Surfing Smart: Preventing Lower Back Pain and How to Communicate with Your Therapist
- Mar 10
- 3 min read
Lower back pain is a common issue for surfers, often caused by the repetitive movements and postures involved in the sport. Whether you’re paddling out, popping up, or riding waves, the strain on your lower back can lead to discomfort or even injury. Understanding how to prevent surfing back pain and how to describe your symptoms clearly to your therapist can make a big difference in your recovery and performance. This post offers practical advice on avoiding surfer low back pain, tips on what to tell your osteopath, physiotherapist or chiropractor and guidance on staying hydrated while in the water.

Why Lower Back Pain Happens in Surfing
Surfing demands a lot from your lower back. The position you hold while paddling requires spinal extension, which can aggravate facet joint pain surfing. When you pop up quickly to stand on your board, your back experiences sudden forces that can cause strain. Poor surfing technique often leads to uneven loading of the spine, increasing the risk of back pain from surfing.
Common causes of lower back pain in surfers include:
Excessive spinal extension during paddling
Weak core muscles that fail to support the lower back
Poor posture on the board
Sudden twisting or bending when catching waves
Overuse without proper rest or recovery
Recognizing these factors helps you adjust your approach to surfing and reduce the chance of injury.
How to Prevent Surfer Low Back Pain
Prevention starts with improving your surfing technique and body mechanics. Here are some effective strategies:
1. Adjust Your Paddling Position
Avoid excessive arching of your lower back while paddling. Instead, try to:
Keep your chest lifted but avoid hyperextending your spine
Engage your core muscles to support your lower back
Use your arms and shoulders efficiently to reduce strain on your back
2. Strengthen Your Core and Back Muscles
A strong core stabilizes your spine and reduces the load on your lower back. Incorporate exercises such as:
Planks and side planks
Bird-dogs
Bridges
Superman holds
These exercises improve endurance and control, helping you maintain better posture on the board.
3. Practice Proper Pop-Up Technique
When popping up, focus on smooth, controlled movements:
Use your arms to push up rather than relying on your back
Keep your spine neutral and avoid sudden hyperextension
Land softly on your feet to absorb impact
4. Stretch and Mobilize Regularly
Tight muscles can contribute to spinal extension pain surfing. Stretch your hip flexors, hamstrings, and lower back regularly to maintain flexibility.
5. Manage Your Surfing Sessions
Avoid overdoing it. Gradually increase your time in the water and take breaks to allow your body to recover.
What to Tell Your Therapist About Your Surfing Back Pain
When visiting an osteopath surfing specialist or any therapist, clear communication helps them understand your condition better. Here’s what to mention:
When the pain occurs: Is it worse while paddling, popping up, or riding waves?
Type of pain: Sharp, dull, aching, or burning sensations
Pain location: Specific areas in your lower back or radiating pain
Activities that relieve or worsen pain: For example, does resting help? Does spinal extension increase pain?
Any previous injuries or treatments
Your surfing routine: Frequency, duration, and intensity of sessions
Providing these details allows your therapist to tailor treatment and advice to your specific needs.

Staying Hydrated While Surfing
Hydration is often overlooked but plays a key role in preventing muscle cramps and maintaining overall performance. Dehydration can worsen muscle stiffness and increase the risk of injury, including back pain from surfing.
Tips for Proper Water Intake
Drink water before you enter the water to start hydrated
Carry a water bottle on the beach and take breaks to sip regularly
Avoid excessive caffeine or alcohol before surfing as they can dehydrate you
Consider electrolyte drinks if surfing for long periods in hot conditions
Final tip, check your pee colour - if its dark yellow, then you can best bet you are dehydrated, if its black or brown, seek urgent medical attention (may be a sign of
Proper hydration supports muscle function and recovery, helping you stay strong and pain-free.
Final Thoughts on Managing Lower Back Pain While Surfing
Lower back pain is a common challenge for surfers but can be managed with the right approach. Focus on improving your surfing technique, strengthening your core, and communicating clearly with your therapist about your symptoms. Don’t forget to stay hydrated to support your body during sessions.
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