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As pickleball continues to surge in popularity across the United States, so too have the associated injuries, particularly among enthusiastic players over 50. According to a comprehensive 10-year national study published in 2025, the most common pickleball injuries treated in emergency departments are sprains and strains, accounting for approximately 27% of cases, closely followed by fractures at another 27%. More recent 2025 data reinforces this, with strains and sprains accounting for 28.7% of injuries and fractures at 27.7%, often resulting from falls or sudden movements on the court. These injuries predominantly affect the lower extremities like ankles and knees for sprains, and wrists or arms for fractures, with emergency room visits skyrocketing—estimated at over 24,000 in 2023 alone and continuing to rise.
Image credit: Marsha Ednisa via Vecteezy.com
But here's the good news: these are largely preventable injuries. Have you ever paused mid-game to consider how a simple warm-up could safeguard your joints? Many players dive straight into the action, overlooking the importance of preparing their bodies for the quick pivots and lateral shuffles that define pickleball. By incorporating dynamic stretches and strengthening exercises for your core and legs, you can significantly reduce the risk of those nagging sprains and strains that sideline so many.
And what about fractures? Often stemming from unexpected falls, these highlight a crucial question: have you checked on your balance lately? As we age, our stability can subtly decline, turning a routine backpedal into a trip hazard. Simple balance drills, such as standing on one foot while brushing your teeth or practicing tai chi-inspired movements, can build proprioception needed to stay upright and injury-free on the court.
Prevention isn't just about avoidance—it's about empowerment. Are you listening to your body's signals during play? Pushing through minor aches might lead to major setbacks, but with mindful training, skilled guidance, and help learning to speak the language of your body, you can enjoy pickleball's social and fitness benefits without the downtime.
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At Precision OPT, we will thoroughly analyze your balance, dynamic control, and readiness to start or return to sport. If you've suffered an injury, we will help you get back on track with our expertise in balance and exercise training, joint mobilization, dry needling, and more. As always, you can book a free screening with us to see how we can personally help restore or optimize your participation in the sports you love!


