Common Injuries in Marathon Swimming

Marathon swimming has carved a niche for itself in the Olympic Games, captivating audiences with its blend of endurance, strategy, and raw athleticism. This gruelling event, covering a distance of 10 kilometres in open water, demands peak physical condition and mental fortitude from its competitors. However, the rigorous demands of this sport can lead to a variety of injuries, necessitating physiotherapy management to ensure athletes remain at the top of their game. 

The Demands of Olympic Marathon Swimming 

Olympic marathon swimmers face unique challenges that set this event apart from pool swimming. Swimmers navigate through unpredictable conditions, including varying water temperatures, currents, and waves. The physical strain of maintaining an efficient stroke over such a long distance, coupled with the need for strategic navigation and pacing, places significant stress on the body. 

Common Injuries in Marathon Swimming 

The repetitive nature of swimming strokes, combined with the extended duration of marathon events, makes swimmers susceptible to several types of injuries: 

  • Shoulder Injuries: Shoulder impingement and rotator cuff tendinopthy are prevalent due to the repetitive overhead motion of the stroke. Poor stroke technique or muscle imbalances can exacerbate these conditions. 

  • Lower Back Pain: Prolonged periods in the horizontal position can strain the lower back, particularly if the swimmer has inadequate core strength or poor body alignment. 

  • Neck Strain: Constantly turning the head to breathe and sight can lead to neck strain, especially in turbulent open water conditions. 

  • Knee and Hip Pain: The constant kicking motion can lead to overuse injuries, particularly of the tendons in the knees and hips, especially if there is an imbalance in muscle strength or flexibility. 

Physiotherapy Management for Marathon Swimmers 

Effective physiotherapy management is crucial for preventing injuries and aiding recovery in marathon swimmers. At Brisbane Physiotherapy, we employ a comprehensive approach tailored to the unique demands of the sport: 

  • Injury Prevention: Our prevention strategies focus on strengthening and conditioning exercises that enhance muscle balance and joint stability. Emphasis is placed on the rotator cuff muscles, hip and knee musculature, and core muscles to support optimal stroke mechanics and reduce injury risk. 

  • Technique Improvement: We work closely with swimmers and coaches to analyse and refine stroke technique, minimising undue stress on the body and promoting efficient movement. 

  • Rehabilitation: In the event of an injury, our rehabilitation programs incorporate manual therapy, dry needling, and specific exercise regimens to restore function and expedite recovery. We tailor these programs to the individual needs of each athlete, ensuring a safe return to training and competition. 

  • Flexibility and Mobility: Regular stretching and mobility exercises are integrated into training routines to maintain flexibility, particularly in the shoulders, hips, and lower back. 

Conclusion 

Olympic marathon swimming is a testament to the extraordinary capabilities of athletes, pushing the boundaries of endurance and resilience. However, the physical demands of this sport require diligent care and expert management to prevent and treat injuries. At Brisbane Physiotherapy, we are committed to supporting marathon swimmers through tailored injury prevention and rehabilitation programs, ensuring they can perform at their best while minimising the risk of injury. 

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