Common Pickleball Injuries and Prevention

Pickleball’s rapid growth in the United States is accompanied by a significant rise in injuries, particularly among older adults. This review summarizes current evidence on the epidemiology, mechanisms, and risk factors associated with pickleball-related injuries. Falls represent the most common cause, with wrist fractures, rotator cuff tears, ankle sprains, and heat-related illnesses occurring frequently. Age, sex, higher body mass index, and inadequate physical conditioning increase the likelihood of injury. Practical prevention strategies are presented, including pre-participation health assessments, targeted conditioning programs, dynamic warm-up routines, and appropriate footwear and equipment selection. A clinical case highlights the evaluation and management of a shoulder injury sustained during play. By integrating prevention and education into routine care, clinicians can help players reduce injury risk while safely enjoying the benefits of this rapidly growing sport.