Fitness
I was doing a popular exercise for a bigger butt when I fractured my hip — don’t make my mistake
A personal trainer has warned of the dangers of “ego lifting” after she claims smashing a personal best in the gym left her hospitalized — when she snapped her right hip bone.
Kristina Schmidt, 24, started incorporating barbell hip thrusts into her gym routine in an attempt to grow her glutes after seeing her favorite fitness influencers raving about the exercise.
But after quickly working her way up to a personal best of 310 lbs. in March 2023, she developed agonizing pain in her right hip that “felt like someone was tearing her leg off.”
At one point the pain became so bad that Kristina was left “crying with every single step” and was eventually unable to walk.
Kristina visited her doctor and had an MRI scan before being referred to hospital.
Footage shows her performing the high-impact thrusts that, over time, caused a stress fracture that’s believed to have been caused by lifting too heavy a weight with incorrect form.
After being struck down with blood poisoning when her fractured hip became infected, Kristina underwent surgery to clean the wound and needed a three-month course of antibiotics.
Now, Kristina wants to warn prevent others going through the same ordeal.
“I wanted to look cool in front of my powerlifting gym friends,” Kristina, from Malibu, California said.
“The most I could lift was 310 pounds for eight repetitions and I would usually do two sets of that, but that was with horrible form and not properly engaging my glutes.
“If I’d been able to lift it up properly then it would have been impressive but I was just swinging it up.
“In January I was only lifting 245-265 lbs. and then by March it was already up to 310 lbs., which in hindsight was probably way too fast. It was too much.”
In March Kristina, who was studying Japanese language, politics and economics at Hokkaido University in Hokkaido, Japan, went on a day out with pals and started struggling to walk due to the pain in her hip.
“I remember going on a car trip with my friends and I couldn’t walk,” she said.
“I was crying with every single step, my hip felt like someone was trying to tear my leg off. It was a horrible pain, I couldn’t stop crying and my friend had to carry me into the house.
“Doctors said I had a stress fracture with small cracks in multiple places around the neck of my femur and hip joint. They said this was likely caused by repeatedly overloading my hip over time with too many heavy weights and incorrect form.
“The space between my hip bone and femur shrank so much that my bones were grinding on each other.
“I then got a bacterial infection that settled in my hip — the weakest and most compromised part of my body at the time — caused the synovial fluid in my hip joint to turn orange, and resulted in septic arthritis and borderline blood poisoning.
“I needed surgery to clean out the joint and after that I was on crutches and still couldn’t walk for weeks.
“I was put on antibiotics for months, which destroyed my gut microbiome, weakened my immune system, and triggered a domino effect of other health issues.”
Kristina started working out at the gym in 2021 and implemented the booty-building move into her routine around 18 months later after being inspired by social media influencers.
Since her accident Kristina, who used to work as an English teacher, started her personal training and nutrition qualifications and is due to be fully qualified in May 2025.
“I just saw people doing the hip thrust online. I never saw people talking about what to do if you’re more quad dominant, like I am,” she said.
“It was more of a one-size-fits-all approach, like, ‘If you want big glutes then you should do this.’ But not everybody has the same muscular genetics.
“I think the muscular imbalance was a big thing that caused me to ruin my form on the hip thrust because when the weights got too heavy for what I could handle with good form, the more developed muscles — in my case, the quads and hamstrings — would take over to complete the lift.
“But that imbalance and overcompensation by the quads and hamstrings ended up putting immense pressure on my hip area, causing the stress fractures over time.”
Instead of focusing on proper form and technique, Kristina was stacking on weights quickly in an attempt to impress her gym friends.
She quickly added 30kg onto her weights, working her way up from a 245 lbs. to 310 lbs. hip thrust in just a matter of months.
“Ego lifting has always been a meme online,” she said. “You see pec muscles disconnecting when someone benches too heavy, or someone’s back breaking when they’re deadlifting — these are all instant injuries.
“Nobody talks about the slow burn of injuries like a stress fracture — which, unlike an actual fracture, can often go unnoticed — and how it leads to a domino effect of other health issues.”
After injuring herself Kristina admits that she was “scared” to return to hip thrusting, but has since slashed the weight she lifts in half.
“The accident definitely inspired me to become a personal trainer,” she said. “I focus more on doing slower reps for greater time under tension and sometimes even adding half reps and holding the hip thrust at the top and going until failure.
“I now do my hip thrusts almost exclusively on the smith machine because I don’t have to worry about balance and can focus on (perfecting) form and time under tension.
