
Is Strength Training Safe With Back Pain?
An honest answer for people considering loaded strength work with a sore back. What 'safe' actually means in practice, where the line sits, and when strength training is not the right next step.
Longer pieces on strength training with a body that has some history to it - back pain, joint replacements, osteoporosis, the realities of training in your 50s, 60s and 70s. Written by Yoram, posted when there is something worth saying.

An honest answer for people considering loaded strength work with a sore back. What 'safe' actually means in practice, where the line sits, and when strength training is not the right next step.

Two acronyms, one letter apart, doing two completely different jobs. HIT is a slow, one-to-one strength protocol. HIIT is a cardiorespiratory protocol of short, hard intervals. Here is the plain version of the difference, and what we run.

Super-slow strength training and HIIT share a word and almost nothing else. A plain comparison of what each protocol actually is, where the confusion comes from, and which question each one answers.

An honest comparison. Free-weight compound lifts and the MedX lumbar extension do genuinely different jobs. Which one suits your back depends on which body, which history, and which goal.

Short answer: yes, for the strength, bone-density and day-to-day function picture most adults over 50 are training for, when each session is genuinely high in effort, slow, and supervised. Not optimised for competitive physique or sport-specific peak strength blocks.

Starting strength training in your 60s or 70s is almost always the right next step, provided it is supervised and the load and pace are matched to the body in front of the coach. Common worries, answered plainly.

For most people, yes - supervised, slow, set well below capacity, and built around any restrictions your doctor has set. What that looks like in practice on our floor in East Finchley.