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Whether you're gearing up for your first HYROX race or chasing a new personal best, one thing’s for certain — HYROX is no ordinary fitness event. It demands a unique combination of endurance, strength, and high-volume functional movement.
 
At APEX Sports Clinic, Dr. Foo Gen Lin, Sports and Orthopaedic Surgeon and Dr. Wang Ming Chang, Sports and Exercise Medicine Physician, know this all too well — not just from treating hybrid athletes in their clinic, but also from their own personal experience competing in HYROX. They've seen both the triumphs and the toll this sport can take, and understand how smart training is essential to performance and longevity.
 
In this article, Dr Foo and Dr Wang share their strategies to help you train smarter, build resilience, and avoid the overuse injuries that could derail your season.

1. Respect the Volume: Progressive Load Matters

HYROX is demanding — sled pushes, wall balls, lunges, and running take a cumulative toll on your joints, tendons, and muscles. Many common overuse injuries we see, like Achilles tendinopathy, patellofemoral pain, or shin splints, are often caused by ramping up training volume too quickly.
 
Doctor's Tip:
Stick to the “10% rule” — increase your total weekly load (distance, weight, reps) by no more than 10% at a time. Use periodisation: cycle through high, moderate, and lower-intensity weeks to allow for recovery and adaptation.
 
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Gradually increase your weekly load, using the 10% rule.
 

2. Balance Strength and Endurance Training

HYROX success lies in the blend of power and stamina. A common pitfall? Overtraining one component while undertraining the other. This imbalance can lead to inefficiencies in movement patterns — and a higher injury risk.
 
Doctor's Tip:
Structure your week with intentional hybrid sessions. Pair heavy lifting with shorter run intervals, and save your longer runs for days with lighter strength or mobility work.

 

3. Pay Attention to the “Little” Niggles

Minor aches often go ignored — until they turn into something bigger. That tight calf or sore foot may not seem like much today, but with HYROX’s high training volume, those small signals can quickly spiral into time-loss injuries.
 
Doctor's Tip:
Track your training, pain levels, sleep, and fatigue in a simple journal or app. If you notice a trend — even a subtle one — address it early. Scaling back now beats sitting out later.
 
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With HYROX’s high training volume, small niggles can quickly spiral into time-loss injuries.

 

4. Make Prehab and Recovery Non-Negotiable

We often see athletes only start mobility work after an injury strikes. But HYROX, with its repetitive, fatigue-loaded movements, will expose any underlying weaknesses in mobility or control.
 
Doctor's Tip:
Incorporate targeted mobility (hips, ankles, thoracic spine), glute activation, and core stability drills into every warm-up. Post-training, prioritise recovery: quality sleep, solid nutrition, and occasional hands-on treatments (like compression, massage, or physio).
 
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Dr Wang in the 2023 edition of HYROX.

 

5. Cross-Train to Build Longevity

Repetitive high-impact training takes a toll. Cross-training offers a joint-friendly way to maintain conditioning while reducing strain — especially during recovery weeks or when managing flare-ups.
 
Doctor's Tip:
Don’t just rest — replace. Modalities like cycling, rowing, swimming, or the SkiErg allow you to stay fit while giving overworked tissues a chance to recover.
 
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Training with purpose, prioritising movement quality, and recovering well is the key to performing well. 

 

6. Train Smart, Not Just Hard

The HYROX grind is real. But pushing harder isn’t always the answer. The key to progress? Training with purpose, prioritising movement quality, and recovering well.
 
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Through it all, don't forget to have fun!
 
Final Thought:
The goal isn’t just to survive race day — it’s to thrive throughout your training season. With the right balance, you can build strength, boost performance, and stay injury-free. If you’re navigating persistent pain or planning your season, speak to a sports medicine professional who understands the unique demands of hybrid racing. We’re here to help — not just in the clinic, but on the race floor too.
 

See you on the sleds.
—Dr Foo

 

 
Featured Contributor:
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Apex Sports Clinic
As passionate athletes, we intimately understand the anguish and frustration that injuries can inflict, and our primary commitment is to facilitate your swift return to the sports you love.

With a collective experience exceeding 15 years, the Apex team has been dedicated advocates for athletes, assisting them in preventing, overcoming, and conquering injuries. We've invested countless hours in rigorous training and education to ensure we are exceptionally equipped to provide you with the highest care and support.

Our practice specialises in both non-surgical and surgical treatments for sports injuries, including knee ligament injuries, shoulder dislocations, and hip labral tears. We also handle emergencies like acute fractures and injuries and chronic joint conditions like osteoarthritis. With our experienced medical team and evidence-based approach, we provide personalised care to help patients recover and improve musculoskeletal health.

Connect with Apex Sports Clinic on their website. 

Consult a Sports and Orthopaedic Surgeon today