Top Orthopedic Injuries in Pickleball (and How to Prevent Them)


Pickleball injuries are on the rise, especially among adults 40+. Learn the top orthopedic injuries caused by pickleball, and how to prevent them with help from Wonsettler Physical Therapy located in Washington, Pennsylvania.

Pickleball’s Popularity Is Booming, But So Are Injuries

Pickleball has quickly become one of America’s fastest-growing sports, especially among adults over 40. It’s fun, social, and accessible, but with the rise in participation comes a spike in orthopedic injuries. At Wonsettler Physical Therapy, we’re seeing more patients coming in with pickleball-related sprains, strains, and joint issues.

Here’s what you need to know to stay injury-free on the court, and how PT can help if you’re already hurting.

Most Common Pickleball Injuries

  1. Rotator Cuff Strains or Tears
    Repetitive overhead motions (like serving or smashing) can cause strain in the shoulder, especially in players with poor mechanics or a history of shoulder issues.
  2. Achilles Tendon Injuries
    Sudden stops, starts, and direction changes can stress the Achilles tendon, especially in deconditioned players or those without proper footwear.
  3. Ankle Sprains
    Quick lateral movement on the court puts your ankles at risk. Sprains are common, and without proper rehab, they can become chronic.
  4. Knee Pain or Meniscus Tears
    Pivoting and lunging on hard surfaces can aggravate existing knee problems or cause new ones.
  5. Lower Back Strain
    Poor core stability or posture during play can lead to back tightness and even nerve impingement.

How to Prevent Pickleball Injuries

  • Warm Up Properly: Gentle cardio + dynamic stretches = better joint prep.
  • Build Strength and Mobility: Focus on shoulder, hip, and ankle stability.
  • Work on Technique: Bad form = increased risk. Consider lessons or coaching.
  • Wear the Right Footwear: Court shoes, not running shoes.
  • Listen to Your Body: Don’t push through sharp or persistent pain.

How Wonsettler Physical Therapy Can Help

At Wonsettler Physical Therapy, we specialize in orthopedic rehab that gets you back on the court safely and quickly. Whether you’re recovering from an injury or want to prevent one, we offer:

  • Movement assessments
  • Custom exercise plans
  • Hands-on manual therapy
  • Return-to-sport training

Back in the Game, Stronger Than Before

If pickleball has left you in pain or you want to stay active and avoid injury, our team is here to help. Reach out today to schedule your personalized assessment.

Contact us to schedule an evaluation and stay strong on the court.