Ski Strong, Ski Long: A Chiropractor’s Guide to Preventing Injuries on the Slopes

The sensation is universal for skiers. That crisp mountain air, the stunning vista of snow-covered peaks, and the pure joy of a perfect turn. As both a lifelong skier and a chiropractor, my mission is to help my fellow enthusiasts, especially those of us in the 50+ community, enjoy that feeling season after season without being sidelined by injury.

Although expert technique helps, what’s really important is having a well-thought-out strategy for preparing, maintaining, and recovering your body. True longevity in this sport comes from respecting your body’s mechanics and understanding that the best run of the day is often the one you finish healthy and strong.

The foundation of a safe ski season is laid weeks, or even months, before you click into your bindings. Your body must be prepared for the unique demands of skiing, which combines strength, endurance, balance, and sudden, explosive movements.

Bird Dog Exercise Credit:Rani Nurlaela Desandi

A pre-season conditioning program is your most powerful tool for injury prevention. Focus on building a resilient foundation with exercises that mimic the movements you’ll be doing on the hill.

Pre-Season Conditioning Checklist

Build a Powerful Lower Body. Your legs are your primary shock absorbers. Incorporate squats and lunges to build quadriceps, hamstring, and glute strength. Don’t forget lateral lunges, since they specifically target the muscles needed for powerful, side-to-side skiing movements.

Forge an Unshakable Core. A strong core is your secret weapon for stability and balance, protecting your lower back from the torsional stresses of skiing. Planks and the bird-dog exercise (alternately extending opposite arm and leg while on all fours) are exceptionally effective for building the deep core stability you need.

Practice Balance.
Simply standing on one leg for 30-60 seconds at a time can dramatically improve your proprioception, that is, your body’s ability to sense its position in space. This is critical for navigating uneven terrain and catching an edge before it becomes a fall.

Getting Started

Even with the best preparation, what you do on ski day itself determines your immediate risk. A cold, stiff body is an injury waiting to happen. Before you even get on the lift, invest 5-10 minutes in a dynamic warm-up.

This means moving while you stretch, not holding static positions.

Leg swings, arm circles, torso twists, and a few body-weight squats will increase blood flow, raise your core temperature, and prime your muscles and nervous system for action. Remember that dehydration happens just as easily in cold weather.

Drink water consistently throughout the day, especially at high altitudes, since dehydration leads to premature muscle fatigue, which significantly increases your risk of injury.

Staying Safe

Now, let’s talk about the most dangerous part of the ski day, the infamous “last run.”

We’ve all been there. Your legs feel heavy, fatigue is setting in, but you’re tempted to squeeze in one more descent. This is when most injuries occur. Your form breaks down, your reaction time slows, and your tired muscles can no longer support your joints effectively.

Learning to listen to your body is a non-negotiable skill.

When you feel that fatigue, when your technique starts to falter, that is your body’s signal to call it a day. There is no glory in a final run that ends in the clinic. The true victory is returning home healthy, ready to ski again tomorrow.

Your responsibility to your body doesn’t end when you step off the mountain. Post-ski recovery is essential for reducing soreness and preparing for your next day of adventure.

After your last run, take a few minutes for gentle, static stretching, focusing on your quads, hamstrings, calves, and glutes. Follow this with a nutritious meal or snack containing protein to help your muscles repair themselves.

If you start to feel specific aches or pains (particularly in the knees, hips, or back), don’t simply ignore them. Applying ice to a sore joint can reduce inflammation, and seeking a professional evaluation from a physical therapist or chiropractor can address a minor issue before it becomes a season-ending problem.

Final thoughts

With a holistic approach that includes intelligent preparation, mindful practice on the hill, and dedicated recovery, you can significantly reduce your risk of injury. This allows you to fully embrace a lifelong joy of skiing.

Dr. Jerry Hsieh
7 replies
  1. Richard Kavey
    Richard Kavey says:

    Excellent advice. I like spinning on an exercise bike w very low resistance and increasing rpm’s as a warm up before driving to the hill. Also use it after skiing to pump lactic acid out of my legs which reduces soreness significantly. Best pieces of advice I can give are: don’t attempt to ski beyond your ability, avoid moguls and ignore friendly advice from friends impersonating ski coaches.

    Reply
  2. Cathy Meyer
    Cathy Meyer says:

    My warm up routine consists of lugging all the gear to the lodge, bending and stretching to get into the boots, and slogging uphill to get to the base of the lift!

    Reply
  3. Michael Cahn
    Michael Cahn says:

    Wow! Great advice for us all. We also have found Tai Chi as a great low impact excercise routine that has helped us with balance and strength.

    Reply
  4. John T Gelb
    John T Gelb says:

    Jerry, great advice. As an active ski instructor who just turned 71 (!) yikes, I’ve gotta be ready-to-ski all day long on any given day I’m teaching. So I’ve actually incorporated a ridiculously short series of three planking exercises I got from my son during my recovery from hip replacement surgery 18 months ago: 1)bird-dog exercise you show above 40x (don’t laugh, when I got this exercise and two other plank-style routines from my 37-yr old son, I fell over when starting this about the first 6-8 times I did it…really requires focused balance, 2) side-planking “holds” 40x each arm, and 3) push-up position with alternating raised-knee crosses at chest level 40x…amazing how much strength this has given me. Finally, I don’t like to take “one last run” , so as the day’s end nears, I’ll say to whomever I’m skiing with, “ok how bout two more runs…thinking one will be great, and I may pass on the final. I want to ski for at least however long the “big man” gives me, and staying in good shape has helped tremendously over the past two seasons. I’m never looking to get that final run in, if I don’t feel great.

    Reply
  5. Kathleen
    Kathleen says:

    I’ve been practicing all these things with a personal trainer and on my own gym time for the last 20 years. I’m 62 now and have gained a lot of muscle and strength. I wish I were a skier but living in San Diego I never got past a few trips to Tahoe and Mammoth years ago. I keep training to feel good and I enjoy the mountains for hiking and biking. To be a good skier requires many consistent days on snow season after season, but off season training will help you stay healthy throughout the years..!

    Reply

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