Pickleball continues to be one of the fastest-growing sports in the country, and for good reason. It’s fun, social, easy to learn, and provides a great way to stay active at any age. As courts fill up across New Jersey this summer, however, we’re also seeing an increase in pickleball-related injuries.

Whether you’re a seasoned player or recently picked up a paddle, understanding common injuries and how to prevent them can help keep you on the court all season long.

Common Pickleball Injuries

1. Tennis Elbow (Lateral Epicondylitis)

Despite its name, tennis elbow is one of the most common overuse injuries in pickleball. Repetitive gripping and swinging can place stress on the tendons of the forearm, leading to pain around the outside of the elbow.

Signs include:

• Elbow pain during or after play
• Weak grip strength
• Discomfort when lifting objects

2. Shoulder Pain

Serving, overhead shots, and repetitive swinging can irritate the muscles and tendons of the shoulder.

Signs include:

• Pain when reaching overhead
• Weakness in the arm
• Difficulty sleeping on the affected side

3. Knee Pain

Quick stops, pivots, and lateral movements can put extra stress on the knees, especially for players with arthritis or previous injuries.

Signs include:

• Pain during movement
• Swelling or stiffness
• Difficulty climbing stairs

4. Ankle Sprains

Fast changes in direction and uneven court surfaces can lead to rolled ankles and ligament injuries.

Signs include:

• Swelling
• Bruising
• Difficulty bearing weight

5. Low Back Pain

Bending, twisting, and repetitive rotation during play can strain the muscles and joints of the lower back.

Signs include:

• Stiffness after playing
• Pain with bending or twisting
• Discomfort that lingers after activity

Tips for Injury Prevention

Before heading out to play:

• Warm up for 5–10 minutes (Try this dynamic warm-up from Toms River PT, Roland Rodriguez and Lacey PT, Tracey Rodriguez! )
• Stretch major muscle groups
• Wear supportive footwear designed for court sports
• Stay hydrated
• Gradually increase playing time and intensity
• Take time to recover between matches

Keep Moving This Summer

If aches, pains, or stiffness are limiting your ability to enjoy pickleball or other summer activities, physical therapy may help. A thorough evaluation can identify the source of the problem and provide a plan to help you move better, recover faster, and stay active.