The East Fork Stones River originates in Cannon County, Tennessee and flows northwest through Rutherford County before joining the West Fork to form the main stem of the Stones River near Murfreesboro. This tributary is approximately 40 miles long and drains a significant portion of the eastern Stones River watershed. Paddlers can enjoy several distinct sections on the East Fork, ranging from scenic rural stretches to more developed areas near Murfreesboro.

The upper reaches from Readyville to Murfreesboro offer a mix of Class I-III rapids, with the 8-10 mile Hoovers Mill to Readyville Dam section being particularly popular. This run features limestone bluffs, historical sites, and a few challenging rapids that require some maneuvering skills. Below Murfreesboro, the river transitions to a more placid Class I-II waterway. The 8.71-mile stretch from Walter Hill Dam to the East Fork boat ramp provides an excellent beginner-friendly paddle through a natural wooded corridor with easy riffles and slow pools.

Water levels are typically best for paddling in spring and early summer, with fall offering scenic foliage. Summer paddling is possible but may require occasional portaging in low water conditions. The river supports diverse wildlife, including smallmouth bass, which attract anglers to its waters.

Key access points include Readyville Mill, Hoovers Mill Road, Walter Hill Dam, and various spots within Murfreesboro's extensive Greenway System. The city of Murfreesboro serves as the primary hub for amenities and logistics.

Historically, the East Fork played a role in early settlement and industrial development of the region, with remnants of old mills still visible along its banks. Today, it forms an integral part of Murfreesboro's recreational infrastructure, with ongoing efforts to improve public access and preserve the river corridor.

Paddlers should be aware of occasional strainers and low-head dams, particularly after high water events. It's advisable to check current conditions and water levels before embarking on a trip. Multi-day excursions are possible by combining sections, though camping options are limited and should be planned in advance. The East Fork Stones River offers a blend of natural beauty, historical interest, and varied paddling experiences, making it a valuable recreational resource for both locals and visitors to Middle Tennessee.