Youth Swimming Injuries: How Parents Can Help Their Swimmer Stay Healthy

Youth Swimming Injuries: How Parents Can Help Their Swimmer Stay Healthy

Swimming Is Low Impact, But It Is Not Stress Free

As parents, we want our kids to find something they love.

For many children, swimming becomes much more than a sport. It teaches discipline, builds confidence, creates friendships, and gives them something to work toward.

Swimming is also considered one of the safer youth sports because there are no hard turf impacts, collisions, or repeated landings.

But if your child swims competitively, you may have already noticed something:

Swimming may be low impact, but it is not low stress on the body.

Every lap requires the shoulders, spine, hips, and knees to move repeatedly against the resistance of the water. Over the course of a season, those thousands of repetitions can place significant demands on a young athlete’s developing body.

Most swimming injuries don’t happen because of one major event. Instead, they can develop gradually through repetitive stress and subtle changes in the way the body moves.

That is where you, as a parent, can play an important role.

You know your child better than anyone.

If you notice that something about the way they are moving, recovering, or performing has changed, it is worth paying attention.

You don’t have to wait until your swimmer is in significant pain to start asking questions.


What Is Happening Inside the Pool?

When we look at a swimming pool, it is easy to see a relatively safe environment compared with many field and court sports.

But water creates its own unique form of resistance.

Every stroke requires your child’s body to generate propulsion against that resistance. Their shoulders, spine, hips, knees, and muscles are working together repeatedly to move them through the water.

That repetition is part of what makes them stronger and faster.

It is also why paying attention to movement and recovery matters.

As a parent, you may not know exactly what is causing a change you see in your swimmer—and you don’t have to.

Your job isn’t to diagnose the problem.

Your job is to notice when something has changed and ask the right questions.


The Shoulder: A Swimmer’s Most Demanding Joint

Think about how many times your child’s shoulder moves during a typical week of training.

An average competitive swimmer may perform approximately 30,000 shoulder rotations each week during a 60,000- to 80,000-meter training block.

The shoulder is designed for mobility rather than stability. When thousands of repetitive movements are layered on top of that design, the surrounding muscles and tendons can experience significant stress.

Over time, repetitive swimming motions may contribute to:

  • Shoulder impingement
  • Rotator cuff irritation
  • Tendon overuse injuries
  • Reduced shoulder mobility
Freestyle swimming stroke showing shoulder movement through each phase

The freestyle stroke alone requires a complex sequence of shoulder flexion, extension, internal rotation, external rotation, and adduction repeated over and over throughout practice.

Small Changes Can Be Easy to Miss

One of the difficult things about overuse injuries is that they don’t necessarily announce themselves with a major event.

Your swimmer may first experience a slight loss of shoulder mobility, reduced spinal rotation, or a mild muscle imbalance.

They may not even describe it as pain.

Instead, you might hear:

“My shoulder just feels tight.”

Or:

“I’m just tired.”

Or:

“It’s nothing. I can still swim.”

And because your child wants to practice, compete, and keep up with their teammates, they may not think much of it.

This is where your attention as a parent matters.

A small change may not mean your child is injured. But repeated changes in movement, soreness, or performance are worth noticing.


The Knee: An Often Overlooked Source of Stress

The shoulders aren’t the only part of a swimmer’s body that experiences repetitive stress.

If your child swims breaststroke, you may want to pay particular attention to the knees.

During the breaststroke, the knee moves into deep flexion before rapidly transitioning into the powerful outward whip kick that drives the swimmer forward.

Breaststroke frog kick showing valgus stress on the knee

This movement places significant stress on the inside of the knee and may contribute to:

  • Medial collateral ligament (MCL) strain
  • Patellofemoral tracking issues
  • Hip and groin muscle strain
  • Chronic knee discomfort

Again, this doesn’t mean every young breaststroke swimmer is going to develop a knee problem.

It simply means that repetition matters.

If your child repeatedly mentions knee discomfort during or after breaststroke, that is information worth paying attention to.


