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Guide

Surf Injury Prevention and First Aid for Surf Trips

How to prevent and treat sunburn, reef cuts, sea urchin spines and sore shoulders on a surf trip, with simple first aid steps and when to see a doctor.

By Tafukt Surf Updated 6 min read

Most surf-trip injuries are minor and preventable. Use SPF 50 and a rash vest, and reapply sunscreen between sessions. Wear boots or tread carefully on rock, rinse and disinfect any reef cut the same day, and remove urchin spines with tweezers before soaking in hot water. Protect shoulders by building paddle fitness before you travel and easing into sessions. See a doctor for deep cuts, infection or embedded spines.

Aerial view of Imsouane bay and fishing village on the Atlantic coast
Aerial view of Imsouane bay and fishing village on the Atlantic coast — Louis Hansel / Unsplash

Most of what goes wrong on a surf trip is small, predictable and easy to prevent. This guide covers the four problems we see most often: sunburn, cuts from rock, sea urchin spines and sore shoulders. It’s general advice, not medical advice. If you are in any doubt, see a doctor or pharmacist.

What are the most common surf trip injuries?

ProblemMain causePreventionFirst aidSee a doctor if
SunburnUV reflecting off the water, long sessionsSPF 50, zinc, rash vest, surfing in the morningCool shower, after-sun, fluids, shadeWidespread blistering, fever, dizziness
Rock or reef cutFalling in shallow water, walking over rockBoots, entering through the channel, falling flatRinse, scrub out grit, antiseptic, dressingDeep or gaping cut, signs of infection
Sea urchin spinesStepping on rocky bottomsBoots, never walking barefoot on rockTweezers for visible spines, hot-water soakSpines deep or near a joint, swelling gets worse
Sore shouldersFar more paddling than usualTraining before the trip, warming up, enough board volumeRest, ice early on, gentle movementSharp pain, weakness, can’t lift the arm
Board or fin knockLoose board after a wipeoutCovering your head as you fall, keeping your distance from othersClean the wound, cold compress for bumpsHead knock with confusion, vomiting or a severe headache

How do I avoid sunburn while surfing?

Imsouane gets around 340 days of sun a year, and the sea hides the danger. The water is about 17-20C in winter and 20-23C in summer, so you feel cool while UV reflects up off the surface at you. The usual places to burn are the face, lips, ears, the back of the neck, the backs of the knees and the tops of the feet.

  • Apply a broad-spectrum, water-resistant SPF 50 15 to 20 minutes before paddling out, and reapply after every session.
  • Use a zinc stick on your nose, cheekbones and lips, which take the most direct sun.
  • Cover up. A 3/2 wetsuit suits most of the year here, and on warm days a long-sleeve rash vest still protects your back and shoulders.
  • Surf early. Mornings usually have the cleanest conditions, and the UV is lower than in the middle of the day.

First aid: take a cool shower, use after-sun or aloe, drink plenty of water and stay in the shade the next day. Widespread blistering, chills, fever or dizziness can mean heat exhaustion or a severe burn, so get medical help.

What should I do about a reef or rock cut?

Magic Bay peels over sand for much of its length, which is part of why it’s so forgiving. Points and headlands still have rock, though, especially on the way in and out, and Cathedral Point breaks over rock. Lower tides leave less water over the bottom.

Prevention: wear boots wherever you have to cross rock, use the channel to get in and out, and fall flat and shallow rather than diving headfirst. Cover your head with your arms as you come up.

First aid, the same day:

  1. Rinse the cut thoroughly with clean fresh water. Bottled water is fine.
  2. Scrub out sand and rock grit with clean gauze or a soft brush. It stings, but trapped debris is the main cause of infection.
  3. Apply an antiseptic and cover the cut with a clean dressing.
  4. Clean and redress it every day, and keep it dry between sessions where you can.

See a doctor if the cut is deep, gaping or won’t stop bleeding, or if you notice spreading redness, heat, pus, red streaks or a fever. Check that your tetanus vaccination is up to date before you travel.

How do I treat a sea urchin sting?

