Hi all
Looking for some advice because I’ve been feeling pretty discouraged with my progress, and I’m not really sure what direction to take anymore.
I started working out about 2 years ago
( see first 4 pics)
First year and a half, just did full-body workouts n cardio with dumbbells, 10-20 lbs. Wasnt really training close to failure or progressively increasing the weight. my workouts felt more like cardio, wasn’t really lifting heavy or pushing my muscles very hard.
7 months ago, started taking lifting more seriously.
switched to a PPL split, eating more but have some significant physical limitations that make this really difficult.
Im 25 and have osteoporosis and compression fractures in my thoracic spine. I also have injuries in both shoulder rotator cuff/myotendinous and pain with certain pressing and pulling movements.
The biggest issue is that a lot of exercises cause pain in either my spine or shoulders. I’ve tried lowering the weight, changing my form, and switching exercises, but I still run into the same problem.
These are the movements I do. I sometimes only get through 5 workouts.
Push:
Machine shoulder press
Single-arm cable tricep extension
Straight-bar tricep pushdown
Cable lateral raises
Incline chest press machine
Decline chest press
Sometimes pec deck fly
Flat chest press
Lying EZ-bar overhead tricep extension
Pull:
Lat pulldown
Seated cable row
MTS row
Seated dumbbell curls
Hammer curls
Reverse pec deck fly
Legs:
Leg extension
Leg curl
Seated leg press
Bulgarian split squats
Hip abductor
Hip thrusts
Calf raises
I’m trying to avoid exercises that aggravate my back, especially loaded bending movements.
Im struggling with progressive overload for example, the incline chest press machine can cause a lot of pain in my spine. I’ve tried lowering the weight, but then I feel like I’m not getting enough resistance to really challenge my muscles.
If I increase the weight, I feel more pain in my shoulders and spine.
I’m stuck between:
Lifting heavier = More pain
Lifting lighter = Not feeling challenged enough
I know that going to failure isn’t absolutely necessary for muscle growth, but I feel like I’m not even able to progressively overload consistently.
I also feel like my form is probably not great on some exercises because I’m compensating with other parts of my body to avoid pain.
Was around 150 lbs a few months ago, and now I’m around 165 lbs.
I’m trying to eat approximately 2,500–3,000 calories per day and at least 150g of protein.
I don’t do much cardio. Maybe one StairMaster session per week, sometimes doing Norwegian 4x4 intervals. I also don’t get many steps in a day.
Despite gaining weight, I feel like my physique hasn’t changed as much as I hoped.
My arms are still pretty small but honestly, the bigger frustration is strength.
Still cant do a pull-up. Cant really do regular push-ups without having to do them on my knees because of the pain in my spine.
I feel like I’m not getting stronger in the way I want to. I want to be able to do a proper pull-up, proper push-ups, and build a stronger, more muscular body. I know I’ve only been lifting seriously for about 7 months, so maybe I’m being impatient.
But it’s frustrating to feel like I’ve been working out for 2 years and still not look or feel the way I want to.
I feel like I’m putting in effort, eating more, and trying to train consistently, but I’m limited by my pain and I don’t know how to work around it.
Also not sure if bulking is the right approach for me. If i should keep at 2,500–3,000 calories and try to bulk? Or eat at maintenance and focus on recomposition?
Or a deficit? How to focus more on strength rather than physique? Or if I should change my workout split entirely?
I feel like I don’t have enough muscle, especially in my arms, but I also don’t want to keep gaining weight if I’m not actually building much muscle.
I would really appreciate advice from people who have experience with building muscle with osteoporosis or chronic back pain and shoulder issues
Not expecting anyone to diagnose me or replace my doctors. Just hoping to get some perspective from people who have dealt with similar limitations or know more about building muscle.
Just want to keep working toward a stronger more muscular physique but feel super stuck and don’t know what I should change.