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THE CLIMB & ITS PERILS

By Dr. Sarthak Patnaik, MS. Orthopaedics, FSSISA, FASM, FHA, FSSM, Arthroscopic & Sports Surgeon, Chief Editor, SSI Fanzine

Leepika Patnaik by Leepika Patnaik
September 18, 2025
in Sports Science Blogs, Uncategorized
THE CLIMB & ITS PERILS

Mountain climbing is a thrilling and challenging outdoor activity that attracts enthusiasts from around the globe. While it offers breathtaking views and a sense of accomplishment, it also poses certain risks, including the potential for sports injuries. Sports injuries, in the context of mountain climbing, differ from other types of injuries due to the unique demands and conditions of this adventurous pursuit. In this article, we will explore what sports injuries are, how they differ from other injuries, examine their occurrence in mountain climbing, and discuss preventive measures and treatment strategies.

What is a Sports Injury?

A sports injury is any harm that occurs during athletic activities or exercise. These injuries can affect various parts of the body, including muscles, bones, ligaments, and tendons. Unlike injuries that result from accidents or falls in everyday life, sports injuries are typically associated with physical activities and are often preventable through proper training and precautions.

Distinguishing sports injuries from others

The primary distinction between sports injuries and other types of injuries lies in their connection to physical activity. Sports injuries are specific to activities that involve physical exertion, competition, and skill. These injuries can be acute, resulting from sudden impacts or movements, or chronic, developing over time due to repetitive stress on specific body parts. In mountain climbing, sports injuries are unique because they often involve a combination of factors, including the challenging terrain, environmental conditions, and the strenuous nature of the activity. Climbers may experience injuries to their extremities, such as sprained ankles or fractures, as well as overuse injuries like tendonitis from repetitive motions.

Causes of sports injuries in Mountain Climbing

Mountain climbing presents a multitude of challenges that can contribute to the occurrence of sports injuries. Uneven terrain, extreme weather conditions, and the physical demands of ascending and descending can all play a role. Common causes of injuries in mountain climbing include:

  • FALLS: Climbers may slip or lose their footing, leading to falls that can result in fractures, sprains, or dislocations.
  • OVEREXERTION: The strenuous nature of climbing, especially at high altitudes, can lead to overexertion, causing fatigue and increasing the risk of injuries.
  • EQUIOMENT FAILURE: Malfunctioning or inadequate gear can contribute to accidents and injuries during a climb.
  • ENVIRONMENTAL FACTORS: Harsh weather conditions, such as strong winds, freezing temperatures, or unexpected storms, can pose additional challenges and increase the risk of injuries.

 Common injuries while Mountain Climbing

Climbing is known for its bumps and bruises, but like with any sport, there is a risk of damage from extreme physical exertion. Your condition will only become worse if you ignore an injury and try to push through the discomfort. Fortunately, with the right training methods and positive behaviors, climbing injuries can be minimized.

