Swimming injuries

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Swimming injuries have many different causes, and can occur immediately or can occur as the result of a long-term swimming career. Some ways that swimmers can increase the risk of an injury are by overuse of a specific part of the body, lacking crucial flexibility and strength, etc. These injuries, like swimmer's shoulder and breaststroker’s knee, cause pain to the swimmer in certain regions that permit necessary movement for the required precise technique. Although these injuries can halt a professional swimmer's career, many can be treated and some can even be prevented. There are different procedures and exercises that can either prevent an injury or help with recovering from an injury. Many of the exercises are specific to the injury and vary in helpfulness according to the person and the technique used for the exercise.

Contents

Compared to athletes who play other sports, competitive swimmers are at higher than average risk of overuse injuries and injuries caused by early sports specialization among children and teenagers. [1]

Swimmer's Shoulder

Swimmer's Shoulder is the name given to a broad range of repetitive motion injuries that typically occur in swimmers. Typical swim-related shoulder pain occurs in the front and side of the upper shoulder complex. Pain often will radiate into the upper arm or can extend into the lower neck and upper back region. Pain associated with Swimmer's Shoulder often starts as an irritating soreness following swim training and can persist, escalating to a constant, intense pain that limits shoulder mobility and ultimately athletic performance. [2]

While there are a number of contributing factors leading to the development of Swimmer's Shoulder, it is believed that the three main causes of Swimmer's Shoulder are: 1. faulty swim stroke technique, 2. repetitive use with inadequate rest, and 3. overdeveloped anterior shoulder and chest musculature.

The primary cause of Swimmer's Shoulder is faulty biomechanics due to improper swim stroke technique. Professional swim coaches are trained on finding and correcting improper swim stroke technique before it becomes a problem for the athlete. Correcting the swimmer's technique is key to the recovery process. If a swimmer is allowed to continue with improper technique, repetitive irritation of the shoulder structures occurs, eventually creating a "pincher-type impingement" within the shoulder. Elevating the arm and forward circumduction of the shoulder becomes painful. A few examples of improper techniques that can contribute to a swimmer's Shoulder are initiating an arm pull before finishing a breath, training with unilateral breathing, and faulty hand placement during entry.

Another cause of Swimmer's Shoulder is repetitive use with inadequate rest. Overuse of the shoulder muscles and surrounding muscles can lead to fatigue of the muscles. When muscles are fatigued, they respond less effectively. With each stroke, biomechanics break down causing vital structures to inflame. If the soft tissue structures such as tendons and ligaments are not given enough time to repair and for the swelling to resolve, the structures can become damaged.

Treatment methods

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Some treatment methods include; warming up slowly prior to training, avoiding strokes and positions that cause pain (butterfly or freestyle), fixing any bad technique that could be causing the pain, adjusting the distance and frequency of training to avoid further overuse of the muscles, discontinue the use of paddles, increase kick sets to allow the shoulder to rest however limit the use of kickboards and avoid pulling sets. Increase the use of fins to assist with maintaining a good body position and to avoid drag, avoid dry land upper body weight training, ice the shoulder daily, consider the use of anti-inflammatory creams and medicines, and seek the advice of a medical professional. [3]

Breaststroker's Knee

Breaststroker’s Knee is the name given to pain felt within and around the knee that is experienced by swimmers. It is named this due to the fact it is most commonly only breaststrokers that experience pain within the knee and around the knee. Most swimmers will have no problems with their knees however ‘the majority (86%) of breaststroke swimmers will have experienced knee pain at one point in their career and 47.2% of them will have had this problem at least one time every week.’ [4]

There are several factors that increase the swimmer's chances of developing knee pain and inflammation of the knee muscles such as the increasing age of the swimmer, the length of the competitive career, the length of the event, inadequate warm-up, strength imbalance of hip abductors/adductors and flexibility imbalance of hip abductors/adductors. [4]

