Pickleball Injuries in Older Adults: How to Stay in the Game Safely

Posted on: May 27th, 2025 by Our Team

Pickleball has quickly become one of the fastest-growing sports in the United States – especially among older adults. Its low-impact nature, simple rules, and social aspect make it an appealing choice for individuals looking to stay active later in life. However, with the rise in participation has come an increase in Orthopaedic injuries, many of which are preventable with the right strategies.

As an Orthopaedic surgeon specializing in sports medicine, I regularly treat patients with pickleball-related injuries affecting the shoulder, knee, elbow, and Achilles tendon. Understanding the risks and recognizing early warning signs can help players maintain their mobility and stay on the court.

Common Pickleball Injuries in Older Adults

1. Rotator Cuff Injuries (Shoulder): Repeated overhead motions such as serving or reaching for a lob can strain or tear the rotator cuff. Patients may experience pain with elevation, weakness, or night-time discomfort.
2. Lateral Epicondylitis (Tennis Elbow): Despite the name, tennis elbow is common in pickleball due to the repetitive swinging motion. Pain develops along the outer elbow and worsens with grip or extension.
3. Meniscus Tears and Knee Strains: Quick pivots, lunges, or squatting positions can strain the knees. Degenerative meniscus tears are particularly common in older adults and may present with catching, clicking, or joint line pain.
4. Achilles Tendonitis or Rupture: Sudden starts and stops put stress on the Achilles tendon. While tendonitis causes gradual pain and stiffness, ruptures often present as a sudden “pop” with loss of push-off strength.
5. Ankle Sprains and Falls: Balance issues or uneven court surfaces may increase fall risk, leading to sprains or fractures of the ankle or wrist.

Injury Prevention Tips for Pickleball Players Over 50

1. Warm Up Properly: Start each session with dynamic stretching and light cardio. Focus on shoulder circles, leg swings, and light lunges to prepare muscles and joints.
2. Build a Conditioning Program: Strengthen the rotator cuff, core, quadriceps, and calf muscles to support joint function and prevent overuse injuries. Include balance exercises to reduce fall risk.
3. Improve Flexibility: Regular stretching, yoga, or mobility work can help maintain range of motion, particularly in the shoulders, hips, and calves.
4. Wear Supportive Footwear: Choose court shoes with good lateral stability and cushioning. Avoid running shoes, which are not designed for side-to-side movement.
5. Know Your Limits: Don’t try to play through pain. Take breaks between games, hydrate, and stop if you feel discomfort. Fatigue increases injury risk.
6. Cross-Train and Rest: Incorporate walking, biking, or swimming to stay active without overstressing the same joints. Rest days allow your body to recover and prevent chronic strain.

When to Seek Medical Attention

If you experience persistent pain, swelling, or loss of function in the shoulder, elbow, knee, or ankle, it’s time for an Orthopaedic evaluation. Early treatment can often resolve symptoms without the need for surgery, and physical therapy may help you return to activity safely.

Helping You Stay Active at Every Age

At my practice, I take pride in helping all patients, regardless of age, remain active, independent, and injury-free. Whether you’re an avid pickleball player or new to the sport, I can help diagnose, treat, and prevent the most common Orthopaedic injuries that come with active aging.

If you’re experiencing joint or tendon pain while playing pickleball – or want guidance on how to avoid injury – schedule a consultation today.