Print, Share, or View Spanish version of this article
Rowing is a lifelong, year-round sport that
requires dedication and intense training. Rowing on the water, an ergometer, and
indoor water tanks along with weight training and running are integral parts of
training. In high school and college this sport is also called
Most rowing injuries are due to the repetitive
motions of the sport. While not all injuries can be prevented, the risk of
injuries can be reduced.
The following is information from the American
Academy of Pediatrics about how to prevent rowing injuries. Also included is an
overview of common injuries.
Sports physical exam.
Athletes should have a preparticipation physical evaluation (PPE) to
make sure they are ready to safely begin the sport. The best time for a
PPE is about 4 to 6 weeks before the beginning of the season. Athletes
also should see their doctors for routine well-child checkups.
Fitness. Athletes should
maintain a good fitness level during the season and off-season.
Preseason training should allow time for general conditioning and
sport-specific conditioning. Also important are proper warm-up and
Technique. Athletes should
learn and practice safe techniques for performing the skills that are
integral to their sport. Athletes should work with coaches and athletic
trainers on achieving proper technique.
Low back pain is very common in rowers. It
can occur suddenly (from twisting when reaching at the catch or pulling back
during the drive) or over time (from repetitive movements or when the back
is bent forward). Power used to accelerate the drive portion of the stroke
should come from the legs, but if the legs are weak or not used, or the back
is in a rounded and slumped position, the back takes the brunt of the
stress. Athletes who do not "sit up" enough at the finish of
the stroke can also stress the low back. Rowing on an ergometer can increase
back strain if there is too much machine resistance or poor technique.
Weight training, specifically Olympic lifts (squats, power cleans, and dead
lifts), if done incorrectly, and/or lifting the shell (boat) improperly in
and out of the water can also lead to back pain.
Common back injuries include muscle
strains/spasm, facet pain, lumbar disc disease, and stress fractures.
Treatment of these injuries includes rest, ice, and/or heat, and
nonsteroidal anti-inflammatory drugs (NSAIDs). Pain that lasts for more than
5 to 7 days should be evaluated by a doctor. Warning signs of a more serious
injury include severe pain, numbness or tingling down the legs, bowel or
bladder problems, or leg weakness. Athletes can help prevent back injuries
Strengthening the abdominal,
gluteal, hip, and buttock muscles
Using proper technique: proper
positioning at the catch and finish, pushing with the legs and not
the back, not opening up too quickly during the drive, and proper
adjustment of the boat rigging
Wrist tendonitis (also known as
intersection syndrome) is the most common wrist injury
seen in rowers. The feathering hand (the inside hand that twists the oar) is
more frequently injured due to repetitive extension of the wrist to get the
blade in and out of the water. Common symptoms include pain, weakness,
swelling, and creaking of the wrist. Icing the wrist after activity and use
of NSAIDs can help with pain and swelling. Strengthening the shoulder blade
muscles and proper technique/feathering can decrease the risk of injury.
Taping the wrist to avoid excessive wrist
extension during feathering may also help. Use of a wrist brace when not
rowing can give rest to the arm. Sometimes complete rest is needed to allow
the area to heal.
Knee injuries may occur when the knees are
flexed and loaded at the catch. Knee pain can also occur with improper
technique during weight training, particularly squats. Patellofemoral stress
syndrome (kneecap pain) and iliotibial band syndrome (pain at the outside
knee) can occur with increased loading and too much knee bend at the catch.
Immediate treatment consists of the use of ice and NSAIDs. Core body
strengthening, especially of the hip rotators, should be part of treatment.
Modifying the shoes or foot stretcher position and decreasing knee bend at
the catch can decrease symptoms.
Rib pain can occur in the muscles, in
between the ribs, or on the bone. Muscle strains can occur with repetitive
use and pull on the same chest muscle. Athletes with weak back muscles but
strong chest muscles may place uneven loads on the muscles or bone, causing
pain. Repetitive motions can load the bone and cause a stress reaction or
stress fracture. Rowing with hatchet blades may increase the forces on the
Bone pain associated with rib stress
fractures can occur when rowing, when at rest, or with deep breathing.
X-rays are usually normal if symptoms have been present less than 3 to 4
weeks, so a bone scan or magnetic resonance imaging (MRI) may be needed to
diagnose a rib stress fracture. Ice and pain medicine may help with initial
Treatment includes rest, strengthening of
the surrounding muscles, and evaluation of rowing technique. Not sitting up
enough at the finish, pulling into the rib cage too much at the finish, or
reaching too far at the catch may predispose rowers to rib stress fractures.
Boat rigging should be evaluated and changed if necessary. Sometimes rowers
will switch sides of the boat (starboard or port) to decrease stress on a
certain side of the chest.
Blisters are a common problem in the novice
rower. They usually occur along the heel of the palm or just below the
fingers at the junction of the palm. Blisters are often caused by friction
from pulling and feathering the oar. In more experienced rowers, calluses
form where blisters once were.
Blisters can become infected, especially
after exposure to dirt or river water, so proper care of them is necessary.