Prevention and treatment

In order to prevent the development of knee pain and inflammation of the knee muscles it is recommended that swimmers use a well-designed strength and stretching program, warm up adequately, use the correct breaststroke kick technique, gradually build up the distance of breaststroke swimming and a balanced training program that focuses on not only breaststroke and also has training sessions that allows for adequate recovery of the knee muscles to prevent fatigue of the muscles causing overuse, inflammation, and pain. [4]

Treatment of breaststroker's knee includes resting the knee muscles, icing daily, elevating the limb, strengthening and stretching, support e.g. strapping or knee braces, seeking medical advice which can lead to physiotherapy, cortisone injections, and in few cases surgery. [4]

Related Research Articles

<span class="mw-page-title-main">Swimming</span> Self propulsion of a person through water

Swimming is the self-propulsion of a person through water, or other liquid, usually for recreation, sport, exercise, or survival. Locomotion is achieved through coordinated movement of the limbs and the body to achieve hydrodynamic thrust that results in directional motion. Humans can hold their breath underwater and undertake rudimentary locomotive swimming within weeks of birth, as a survival response.

<span class="mw-page-title-main">Sports injury</span> Physical and emotional trauma

Sports injuries are injuries that occur during sport, athletic activities, or exercising. In the United States, there are approximately 30 million teenagers and children who participate in some form of organized sport. Of those, about three million athletes age 14 years and under experience a sports injury annually. According to a study performed at Stanford University, 21 percent of the injuries observed in elite college athletes caused the athlete to miss at least one day of sport, and approximately 77 percent of these injuries involved the knee, lower leg, ankle, or foot. In addition to those sport injuries, the leading cause of death related to sports injuries is traumatic head or neck occurrences.

Iliotibial band syndrome (ITBS) is the second most common knee injury, and is caused by inflammation located on the lateral aspect of the knee due to friction between the iliotibial band and the lateral epicondyle of the femur. Pain is felt most commonly on the lateral aspect of the knee and is most intensive at 30 degrees of knee flexion. Risk factors in women include increased hip adduction and knee internal rotation. Risk factors seen in men are increased hip internal rotation and knee adduction. ITB syndrome is most associated with long-distance running, cycling, weight-lifting, and with military training.

<span class="mw-page-title-main">Breaststroke</span> Swimming style in which the swimmer is on his or her chest and the torso does not rotate

Breaststroke is a swimming style in which the swimmer is on their chest and the torso does not rotate. It is the most popular recreational style due to the swimmer's head being out of the water a large portion of the time, and that it can be swum comfortably at slow speeds. In most swimming classes, beginners learn either the breaststroke or the freestyle first. However, at the competitive level, swimming breaststroke at speed requires endurance and strength comparable to other strokes. Some people refer to breaststroke as the "frog" stroke, as the arms and legs move somewhat like a frog swimming in the water. The stroke itself is the slowest of any competitive strokes and is thought to be the oldest of all swimming strokes.

<span class="mw-page-title-main">Sprain</span> Damage to one or more ligaments in a joint

A sprain is a soft tissue injury of the ligaments within a joint, often caused by a sudden movement abruptly forcing the joint to exceed its functional range of motion. Ligaments are tough, inelastic fibers made of collagen that connect two or more bones to form a joint and are important for joint stability and proprioception, which is the body's sense of limb position and movement. Sprains may be mild, moderate, or severe, with the latter two classes involving some degree of tearing of the ligament. Sprains can occur at any joint but most commonly occur in the ankle, knee, or wrist. An equivalent injury to a muscle or tendon is known as a strain.

<span class="mw-page-title-main">Bursitis</span> Human disease

Bursitis is the inflammation of one or more bursae of synovial fluid in the body. They are lined with a synovial membrane that secretes a lubricating synovial fluid. There are more than 150 bursae in the human body. The bursae rest at the points where internal functionaries, such as muscles and tendons, slide across bone. Healthy bursae create a smooth, almost frictionless functional gliding surface making normal movement painless. When bursitis occurs, however, movement relying on the inflamed bursa becomes difficult and painful. Moreover, movement of tendons and muscles over the inflamed bursa aggravates its inflammation, perpetuating the problem. Muscle can also be stiffened.

