According to the Sports & Fitness Industry Association, pickleball has been one of the fastest-growing sports in the United States for multiple consecutive years. What started as a backyard pastime has evolved into a nationwide phenomenon, with leagues forming in community centers, retirement communities, and even professional arenas. The rise of organizations like USA Pickleball and televised tournaments such as the Professional Pickleball Association Tour have only fueled its popularity.
As a physical therapist and athletic trainer, I understand the appeal. Pickleball is social, relatively easy to learn, and less physically demanding than tennis at first glance. The smaller court size makes it accessible for players of varying ages and fitness levels. It’s a great way for grandparents to spend active time outdoor time with grandkids.
However, “less demanding” does not mean “injury-proof.”
The Most Common Pickleball Injuries
- Tennis Elbow (Lateral Epicondylitis)
Despite the name, this overuse injury is extremely common in pickleball players. Repetitive gripping and wrist extension during paddle swings can strain the tendons on the outside of the elbow. Players often report pain when lifting objects, shaking hands, or even holding a coffee cup. - Rotator Cuff Strains
Overhead shots and repeated forward swings can irritate the shoulder, particularly in players who jump into the sport without conditioning. Weakness or stiffness in the shoulder muscles often contribute to these injuries. - Achilles Tendinitis and Calf Strains
Quick starts, stops, and lateral movements put stress on the lower leg. Many recreational players are surprised by how much sudden acceleration pickleball requires. - Knee Pain
I frequently treat flare-ups of osteoarthritis, meniscus irritation, and patellar tendinitis in players who increase their playing time too quickly. The sport’s frequent squatting and directional changes can aggravate underlying joint issues. - Ankle Sprains
While the court is smaller than a tennis court, fast lateral movement still creates risk, especially when players backpedal or collide with doubles partners.
How to Stay on the Court
The good news is that most pickleball injuries are preventable. I recommend:
- A 5–10 minute dynamic warm-up before playing
- Strength training for shoulders, hips, and calves 2–3 times per week
- Gradually increasing playing time
- Wearing supportive court shoes (not running shoes)
- Addressing minor pain early, before it becomes chronic
Pickleball is a fantastic way to stay active, build community, and improve cardiovascular health. As a physical therapist, I don’t want people to stop playing, I want them to play smarter!
If the current trend continues, I expect we’ll see even more pickleball enthusiasts in physical therapy clinics. My goal is to help them recover quickly, move better, and get back to the game they love!