“I really focus on control. I’m now hip thrusting 152 lbs, quite literally taking the 310 lbs. and cutting it in half.
“There are some days where my form might be a little off and I can tell that it’s off because my quads or my hamstrings will start taking over.
“That’s how I know that it’s not right and I know that I need to lower the weight or adjust the distance that the bench is from the bar (on the smith machine) and try again. I really try and check in with myself after every set.”
Now, Kristina wants to warn others about the dangers of lifting too heavily to impress others and getting her information on how to lift solely from social media.
“I do regret having social media as one of my main sources of information back then,” she said.
“With some of these influencers, you don’t even know if their glutes are real or not and were actually built in the gym or not, or whether they’re certified as instructors and actually understand the mechanics behind what it takes to grow muscle correctly and safely.
“You have to be quite careful about what you see online now. Just because it works for one person, doesn’t mean it works for everyone.
“Having guidance from someone who is certified and who knows what they’re doing is really important.
“The hip thrust itself is not a bad exercise and I don’t want to scaremonger, or to discourage people from trying it, by all means try it but the whole point is to do so responsibly.”
After sharing a video with the details of her injury on Instagram the clip went viral, racking up more than 19,170,000 views, likes and comments.
“Just to be safe: this happened because u used too much weight not because the exercise is bad, right? Lmao,” one user wrote.
“Everyday on this app I unlock a new fear,” another commented, while a third added: “The first rule before going to gym is…leave your ego at home.”
“I had a similar thing, my quads were way stronger than my hamstrings and glutes, and one day I stood up at a park and tore and sprained all my ligaments and tendons in my hip flexor… work out ur bum guys,” said yet another.
Fitness
Surprising exercise secrets I learned from speaking to the fittest woman in history
Most people wouldn’t mind being a little bit fitter. But the fittest? That seems unreachable. However, many argue that all-conquering CrossFit athlete Tia-Clair Toomey is, by objective measures, the fittest woman in history.
Toomey, who is an ambassador for the fitness app Pliability, has won the CrossFit Games – an annual competition to find the fittest man and woman on earth – an unrivalled six times on the trot. In 2023, she paused to have her first child, then returned in 2024 and won the competition two more times.
In the midst of her winning streak, the 32-year-old also represented Australia in weightlifting at the 2016 Rio Olympics, won gold in the same event at the 2018 Commonwealth Games, qualified for the 2022 Winter Olympics in the two-woman bobsled and completed a Hyrox doubles race in a lightning-fast 54 minutes 24 seconds.
In short: Toomey is incredibly fit. The average person might not be able to emulate her superior fitness levels, and most don’t want to – they simply want to be fit and healthy enough to thrive in everyday life. You can, however, benefit from her insights about how to approach exercise.
Read more: Do these three things each week to be fitter than most Brits
1. Don’t let perfect be the enemy of good
“You can’t be perfect at everything all the time,” says Toomey. “Trying to juggle too many things at once is where many people come unstuck, because you’re stretching yourself too thin. So it’s important to find balance.”
The aim is not to do everything immaculately, but to identify the things that are truly valuable to you – these might be your workouts, work or supporting your family – and take pride in throwing the (cluttered) kitchen sink at them.
“Even if it’s just a simple workout, you can feel really fulfilled at the end of the day knowing you gave it your best,” Toomey says. “I think a workout is a perfect place to demonstrate this.”
Read more: Walking experts reveal the number of daily steps you need to boost health – and it’s not 10,000

2. Small changes make a big difference
Most people set themselves lofty fitness (and life) goals, then fall short of them. Just look at how many New Year’s resolutions have been discarded by the time February rolls around. Toomey suggests a more manageable approach.
“If you can get 1 per cent better every day, you can’t ask for any more than that,” she says. “It’s when you create excuses, stop challenging yourself and give up on pursuing your chosen goal that you stop progressing and plateau.”
She recommends making small tweaks to improve how you feel each day, rather than obsessing over a daunting target.
For example, you could head to bed 15 minutes earlier and keep your phone out of the bedroom, drink an extra glass of water, go for a walk after dinner or eat an extra portion of fruits and vegetables. Small changes soon accumulate to make a big difference over time.
“It takes a lot of pressure off people when they break their goals down like that,” Toomey says.
Read more: Study reveals the small changes to your diet, sleep and exercise that can add years to your life

3. Be open-minded
A lot of people use the phrase “exercise isn’t for me”. This is likely linked to a less-than-pleasant experience at some point in their past.