<span class="mw-page-title-main">Achilles tendinitis</span> Medical condition of the ankle and heel

Achilles tendinitis, also known as achilles tendinopathy, occurs when the Achilles tendon, found at the back of the ankle, becomes sore. Achilles tendinopathy is accompanied by alterations in the tendon's structure and mechanical properties. The most common symptoms are pain and swelling around the affected tendon. The pain is typically worse at the start of exercise and decreases thereafter. Stiffness of the ankle may also be present. Onset is generally gradual.

A soft tissue injury is the damage of muscles, ligaments and tendons throughout the body. Common soft tissue injuries usually occur from a sprain, strain, a one-off blow resulting in a contusion or overuse of a particular part of the body. Soft tissue injuries can result in pain, swelling, bruising and loss of function.

<span class="mw-page-title-main">Osgood–Schlatter disease</span> Inflammation of the patellar ligament

Osgood–Schlatter disease (OSD) is inflammation of the patellar ligament at the tibial tuberosity (apophysitis) usually affecting adolescents during growth spurts. It is characterized by a painful bump just below the knee that is worse with activity and better with rest. Episodes of pain typically last a few weeks to months. One or both knees may be affected and flares may recur.

<span class="mw-page-title-main">Chondromalacia patellae</span> Medical condition

Chondromalacia patellae is an inflammation of the underside of the patella and softening of the cartilage.

<span class="mw-page-title-main">Nintendo thumb</span> Injury caused by video games

Nintendo thumb, also known as gamer's thumb and similar names, is a form of repetitive strain injury (RSI) caused by excessive playing of video games with the traditional Nintendo controller. This injury mainly occurs due to repeated thumb movements while playing video games. The symptoms can include blistering, paraesthesia, as well as swelling of the thumbs, though any finger can be affected. This can lead to stress on tendons, nerves, and ligaments in the hands, and further onto lateral epicondylitis, tendinitis, bursitis, and carpal tunnel syndrome. Similar injuries can occur with other gaming systems, such as PlayStation thumb from playing Sony PlayStation. The general recommendation for the treatment is to rest and stop the repetitive motion of the affected finger. In more severe and painful cases, using NSAIDs is also recommended.

<span class="mw-page-title-main">Strain (injury)</span> Injury due to slight tearing of a muscle or tendon

A strain is an acute or chronic soft tissue injury that occurs to a muscle, tendon, or both. The equivalent injury to a ligament is a sprain. Generally, the muscle or tendon overstretches and partially tears, under more physical stress than it can withstand, often from a sudden increase in duration, intensity, or frequency of an activity. Strains most commonly occur in the foot, leg, or back. Immediate treatment typically includes five steps abbreviated as P.R.I.C.E.: protection, rest, ice, compression, elevation.

<span class="mw-page-title-main">Golfer's elbow</span> Tendon inflammation disease of the elbow

Golfer's elbow, or medial epicondylitis, is tendinosis of the medial common flexor tendon on the inside of the elbow. It is similar to tennis elbow, which affects the outside of the elbow at the lateral epicondyle. The tendinopathy results from overload or repetitive use of the arm, causing an injury similar to ulnar collateral ligament injury of the elbow in "pitcher's elbow".

<span class="mw-page-title-main">Progressive overload</span> Method of strength training

Progressive overload is a method of strength training and hypertrophy training that advocates for the gradual increase of the stress placed upon the musculoskeletal and nervous system. The principle of progressive overload suggests that the continual increase in the total workload during training sessions will stimulate muscle growth and strength gain by muscle hypertrophy. This improvement in overall performance will, in turn, allow the athlete to keep increasing the intensity of their training sessions.

