Climbing Injury Recovery: How to Handle the Emotional Ups and Downs

Jul 17 / Jana Unterholzner, sport psychologist & phd student at the medical university of Innsbruck
A climbing injury can affect far more than just your body, it can shake your mood and your emotions. 

You might feel frustrated, anxious, joy or even anger. These emotional ups and downs can catch you off guard and many climbers don't realize how this part of the recovery can affect them. 

In this blog, we'll explore the emotional side of injury. You will find practical tools to manage tough emotions, to regulate the ups and downs and to support yourself during hard days. If recovery feels heavier than expected, this is the place to start making sense of it

The First Reactions: What You Might Be Feeling

You might remember the moment it happened: a slip, a pop, or a fall and everything changes. You may have been shocked or unsure of what happened.  The first thoughts come crashing into your head: "I'll never climb the same again." It's common for your mind to jump to worst-case scenarios. These thoughts don't just come and go, they create powerful emotions. Maybe you're feeling frustration that the year is over or sadness that you won't be moving for a while. The louder the thoughts get, the more intense the emotions feel. 
If you had big emotional reaction at the start, know that you're not alone. Climbers process injury in all kinds of ways. All emotions are okay in this moment and the goal is to find a way that works best for you and is constructive. 

The First Shifts: The Diagnosis

The diagnosis often shifts how you think and feel about your injury, sometimes for better, sometimes not. If the news is worse than you'd hoped, it can feel like a second shock. Sometimes, the knowledge of your injury hurts more than the uncertainty did. It's okay if the diagnosis leaves you with a lot of negative emotions; that's a part of coming to terms with what lies ahead
But it's not always heavy news. Sometimes, the diagnosis turns out better than feared. What you thought might sideline your climbing for good might just be a sprain after all. In those cases, the relief can be uplifting
Whether you're feeling overwhelmed or relieved after the diagnosis, your reaction is part of your personal recovery story. You're not doing it wrong if you feel crushed or hopeful or even a mix of both. Remember that you are not alone and that with time and patience, you will find your way back. 

Rehab Gets Messy — Emotionally, Too

Rehabilitation can also shift your emotions during recovery. The early emotion that you may have felt are changing and leaving space for other emotions. Here's how rehabilitation and emotions interact together during injury recovery: 

Rehabilitation may lead to mood fluctuations

Rehabilitation is filled with emotions. Hope, anxiety, frustration, anger are only a few of the emotions that you might experience. It can be normal that you feel up one day and down the other. 
Positive emotions are a dominant force
While it is easy to focus on the negative during injury recovery, noticing what's going well, even if it's small, can help you stay motivated, especially on the hard days. Finding the positive during injuries can be difficult, so celebrate any achievement or progress, no matter the size
Frustration is a big part of rehabilitation
Frustration and rehabilitation are almost synonyms. Be it from the difficult rehab exercises or the inability to climb, frustration is a common part of the experience. Make sure to have an outlet for that frustration and use your frustration in some amounts to fuel your progress. 
The importance of socializing
Rehabilitation can feel lonely and frustrating. That's why keeping close social contact can be so crucial. Think about friends, climbing buddies, family or even coaches. The social contact can help you to keep your emotions high and to feel connected with others and your sport. 
Rehabilitation is an active process, not a passive one. This means that you are in control. On the good days, keep a positive outlook to maintain motivation. On the bad days, weather the storm and accept the difficult times. By focusing on recovery, you will succeed in coming back stronger!
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Mental Tools for Climbing Injury Recovery

The Hardest Move: Returning After Injury

"Here I am, at last." You went through the ups and downs of injury recovery. You pushed through rehabilitation and crushed it. You are now ready to go back to climbing and you are probably excited. You can't wait to get back on the wall. However, you may also feel a knot in your stomach. A little voice in the back of your head that may make you a bit anxious

Returning to climbing often is a weird mix of seemingly contrary emotions such as excitement and anxiety. You might have experienced some of the following feelings and thoughts yourself:

The Thrill of Returning to the Wall

The Return Jitters

"I am really excited to go back, to have fun and see what I can do!"

"I'm anxious to be back, a little nervous to jump back into it" 

  • Excitement and joy for return.
  • Feeling stronger after going through adversity.
  • Confident in the recovery and the hard work during rehab.
  • Anxiety about re-injury.
  • Cautious when returning to climb.
  • Insecurities about the ability to return to sport or what others think of you if you cannot climb "at your level".
Much like other parts of the injury recovery journey, the emotions you feel will be personal to your recovery. You may feel only excitement, only anxiety, a mix of both or even other feelings. The important part at this point is to be confident in the work that you put in to get here. 

