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colas said..
You should try to enhance your paddling technique to have the power come from core and hips rather than the arms: Try to imagine your shoulders and arms are "dead" rods, and all the motoring coming from the hips and legs (and the core active as a swivel to move the paddle).
Try also to paddle more with cadence than strength.
Also, reducing the paddle leverage will be easier on the joints: both by keeping your hands well apart, and maybe "choking" the paddle by moving your top hand below the handle (or using a shorter paddle): you can see racers doit it for sprinting.
Plus a paddle with smaller blade and softer shaft will be easier on the joints
Thank you very much for the great information! I always appreciate your expertise in wingfoiling-related issues, and the same applies here in SUP. Around here, surfskiing is super popular, and people live to downwind, but I love foiling, so my aims are different. I want something cardio for the windless days besides trail running to give the knees a break. If I could make my SUP work for me, then that would be simplest and overlap the least. I just don't know if the problems I am having SUPing for fitness can be surmounted in my case. I will definitely try your suggestions tomorrow and monitor my progress.