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Why Do My Knees Hurt After Swimming?

Published in Swimming Injuries 3 mins read

Knee pain after swimming is often due to the repetitive motions involved, placing stress on the ligaments and tendons around the knee.

The most common reason for knee pain after swimming, often referred to as "Swimmer's Knee," stems from the repetitive flexion-extension, adduction, and external rotation of the knee joint against the resistance of the water. This repetitive motion particularly impacts the medial collateral ligament (MCL), increasing its susceptibility to pain, swelling, and inflammation.

Here's a breakdown of contributing factors:

  • Repetitive Motions: Swimming strokes, especially breaststroke and sometimes butterfly, require significant knee flexion and extension. This constant repetition can irritate the knee joint and surrounding tissues.

  • Hydrodynamic Resistance: Water provides resistance, requiring your knee to work harder to complete each movement.

  • MCL Stress: The MCL is a key ligament on the inside of your knee. The movements described above can put extra strain on this ligament, leading to irritation and pain.

  • Improper Technique: Poor swimming technique can exacerbate the stress on your knees. This includes incorrect kicking form or inadequate body rotation.

  • Lack of Warm-up: Failing to properly warm up before swimming can leave your knees vulnerable to injury.

  • Muscle Imbalances: Weak hip or core muscles can force the knees to compensate, leading to increased stress.

How to Mitigate Knee Pain After Swimming:

  • Improve Swimming Technique: Focus on proper kicking form and body rotation to minimize stress on the knees. Consider working with a swimming coach.
  • Warm-Up Properly: Before swimming, perform dynamic stretches that target the muscles around your hips, thighs, and knees.
  • Strengthen Supporting Muscles: Incorporate exercises that strengthen your hip abductors, adductors, quadriceps, hamstrings, and core.
  • Use Proper Equipment: Ensure proper fit and consider using fins for less intense kicking workouts to reduce strain.
  • Cool Down and Stretch: After swimming, gently stretch the muscles around your knees.
  • Rest and Recovery: Allow adequate rest between swim sessions to give your knees time to recover.
  • Consider Alternative Strokes: Vary your swimming strokes to avoid overuse injuries.
  • Anti-Inflammatory Measures: Apply ice to your knees after swimming if you experience pain or swelling. Over-the-counter pain relievers may also provide relief.
  • Consult a Healthcare Professional: If your knee pain persists or worsens, seek medical advice from a doctor or physical therapist. They can help diagnose the cause of your pain and recommend appropriate treatment.

By understanding the reasons behind knee pain after swimming and implementing preventative measures, you can minimize discomfort and continue enjoying the benefits of this excellent exercise.

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