Climbing Injury Library

Comprehensive guide to common climbing injuries, their symptoms, causes, and prevention strategies

A2 Pulley Strain

moderate

Pain at base of finger (proximal phalanx), Swelling and tenderness, Difficulty with crimping

Recovery Time

6-12 weeks

Frequency

Very Common

Key Symptoms

Pain at base of finger (proximal phalanx)

Swelling and tenderness

Difficulty with crimping

+1 more

TFCC Tear

severe

Ulnar-sided wrist pain, Pain with wrist rotation, Clicking or popping sounds

Recovery Time

8-16 weeks

Frequency

Common

Key Symptoms

Ulnar-sided wrist pain

Pain with wrist rotation

Clicking or popping sounds

+1 more

Lateral Epicondylitis (Tennis Elbow)

moderate

Pain on lateral elbow, Pain with gripping, Weakness in grip strength

Recovery Time

4-8 weeks

Frequency

Common

Key Symptoms

Pain on lateral elbow

Pain with gripping

Weakness in grip strength

+1 more

A4 Pulley Strain

moderate

Pain at middle phalanx (middle finger segment), Swelling and tenderness, Difficulty with crimping

Recovery Time

8-16 weeks

Frequency

Common

Key Symptoms

Pain at middle phalanx (middle finger segment)

Swelling and tenderness

Difficulty with crimping

+1 more

FDP Strain (Flexor Digitorum Profundus)

severe

Deep finger pain, Inability to flex DIP joint (tip of finger), Swelling and tenderness

Recovery Time

8-16 weeks

Frequency

Moderate

Key Symptoms

Deep finger pain

Inability to flex DIP joint (tip of finger)

Swelling and tenderness

+1 more

Collateral Ligament Sprain

moderate

Lateral pain in finger joint, Instability with side-to-side movement, Swelling around joint

Recovery Time

4-8 weeks

Frequency

Moderate

Key Symptoms

Lateral pain in finger joint

Instability with side-to-side movement

Swelling around joint

+1 more

PIP Joint Capsulitis

moderate

Swelling and stiffness in PIP joint, Pain with passive motion, Limited range of motion

Recovery Time

6-12 weeks

Frequency

Moderate

Key Symptoms

Swelling and stiffness in PIP joint

Pain with passive motion

Limited range of motion

+1 more

Flexor Tendon Sheath Inflammation

moderate

Pain along flexor tendon, Swelling and tenderness, Pain with finger flexion

Recovery Time

4-8 weeks

Frequency

Moderate

Key Symptoms

Pain along flexor tendon

Swelling and tenderness

Pain with finger flexion

+1 more

Finger Joint Arthritis

severe

Chronic joint pain, Stiffness in morning, Limited range of motion

Recovery Time

Ongoing management

Frequency

Moderate

Key Symptoms

Chronic joint pain

Stiffness in morning

Limited range of motion

+1 more

Mallet Finger

moderate

Inability to extend DIP joint (tip of finger), Pain at DIP joint, Swelling and tenderness

Recovery Time

8-12 weeks

Frequency

Moderate

Key Symptoms

Inability to extend DIP joint (tip of finger)

Pain at DIP joint

Swelling and tenderness

+1 more

Boutonniere Deformity

severe

Inability to extend PIP joint, Hyperextension of DIP joint, Pain at PIP joint

Recovery Time

12-20 weeks

Frequency

Moderate

Key Symptoms

Inability to extend PIP joint

Hyperextension of DIP joint

Pain at PIP joint

+1 more

Subacromial Shoulder Impingement

moderate

Pain on the front/lateral shoulder, Pain with overhead reaching and pulling, Pain with cross-body movements

Recovery Time

6-12 weeks

Frequency

Moderate

Key Symptoms

Pain on the front/lateral shoulder

Pain with overhead reaching and pulling

Pain with cross-body movements

+1 more

Rotator Cuff Tendinopathy

moderate

Dull ache in lateral shoulder, Pain with resisted external rotation, Pain with lowering arm from elevation

Recovery Time

8-16 weeks

Frequency

Moderate

Key Symptoms

Dull ache in lateral shoulder

Pain with resisted external rotation

Pain with lowering arm from elevation

+1 more

Medial Epicondylitis (Golfer’s Elbow)

moderate

Medial elbow pain, Pain with gripping and wrist flexion, Tenderness over medial epicondyle

Recovery Time

4-8 weeks

Frequency

Common

Key Symptoms

Medial elbow pain

Pain with gripping and wrist flexion

Tenderness over medial epicondyle

+1 more

De Quervain Tenosynovitis

mild

Radial wrist/thumb pain, Pain with thumb abduction/extension, Swelling over first dorsal compartment

Recovery Time

6-12 weeks

Frequency

Moderate

Key Symptoms

Radial wrist/thumb pain

Pain with thumb abduction/extension

Swelling over first dorsal compartment

+1 more

Lumbar Strain

mild

Lower back ache, Stiffness with flexion/extension, Pain after high volume sessions

