Here are the top 5 pickleball injuries that land players in the emergency room, based on data from the U.S. Consumer Product Safety Commission (CPSC) and the National Safety Council (NSC):

  1. Sprains and Strains(Most Common ER Injury in Pickleball)
    • Quick lateral movements, sudden stops, and lunges put excessive stress on ankles, knees, and wrists.
    • Overuse can lead to muscle strains in the calves, hamstrings, and shoulders.
  2. Fractures (Breaks in Bones)
    • Falls are common in pickleball, especially when players backpedal or lose balance during a volley.
    • Wrist and hip fractures are among the most frequent fractures in older players.
  3. Tennis Elbow (Lateral Epicondylitis)
    • Despite its name, this condition affects pickleball players due to repetitive wrist and forearm motions while swinging the paddle.
    • Causes inflammation of the tendons that attach to the elbow, leading to pain and weakness.
  4. Rotator Cuff Injuries
    • The overhead swing, coupled with sudden jolting movements, can strain the rotator cuff (shoulder tendons and muscles).
    • Can lead to tears, requiring physical therapy or even surgery in severe cases.
  5. Achilles Tendon Ruptures
    • Quick sprints and sudden pivots can place high stress on the Achilles tendon, leading to tears or complete ruptures.
    • More common in players over 50, especially if they don’t stretch or warm up properly.

Why Pickleball Injuries Are So Common

  • Pickleball seems less intense than other sports like tennis or basketball, but it engages all major muscle groups with sudden, explosive movements.
  • Players often don’t warm up adequately, making them more prone to injury.
  • Courts are smaller, increasing the likelihood of collisions and awkward lunges.

How to Stay Out of the ER

  • Wear proper shoes with lateral support to prevent ankle sprains.
  • Strengthen your core and stabilizer muscles to improve balance.
  • Stretch and warm up before every game.
  • Be mindful of backpedaling—turn sideways instead to prevent falls.

According to the CPSC, pickleball injuries have surged by over 150% in the past decade, with seniors (55+) making up the majority of ER visits. Play smart, stay strong, and keep yourself in the game—not the hospital!

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