What Should Parents Watch For?

Young athletes don’t always tell us when something is wrong.

Sometimes they don’t want to miss practice.

Sometimes they don’t want to disappoint their coach or teammates.

And sometimes they simply assume that soreness is part of being an athlete.

That’s why your observations can be so valuable.

Watch for changes such as:

  • Shoulder soreness lasting more than one to two days after practice
  • Knee pain during or after breaststroke
  • Neck tightness from consistently breathing to one side
  • Recurring back discomfort
  • Difficulty reaching overhead comfortably
  • Changes in stroke symmetry or technique
  • Increased fatigue despite normal training volume
  • A noticeable decrease in performance
  • One shoulder consistently appearing higher than the other
  • Frequent comments like, “It’s just swimming soreness.”

None of these automatically means your child has an injury.

But they may be clues that something has changed.

And you don’t have to figure out exactly what that change means by yourself.

That’s where having the right professionals in your corner can help.


Your Swimmer’s Body Works as a Team

Swimming requires the body to function as one coordinated kinetic chain.

The hands and forearms anchor in the water while the core, spine, hips, and shoulders work together to create efficient movement.

When one part of that chain isn’t moving as efficiently, the body may compensate somewhere else.

For example, restrictions in spinal motion or asymmetrical movement patterns may affect stroke mechanics. When one side of the body isn’t moving as efficiently as the other, a swimmer may compensate with altered technique, increased energy expenditure, or additional stress on surrounding joints.

As a parent, you don’t need to understand every part of the kinetic chain.

But understanding that everything is connected can help you recognize why a change in one area may be worth investigating.


So, Where Can Chiropractic Care Fit In?

This is where Topsail Chiropractic can come alongside you.

You are the one who knows your child. You are the one who noticed the change. You are the one who decided to do something about it.

Our role is to help you better understand what we see during an evaluation and provide recommendations based on your child’s individual needs.

For young swimmers, that may include looking at areas such as:

1. Spinal and Pelvic Movement

Single-sided breathing patterns, repetitive twisting, and lumbar extension during strokes such as butterfly and breaststroke can place uneven stress on the spine.

Evaluating movement restrictions and asymmetries may help identify areas that could benefit from additional attention.

2. Mobility and Stability

Many swimmers are naturally flexible.

But flexibility and stability are not the same thing.

A swimmer may have plenty of flexibility while still needing additional strength or control in certain areas.

The goal isn’t to find something “wrong” with your child.

The goal is to better understand how your child’s body is moving so you can make informed decisions about how to support them.

3. Neuromuscular Coordination

Efficient swimming depends on communication between the nervous system and the muscles responsible for movement.

This is particularly important around the shoulder blades, which help support proper mechanics throughout the swimming stroke.

An evaluation can help identify areas where movement may not be as efficient or symmetrical as it could be.


What Can You Do to Help Your Swimmer?

You don’t have to be a sports medicine expert to support your child.

There are several simple things parents and coaches can keep an eye on throughout the season.

1. Pay Attention to Training Volume

Sudden increases in yardage or workout intensity can place additional stress on developing tissues.

Whenever possible, training loads should increase gradually.

2. Encourage Strength and Conditioning

Dry-land programs can help swimmers develop strength and control that complement what they do in the pool.

Programs may include:

  • Rotator cuff strengthening
  • Scapular stabilization
  • Upper-back strength
  • Stretching of tight chest muscles

These exercises can help address some of the muscular demands created by repetitive swimming.

3. Don’t Ignore Persistent Discomfort

This may be one of the most important things you can do as a parent.

Overuse problems don’t always begin with severe pain.

Sometimes they start with mild soreness, stiffness, or a subtle change in movement.

So if your swimmer keeps mentioning the same shoulder, knee, back, or neck problem, listen to them.

You don’t have to assume something is seriously wrong.

But you also don’t have to tell them to simply “push through it.”

Asking questions and having the right person evaluate the situation may help you understand what is going on and what your next step should be.


