A big snowfall is great for kids and outdoor enthusiasts.

The shoveling that goes along with it often leads to aching backs, heart attacks and other conditions that can land you in a hospital emergency department.

Shoveling, as a physical activity, is comparable to lifting weights rapidly and repeatedly, according to fitness experts at Loyola University.

Therefore, approach it as you would a workout. Start slowly to warm up. Pace yourself, take breaks and gently stretch your back, arms and legs.

As with any type of heavy lifting, lift with your legs, not your back, to avoid back injury. Bend and straighten your knees to lift the shovel instead of leaning forward and straightening your back.

A shovel of wet snow can weigh up to 15 pounds. A small shovel ensures you have a lighter load, which helps prevent injury. Better yet, push the snow rather than lift it.

Shoveling about every two inches rather than after all the snow has piled up, makes the snow load lighter.

Avoid frostbite and hypothermia by dressing appropriately; making sure your skin is covered if you’ll be outside for long periods of time.

Most important – Know your limits; don’t overdo it. If you have a history of back or heart problems, ask someone else to do the heavy shoveling.