Artistic roller skating is a demanding sport that combines technical complexity with artistic expression, requiring strength, balance, endurance, and coordination. This discipline is practiced predominantly by young female athletes and has seen a steady increase in participation in Portugal. Despite its physical and aesthetic benefits, it is associated with a high incidence of physical complaints (PC) and injuries due to intensive and repetitive training. The most frequently affected areas are the knees, lumbar spine, and ankles, often resulting in tendinitis, sprains, and joint dysfunctions. These injuries are influenced by factors such as equipment, training frequency, and environmental conditions. Diagnosis and treatment should be multidisciplinary, involving imaging, physical therapy, and sport-specific rehabilitation to ensure a safe return to performance. Prevention strategies include complementary off-skate training, proprioceptive work, and proper equipment use. This study aims to raise awareness of the most common injuries in artistic roller skating and provide evidence-based recommendations for their prevention and management. By identifying participation habits and injury patterns, coaches and support teams can implement better training routines that minimize risk while promoting long-term athlete development. These findings contribute to safer practice and optimal performance in a sport where injury risk is inherent but manageable through informed intervention.