Pickleball has become a popular sport enjoyed by people of all ages. It combines elements of tennis, badminton, and ping-pong. It is fast-paced, has a social aspect, and is a great way to stay active and fit. But like any sport, it comes with the potential for injury. Certain injuries are especially common for people who play frequently or at high intensity.
Knowing how to treat and prevent common pickleball injuries can help you stay healthy and enjoy the game. This guide will cover the 15 most common pickleball injuries, effective treatment options, practical prevention tips, and when to seek out an orthopedic doctor.
What is Pickleball?
Pickleball is a paddle-based game played on a smaller court. It uses a lightweight, perforated plastic ball and a paddle. Its simplicity, combined with its physical benefits, has led to a surge in popularity across the U.S., especially among older adults. Yet, with quick reflexes, pivots, and repetitive motion required, the sport can lead to specific injuries.
Pickleball Injury Statistics
With more than 13 million players in the United States alone, pickleball is among the fastest-growing sports. As participation rises, so do related injuries. Common pickleball injuries typically affect the knees, ankles, shoulders, and wrists, often due to sudden stops, changes in direction, and repetitive motions.
The 15 Most Common Pickleball Injuries & How to Treat Them
While pickleball is a fantastic way to stay active, it does come with certain injury risks. The quick movements, rapid pivots, and repetitive arm motions can put strain on various parts of the body. Here are 15 common pickleball injuries and effective treatment options to help you recover and get back on the court.
1. Ankle Sprains
Ankle sprains are among the most common pickleball injuries, often occurring during quick pivots or sudden direction changes on the court. Treating an ankle sprain involves rest, ice, compression, and elevation (RICE). Severe cases may benefit from a supportive brace or physical therapy to strengthen the ankle and prevent future injuries.
2. Tennis Elbow (Lateral Epicondylitis)
Tennis elbow, or lateral epicondylitis, results from repetitive wrist and arm movements, such as hitting the ball repeatedly. This common pickleball injury can be managed with rest, ice, and anti-inflammatory medications. According to research, physical therapy exercises that strengthen the forearm can also help reduce pain and prevent recurrence.
3. Rotator Cuff Strain
Reaching high for a ball or performing overhead serves can strain the rotator cuff, a group of muscles that stabilizes the shoulder. Treating a rotator cuff strain involves rest, ice, and shoulder-strengthening exercises. Severe cases may require physical therapy and, occasionally, surgical intervention.
4. Achilles Tendinitis
Overuse and improper warm-ups can lead to Achilles tendinitis, a painful condition affecting the tendon that connects the calf muscles to the heel. Treatment typically involves rest, ice, and stretching exercises to improve flexibility in the ankle and calf. In persistent cases, physical therapy can provide targeted strengthening.
5. Plantar Fasciitis
A common pickleball injury that affects athletes from many other sports, plantar fasciitis is often caused by strain on the foot’s arch from sprints and excessive standing, leading to sharp pain in the heel. Treatment includes rest, ice, stretching exercises, and supportive footwear or orthotics to reduce stress on the foot’s arch.
6. Calf Strains
Sudden movements or pushing off the ground can strain the calf muscles, causing pain and limiting mobility. The best approach is rest, ice, compression, and, eventually, gentle stretching to support healing. Strengthening exercises can also prevent further strains.
7. Hamstring Strain
Hamstring strains are common in pickleball, as quick stops or sudden reaches may overextend the leg. Rest, ice, compression, and progressive strengthening exercises are key for treating hamstring strains, which often benefit from physical therapy for more advanced recovery.
8. Lower Back Strain
Twisting or bending frequently during play can strain the lower back muscles. Treating lower back pain related to a strain includes rest, ice, and core-strengthening exercises to support the spine. Gentle stretching can also help relieve tension and prevent future injuries.
9. Knee Sprain
Quick pivots and overstretched movements may lead to a knee sprain. Rest, ice, compression, and sometimes physical therapy exercises are essential for treatment. A healthcare provider may recommend knee braces for added support during recovery for serious sprains.
10. Patellar Tendinitis (Jumper’s Knee)
Repeated jumping or bending can lead to patellar tendinitis, which causes pain below the kneecap. Rest, ice, and strengthening exercises focused on the knee’s surrounding muscles can help relieve discomfort and prevent further issues.
11. Wrist Sprain
Falls or improper paddle grip can easily lead to a wrist sprain. Treating this common pickleball injury includes rest, ice, and occasionally a wrist brace to stabilize the joint as it heals.
12. Finger Jam or Sprain
Impact with the paddle or ball can cause a jammed or sprained finger. Ice, gentle stretching, and rest are usually effective, and keeping the finger mobile during recovery can prevent stiffness.
13. Hip Flexor Strain
Fast lateral movements and lunges can lead to hip flexor strains, which can cause pain in the front of the hip. Rest, ice, and gradual strengthening exercises help support recovery, while regular stretching can improve hip flexibility.
14. Shoulder Impingement
Repeated overhead motions can cause shoulder impingement. Rest and physical therapy to improve shoulder mobility are important for treatment, and targeted exercises can strengthen the shoulder to prevent future impingement.
15 . Dehydration or Heat Exhaustion
Playing pickleball outdoors, especially in hot weather, can lead to dehydration or heat exhaustion. Treatment includes rehydrating with water or electrolyte drinks, resting in a shaded area, and cooling down. In severe cases, seek medical attention.
Preventing Common Pickleball Injuries
Preventing injuries is key to enjoying pickleball safely on a long-term basis. You can greatly reduce your risk of common injuries by focusing on proper form, supportive equipment, and body conditioning. Here are some practical tips to keep you safe on the court.
- Warm-Up Properly: Light cardio and dynamic stretching prepare your muscles for play.
- Choose Supportive Footwear: Proper shoes provide ankle support and traction.
- Build Strength: Strengthening exercises reduce joint strain, especially for the core and legs.
- Increase Flexibility: Regular stretching improves muscle elasticity and helps prevent injuries.
- Stay Hydrated: Drink water before, during, and after playing.
- Use Proper Form: Good technique reduces the risk of strain on the shoulders, wrists, and elbows.
- Listen to Your Body: Take breaks if you experience pain or fatigue.
When to See an Orthopedic Doctor for Pickleball Injuries
While many pickleball injuries can be managed with rest, ice, and home care, certain signs may indicate the need for professional help. If you experience severe pain, swelling, or bruising that doesn’t improve within a few days, or if the joint feels unstable, it’s wise to see an orthopedic doctor. Additionally, symptoms like sharp or persistent pain, numbness, tingling, or difficulty bearing weight should be evaluated promptly, as they may point to a more serious issue, such as a fracture, ligament tear, or chronic tendon injury.
An orthopedic specialist can provide a clear diagnosis and recommend treatment options such as physical therapy and interventional pain management to support proper healing and prevent future injuries.
Enjoying a Healthy, Active Lifestyle
Pickleball is an engaging sport that provides physical and social benefits, but it’s important to stay mindful of potential injuries. Knowing the common pickleball injuries and how to treat and prevent them can keep you on the court and feeling your best. If you’re dealing with persistent pain or have suffered a serious injury, consult one of our expert orthopedic specialists, who can provide personalized care. With the right approach, you’ll be able to enjoy pickleball safely and avoid injury.
At the Orthopedic Clinic, we provide individualized, person-centered care. Instead of just treating the condition, we work closely with you to take your lifestyle and health goals into account before recommending a care plan. If you’re exploring all of your treatment options for a sports-related injury from pickleball or any activity, we can help. The highly skilled physicians and surgeons at The Orthopedic Clinic are here to support your active lifestyle. Contact us today to learn more.