I have been an outpatient physical therapist in this area for over 25 years specializing in sports and orthopedic rehabilitation. Most sport-related injuries that I have treated for the average amateur athlete were typically associated with golf and tennis. Most golf injuries usually involve the low back due to the rotational nature of the movement. Shoulder and knee problems can also occur. Sometimes resulting in surgery. Tennis is another sport where we tend to see physical problems and injuries, as well. Shoulder and elbow are most common. Hence, “tennis elbow.”
However, I have seen a pretty rapid increase in injuries associated with pickleball. These injuries can involve a variety of body parts. For instance, I had a patient suffer a broken metatarsal in his foot when jumping up for a shot he landed awkwardly. Another suffered a torn meniscus in her knee. Another patient consulted with me regarding significant pain and range of motion issues in her shoulder and could well possibly have a rotator cuff tear. When I asked her how she injured her shoulder, she said she had recently started playing pickleball and tried to hit a shot from over head while reaching backward.
We have a return-to-golf and return-to-tennis program but are now modifying some of our return sport programs to include pickleball.
Pickleball popularity is skyrocketing. Unfortunately, so are injuries associated with this relatively new and fun sport. According to UBS Financial Services report in 2023, pickleball injuries were expected to cost Americans $377 million in health care costs. That accounts for 5% to 10% of total unexpected medical costs. More and more health-related studies are being conducted due to the rise in popularity of this fun sport.
So, what does that mean for so many of you that have taken to this sport and for those that are considering giving it a go? As with any new sport or activity, preparation and prevention are the key. Pickleball can put quite a demand on all parts of your body secondary to the fast and repetitive nature of this sport. Unfortunately, pickleball itself is almost required to train your body for it.
Therefore, I suggest you start slowly and carefully. Additional recommendations would be to start exercising that involves your arms and legs. Jogging in place, light jumping jacks, some basic rotator cuff exercises. Calf and shoulder stretching, balance exercises, etc.
There are also cardiovascular demands, so consult with your physician if you have a history of heart-related ailments. Additionally, as we enter into summer, hydration and electrolyte intake is very important.
I have always been one to advocate an active lifestyle and the wonderful weather we benefit from allows us to participate in several outdoor activities that overall can be great for our health and fitness. Be it golf, tennis and now pickleball, working with a trained physical therapist can also be a benefit to avoid any unwanted injury that could keep one “on the sideline” for an extended period.
If you begin to experience pain while playing, please seek consultation with an orthopedic physician and/or physical therapist who can properly evaluate your symptoms and make the proper recommendations.
