The objective of this study was to examine rates of climbing specific injuries and overuse syndromes in a sample of Austrian juvenile competitive climbers. Furthermore, possible risk factors and therapeutic options were assessed. The findings of this study are consistent with reported rates and types of climbing specific injuries, previously described in existing literature. Our results give an overview over the characteristic climbing specific injuries and overuse syndromes among Austrian adolescent competitive climbers. The findings identified, that maximum force dependent training methods combined with a decreased time of recovery cause higher rates of injuries and explain the high rates of overuse injuries. Therefore, the findings are relevant to define future research projects as well as for health-related educational work among climbing trainers to ensure safe training designs.