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Doctor's Trampling Advice

Updated: Sep 17, 2021

Welcome to a new series of posts where I speak to trampler.chileno (instagram) who is a trampler and a doctor based in Chile. We will be discussing health and the body in relation to trampling. This is not a definitive 'how-to' guide for trampling and your body, but we hope this is of interest to you. As always, if you do ever have any issues during or after your trample session - please go and see your doctor.

In this first post he talks about the different parts of the body and how they do (or don't) work well for trampling. Illustrations also by trampler.chileno!



The cranium (skull) is a complex bony structure with many foramina (holes) that keep it from being too heavy for the neck to hold up. Some of these foramina have obvious purposes - like eye sockets, nasal bone and the ear canal. There are many parts to the skull - the top part is called the calvaria and is quite strong. The facial bones (orbit, mandible, zygoma, nasal bone, etc.) are quite fragile and can break in blunt trauma. However, some points of the face can take a surprising amount of weight on them.

Which points are they?

The superciliary arches (the bone under each eyebrow), the zygomatic arches (cheekbones) and the maxilla (chin) are all quite robust.

Which parts are the fragile parts?

The soft part of the nose is very malleable and can take some punishment too, but if the mucous membrane (the wet parts inside you can reach with your finger) break or tear, there can be a lot of bleeding. The bony part of the nose is fragile and should be avoided, and of course the eyes and the orbit (eye sockets).

What about the side of the head, is this dangerous?

The side of the head is quite safe but there are some exceptions. Generally with flat soled footwear or barefoot you can rest a lot of weight in this spot. The problem comes with cleats and stomping. The pterion, located just back from the temple (about two finger breadths around from the eye) is where four skull bones join up - it is the most fragile part of the skull. The bone is as thin as paper.

You should avoid resting your cleat on that spot and never stomp there. Just as if it was a failure in design, beneath that thin bone flows a very important artery (middle meningeal artery) and if it breaks, the bleeding will crush the soft brain tissue against the skull. As pro-soccer cleats mostly have six cleats, you must distribute your weight avoiding the pterion. The more studs your cleats have the safer it is for the tramplee's head, as the weight is evenly shared between them.


The neck is tricky. It's muscular and has many layers that protect the vital parts: the larynx and the trachea (airway). It also has the main arteries that go up to the brain and the veins that go down to the heart. I would not recommend to stand on the upper part of the throat. Maybe one foot without the whole body weight, but even a little pressure on the larynx will unleash the coughing reflex. The sides of the neck, especially under the jaw, are where the carotid arteries flow. Carotid comes from the greek word for 'deep sleep'. If you compress the carotid you will shut down the brain's blood supply and cause your tramplee to faint. Some people enjoy vascular fainting as a fetish of its own, because when the blood supply returns, the brain 'reset' system can cause a big flow of adrenaline. This orders the body to send great amounts of blood to the brain. However, if done repeatedly it can cause persistent brain damage, memory loss and epilepsy. 

Avoid compressing the neck under the jawline - this contains the larynx (voice box) and key nerves such as the phrenic and vagus nerves. If your tramplee begins coughing stop your trampling immediately. If you by accident cause him to faint, rapidly take your tramplee's legs and pull them up above their head - this will cause the blood contained in the leg muscles to return to the brain. 


Chest is relatively safe, even when it can be very painful. It's painful because unless you have a well trained muscular layer, the skin is thin and rapidly activates the pressure and pain receptors that fill the thin layer covering the bones (called periosteum). The thorax is the whole cavity that contains the heart and lungs, from the diaphragm to the neck. It's really hard and elastic, at least in younger guys. Never trample a guy older than 60 hard, because you might find it's like trampling a cookie bag. You can safely trample with one foot across the chest or two feet, each one on the pectoral region. Your tramplee will find it hard to breath but it will not damage the lungs. Your weight will reduce the ability of the lung to expand but the elastic frontal part of the ribs will resist the weight, like a bridge. The part you must avoid is the lower part of the rib arch on each side. At that level we have the liver on the right and the spleen on the left. If you stomp on the lower part of the rib arches you may break one rib and puncture the liver, which could cause massive internal bleeding. Never kick the upper part of the left side of your tramplee because you may burst the spleen with the same result in bleeding.


The abdomen is quite safe to trample on because it's mainly filled with intestines and they have air inside. Just like stepping on an under inflated balloon, the air flows and fills the parts of the intestines that are void. Of course it's recommended that every tramplee works his stomach muscles, so he can resist the weight of his trampler better. If you want to stomp hard on your tramplee’s stomach only do it on the belly button area. Never stomp too hard on the sides or upper or lower abdomen or you may cause damage to the liver or the urinary bladder. Always control your strength. Even if you are a merciless trampler you must never forget that the tramplee is a human being and providing you with the pleasure of your fetish. If he cries in pain (and not in a pleasurable way) stop and hear what he has to say. Broken bones and injuries may be hot as part of your fantasy, but trust me it will be quite the mood killer if it does actually happen.


