Unpacking Pickleball Injuries: What a New Study Reveals About Staying Healthy on the Court

Fresh research dives into who gets hurt playing pickleball and, more importantly, how we can all play smarter and safer.

injury prevention pickleball training sports science older athletes strength & conditioning
Featured Research Paper
Injury Epidemiology and Risk Factors in Older Pickleball Players.
Kyung-Min Kim, Jungsu Ryu, Seung-Hee Nam et al.
International journal of aging & human development (2026)
View on PubMed

Pickleball is booming, and with more players hitting the courts, understanding how to stay injury-free becomes paramount. Whether you're a seasoned pro, a weekend warrior, or a coach guiding athletes of all ages, injuries can derail your game. That's why a new study, soon to be published in the International Journal of Aging & Human Development, offers crucial insights. While focused on older players, its findings have implications for everyone who loves the game.

The Research: A Snapshot of Pickleball Injuries

Researchers Kyung-Min Kim and colleagues set out to map the landscape of pickleball injuries in older adults. They looked at two key areas: self-reported injuries over a 12-month period and new injuries sustained during the high-stakes 2018 US Open Pickleball Championships. They gathered data from 237 participants, looking at everything from demographics to how much they played.

Here's what they found:

  • High Prevalence: A significant 32.1% of players reported an injury in the past year. That's nearly one in three!
  • Lower Body Dominance: The lower extremities (think knees, ankles, feet) were the most common injury site, accounting for 57.9% of all injuries.
  • Tissue Trouble: Muscle and tendon issues were the primary culprits, making up 61.8% of injuries.
  • Tournament Tendencies: Even during a single tournament, new injuries occurred with a 5.8% incidence, again largely affecting the lower body and muscle/skin tissues.

Surprising Risk Factors Identified

Beyond just knowing *what* gets injured, the study pinpointed some key risk factors:

  • Male Gender: Men were found to be at a higher risk of injury.
  • Lower BMI: Surprisingly, players with a lower Body Mass Index were more susceptible.
  • Increased Weekly Play Hours: More time on the court meant a higher chance of injury.

Interestingly, psychological factors like stress or anxiety weren't found to be significant predictors of injury in this study.

What This Means for Your Training

These findings aren't just statistics; they're actionable insights for players, coaches, and recreational athletes looking to stay in the game longer. Here are 2-3 key takeaways:

  • Mind Your Playtime: "More is better" isn't always true for injury prevention. If you're increasing your court time, do it gradually. Ensure adequate rest and recovery between sessions. Listen to your body – fatigue is a warning sign! For coaches, this means designing schedules that balance play with recovery.
  • Fortify Your Foundation: With lower body and muscle/tendon injuries being so prevalent, dedicated strength and conditioning for these areas is non-negotiable. Think squats, lunges, calf raises, hamstring curls, and balance exercises. Incorporate dynamic warm-ups and thorough cool-downs with stretching to improve flexibility and prepare your muscles.
  • Holistic Body Preparation: While a lower BMI was identified as a risk factor, the goal isn't to gain weight. Instead, focus on robust overall physical preparation. This means building strong, resilient muscles to absorb impact, maintaining good bone density, and ensuring you have the physical capacity for the quick, multi-directional movements pickleball demands. For men, this might be a reminder to pay extra attention to flexibility and pre-habilitation routines, as they are statistically at higher risk.

By understanding these injury patterns and risk factors, we can all make more informed choices on and off the court, ensuring pickleball remains a source of joy and activity for years to come.

Have you adjusted your training based on injury concerns? Let us know!