{"id":14533,"date":"2022-05-27T12:00:00","date_gmt":"2022-05-27T10:00:00","guid":{"rendered":"https:\/\/www.220triathlon.com\/?p=6588"},"modified":"2022-05-27T14:14:12","modified_gmt":"2022-05-27T12:14:12","slug":"swimmers-shoulder-symptoms-causes-and-how-to-treat-it","status":"publish","type":"rss_feed","link":"https:\/\/c01.purpledshub.com\/220triathlon\/rss_feed\/swimmers-shoulder-symptoms-causes-and-how-to-treat-it\/","title":{"rendered":"Swimmer\u2019s shoulder: Symptoms, causes and how to treat it"},"content":{"rendered":"<p class=\"rssexcerpt\"><\/p><p class=\"rssauthor\">By James White\n                \t\t<\/p><p class=\"rssbyline\">Published: Friday, 27 May 2022 at 12:00 am<\/p><hr class=\"no-tts wp-block-separator\"\/><?xml version=\"1.0\" encoding=\"UTF-8\" standalone=\"yes\"?>\n<!DOCTYPE html PUBLIC \"-\/\/W3C\/\/DTD HTML 4.0 Transitional\/\/EN\" \"http:\/\/www.w3.org\/TR\/REC-html40\/loose.dtd\">\n<html><body><p class=\"&quot;p1&quot;\"><strong>Although triathlon\u2019s first discipline, the swim leg, is often deemed the toughest, it\u2019s also blessed with the lowest injury rate. They can happen, though \u2013 so we asked qualified osteopath (and former GB powerlifter) James White to look at the most common shoulder injury swimmers get: subacromial impingement, aka \u2018swimmer\u2019s shoulder\u2019.<\/strong><\/p>\n<h2><strong>What is swimmer\u2019s shoulder?<\/strong><\/h2>\n<p>Swimming, while relatively low impact, puts your shoulder joint through a huge range of repetitive motion, which can lead to a\u00a0cumulation of stress and sometimes results in pain and dysfunction. As a result, it\u2019s very difficult to pin the cause of shoulder pain down to one specific part, and it\u2019s instead important to take a global approach to the shoulder and torso.<\/p>\n<h2><strong>Swimmer\u2019s shoulder symptoms<\/strong><\/h2>\n<p>Symptoms of swimmer\u2019s shoulder can include:<\/p>\n<ul><li>Pain in and around your shoulder<\/li>\n<li>Noticeable weakness or fatigue in your arm and shoulder<\/li>\n<li>Impacted range of motion<\/li>\n<li>Swelling in the shoulder<\/li>\n<\/ul><h2 class=\"&quot;p1&quot;\"><strong>The anatomy of the shoulder joint<\/strong><\/h2>\n<p>The shoulder is a complex joint with a\u00a0fantastic range of motion, as lots of structures work closely to each other, overlapping in their roles\u00a0and responsibilities.\u00a0However this is at the cost of stability, and is the reason shoulder injuries are fairly common, even though it\u2019s not a weight-bearing joint.<\/p>\n<div class=\"&quot;image-handler__container\" image-handler__container--aspect=\"\" style=\"&quot;padding-bottom:\" calc=\"\"> <picture><source media=\"&quot;(max-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/anatomy-of-shoulder-joint-6b5f098.jpg?webp=true&amp;quality=90&amp;resize=300%2C199,\" https:=\"\" type=\"&quot;image\/webp&quot;\"><source media=\"&quot;(max-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/anatomy-of-shoulder-joint-6b5f098.jpg?quality=90&amp;resize=300%2C199,\" https:=\"\" type=\"&quot;image\/jpeg&quot;\"><source media=\"&quot;(max-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/anatomy-of-shoulder-joint-6b5f098.jpg?webp=true&amp;quality=90&amp;resize=355%2C236,\" https:=\"\" type=\"&quot;image\/webp&quot;\"><source media=\"&quot;(max-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/anatomy-of-shoulder-joint-6b5f098.jpg?quality=90&amp;resize=355%2C236,\" https:=\"\" type=\"&quot;image\/jpeg&quot;\"><source media=\"&quot;(max-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/anatomy-of-shoulder-joint-6b5f098.jpg?webp=true&amp;quality=90&amp;resize=405%2C269,\" https:=\"\" type=\"&quot;image\/webp&quot;\"><source media=\"&quot;(max-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/anatomy-of-shoulder-joint-6b5f098.jpg?quality=90&amp;resize=405%2C269,\" https:=\"\" type=\"&quot;image\/jpeg&quot;\"><source