But exercise is a very broad umbrella, and Toomey urges people to remain open-minded when approaching it. This is something she learned firsthand.
“I enjoyed my first CrossFit session, but I didn’t really enjoy the coach, so I opted not to go back for two months,” she says. “Who knows where I would be now if I never went back because of that one interaction.”
Toomey ended up trying a different gym and finding a coach who was more passionate and encouraging. “Then I was hooked and fully committed,” she says.
For the everyday exerciser, this could mean changing the variables to make your workouts more fun. For example, if you don’t like how running feels, you could swap to a lower-impact activity like swimming or cycling. Or if you find solo strength training sessions boring, you might join an exercise class.
There is no need to suffer through a certain type of exercise just because someone told you it’s the best. Take a playful approach to your workouts and continue to experiment until you find something you enjoy. Because if your exercise plans are fun, you are far more likely to stick to them.
Read more: The easiest way to strengthen your entire body, according to this expert coach

4. Put your ego aside
If you have ever watched Toomey compete, it’s hard to imagine her struggling with anything exercise-related. But, she says, when she first started CrossFit training she found it difficult to hold a barbell overhead in a stable position.
This was exposed in a CrossFit workout named “Nancy” – five rounds of a 400-metre run and 15 overhead squats (squatting while holding a 30kg barbell overhead).
“I was a runner prior to CrossFit, so I would race ahead during the 400m runs, but then the overhead squats were very challenging for me,” Toomey says.
To learn the correct technique, she started by scaling back the overhead squats, using an empty barbell rather than one loaded up with weight. Then, as she improved, she gradually increased the load on the bar.
“It’s all about building confidence,” Toomey says. “Everyone wants to go from zero to 100, but you need to put your ego aside, take your time and put the work in to actually learn a movement. That is how people evolve.”
If Toomey is willing to scale back exercises to learn them properly, the rest of us should be too. That might mean starting with goblet squats rather than barbell squats, wall press-ups rather than full press-ups, or walking rather than running.
There are exercise options to suit all fitness levels – you just have to find the appropriate ones for you and gradually progress them over time.
Read more: Sitting all day wreaks havoc on your hips and spine – here’s how to stop that from happening

5. Variety is the spice of life
What is the one exercise Toomey wishes more people would do? She struggles to pick just one before prescribing variety.
“I just love seeing people active,” she says. “But constantly doing one thing will have a lot of impact on the body. I think it’s really important to have a variety of exercises. That way you’re constantly working different muscles, building broad fitness and stimulating the mind in different ways.”
This is good advice for any exerciser. The body works on a rough use-it-or-lose-it basis, so if you don’t use a joint or muscle to its full potential, it can weaken and tighten over time. Greasing the groove on a wide range of movement patterns is the best way to prevent this and stay mobile for decades to come.
Read more: After 50 you need to train smarter – the eight rules for strength training in midlife, according to experts

6. Commit to a plan
A one-off workout cannot transform your fitness, but a progressive exercise plan can. This is why Toomey recommends finding a structured programme to follow over a longer time period than just a single session.
“That is going to help you stay motivated, particularly if it’s linked to some sort of sports or fitness goal like your first 10K, triathlon or pull-up,” she says.
“It gives you something to aim for. Otherwise people think, ‘Oh, I’m just going to keep doing this forever,’ and it can feel quite overwhelming. Following a programme helps you build healthy habits that you integrate into your daily routine and actually stick to.”
Read more: I specialise in coaching people aged 40-plus – do these six things for immediate results

7. Look after yourself
Muscle isn’t built in the gym. What you do during your workouts triggers myriad positive physiological changes, but the actual adaptations happen while you are recovering.
For this reason, Toomey places a great emphasis on sleep and nutrition, prioritising quality fuel and recovery between her training sessions.
As part of this, she regularly uses a sauna, breathwork and completes a stretching and mobility protocol via the Pliability stretching app shortly after waking each day.
“I tend to wake up feeling a bit stiff and sore from the previous day,” she says. “But I want to walk into the gym feeling strong and confident. That stretching session acts as a form of meditation as well, helping with both mobility and mental clarity.”
