Skip main navigation

Military Health System

Clear Your Cache

Health.mil has undergone a recent update. For the best user experience we recommend clearing your browser cache.

Why Today’s ‘Gen Z’ is at Risk for Boot Camp Injuries

Image of Military personnel during boot camp. Recruits perform a warm-up run during a physical training session inside Freedom Hall at Recruit Training Command. More than 35,000 recruits train annually at the Navy's only boot camp. (U.S. Navy photo by Mass Communication Specialist 2nd Class Camilo Fernan)

Editor's Note: This is the first in a series of articles about recruit and trainee training, and how the Military Health System supports the military services in maintaining optimal health as these young men and women go through basic training and recruit training and enter the military.

For today's generation of 18-to-25-year-olds, making it through recruit training and successfully transitioning from civilian life into the military is not easy.

Today's recruits are coming from a far more sedentary lifestyle compared to previous generations, making their skeletons more prone to injuries because they're not used to the kind of intense activity they will face at basic training.

A few weeks of deliberate fitness preparation before shipping out to boot camp or basic training can greatly increase an incoming recruit's chances of success by avoiding the most common injuries that can delay or derail a recruit's completion of initial military training.

"We see injuries ranging from acute fractures and falls, to tears in the ACL, to muscle strains and stress fractures, with the overwhelming majority of injuries related to overuse," said Army Capt. Lydia Blondin, assistant chief of physical therapy at the General Leonard Wood Army Community Hospital at Fort Leonard Wood.

These occur mostly in the lower extremities, she said. Statistically, females tend to have higher incidence of injury than their male counterparts, she added.

What can recruits do before getting to training?

To prepare for basic training, new recruits should "get off the couch," said Army Maj. Jon-Marc Thibodeau, a clinical coordinator and chief of the medical readiness service line at Fort Leonard Wood. Preparation can include:

  • Start a training program with weight bearing exercises like running, walking, and some weight training.
  • Consider a "Couch-to-5K" running progression program online or something similar to help slowly build into the rigors of basic training, especially if you've never played sports in high school, or if you're older and haven't been super active for a few years, since that makes you significantly more likely to sustain an injury at training.
  • Talk to your recruiter about any train-up opportunities.
  • Make sure you get in that sunshine and drink some milk regularly - Blondin said they commonly see low calcium and vitamin D levels, specifically with bone stress injuries
  • Watching your diet: In general, diet is a huge factor in bone and muscle heath and can significantly affect injury risk and recovery.

For more information to prepare for basic the training, check out this blog from the Human Performance Resources by CHAMP -- the Consortium for Health and Military Performance at the Uniformed Services University of the Health Sciences, in Bethesda, Maryland.

This article has been modified from its original version.

 

 

You also may be interested in...

Policy
Feb 24, 2022

Memorandum: #OSD 001285-22, Continuing Implementation for Reform of the Military Health System

.PDF | 3.12 MB

This memorandum directs the continued implementation of the Military Health System organizational reform required by law, extending the authority, direction and control of all military hospitals and clinics not currently under Defense Health Agency authority to the DHA, to include military hospitals and clinics in overseas areas.

  • Identification #: OSD 001285-22
  • Type: Memorandum
Policy
Oct 25, 2019

Memorandum: Continuing Implementation of the Reform of the Military Health System

.PDF | 2.31 MB

This memorandum directs the continued implementation of the Military Health System (MHS) organizational reform required by 10 U.S.C. § 1073c, and sections 71 land 712 of the John S. McCain National Defense Authorization Act (NDAA) for Fiscal Year (FY) 2019. The DoD policy for this reform is guided by the goals of improved readiness, better health, ...

  • Identification #: N/A
  • Type: Memorandum
Policy
Sep 28, 2016

Instruction: #DODI 6040.47, Joint Trauma System

Establishes policy, assigns responsibilities, and provides procedures to develop and maintain an enduring global trauma care capability that supports a full range of military operations, including a comprehensive DOD Trauma Registry.

  • Identification #: DODI 6040.47
  • Type: Instruction
Policy
Sep 11, 2015

Instruction: #DODI 6490.13, Comprehensive Policy on Traumatic Brain Injury-Related Neurocognitive Assessments by the Military Services

This instruction establishes policy, assigns responsibilities, and prescribes standard elements, pursuant to section 722 of Public Law 111-383, requiring the implementation of a comprehensive neurocognitive assessment policy in the military services.

  • Identification #: DODI 6490.13
  • Type: Instruction
Policy
Oct 31, 2014

Memorandum: Pre-Deployment, Deployment, and Post-Deployment Training, Screening, and Monitoring Guidance for Department of Defense Personnel Deployed to Ebola Outbreak Areas

.PDF | 8.96 MB

Department of Defense personnel (Service members and civilian employees)deployed to Centers for Disease Control and Prevention defined Ebola outbreak areas will complete pre and post-deployment screening and training requirements outlined in this memorandum and supplemented by United States Africa Command (USAFRICOM) guidance.

  • Identification #: N/A
  • Type: Memorandum
Policy
Oct 20, 2014

Memorandum: #13-006, Addendum to Guidance on the Establishment of Department of Defense Standardization for Ordering and Procurement of Hearing Devices Prostheses 13-006

.PDF | 94.68 KB

This memorandum clarifies procedures relating to Health Affairs' "Guidance on the Establishment of Department of Defense Standardization for Ordering and Procurement of Hearing Devices/Prosthesis," dated August 15, 2013, which remains in effect.

  • Identification #: 13-006
  • Type: Memorandum
Policy
Apr 28, 2014

Instruction: #DODI 1010.10, Health Promotion and Disease Prevention

This instruction reissues DOD Directive 1010.10 (Reference (a)) as a DOD instruction (DoDI) in accordance with the authority in DODD 5124.02 (Reference (b)) to establish policy and assign responsibilities for health promotion and disease prevention in accordance with References (c) through (f).

  • Identification #: DODI 1010.10
  • Type: Instruction
Policy
Sep 18, 2012

Instruction: #DODI 6490.11, DOD Policy Guidance for Management of Mild Traumatic Brain Injury/Concussion in the Deployed Setting

This instruction establishes policy, assigns responsibilities, and provides procedures on the management of mild traumatic brain injury (mTBI), also known as concussion, in the deployed setting.

  • Identification #: DODI 6490.11
  • Type: Instruction
Policy
Apr 20, 2012

Memorandum: Guideline for Tuberculosis Screening and Testing

.PDF | 119.55 KB

Because accessions come from widely diverse geographic backgrounds, the Services should determine the need for tuberculin skin tests for accessions while Service members are at the training base, based on the needs of the specific accessions environment and operational mission requirements. DOD will implement targeted testing rather than universal ...

  • Identification #: N/A
  • Type: Memorandum
Skip subpage navigation
Refine your search
Last Updated: February 25, 2025
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on X Follow us on YouTube Sign up on GovDelivery