  1. FINGER PULLEYS INJURY: One of the most frequent injuries sustained during climbing are finger pulley tears, which are quite specific to the activity. A finger pulley tear is caused by applying too much weight on a finger tendon, usually as a result of crimping or a rapid movement. These injuries frequently occur when you use one or two fingers to open a pocket or when you use the tips of your fingers to grab onto something small. You’ll frequently experience a real pop. There is instant pain, and swelling soon follows.
    TREATMENT & PREVENTION:
    The first line of treatment for a finger pulley injury is to apply ice and take an anti-inflammatory. When resuming climbing, stay off of large jugs and other holds that impose direct pressure on the injured finger or fingers. While climbing, taping these fingers is effective to aid in healing.
  2. ROTATOR CUFF INJURIES: Another dangerous shoulder injury is a rotator cuff tear. Because we spend a lot of time with our arms extended above our shoulders during climbing, it’s a unique sport that strains the tendons. A slight tear is indicated by pain and soreness in your shoulders and upper arms as you raise your arms above your head. Additionally, you might feel a little weak and numb.
    TREATMENT & PREVENTION:
    For mild tears, the recommended therapies are rest and ice. It’s crucial to see a doctor as soon as possible after any injury because more severe tears can need medical attention. In order to make sure that your shoulders regain their full range of motion during the healing period, physical therapy may also be beneficial.
  3. SHOULDER SUBLUXATION: Shoulder subluxation, or partial dislocation of the shoulder, is particularly common in climbers who boulder or do big, overhead movements. It occurs when the ball joint of the shoulder is brought too far forward. A strong pain in the back of your shoulder will alert you to the need to stop climbing right once because carrying on could cause a complete dislocation.
    TREATMENT & PREVENTION:
    Medical attention and physical treatment are necessary for recovery. You can regain your full strength and range of motion with the use of stretching and conditioning exercises.
  4. TENDONITIES:  Tendonitis is often defined as tendon inflammation or discomfort. The most typical symptom is a dull, agonizing pain that frequently has swelling in addition to it. Tendinitis in climbers typically affects the forearms, elbows, and shoulders.
    ADDITIONAL TERMS FOR TENDINITIES: Tennis elbow, Jumper’s Knee, pitcher’s shoulder. Climbing can be connected to tendinitis in any area of the body, even though these names relate to other sports that are linked to the illness. Rather than being the direct outcome of an injury, tendinitis is more of a chronic ailment that gets worse with time. Repetitive actions leading to persistent tugging on the same muscles cause it.
    TREATMENT & PREVENTION: In order to prevent tendonitis from becoming a tendon rupture, which is a far more dangerous injury that could require surgery, one should take rest from climbing, apply Ice, seeking medical care & physiotherapy.
  5. TRIGGER FINGER:  The fingers may freeze up when you bend them, a condition known as trigger finger. There may be some stiffness and a popping or clicking sound. This is because a cyst has grown inside the flexor tendons in your finger, which limits your grip strength and can be annoying (though not unpleasant) when climbing.
    TREATMENT & PREVENTION: The majority of symptoms begin mildly and get worse with time. physical therapy, anti-inflammatory drugs, and rest are the only effective treatments. Changing up your training and climbing style is the greatest approach to avoid trigger finger syndrome.
  6. CRACKED FEET:  Cracked feet are most often seen at the heel point due to dryness and damage from heel hooking or crack climbing. This makes it quite unpleasant to put on your climbing shoes the following day. even if it’s not fatal, it may definitely limit your style, so it’s best to be proactive.
    TREATMENT & PREVENTION: Before and after you climb, use a daily lotion to keep your feet flexible and silky. If you have a cracked heel or sole, change up your climbing technique and apply a healing salve.
  7. ABRASIONS:  Although abrasions and bruises are inevitable during climbing, it may be necessary to take precautions to lessen the likelihood or severity of these injuries if cracks leave your hands completely destroyed and covered in what climbers lovingly refer to as “gobies.” Scraping your skin on a rock causes abrasions. One particularly well-known source of abrasions is sharp rock. These injuries are not life-threatening, but they do require time to recover, therefore taking preventative steps is highly recommended.
    TREATMENT & PREVENTION: Tape gloves are your best line of defense when it comes to your hands.

 General prevention of sports injuries in mountain climbing

Preventing sports injuries in mountain climbing involves a combination of proper preparation, training, and adherence to safety protocols. Climbers can take several measures to minimize the risk of injuries:

  • TRAINING: Adequate physical conditioning, including strength training and cardiovascular exercises, helps prepare the body for the physical demands of climbing.
  • SKILL DEVELOPMENT:  Learning and honing climbing techniques can enhance a climber’s ability to navigate challenging terrain safely.
  • GEAR INSPECTION:  Regularly inspecting and maintaining climbing equipment ensures its reliability and reduces the risk of equipment-related accidents.
  • WEATHER AWARENESS: : Staying informed about weather conditions and being prepared for unexpected changes can help climbers avoid adverse situations.

General Treatment Strategies

Despite preventive measures, injuries can still occur in mountain climbing. prompt and appropriate treatment is crucial for a successful recovery. Common treatment strategies include:

  • FIRST AID: Immediate first aid, including rest, ice, compression, and elevation (RICe), can help manage acute injuries like sprains and strains.
  • MEDICAL ASSISTANCE: Seeking professional medical assistance is essential for more severe injuries, such as fractures or dislocations.
  • REHABILITATION: Rehabilitation programs, including physical therapy, help climbers regain strength, flexibility, and mobility after an injury.
  • REST AND RECOVERY: Allowing adequate time for rest and recovery is crucial for the healing process, preventing the risk of recurring injuries.

Conclusion

Mountain climbing, with its inherent challenges and risks, requires careful consideration of sports injuries and their prevention. Understanding the unique nature of these injuries, their causes, and the measures to prevent and treat them is essential for climbers to enjoy this exhilarating activity safely. By prioritizing training, equipment safety, and environmental awareness, climbers can mitigate the risks associated with mountain climbing and continue to pursue their passion with confidence.

 

 

 

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Leepika Patnaik

Leepika Patnaik

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