Winter tends to cause a spike in visits to the emergency department, and wrist injuries are one of the biggest reasons. Dr. Sanj Kakar, an orthopedic hand and wrist surgeon at Mayo Clinic, said walking on ice and snow can force people to make quick decisions.

“Immediately, if you think when you fall, you’re going to put your wrist out. And what will happen is that will brace your fall, and all your body weight goes through there,” Kakar says.

Kakar always sees an increase in wrist injuries immediately after winter storms, especially among older people whose bones may become weak over time because of osteoporosis.

In most cases, Kakar said four to six weeks in a cast to let the bone heal is the best treatment, assuming it’s lined up properly, but sometimes surgery is necessary.

But avoiding a wrist injury when you fall on ice is difficult.

“I think when we fall, it’s a split-second decision on how we’re going to fall,” Kakar said. “And the problem is if you fall onto your wrist, there’s a high chance of a wrist fracture. If you fall down, for example, on your hip, then there’s a hip fracture.”

Kakar said if you have to walk in snow or on ice, it’s best to slow down and have something or someone to hold onto in case you start to fall.