What Mountain Biking Injuries Say About Your Ride—and Your Readiness

The Trails Test You—But Preparation Protects You


Whether you're racing cross-country, bombing downhill, or just chasing sunsets on your local singletrack, one thing’s for sure: mountain biking pushes your limits. And while the thrill of steep descents, fast corners, and technical features is part of what keeps us coming back, that same thrill also comes with a risk most riders underestimate—until they’re staring at the ceiling of an ER.


At Nomadic Performance, we're not just here to get you stronger—we're here to keep you riding longer. And that means understanding the real demands and risks of the sport we love. Recent research offers valuable insight into where, why, and how mountain bikers are getting hurt, and what you can do to stay off the sidelines.


🚨 The Injury Reality: More Than Scrapes and Bruises


Across multiple studies, injuries during mountain biking events ranged from 4% to over 70%, depending on the discipline and duration of the race. Downhill and freeride riders face the highest risk—and not just of minor spills. These riders see more spinal injuries, concussions, and fractures, especially from high-speed forward falls over the handlebars.

Even in marathon-style cross-country races, overuse injuries, wrist fractures, and GI illness are common. Riders often self-manage or ignore symptoms, which means data from emergency departments might underestimate the actual injury burden.

And let’s talk about illness: gastrointestinal problems affected up to 47% of riders post-race in some studies—often due to mud ingestion, contaminated hydration, or poor fueling choices.


🏥 Health System Strain: Why Your Crash Is a Bigger Deal Than You Think


Mountain biking injuries don't just impact your weekend plans—they can strain healthcare systems, especially in rural areas near popular MTB parks or races. Research from Australia, Canada, and the U.S. shows that even moderate increases in MTB injuries can overwhelm local clinics, delay care, and complicate recovery outcomes.

Most injuries are treated onsite or in urgent care centers—but severe trauma often requires hospital admission or transfer to trauma centers, especially for head, spine, or internal injuries. Recovery times, costs, and time away from the bike can be significant.


⚙️ Risk Factors You Can (and Should) Control


According to the literature, the most common factors leading to injury include:



And while helmets are widely used, other protective gear—like knee pads, elbow pads, and neck braces—are underutilized, especially among recreational riders.


🧠 So… How Do You Prepare?


Here at Nomadic Performance, we believe the best protection isn’t just gear—it’s preparedness.

Here’s what we recommend:



🚴‍♂️ Final Thoughts


Mountain biking is freedom—but it's also fierce. The data is clear: riders are getting hurt, and the risks increase with speed, terrain, and fatigue. But that doesn't mean you have to ride scared.

It means you need to ride strong, smart, and prepared.

Whether you're prepping for your next enduro race, planning a multi-day bikepacking trip, or just want to build bulletproof resilience, Nomadic Performance is here to help you train hard, ride smart, and recover better.