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From the scenic trails of Kananaskis Country to the rugged terrain of Banff National Park and family-friendly paths like Grassi Lakes or Fish Creek, hiking is one of Calgary’s favorite summer activities. Whether you’re a seasoned trekker or a weekend warrior, hiking offers great cardiovascular exercise, mental rejuvenation, and a connection with nature. 

But it also comes with physical demands—and unfortunately, a risk of injury. 

At Caring Hands Physiotherapy, we see an influx of hiking-related injuries every summer. Understanding what injuries are most common, how to prevent them, and what physiotherapy treatments are available can keep you safe, active, and back on the trails quickly if something goes wrong. 

Why Hiking Injuries Happen in the Calgary Region 

Calgary’s unique proximity to the Rocky Mountains means many residents can go from city streets to challenging terrain within an hour. While this accessibility is fantastic, it also means: 

  • Sudden exposure to steep inclines and uneven surfaces 
  • Rapid increases in physical exertion 
  • Underprepared muscles and joints 

Combined with inconsistent weather and trail conditions, hikers are frequently exposed to situations where a wrong step or muscle imbalance can lead to injury. 

Top Hiking Injuries Seen by Calgary Physiotherapists 

1. Ankle Sprains 

Cause: Rolling the ankle on uneven terrain 
Symptoms: Swelling, bruising, pain while walking, instability 
Physiotherapy Treatment: 

  • Manual therapy to restore mobility 
  • Proprioception and balance retraining 
  • Strengthening of the ankle stabilizers 
  • Taping or bracing to support return to hiking 

2. Knee Pain (Patellofemoral Pain, IT Band Syndrome) 

Cause: Long descents, steep climbs, poor muscle control 
Symptoms: Pain under or around the kneecap, lateral knee pain, stiffness 
Physiotherapy Treatment: 

  • Quad and glute strengthening exercises
  • Myofascial release of the IT band 
  • Biomechanical assessment and gait retraining 
  • Patellar taping and movement correction 

3. Achilles Tendonitis 

Cause: Steep incline hiking, tight calves, poor footwear 
Symptoms: Pain or stiffness at the back of the heel, especially in the morning 
Physiotherapy Treatment: 

  • Eccentric heel-drop program 
  • Stretching and calf strengthening 
  • Soft tissue release and dry needling 
  • Footwear and orthotic recommendations 

4. Plantar Fasciitis 

Cause: Flat or unsupported footwear, long trail duration 
Symptoms: Sharp heel pain with first steps in the morning or after rest 
Physiotherapy Treatment: 

  • Calf and plantar fascia stretches 
  • Foot arch strengthening 
  • Taping and orthotic intervention 
  • Manual therapy and ultrasound 

5. Low Back Strain 

Cause: Heavy backpacks, poor core engagement, improper lifting 
Symptoms: Dull or sharp pain in the lower back, stiffness, limited motion 
Physiotherapy Treatment: 

  • Core stabilization exercises 
  • Posture correction with load education 
  • Spinal mobilization and soft tissue massage 
  • Safe lifting and hiking mechanics education 

Preventing Hiking Injuries: Tips from Calgary’s Physiotherapy Experts 

At Caring Hands Physiotherapy, we strongly believe that injury prevention is the best medicine. Here are science-backed tips to reduce your risk of getting hurt on the trail: 

1. Condition Before the Season 

Don’t go from couch to summit. A pre-hike strengthening program focusing on: 

  • Glutes, quads, calves 
  • Core stability 
  • Single-leg balance can greatly improve performance and reduce injury risk. 

2. Choose the Right Footwear 

Use proper hiking boots or trail shoes with good ankle support, grip, and shock absorption. Replace worn-out shoes before tackling high-impact trails like Ha Ling Peak or Sulphur Mountain. 


3. Use Trekking Poles 

Poles reduce knee strain during descents and improve balance on uneven terrain—especially useful for hikes like Lake Louise Teahouse or Ptarmigan Cirque. 


4. Warm Up Before You Hike 

Do 5–10 minutes of dynamic stretching and mobility work to prep muscles and joints: 

  • Leg swings 
  • Walking lunges 
  • Ankle circles
  • Arm circles 

5. Pace Yourself & Take Breaks 

Many injuries result from fatigue. Listen to your body, hydrate regularly, and avoid overexertion—especially in higher altitudes around Canmore or Bragg Creek. 

 

6. Pack Smart 

Keep your backpack weight centered and light. Use both shoulder straps and a hip belt to distribute load. Improper backpack technique is a leading cause of back and shoulder strain. 

 

7. Stretch and Recover After 

Post-hike stretching can reduce soreness and improve flexibility: 

  • Calf stretch on a step 
  • Hamstring stretch with a strap 
  • Hip flexor kneeling stretch 
  • Piriformis glute stretch 

Why Physiotherapy is Key to Getting Back on the Trail 

Hiking injuries are often treated too late—many people "walk them off" or ignore the pain until it worsens. However, early physiotherapy intervention is proven to: 

  • Shorten recovery time 
  • Reduce the risk of reinjury 
  • Restore full mobility and strength 
  • Improve your hiking technique and endurance 

At Caring Hands Physiotherapy, we offer: 

  • Individualized injury assessments 
  • Personalized rehab programs tailored to your hiking style 
  • Return-to-hike protocols so you rejoin your adventures stronger than before 
  • Advanced treatments like shockwave therapy, dry needling, manual therapy, and movement re-education

A group of friends on a hiking / camping trip in the mountains

Why Choose Caring Hands Physiotherapy in Calgary 

With clinics in Country Hills, Falconridge, and Beddington, Caring Hands Physiotherapy is trusted by Calgary’s active population for expert care and personalized service. 

We offer: 

  • Multilingual staff (English, Punjabi, Hindi, and more) 
  • Direct billing to most insurance providers
  • Flexible evening and Saturday appointments 
  • An experienced team of licensed physiotherapists, chiropractors, and massage therapists 

Whether you’ve just twisted an ankle on Heart Creek Trail or are recovering from a chronic overuse injury, we’ll help you return to the mountains safely and confidently. 

 

📞 Book Your Hiking Injury Assessment Today 

Let us help you conquer Calgary’s trails again—pain-free. 

👉 Visit caringhandsphysio.com or call one of our three convenient Calgary locations to schedule your visit. 

 

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Preventing and Treating Common Hiking Injuries in Calgary