<span class="mw-page-title-main">Dance and health</span> Health benefits of dance

Dance is a healthy physical activity, with many far reaching physical, and psychological benefits. Dancing can be enjoyed in many forms, and is for every age and ability. This physical activity appeals to some who may not typically be active, and therefore may be another alternative of exercise. Dance for health has become an important factor in the prevention, treatment, and management in several health circumstances. It can benefit both physical and mental health and subsidizes social communication Dance is an art which is learned in and shared between many cultures. Types of dance can entail body movements, expression and collaboration. The correlation between dance and health has been subject of a number of research studies that show dance to be a largely healthy exercise. However, there are a number of health risks that require attention.

<span class="mw-page-title-main">Musculoskeletal injury</span> Medical condition

Musculoskeletal injury refers to damage of muscular or skeletal systems, which is usually due to a strenuous activity and includes damage to skeletal muscles, bones, tendons, joints, ligaments, and other affected soft tissues. In one study, roughly 25% of approximately 6300 adults received a musculoskeletal injury of some sort within 12 months—of which 83% were activity-related. Musculoskeletal injury spans into a large variety of medical specialties including orthopedic surgery, sports medicine, emergency medicine and rheumatology.

<span class="mw-page-title-main">Swimming (sport)</span> Water-based sport

Swimming is an individual or team racing sport that requires the use of one's entire body to move through water. The sport takes place in pools or open water. Competitive swimming is one of the most popular Olympic sports, with varied distance events in butterfly, backstroke, breaststroke, freestyle, and individual medley. In addition to these individual events, four swimmers can take part in either a freestyle or medley relay. A medley relay consists of four swimmers who will each swim a different stroke, ordered as backstroke, breaststroke, butterfly and freestyle.

The most common injuries in the sport of cricket occur in the lower back, thighs, shoulders, and hands. They can be classified as direct injuries or indirect injuries. Direct injuries are due to impact with the cricket ball, bat, or ground. Indirect injuries occur mostly due to repetitive movement causing overuse of muscles. Fast bowlers have the highest injury prevalence rate followed by batsmen.

Muscle strain is one of the most common injuries in tennis. When an isolated large-energy appears during the muscle contraction and at the same time, bodyweight applies huge amounts of pressure to the lengthened muscle, which can result in the occurrence of muscle strain. Inflammation and bleeding are triggered when muscle strain occur which resulted in redness, pain and swelling. Overuse is also common in tennis players from all levels. Muscle, cartilage, nerves, bursae, ligaments and tendons may be damaged from overuse. The repetitive use of a particular muscle without time for repair and recover in the most common case among the injury.

Running injuries affect about half of runners annually. The frequencies of various RRI depend on the type of running, such as speed and mileage. Some injuries are acute, caused by sudden overstress, such as side stitch, strains, and sprains. Many of the common injuries that affect runners are chronic, developing over longer periods as the result of overuse. Common overuse injuries include shin splints, stress fractures, Achilles tendinitis, Iliotibial band syndrome, Patellofemoral pain, and plantar fasciitis.

References

  1. Feeley, Brian T.; Agel, Julie; LaPrade, Robert F. (January 2016). "When Is It Too Early for Single Sport Specialization?" (PDF). The American Journal of Sports Medicine. 44 (1): 234–241. doi:10.1177/0363546515576899. ISSN   1552-3365. PMID   25825379. S2CID   15742871 . Archived (PDF) from the original on Jul 9, 2020.
  2. Gerrard, David F. (1 August 2010). "Preventing Injury: Young swimmers are not "little adults"". FINA Sports Medicine Congress. FINA. Archived from the original on Mar 4, 2015.
  3. Rodeo, Scott A. (1 February 2007). "Shoulder pain in swimmers". FINA Sports Medicine Congress. FINA. Archived from the original on Aug 16, 2012.
  4. 1 2 3 4 Shahpar, Farhad Moradi (1 January 2007). "Knee problems in Aquatics". FINA Sports Medicine Congress. FINA. Archived from the original on Jan 30, 2014.