media=\"&quot;(max-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/anatomy-of-shoulder-joint-6b5f098.jpg?webp=true&amp;quality=90&amp;resize=554%2C369,\" https:=\"\" type=\"&quot;image\/webp&quot;\"><source media=\"&quot;(max-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/anatomy-of-shoulder-joint-6b5f098.jpg?quality=90&amp;resize=554%2C369,\" https:=\"\" type=\"&quot;image\/jpeg&quot;\"><source media=\"&quot;(min-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/anatomy-of-shoulder-joint-6b5f098.jpg?webp=true&amp;quality=90&amp;resize=620%2C413&quot;\" type=\"&quot;image\/webp&quot;\"><source media=\"&quot;(min-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/anatomy-of-shoulder-joint-6b5f098.jpg?quality=90&amp;resize=620%2C413&quot;\" type=\"&quot;image\/jpeg&quot;\"><source media=\"&quot;(min-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/anatomy-of-shoulder-joint-6b5f098.jpg?webp=true&amp;quality=90&amp;resize=408%2C271,\" https:=\"\" type=\"&quot;image\/webp&quot;\"><source media=\"&quot;(min-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/anatomy-of-shoulder-joint-6b5f098.jpg?quality=90&amp;resize=408%2C271,\" https:=\"\" type=\"&quot;image\/jpeg&quot;\"><source media=\"&quot;(min-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/anatomy-of-shoulder-joint-6b5f098.jpg?webp=true&amp;quality=90&amp;resize=556%2C370,\" https:=\"\" type=\"&quot;image\/webp&quot;\"><source media=\"&quot;(min-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/anatomy-of-shoulder-joint-6b5f098.jpg?quality=90&amp;resize=556%2C370,\" https:=\"\" type=\"&quot;image\/jpeg&quot;\"><img class=\"&quot;wp-image-61787\" align=\"\" size-landscape_thumbnail=\"\" image-handler__image=\"\" image-handler__image--aspect=\"\" no-wrap=\"\" js-lazyload=\"\" data-src=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/anatomy-of-shoulder-joint-6b5f098.jpg?quality=90&amp;resize=620%2C413&quot;\" width=\"&quot;620&quot;\" height=\"&quot;413&quot;\" alt=\"&quot;&quot;\" title=\"&quot;&quot;\"\/><\/source><\/source><\/source><\/source><\/source><\/source><\/source><\/source><\/source><\/source><\/source><\/source><\/source><\/source><\/picture><\/div><div class=\"&quot;caption-hold&quot;\"><figcaption class=\"&quot;wp-caption-text&quot;\"><span class=\"&quot;caption-copy&quot;\"><i class=\"&quot;icon-arrow\" icon-camera-circle=\"\"\/> The anatomy of a shoulder joint<\/span><\/figcaption><span class=\"&quot;im-image-caption&quot;\"\/><\/div>\n<h2 class=\"&quot;p1&quot;\" style=\"&quot;text-align:\" center=\"\"\/>\n<p class=\"&quot;p1&quot;\">The shoulder joint is a ball and socket joint, which \u2013 unlike the <strong><a href=\"&quot;https:\/\/www.220triathlon.com\/training\/injuries\/hip-pain-diagnosis-and-causes\/&quot;\">hip joint<\/a><\/strong> \u2013 has a very shallow socket. A good way of imagining what it looks like is by thinking of a golf ball on a tee.<\/p>\n<p class=\"&quot;p2&quot;\">The bony part of your shoulder that you can feel sticking out at the end is called your acromion and this is where your collar bone meets your shoulder blade. When you lift up your arm above your head there is potential for the top of your humorous (upper arm) to knock and cause irritation against the under surface of your acromion.<\/p>\n<p class=\"&quot;p1&quot;\">There are a number of tissues that could be inflamed and causing pain. One is the bursa which is a flat sack that acts as to encourage smooth gliding of two tissues against each other. The bursa is likely to become inflamed if the shoulder is fallen on.