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Surfer's Myelopathy

Surfer's Myelopathy is a rare but serious non-traumatic spinal cord injury that may result in severe disability. The cause of this type of injury is suspected to be related to prolonged or sudden arching of the back—such as the position taken during surf lessons—which may compromise blood flow to the spine, similar to a spinal stroke. It often begins with low back pain followed by numbness, tingling, or weakness in the legs, and problems with bladder or bowel function. Those most at risk include beginner surfers and young, healthy, athletic individuals. Prevention focuses on educating new surfers, sitting up on the board between waves, and stopping surfing immediately if any of these signs or symptoms occur. Anyone experiencing these symptoms should seek medical care right away by calling 9-1-1 and should avoid dehydration by drinking plenty of fluids.

Recognizing the Warning Signs

Know What to Look For

Surfer's Myelopathy can develop quickly, sometimes within hours of a surf session. Symptoms typically start with:

Lower back pain that feels unusual or severe

Numbness or tingling in the legs or feet

Weakness in the lower body—difficulty standing or walking

Loss of coordination or balance

Bladder or bowel control problems

Who Should Be Extra Cautious?

Are You at Risk?

While Surfer's Myelopathy can happen to anyone, certain groups are more vulnerable:

First-time surfers taking lessons or trying surfing for the first time

Young, athletic individuals who may push through discomfort

Anyone spending extended time in a hyperextended back position (the "paddling arch")

People who are dehydrated before or during their session

The good news? Awareness and prevention can make all the difference.

Prevention Tips

Before You Paddle Out

Drink plenty of water—stay hydrated throughout the day

Warm up and stretch, especially your back and core

Let your instructor or surf buddies know you're a beginner

In the Water

Take frequent breaks—sit up on your board between sets

Avoid staying in the arched position for long periods

Listen to your body—if something feels wrong, it probably is

After Your Session

Continue hydrating

Monitor how you feel for several hours after surfing

Don't ignore unusual pain, numbness, or weakness

Surfer's Myelopathy Awareness Poster - Click to download PDF

Why This Matters in Hawaii

Protecting Our Surf Community

Hawaii welcomes thousands of first-time surfers every year. Our islands are home to some of the world's most beautiful waves and some of the most generous surf instructors and watermen who share the Aloha spirit with visitors and locals alike.

By spreading awareness about Surfer's Myelopathy, we can help keep everyone safe while enjoying what makes Hawaii so special. Whether you're teaching someone to surf or trying it yourself, knowing the signs and prevention steps can save lives.

Watch: KHON2 News Segment

Hear from survivors and medical experts about Surfer's Myelopathy:

Resources & More Information

📚 For more details and survivor stories, visit this awareness website: Surfer's Myelopathy Awareness

Questions or Concerns?

If you or someone you know has experienced Surfer's Myelopathy, or if you'd like to learn more about spinal cord injury support in Hawaii, HawaiiSCI is here to help.

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