Medical discourse regarding impairment and (dis)ability dominate assumptions of Paralympic sport. This research examined the lived experience of the first author, a sport physiotherapist and veteran of many Paralympic Games, to consider the experience of sport medicine with Para sport athletes. Self-ethnography and a theoretical lens informed by a human rights approach to disability were used. Structural violence was utilized to explore the social structure of medical professions and the impact on Paralympic sport. Data involved a retrospective journal of the first author. Thematic analysis was conducted and these themes are presented; social potential of sport medicine, medical authority, aversive ableism. The research draws attention to structural violence in Paralympic sport and the potential of sport medicine to be an agent of change.