Image of pickeball rackets

Pickleball Injuries: What You Need To Know

Pickleball is one of the fastest-growing sports in Australia (and around the world), attracting people of all ages with its fun, fast-paced, and low-barrier-to-entry nature. But while the sport is easier on the body than tennis, it still poses a real risk of foot and ankle injuries, especially for those getting back into physical activity after a break.

At our podiatry clinic, we’re seeing a steady rise in pickleball-related foot and ankle issues. Let’s explore what pickleball is, the most common podiatric injuries associated with it, and how you can protect your feet on the court.

What is Pickleball?

Pickleball is a paddle sport that combines elements of tennis, badminton, and table tennis. It’s played on a smaller court with a wiffle ball and a paddle, and it’s popular among all age groups, especially older adults seeking a fun and social way to stay active.

Despite its low-impact appearance, the quick lateral movements, sudden pivots, and bursts of speed can put stress on the feet and ankles, particularly if proper precautions aren’t taken.

Image of people playing pickleball


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Top 3 Pickleball Injuries We See in the Clinic

1. Ankle Sprains

Quick side-to-side movement is a hallmark of pickleball—and also a common cause of lateral ankle sprains. These occur when the foot rolls outward, stretching or tearing the ligaments on the outside of the ankle.

How we help:
We assess the severity of the sprain with gait analysis and imaging if needed, then develop a treatment plan that may include strapping, rehabilitation exercises, custom orthotics, and balance training to prevent re-injury.

2. Achilles Tendon Injuries

The explosive movements involved in pickleball can place strain on the Achilles tendon, particularly in those who aren’t conditioned for sudden activity. Achilles tendinopathy and even partial ruptures can occur.

How we help:
Early diagnosis is key. We use ultrasound to assess tendon health, and treatment may involve offloading techniques, heel lifts, stretching and strengthening exercises, shockwave therapy, and progressive load management.

3. Plantar Fasciitis

The plantar fascia is a band of tissue that supports your arch. With repetitive impact, especially on hard courts, it can become inflamed—leading to stabbing heel pain, particularly with the first steps in the morning.

How we help:
We provide biomechanical assessments, foot taping, custom orthotics, footwear advice, and targeted stretching programs to relieve strain on the plantar fascia and support healing.

Person with sore plantar fascia


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3 Key Tips to Stay Injury-Free on the Court

  1. Warm Up Properly
    Before you hit the court, spend 5–10 minutes warming up with dynamic movements: ankle circles, gentle jogging, leg swings, and skipping can help prepare the muscles and joints.
  2. Stretch Regularly
    Focus on the calves, Achilles tendon, hamstrings, and plantar fascia. A few minutes of stretching after play can help improve flexibility and reduce the risk of chronic tightness and injury.
  3. Wear the Right Footwear
    Court shoes with good lateral support, cushioning, and a secure fit are essential. Running shoes aren’t ideal—they’re designed for forward motion, not side-to-side movement. We can assess your foot type and recommend the best footwear or orthotics for added protection.

Foot Pain from Pickleball? Don’t Push Through It

If you’re feeling pain or discomfort after playing pickleball, don’t ignore it. Early intervention makes a big difference in recovery time and outcomes. At our podiatry clinic, we’re experienced in treating sports-related foot and ankle injuries and can help you get back on court safely.

Whether you’re a seasoned player or just starting out, let us help you stay active, pain-free, and at the top of your game.

Book an assessment today if you’re dealing with heel pain, ankle instability, or any other pickleball-related issue.

Your feet will thank you.


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