Time-motion studies of surfers show that paddling takes up about half of a session, which makes the shoulder — rotator cuff and scapular stabilisers — the workhorse joint. Lower-back strain from the prone paddling posture is common, and knee and ankle injuries come from aerial manoeuvres and awkward landings. Lacerations from fins and reef are the acute injuries.
Surfers spend hours in strong UV and salt water, and in the Western Cape in cold water too. Skin health is therefore a genuine demand of the sport, though nothing in a research catalogue is sun protection.
South Africa’s coastline — Jeffreys Bay, Durban’s beaches, the Cape’s cold-water reefs — has produced world-tour surfers, and Surfing South Africa operates under the WADA Code for Olympic-pathway athletes. The anti-doping section below applies to them.
Mapped to the evidence radar
Each demand below is mapped to one of the ten fixed research areas on our evidence radar. The heavier the weight, the more that area counts when compounds are ranked for Surfing: Recovery & Repair ×3, Skin, Hair & Glow ×2, Longevity & Energy ×2, Mood & Calm ×1, Sleep & Recovery Rhythm ×1.
- Paddling shoulders · Recovery & Repair
Rotator-cuff and scapular overuse, plus lower-back strain. Repair research here is preclinical. - Sun, salt and reef cuts · Skin, Hair & Glow
Skin research (GHK-Cu wound and collagen work, glutathione trials) is cosmetic-science and small human studies — never a substitute for sunscreen. - Paddle endurance · Longevity & Energy
Aerobic and mitochondrial capacity; MOTS-c sits here and is WADA-prohibited. - Big-wave nerves · Mood & Calm
Managing fear in heavy surf; the relevant research is Russian clinical anxiety work in patients.