Pickleball has taken the country by storm, quickly becoming one of the fastest-growing sports in the United States. While it initially gained traction among older adults as a fun, low-impact way to stay active, the sport has since expanded in popularity across all age groups.
Despite its reputation as an accessible and social game, the rise in participation has led to an increase in pickleball-related injuries. Understanding these injuries, their causes, and how to prevent them can help players stay safe on the court.
The Rise of Pickleball Injuries
As more people embrace pickleball, medical professionals have noticed a corresponding uptick in injuries associated with the sport. According to recent studies, pickleball-related injuries have increased nearly ninefold in the past decade, with medical costs exceeding $250 million in 2023 alone.
The majority of these injuries occur in the upper extremities—particularly the hands, wrists, and arms—often due to falls. In sports medicine, we refer to these types of falls as FOOSH (fall on outstretched hand) injuries. Whether a player trips while lunging for a ball or loses balance while backpedaling, instinctively reaching out to break a fall can lead to significant injuries such as wrist fractures, ligament tears, and sprains.
Common Pickleball Injuries
While falls are the primary cause of acute injuries, overuse injuries are also prevalent among pickleball players. Some of the most common injuries include:
- Wrist fractures and sprains – Often resulting from FOOSH injuries.
- Tennis elbow (lateral epicondylitis) – Caused by repetitive arm motions similar to those in tennis.
- Shoulder strains and ligament tears – Due to the overhead swinging motion involved in pickleball.
- Knee and ankle sprains – Stemming from sudden lateral movements and quick direction changes.
Why Are Pickleball Injuries So Common?
Several factors contribute to the high rate of pickleball injuries:
1. Demographics of Players
Pickleball remains especially popular among older adults, who may be at greater risk for injury due to reduced bone density, muscle mass, and reaction time. Women over 60, in particular, are more prone to fractures, while men are more likely to experience strains and sprains.
2. Lack of Preparation
Many players underestimate the physical demands of pickleball, jumping into games without proper warm-ups or stretching. Additionally, wearing inappropriate footwear—such as running shoes rather than court shoes—can increase the risk of slips, trips, and falls.
3. Nature of the Sport
Pickleball is a fast-paced game that requires quick reactions, sudden stops, and rapid changes in direction. The small court size also increases the risk of collisions with other players or the net, while outdoor courts may present additional hazards such as uneven surfaces.
How to Prevent Pickleball Injuries
While injuries can’t always be avoided, players can take proactive steps to reduce their risk:
- Warm up properly – Engage in light stretching and mobility exercises before playing.
- Wear appropriate footwear – Pickleball-specific or court shoes provide better grip and support than running shoes.
- Listen to your body – Avoid overexertion and take breaks when needed.
- Practice proper technique – Learning the correct movements and form can help prevent unnecessary strain on joints and muscles.
- Strengthen and condition – Incorporate flexibility, resistance training, and aerobic exercise into your routine to enhance overall fitness and injury resilience.
- Be mindful of surroundings – Stay aware of your position on the court to avoid collisions or falls.
When to Seek Medical Attention
If you experience persistent pain, swelling, or difficulty moving a joint after a pickleball game, it’s essential to seek medical attention. Addressing injuries early can prevent them from worsening and speed up recovery time.
At South Shore Orthopedics, our team specializes in diagnosing and treating sports-related injuries. Whether you’re dealing with a wrist sprain, a rotator cuff strain, or any other pickleball-related injury, we’re here to help you get back on the court safely.
Final Thoughts
Pickleball is a fantastic way to stay active, socialize, and improve overall well-being. By taking the right precautions and understanding how to prevent injuries, players of all ages can enjoy the sport safely. If you find yourself sidelined by an injury, don’t hesitate to consult a medical professional to ensure a full and healthy recovery.
For more information on sports injury prevention and treatment, contact South Shore Orthopedics today!
This article was inspired by a post from South Shore Health. South Shore Orthopedics is proud to be part of the South Shore Health system, working together to provide expert orthopedic care to our community. While we’ve expanded on the topic of pickleball injuries, you can read their original insights here: https://www.southshorehealth.org/wellness/blog/common-pickleball-injuries-and-how-prevent-them