Pickleball & Physical Therapy

The Rise of Pickleball and The Role of Physical Therapy in Enhancing Performance and Preventing Injuries

-Brent Little, DPT; Employee of CPR


Pickleball is a paddle sport that combines elements of tennis, badminton, and table tennis. It can be played both indoors and outdoors on a smaller court. Pickleball has gained tremendous popularity in recent years and is currently one the fastest growing sports, particularly among older adults. Its popularity is due to its accessibility, social nature, and health benefits. It is known for its ease of learning and provides a fun and engaging experience for all skill levels.

While pickleball offers several health benefits and is generally considered a low-impact activity, like any sport, there is a potential for injuries. It is important to consider the role of physical therapy in optimizing performance, preventing injuries, and facilitating rehabilitation for pickleball players. Physical therapy can play a role in maximizing these benefits while also keeping injury risk low. In this blog, we will explore the risks and injuries associated with pickleball, as well as discuss the benefits of physical therapy in managing and preventing these injuries.

Pickleball racket and ballHealth Benefits of Pickleball:

The low-impact nature of pickleball reduces stress on joints, making it a suitable option for individuals with joint conditions or those seeking a gentler form of exercise. Regular pickleball play can improve joint range of motion, flexibility, and general endurance. Physical therapy can complement pickleball by providing targeted exercises to improve joint strength, stability, and mobility, as well as addressing any existing musculoskeletal issues. It is essential to consult with a physical therapist to create an individualized plan based on your specific needs.

Beyond the physical benefits, pickleball offers social engagement, which is crucial for mental well-being. The social aspect of the sport can help combat feelings of isolation and loneliness, especially for older adults. Participating in regular physical activity has been linked to improved mood, reduced stress levels, and enhanced cognitive function. Pickleball's combination of physical exertion and social interaction can contribute to overall mental well-being.

The game requires quick reflexes, hand-eye coordination, and agility, making it an excellent activity for improving balance and coordination. The smaller court size and slower pace, compared to tennis can be beneficial for individuals who may have limitations or concerns regarding balance. Pickleball is a dynamic sport that involves constant movement, quick bursts of speed, and changes in direction. Regular participation in pickleball can improve cardiovascular fitness by increasing heart rate and promoting aerobic endurance.

Physical therapy is also valuable for individuals with chronic conditions who want to participate in pickleball but fear they may further injure themselves. For example, individuals with low back pain, osteoarthritis, or joint instability would benefit from specific therapeutic exercises, and education on joint protection strategies. Physical therapists can work with individuals to minimize pain, improve joint function, and enable safe engagement in pickleball activities.

Injury Risks:

Pickleball involves rapid lateral movements and quick changes in direction that can lead to ankle sprains/strains, achilles injuries, and the potential for a knee injury. Pickleball also require repetitive movements while using the paddle, which can place stress on the body, mainly the shoulders, elbows, and wrist. Common overuse injuries that may arise, include elbow tendonitis, shoulder/rotator cuff injuries, and wrist injuries.

Rehabilitation and Return to Play

In the unfortunate event of an injury, physical therapy plays an important role in guiding the rehabilitation process and facilitating a safe return to pickleball. Physical therapists have a variety of techniques, such as manual therapy, prescribing therapeutic exercises, and other modalities to promote healing, restore mobility and strength. Physical therapy will improve functional performance and return to prior level of function. Treatment will be specific to each individual injury or ailment to ensure a smooth and safe transition back to pickleball.

Physical therapy interventions go beyond injury management and can contribute to enhancing pickleball performance. By creating a sport-specific exercise program focusing on strength, agility, flexibility, and proper techniques. Physical therapy can help players maximize their ability and improve the on-court performance, and reduce risk for additional injury.

Strategies for Reducing Risk for Injury

  1. It is imperative to warm up your muscles and stretch with a focus on dynamic stretches that mimic the movements of pickleball.
  2. Make sure to wear proper footwear that provides adequate support and traction on the court.
  3. Learn proper techniques for pickleball to reduce risk for overuse injuries.
  4. Gradually increase intensity of pickleball and avoid going from inactive to intense pickleball play allowing your body to adapt.
  5. Proper hydration is important for optimal performance and injury prevention.
  6. Recognize any signs of pain, discomfort, or fatigue, while playing, that could lead to potential injuries.


Pickleball is an enjoyable sport, but players must be mindful of potential risks associated with it. This blog highlights some of the potential health benefits of pickleball and the role physical therapy can play in optimizing those benefits. Physical therapy can help by preventing injuries, facilitating rehabilitation, and managing chronic conditions for pickleball players. By following evidence-based strategies and seeking professional guidance, pickleball enthusiasts can enjoy the sport safely and maximize their playing potential.


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