January 28, 2025

BJJ injuries and how to avoid them

Injuries in BJJ will happen. I've personally dislocated my shoulder twice (although this happens easily for me), had knee pains, neck pains, rib pains, my ear has bled out once, and I’ve dealt with hundreds of bruises, especially in the first couple of months of training. BJJ is a combat sport, so it’s part of the game. While injuries are almost inevitable, understanding how they occur and how to minimize them can make a big difference in your longevity on the mats.

Why Injuries Are Common in BJJ

Brazilian Jiu-Jitsu is a grappling-based martial art that involves a lot of close contact and constant movement. Techniques range from submissions to takedowns and positional control, which means your body is often twisting, turning, and absorbing pressure in ways it's not used to. Because of the dynamic nature of the sport, injuries in BJJ are common and can affect any part of the body.

For example, one study analyzed injuries in BJJ and found that the most common issues arise in the fingers, shoulders, knees, and ribs. These are high-risk areas because they’re under constant strain from grips, leverage, and bodyweight. You can check out the detailed findings of that study in this comprehensive analysis of BJJ injuries.

Finger Injuries

Finger injuries are common in BJJ due to the repetitive gripping of the gi and the constant pressure placed on the small joints and tendons in your hands. The strain often leads to sprained fingers, swollen knuckles, or even long-term conditions like arthritis if not managed properly.

Healing Jiu-Jitsu fingers requires rest and avoiding activities that worsen the pain. Using proper BJJ finger taping techniques can support the joints and prevent further damage during training. Ice can help reduce swelling, and over-the-counter anti-inflammatory medications may relieve pain and speed up recovery.

Though rare, fingers can break in BJJ. Intense gripping or accidental twisting during rolls may lead to a fracture. It’s crucial to avoid training with a broken finger, as it can lead to improper healing and further complications. Allow the injury to heal completely before returning to the mats.

Sprained fingers are the most common finger injuries in BJJ. These occur when the ligaments in the finger are stretched or torn, often from gripping too tightly or awkwardly during sparring. BJJ knuckle pain is also frequent, caused by repetitive friction and impact on the joints.

To reduce the risk of finger injuries, release grips when necessary, strengthen your hands, and consider using protective taping during practice.

Knee pains and injuries

Knees are another hot spot for injuries in BJJ. Whether it’s from awkward takedowns, leg entanglements, or twisting while passing guard, knee pain is a regular complaint. Some grapplers experience ligament tears or strains, especially if they’re not careful during explosive movements. Techniques like the knee cut pass can also put significant pressure on the joint. Wearing knee braces and focusing on controlled movements can go a long way in protecting your knees from serious injuries.

If you want to dive deeper into how common knee injuries are in BJJ, another study on BJJ injury patterns breaks it down further.

Rib injuries in BJJ

Rib pain is a rite of passage for many grapplers. Whether you’re caught in a tight side control or rolling with someone who’s heavier, ribs take a lot of abuse. Rib injuries in BJJ can range from bruising to cartilage damage, and they’re notoriously slow to heal.

Rib injuries are fairly common in BJJ due to the close-contact nature of the sport. Heavy pressure from positions like side control or mount, combined with twisting motions, often leads to rib pain or injury.

To protect your ribs during training, focus on maintaining proper posture in vulnerable positions. Avoid collapsing your body under pressure and keep your core engaged to distribute weight evenly. Wearing a compression shirt or rib guard can also add an extra layer of protection.

Avoiding rib injuries in BJJ starts with choosing the right training partners. Roll with people who have good control and aren’t overly aggressive. Stay relaxed during rolls and avoid tensing up, as this can increase the likelihood of injury. Lastly, learn to tap early if you feel significant pressure on your ribs to prevent worse damage.

Bruises are inevitable

If you’ve just started training, expect to discover new bruises after almost every session. BJJ bruises are incredibly common because of the close contact and constant friction with the mats and your training partners. While they’re mostly harmless, wearing rash guards and long spats can help reduce mat burns and lessen the impact of contact.

The infamous cauliflower ear

Cauliflower ear is one of the most recognizable signs of someone who trains in grappling sports. It happens when the ear takes repeated trauma, causing blood to pool and harden over time. Although some grapplers wear their cauliflower ear as a badge of honor, it’s not something everyone wants.

Not everyone who trains Brazilian Jiu-Jitsu will develop cauliflower ear, but the risk increases with time spent on the mats. Grapplers who train frequently or engage in high-intensity sparring are more likely to experience ear trauma.

Cauliflower ear happens when the ear experiences repeated friction or impact, leading to internal bleeding. Blood pools between the ear’s cartilage and skin, and if left untreated, it hardens into scar tissue, giving the ear its characteristic shape.

If your ear hurts after training, it’s likely due to trauma from grips, headlocks, or other pressure during rolls. This pain can signal the beginning of cauliflower ear formation, especially if swelling is present.

The best way to prevent cauliflower ear is by wearing protective headgear during training. If you notice swelling, ice your ear immediately and consider draining it with medical assistance. Staying mindful of positions that put unnecessary pressure on your ears can also help.

To learn more about how grapplers end up with cauliflower ear and other common injuries, check out this in-depth examination of BJJ-related injuries.

Prevention starts with smart choices

While injuries can’t be avoided entirely, there are steps you can take to reduce your risk. Choosing the right training partners is one of the best ways to protect yourself. Avoid rolling with people who are overly aggressive or don’t have control over their movements. Instead, look for partners who match your pace and prioritize technique over brute force.

Pacing your training is equally important. Trying to go all out every session increases your chances of overuse injuries and burnout. Focus on drilling techniques at a controlled tempo and gradually build up intensity during live sparring. This approach not only minimizes injuries but also helps you improve faster.

The golden rule of BJJ is to tap early and tap often. Submissions are designed to put stress on your joints or choke you out, so there’s no shame in tapping before something goes wrong. Over time, you’ll develop a better sense of your limits, but until then, it’s always better to be safe than sorry.

Recovery matters

Taking care of your body off the mats is just as important as how you train. Rest days give your body time to recover and rebuild, which helps prevent overtraining. Proper stretching before and after class keeps your muscles and joints flexible, reducing the risk of strains. If you’re dealing with persistent pain or injuries, seeing a physical therapist or chiropractor can make a big difference in your recovery.

Final thoughts

Injuries in BJJ are part of the journey, but they don’t have to derail your progress. By understanding the most common issues and taking steps to prevent them, you can stay on the mats longer and enjoy the sport to its fullest. Remember, it’s not just about training hard; it’s about training smart. Pay attention to your body, make smart choices, and never be afraid to tap out. If you’re curious about more in-depth data on BJJ injuries and prevention, check out these insightful studies on injury trends and prevention and additional resources on grappling injuries.