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General Sports Medicine Medical: Pickleball Musculoskeletal Injuries

Common Pickleball Injuries and Prevention

Overview of the most common acute and overuse injuries in pickleball, risk factors for players 50+, and court safety tips.

Dr. Paolo Tabar, MD, FPOA Clinical review by Dr. Paolo Tabar, MD, FPOA
Board-Certified Orthopedic Surgery

Pickleball Injuries Overview

Pickleball is one of the fastest-growing sports, but injuries are rising too—especially among players aged 50 and older (~90% of reported injuries). Slower reaction times, lower bone density, and sudden lateral court maneuvers contribute to injury risks.

The 3 Most Common Injuries

  1. Sprains and Strains (28% to 33%): Affect muscles and ligaments—especially ankles, hamstrings, and calves—caused by sudden stops, lunges, and rapid direction changes.
  2. Fractures (27% to 39% - Most Serious): Common in the wrist, forearm, and hip—often caused by falls and bracing with hands.
  3. Contusions and Abrasions (10% to 11%): Bruises, cuts, and impact injuries from falls or paddle/ball contact.

Other Common Injuries

  • Lower Body: ACL tears, knee pain, Achilles tendon strains/ruptures, and ankle sprains.
  • Upper Body: Rotator cuff injuries, wrist strain, and pickleball elbow (tennis elbow).
  • Overuse Injuries: Tendinitis, plantar fasciitis, and chronic joint pain.
  • Eye Injuries: Ball or paddle impact causing corneal abrasions or bruises.

Prevention: Play Longer and Stay Safe

  • Warm up properly before playing.
  • Wear proper court footwear with good lateral support and traction.
  • Strengthen legs, core, and shoulder stabilizers.
  • Allow adequate rest and recovery between sessions.
  • Avoid backpedaling straight back to prevent falls.
Medical Educational Disclaimer: The information provided on this page is intended for clinical education and informational purposes only. It does not replace individualized medical advice, clinical diagnosis, or orthopedic surgical consultation. If you are experiencing acute pain or severe joint instability, please contact our Davao clinic or your nearest emergency medical center immediately.
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