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The last two sessions I've been cramping up a lot. And it's not just a little cramp: my arms, and both sides of my body. It only happens towards the end of my sessions. I think its due to the cold water where I surf. It's not because I'm not in shape, I get in the water a lot. Please, please help me!!
asked by Paul Amorillo


Kevyn Dean* has 15 years of physical therapy experience and a Master's degree in the field; he's a leader in sport-specific training and rehab, with an emphasis on surfing and he's worked with all kinds of athletes, from Olympic to high school. Here's what he has to say on cramping:
With our modern technology, medical advancements, and highly financed health care, it may surprise you to know that the exact cause of muscle cramping is unknown. How a muscle cramps is a technical discussion involving terms such as spindle fiber and ionic channels which you probably don't want to hear. The conditions muscle cramping has been linked to stretches from the sublime to the serious. The most common conditions associated with muscle cramping are fatigue, dehydration, and electrolyte depletion.
Because your cramps seem to be happening at the end of your session all three of these issues come into play. Luckily, each one is relatively under your control.
Always be aware of your level of exhaustion. As you fatigue you are more susceptible to injury and muscle cramping. When you are in cold water and your suit isn’t keeping you toasty your body will attempt to create heat by shivering which in turn increases muscle fatigue. Therefore if you find yourself trembling in the cold, invest in a new suit, or cut your session short (yeah right!).
Dehydration has been strongly linked to muscle cramps. In our fast food, super size me world, many of us walk around dehydrated without even knowing it. An easy way to gauge your hydration level is to check the color of your urine. Clear means you are pretty well hydrated. Fluorescent colored urine, although entertaining, is usually a sign that you have not drunk enough water.
Besides the risk of muscle cramping, fluid loss negatively impacts athletic performance. Therefore, water loss as a percentage of your body weight is important to know. 2 percent impairs athletic ability, 3 percent reduces muscle endurance, 4-6 percent reduces muscle strength, and >6percent leads to heat cramps and heat exhaustion. To determine your percent of weight loss, suffer the embarrassment, and bring a scale to the beach. Weigh yourself before and after your session. The calculation is (weight before – weight after / weight before) x 100 = percent of body weight loss. For example if you weight 150 pounds before and 145.5 pounds after this represents a loss of 4.5 pounds. 4.5 divided by 150 is .03. .03 x 100 = 3 percent loss of body weight.
To combat dehydration, make sure you drink plenty of water throughout the day. A 32 oz. coffee in the morning, big gulp Dr Pepper in afternoon, and a 6 pack of beer before bed, isn’t good hydration. 8-10 large glasses of water a day are a good start. If you weigh yourself after your session, know that for every pound of body weight lost, you need 20 to 24 oz. of fluid to replace it.
As you lose water, you are also losing vital minerals (electrolytes, sodium, potassium) your muscles need for proper function. Depleting these electrolytes also leads to muscle cramping. Sport drinks before, during, or after a physical activity are quite beneficial. However, these beverages are mainly sugar water, and are not meant to be the mainstay of your fluid intake.
If your muscle cramping continues especially in the absence of physical exertion, it is time to see your Doc. Muscle cramping is associated with some nasty illnesses including, circulatory problems, metabolic and hormonal imbalances, nutritional deficits, Amyotrophic lateral sclerosis, spinal nerve irritation, spinal stenosis, Thyroid disease, cirrhosis of the liver, Diabetes, hypoglycemia, Anemia, and a partridge in a pear tree. If you have any doubt about your health, don’t put off seeking professional medical advice.
*contact info:
Kevyn Dean, MSPT
Huntington Beach Physical Therapy Specialists
18800 Main Street, #208
Huntington Beach, CA 92648
714-841-6162
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