Rib Injuries 101

Rib injuries are the most mysterious and frustrating of rowing injuries. They nag slowly and face the rower with a difficult decision. Push through the pain or stop training until it’s “gone.” They crop up seemingly expectantly, they involve obscure muscles, they can’t be treated and a the rowing world still doesn’t know that much about them.

According to World Rowing, rib injuries have increased significantly since the 90s. Boat technology has moved away from more springy wooden shells and oars to stiffer composite material and shorter oars which contribute to heavier loads and more strain on the body.

The erg also plays a role in the rib drama. Since stationary rowing is now an inescapable part of training, rowers have to spend more time pushing against a machine that doesn’t move. Put a modern training plans with higher volumes that put more strain on bodies and leave less time for recovery and you’ll get a perfect storm for rib problems.

Rib injuries can also come from an increase in training volume, switching sides, switching from sculling to sweep or doing long hard pieces at low rates. It sounds almost exactly like my training plan…

I know you’re dying to know exactly what’s happening in the body when this happens, so with no further ado, here’s my quick-and-dirty, biomechanical summary of what’s up, according to StrengthcoachWill who this article for Row Perfect last January.

serratus-anterior-muscle

To the left is the serratus Anterior muscle. It surrounds the ribs and moves the arm forward. At the front end of the rowing stroke, the SA flexes and picks up the load of the boat. As the rower continues throughout the drive, the SA stays flexed and releases at the finish when the oar leaves the water. It’s work isn’t over though: On the recovery the SA has to contract as the arms move away from the body. The entire time the rowing motion is happening, the SA is cycling through a contraction pattern. It works tirelessly and is generally neglected. One of the reasons that rowers have characteristically hunched shoulders is because of tight SA muscles.

250px-rhomboidei

The other part of this story has to do with the muscles that oppose the SA. The rhomboids balance out the SA and prevent torque from being placed on the lower ribs. Without the rhomboids to pull against the force that the SA produces and stabilize the ribcage, the rib bones would be twisted and pounded until they start to splinter.

When the rhomboids aren’t strong enough to match the power of the SA, the ribs experience something like a runner getting shin splints. The rower will have throbbing or soreness when reaching for a doorknob, turning over in bed or breathing deeply. At this point the ribs are just stressed. If the rower keeps training, the ribs will start splintering into little micro-fractures. If the rower pushes through the pain the cracks will get larger until the bone officially fractures. Fun stuff right?

The only way to treat the rib injury is to stop putting stress on it so that the bone can heal. If it’s the finals of the IRAs, Worlds, Olympics, whatever, a rower can get away with rowing on stressed ribs. They could tape it up with KT tape, try to use ice and heating pads or take as many Advil as they deem safe, but the only way to get rid of it is to stop rowing for a length of time (anywhere from days to months depending on how bad it is.)

The best way to prevent rib injuries is through stretches and strengthening exercises. This article from Princeton University  does a really good job of summarizing preventative measures. I was happy to see that most of these exercises are included in our team’s regime—so thank you coaches.

At the end of the day, the main lesson with rib injuries is don’t be a dummy. If you start to feel pain in your ribs at the beginning of the practice, stop. If it hurts to breathe, tell your coach. If you’re rowing the opposite side, make sure you’re doing extra strength and stretching. Go forth and use this knowledge to make sure you’re not the one sitting on the launch watching practice because of something as silly as a rib fracture.

 

 

 

 

 

 

 

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