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Common Cheerleading Injuries in Frisco Athletes (And How to Prevent Them)

  • Writer: Dr. Colt Oliver, PT, DPT, One80
    Dr. Colt Oliver, PT, DPT, One80
  • Feb 16
  • 3 min read

Youth Sports | Cheerleading | Injury Prevention


Cheerleading has evolved into one of the most physically demanding youth sports in Frisco. Today’s athletes are tumbling, stunting, jumping, and training year-round at an elite level. While the sport builds strength, confidence, and teamwork, it also places significant stress on growing bodies.

Cheerleader landing from jump during stunt practice in Frisco

At ORIGIN Health Physical Therapy, we work with active youth athletes and understand the unique demands cheer places on the spine, knees, ankles, shoulders, and wrists.

Here are the most common cheerleading injuries we see in Frisco athletes — and how to prevent them.


1. Low Back Pain From Hyperextension


Why It Happens


Cheerleaders frequently perform:

  • Back handsprings

  • Back tucks

  • Arabesques

  • Heel stretches

  • Stunting positions requiring lumbar extension


Repeated hyperextension can stress the lumbar spine and, in some cases, lead to stress reactions like spondylolysis.


Prevention Strategy


The solution is not more stretching.


Cheerleaders are often already flexible. What they typically lack is:

  • Core stability

  • Glute activation

  • Proper force absorption during tumbling


Building strength and neuromuscular control protects the spine far better than passive stretching.


2. Ankle Sprains and Chronic Instability


Why It Happens


Landing from jumps and tumbling passes places massive force through the ankles. If landing mechanics are off — or if the athlete has had a previous sprain — instability becomes chronic.


Over time, this leads to:

  • Recurrent ankle sprains

  • Achilles irritation

  • Knee compensation injuries


Prevention Strategy


True prevention focuses on:

  • Single-leg stability training

  • Controlled landing mechanics

  • Strengthening intrinsic foot muscles

  • Restoring proprioception (joint awareness)


If an ankle keeps “rolling,” it is usually a stability problem — not just bad luck.


3. ACL and Knee Injuries


Why It Happens


Cheer involves explosive jumping and cutting movements. Poor hip control and weak glutes can cause the knee to collapse inward during landing — increasing ACL injury risk.

Adolescent female athletes are especially vulnerable due to growth spurts and neuromuscular timing changes.


Prevention Strategy


Evidence-based prevention includes:

  • Glute strengthening

  • Hip stability drills

  • Controlled plyometrics

  • Jump training focused on alignment


Teaching athletes how to absorb force properly is critical for long-term knee health.


4. Wrist Injuries From Tumbling and Stunting


Why It Happens


Cheerleaders load their wrists repeatedly during:

  • Back handsprings

  • Walkovers

  • Stunt bases


Over time, this can lead to:

  • Wrist sprains

  • Growth plate irritation

  • Chronic pain with weight-bearing


Prevention Strategy


Instead of simply bracing or resting, we improve:

  • Shoulder stability

  • Scapular control

  • Load distribution through the upper body


The wrist is often compensating for weakness elsewhere.


5. Hip Flexor Tightness and Hip Pain


Why It Happens


High kicks, jumps, and splits demand extreme hip mobility. But when stability is lacking, the hip flexors become overworked and tight.


This can contribute to:

  • Anterior hip pain

  • Labral irritation

  • Low back strain


Prevention Strategy


We address:

  • Core stability

  • Posterior chain strength

  • Pelvic control


Mobility without stability creates injury risk. Balanced training prevents it.


Why Stretching Alone Isn’t Enough


Cheerleaders are typically very mobile. The missing piece is often strength and stability in end ranges of motion.


At ORIGIN Health, we use our MoStreBility framework:

Cheerleader stretching
  • Mobility – Access full range of motion safely

  • Strength – Build force production

  • Stability – Control that force under load

This combination protects joints and improves performance.


A Smarter Approach to Cheer Injury Prevention in Frisco


Many clinics focus on passive treatments like massage, cupping, or temporary symptom relief. While those may feel good short-term, they don’t correct faulty movement patterns.


  • Perform full-body movement assessments

  • Analyze landing mechanics

  • Identify asymmetries and compensation patterns

  • Create individualized injury prevention plans


Our goal is not just recovery — it’s keeping your athlete on the mat, confident and performing at their best.


When Should a Cheerleader See a Physical Therapist?


If your athlete experiences:

  • Back pain lasting more than 1–2 weeks

  • Repeated ankle sprains

  • Knee pain with jumping

  • Wrist pain during tumbling

  • Decreased performance due to discomfort


Early intervention prevents long-term setbacks.


Free Cheerleader Movement Screen in Frisco


We’re passionate about helping local cheer programs stay strong and injury-free.

If you’re a parent, coach, or athlete in Frisco, we offer a complimentary cheer movement screen to assess:


  • Core stability

  • Landing mechanics

  • Joint control

  • Injury risk factors


Because prevention is always easier than recovery.


FAQ


What is the most common injury in cheerleading?Low back pain and ankle sprains are among the most common injuries in competitive cheerleaders.


How do you prevent ACL injuries in cheer?By improving hip strength, landing mechanics, and neuromuscular control through structured training.


Should cheerleaders stretch more to prevent injury? No. Many cheerleaders are already flexible and need more stability and strength instead.

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