Rebuild Tolerance After Injury — Gradual Return to Movement

by @dr.nick.salinasdpt · Dr. Nick Salinas, DPT · 4 exercises · 8fps GIFs
Source reel
💡 How to follow: After injury, twisting can be scary — so we stop moving. But a full recovery isn't about avoiding certain movements forever: it's about rebuilding tolerance gradually. Start stable (side plank → plank), then add load, then train in 3 dimensions, and finally express full power — so you can do the things you love and take care of your family.
1

Start Stable — Side Plank

Hold, build tolerance
Start Stable — Side Plank

Twisting after injury can be scary, so we stop. Instead of avoiding, rebuild tolerance gradually — begin in a stable anti-rotation position: the side plank.

  1. After injury, fear of twisting makes us stop
  2. Rebuild tolerance gradually — don't avoid forever
  3. Side plank: stable anti-rotation position
  4. Build the hold over time
2

Build Core Endurance — Plank

Plank to tolerance
Build Core Endurance — Plank

Progress to a full plank on the mat — global core endurance in a controlled, neutral position.

  1. Full plank on the mat
  2. Neutral spine, ribs down
  3. Brace the core, breathe
  4. Build time as tolerance grows
3

Add Load, Then Go 3D

Loaded → 3D training
Add Load, Then Go 3D

Once stable, move to loaded or resisted training, then into 3-dimensional work — like the single-leg squat with a medicine ball at chest, which builds balance and multi-plane control.

  1. Progress to loaded/resisted training
  2. Single-leg squat, medicine ball at chest
  3. Control multi-plane (3D) movement
  4. Stay within tolerance — no pain spikes
4

Full Expression — Kettlebell Swing

Power when ready
Full Expression — Kettlebell Swing

Finally, express the movement fully — the kettlebell swing rebuilds the hinge and power. Recovery's real goal: do the things you love and take care of your family.

  1. Kettlebell swing — hinge and drive
  2. Full power once tolerance allows
  3. Recovery isn't avoiding movements forever
  4. Move for the life you want