Is CrossFit Safe? What the Injury Research Says
CrossFit is about as safe as other strength and conditioning sports, but it isn't injury-free. A 2022 review of 28 studies found about 4.3 injuries per 1,000 hours of training, most often to the shoulder, back, and knee (Knapik, 2022). An earlier review found CrossFit injury rates comparable to or lower than Olympic weightlifting, distance running, track and field, rugby, and gymnastics (Klimek et al., 2018). How you train matters most. Coached, scaled training that builds up gradually carries less risk than going heavy on your own.
How common are CrossFit injuries?
In the 2022 review, which pooled 28 studies and more than 11,000 people doing CrossFit-style training, about 36% reported having been injured at some point. Across all the studies, the rate was about 4.3 injuries per 1,000 hours of training. Studies that followed people forward in time, instead of asking them to remember past injuries, found a higher rate of about 9.9 per 1,000 hours (Knapik, 2022).
In plain terms: injuries happen in CrossFit, as in any sport where you lift, jump, and run hard. The question is how to keep the risk low, which the rest of this post covers.
How does CrossFit compare with other sports?
CrossFit's injury rate sits in the same range as other strength and conditioning sports. A 2018 review found CrossFit rates comparable to or lower than Olympic weightlifting, distance running, track and field, rugby, and gymnastics (Klimek et al., 2018). One of the early studies, which surveyed CrossFit athletes online, reported 3.1 injuries per 1,000 hours and called that similar to Olympic weightlifting, powerlifting, and gymnastics (Hak et al., 2013).
That review was small (three studies), and most CrossFit injury research relies on people reporting their own injuries, so treat these as rough comparisons.
Which body parts get hurt most in CrossFit?
The shoulder and the back come first, then the knee. In the 2022 review, about 26% of injuries were to the shoulder, 26% to the back or spine, 14% to the knee, and 12% to the wrist or hand (Knapik, 2022).
That lines up with the movements that ask the most of those joints: overhead lifts and gymnastics for the shoulders, and heavy pulling and lifting from the floor for the back. Those are the movements a coach watches most closely and scales most often.
Who is most likely to get hurt?
Three patterns show up in the research:
- People without coaching. In a survey of 386 CrossFit athletes, injury rates were significantly lower when a trainer was involved (Weisenthal et al., 2014). That's a correlation, not proof.
- Competitors. In one study, 40% of people who competed in CrossFit reported an injury, compared with 19% of those who didn't (Montalvo et al., 2017).
- Newer athletes. A survey of 3,049 participants found the highest injury rates among people with less than six months of experience (Feito et al., 2018), though other studies disagree on how much experience protects you.
How can I lower my risk of getting hurt?
Much of the risk is within your control:
- Train with a coach watching. Form breaks down when you're tired, and you can't see your own back.
- Start lighter than you think you need to. Your first month is for learning the movements. The weight can go up once they're consistent.
- Scale anything that hurts. There's a substitute for almost every movement. Tell your coach about old injuries before class, not halfway through the workout.
- Build up gradually. Two or three classes a week is plenty to start. How many days a week to do CrossFit covers this in more detail.
- Know soreness from pain. A dull ache in the muscles you worked is normal. Sharp pain or pain in a joint means stop and tell your coach. Our beginner guide covers the warning signs.
- Hold off on competing. Save max-effort attempts and competitions until you've trained long enough to move well tired.
How does CrossFit Aggieland coach for safety?
A coach leads every class at CrossFit Aggieland. Before your first class, your coach asks about your training history and any injuries. During class, the coach picks starting weights with you, swaps movements that don't suit you, and watches your form. New members start lighter than they expect on purpose. For more on starting later in life, read how to start CrossFit over 40.
Should I see a doctor before starting CrossFit?
If you have a heart condition or other medical condition, are pregnant, are recovering from an injury, or have been inactive for a long time and aren't sure exercise is safe for you, talk to your doctor first. Then tell your coach what your doctor said, so the workouts can be adjusted around it.
How do I try it?
If you live in Bryan–College Station, start your free week: five coached classes within nine days. You'll see exactly how we scale and coach before you commit to anything. Visiting and already do CrossFit? Drop in for $20.
Sources
- Injuries During High-Intensity Functional Training: Systematic Review and Meta-Analysis — Knapik, Journal of Special Operations Medicine, 2022
- Are Injuries More Common With CrossFit Training Than Other Forms of Exercise? — Klimek et al., Journal of Sport Rehabilitation, 2018
- The nature and prevalence of injury during CrossFit training — Hak et al., Journal of Strength and Conditioning Research, 2013
- Injury Rate and Patterns Among CrossFit Athletes — Weisenthal et al., Orthopaedic Journal of Sports Medicine, 2014
- Retrospective Injury Epidemiology and Risk Factors for Injury in CrossFit — Montalvo et al., Journal of Sports Science and Medicine, 2017
- A 4-Year Analysis of the Incidence of Injuries Among CrossFit-Trained Participants — Feito et al., Orthopaedic Journal of Sports Medicine, 2018
Ready to Start?
Live in Bryan–College Station? Your first week of classes is free.
Start Your Free WeekVisiting? Drop in for $20 a class.