Hyrox/Injuries

Injury Modifications

5 injury guides

Guidelines for safely modifying workouts when dealing with common injuries. Always consult a healthcare professional for specific medical advice.

Grip Fatigue

MildModerateSevere

When to Seek Professional Care

  • →Persistent forearm pain
  • →Numbness or tingling in hands
  • →Weakness that doesn't recover between sessions

General Principles

  • •Grip is often the limiting factor in Hyrox, not cardiovascular fitness
  • •Grip fatigue accumulates across multiple stations
  • •Training grip endurance is different from training grip strength
  • •Chalk use is critical on race day

Return to Full Training

Criteria:

  • ✓Can complete farmer's carry at race weight unbroken
  • ✓No forearm pump until station 6+
  • ✓Grip not limiting performance in simulations

Progression:

  1. 1.Week 1-2: Grip isolation work only
  2. 2.Week 3-4: Add grip-intensive stations at reduced weight
  3. 3.Week 5-6: Build to race weights
  4. 4.Week 7+: Full training

Knee

Hyrox combines running with functional fitness stations, creating unique knee stress patterns. The combination of running volume plus loaded movements (sled push/pull, lunges, wall balls) challenges the knee in multiple ways within a single event. Common issues: patellofemoral pain (runner's knee), patellar tendinopathy from the jumping/loaded squat components, and general overuse.

Warning Signs

  • ⚠Swelling increasing
  • ⚠Knee giving way
  • ⚠Locking or catching
  • ⚠Pain at rest
  • ⚠Unable to fully extend or flex

Red Flags - Seek Immediate Care

  • ●Knee locking (cannot straighten) - MENISCUS ISSUE, needs evaluation
  • ●Knee giving way repeatedly - LIGAMENT INSTABILITY, needs evaluation
  • ●Rapid swelling after training - significant injury
  • ●Visible deformity - possible fracture or dislocation

When to Seek Professional Care

  • →Swelling not resolving
  • →Mechanical symptoms (locking, catching)
  • →Instability
  • →No improvement after 2-3 weeks of rest
  • →Pain affecting daily activities

General Principles

  • •Hyrox combines running + strength = double knee stress
  • •Station modifications may allow continued training
  • •Don't race injured - risk of worsening
  • •Build volume gradually - knee needs adaptation time
  • •Strong quads and glutes protect the knee

Recommended Exercises

Terminal knee extensions

3 sets × 20 reps

VMO strengthening, common PT prescription

Step downs

3 sets × 15 reps

Eccentric quad control

Hip strengthening (clams, side lying abduction)

3 sets × 15 reps

Proximal control reduces knee load

Single leg balance

3 sets × reps

Proprioception and stability

Foam rolling quads and IT band

sets × reps

Soft tissue maintenance

Return to Full Training

Criteria:

  • ✓Pain-free daily activities
  • ✓Pain-free running
  • ✓Can perform modified stations without pain
  • ✓No swelling after training

Progression:

  1. 1.Week 1-2: Rest from aggravating movements, rehab exercises
  2. 2.Week 3-4: Light running, modified stations
  3. 3.Week 5-6: Progress station intensity
  4. 4.Week 7-8: Near-normal training
  5. 5.Week 9+: Full training

Lower Back

MildModerateSevere

When to Seek Professional Care

  • →Radiating pain into legs
  • →Numbness or tingling
  • →Pain lasting more than 1 week
  • →Sudden onset during lift or movement
  • →Bowel or bladder changes (emergency)

General Principles

  • •Lower back issues in Hyrox often result from cumulative loading
  • •Hip hinge movements are prevalent - technique matters
  • •Core stability and hip mobility are often the root cause
  • •Don't train through sharp or radiating pain

Contraindicated Movements

Loaded flexion/extensionHeavy hip hingesHigh-impact running if acuteBurpees with back pain

Recommended Exercises

Dead bugs

3 sets × 10 reps

Core stability without loading the spine

Bird dogs

3 sets × 10 reps

Spinal stability and control

90/90 hip stretch

2 sets × 30 reps

Improves hip mobility to reduce back compensation

Hip flexor stretches

2 sets × 30 reps

Tight hip flexors pull on the lower back

Glute bridges

3 sets × 15 reps

Activates glutes to support the spine

Cat-cow

2 sets × 10 reps

Gentle spinal mobility promotes blood flow

Return to Full Training

Criteria:

  • ✓No pain during daily activities
  • ✓Can perform hip hinge without pain
  • ✓Core stability exercises completed without issue
  • ✓Running 30 min pain-free

Progression:

  1. 1.Week 1-2: Rehab exercises only, no Hyrox training
  2. 2.Week 3-4: Add easy running, bodyweight movements
  3. 3.Week 5-6: Reintroduce stations at 50% weight
  4. 4.Week 7-8: Build toward race weights
  5. 5.Week 9+: Return to full training

Shin Foot

Hyrox involves 8km of running spread across 8 segments, creating significant shin and foot stress. The combination of running volume plus impact from stations (burpee broad jumps, lunges) increases lower leg injury risk. Common issues: shin splints (MTSS), stress fractures, plantar fasciitis, and metatarsal stress from running on hard surfaces.

