How to Avoid “Exercise Hell” (When Exercise Makes You Feel Worse)

Past Your Prime Podcast – Episode 48

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It’s the holiday season, and like every other year, you may be telling yourself that this is the year you finally get more active.

Maybe your doctor told you to start exercising. Maybe a family member keeps nudging you to “just move more.” Maybe you genuinely want to feel better in your body.

But here’s the problem: you’ve tried this before — and it didn’t work.

Exercise didn’t make you feel better.

It made you feel worse. More pain. More fatigue. Another injury. Eventually, you quit.

That experience isn’t a motivation problem.

It’s something we call Exercise Hell.


What Is Exercise Hell?

Exercise Hell is when movement consistently makes you feel worse instead of better.

Not bored. Not mildly uncomfortable.

You are actually WORSE.

This often shows up as a combination of:

  • Chronic pain states (including long-standing pain or fibromyalgia-like symptoms)
  • Recurrent injuries that keep resurfacing
  • New injuries appearing with even small increases in activity
  • Collapsing energy and physical capacity
  • No clear structure for workouts
  • No definition of what a “good response” even looks like

If exercise reliably punishes you, stopping isn’t laziness. It’s a rational response.


Why Generic Exercise Advice Fails

Most exercise advice assumes one thing: exercise is universally helpful, you just need to do it.

That assumption is wrong.

Exercise is still load. Load still stresses tissues, the nervous system, and energy systems.

Advice like “just start walking” ignores:

  • How your body responds to load
  • Whether you recover between sessions
  • Whether pain or fatigue escalates after activity
  • Whether your system is already overloaded

For some people, exercise isn’t regulating — it’s threatening.

And when that threat goes unexplained, people blame themselves.

For a deeper dive into the why Exercise is Hard read our related article: The 4 Reasons Exercise is Hard to Start and Maintain


The 5 Common Reasons People Quit Exercise

In our clinical experience, people don’t quit because they “don’t care enough.”
They quit because one or more of these show up:

  1. Exercise increases pain instead of reducing it
  2. Injuries keep returning without clear triggers
  3. New injuries appear with every new program
  4. Fatigue worsens instead of improving
  5. There’s no structure or feedback to guide decisions

When these stack, motivation collapses fast.


Strategy #1: Know Your Response to Exercise

The first step out of Exercise Hell is understanding what actually happens when you exercise — not what you think should happen.

Questions to ask:

  • How do I feel during exercise?
    • Is pain present the whole time?
    • Does it increase as I go?
    • Does it ease once I’m moving?
    • Does it spike unpredictably?
  • How do I feel 24–72 hours later?

Common patterns we see:

  • Feeling worse immediately
  • Feeling fine initially, then crashing the next day

If you always feel worse, that’s data, not weakness.

Exercise doesn’t fail people — unmanaged responses do.

Not everyone responds the same way

Some people experience:

  • Reduced pain
  • Improved mood
  • An “exercise high”

Others experience:

  • Increased pain
  • Brain fog
  • Fatigue
  • Sensitization

If you’re in that second group and nobody explains that this is possible, it’s easy to assume:

  • You’re broken
  • You did it wrong
  • Exercise just “isn’t for you”

That belief alone worsens outcomes.

If you have a bad response, you need to use the rehab standard. Read more about it in our article, The 5 Most Useful Tools for Progressing Your Workouts After an Injury


Why Explanation Matters

When someone expects exercise to help and it makes them feel worse, the nervous system flags movement as unsafe.

Surprise amplifies threat.

Understanding why your body responds the way it does:

  • Reduces fear
  • Improves predictability
  • Restores agency

Education doesn’t fix everything — but confusion fuels pain, and clarity removes it.

Thumbnail illustrating the concept of exercise making pain or fatigue worse, referred to as exercise hell

Strategy #2: Map Your Recurrent Injuries (The Body Inventory)

If injuries keep coming back, they’re not random.

Recurrent injuries need:

  • Known triggers
  • Known treatments
  • Clear signals to guide decisions

Without that map, every workout feels like gambling.

Confidence doesn’t come from motivation — it comes from predictability.


Strategy #3: Structure Your Workouts

Most people stuck in Exercise Hell don’t actually know:

  • How hard is hard enough
  • When to stop
  • What a good response looks like

A good response means:

  • Tolerable during
  • Stable after
  • Recoverable by the next session

Structure creates safety. Random workouts create random outcomes.


Strategy #4: Avoid the Energy Problem

Many people in Exercise Hell aren’t just injured — they’re exhausted.

Low energy capacity means:

  • Lower recovery
  • Lower tolerance
  • Higher risk of flare-ups and injury

You can’t out-discipline fatigue.

If exercise consistently drains you, timing matters.

Timing is a strategy, not a failure:

  • Morning vs evening matters
  • Proximity to work and stress matters
  • Recovery windows matter

This doesn’t mean “don’t exercise.”
It means place exercise where the cost is lowest.

That’s systems thinking — not avoidance.


Getting Out of Exercise Hell

The goal isn’t to fall in love with exercise.

The goal is to stop being punished by it.

Getting out of Exercise Hell means:

  • Stopping self-blame
  • Learning your response
  • Removing randomness
  • Matching exercise to your current capacity

If you are struggling in exercise hell, you need to link multiple workouts together without feeling worse.


🎙️ About Past Your Prime

Past Your Prime is the podcast for active adults balancing training, rehab, family, and real life.

Hosted by Craig Smith (PT & SPC Founder) and Alex Keicher (professional athlete and working dad) and presented by Smith Performance Center.

Listen & follow:
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Do you want to get back to exercise but keep on getting hurt? The merry-go-round misery of repetitive injury when exercising is a common complaint at Smith Performance Center. When someone shows up, our physical therapists listen to a series of injuries that seem to occur every time they get into a workout routine. The exerciser finishes rehab and heads back to their respective sport. The first few days go well, but inevitably the same problem comes back. In our clients’ minds, their body has lost the ability to stay healthy. They believe age is driving the problem, or the joints are shot. They think the activity they choose to do is too vigorous and must be replaced.  These are not the problem.   The cycle of repetitive injury is a strategic mistake. Why Repetitive Injuries Keep Happening When You Exercise We believe in a process called the SPC Phases. A

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