Performance Sport Care

Kipping Handstand Pushups – An Injury Awaits

Athlete performing a kipping handstand pushup, illustrating the injury risk of this CrossFit movement

A “kipping” handstand push-up is a handstand that employs an explosive hip and leg thrust (kipping) that is intended to generate momentum to more rapidly launch the handstand. It is an exercise activity frequently observed in CrossFit training and competitions. It enables this community of exercisers to perform more repetitions, with more speed than would be otherwise possible by performing conventional handstand pushups in strict form.

The following instructional video link was produced by a California CrossFit facility and describes what is considered to be the proper technique for performing a kipping handstand pushup:

This instructional video clearly indicates that it is acceptable for the trainee to rest or make contact with the head (on a mat/ or directly on the floor) at the bottom position of this handstand push-up.Thus, the kipping handstand push-up involves a headstand as well as an explosive handstand.Therefore, the injury risks from both of these components warrant serious consideration.

A strong upper body and plenty of practice is necessary to perform a headstand posture, alone, in a safe fashion. The shoulder, arm, chest, and upper back muscles should support your body weight when performing a headstand. If they are not strong enough to hold you in a stable posture, there is risk of damaging the cervical spine because most people’s necks are not designed to bear all or even a portion of the body weight . This damage could involve bones, discs, facet joints, muscles, ligaments, nerves, or some combination thereof. Needless to say, if you have an existing neck injury, doing a headstand or handstand pushups is unwise.

The following is an image of a normal neck x-ray:

The following is a flexion x-ray image of a normally healthy person, experienced in the performance of headstands, who sustained significant neck injury and instability from performing the simple headstand:

Of course, one would expect that many CrossFit aficionados will vociferously take issue with this presentation and respond with the general argument that the described risks are overstated and that kipping handstand push-ups are completely “safe” when performed with “correct form.” Unfortunately, the reality is that CrossFit participants often perform exercises rapidly, in increasingly higher repetitions, and to a point of exhaustion, or momentary muscular failure. Even under the best of circumstances, musculoskeletal training injuries are certainly possible under such demanding conditions. Moreover, training form is almost always compromised when exercises are performed rapidly or to the point of exhaustion. Repetition speed up or, particularly, down may not remain under control. Under these conditions the likelihood of situations ranging from a simple strain type injury to landing out of position, or coming down too fast or too hard onto the head and neck is a very real possibility. And, unfortunately, it doesn’t take a full-on crash onto the head and neck to cause a serious injury. Much lesser forces can certainly accomplish this.

But the risks of injury do not end here. Additional risk factors include high blood pressure and glaucoma. The inversion associated with headstands and handstands can increase intracranial blood pressure significantly. A person with high blood pressure can experience increased pressure in the blood vessels supplying the brain and eyes. This can lead to ruptured blood vessels in the eyes, retinal tears or, in very rare instances, stroke. In glaucoma, pressure builds up within the eye, impairing vision. Inversion of the body exacerbates this pressure. Also, if the blood vessels in your eyes have burst or if you have ever seen “floaters” then headstands, handstands, or handstand push-ups are not for you. The consumption of anti-inflammatory medications may also be an added risk factor, in regard to strenuous activities involving inversion.

Therefore, when everything is taken into consideration kipping handstand push-ups are not advisable for most people other than, perhaps, the “genetic elites.” They certainly cannot be endorsed for the general population seeking to pursue an exercise activity.

For those seeking to engage in kipping handstand push-ups anyway, the following opinions and recommendations are in order:

  1. Do not engage in any strenuous activity involving inversion of the body (i.e. headstands, handstands) if you have high blood pressure, glaucoma, ruptured blood vessels in the eye(s), an active neck injury, or a past history of significant neck injury.
  2. Avoid taking anti-inflammatory medications immediately prior to performing strenuous activities involving inversion of the body.
  3. Make sure you have an adequate strength base in the shoulders, arms, chest, upper back, and neck before attempting any handstands, or even a headstand.
  4. A minimum strength “benchmark” of 15 strict handstands pushups or 10 strict overhead barbell presses with 1.25 times bodyweight should be demonstrated before proceeding with kipping handstand pushups.
  5. Do not perform kipping handstand pushups alone or without someone nearby to assist you if you experience an injury.
  6. Direct strengthening exercises for the neck are strongly recommended. Exercises such as those depicted in the following link are suitable, if carefully performed:

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Dr. Douglas Cancel, DC, provides evidence-based Chiropractic Care, Manual Therapy, and Supervised Strength Training to Athletes and active individuals at Performance Sport Care in Walnut Creek, California.

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Beyond erasing pain no one else was able to solve for twenty years with the therapy I received, I also did a workout plan with them and built the strengh needed to never feel that pain again. I love being in my body again and can do activities like I was fifteen years younger! Highly recommend doing both their therapy (passive) + their workout program to get to a place that is more than therapy could ever get you to imo. Awesome folks who get to know you is a big plus too.
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⭐⭐⭐⭐⭐ I’ve had a great experience with Dr. Douglas Cancel and Dana at Performance Sport Care. I came to them with some shoulder and back concerns, and both have been incredibly helpful throughout the process. Dr. Cancel took the time to address my concerns, and Dana has been great to work with on the exercise and training side. I really appreciate their knowledge, professionalism, and willingness to help me improve how I feel and move. It’s clear they care about their patients and want to help them get back to feeling their best. I highly recommend Dr. Cancel, Dana, and the team at Performance Sport Care to anyone dealing with aches, pains, or mobility issues. Great people and great care!
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I started seeing Dr. Cancel about two weeks ago for a serious knee injury I sustained in May 2026 during Brazilian jiu-jitsu. With a long background in wrestling and grappling, plus a physically demanding job, that knee already had years of wear and tear. Dr. Cancel was very understanding of that background and clearly knowledgeable about this kind of injury. After the injury I had an MRI, and the initial assessment was that it wasn’t serious. Dr. Cancel saw it differently, and I can’t thank him enough for his experience, professionalism, and attention to detail. His treatments and adjustments have stabilized my knee, improved blood flow and recovery, and restored function not just to my knee but to my lower body overall. If you’re a grappler or combat sports athlete dealing with a nagging or misdiagnosed injury, I highly recommend him. - Nick T.
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​Dear Dr. Cancel, ​Thank you for always treating me with dignity, respect, and patience. I truly appreciate that you take the time to sit with me without rushing and explain my MRIs and how the body works in clear, easy-to-understand terms. ​You have successfully treated many of my sports injuries over the years, allowing me to keep doing the things I love in life. I’m sharing this note in the hope that someone else looking for high-quality, compassionate care finds their way to your practice. ​With sincere gratitude, Chris
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At 59, I'm still competing in bodybuilding, and I owe much of that to Doug Cancel. When I lived in Walnut Creek, I saw Doug whenever anything started to bother me, and he corrected it in a single session. To this day, I've never had a gym-related injury. After I moved, I never found anyone half as effective. When I developed shoulder pain and limited range of motion, I tried many practitioners and nothing helped. Finally, I flew to California, rented a car, and had Doug treat me. It was painful, but the problem was resolved in one session and the pain never came back. More recently, I had a severe shoulder injury at work. I improved a lot, but an underlying issue kept the pain coming back and disrupted my sleep and training. On a video call, Doug diagnosed the root cause, a deeply buried muscle in my upper back that was throwing off my shoulder's motion, and gave me movements to correct it. That got me back in time to compete in 2 divisions and 4 classes at the Florida State Championship, where I medaled in all 4. Calling Doug effective is accurate, but it falls short. He is a true expert in his field.
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