Programming : Exercise Selection Check

I’m working back up from a pretty lengthy back pain issue. Long story short, I started your rehab program with Dr. Dickson in September and finished up in December. Since then, I’ve been slowly building back with good success. I’m nearly back to where I was pre-injury and my symptoms have stayed under control.

I’d like to check in and make sure my programming makes sense. I’m running the 3-day Low Fatigue Strength template, but really just repeating week 2 over and over since I don’t seem to be tolerating extra volume. It’s working fine, though. I’ve added some movements I learned from my rehab coaching that I didn’t want to give up. Here’s my day to day:

Saturday: All sets and reps as programmed for Day 1.

  1. LBBS, 1 second pause
  2. Feet Up Bench;
  3. RDL’s Sunday:
  4. LISS: Run or bike
  5. 3 sets of curls at RPE 8 or 9
  6. 3 sets of French Press at RPE 7 or 8
  7. Planks or sit ups Monday: All sets and reps as programmed for Day 2.
  8. Comp Bench
  9. HBBS, 1 second pause
  10. Overhead Press Tuesday:
  11. 3 sets of Pull ups at RPE 7 or 8
  12. Planks or sit ups. Wednesday: All sets and reps as programmed for Day 3.
  13. Deadlifts
  14. Pin Bench, 2-1-0 tempo
  15. Bulgarian Split Squats Thursday:
  16. LISS: Run or Bike
  17. Box jumps if I’m feeling good. Friday:
  18. Barbell Rows: 3 sets at RPE 6 or 7.
  19. Upright Rows: 3 sets at RPE 7 or 8. Thanks!

Looks pretty good to me, though I think you may aim for some reduced load variations on some of the lifts if you can’t tolerate a volume increase. For example, hip thrusts in for RDL’s, leg press in for HBBS paused squats. This is kind of a tricky (and stylistic) area of rehab. I think that it’s clear you can tolerate a lot of movements now, but training tolerance is a bit low. If we can’t get there with higher fatigue variants, I would aim lower and ratchet the volume up there.

Thank you for the feedback! Being specific, the deadlift slot is the one I occasionally feel I should trim off one of the back-off sets. As you’ve said in your podcast, I’m sure I could do the extra set, but I’m just not convinced I should! I’m happy with the gains I’m making at the current volume so I just haven’t had the incentive to add more sets.

But I get it - if I plateau and still don’t feel comfortable with more volume, I’ll swap in some paused deadlifts for a bit. I’m gonna be stubborn on the RDL’s, though - That movement has been really helpful throughout this process.

Last thing - Thank you for fighting the good fight. Informative, uncompromised resources like Barbell Medicine are few and far between these days!

Thank you for the kind words. We are trying our best!