Posted by: RubricOfRuin on Jan-27-13 10:23 AM (EST) Category: Kayaking Technique
From time to time, especially in summer and when I kayak long distances 20 miles and more - I get a dull, burning pain in the shoulders. It starts a few hours after paddling and can last a few days - persistent, dull burning sensation. It does not affect shoulder movement, neither it gets worse with movement. But it is extremely unpleasant, feels like someone has put some sand inside your joint and it scratched everything inside and I even had problems sleeping with it. The Quacks just shake their heads and suggest I take ibuprofen for the pain - despite the fact that painkillers do not seem to be a lot of help, except for really strong prescription stuff.
Usually I use Aleut stick and paddle at a rather relaxed pace, maybe 5-6 mph? And I'm fairly fit for my weight (145 lbs) - I've paddled with Greenland-stick-using instructor a few times - he could not see any issues with my stroke.
Anyone have had/heard about anything similar?
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could just be |
Posted by: radiomix on Jan-27-13 10:37 AM (EST)
Arthritis, or some nerve damage. Without structural problems, going the doctor/surgery route probably won't help a ton. I'm imagining that is why a doctor is hesitant to do anything. It's hard to justify action if the trigger for pain is a blantent overuse.
"5 or 6 MPH" is not a relaxed pace|
Posted by: Jackl on Jan-27-13 10:57 AM (EST)
especially for 20 miles.
Posted by: RubricOfRuin on Jan-27-13 11:07 AM (EST)
Age ? |
Posted by: seadart on Jan-27-13 1:46 PM (EST)
It sounds like it is arthritis/tendonitis. You can do some strength training with weights, work on your technique and premedicating with ibuprofen, which is actually a very effective anti-inflammatory. if you have pain afterward and you don't have stomach problems, you can take naprosyn or alleve (trade name) for a few days for the pain and inflammation.
Posted by: suiram on Jan-27-13 2:05 PM (EST)
One obvious advice is to see a sport medicine orthopedist who specializes in shoulder issues. If that person suggests a steroid injection, you need to look for another specialist. A good physical therapist, again one who deals with athletes, might be one way to go.
Posted by: radskierman on Jan-27-13 4:25 PM (EST)
Jeez, I don't know about the negative appraisal of an injection. I have a pretty serious calcium deposit in my shoulder. I could not lift my hand 2 inches forward from a starting position with my arm hanging at my side. Excruciating pain. Doctor said surgery, or try cortisone. Literally within 10 minutes I was pain free, unlimited motion. That was in June last year. Just an occasional twinge now, for instance throwing my boat (67#) up on the car after a 15-20 mile paddle. Is that better than surgery? If I need a shot of cortisone every 8-9 months, I'm ok with that and so is the doctor. I'll probably get another in April. Life is good, no long rehab and recovery from surgery, no missed skiing or paddling, I love cortisone, the guy that invented it should have gotten the Nobel prize for medicine as far as I'm concerned!
The 1950 Nobel Prize was ...|
Posted by: Kocho on Jan-27-13 11:55 PM (EST)
Cortisone and shoulders|
Posted by: gstamer on Jan-28-13 11:02 AM (EST)
Opinions differ greatly. My understanding is that Cortisone is a potent anti-inflammatory. It does not mask pain. In some cases it will eliminate the inflammation long enough that the irritation (bursitis, impingement, etc) will actually heal. For some people the effects will only be temporary.
I Second That|
Posted by: Kudzu on Jan-27-13 5:23 PM (EST)
Sounds like an 'arm paddling' thing. Are you getting torso into your stroke?
Posted by: RubricOfRuin on Jan-27-13 5:54 PM (EST)
Posted by: Kudzu on Jan-28-13 9:35 AM (EST)
"do what I say, not what I do"|
Posted by: NateHanson on Jan-29-13 2:15 PM (EST)
"I thought it was "arm paddling" but according to instructor . . . it's not."
Posted by: RubricOfRuin on Jan-29-13 6:57 PM (EST)
Now that's a possibility I have not considered!
why would |
Posted by: radiomix on Jan-27-13 6:27 PM (EST)
Posted by: rjd9999 on Jan-27-13 7:19 PM (EST)
suggests tendon issues. Bone injuries are sharp or dull consistent ache. Ligament issues (sprains) are also very sharp and intense with plenty of swelling. The actual cause is hard to understand, though I will guess that holding the paddle lower and with a softer grip may help.
Posted by: ezwater on Jan-27-13 7:34 PM (EST)
Your docs may not be reading solid research going back two decaades.
Posted by: RubricOfRuin on Jan-28-13 4:31 AM (EST)
Hardly, I would say - it just does not do anything whatsoever for this particular pain. I have a PhD in biochem anyway, so I do know a few things about what I can stuff my gullet with, chemistry-wise - the healing vs pain thing I've seen on myself when I had a dislocated ankle. But anatomy of joints is not my strong side and I agree, doctors around here don't seem to know much - the greatest benefit of socialized medicine - it's free, but also pretty useless!
Posted by: suiram on Jan-28-13 7:40 AM (EST)
Take a clip and post it where folks can see it.
I have found, for myself, that using a|
Posted by: shirlann on Jan-28-13 7:58 AM (EST)
high paddle stroke for an extended time will cause my shoulders to hurt. By lowering the arms helps to alleviate those sypmtoms. Also, it helps not to have a death grip on ones paddle. Been there, done that. Having a relaxed grip, where my 'pinky' digit is not tightly involved on the paddle is the way I go, otherwise there will be pain in the lower arm muscles.
ROR, if your sleep is interrupted |
Posted by: ezwater on Jan-28-13 3:55 PM (EST)
significantly by pain, or anything else, your pain may be a kind of localized fibromyalgia. A Canadian researcher, Moldofsky, established several decades ago that if stage 3/4 sleep (rather than REM sleep) was repeatedly interrupted in volunteers, they would feel tired and achy the next day, as if they had slept on hard ground. REM sleep interruption left volunteers tired, but not achy. The sleep structure of actual fibromyalgia patients suggested that they were not getting stage 3/4 "restorative" sleep to a normal degree.
Posted by: abc on Jan-29-13 2:51 PM (EST)
Sport-oriented ones preferred.
Posted by: gnatcatcher on Jan-29-13 10:23 PM (EST)
Funny this topic should come up. I've been experiencing symptoms almost exactly like yours since sometime in november. Ibuprofen doesn't seem to help, more pain when not active or lying on my back. Burning pain so intense that it would wake me at 2,3,4 am. After X-ray and MRI, I got my diagnosis today, tendinitis with slight impingement. Feels much better after a cortisone shot, will be starting PT shortly.
my cure all ........|
Posted by: pilotwingz on Jan-29-13 10:53 PM (EST)
..... make a regular habbit of walking/hiking up long steep hills , like a power line or path to the summit of a ridge . Something like 250' rise per 1/4 mi. , steeper is good too but maybe not better .