Read more: Swap the gym for this trainer’s six-move kettlebell workout to build full-body strength at home
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Fitness
How busy women can realistically hit 10 hours of exercise a week – and unlock the biggest health benefits
A huge new study published in the British Journal of Sports Medicine – which analysed the activity levels of more than 17,000 participants – suggests that to achieve a substantial (defined as greater than 30%) reduction in heart attack and stroke risk, adults should aim for 560–610 minutes of moderate-to-vigorous physical activity per week. That’s considerably more than the current 150-minute minimum guidelines for health benefits, so it’s perhaps unsurprising that only 12% of people in the study achieved it.
It’s not to say there wasn’t any reduction in risk for lower totals – just not what scientists class as ‘substantial’. And it’s also important to note that the study was observational, meaning it cannot prove any kind of direct link; just association. It could be the case, for instance, that participants were already healthier and fitter than the general population. Plus, neither sedentary time nor less vigorous exercise were measured.
When WH put the findings to personal trainers, they were very keen to stress that something is always better than nothing – and they also had some useful tips for giving it your best shot at getting those golden 10 hours in.
4 tips for adding more movement into your week
Olivia Horncastle is a personal trainer helping busy women and mums fit exercise into their schedules.
Habit stack
‘I get my busiest clients to habit stack movement – so every time they fill up a kettle, they might do some squats, when they brush their teeth, they might do a wall sit,’ says Horncastle. ‘Other small things like trying to take calls while walking, or stretching in front of the TV at night work well. It doesn’t need to always be adding a full workout – all small additions help.’
5-minute workouts matter
‘Even starting with a 5-minute bodyweight circuit and building that up over time starts a habit – something is always better than nothing.’
Set yourself daily or weekly challenges
That might be trying to do 50 squats throughout the day, increasing your steps by parking further away at the shops, or taking the stairs instead of the lift, says Horncastle.
Tie exercise into your social plans
‘Instead of drinks with friends, I might suggest we go for a walk and grab a drink at the end, or try a new Pilates class instead of brunch etc.’
What type of exercise should you prioritise?
Michael Baah is a strength coach and oncology exercise specialist working with busy professionals, athletes and people recovering from cancer. ‘All that protection for your heart works best if you maintain your muscle mass, too,’ he cautions. ‘If you walk a lot but never do any strength work, you actually lose muscle faster, and after age 30, women naturally lose about 1% of their muscle every year unless they use it.’
Baah recommends doing three 45-minute strength sessions a week, using simple, compound moves (think: squats and deadlifts) that work your whole body. ‘You should finish each exercise feeling like you could maybe do just one or two more reps – this is the safe and effective method we use in clinics.’
‘The rest of your target comes from walking,’ adds Baah. ‘Just 40-50 minutes of brisk walking every day gets you there easily. Add a swim, yoga or dance class once a week if you like, and you’re all set.’
But don’t forget to adequately fuel, notes Baah. ‘Once you’re moving regularly, food matters, too. You need enough protein every day to help your body get stronger – aim for 1.4-1.8g for every kg of bodyweight. Without this, you do the work but miss out on the best results.’
If you’re more deterred than motivated by the recent study results, Horncastle wants to leave you with a few words. ‘Start small and slow, whether that’s one workout a week and building up, or starting with a few small walks – that’s how you achieve long-term, consistent change.’
‘And don’t compare yourself – who cares if Susan does hot yoga five times a week? She isn’t living your life. You need to find what works for and benefits you, but is realistic, too.’
One of our most frequently asked questions here at Women’s Health? How to build muscle and burn fat at the same time. So, we asked superstar trainer Oyinda Okunowo exactly how to do it. In this 4-week plan – created exclusively for Women’s Health COLLECTIVE members – you’ll get the workouts and nutrition guidance needed to help you on your way to better body composition. Tap the link below to unlock 14 days of free access to Oyinda’s plan and start training today.
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Hannah Bradfield is a Senior Health and Fitness Writer for Women’s Health UK. An NCTJ-accredited journalist, Hannah graduated from Loughborough University with a BA in English and Sport Science and an MA in Media and Cultural Analysis. She has been covering sports, health and fitness for the last five years and has created content for outlets including BBC Sport, BBC Sounds, Runner’s World and Stylist. She especially enjoys interviewing those working within the community to improve access to sport, exercise and wellness. Hannah is a 2024 John Schofield Trust Fellow and was also named a 2022 Rising Star in Journalism by The Printing Charity. A keen runner, Hannah was firmly a sprinter growing up (also dabbling in long jump) but has since transitioned to longer-distance running. While 10K is her favoured race distance, she loves running or volunteering at parkrun every Saturday, followed, of course, by pastries. She’s always looking for fun new runs and races to do and brunch spots to try.
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