Athletes’ Struggle with fear of Re Injury

For athletes, getting injured is a sad reality that can disrupt their training, performance, and health. While recovering from an injury is very important, another issue that often gets ignored is the fear of getting hurt again. This fear can really affect an athlete’s mind, hurting their confidence and mental health. It can make them doubt their skills, value as an athlete, and even their purpose. As athletes work through the tough process of recovery, they also have to deal with the emotional struggles that come with being injured. In this blog, we’ll look at how fear of reinjury and feeling lost in their identity are connected for athletes.

Fear of re-injury is not just a mental challenge, it can greatly affect an athlete’s performance and recovery. Uncertainty about how long recovery will take, along with the pressure to perform at their best, can increase stress and self-doubt. This fear can take over an athlete’s thoughts and actions, always there in the background. It can show up as anxiety, nervousness, or avoiding certain activities. Athletes might hesitate to push themselves, worried they could get hurt again. Some may become overly cautious, constantly checking their bodies for any pain or discomfort. This fear can make it hard for them to fully focus on their training and recovery.

Fear of re-injury can make athletes feel disconnected from their sport. They might think they’re losing their skills, confidence, and sense of self. Injuries can make them question if they can ever perform at the same level again. Many athletes find their self-worth in how well they compete. When they can’t play, they may feel lost and ask, “Who am I if I can’t play?” The more they identify with their sport, the harder it is for them to cope after an injury. This self-doubt can be overwhelming, making it tough for athletes to get back on track and regain their confidence in training and competition.

The fear of re-injury can also impact an athlete’s relationships with teammates, coaches, and family. They might feel like a burden or that they’re letting others down. This feeling can lead them to pull away from social interactions, making them feel disconnected or like they no longer belong to the team. For many athletes, their sport is a big part of their identity, so this isolation can make their fear even stronger and harder to overcome. Additionally, the pressure to return to competition can increase the fear of re-injury. Athletes may feel like everyone is watching them closely—coaches, teammates, and fans—and expecting them to perform well, even if they’re still recovering. This pressure can create a sense of urgency, pushing athletes to rush back into competition before they are fully ready. This can lead to even more anxiety and stress, making it difficult for them to focus on recovery. Overall, the combination of fear, isolation, and pressure can make it challenging for athletes to feel confident and supported as they work through their injuries.

An athlete’s fear of re-injury can be affected by their past experiences. If they have been injured before, they might feel more anxious and fearful about getting hurt again. They may believe they are stuck in a cycle of injuries or that their body is weak. This fear can be very strong and hard to overcome. 

In conclusion, the fear of re-injury is a significant hurdle for athletes that goes beyond physical recovery. It affects their mental health, self-worth, and relationships, making recovery even more challenging. As they work through their injuries, athletes must confront not only their physical limitations but also the emotional weight of fear and self-doubt. Recognizing the connection between past experiences and current fears can help athletes address these feelings more effectively. It’s essential for athletes, coaches, and support networks to create a safe environment where they can express their fears and anxieties. Open communication and understanding can foster a sense of belonging, helping athletes navigate their recovery journey. By addressing both the physical and emotional aspects of injury recovery, athletes can rebuild their confidence and reconnect with their sport, ultimately emerging stronger and more resilient. 

Kiran P Salunkhe
Sports Psychologist, Mindsports


Psychological Precursors and Responses to Injury

As much as the Olympics brought glory to us, it also brought us moments of tears as the campaigns of some athletes ended tragically with injuries. Indian wrestler Nisha Dahiya battled severe pain and injury but lost her quarter-final bout in the women’s 68kg division at the Paris 2024 Olympics wrestling competition. Murali Sreeshankar managed to breach the qualifying standard in the men’s long jump but did not travel to Paris as a knee injury ruled him out for the entire 2024 season. Even the mighty Neeraj admitted that the fears of aggravating his injury slightly held him back during the Paris Olympics. 

As discussed in the previous blog, Injuries are not just physical wounds for athletes, but a realm where no athlete wants to be. Sport injuries, although not very uncommon in the field, have tremendous effect on an athletes’ sporting career as well as on their wellbeing. Recovering from a sports injury entails more than just healing the wound, the athlete has to undergo many psychological stressors ranging from bearing the constant pain, the emotional pain of not being able to play or missing out on important competitions, loneliness, even anxiety and depression at times. In these times understanding the psychological antecedents and responses to injury becomes a crucial step in appropriate rehabilitation of that injury.

From a sport psychology perspective, here’s our take on why and how athletes sustain injuries and what are some common reactions to them. 

Psychological Precursors to Sport Injury

Although an injury is defined as any physical harm caused to one’s body, it may have its roots in one’s psychology. Research conducted over the past decades suggests that both external (physical) and internal (psychological) factors, or their interaction could lead to an injury. This means that a person’s psychological state, which could be positive or negative, may have an effect on the chances of an athlete sustaining an injury. This can be understood with the help of an example, a long jumper competing in his first National tournament, is under tremendous pressure of performance. As  a consequence, his focus keeps shifting constantly to the opponents, to their scores, constantly feeling nervous about his jump, which leads to him missing a step in his run up before the jump and causing an ankle twist. 