<\/p>\n<section class=\"&quot;highlight\"><div class=\"&quot;highlight__content\" editor-content=\"\"> <ul><li><strong><a href=\"&quot;https:\/\/www.220triathlon.com\/training\/injuries\/nine-tips-for-dodging-injury-and-illness-as-a-triathlete\/&quot;\">Nine tips for dodging injury and illness as a triathlete<\/a><\/strong><\/li>\n<li><strong><a class=\"&quot;standard-card-new__article-title&quot;\" href=\"&quot;https:\/\/www.220triathlon.com\/training\/swim-training\/how-can-i-strengthen-my-shoulders-for-swimming-front-crawl\/&quot;\">How can I strengthen my shoulders for swimming front crawl?<\/a><\/strong><\/li>\n<li><strong><strong><a class=\"&quot;standard-card-new__article-title&quot;\" href=\"&quot;https:\/\/www.220triathlon.com\/training\/injuries\/shoulder-bursitis-what-it-is-and-how-to-treat-and-prevent-it\/&quot;\">Shoulder bursitis: What it is and how to treat and prevent it<\/a><\/strong><\/strong><\/li>\n<\/ul><p> <\/p><\/div> <\/section><p class=\"&quot;p1&quot;\">Another common one is the supraspinatus tendon. This is a small muscle that runs along the top of your shoulder blade and the tendon passes under the acromion and attaches onto the top of the humerous.<\/p>\n<p class=\"&quot;p1&quot;\">There is a part of the tendon called the critical zone where the blood supply is poor and this increases the chances of it becoming irritated due to its inability to heal itself quickly.<\/p>\n<p class=\"&quot;p1&quot;\">A healthy shoulder should not have any problems going through a full range of motion without any issues. It\u2019s when poor posture (such as excessive kyphosis in thoracic spine), lack of thoracic mobility, or even poor diet contribute to the mix that things can start to get irritated and under-repaired.<\/p>\n<h2 class=\"&quot;p1&quot;\"><strong>How do I test to see if I have swimmer\u2019s shoulder, aka subacromial impingement?<\/strong><\/h2>\n<p class=\"&quot;p2&quot;\">A simple and fairly accurate way to know if your shoulder pain is due to swimmer\u2019s shoulder (subacromial impingement) is the painful arc test. To perform this test simply stand and raise your arm out to the side all the way above your head.<\/p>\n<iframe title=\"&quot;Impingement\" syndrome=\"\" painful=\"\" arc=\"\" test=\"\" clinical=\"\" examination=\"\" width=\"&quot;200&quot;\" height=\"&quot;113&quot;\" src=\"&quot;https:\/\/www.youtube.com\/embed\/zMnjj7YV-40?feature=oembed&quot;\" frameborder=\"&quot;0&quot;\" allow=\"&quot;accelerometer;\" autoplay=\"\" clipboard-write=\"\" encrypted-media=\"\" gyroscope=\"\" picture-in-picture=\"\" allowfullscreen=\"\"\/>\n<p class=\"&quot;p2&quot;\">If it is subacromial impingement the pain tends to kick in around 40-60\u00b0 of abduction before going away\u00a0as you pass 120\u00b0 of abduction and your shoulder rotates so your palm faces in.<\/p>\n<h2 class=\"&quot;p1&quot;\"><strong>How to get rid of swimmer\u2019s shoulder?<\/strong><\/h2>\n<p class=\"&quot;p1&quot;\">To get rid of swimmer\u2019s shoulder, firstly, <strong>stop doing the movements that hurt it<\/strong>. When people learn that a movement hurts for some reason they keep doing it throughout the day to remind or confirm to themselves that it still hurts! Every time you do a movement that brings the pain back you are increasing the inflammation and damage to the area.<\/p>\n<p class=\"&quot;p1&quot;\">If you continue lifting your arm in such a way that it hurts then it will not get better. This also applies to doing activities or sports that aggravate the injury. If swimming front crawl causes pain then you need to stop doing it as you\u2019re not allowing the injury to repair itself.<\/p>\n<p>Sometimes, a short recovery period will be enough to let symptoms settle and allow you to slowly build your swim volume back up. Not all pain means something is wrong, it can just be your body\u2019s way of asking for some more downtime and recovery.