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One easy strategy to keep healthy shoulders in whitewater

You hear it all the time from veteran kayakers. “I wore out my shoulders with all these years of paddling. They’re completely shot!” These folks have dealt with arthritis and injured muscles, along with other problems. It makes it seem like an inevitability that shoulder problems are going to come with a lifetime on the water. It does not have to be that way. Will spending a lot of time in a kayak force your shoulders to do a lot of work? Yes. Does it mean there’s no hope for your future self-avoiding shoulder pain? Absolutely not! There are many things you can do to improve your mechanics and save your shoulders from the general wear and tear of peeling out of eddies and hitting the rapids. Becoming more knowledgeable on how your shoulder works and preparing yourself will set you up for success. We are going to focus our efforts on stabilizing your shoulder blades in this discussion.

Your shoulder blade (also known as the scapula) sits over the back side of your rib cage and serves as the foundation for your shoulder joint. The corner of it meets the humerus (your upper arm bone) to form the ball-and-socket joint we most commonly associate with the shoulder. As we move our arms up and down over our heads, the shoulder blade rotates upward and downward along with the ball-and-socket joint. Approximately two-thirds of our range in that direction comes from the movement of the shoulder blade. Try getting a strong paddle stroke in without being able to lift your arm over your head. It’s not likely. When your shoulder blade does not function properly, your whole shoulder will not function properly. Period. Therefore, it is crucial to provide a stable base for your shoulder by training the muscles that control the action of your shoulder blades.

The most basic action you can take is to work on pinching your shoulder blades back together. Imagine you are trying to make your shoulder blades touch each other. Work on drawing them down at the same time. Don’t hike your shoulders and let your upper traps relax during this exercise. Once you’ve achieved this position, hold it for a couple of seconds, and then release. Repeat often. We want to build up endurance in these muscle groups.

Now find an open section of the wall and stand facing it all the way up against it. Place your arms directly out to your side and point your thumbs away from the wall. Slowly move your hands away from the wall while keeping them parallel to the ground. Return to starting position. This trains your middle trapezius. Once you’ve mastered this exercise, move your arms into a higher position overhead and repeat in a similar fashion by moving your hands directly away from the wall. This works your lower trapezius.

Another great activity uses this same section of your wall. Stand with your back against the wall. Every section of your body from heels up to your head should be touching the wall. Make sure your shoulder blades are drawn back against the wall as well. Now move your arms overhead as if you were making a snow angel on the wall. Make sure your hands stay against the wall as well. Now you are able to take your shoulder through its full range of motion while making sure your shoulder blades remain stable against the ribcage the whole time!

These are just a few out of many, many strategies I use to help my patients improve their shoulder mechanics. It helps to prevent impingement, tendinitis, and a multitude of other aches and pains that come with a long summer of running rapids. Follow these tips to help avoid being sidelined this season! If you want more info, please email me at scott@backcountry.physio or reach out on Backcountry Physical Therapy’s social media pages. Be sure to check back on the website for more blog posts and follow us on social media for helpful tips to keep yourself pain-free!

a man standing with his arms crossed in front of him.
AUTHOR

Dr. Scott Runyon

Backcountry Physical Therapy

We Help Mountain Athletes Not Only Recover From Injuries, But Build Them Back Stronger Than They Were Before, So That Injuries Are Less Likely To Happen Again!
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28 reviews on
sudchai dupreez
sudchai dupreez
2022-12-14
I can't encourage Scott Runyon/Backcountry PT enough! I have a torn labrum in my hip and was set to go to surgery. Going to Scott was my last ditch effort to push surgery back and he did it! I have a very active job and I feel stronger now then I did before and Scott got me back to play again. What I really appreciate is that no matter what physical issues that arise I can go to Scott and he always finds a way to get me back in the game! Thank you Scott!
Joel Fraser
Joel Fraser
2022-12-08
Scott has been an integral part of my continued success in my career and in my training! He has been there for every step helping me through all the aches and pains that come with my occupation. If I didn’t have Scott in my corner I’m pretty sure I’d be dealing with multiple surgeries and missed opportunities. Can’t recommend him enough. Thanks Scott!
Wendy Spillar
Wendy Spillar
2022-12-06
I've been working with Scott for over a year on my hip and back pain. I'm a fitness trainer and a caretaker and I'm very interested in staying as joint healthy as possible without surgery and Scott is helping me with this goal. His creative techniques and strategies are A+, highly recommend!
DyVonne Thornton
DyVonne Thornton
2022-12-06
Scott is an amazing person and knows what he is doing. I am a professional MMA fighter and Backcountry PT is a big part of it! I absolutely would recommend Backcountry to anyone struggling with injury.
Mike V
Mike V
2022-12-05
I had a couple of injuries in rapid succession that resulted in some significant quad issues. Scott helped me rehab the quad through a mix of visits and at-home workouts. I have opted for a monthly maintenance plan to keep me out on the trails. I highly recommend Scott.
Evan Canfield
Evan Canfield
2022-06-20
Scott has been an absolute life saver for not only my body but my career. I cannot recommend Backcountry enough. Scott's attention to detail and commitment to each and every patient is unparalleled. Thank you Scott for not only helping me get back to my old self but motivating me to come back better and stronger.
Adam Schwerdt
Adam Schwerdt
2022-04-28
Can't go wrong seeing Dr. Runyon for your outdoor adventures and activities! He will ensure all your needs and concerns are addressed not just for your current injury, but also to help get you set up for the long term. As a colleague who is also a PT there are few other PT's I recommend in the Springs and he certainly makes the cut!
Mehdi Shelhamer
Mehdi Shelhamer
2022-04-20
I highly recommend Scott. I say this both as a patient and a fellow healthcare worker. He is very attentive, listens well and devises an appropriate treatment plan. But better than that, he is constantly assessing your progress and tweaking the plan as needed. Additionally, his use of technology is very helpful with a phone app that keeps you in line. He is also very quick to respond to any questions. Yes, you can find less expensive physical therapy options, but with Scott, you get what you pay for.
matthew stempson
matthew stempson
2022-02-19
I had a shoulder injury and had been dealing with the pain for about a year now. In just three sessions I have learned many excercises and stretches to help me on my road to recovery. I am already seeing a good amount of improvement. He is very knowledgeable and is great to work with. Thanks Scott!
Bobbi Rocco
Bobbi Rocco
2022-02-02
I fell snow skiing. Scott helped me by showing me how to do some exercises right away so I would not develop frozen shoulder. My range of motion improved. His expertise and knowledge has helped and I hope to be able to resume all of my sports soon.