New York—July 5, 2011
John Cavanaugh, PT and Dr. Scott Rodeo
Dr. Rodeo, co-chief of the Sports Medicine and Shoulder Service at Hospital for Special Surgery and chairman of the USA Swimming Sports Medicine Committee, said the most common injury is referred to as “swimmer’s shoulder” and can affect up to 70 percent of competitive swimmers.
“Most often, shoulder pain is caused by an overuse injury,” he said. “If you think about a competitive swimmer’s number of stroke revolutions per day, per week, per month, per year, it’s phenomenal. We’re talking about half a million stroke revolutions per year.”
According to Dr. Rodeo, the main causes of shoulder pain in swimmers are:
Dr. Rodeo noted that the shoulder is an inherently unstable joint. “Shoulder stability is controlled by a synchronous pattern of muscle firing. Changes in the way the muscles work due to overload or fatigue can alter shoulder mechanics and cause problems.”
Basically, by doing too much of the activity, the shoulder muscle becomes overloaded. When a muscle is fatigued, other muscles try to compensate, leading to an imbalance. The shoulder is no longer functioning normally, and this leads to pain.
Good practices can minimize the risk of a shoulder injury, according to John Cavanaugh, PT, a physical therapist at Hospital for Special Surgery. He has the following tips:
If shoulder pain develops, it’s important to pay attention to it so it doesn’t turn into a serious problem, according to Dr. Rodeo. He has this advice:
For more information on swimming injuries, you can listen to Dr. Rodeo’s podcast below:
About Hospital for Special Surgery
Founded in 1863, Hospital for Special Surgery (HSS) is a world leader in orthopedics, rheumatology and rehabilitation. HSS is nationally ranked No. 1 in orthopedics, No. 3 in rheumatology, and No. 16 in neurology by U.S.News & World Report (2010-11), and has received Magnet Recognition for Excellence in Nursing Service from the American Nurses Credentialing Center, and has one of the lowest infection rates in the country. From 2007 to 2011, HSS has been a recipient of the HealthGrades Joint Replacement Excellence Award. A member of the NewYork-Presbyterian Healthcare System and an affiliate of Weill Cornell Medical College, HSS provides orthopedic and rheumatologic patient care at NewYork-Presbyterian Hospital at New York Weill Cornell Medical Center. All Hospital for Special Surgery medical staff are on the faculty of Weill Cornell Medical College. The hospital's research division is internationally recognized as a leader in the investigation of musculoskeletal and autoimmune diseases. Hospital for Special Surgery is located in New York City and online at http://www.hss.edu/.