Baton twirling is a complex sport that includes elements of different dance expressions, rhythmic gymnastics on the floor and virtuosity combined with the simultaneous manipulation of one or more batons. Creating a coordinated routine requires a baton, a instrument constructed of metal usually slightly longer than the athlete's dominant arm. The goal of the research was to investigate and determine the injuries that occur during the training process and the actual competition in the sport of twirling. The research was conducted among active twirling athletes and members of the Croatian Twirling Association. A total of 42 respondents participated in the research. Injuries in twirling occur during different phases of training, and the most common injuries are: knee (40%), foot (20%), hand (14.3%), face (11.4%), hamstrings (5.7%), spine, knees and hips and muscles (2.9%). The results of the research show that the most frequent injuries occur in the area of the lower extremities, mostly the knees. Injuries occur in contact during training on the floor. Most injuries were not treated, and if they were, they were treated with physical therapy. Physiotherapy in twirling is of great importance, starting from the very prevention of injury and the rehabilitation of injuries. During early rehabilitation, the PRICES and RICE methods are most commonly used for managing injuries.