I know many folks in the business like to work with athletes, weekend warriors and folks who want "crazy-ass" workouts. I do those too, but I find that the gratification I get when a client goes from being barely able to walk a straight line to being able to walk forward with confidence and backwards with only a little to zero trepidation and sideways with a balance hold, is soooooo intense. I love it.
I got into this business to help people. Yes, athletes need help too, but the people who are trying to live a normal life often seem to get left behind by trainers.
Thats also why I became a Master Trainer in the Burdenko Sports & Water Therapies and many other modalities that are off the beaten path. It's amazing the many levels or facets of training that can be accommodated with Dr. Burdenko's work both alone on its own or in combination with other modes of training.
Addressing the pure basics of posture and movement is essential in correcting the habits, not necessarily bad habits, and compensations we create when we're in pain. Totally whacking out the bio-mechanical efficiency of movement. Corrective training is so helpful for clients in this phase and its fabulous watching the corrections take place. For the client and me!
I did it when my knee got so bad I basically stopped using it, I stopped moving my hips! When I finally got the knee replacement I found that the sides of my lower back were so sore, it took me awhile to realize why. My QL's (Quadratus Lumborum) were actually moving again. They weren't used to it anymore. I kinda liked the feeling. I know, sick puppy. But I did. I was healing. I was moving better and my body was using the correct muscles to move. Bio-mechanics.
The QL's are responsible for hip-hiking and lateral flexion of the spine along with the glutes and the int/ext obliques. They're also a huge reason for low back pain in folks. Sometimes due to injury but sometimes just the way we stand and/or move. We can create imbalances in our body's. I've even known people who managed to create scoliosis ( lateral "S" curve of the spine) with poor bio-mechanics.
Anyways, because I'd stopped allowing my hips to move correctly for nearly a decade, when they started again, ooooh-ey! Soreness for days when I walked, but it did get better and now I'm pain-free and moving like a champ again.
Anyway, my point to all of this is to not be afraid of getting the help you need. Not all trainers are comfortable in working with postural, stability and correctional issues but there are those of us who are. If you do have some of these issues, you probably don't want to work with someone on body building but that doesn't mean they can't help you either. It's good to ask questions and be comfortable with your trainer.
Trainers, don't be afraid to accept these clients. Do an assessment, look for imbalances and help clients gain some symmetry. If you don't know how, go get some more training. Keep up with your education. Go to seminars, conferences, every day classes and watch the participants. Give corrections to your clients. They're paying for your expertise so share it with them. Read some of the industry journals, magazines, articles and such.
Getting back to the basics of human movement is so important. Help and knowledge is out there for both trainer and client. Get the help you need. Clients; Be reasonable and responsible. Trainers; Don't go beyond your certifications and don't be afraid to say you don't know and to refer to a Dr. or to someone with that knowledge base. Ask your colleagues, exercise physiologists, PT's, Dr.'s, etc.
Strength training is not always the way to go. Sometimes you have to start at the foundation to build a better structure. By that I mean at the feet. Why add weight to a frame that cannot even support itself alone? Fix the structure, then the strength can be added. Thats my belief anyway. It takes more time but man oh man, it's so worth it.
Peace out folks, and keep dancing.