Post-Swimming Discomfort: Back and Abdominal Pain - Family Medicine

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Discomfort in the back and abdomen after swimming?


Hello, Doctor.
After swimming, I always experience pain in my lower back and abdomen.
When I press on my stomach, there is discomfort, and my lower back feels uncomfortable even when standing straight.
However, resting for a while helps alleviate the discomfort.
Is this an issue related to my back or abdomen? I didn't have this problem before, but it has been occurring recently after swimming for about 30-40 minutes.
Thank you.

Gao, 40~49 year old female. Ask Date: 2023/11/08

Dr. Ye Qianyu reply Family Medicine


Hello! Based on your description, the tenderness in your lower back and abdomen after exercise may suggest a muscle strain.
It is recommended that you consult a rehabilitation specialist.
Be sure to warm up before exercising and perform cool-down exercises afterward.
If it is indeed a sports injury, you may need to rest or modify your exercise routine and intensity.
If you experience any other related symptoms, please inform your healthcare provider to prevent any complex issues.

Reply Date: 2023/11/08

More Info


Experiencing discomfort in the back and abdomen after swimming can be concerning, especially if this is a new development. There are several potential reasons for this pain, and understanding them can help you address the issue effectively.

Firstly, it's important to consider the mechanics of swimming. Swimming is a full-body workout that engages various muscle groups, including the core, back, and abdominal muscles. If you have recently increased the intensity or duration of your swimming sessions, your body may be reacting to the increased demand on these muscles. Muscle soreness, particularly in the back and abdomen, can occur as a result of overexertion or improper technique. If your swimming form is not optimal, it can lead to muscle strain, resulting in discomfort during and after your sessions.

Another possibility is that the pain could be related to your core stability. Swimming requires a strong core to maintain proper body alignment and reduce strain on the back. If your core muscles are weak or fatigued, it can lead to compensatory movements that place additional stress on your back and abdominal muscles, causing pain. Engaging in core-strengthening exercises outside of swimming can help improve your stability and potentially alleviate discomfort.

Additionally, the position of your body in the water can also contribute to discomfort. For instance, if you are not maintaining a neutral spine while swimming, or if you are overextending your back during certain strokes, this can lead to strain. It's crucial to focus on proper technique and body alignment while swimming. Consider working with a coach or instructor who can provide feedback on your form and help you make necessary adjustments.

Another factor to consider is hydration and nutrition. Dehydration can lead to muscle cramps and discomfort, so ensure you are adequately hydrated before, during, and after swimming. Additionally, eating a balanced diet that supports your activity level is essential for muscle recovery.

If the pain persists or worsens, it may be wise to consult a healthcare professional. They can perform a thorough evaluation to rule out any underlying conditions, such as herniated discs, muscle tears, or other musculoskeletal issues. Imaging studies, such as X-rays or MRIs, may be necessary to assess the condition of your spine and surrounding tissues.

In the meantime, consider implementing some self-care strategies. Gentle stretching and strengthening exercises for your core and back can help alleviate discomfort. Additionally, applying heat or cold to the affected areas may provide relief. Resting after swimming and allowing your body to recover is also important.

In summary, post-swimming discomfort in the back and abdomen can arise from various factors, including muscle strain, core instability, improper technique, and hydration issues. By addressing these potential causes and seeking professional guidance if necessary, you can work towards reducing your discomfort and enjoying your swimming sessions more fully.

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