Common Ski and snowboard Knee Injuries | Peak Sports Physio Hakuba

Common Knee Injuries We Treat at Peak Sports Physio Hakuba

Skiing and snowboarding are what bring us to Hakuba—but they can also be tough on your knees. High speeds, variable snow conditions, fixed bindings, jumps, and unexpected falls all increase the risk of knee injury on the mountain.

At Peak Sports Physio Hakuba, knee injuries are one of the most common conditions we treat during the winter season. Whether you’ve had a big crash or developed gradual knee pain from long days on snow, our experienced physiotherapy team is here to help you recover and return to skiing or snowboarding with confidence.

Below is a guide to the most common knee injuries we see in Hakuba, how they happen, what symptoms to look out for, and how we treat them.

Anterior Cruciate Ligament (ACL) Injury

How ACL injuries happen while skiing

ACL injuries are more common in skiers than snowboarders and often occur during:

  • Sudden twisting or direction changes

  • Falls where the ski fails to release

  • Awkward landings from jumps

Common ACL injury symptoms

  • A popping sensation or sound at the time of injury

  • Rapid swelling (not always immediate)

  • Pain and knee instability

  • Feeling like the knee may “give way”

ACL injury treatment at Peak Sports Physio Hakuba

  • Early pain and swelling management

  • Prescription of crutches and knee braces to improve comfort and mobility

  • Referral for imaging and orthopaedic review when appropriate

  • Early rehabilitation to restore movement, strength, and control

For a full breakdown of ACL injuries and treatment options, see our dedicated ACL blog post.

Posterior Cruciate Ligament (PCL) Injury

How PCL injuries happen

PCL injuries usually occur from:

  • Falling forward onto a bent knee

  • A direct blow to the shin

  • Heavy landings or high-impact crashes

Common PCL injury symptoms

  • Pain at the back of the knee

  • Swelling and stiffness

  • Difficulty squatting or walking downhill

PCL injury treatment at Peak Sports Physio Hakuba

  • Pain and swelling management

  • Strengthening the muscles that support the knee

  • Gradual return to skiing with taping or bracing if required

  • Referral for scans or specialist review when necessary

Medial Collateral Ligament (MCL) Injury

How MCL injuries happen while skiing

MCL injuries are very common in skiing and usually occur when:

  • The knee is forced inward

  • A ski edge catches suddenly

  • The knee twists during a fall

Common MCL injury symptoms

  • Pain along the inside of the knee

  • Local swelling and tenderness

  • Pain when edging skis

MCL injury treatment at Peak Sports Physio Hakuba

  • Imaging and hinged knee bracing for moderate to severe injuries (most do not require surgery)

  • Hands-on physiotherapy treatment

  • Strength and stability exercises

  • Gradual return to skiing with taping or bracing

Posterolateral Corner (PLC) Knee Injury

How PLC injuries happen

These injuries are less common but often more serious and usually occur during:

  • High-speed crashes

  • Hyperextension injuries

  • Combined twisting forces

Common PLC injury symptoms

  • Pain at the back and outside of the knee

  • Instability, especially during turning on slopes

PLC injury treatment at Peak Sports Physio Hakuba

  • Thorough assessment and referral when required

  • Protective bracing to optimise healing

  • Swelling management and hands-on treatment

  • Structured, progressive rehabilitation programs

Meniscus Injury

How meniscus injuries happen

Meniscus injuries often occur from:

  • Twisting on a bent knee

  • Sudden changes of direction

  • Deep squatting or awkward landings

Common meniscus injury symptoms

  • Pain along the knee joint line

  • Swelling or stiffness

  • Clicking, catching, or locking sensations

Meniscus injury treatment at Peak Sports Physio Hakuba

  • Pain and swelling management

  • Referral for imaging and specialist opinion when needed

  • Hands-on techniques to restore range of motion

  • Ski-specific rehabilitation exercises

Patella (Kneecap) Dislocation

How patella dislocations happen

Patella dislocations usually occur when:

  • The knee twists suddenly

  • The knee collapses inward during a fall

  • Jump landings are off-balance

Common patella dislocation symptoms

  • Sudden, severe knee pain

  • Visible movement of the kneecap

  • Swelling and difficulty straightening the knee

Patella dislocation treatment at Peak Sports Physio Hakuba

  • Immediate swelling and pain control

  • Restoration of safe knee movement

  • Progressive rehab to strengthen surrounding muscles

  • Confidence-building return-to-snow preparation

Patellofemoral Pain (Kneecap Pain)

How patellofemoral pain develops

This type of knee pain commonly builds up over time due to:

  • Long consecutive days on snow

  • Muscle imbalances

  • Sudden increases in skiing or snowboarding volume

Common patellofemoral pain symptoms

  • Dull ache around or behind the kneecap

  • Pain with stairs, squats, or skating motions

  • Discomfort during or after skiing

Patellofemoral pain treatment at Peak Sports Physio Hakuba

  • Identifying movement or load-related causes

  • Strengthening key hip and knee muscles

  • Hands-on treatment and taping

  • Advice on technique, workload, and recovery

Knee Pain or Injury in Hakuba?

If you’re dealing with knee pain or have suffered a ski or snowboard injury in Hakuba, early assessment and treatment can make a huge difference to your recovery.

📍 Peak Sports Physio Hakuba specialises in ski-specific injury management and rehabilitation, helping you get back on snow safely and confidently.

Book an appointment or drop into the clinic to get your knee checked.

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