The safest part of the body and in my opinion the most boring. The back is almost completely muscular. A very skinny guy could result with his ribs broken if a heavy guy stomps on him without care. But even in that case, the back is really sturdy. The vertebral column is very flexible and even when you could break a spinal apophysis (those little spine like bones that come from the back in skinny guys), you would need an absurd amount of energy that would not be sexy but criminal.


Limbs are different again. You must never trample the joints - where two bones meet and allow movement of the limb. The legs and arms have long strong bones covered in the strongest muscles of the body, but the joints are have varying degrees of stability. If you step with your whole body weight on a knee or elbow you can burst the capsule (membranous bag) that encircles it. That can permanently damage a joint. If you really want to step on a joint, always do it in the movement range of the joint, for example behind the knee or in the crease of the elbow.


Thighs are also very resistant. In order to truly damage the muscles (meaning ripping them) you would have to do something like repeatedly crush and stomp the thigh for several hours. In doing that you may cause some muscular bleeding, maybe a hematoma (blood collected inside a muscle) but I doubt any tramplee would take that kind of punishment without screaming in pain. Muscles have a high tolerance to pain. I've seen hematomas only in high energy accidents, for example a car accident or a fall. A bruise may appear but what hurts in a bruise is the skin, more than the muscle. A bruise will usually heal completely in a week or two. 


Hands are really resistant to compression and weight. It’s easier to cause harm to fingernails than the joints between the fingers. Yes, they can hurt a lot. This is because hands occupy a highly sensory area in the brain. A paper cut in the finger hurts much more than the same injury over your shoulder blades.


The penis is amazingly resistant. An erect penis is more fragile than a flaccid penis. This is because being hard makes it more susceptible to break. However, to break a penis you would need to kick it really hard when erect. I’ve only seen one penis fracture because a woman jumped on an erect penis trying to land on it with her open vagina. The crazy things you see in ER. The inside of the penis is made of sponge-like tissue filled with blood. Corpus Spongiosum and Corpus Cavernosum. So the safest way to step on the penis is having it on your tramplees belly and press against it. You might find this too boring though. You can use a cock box or a hard surface. The penis may take some good punishment this way. If your tramplee can take that, go from a little pressure to your whole weight and watch how your tramplee reacts. You may step with your whole weight that way on the penis but NOT stomping. If you notice bleeding from the urethra (the opening for urine and cum) stop. If the bleeding stops spontaneously, you can keep going with the rest of the body but avoid the penis.

I know some guys cum is pink after a dick trample session, is this cause for alarm?

That is because some blood has come from under the mucosal membrane of the urethra, and yes it is a signal of damage but not a very important one. The urethra heals rapidly. Your tramplee may find it painful to pee after the session, without the adrenaline rush from the session.


Testicles are made of a more compact sponge. More compact than the penis. They are highly sensitive to cold, heat and pain. If you decide to step on your tramplee’s testicles do it in the same way, against your tramplee’s body. Use the pelvic bones as a base and crush them against them. That would be painful. If you are crushing them against a firm surface, do it like this: 

The testicles are shaped like eggs. Never step on the 'poles' of the testicles. The “north pole” - closest to the body - has a complex tube system called the epididimys. If you damage that structure, the membrane that envelopes the testicle can secret a lot of liquid causing an Hydrocele. Never truly stomp on testicles. They are quite sturdy but if you pop a testicle the possibility that your tramplee loses it forever is high. The worst of testicular lesions, the testicular burst is highly painful, so painful the guy can faint from the pain. It requires the opening of the scrotum skin and the extraction of the testicle. Urology is hard to watch!


In the next month or two our next doctor post will be focussed on your trampling health and body questions. If you have a particular question you would like answered please get in touch on my social media (instagram: shwtguy_official, twitter: shwtguy) or send me an email: 

I'll also be doing a Trample Talk shortly with trampler.chileno where you can hear all about his trampling history and what he enjoys!

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Garrett R
Garrett R
Aug 13, 2023

How much weight is too much for balls


How much weight can be safe on the side of the head? I would like to try with two girls, barefoot, no stomping. I can feel that blood might accumulate in my face and the color might change a bit to reddish, while feeling some warm pressure. Could be that dangerous somehow? maybe to produce a blood clot or something? Thx in advance.


John Baley
John Baley
Oct 19, 2021

I am a tramplee who has been trampled for many years now. To address the psychological part of this fetish I asked a gay psychiatrist. We where in a gay bath house and I ask him to trample me which he did. After we both got what we wanted. WE set around talking I ask him what he did for a living. Was shocked when he said he was a clinical psychiatrist. I said great I always wanted to know what do you think of me wanting to be a doormat. He laughed and said well do you enjoy it. I said hell yeah. Then do it ..there is nothing wrong with it.. it is harmless. Now,…


Apr 25, 2021

Thanks for this information. I learned most of it through trial and error over many years. Would have been nice to simply read about it. Thanks.


Mumu Mkunmku
Mumu Mkunmku
Jan 11, 2021

i want to ask, is stomach sitting can hurt the person intestines and cause hernia ? please for the answer

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