Sea urchins live on rocky bottoms and in crevices along much of the Atlantic coast. Nearly every case comes from stepping on one, so the best prevention is boots and never walking barefoot over rock.

First aid:

  • Pull out the visible spines with tweezers, gently and in line with the spine. They are brittle and snap easily, so don’t dig at them with a needle.
  • Soak the area in water as hot as you can comfortably bear for 30 to 90 minutes. Test the temperature with your other hand first. This usually eases the pain.
  • Clean the area, apply antiseptic and keep an eye on it.
  • Small dark marks under the skin are often just dye from the spine and tend to fade over a few days.

See a doctor if spines are deep or near a joint, if you can’t put weight on your foot, or if swelling and pain get worse instead of better.

Why do my shoulders hurt on a surf trip?

Going from a desk to two sessions a day means hours of paddling your shoulders aren’t used to. On a long point break, the paddle back out after every ride adds up.

  • Train before you come. Swimming, push-ups and resistance-band exercises for the rotator cuff in the weeks before your trip make a real difference.
  • Warm up on the beach for five to ten minutes: arm circles, band pulls and some light mobility work.
  • Ride enough volume. A board that floats you higher makes paddling easier, which matters more than most people realise.
  • Pace the week. One session on the first day, then build up. A rest day in the middle often means better surfing at the end.

First aid: rest, apply ice for 15 to 20 minutes at a time in the first day or two, and do gentle range-of-motion work. Get it checked if you feel sharp pain, weakness, painful clicking or night pain, or can’t lift your arm above your shoulder.

What should go in a surf trip first aid kit?

ItemWhat it’s for
SPF 50 and a zinc stickSun protection on land and in the water
After-sun or aloeSoothing mild sunburn
TweezersRemoving urchin spines and splinters
Antiseptic and sterile gauzeCleaning cuts
Waterproof dressingsCovering small cuts between sessions
Resistance bandWarm-ups and shoulder care
Your usual medicationPharmacies in Moroccan towns are generally well stocked, but brands vary

Where to go from here

Good technique prevents more injuries than any first aid kit. Our surf lessons keep groups to five, and our ISA-certified coaches choose spots and timing to suit your level. If you’re planning a full trip, the surf weeks include board and wetsuit. You can also rent boards and wetsuits in 3/2 and 4/3, and our activities give you something to do on rest days.

Questions & answers

Can I go back in the water with a reef cut?
A small, clean scrape is usually fine once it has been scrubbed, disinfected and covered with a waterproof dressing. Deeper cuts heal faster and are less likely to get infected if you give them a day or two out of the water. Clean and redress the wound after every session, and stop surfing on it if it gets red, hot or swollen.
Should I pee on a sea urchin sting?
No. Urine does nothing to dissolve spines or ease pain, and it adds bacteria to an open wound. Remove the visible spines with tweezers, soak the area in hot water and keep it clean instead.
Do I need reef boots to surf in Imsouane?
Magic Bay peels over sand for much of its length, so many surfers go barefoot there. Boots are useful wherever you cross rock to get in or out, and on the rocky bottom at Cathedral Point, which is more powerful and breaks over rock. They also protect against sea urchins on rocky shelves.
What sunscreen is best for surfing?
Use a broad-spectrum, water-resistant SPF 50, and add a zinc stick for the nose, cheekbones and lips. Put it on 15 to 20 minutes before you paddle out so it has time to set. Reapply after every session, because no sunscreen lasts a whole day in the sea.
How many surf sessions a day is too many?
If you don't surf regularly at home, one session on the first day and two on later days is plenty for most people. Shoulder pain that gets worse from one session to the next is a sign to rest. A day off mid-week usually means you surf better in the second half of the trip.

What our guests say

Real reviews from people who surfed with us in Imsouane.

“It was a hell of an experience .... loved it too much .. shout out to the brother Mohammed”
Othmane · Ukraine
“Une expérience incroyable ! Le surf camp est super bien organisé, avec une très bonne ambiance et une équipe vraiment accueillante. Les cours de surf étaient adaptés à mon niveau et les moniteurs étaient patients et professionnels. Le logement était agréable et l’ambiance entre les participants était géniale. Je recommande à 100 % !”
Clara · France

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