The Rise of Pickleball Injuries: How to Stay Safe on the Court

Pickleball has quickly become one of the fastest-growing sports in Malaysia and around the world. It’s easy to learn, social, and suitable for all ages — which makes it especially popular among adults looking for a fun way to stay active. However, as more people join the game, the number of pickleball injuries has also increased. Understanding why these injuries happen and how to prevent them is key to staying healthy on the court.

Why the rise of pickleball injuries?

Pickleball is a fun and social sport that continues to gain popularity. But as participation increases, injuries rise as well. Muscle strains, joint sprains, and fractures are among the most frequent injuries seen in players. Many participants are middle-aged or older, or have taken up the sport after a long period of low activity. Without proper warm-up, technique, and equipment, the risk of injury becomes higher.

Common pickleball injuries

Here are some of the most common pickleball injuries seen in clinic:

• Overuse injuries: Shoulder pain from rotator cuff tendinitis, elbow pain (often called “pickleball elbow”), and wrist strain.

• Sprains and strains: Especially in the ankle, knee, and calf muscles from sudden changes in direction or lunging movements.

• Fractures: Falls or slips on the court can lead to broken bones, particularly in the wrist or hip.
  
• Joint flare-ups: Those with arthritis or pre-existing joint problems may find their symptoms worsening.
  
• Falls: Rapid reaching or unstable footing can lead to loss of balance and injury.

Why do these injuries happen?

If you want to reduce your risk of pickleball injuries, here are some simple steps to follow:

• Warm-up properly: Spend at least 5–10 minutes on light jogging and stretching. Focus on major muscle groups like the legs, shoulders, and wrists.

• Use proper equipment: Wear shoes designed for lateral movement, not running shoes. Ensure your paddle handle suits your grip and the court surface is in good condition.
  
• Improve your technique: Learn to use your legs and core for movement and power, not just your arms. This reduces strain on the shoulders and elbows.
  
• Build strength and conditioning: Strengthen your legs, hips, and shoulders to handle the physical demands of the game.
  
• Listen to your body: If you feel pain or fatigue, take a break. Continuing to play through pain often leads to more serious injuries.
  
• Rest and recover: Cool down after play, stretch, and stay hydrated. Avoid back-to-back sessions without proper rest.

What to do if you sustain a pickleball injury

If you do get injured, early action is key. Use the RICE method — Rest, Ice, Compression, and Elevation — for minor sprains or strains. If pain or swelling persists, or if you cannot bear weight, see an orthopaedic surgeon for assessment. Fractures, ligament tears, and persistent tendon problems may require medical treatment or physiotherapy.

Conclusion

The rise of pickleball injuries is an inevitable outcome of the sport’s growing popularity. However, with awareness and proper prevention, players can enjoy the game safely. As an orthopaedic surgeon, my advice is simple: prepare your body, use the right gear, and pay attention to early signs of strain. By taking care of yourself, you can stay active and injury-free — and continue to enjoy every game on the court.