CrossFit

Abstract

CrossFit has emerged as a very popular and effective fitness routine for athletes of all ages. The incorporation of gymnastics, Olympic lifting, and high-intensity cardiovascular exercise exposes many participants to activities that they have not performed in years or possibly ever. Understanding the components of CrossFit, the most common injury patterns and how to prevent them will assist the health-care provider with the evaluation, management, and return-to-play decision for these athletes. Shoulder, lumbar spine, and knee injuries are the most frequently observed. Many of these are exacerbations of preexisting conditions and are often mild and self-limited. Appropriate training and coaching is the soundest way to prevent and treat these injuries when they occur. Event providers should be prepared to treat overuse injuries, acute tendon ruptures or joint injury and acute skin injuries. Return-to-play considerations follow the same guidelines as any other sporting activity. An athlete needs to be able to safely return to the specific physical demands of the sport with minimal risk of reinjury. Specifically, for CrossFit, it may require elimination of certain movements or modification or scaling of weights or movement standards. It is rare that an athlete needs to be completely restricted from participation for a prolonged period.