Pickleball has rapidly become a hugely popular sport in the United States, enjoyed by many adults. Its simple rules, affordable equipment, and social nature make it easy to see why so many are joining local leagues and playing regularly.

This paddle sport is especially popular among people aged 55 and older, frequently seen at senior centers and retirement communities. As with any physical activity, increased participation leads to more injuries. Emergency rooms are noticing a significant rise in pickleball-related injuries, particularly among players over 60.

Is Pickleball Suitable for Everyone?

Generally, yes. For most individuals, the health benefits of exercise and social interaction greatly outweigh the potential risks. This is especially true for those who may not have many other opportunities for physical or social activities. Health organizations recommend adults engage in at least 150 minutes of moderate exercise weekly. Studies indicate that social engagement for older adults can help reduce feelings of depression and loneliness, and may even improve memory.

However, there are exceptions. The fast-paced nature of pickleball can be risky for individuals with heart conditions. Quick movements on hard courts can increase the risk of fractures for those with low bone density. Playing while already injured can hinder recovery. Playing outdoors in wet conditions increases the risk of falls, and playing in hot weather can lead to heatstroke.

Experts advise players, especially those with pre-existing health issues or at high risk of injury, to consult their doctor before making significant changes to their exercise routine.

What are the Most Frequent Injuries?

The most common injuries in pickleball result from sudden incidents on the court, like falls or slides, or from overuse, similar to tennis elbow. Data from emergency rooms shows that most injuries requiring hospital visits affect the lower leg and wrist. Different players are susceptible to different types of injuries.

A study analyzing medical data from 2000 to 2022 found a significant increase in bone fractures as pickleball`s popularity grew. There was an elevenfold increase in fractures among seniors between 2010 and 2019. Women over 60 made up the largest portion of the fractures in the study, which is not surprising given that bone density often decreases after menopause.

Falls caused 92% of the broken bones in the study, including falls from sliding or diving for the ball. The most commonly fractured bones were in the arm. Leg and ankle fractures are also possible. While some players experienced rib and head injuries, about 80% of patients were discharged on the same day. Those admitted tended to be older, with more torso injuries.

Sprains and muscle strains are even more common than fractures and can be challenging to heal. Another study found that over 90% of pickleball injuries occurred in players aged 50 and older, with sprains and strains making up nearly 29% of injuries, slightly more than fractures. Leg injuries were more often strains and sprains than fractures, and only a small percentage of these patients required longer hospital stays.

Some pickleball players have also experienced cardiac problems or heatstroke requiring emergency room visits. Pickleball appears to carry similar risks to other exercises regarding dehydration and circulatory issues, so players should stay hydrated and be aware of any symptoms.

How Much Does Age Matter?

Age isn`t a definitive barrier, but it is a factor. Starting a new cardio-heavy sport at any age can be challenging, especially for those not used to regular exercise. Experts recommend that anyone planning to increase their cardio exercise should have a doctor check their heart health to identify any potential issues. Similarly, while bone density often decreases with age, younger individuals with bone conditions should also consider their fracture risk. Overall, age is less important than the health conditions that can come with it. Seniors who have regular medical checkups and follow their doctor`s advice can often enjoy pickleball as a safe way to exercise.

How Do Pickleball Injuries Compare to Similar Sports?

Comparing injury rates to other sports is difficult, particularly with pickleball`s rapid growth among older and new athletes. Researchers note that they haven`t seen another sport become so popular so quickly among people over 50.

Tennis is often compared to pickleball. Pickleball courts are smaller, and the net is lower. The rules often result in slower-moving balls, reducing the risk of being hit by a fast ball or getting injured while chasing one. Also, tennis has been around longer, and many older tennis players are already accustomed to its physical demands.

Another point is the average age of new players. Over a third of new pickleball players are over 55, and many play frequently. In 2018, emergency room visits for senior pickleball players reached the same rate as senior tennis players. Since then, injury rates have remained steady for pickleball players under 40, increased slightly for those 40-59, and risen significantly for those 60 and older.

Eye injuries are rare in both sports and usually caused by being hit by the ball. Some analysts suggest pickleball might be safer for cardiovascular health than tennis because it is less physically demanding due to the smaller court, lighter ball, and popularity of doubles games.

How Can Injuries Be Reduced?

While some injuries are from being hit by balls or paddles, most are from trips, falls, and sudden movements. This is good news because it means general fitness and safety measures can greatly help prevent injuries.

Experts recommend stretching and conditioning, focusing on both muscle strength and cardiovascular fitness. Adding activities like running, swimming, or cycling can improve endurance for pickleball. For those new to exercise, starting with short pickleball sessions and gradually increasing intensity is advised. Since arm and leg injuries are common, braces and supports can be helpful for those prone to sprains or twists.

Is Pickleball a Good Way to Stay Active?

Yes, according to experts. The smaller court, lighter ball, and shorter games make pickleball accessible for beginners. However, it’s important to avoid injuries to keep playing and enjoying the benefits.

For new players, it’s good to compare pickleball to their current exercise habits. Those who already exercise regularly should still start slowly to avoid overexertion. Those who haven`t been active recently should consult a doctor, especially for a heart check-up, as heart issues are common in older adults starting new activities and can often go unnoticed.