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96. Why Your Shoulders Ache on the Bike and on the Water — And Why Your Core Has Everything to Do With It

If your shoulders start aching somewhere in the beginning of the second half of a long ride or paddle day — this episode explains exactly why.

Mountain biking and kayaking look like completely different sports but they create the same pattern: a forward-flexed, internally rotated position sustained under fatigue that loads the shoulder in a position it was never designed to hold for hours. The shoulder isn't the problem. It's where the problem shows up.

Dr. Liz Koch, DPT breaks down the posture and core stability breakdown that drives shoulder pain in both sports, why it gets worse as a long…

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