Training with PVNS

Hi Doc!

I’ve been lifting for circa 10 years now and have been following Barbell Medicine for quite a while, though I’m only joining the forums now. Just wanted to say I love your guys’ informative content and personalities! Anyways, my mother (62) recently became interested in barbell training and so I’ve been helping her get into it. However, she has PVNS in one knee and it is quite persistent on some days so training can be a little challenging. I haven’t touched any lower body movements yet, apart from block pulls which she can do without knee pain. I’ve gotten her to train twice a week and, for right now, I’m following the beginner template to some extent, though I had to do some modifications with the upper body movements (swap presses for pin presses progressively dropping down and bench to a sort of high pin press). She’s been making progress, though she’s unable to squat and I’m not sure what to replace those with. Good-mornings possibly? Before the outbreak, she used to swim three times a week and that mitigated a lot of her pain; she will also get back to swimming once pools re-open. How would you approach this dilemma? Should she be barbell training at all?

Thanks!

Scott,

Thanks for the post and very cool to see you helping your mom :slight_smile:

I would see if there are any other squat pattern exercises that she can do, e.g. a high box squat, assisted squat (hanging on to the rack) with any consistent range of motion, leg press, wall sits, low box step up, etc.

I do think she needs to be regularly loading her skeleton, preferably through resistance training!

Hope this makes sense.

-Jordan