Ambulance crews had to walk up the Clent Hills to attend a woman who had broken her ankle at the Four Stones monument.
The accident happened at the Worcestershire beauty spot at about 4pm on Sunday, with a land ambulance and air ambulance attending, although each had to park about half a mile away from the scene.
A West Midlands Ambulance Service spokesman said: “Both crews walked to the patient. Her fractured dislocated ankle was realigned and splinted.
"She was then taken by crews on foot to the land ambulance before being driven to Russells Hall Hospital for further assessment and treatment.”
The Four Stones, at the top of Clent Hill, have an elevation of more than 300m.