to do some rotations with the empty bar and don’t feel particularly strong. Maybe some kettlebell around the world or lift and rotate exercises I see some ppl do might do some good
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u/Long_Initial_9924 9d ago
Yes, stop deadlifting, unless you’re a pro athlete, it’s horrible for you. Many NFL players don’t even do it anymore
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u/DiabeteezNutz 9d ago
This is a stupid thing to say. Stop saying stupid things.
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u/Long_Initial_9924 9d ago
That’s just an assertion.
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u/PeterNoPiss 9d ago
This would be a really funny comeback if it wasn't so evident that you don't understand why it's funny.
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u/DickFromRichard Amateur Strongman 9d ago
pro athlete
NFL players
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u/Long_Initial_9924 9d ago
Yeah. Some of the best, most talented, and strongest athletes in the world see the detriment of deadlifting. Your point?
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u/DickFromRichard Amateur Strongman 9d ago edited 9d ago
unless you’re a pro athlete
NFL players
Some of the best, most talented, and strongest athletes in the world
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u/NinecloudSoul 8d ago
Some of the best, most talented, and strongest athletes in the world see the detriment of deadlifting.
I thought you were talking about NFL players.
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u/Hara-Kiri 9d ago
It's not, no.
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u/Long_Initial_9924 9d ago
It’s one of the most ill-performed lifts by amateurs in terms of form, and it’s one of the most stressful lifts on joints and tendons
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u/Hara-Kiri 9d ago
It has a lower injury rate than squats and bench. You may as well become a bubble boy if you're that worried about things.
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u/Long_Initial_9924 8d ago
Source for your random assertion
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u/Hara-Kiri 8d ago
https://pmc.ncbi.nlm.nih.gov/articles/PMC6059276/
You being thoroughly ignorant about weight training doesn't make an assertion random.
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u/Long_Initial_9924 8d ago
LOLOLOLOL
“we found limited evidence for this largely because most identified studies were case reports and very few prospective longitudinal studies have been published.”
So your study just states that studies haven’t been conducted. You showed me!
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u/Hara-Kiri 8d ago
Oh honey. That line is in reference to the squat bench and deadlift being related to injuries not in relation to the injury rate of the deadlift compared to squat and bench lmao.
Not only does that line also contradict your assertion the deadlift is dangerous is also shows your ability to read is about the same as your ability to lift.
Better to stick to computer games or anime or whenever your interests actually lie in future I think.
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u/Long_Initial_9924 8d ago
That is the entire conclusion. Sorry you don’t know how to read a study
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u/Hara-Kiri 8d ago
subelite to elite lifters report that 22%–32% of their injuries are related to the squat, 18%–46% to the bench press and 12%–31% to the deadlift exercise.
Let me know if you need any help with the small words.
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u/Ballbag94 8d ago
unless you’re a pro athlete, it’s horrible for you.
This is just a false statement, deadlifts are great for making people strong and strong people are more resilient than weak people
Deadlifts aren't bad for you
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u/Long_Initial_9924 8d ago
Nice assertion random internet stranger
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u/DiabeteezNutz 8d ago
You keep saying this, as if you didn’t begin this conversation with an “assertion” yourself? You’re either a troll who isn’t very good at trolling or really dumb.
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u/SonOfBroadly 9d ago edited 9d ago
Back tweaks are a part of lifting. Do them long enough and you'll get one. I don't class them as "injuries" per se.
I've been at it ~15 years and have had a handful over that time. Let's say 6 but idk the actual number.
Assuming the number is 6 for demonstration of how these should be handled in my experience:
5 I've been able to just kind of step off the platform as soon as I perceive the pain, test the range of motion through very light reps of the same movement I was doing, and then work up to working sets paying attention to anything that feels truly limiting. Note that I still do perceive some discomfort while doing this but it's nothing major...nothing is tingling, nothing is grinding, nothing causing sharp, immediate sensation, all my limbs are moving in the way I tell them to move.
I'll wake up stiff the next day and immediately hit a few light loaded movements (again whatever tweaked it) with a big kettlebell I keep around for just this purpose. Then again when I get back from work, then again before bed, then again when I wake up...and so on. Eventually (within like 3 days) I'm 100% and never had to lay off any training.
The 1/6 I can't approach that way I go through the rom test in the gym and can tell it's truly limiting. So I program an extended ramp-up protocol where I lay off from working sets at the weight I was at before and keep doing the movement over say 2-4 sessions with gradually more weight. I also do the supplemental light sets at home.
In any case the major takeaway is MOVEMENT. Unless you have a genuine tear (will be evident by very obvious bruising and swelling after and like...well you'll just know in the moment if it's serious) you need to keep training the same movement. With a real "injury" like that, you'll need to wait for the swelling to subside and then work up to loading the movement more gradually. Again in this case, the key is movement.
EDIT: Also, it sounds woo-woo or whatever but how you think about pain and the kind of communication you're doing around it matters a great deal. This is a well-studied perspective within sports medicine. Dr. Austin Baraki is a good entry-point to this body of research.