A reason why this happens lies in the cognitive appraisal that one does of the situations that they face. In simple words, how one perceives a situation determines their psychological state while facing that situation. The more the athletes perceive it as a stressful situation, higher are the chances of the athlete sustaining an injury. The perception of stress is determined by many underlying factors such as the athlete’s personality, their life experiences, their upbringing and so on. These factors are instrumental in deciding one looks at a situation as a challenge or as a danger. Athletes may experience poor muscular coordination as a result of stressful situational assessments, which can also cause negative effects like peripheral constriction (missing task-relevant inputs), increased muscle stiffness, and loss of attention. Additional factors include worse situational cue recognition, delayed decision-making, increased reaction latency, or other sensorimotor abnormalities.

Responses to Sport Injury

Along with physical distress, an injury brings a lot of emotional distress for the athletes. Sustaining an injury entails a break from the respective sport, which alone is distressing enough for an athlete. Along with that, it brings considerations such as rehabilitation period, attaining the pre-injury fitness, return to the sport, missing out on important tournaments. An injury can alter the path of an athlete’s sporting career which may cause heightened distress such feelings similar to grief, or even anxiety or depression at times. Here too, individual differences in personality, life experience, coping skills as well as available coping resources play a huge role in the rehabilitation journey of the athlete. 

This idea views injury as a dynamic process that considers situational and individual factors in relation to rehabilitation adherence, and it describes the behavioral, emotional, and cognitive reactions to sports injuries. Since recovery results are focused on the athlete’s cognitive evaluation, emotional reactions, and behavioral reactions, it is inferred that all three can directly affect recovery outcomes.

In order to help athletes cope better with injuries, it is vital that professionals understand the stressors that may lead to an injury, and how the athletes may respond to it. 

Rasika Kalgutkar, Sports Psychologist, Mindsports

Athlete Injury: Unseen Challenges

“Injury is a part of the game, but it’s how you respond that matters.” – LeBron James. 

This quote resonates deeply with athletes who have faced injuries. It’s a reminder that injuries are an opportunity to grow, learn and come back stronger. As athletes thrive to excel, injuries are a potential challenge that they come across. A single misstep can instantly lead to an injury thereby affecting their season or even their entire career. Injury recovery is not just about rehabilitating the body but also overcoming the mental hurdles of injury. Although physical challenges are well taken care of, psychological challenges often remain unaddressed. Athletes with injury need to confront the psychological challenges such as fears related to the injury, handling self-doubt, dealing with isolation from teammates etc. In today’s blog article, we discuss the mental challenges that athletes with injury commonly face as the first part of our “Athlete Injury” series. 

Injuries come with its own challenges. Psychologically, athletes come across fear of reinjury, self-doubt, isolation, loss of identity and demotivation. Many elite athletes have experienced fear of re-injury. One example is Rafael Nadal, one of the greatest tennis players of all time. Nadal has suffered from recurring knee injuries, particularly in his tendons forcing him to miss significant time on the court, including several Grand Slam tournaments. He has spoken publicly about his fear of re-injury, stating that it’s a constant concern that affects his game. He has mentioned that he’s always thinking about his knees, worrying about when the next injury might occur. However, Nadal didn’t hold back his fear, rather he figured out a way to overcome it and adapt his game. He developed coping mechanisms to manage his anxiety and stay positive, including visualization techniques and mindfulness practices. By doing so, he was able to mitigate the psychological impact of his injuries and continue competing at the highest level. 

Injuries often lead to self-doubt and athletes question themselves whether they will ever be able to return to their original best form. “Will I ever be able to regain my strength, speed, and agility?” “ Will I be able to perform at the same level as I did before the injury?” are some of the common thoughts that athletes encounter. Overcoming self-doubt requires a supportive network, including coaches and parents. Athletes must also develop coping strategies, such as positive self-talk, visualization and mindfulness. By reframing their mindset and focusing on their abilities, athletes can begin to rebuild their confidence and overcome self-doubt. 

Athletes often define themselves by their sport. They have been known as a “cricketer”, “athlete” or a “badminton player” etc. for most parts of their lives. When their career is abruptly disturbed due to injury, they face a serious loss of identity. This void can manifest as an emotional disturbance, uncertainty about the future and a loss of purpose. Athletes may struggle to come to terms with their new reality, questioning their sense of self-worth and wondering who they are without their sport. Prioritizing their physical and emotional well-being is essential for athletes navigating an identity crisis. By focusing on well-being and seeking support when needed, can help in successful transition. Additionally, cultivating a growth mindset can empower athletes to view their injury as an opportunity for growth and learning. 

Injuries can also lead to demotivation, causing athletes to feel disconnected from their sport and unsure about their future. The physical limitations imposed by an injury can make athletes feel like they’re losing their edge, leading to feelings of frustration and hopelessness.

For instance, an athlete who is used to training intensively may feel demotivated when they’re forced to take their time off. Additionally, the uncertainty surrounding their recovery and self-doubt regarding return to their original best performance, can lead to decreased enthusiasm and drive. To overcome demotivation, athletes can focus on small, achievable goals during rehabilitation, and reframe their mindset to find ways in staying engaged. Athletes can thus maintain their motivation and momentum, even in the face of injury. 

In conclusion, injuries can have a profound impact on athletes, extending beyond physical pain to psychological challenges. Fear of re-injury, self-doubt, isolation, loss of identity and demotivation are just a few of the unseen challenges athletes face. However, by acknowledging these challenges and seeking support, athletes can overcome them and emerge stronger.

Kiran Salunkhe, Sports Psychologist, Mindsports