<\/p>\n<div class=\"&quot;image-handler__container\" image-handler__container--full=\"\" style=\"&quot;padding-bottom:\" calc=\"\"> <picture><source media=\"&quot;(max-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/swimming-front-crawl-in-pool-lane-a20ae25.jpg?webp=true&amp;quality=90&amp;resize=300%2C200,\" https:=\"\" type=\"&quot;image\/webp&quot;\"><source media=\"&quot;(max-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/swimming-front-crawl-in-pool-lane-a20ae25.jpg?quality=90&amp;resize=300%2C200,\" https:=\"\" type=\"&quot;image\/jpeg&quot;\"><source media=\"&quot;(max-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/swimming-front-crawl-in-pool-lane-a20ae25.jpg?webp=true&amp;quality=90&amp;resize=355%2C237,\" https:=\"\" type=\"&quot;image\/webp&quot;\"><source media=\"&quot;(max-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/swimming-front-crawl-in-pool-lane-a20ae25.jpg?quality=90&amp;resize=355%2C237,\" https:=\"\" type=\"&quot;image\/jpeg&quot;\"><source media=\"&quot;(max-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/swimming-front-crawl-in-pool-lane-a20ae25.jpg?webp=true&amp;quality=90&amp;resize=405%2C270,\" https:=\"\" type=\"&quot;image\/webp&quot;\"><source media=\"&quot;(max-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/swimming-front-crawl-in-pool-lane-a20ae25.jpg?quality=90&amp;resize=405%2C270,\" https:=\"\" type=\"&quot;image\/jpeg&quot;\"><source media=\"&quot;(max-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/swimming-front-crawl-in-pool-lane-a20ae25.jpg?webp=true&amp;quality=90&amp;resize=554%2C369,\" https:=\"\" type=\"&quot;image\/webp&quot;\"><source media=\"&quot;(max-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/swimming-front-crawl-in-pool-lane-a20ae25.jpg?quality=90&amp;resize=554%2C369,\" https:=\"\" type=\"&quot;image\/jpeg&quot;\"><source media=\"&quot;(min-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/swimming-front-crawl-in-pool-lane-a20ae25.jpg?webp=true&amp;quality=90&amp;resize=620%2C413,\" https:=\"\" type=\"&quot;image\/webp&quot;\"><source media=\"&quot;(min-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/swimming-front-crawl-in-pool-lane-a20ae25.jpg?quality=90&amp;resize=620%2C413,\" https:=\"\" type=\"&quot;image\/jpeg&quot;\"><source media=\"&quot;(min-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/swimming-front-crawl-in-pool-lane-a20ae25.jpg?webp=true&amp;quality=90&amp;resize=408%2C272,\" https:=\"\" type=\"&quot;image\/webp&quot;\"><source media=\"&quot;(min-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/swimming-front-crawl-in-pool-lane-a20ae25.jpg?quality=90&amp;resize=408%2C272,\" https:=\"\" type=\"&quot;image\/jpeg&quot;\"><source media=\"&quot;(min-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/swimming-front-crawl-in-pool-lane-a20ae25.jpg?webp=true&amp;quality=90&amp;resize=556%2C371,\" https:=\"\" type=\"&quot;image\/webp&quot;\"><source media=\"&quot;(min-width:\" data-srcset=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/swimming-front-crawl-in-pool-lane-a20ae25.jpg?quality=90&amp;resize=556%2C371,\" https:=\"\" type=\"&quot;image\/jpeg&quot;\"><img class=\"&quot;wp-image-102689\" align=\"\" size-full=\"\" image-handler__image=\"\" image-handler__image--full=\"\" no-wrap=\"\" js-lazyload=\"\" data-src=\"&quot;https:\/\/images.immediate.co.uk\/production\/volatile\/sites\/34\/2019\/02\/swimming-front-crawl-in-pool-lane-a20ae25.jpg?quality=90&amp;resize=620%2C413&quot;\" width=\"&quot;620&quot;\" height=\"&quot;413&quot;\" alt=\"&quot;&quot;\" title=\"&quot;&quot;\"\/><\/source><\/source><\/source><\/source><\/source><\/source><\/source><\/source><\/source><\/source><\/source><\/source><\/source><\/source><\/picture><\/div><div class=\"&quot;caption-hold&quot;\"><figcaption class=\"&quot;wp-caption-text&quot;\"><span class=\"&quot;caption-copy&quot;\"><i class=\"&quot;icon-arrow\" icon-camera-circle=\"\"\/> Credit: Robert Daly\/Getty Images<\/span><\/figcaption><span class=\"&quot;im-image-caption&quot;\"\/><\/div>\n<p class=\"&quot;p1&quot;\">Secondly, <strong>improve your posture<\/strong> so that the shoulder joint sits in an improved position can improve the function of the shoulder and aid in recovery. For the vast majority of people this means reducing the amount of kyphosis in the thoracic spine and retracting the head. This can be achieved by simply standing taller \u2013 pretend there is a piece of string pulling you as tall as you can be.