Blog Post

27 April 2026

🩺Common Pickleball Injuries Requiring Chiropractic Care

Pickleball is one of the fastest-growing sports in the U.S., combining quick movements, agility, and repetitive upper-body motion. While it’s a great way to stay active, these same demands can lead to a variety of musculoskeletal injuries—especially without proper conditioning or recovery.

Below are the most common pickleball injuries that often benefit from chiropractic care.


1. Pickleball Elbow (Lateral Epicondylitis)

This overuse injury affects the tendons on the outside of the elbow and is extremely common in pickleball players due to repetitive paddle use.

Causes:

  • Repetitive swinging motions
  • Poor grip or paddle mechanics
  • Lack of rest between games

Symptoms:

  • Pain on the outer elbow
  • Weak grip strength
  • Discomfort when lifting or gripping objects

Chiropractic Approach:

  • Soft tissue therapy to reduce inflammation
  • Joint mobilization of the elbow and wrist
  • Corrective exercises to improve movement patterns

2. Rotator Cuff Injuries

The shoulder is heavily involved in pickleball, especially with overhead shots and serves. Repetitive strain can lead to rotator cuff irritation or tears.

Causes:

  • Repetitive overhead movements
  • Muscle imbalances
  • Poor shoulder stability

Symptoms:

  • Pain when raising the arm
  • Weakness or reduced range of motion
  • Clicking or catching in the shoulder

Chiropractic Approach:

  • Shoulder joint adjustments
  • Muscle release techniques
  • Strengthening and stabilization programs

3. Ankle Sprains

Fast lateral movements and sudden stops can easily lead to ankle injuries.

Causes:

  • Rolling or twisting the ankle
  • Improper footwear
  • Poor balance or coordination

Symptoms:

  • Swelling and bruising
  • Pain with weight-bearing
  • Instability in the ankle

Chiropractic Approach:

  • Joint stabilization and mobilization
  • Balance and proprioception training
  • Rehab exercises to prevent recurrence

4. Knee Pain (Patellar Tendinitis & Strain)

Pickleball involves frequent lunging and directional changes, placing stress on the knee joint.

Causes:

  • Overuse
  • Weak supporting muscles (hips and glutes)
  • Improper biomechanics

Symptoms:

  • Pain around or below the kneecap
  • Stiffness or swelling
  • Pain during activity

Chiropractic Approach:

  • Knee and hip joint adjustments
  • Movement pattern correction
  • Strengthening surrounding musculature

5. Lower Back Strain

The twisting and bending motions in pickleball can strain the muscles and joints of the lower back.

Causes:

  • Poor core strength
  • Repetitive rotational stress
  • Improper posture during play

Symptoms:

  • Dull or sharp lower back pain
  • Muscle tightness or spasms
  • Pain with bending or twisting

Chiropractic Approach:

  • Spinal adjustments to restore alignment
  • Muscle therapy for tension relief
  • Core strengthening recommendations

Why Chiropractic Care Is Beneficial for Pickleball Players

Chiropractic care focuses on treating the root cause of pain—not just the symptoms. For pickleball players, this means:

  • Improved joint mobility
  • Faster recovery from injuries
  • Reduced inflammation and muscle tension
  • Better overall movement and performance
  • Prevention of recurring injuries

When Should You Seek Chiropractic Care?

Consider scheduling an evaluation if you experience:

  • Pain lasting more than a few days
  • Recurring discomfort during or after play
  • Limited mobility or stiffness
  • Decreased performance on the court

At Clearwater Sports & Wellness, P.A., Dr. Sessa provides hands-on, personalized care—including gentle Activator techniques—to help you recover, restore function, and get back to playing at your best.