You’re the One Who Knows Your Swimmer Best

Swimming is a tremendous sport.

It teaches discipline, endurance, confidence, and resilience.

And as a parent, you get to watch your child grow through all of it.

You see the early mornings.

You see the long practices.

You see the meets.

You see the excitement when they drop time.

And you may also be the first person to notice when something doesn’t look quite right.

Maybe your swimmer isn’t recovering the way they normally do.

Maybe they’re complaining about the same shoulder every week.

Maybe their stroke has changed.

Maybe they’re simply not performing like themselves.

Don’t ignore that parental instinct.

You don’t have to diagnose your child.

You don’t have to know exactly what is causing the problem.

You simply have to recognize that something has changed and be willing to ask for help.

That’s where your child’s healthcare team can come alongside you.

Is Your Young Swimmer Ready for the Season?

Most swimming injuries don’t begin with a major event. They can develop gradually through thousands of repetitions over weeks and months of training.

By the time shoulder or knee pain begins affecting practice, changes in mobility, posture, and movement patterns may have been present for some time.

If you’ve noticed something about your swimmer that has made you wonder, “Is this normal?”—don’t ignore that question.

You know your child better than anyone. If something has changed, take the next step and find out why.

At Topsail Chiropractic, we’re here to come alongside you and your young athlete.

You bring your knowledge of your child.
We’ll bring our knowledge of movement and the body’s structure.
Together, we’ll take a closer look and help you better understand what we’re seeing.

Our Youth Athlete Assessment Includes:

✅ Comprehensive kinetic chain assessment

✅ Thoracic spine, shoulder, and pelvic mobility evaluation

✅ Postural and movement pattern analysis

✅ Identification of potential muscle imbalances related to swimming

✅ Sport-specific recommendations to support performance and injury prevention

✅ Customized dry-land exercise recommendations based on your athlete’s needs

Whether your swimmer is preparing for a new season, training year-round, or experiencing recurring soreness, you’ve already taken the most important step—you paid attention.

Don’t Just Wonder. Find Out.

If you’ve been thinking, “Something just doesn’t seem right,” or your swimmer keeps mentioning the same soreness, give us a call.

A Youth Athlete Structural Screening gives you an opportunity to take a closer look at how your swimmer is moving, identify areas that may need attention, and get recommendations specific to your athlete.

You don’t have to diagnose the problem.
You don’t have to wait until it becomes a bigger problem.
And you don’t have to figure it out alone.

Call Topsail Chiropractic today at 757-755-1824 to schedule your Youth Athlete Assessment.

👉 Or Click Here to Schedule!

Your swimmer has put in the work in the pool.

You’ve been paying attention from the sidelines.
Now take the next step for your athlete.

We’ll be here to help you from there.

You know your swimmer.
You noticed the change.
You took action.
We’re here to help.

Are you ready to Set Sail to Better Health? 

Scientific References 

  1. Biomechanical Considerations in the Competitive Swimmer’s Shoulder. Journal of Athletic Training. PMC3438875. 
  1. The Biomechanics of Swimming: The Shoulder and Knee. Sports Medicine. PubMed ID: 3948252. 
  1. Unlocking Athletic Potential: The Integration of Chiropractic Care into the Sports Industry and Its Impact on the Performance and Health of Athletes. Cureus. PMC10075015. 
  1. Epidemiology of Injuries and Prevention Strategies in Competitive Swimmers. Journal of Sports Science & Medicine. PMC3435931. 
  1. Effect of Preventive Exercise Programs for Swimmer’s Shoulder Injury on Rotator Cuff Torque and Balance in Competitive Swimmers: A Randomized Controlled Trial. MDPI / PubMed. PubMed ID: 40077099. 
  1. The Effect of Exercise Therapy Interventions on Shoulder Pain and Musculoskeletal Risk Factors for Shoulder Pain in Competitive Swimmers: A Scoping Review. Journal of Sports Rehabilitation. Volume 31: Issue 5. 

Comments

Leave a Reply

Your email address will not be published. Required fields are marked *