The rapid surge in pickleball’s popularity, enjoyed by players of all ages, is accompanied by a growing number of reported injuries. Even as often touted as a low-impact sport, a recent uptick in cases at hospitals like the Central Hue Hospital in Vietnam highlights the need for preventative measures and proper technique. Understanding the risks and taking appropriate precautions is crucial for players looking to enjoy the game safely.
According to data from the Central Hue Hospital, a recent increase in pickleball-related injuries has been observed, though the numbers remain lower than those associated with other sports. The majority of these injuries are mild to moderate, including sprains (first and second degree), meniscus tears, and rotator cuff injuries. Treatment typically involves short-term immobilization, physiotherapy, and medication, with some meniscus tears requiring arthroscopic surgery for repair.
Pickleball is gaining popularity among players of all ages. (AI illustration.)
One case involved a 42-year-old patient who, after switching from badminton to pickleball, experienced severe right knee pain following a sudden twisting motion while attempting to return a ball. After initial rest, the pain persisted, limiting mobility and requiring further investigation at the Central Hue Hospital. An MRI revealed a tear of the medial meniscus and second-degree osteoarthritis in the right knee, necessitating arthroscopic surgery followed by a six-week rehabilitation period, and then continued rehab for approximately five to six months before returning to play.
Dr. Nguyen Thai Bao, Head of the Department of Joint Surgery and Sports Medicine and Deputy Director of the Center for Orthopedic Trauma and Plastic Surgery at the Central Hue Hospital, explained that pickleball is a team sport demanding quick, multi-directional movements on a relatively small court. From a sports medicine perspective, this activity offers benefits like improved endurance, increased limb strength, enhanced joint flexibility, and reflexes. Importantly, it’s considered a joint-friendly sport, with slower movement speeds compared to tennis or badminton, making it suitable for a wide age range.
Though, Dr. Bao also cautioned that pickleball carries inherent injury risks. Common injuries include rotator cuff tears, Achilles tendinitis, lateral epicondylitis (tennis elbow), ankle sprains, shoulder dislocations, meniscus injuries, and fractures – particularly in older adults with osteoporosis. While played on a smaller court than tennis or badminton, reducing stress on the spine and knees, the intensity and pace can still lead to issues.
The risk of injury isn’t uniform across the player base. According to Dr. Bao, those most vulnerable include older adults with reduced bone density or osteoporosis, beginners still mastering movement techniques and prone to balance issues, and individuals with pre-existing bone and joint conditions.
Preventing injuries requires a proactive approach. Players should start with a thorough warm-up and stretching routine of at least 10-15 minutes, focusing on the back, shoulder muscles, knees, and ankles. Wearing specialized shoes with ankle support is also vital, as is ensuring the court surface isn’t slippery. Correct movement techniques are paramount, avoiding excessive twisting or sudden changes in direction.

Dr. Nguyen Thai Bao examines a patient.
Gradually increasing training intensity is also crucial, allowing the body to adapt, especially for beginners and middle-aged players. A medical check-up before starting a regular training regimen is advisable, addressing any underlying musculoskeletal conditions. For minor to moderate acute injuries, the RICE protocol – rest, ice, compression, and elevation – can provide initial on-site treatment.
Players should immediately stop all activity and avoid applying pressure to the injured area. Cold compresses, applied for 15-20 minutes every 2-3 hours for the first 48 hours, can assist reduce swelling. An elastic bandage with moderate pressure should also be applied, and the injured limb elevated. Avoid massage, heat application, or strenuous activity too soon, as these can worsen the injury.
Dr. Bao emphasized that patients with severe injuries – joint or limb deformities, intense pain, loss of mobility, cyanosis, or discoloration of the limb – require immediate immobilization and should be transported to a specialized medical facility as quickly as possible.
Pickleball, while offering numerous health benefits, isn’t without its risks. By understanding these risks and implementing preventative measures, players can minimize their chances of injury and continue to enjoy this rapidly growing sport. The key is a combination of proper preparation, technique, and awareness of individual limitations.
The increasing popularity of pickleball continues, with organizations like CityPickle in New York City working to expand access and promote the sport’s health benefits. Mount Sinai Health System recently partnered with CityPickle to further these goals.
As pickleball’s reach expands, continued research and education on injury prevention will be essential to ensure the long-term health and well-being of its players.
Key Takeaways:
- Pickleball injuries, while generally mild, are becoming more common.
- Older adults and beginners are at higher risk.
- Proper warm-up, technique, and footwear are crucial for prevention.
- The RICE protocol is effective for minor injuries.
- Severe injuries require immediate medical attention.
Stay tuned to Archysport for further coverage of pickleball and other emerging sports, including updates on injury prevention strategies and player safety initiatives. What are your thoughts on the growing popularity of pickleball? Share your experiences and tips in the comments below!