Signs of infection include swelling and redness around the area, pus
drainage, and increasing pain. Blisters should be kept clean and dry. Hand
washing and use of antibacterial ointment are helpful. Fluid-filled blisters
should be drained but the overlying skin kept intact to protect the surface
from further damage.
Tape can be used to cover blisters and
prevent new ones, but care should be taken as the tape itself may cause a
new blister to form. Tape should never have wrinkles, should wrap around the
entire hand, and should be larger than the blister being covered. Gloves are
not practical while rowing.
Track bites are irritations that occur on
the back of the calves when the legs hit the slide at the finish. Scrapes,
blisters, and bleeding can occur. Taping the area, readjusting the foot
stretchers and slide, and not jamming the legs down at the finish can
prevent this injury. Care should be taken to prevent infection.
Sweep rowing: Each rower has one
oar and is either a starboard (right side) or a port (left side).
Sculling: Each rower has 2
Finish: The beginning of the stroke
where the rower is sitting tall with a straight back and the arms bent,
feathering the oar and removing it from the water.
Recovery: The steady pursuit up the
slide while keeping the boat on keel and the blades off of the water.
Catch: The rower approaches the top
of the slide with their knees bent and squares the oar to catch the water.
Drive: The push off from the catch
using the legs, back, and arms for power ending in the finish.
Rowing injuries can be prevented when athletes
use the appropriate safety equipment and safety guidelines are followed.
The information contained in these topics is not intended nor implied to be a substitute for professional medical advice, it is provided for educational purposes only. You assume full responsibility for how you choose to use this information.
Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment or discontinuing an existing treatment. Talk with your healthcare provider about any questions you may have regarding a medical condition. Nothing contained in these topics is intended to be used for medical diagnosis or treatment.
If you think that you are having a medical emergency,
call 911 or the number for the local emergency ambulance service NOW!
And when in doubt, call your doctor NOW
or go to the closest emergency department.
By using this website, you accept the information provided herein "AS IS." Neither RemedyConnect nor the providers of the information contained herein will have any liability to you arising out of your use of the information contained herein or make any express or implied warranty regarding the accuracy, content, completeness, reliability, or efficacy of the information contained within this website.
RemedyConnect, Inc. has created this privacy statement in order to demonstrate our firm commitment to your privacy. The following discloses our information gathering and dissemination practices for this website: http://www.remedyconnect.com.
Acquisition of Information through PMD
We do not acquire any more information about website visitors than is required by law or is otherwise necessary to provide a high level of service efficiently and securely. Our site's registration form requires users to give us contact information (e.g., their name and e-mail address) and demographic information (e.g., children's birth months, but not birth dates). We use customer contact information from the registration form to (1) send the user pertinent medical and parenting information and (2) allow your local health provider lists of who is registering on that provider's site as a parent/guardian, staff member, doctor, or visitor. Users may opt-out of receiving future mailings; see the choice/opt-out section below.
We use your IP address to help diagnose problems with our server and to administer our Website. Your IP address is used to help identify you and to gather broad demographic information.
Demographic and profile data is also collected at our site. We may use this data to tailor the visitor's experience at our site, showing them content that we think they might be interested in, and displaying the content according to their preferences.
Our site may use order forms to allow users to request information, products, and services.
Your Doctor's Right to Privacy
We will respect your doctor's right to privacy. A doctor typically does not give his/her e-mail address to the parents/guardians of patients. We will not provide the e-mail addresses of doctor(s) in the local practice to users of their site without the doctor(s)' permission. Their site is restricted to use by whomever they wish, and they may deny access to their site to one or more prior users. In unusual cases, doctors may change their private site's access code and arrange for us to e-mail the new access code to approved users.
This site contains links to other sites. RemedyConnect.com is not responsible for the privacy practices or the content of such Websites. See Disclaimers.
Disclosure to Third Parties
We will provide individually-identifiable information about website users to third parties only if we are compelled to do so by order of a duly-empowered governmental authority, we have the express permission of the visitor, or it is necessary to process transactions and provide you services from our affiliates: Live Agent Answering Service, Digital Answering Service, Medical Answering Service and Pediatric Answering Service.
Privacy and Our Business Partners
This site may make chat rooms, forums, message boards, and/or news groups available to its users. Please remember that any information that is disclosed in these areas becomes public information and you should exercise caution when deciding to disclose your personal information.
This site has security measures in place to protect the loss, misuse and alteration of the information under our control. For further information regarding our security, please contact us at email@example.com. If you have any concerns regarding the security of information, please do not provide any information to RemedyConnect, Inc. until you are comfortable with our security measures.
You may correct or update your User Registration information at any time, by visiting the User Registration section and providing your personal password that you set at registration. If need be, please email us at firstname.lastname@example.org.
Our site provides users the opportunity to opt-out of receiving e-mail communications from our partners or us, except communications approved by your doctor's practice office. To so opt-out, please email us at email@example.com. To be removed as a user, please email us at the same address. If need be, you may mail requests to us at RemedyConnect, Inc., 9200 E. Mineral Avenue, Suite 100, Centennial, CO 80112. Our telephone number is 303-793-0703.
Contacting the Website
If you have any questions about this privacy statement, the practices of this site, or your dealings with this Website, you can contact us by email at firstname.lastname@example.org or by mail at our address above.