Wherever you go these days —
community centers, parks, hotel recreation areas — there's a pickleball game
going on. And honestly, I’ve played it, so I get it. The sport is social, it's
fun, and it seems a lot more manageable than tennis. What's not to love?
Well, here's what you need to
know: pickleball is sending people to emergency rooms at a rate that should
make all of us pay attention. This isn't to scare you off the court…quite the
opposite. If you know what's going wrong out there, you can make sure it
doesn't happen to you.
First of All, the Injury Numbers Are Eye-Opening
Between 2020 and 2022 alone,
pickleball injuries rose 91% and hospital admissions shot up 257%, according to
data from the National Electronic Injury Surveillance System. Approximately 90%
of those injuries affect people aged 50 and older. And bone fractures related
to pickleball have increased 200% over the past 2 years, with 92% happening
during falls.
A large 2025 nationwide study of
nearly 1,800 players found that 68.5% experienced at least one injury over a
12-month period. That's almost 7 out of 10 players.
So what's getting hurt? Knees
are the #1 site, followed by ankles (sprains are the single most reported
injury), shoulders, back, elbows, wrists, including what's being called
“pickleball elbow”. Eye injuries have also surged dramatically as the ball can
travel at surprising speeds.
Why Is This Happening?
Pickleball has a bit of a
reputation problem. From the outside it looks gentle…it’s a smaller court, a
lighter paddle, and you’re using a wiffle ball. What could go wrong. Well, ask
your calves the morning after a long session, and they'll tell you a different
story.
Every game involves explosive
lateral cuts, sudden stops, deep lunges, repeated paddle swings, and rapid
direction changes. These aren't gentle movements, and they add up — especially
for players who jump in without proper preparation.
The research points to several
clear, avoidable culprits: skipping the warm-up, wearing the wrong shoes,
jumping in too fast without conditioning the body, playing through early
warning signs, and overuse (playing three or more times per week was linked to
a 45% higher injury rate). One study also found that players who rated injury
prevention as having low importance were more than twice as likely to get hurt.
Oops!
Prevention: What Actually Works
Key Prevention Steps You Can
Take:
•
Warm up dynamically for 10–15 minutes before play.
You can do walking lunges, arm circles, leg swings, light jogging. Not static
"hold and stretch". Your muscles need movement to get ready for
movement.
•
Wear court shoes, not running shoes. Running
shoes lack the lateral support pickleball demands and are a reliable path to
ankle sprains.
•
Strength train 2–3 times per week off the court.
Target your glutes, core, shoulders, and ankles. Muscles protect joints by
absorbing shock.
•
Stay hydrated throughout the day, not just right
before you play. Dehydration slows reaction time and increases injury risk.
•
Ease into the sport. Your body needs time to
adapt to new movement patterns So, don't go from zero to five sessions a week
overnight.
•
Listen to your body. If something hurts, stop.
Two days off is always a better outcome than months of recovery.
A Recovery Routine That Only Takes 7-Minutes
Here's something that I thought
is worth sharing. There’s a website called ExercisesForInjuries.com
that just published a piece by Rick Kasilj that makes a simple but important
point: the window right after you play is when recovery matters most, and it's ignored
because most players grab their bag and head home.
When muscles cool down in a contracted, tight state without any recovery routine, by morning that tightness has had hours to set in. That's the concrete-calf feeling. That's the stiff-hip shuffle that makes the walk to the coffee maker feel like a negotiation.
Their recommendation? A 7-minute
foam rolling routine targeting the four areas pickleball stresses most. It
needs to be done within 20–30 minutes of finishing your last game, while your muscles
are still warm. It focuses on the calves, glutes, hips, and IT band/outer
thigh.
Check out his website for the 7-minute program.
Players who do it consistently
report less soreness the next morning, faster recovery between sessions, and
noticeably better movement in their first game of the day.
And if you do get hurt? For
minor sprains and strains, the RICE method still holds up: Rest, Ice (20
minutes every 2–3 hours), Compression, and Elevation. For anything that doesn't
improve in 48–72 hours, or for more serious stuff like fractures, severe
shoulder injuries, Achilles problems, or any eye injury, please see a
professional. Don't tough it out.
The Bottom Line
Pickleball is genuinely good for
you. The cardiovascular benefit, the social connection, the fun, all of it has
real health value. But the sport makes real demands on your body, and the data
is now clear that it's sending a significant number of people (mostly older folks)
to the ER for largely preventable reasons.
So…to avoid the ouches and oh my god words: Warm up before you play. Wear
the right shoes. Build your strength off the court. And take seven minutes
after your session to give your muscles what they need. The goal isn't to
survive today's game. The goal is to play today, next week, next year, and for
a long time after that.