Recovery Time

3-6 weeks

Frequency

Moderate

Key Symptoms

Lower back ache

Stiffness with flexion/extension

Pain after high volume sessions

+1 more

Patellar Tendinopathy

moderate

Anterior knee pain at inferior pole of patella, Pain with jumping/dropping, Stiffness after rest

Recovery Time

8-16 weeks

Frequency

Moderate

Key Symptoms

Anterior knee pain at inferior pole of patella

Pain with jumping/dropping

Stiffness after rest

Superior Labrum (SLAP) Lesion

severe

Deep shoulder pain with overhead activity, Clicking/catching sensations, Pain with biceps loading (underclings, lock-offs)

Recovery Time

12-20 weeks

Frequency

Moderate

Key Symptoms

Deep shoulder pain with overhead activity

Clicking/catching sensations

Pain with biceps loading (underclings, lock-offs)

+1 more

AC Joint Sprain

moderate

Top of shoulder pain, Pain with cross-body adduction, Point tenderness over AC joint

Recovery Time

4-8 weeks

Frequency

Moderate

Key Symptoms

Top of shoulder pain

Pain with cross-body adduction

Point tenderness over AC joint

Medial Collateral Ligament (MCL) Sprain

moderate

Medial knee pain, Pain with valgus stress, Tenderness along MCL

Recovery Time

4-8 weeks

Frequency

Moderate

Key Symptoms

Medial knee pain

Pain with valgus stress

Tenderness along MCL

Patellofemoral Pain (Anterior Knee Pain)

moderate

Retropatellar pain with squatting/steps, Pain after sitting (theater sign), Crepitus without locking

Recovery Time

6-12 weeks

Frequency

Moderate

Key Symptoms

Retropatellar pain with squatting/steps

Pain after sitting (theater sign)

Crepitus without locking

Scaphoid Fracture (Suspected)

severe

Radial wrist pain after fall, Anatomic snuffbox tenderness, Pain with thumb axial loading

Recovery Time

8-12 weeks

Frequency

Moderate

Key Symptoms

Radial wrist pain after fall

Anatomic snuffbox tenderness

Pain with thumb axial loading

Thumb UCL (Gamekeeper/Skier) Sprain

moderate

Ulnar-side MCP thumb pain, Instability with pinch, Swelling at MCP joint

Recovery Time

4-8 weeks

Frequency

Moderate

Key Symptoms

Ulnar-side MCP thumb pain

Instability with pinch

Swelling at MCP joint

Carpal Tunnel Syndrome

moderate

Numbness/tingling thumb-index-middle, Night symptoms, Weak pinch/grip

Recovery Time

6-12 weeks

Frequency

Moderate

Key Symptoms

Numbness/tingling thumb-index-middle

Night symptoms

Weak pinch/grip

Cervical Strain (Belayer’s Neck)

mild

Neck pain/stiffness, Pain with looking up, Headache referral

Recovery Time

3-6 weeks

Frequency

Moderate

Key Symptoms

Neck pain/stiffness

Pain with looking up

Headache referral

Sesamoiditis

moderate

Pain at the base of thumb during gripping, Tenderness over sesamoid bones, Pain worse with pinch grips

Recovery Time

6-8 weeks

Frequency

Moderate

Key Symptoms

Pain at the base of thumb during gripping

Tenderness over sesamoid bones

Pain worse with pinch grips

+1 more

Trigger Finger (Stenosing Tenosynovitis)

moderate

Finger catching or locking, Painful clicking when bending finger, Stiffness in finger joint

Recovery Time

8-12 weeks

Frequency

Common

Key Symptoms

Finger catching or locking

Painful clicking when bending finger

Stiffness in finger joint

+1 more

Jersey Finger (FDP Avulsion)

severe

Inability to bend fingertip, Pain at fingertip, Swelling and bruising

Recovery Time

12-16 weeks

Frequency

Moderate

Key Symptoms

Inability to bend fingertip

Pain at fingertip

Swelling and bruising

+1 more

Volar Plate Injury

moderate

Pain at base of finger joint, Swelling around PIP joint, Difficulty bending finger

Recovery Time

8-12 weeks

Frequency

Common

Key Symptoms

Pain at base of finger joint

Swelling around PIP joint

Difficulty bending finger

+1 more

Ganglion Cyst

mild

Visible lump on wrist or hand, Pain with wrist movement, Weakness in grip

Recovery Time

8-12 weeks

Frequency

Common

Key Symptoms

Visible lump on wrist or hand

Pain with wrist movement

Weakness in grip

+1 more

Intersection Syndrome

moderate

Pain on thumb side of forearm, Swelling 4-6 cm above wrist, Crepitus with wrist movement

Recovery Time

8-12 weeks

Frequency

Moderate

Key Symptoms

Pain on thumb side of forearm

Swelling 4-6 cm above wrist

Crepitus with wrist movement

+1 more