Fishing is a relaxing pastime for many, though it can occasionally lead to injuries—particularly from fishhooks. These injuries often affect the hands, face, or feet, and while many are minor, some may require prompt medical attention.
Seek professional medical care if:
- The fishhook is deeply embedded, especially near the eye or in a joint.
- The barb has penetrated deeply and cannot be easily removed.
- There is severe bleeding, numbness, or signs of infection (redness, warmth, pus).
- The person injured is a child or has underlying health conditions affecting wound healing.
- If the injury involves the eye, do not attempt to remove the hook—go directly to the emergency room.
A tetanus shot is recommended if it’s been more than 10 years since your last tetanus vaccine, or if the wound is dirty or contaminated and it has been more than 5 years since your last shot. Tetanus is a serious bacterial infection that can be triggered by wounds contaminated with dirt, feces, or rust—common in outdoor fishing environments.
Fishhook removal techniques
Before attempting a fishhook removal, wash your hands and clean the area with soap and water or antiseptic. Never attempt to remove a hook if you are unsure about the procedure.
Here are three common techniques for removal:
String-yank technique: Press down firmly on the eye of the hook. Tie a loop of string or fishing line around the bend. In one quick motion, yank the string parallel to the hook shank. This technique is quick and minimizes tissue damage.
Push-through method: Advance the hook until the barb exits the skin. Clip off the barb with wire cutters or pliers. Back the remainder of the hook out through the original entry.
Needle cover technique: Insert a large-gauge needle along the hook to cover the barb. Gently back the hook out while shielding the tissue with the needle.
Aftercare should include cleaning the wound thoroughly and applying an antibiotic ointment and bandage. Monitor the wound for signs of infection for several days.
An avid fisherman and family physician at Riverwood Healthcare Center, Dr. Erik Bostrom, comments, “Fishhook injuries are often minor but can become serious if not handled correctly. Knowing when to seek medical care and how to safely remove a hook can help you stay safe on your next fishing trip.”