Warning Signs

  • ⚠Pain not improving with rest
  • ⚠Pain increasing with activity
  • ⚠Point tenderness developing
  • ⚠Night pain
  • ⚠Pain with daily walking

Red Flags - Seek Immediate Care

  • ●Point tenderness on bone - POSSIBLE STRESS FRACTURE, needs evaluation
  • ●Pain with hopping - high suspicion for stress fracture
  • ●Night pain - bone stress, needs evaluation
  • ●Rapid swelling after activity - may indicate acute injury
  • ●Numbness or tingling in foot - possible compartment syndrome or nerve issue

When to Seek Professional Care

  • →Point tenderness on bone
  • →Pain not improving after 2 weeks of rest
  • →Pain with daily walking
  • →Any red flag symptoms
  • →History of stress fractures

General Principles

  • •Don't ignore localized bone pain - stress fractures progress
  • •Shin splints and stress fractures can present similarly
  • •Cross-training maintains fitness while reducing impact
  • •Gradual increase in running volume is protective
  • •Nutrition (calcium, vitamin D) affects bone health

Recommended Exercises

Calf raises (progress to single leg)

3 sets × 15 reps

Strengthen calf complex to offload shin

Toe raises (heel walks)

3 sets × reps

Anterior compartment strengthening

Arch strengthening (towel scrunches)

3 sets × 15 reps

Intrinsic foot muscle strengthening

Eccentric calf drops (bent and straight knee)

3 sets × 15 reps

Achilles and calf conditioning

Hip strengthening

3 sets × 15 reps

Better mechanics reduces lower leg stress

Return to Full Training

Criteria:

  • ✓Pain-free daily activities
  • ✓No pain with hopping
  • ✓Successful gradual return
  • ✓Medical clearance (if stress fracture)

Shoulder

Hyrox demands significant shoulder work across multiple stations. While running is the primary activity, the functional fitness stations require pushing, pulling, throwing, and rowing - all shoulder-intensive. Common issues: rotator cuff irritation, shoulder impingement, and general overuse from the combination of movements.

Warning Signs

  • ⚠Weakness not improving
  • ⚠Night pain (waking from shoulder pain)
  • ⚠Unable to reach overhead
  • ⚠Clicking or catching

Red Flags - Seek Immediate Care

  • ●Sudden weakness (can't lift arm) - POSSIBLE ROTATOR CUFF TEAR
  • ●Shoulder looks deformed - possible dislocation
  • ●Numbness or tingling down arm - nerve involvement
  • ●Significant swelling - major injury

When to Seek Professional Care

  • →Significant weakness
  • →Night pain
  • →No improvement after 4 weeks of modification
  • →History of dislocation
  • →Pain affecting daily activities

General Principles

  • •Multiple stations stress the shoulder differently
  • •Wall balls are often most problematic (overhead volume)
  • •Pulling stations (ski, row, sled pull) less problematic
  • •Rotator cuff strengthening is protective
  • •Don't race with significant shoulder pain

Recommended Exercises

External rotation with band

3 sets × 15 reps

Rotator cuff strengthening

Y-T-W raises

3 sets × 10 reps

Posterior shoulder and cuff

Face pulls

3 sets × 15 reps

Posterior shoulder balance

Scapular push-ups

3 sets × 15 reps

Serratus anterior strength

Rows

3 sets × 15 reps

Posterior chain strengthening

Return to Full Training

Criteria:

  • ✓Pain-free daily activities
  • ✓Pain-free overhead reaching
  • ✓Can perform modified stations without pain
  • ✓Strength returning

Progression:

  1. 1.Week 1-2: Rest from aggravating stations, rehab exercises
  2. 2.Week 3-4: Pulling stations (ski, row), no overhead
  3. 3.Week 5-6: Add light pushing, modified wall balls
  4. 4.Week 7-8: Progress volume and intensity
  5. 5.Week 9+: Full training