Want to take your injury recovery to the next level? Check out our Climbing Injury Recovery course to navigate the mental challenges of injury recovery

Managing Emotion: The RULER Approach

Managing your emotions can help reduce the impact of injury. An important part of managing your emotions is to notice and understand your emotions. That's where the RULER approach comes in:

Recognize what you're feeling. 


Understand where the emotions are coming from. 
Label your emotions more clearly. 

Express what you're feeling in a healthy way.
Regulate your emotions with tools that help you feel more grounded. 
Here is how a climber can apply the RULER approach:  "You might notice you're feeling off during a rehab session. You pause, recognize you're angry (R), and realize it's because you were hoping to feel better by now (U). You label it as frustration and disappointment (L), talk to a friend about it (E), and then decide to use a self-compassion meditation (R)."

Mental Beta: How to Work With Your Emotions

The RULER approach is a helpful way to understand your emotions — but knowing what you're feeling doesn’t always make it easier to handle them. In this section, we’ll explore how to relate to your emotions in a more flexible way, so that they don’t drive your decisions in directions that go against what matters most to you.

Emotions can be intense, surprising, or just plain heavy during injury recovery. And while you can’t always change how you feel, you can choose how you respond. You might already be doing this more than you realize — like when you laugh after a frustrating fall or show up to cheer on a friend even when you're feeling low. These are examples of letting emotions be there without letting them run the show.

Here are some practical ways to work with emotions during injury recovery — not to eliminate them, but to help you keep choosing actions that align with your goals and values.

Try This: Notice the Story You're Telling Yourself

Our minds love to tell stories, especially during tough times like injury. You might find yourself thinking things like, "This rehab is pointless", or "I’ll never climb like I used to."  These stories aren’t “wrong” — they’re normal responses. But they don’t always help us move in the direction we want.

How about if you aim to notice these thoughts as thoughts, not facts. Once you recognize the story, you can ask:
  • Is this story helping me show up the way I want to right now?
  • What would I do if I didn’t have to fight or fix this thought?
You don’t need to silence the story. You just need to decide whether it deserves the steering wheel.

Try This: Shift Your Perspective

When you're deep in frustration or stuck in self-doubt, it can feel like those emotions are the whole story. But they’re just one part of the picture.

One simple way to shift your perspective is to take a mental step back and look at the situation from the outside. Imagine watching a friend go through the same thing you are — would you say to them what you’re saying to yourself?

If your friend would say "I'm going backward, this is hopeless", maybe you answer something like, "This is a normal part of recovery, it's frustrating, but setbacks happen. It still makes sense to follow the rehab plan".
You’re not trying to stop the emotion or argue with it. You’re just loosening its grip, so you can choose how you want to respond — not just react.

Try This: Make Room for the Emotion — and Then Choose What Matters

Sometimes the emotional weight of injury feels like too much. In those moments, it's okay to pause. But rather than using distraction to escape the feeling, try a small act of acceptance and commitment:
  • Acknowledge the feeling (e.g. “this is hard, and I feel stuck”),
  • Let it be there without judgment,
  • And then gently shift your focus toward something meaningful.

That might be texting a friend, planning a hike, sketching a new route — not to “get rid of the emotion,” but to remind yourself that pain and purpose can exist side by side. That’s real resilience.
Think of it like being on the wall, in a non-optimal position. Your feet are smeared, your hands aren't perfect — but the next hold is just within reach. You commit anyway, even though it’s not comfortable or certain. 
Working with your emotions is a skill — just like climbing. You don’t always stick the move on the first try. It takes repetition, small adjustments, and patience. The more you practice, the more natural it becomes to notice what you're feeling and still move in the direction that matters to you.

What about your recovery?

Before you head off, maybe take a moment to check in with yourself:

  • In what stage of my emotions am I?
  • What tools am I using to process my emotions?
Remember that injury recovery is rarely a straight path. It is personal and often emotional, filled with doubts and challenges. 

Recovery is not just about healing your body, it is also about learning, adapting, and returning stronger and more self-aware. 
Free webinar for climbers

You don’t have to go through this alone. Join our next free webinar on the mental side of injury recovery — and connect with others who are on a similar journey.

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