<\/p>\n<p class=\"&quot;p1&quot;\">By doing this, your shoulder blade moves into its intended location which brings your shoulder into the correct position. Exercises are great for improving strength and posture but without consistently practising good posture as mentioned above they\u2019re much less likely to be successful. While at your desk, walking, eating and any other time of the day you need to make sure you\u2019re thinking about your posture.<\/p>\n<p class=\"&quot;p1&quot;\">Lastly you need to <strong>strengthen the <a href=\"&quot;https:\/\/www.220triathlon.com\/training\/injuries\/rotator-cuff-what-it-is-how-it-works-and-what-happens-if-it-becomes-damaged\/&quot;\">rotator cuff muscles<\/a><\/strong> in the shoulder joint. The best way to begin doing this is with your arm in the neutral position (which is with your elbow at your side), and trying the following\u2026<\/p>\n<h2 class=\"&quot;p1&quot;\"><strong>Swimmer\u2019s shoulder treatments<\/strong><\/h2>\n<h3 class=\"&quot;p1&quot;\"><strong>1. External rotation<\/strong><\/h3>\n<p class=\"&quot;p1&quot;\">Attach a theraband to something solid and hold the other end. While keeping your elbow at your side and at 90\u00b0 you externally rotate your arm.<\/p>\n<p class=\"&quot;p1&quot;\">This works the deep external rotation muscles of the shoulder (teres minor and infraspinatus) which improve the functioning and strength of the shoulder joint. In a controlled manner, complete 15 reps.<\/p>\n<h3 class=\"&quot;p1&quot;\"><strong>2. Abduction<\/strong><\/h3>\n<p class=\"&quot;p1&quot;\">This movement is intended to strengthen the supraspinatus muscle and also initiate a healing response in the supraspinatus tendon.<\/p>\n<p class=\"&quot;p1&quot;\">To perform the exercise simply stand side on to a wall with the back of your hand against the wall.<\/p>\n<p class=\"&quot;p1&quot;\">Push your hand into the wall for 5 seconds and then relax. Complete 15 reps.<\/p>\n<h3 class=\"&quot;p1&quot;\"><strong>3. Retraction<\/strong><\/h3>\n<p class=\"&quot;p1&quot;\">This last exercise is done to strengthen the scapular retraction muscles, which will improve your posture and the overall health of your shoulder complex. Stand with the band looped over something solid and hold the two ends at arms length.<\/p>\n<p class=\"&quot;p1&quot;\">Then, while keeping your shoulders down and relaxed, squeeze your shoulder blades back together. Hold for 5secs and then relax. Complete 15 reps.<\/p>\n<p class=\"&quot;p1&quot;\">By performing these exercises every day, while also following the other advice in this article, you\u2019re giving yourself a great chance of a full recovery with no future problems. But if the pain persists, or returns as you start to build your volume back up to where it was initially, seek the help of a qualified osteopath or physio\u00a0to help find potential causes in a little more detail.<\/p>\n<p class=\"&quot;p1&quot;\">After assessing you and your shoulder, you can implement a treatment plan with specific exercises that can modify the way your shoulder handles load.