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The 7 Most Common Pickleball Injuries—and How to Prevent Them

  • Writer: Romell Zabate
    Romell Zabate
  • Jul 11
  • 3 min read

Updated: Jul 13

Playing at local courts in Weston or Pembroke Pines? Here’s how to keep your knees, shoulders, and hips game-ready.


Pickleball Injuries | Back on Court PT

Stay in the Game: Play Pickleball Without the Pain


Pickleball is booming in South Florida—especially in places like Weston, Pembroke Pines,

and Miramar. But with all that fun comes a surprising amount of stress on joints, tendons, and muscles. While it's a fantastic way to stay active, it can also lead to recurring aches if you’re not careful. Here’s what every adult player needs to know to avoid the injury list and stay in the game.


The Most Common Pickleball Injuries (And How to Avoid Them)


1. Pickleball Elbow

This overuse injury is similar to tennis elbow, causing sharp pain on the outside of your forearm. It usually comes from repetitive swinging or poor paddle grip. Strengthening your forearm muscles and improving grip technique can help, along with occasional rest.


2. Achilles Tendon Strain

Those quick stops, starts, and lunges? They put major strain on your Achilles. Stretch your calves daily, wear supportive shoes, and avoid playing cold—always warm up first.


3. Rotator Cuff Pain

Serving and smashing repeatedly can cause inflammation or tears in the shoulder. Focus on shoulder stability exercises and avoid overhead movements if you're already sore.


4. Knee Sprains

Changing direction or sudden deceleration can stress the ligaments in your knee. Strengthen the muscles around your knee, and consider wearing a light brace if you’ve had previous injuries.


5. Ankle Rolls

Lateral movement is part of the game, but one misstep can lead to a rolled ankle or worse. Strengthen your ankles with balance drills, and watch the surface of the court for hazards.


6. Lower Back Strain

Repeated bending and twisting can aggravate the lower back. Use your legs more during low shots, and engage your core to support your spine.


7. Wrist Overuse

Repetitive flicks or improper paddle form can overload the wrist. Strengthen your wrists and stretch them after play—especially if you’re switching from another racket sport.


Stay on the Court, Not in Recovery Mode


Pickleball should make you feel energized—not injured. If you’ve been dealing with nagging pain or want to play smarter, our personalized therapy plans help active adults all over Weston, Pembroke Pines, and Miramar stay in motion and out of pain.






FAQs About Pickleball Injuries & Recovery


What’s the most common injury in pickleball?

Elbow, shoulder, and Achilles tendon issues are some of the most common injuries due to repetitive use and quick directional changes.

Can I keep playing pickleball if I’m dealing with joint pain?

In some cases, yes—with modifications and physical therapy support. A PT can help guide your movement and prevent further damage.

How do I know if it’s time to see a physical therapist?

If your pain lasts more than a few days, limits your movement, or keeps returning, it's time to get it checked out.

What kind of therapy helps with pickleball injuries?

Manual therapy, targeted strength training, mobility work, and sport-specific rehab plans are all part of the recovery toolbox.

How long does it take to recover from a typical pickleball injury?

It depends on the injury and how early you catch it. Minor strains may improve in a few weeks; more serious injuries may need longer care.


Pickleball Injuries | Back on Court PT

About the Author: Dr. Romell Zabate, DPT, is a licensed physical therapist specializing in orthopedic and sports-related injuries. He holds a Doctorate of Physical Therapy from Seton Hall University and is a certified strength coach with advanced training in exercise physiology. Dr. Zabate integrates evidence-based rehab with strength and conditioning to help active adults return to pain-free movement.


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