Treating Pickleball Injuries with Physical Therapy
Pickleball has exploded in popularity, attracting players of all ages with its fast-paced, engaging gameplay. However, like any sport, pickleball comes with the risk of injuries, especially if players don’t take proper precautions. At Tula PT in Boston, MA, we understand the demands pickleball places on the body and how to help players stay active, pain-free, and at peak performance. Whether you’re looking to prevent injuries or recover from one, our holistic Tula Method provides customized physical therapy solutions to keep you moving with confidence.
Common Causes of Pickleball Injuries
Pickleball is a dynamic sport that requires quick movements, sudden direction changes, and repetitive motions. These factors can lead to overuse injuries, strains, and impact-related injuries. Some of the most common causes of pickleball injuries include:
- Lack of Proper Warm-Up – Jumping into a game without preparing your muscles and joints increases the risk of strains and sprains.
- Overuse and Repetitive Motion – Frequent play without proper recovery can lead to inflammation and chronic injuries.
- Poor Footwear or Court Surface – Wearing unsupportive shoes or playing on a hard surface can stress the knees, ankles, and lower back.
- Loss of Balance or Coordination – Quick lateral movements and lunges can increase the risk of falls, leading to fractures or sprains.
- Muscle Weakness or Imbalance – Weak stabilizing muscles around the knees, hips, and shoulders make players more susceptible to injury.

Common Pickleball Injuries
While pickleball is a lower-impact sport compared to tennis, it still presents several injury risks. Some of the most common pickleball-related injuries include:
- Tennis Elbow (Lateral Epicondylitis) – Overuse of the forearm muscles from repetitive swings can cause pain on the outside of the elbow.
- Rotator Cuff Strains or Tears – Repeated overhead shots and swings can lead to shoulder pain and reduced mobility.
- Achilles Tendonitis – Quick pivots and sudden stops can strain the Achilles tendon, leading to inflammation and discomfort.
- Knee Injuries (Meniscus Tears, Patellar Tendonitis) – Frequent bending and lateral movements can put stress on the knees, increasing injury risk.
- Ankle Sprains – Unexpected movements or missteps can cause players to roll their ankles, leading to ligament damage.
- Lower Back Pain – Rotational movements and sudden twists can strain the lower back muscles.
Physical Therapy to Prevent Pickleball Injuries
The best way to stay injury-free is to prevent injuries before they happen. Physical therapy is an excellent way to build strength, improve flexibility, and optimize movement patterns for pickleball. At Tula PT, we take a proactive approach to injury prevention through:
- Strength Training: Focusing on core, leg, and shoulder strength to support proper movement mechanics.
- Mobility & Flexibility Work: Ensuring joints and muscles have the range of motion needed for quick movements.
- Balance & Stability Training: Helping players improve coordination and avoid falls.
- Ergonomic & Posture Assessments: Analyzing movement patterns to correct imbalances and improper technique.
- Education on Recovery & Load Management: Teaching players when to push their limits and when to rest.
Treating Pickleball Injuries with Physical Therapy
If you’ve sustained a pickleball-related injury, early intervention is key to a fast and effective recovery. At Tula PT, we offer personalized physical therapy plans based on your specific injury and movement patterns. Treatment options may include:
- Manual Therapy & Myofascial Release: Hands-on techniques to reduce muscle tension and improve circulation.
- Targeted Strength & Stability Exercises: Gradual reintroduction of movement to rebuild strength in the affected area.
- Dry Needling & Soft Tissue Mobilization: Techniques to release trigger points and relieve chronic muscle tightness.
- Joint & Spinal Mobilization: Gentle adjustments to improve joint mechanics and reduce pain.
- Neuromuscular Re-education: Helping the body relearn proper movement patterns to prevent future injuries.
Warm-Up Recommendations Before Playing Pickleball
One of the most effective ways to prevent injuries is to properly warm up before stepping onto the court. A good warm-up should include:
- Dynamic Stretching: Arm circles, leg swings, and torso twists to prepare the muscles for movement.
- Light Cardiovascular Exercise: A few minutes of jogging or jumping jacks to increase blood flow.
- Balance & Stability Drills: Standing on one leg, lateral lunges, or mini-squats to engage stabilizing muscles.
- Sport-Specific Movements: Practicing gentle paddle swings and lateral shuffling to mimic game motions.
Spending just 5–10 minutes warming up can dramatically reduce the risk of strains and sprains while improving performance.
How Tula PT Can Help You Move Forward
At Tula PT in Boston, MA, we don’t just treat injuries—we help you move better, play stronger, and prevent future setbacks. Whether you’re recovering from an injury or looking to enhance your performance on the pickleball court, our holistic Tula Method integrates physical therapy, movement education, and injury prevention strategies to support your overall well-being.
- Personalized Treatment Plans: Every program is customized based on your body’s needs and athletic goals.
- Comprehensive, Holistic Approach: We treat more than just your injury—we assess the physical, mental, and emotional aspects of your movement patterns.
- Expert Guidance & Hands-On Care: Led by Dr. Sarah Marchionne, our team combines science-backed therapy with holistic healing techniques.
Get Back on the Court Pain-Free!
If pickleball pain or injuries are holding you back, don’t wait to seek treatment. Tula PT is here to help you recover, prevent injuries, and optimize your performance.
Contact us today to schedule your consultation and start moving with confidence. Let’s keep you strong, mobile, and ready to enjoy the game you love!