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Kinesio Rehab Physiotherapy Centre
Pickleball · Ipoh

Pickleball injuries and how to avoid them

You took up pickleball for fun, and now your ankle or wrist is paying for it.

Why do pickleball injuries happen?

Pickleball looks gentle, but it is full of quick starts, sudden stops, lunges and small steps backwards. It is also a new sport for most Ipoh players, so bodies that have not done these movements in years are asked to do them fast. Newcomers also play in the evening after a day of sitting.

The surface matters too. Hard courts do not forgive a twist or a fall. Mix in heat, sweat and enthusiasm, and the ankles, calves and wrists take the strain.

Which injuries are most common?

  • Ankle sprains from lunging and side steps. See ankle sprain.
  • Calf and Achilles strains from pushing off or backpedalling. See Achilles tendon pain.
  • Knee pain from twisting and deep lunges. See knee pain.
  • Wrist fractures and sprains from falling onto an outstretched hand.
  • Elbow and shoulder soreness from gripping hard and swinging with the arm alone.
  • Low back pain from bending and twisting.

Most of these are avoidable with a few habits.

When should you see a doctor?

See a doctor the same day for a sudden pop in the back of the leg, for a swollen or deformed wrist, or for an ankle you cannot stand on. Go to the emergency department for a head knock, chest pain or a fall followed by severe pain in the hip.

Rest alone is not enough for these. They need assessment first.

What is a quick warm-up?

Spend ten minutes before the first point.

  1. Walk or jog gently for two minutes.
  2. Do ankle circles, leg swings and heel raises.
  3. Take deep, slow lunges and side steps.
  4. Roll the shoulders and swing the arms.
  5. Hit a few easy shots from the baseline, then closer.

Warm-ups matter more when the body is not used to the movements.

How can you protect your body on court?

  • Wear court shoes with grip, not running shoes with a high heel and a soft sole.
  • Move forwards and sideways where you can. Backpedalling is a common reason for falls and Achilles strains.
  • Take small steps rather than one big stretch.
  • Rest between games, and do not play through sharp pain.
  • Stretch the calves after play and strengthen the ankles and hips at home.
  • Build the number of games gradually.

What does the Ipoh climate change?

Play early in the morning or in the evening and keep water within reach. Wet, humid courts are slippery, and tired players trip more. If you have a medical condition, check with your doctor before heavy play in the heat.

Players who start in their fifties or sixties should think about bone health and balance too. Our page on exercise and osteoporosis is a good starting point.

How does physiotherapy help?

We check the injured area, find what overloaded it and build a plan that keeps you playing. We can also teach a safer way to move on court. Our sports rehabilitation is available through home visits across Ipoh now.

Our Canning Garden centre, near Fatimah Hospital, is opening soon. Home and centre prices differ and are quoted on WhatsApp.

Questions people ask

Is pickleball safe for older beginners?

It can be a good way to stay active, but quick starts, lunges and falls on a hard court carry risk. Warm up, wear proper court shoes, build up gradually and avoid backpedalling. If you have osteoporosis, joint pain or balance problems, ask a physiotherapist first.

What should I do if I fall on my hand?

If the wrist is swollen, deformed, very painful or you cannot turn the forearm, go to a clinic or emergency department for an X-ray. A wrist fracture is a common injury from falling onto an outstretched hand. Do not keep playing on a painful wrist.

What is that sudden pop in the back of my leg?

A sudden pop or a feeling of being kicked in the back of the calf can be an Achilles tendon or calf muscle injury. Stop playing and see a doctor the same day, because an Achilles tendon rupture needs prompt assessment.

How do I stop getting sore elbows and shoulders?

Grip lightly, swing from the body rather than just the arm and rest between games. Strengthen the shoulder blade muscles and forearm. If pain lasts more than a week or wakes you at night, ask a physiotherapist to look at your technique and load.

Every body is different. For a diagnosis that fits you, see a registered physiotherapist or doctor, and seek urgent care for sudden weakness, numbness, chest pain or severe pain after a fall.

Clinical editor: M Thurairaj, physiotherapist registered with the Malaysian Allied Health Professions Council (MAHPC). How we write and check our pages

Talk to a physiotherapist about your next step

If pickleball has left you with a sore ankle, wrist, knee or shoulder, tell us what happened and how frequently you play; we will explain how a physiotherapist can get you back on court with a safer routine.

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