Increased Injury Risks for Older Adults in Pickleball: Expert Insights

As pickleball's popularity surges among older adults, health experts warn of increased injury risks. Dr. Emmanuel Atiemo emphasizes the importance of gradual participation and proper footwear to prevent overuse injuries. With many seniors eager to join the sport, understanding personal health conditions and observing gameplay can help ensure a safer experience. Discover essential tips for enjoying pickleball while minimizing injury risks.

By Narendra Chaudhary Mar 16, 2026, 15:49 IST

Growing Popularity of Pickleball Among Seniors

As pickleball gains traction in the United States, health professionals are raising concerns about the heightened risk of injuries, particularly among older players. The sport, characterized by its smaller court, lightweight paddles, and unique plastic ball, may seem less strenuous compared to other racket sports. This perception has made it particularly attractive to recreational participants aged 50 and above. However, medical experts caution that this view can be misleading.

With the arrival of spring and the allure of outdoor activities, Dr. Emmanuel Atiemo from the MedStar Orthopedic Institute in Leonardtown, Maryland, advises older adults and newcomers to approach the sport with caution. He emphasizes the importance of gradually easing into pickleball, especially for those who have been inactive. 'If you are sedentary and decide to take up pickleball, it’s wise to start slowly,' he stated.

Dr. Atiemo noted that many injuries related to pickleball are often due to overuse, affecting areas such as the shoulders, hands, and knees. For older individuals, these injuries can sometimes reveal underlying health issues, such as arthritis. 'At 70, one expects more wear and tear, while a 40-year-old with shoulder pain is less likely to have a serious injury unless there was a direct impact,' he explained.

Research indicates that older players are disproportionately affected by injuries in pickleball. Dr. Atiemo pointed out that the sport's reputation as a low-impact alternative to tennis might lead some players to misjudge their physical limits. 'With endorphins flowing, we often feel invincible,' he remarked, highlighting the risks of enthusiasm combined with a lack of awareness, particularly for those who are not regularly active.

Before hitting the court, Dr. Atiemo recommends that potential players consult with their healthcare provider to assess any preexisting conditions that might impact their safety. He also suggests that beginners observe matches at various skill levels to better understand the game's pace and determine a suitable starting point.

Footwear is another critical aspect of injury prevention that is frequently overlooked. While running shoes may provide comfort, they are not designed for the quick lateral movements and sudden direction changes required in pickleball. Dr. Atiemo, who also serves the Capital City Go-Go basketball team, stresses that listening to one’s body is essential as more players take to the courts this spring.