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Why Pickleball Is Causing More Foot Injuries

Apr 01, 2026
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Pickleball is booming—but so are foot injuries. Learn why players are experiencing heel pain, ankle sprains, and tendon issues, plus expert tips to prevent injuries and stay safe on the court.

Pickleball has exploded in popularity—and for good reason. It’s fun, social, and accessible for all ages. But with its rapid growth, podiatrists are seeing a noticeable rise in foot and ankle injuries tied to the sport.

So why is pickleball leading to more foot problems, and what can you do to protect yourself? Let’s break it down.


Why Pickleball Injuries Are Increasing

1. A Surge of New, Unconditioned Players

Many people are jumping into pickleball without gradually building strength or flexibility. Unlike walking or casual exercise, pickleball demands quick movements that can strain the feet and ankles if your body isn’t prepared.


2. Hard Playing Surfaces

Most pickleball courts are made of hard materials like concrete or asphalt. These surfaces increase impact with every step, putting added stress on your heels, arches, and joints over time.


3. Wearing the Wrong Shoes

One of the biggest causes of injury is improper footwear. Running shoes are designed for forward motion—not the side-to-side movements required in pickleball.

Without proper support, players are more prone to instability, slips, and strain.


4. Repetitive Stress and Overuse

Because pickleball is easy to play frequently, many people play multiple times a week without adequate rest. This can lead to overuse injuries like Plantar Fasciitis, which causes heel and arch pain due to repeated stress.


5. Quick Lateral Movements

Pickleball involves constant side-to-side motion, sudden stops, and quick pivots. These movements place significant strain on the ankles and soft tissues, including the Achilles tendon.


6. Aging Player Population

Pickleball is especially popular among adults over 40. While staying active is great, aging naturally brings decreased flexibility, slower recovery, and increased susceptibility to injury.


Most Common Pickleball Foot Injuries

Heel Pain

Often linked to Plantar Fasciitis, this is one of the most frequent complaints among players.


Ankle Sprains

Sudden direction changes can lead to rolled ankles, especially without proper footwear or conditioning.


Achilles Tendonitis

Overuse of the Achilles tendon can cause inflammation, stiffness, and pain in the back of the heel.


Stress Fractures

Repetitive impact on hard courts can cause small cracks in the bones of the foot, especially if activity levels increase too quickly.


Toenail Injuries

Frequent stopping and tight shoes can lead to bruised or damaged toenails, particularly in the big toe.


Warning Signs You Shouldn’t Ignore

Stop playing and seek medical evaluation if you notice:

  • Persistent heel or foot pain
  • Swelling in the foot or ankle
  • Pain when walking or bearing weight
  • Sharp or sudden pain during activity

Ignoring these symptoms can turn minor issues into long-term problems.


How to Prevent Pickleball Foot Injuries

Wear Proper Court Shoes

Choose shoes designed for court sports that provide lateral stability, cushioning, and arch support.


Warm Up Before Playing

Simple stretches and light movement can prepare your muscles and reduce strain.


Build Up Gradually

Avoid jumping into long sessions right away. Increase intensity and duration over time.


Strengthen Your Feet and Ankles

Exercises that improve balance and stability can help protect against injury.


Consider Orthotics

Custom orthotics can improve alignment, reduce stress on your feet, and enhance overall stability.


When to See a Podiatrist

If pain persists or interferes with your ability to play, it’s time to get evaluated. Early treatment can help you recover faster and prevent more serious complications.


Final Thoughts

Pickleball is a fantastic way to stay active—but the rise in foot injuries shows how important it is to play smart. With the right preparation, footwear, and awareness, most injuries can be avoided.

Take care of your feet, and you’ll be able to enjoy the game for years to come. Contact our office today with Dr. Gireesh Reddy or Dr. Sirisha Pokala by calling (469) 573-3427 or by booking an appointment online.