<\/p>\n<section class=\"&quot;highlight\"><div class=\"&quot;highlight__content\" editor-content=\"\"> <h4 class=\"&quot;MsoNormal&quot;\" style=\"&quot;margin:\" normal=\"\"><strong>Takeaway tips<\/strong><\/h4>\n<ul><li class=\"&quot;MsoNormal&quot;\" style=\"&quot;font-weight:\" normal=\"\">Avoid large spikes in swim volume<\/li>\n<li class=\"&quot;MsoNormal&quot;\" style=\"&quot;font-weight:\" normal=\"\">Include regular strength and conditioning work in your regime<\/li>\n<li class=\"&quot;MsoNormal&quot;\" style=\"&quot;font-weight:\" normal=\"\">Allow time for recovery if shoulder pain arises and seek help if you can\u2019t get on top of it<\/li>\n<li class=\"&quot;MsoNormal&quot;\" style=\"&quot;font-weight:\" normal=\"\">Address the movements and increase your tolerance over time \u2013 don\u2019t focus too much on which structures to blame<\/li>\n<li class=\"&quot;MsoNormal&quot;\" style=\"&quot;font-weight:\" normal=\"\">Stay positive and be patient<\/li>\n<\/ul><p> <\/p><\/div> <\/section><p class=\"&quot;p1&quot;\"><strong>For more info, head to\u00a0<a title=\"&quot;http:\/\/thewclinic.com&quot;\" href=\"\/\/tauntonhealth.co.uk&quot;\" target=\"&quot;_blank&quot;\" rel=\"&quot;noopener noopener noreferrer\" noreferrer=\"\">tauntonhealth.co.uk<\/a>.<\/strong><\/p><\/body><\/html>\n<hr class=\"no-tts wp-block-separator\"\/>","protected":false},"excerpt":{"rendered":"<p>By James White Published: Friday, 27 May 2022 at 12:00 am Although triathlon\u2019s first discipline, the swim leg, is often deemed the toughest, it\u2019s also blessed with the lowest injury rate. They can happen, though \u2013 so we asked qualified osteopath (and former GB powerlifter) James White to look at the most common shoulder injury [&hellip;]<\/p>\n","protected":false},"author":24,"featured_media":14534,"template":"","categories":[1,23],"acf":{"readingTimeMinutes":"7"},"uagb_featured_image_src":{"full":["https:\/\/c01.purpledshub.com\/uploads\/sites\/47\/2022\/05\/swimmers-shoulder-symptoms-causes-and-how-to-treat-it.jpg",600,440,false],"thumbnail":["https:\/\/c01.purpledshub.com\/uploads\/sites\/47\/2022\/05\/swimmers-shoulder-symptoms-causes-and-how-to-treat-it-150x150.jpg",150,150,true],"medium":["https:\/\/c01.purpledshub.com\/uploads\/sites\/47\/2022\/05\/swimmers-shoulder-symptoms-causes-and-how-to-treat-it-300x220.jpg",300,220,true],"medium_large":["https:\/\/c01.purpledshub.com\/uploads\/sites\/47\/2022\/05\/swimmers-shoulder-symptoms-causes-and-how-to-treat-it.jpg",600,440,false],"large":["https:\/\/c01.purpledshub.com\/uploads\/sites\/47\/2022\/05\/swimmers-shoulder-symptoms-causes-and-how-to-treat-it.jpg",600,440,false],"1536x1536":["https:\/\/c01.purpledshub.com\/uploads\/sites\/47\/2022\/05\/swimmers-shoulder-symptoms-causes-and-how-to-treat-it.jpg",600,440,false],"2048x2048":["https:\/\/c01.purpledshub.com\/uploads\/sites\/47\/2022\/05\/swimmers-shoulder-symptoms-causes-and-how-to-treat-it.jpg",600,440,false]},"uagb_author_info":{"display_name":"importmanagerhub@sprylab.com","author_link":"https:\/\/c01.purpledshub.com\/220triathlon\/author\/importmanagerhubsprylab-com\/"},"uagb_comment_info":0,"uagb_excerpt":"By James White Published: Friday, 27 May 2022 at 12:00 am Although triathlon\u2019s first discipline, the swim leg, is often deemed the toughest, it\u2019s also blessed with the lowest injury rate. They can happen, though \u2013 so we asked qualified osteopath (and former GB powerlifter) James White to look at the most common shoulder injury&hellip;","_links":{"self":[{"href":"https:\/\/c01.purpledshub.com\/220triathlon\/wp-json\/wp\/v2\/rss_feed\/14533"}],"collection":[{"href":"https:\/\/c01.purpledshub.com\/220triathlon\/wp-json\/wp\/v2\/rss_feed"}],"about":[{"href":"https:\/\/c01.purpledshub.com\/220triathlon\/wp-json\/wp\/v2\/types\/rss_feed"}],"author":[{"embeddable":true,"href":"https:\/\/c01.purpledshub.com\/220triathlon\/wp-json\/wp\/v2\/users\/24"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/c01.purpledshub.com\/220triathlon\/wp-json\/wp\/v2\/media\/14534"}],"wp:attachment":[{"href":"https:\/\/c01.purpledshub.com\/220triathlon\/wp-json\/wp\/v2\/media?parent=14533"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/c01.purpledshub.com\/220triathlon\/wp-json\/wp\/v2\/categories?post=14533"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}