What we treat · Masters Athlete Injuries
Stay in your sport for the next twenty years
You are 45, or 55, or 65, and stopping was never on the table. But the calf keeps going. The shoulder flares every ski season. The knee swells after the long rides and you have started planning the week around it. The injuries aren’t the problem — the cycle is. Train, break, rest, come back, break again. Each lap costs more than the last one, and the cycle is breakable.
Jamie Atlas — Pain & Performance Specialist · 5× 5280 Top of the Town winner · 9NEWS Fitness Expert
Why do the same injuries keep coming back?
Because rest fixes the wrong half of it. Rest takes away the pain and takes your capacity with it.
The pain settles, so you go back to your sport — but the demand is exactly what it was, and you are weaker than you were when you stopped. It flares. Obvious conclusion: rest more. The loop tightens, and each round leaves you with less than the one before.
What sits underneath almost every recurring masters injury is a capacity gap: your sport asks for more than the tissue is currently prepared to give. That gap doesn’t close by waiting. It closes by loading.
Do you have to train less now?
No — and the version of this you have been told is mostly wrong. "You’re just getting older" is a shrug, not a diagnosis.
What actually changes with age is the margin. Recovery takes longer, tissue tolerates less sloppiness, and the thing you got away with at 30 now costs you two weeks. Smaller margin, same principles.
The evidence on strength training for masters athletes is about as unambiguous as this field gets. Athletes over 40 who lift stay in their sport longer, get hurt less, and perform better. It is the least fashionable answer available and it is still the right one.
What does working together look like?
It starts with the pattern, not just the flare. Treating this week’s injury without closing the gap that produced it just buys you the next one.
So we look at three things: the injury in front of us, the demands of your sport, and the training history that got you here. Then we build something that handles all three at once.
You keep training the whole way through, modified. Detraining is the enemy — it is what made the last three cycles worse, and there is almost never a good reason to stop entirely. Most masters athletes work with me for six to eight sessions and then keep a check-in cadence through their season.
Common questions
I’ve been told I have arthritis / bone-on-bone. Is it over?
No. Joint changes on imaging correlate poorly with pain and function, and strength work reliably improves both — even in significant osteoarthritis. "Bone-on-bone" is a description, not a verdict.
Can I keep running / riding / skiing during rehab?
Almost always yes, in a modified dose. Total rest is rarely the answer, and keeping you in your sport is an explicit goal of the plan.
Is this personal training?
It’s rehabilitation that ends in performance. The strength work looks like training because it is — but it’s sequenced around an injury, a pain system, and return-to-sport benchmarks.
Why can it change this fast?
Pain is produced by your nervous system, not simply reported by your tissues. When pain outlasts healing, what usually keeps it going is a protection response — guarding, avoiding certain movements, a system that has learned to read ordinary load as danger. That's a learned pattern, and patterns can shift quickly when you give the system genuinely new information. Fast change proves the pain is changeable. Making it hold is the work that follows, and for most people that's six to eight sessions.
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Find out if this is your way out
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