
As pickleball continues to make a remarkable dash as the fastest growing sport in the United States, the spike in its popularity is paralleled by an increase in related injuries, drawing attention to the need for precaution and proper play techniques among enthusiasts. According to an analysis by the American Academy of Orthopaedic Surgeons, injuries, specifically bone fractures associated with pickleball, have surged by 200% over the last two decades. This rise is a testament to the sport’s growing appeal, with the player base expanding from 4.8 million in 2021 to a staggering 8.9 million by 2023.
Pickleball, with its unique blend of tennis, badminton, and ping-pong elements, is loved for its accessibility and social nature. Yet, its allure does not exempt players from the risks of physical injuries. Beyond fractures, the sport sees a variety of soft tissue injuries such as sprained ankles, knee ligament damages, and rotator cuff issues. Surprisingly, a significant 92% of the fractures are a result of falls, emphasizing the importance of understanding and mitigating fall risks.

Yasmine Ghattas, the study’s lead author and a medical student at the University of Central Florida College of Medicine, highlights the balance between embracing the sport and recognizing its potential hazards. “While pickleball is a wonderful sport, it’s crucial to approach it with awareness and preparation,” she states. Ghattas, inspired by personal experiences and observations of increasing pickleball-related fractures, spearheaded the research to shed light on this emerging concern.
Women, particularly those above 65, are found to be more susceptible to fractures, often linked to conditions like osteoporosis. In contrast, men, while experiencing fewer fractures, are more likely to need hospitalization due to the severity of their injuries, usually involving the lower body.
Experts point to a lack of preparation and knowledge about the sport as contributing factors to the rise in injuries. “Jumping into any sport without understanding its mechanics and proper form can lead to preventable injuries,” says Dr. Eric Bowman, an assistant professor of orthopedic surgery at Vanderbilt University Medical Center. Both Bowman and Dr. Spencer Stein, an assistant professor of orthopedic surgery at NYU Langone Health, stress the importance of physical readiness, proper warm-ups, and choosing suitable footwear for pickleball.

Moreover, learning to fall correctly can significantly reduce the risk of injury. Stein advises, “Falling towards your side rather than outstretching your arms can protect your head while minimizing wrist injuries.”
As the sport continues to gain traction, it’s vital for players to not only enjoy the game but also to take proactive steps in ensuring their safety. This includes regular check-ups, osteoporosis screenings, and embracing the sport with an informed mindset. By doing so, players can continue to revel in the joy of pickleball while safeguarding their well-being amidst its competitive spirit.