Drowning Surfing, like all
water sports, carries the inherent risk of
drowning. Although the board assists a surfer in staying
buoyant, it can become separated from the user. A leash, attached to the ankle or knee, can keep a board from being swept away, but does not keep a rider on the board or above water. In some cases, possibly including the drowning of professional surfer
Mark Foo, the leash can be a cause of drowning by snagging on a reef or other object and holding the surfer underwater. By keeping the surfboard close to the surfer during a wipeout, a leash also increases the chances that the board may strike the rider, which could knock them unconscious and lead to drowning (especially with a hard surfboard instead of a soft surfboard). A fallen rider's board can become trapped in larger waves, and if the rider is attached by a leash, they can be dragged for long distances underwater.
Collisions |alt=Photo of surfer catapulted into the air with feet higher than the head at 45-degree angle to the surface Under the wrong set of conditions, anything that a surfer's body can come in contact with is a potential hazard, including
sand bars, rocks, small ice, reefs, surfboards, and other surfers. Collisions with these objects can sometimes cause injuries such as cuts and scrapes and in rare instances, death. A large number of injuries, up to 66%, are caused by collision with a surfboard (nose or fins). Fins can cause deep lacerations and cuts, as well as bruising. While these injuries can be minor, they can open the skin to infection from the sea; groups like
Surfers Against Sewage campaign for cleaner waters to reduce the risk of infections. Local bugs and diseases can be risk factors when surfing around the globe. Falling off a surfboard or colliding with others is commonly referred to as a
wipeout.
Marine life Sea life can sometimes cause injuries (
Bethany Hamilton) and even
fatalities. Animals such as
sharks,
stingrays,
Weever fish,
seals and
jellyfish can sometimes present a danger. Warmer-water surfers often do the "stingray shuffle" as they walk out through the shallows, shuffling their feet in the sand to scare away stingrays that may be resting on the bottom.
Rip currents Rip currents are water channels that flow away from the shore. Under the wrong circumstances these currents can endanger both experienced and inexperienced surfers. Since a rip current appears to be an area of flat water, tired or inexperienced swimmers or surfers may enter one and be carried out beyond the breaking waves. Although many rip currents are much smaller, the largest rip currents have a width of . The flow of water moving out towards the sea in a rip will be stronger than most swimmers, making swimming back to shore difficult, however, by paddling parallel to the shore, a surfer can easily exit a rip current. Alternatively, some surfers actually ride on a rip current because it is a fast and effortless way to get out beyond the zone of breaking waves.
Seabed The
seabed can pose a risk for surfers. If a surfer falls while riding a wave, the wave tosses and tumbles the surfer around, often in a downwards direction. At reef breaks and beach breaks, surfers have been seriously injured and even killed, because of a violent collision with the sea bed, the water above which can sometimes be very shallow, especially at beach breaks or reef breaks during low tide. Cyclops,
Western Australia, for example, is one of the biggest and thickest reef breaks in the world, with waves measuring up to high, but the
reef below is only about below the surface of the water.
Microorganisms A January 2018 study by the
University of Exeter called the "Beach Bum Survey" found surfers and bodyboarders to be three times as likely as non-surfers to harbor
antibiotic-resistant E. coli and four times as likely to harbor other bacteria capable of easily becoming antibiotic resistant. The researchers attributed this to the fact that surfers swallow roughly ten times as much seawater as swimmers.
Ear damage Surfers sometimes use ear protection such as ear plugs to avoid
surfer's ear, inflammation of the ear or other damage. Surfer's ear is where the bone near the ear canal grows after repeated exposure to cold water, making the ear canal narrower. The narrowed canal makes it harder for water to drain from the ear. This can result in pain, infection and sometimes
ringing of the ear. Ear plugs designed for surfers, swimmers and other water athletes are primarily made to keep water out of the ear, thereby letting a protective pocket of air stay inside the ear canal. They can also block cold air, dirt and bacteria. Many designs are made to let sound through, and either float and/or have a leash in case the plug accidentally gets bumped out.
Surf rash Surf
rash appears in many different ways on the skin, commonly as a painful red bumpy patch located on the surfer's chest or inner legs. A
rash guard will lessen the incidence of surf rash caused by
abrasion or
sunburn. Healing ointments such as
petroleum jelly can be used to treat irritated skin.
Spinal cord Surfer's myelopathy is a rare spinal cord injury causing paralysis of the lower extremities, caused by hyperextension of the back. This is due to one of the main blood vessels of the spine becoming kinked, depriving the spinal cord of oxygen. In some cases the paralysis is permanent. Although any activity where the back is arched can cause this condition (i.e.
yoga,
pilates, etc.), this rare phenomenon has most often been seen in those surfing for the first time. According to
DPT Sergio Florian, some recommendations for preventing myelopathy is proper warm up, limiting the session length and sitting on the board while waiting for waves, rather than lying. ==Surfers and surf culture==