There is much evidence on the importance of strength training, gym work, yoga or Pilates being important for maintaining muscle mass, bone strength and confidence as women move through midlife and beyond. But hand, wrist, thumb or elbow pain can quickly get in the way. Pain with push-ups, planks, reformer straps, dumbbells, kettlebells, resistance bands or gripping equipment does not always mean you need to stop exercising. More often, it means the load, position or technique