If you’ve been anywhere near your local park or rec center, odds are you’ve seen one of the fastest growing sports in action — pickleball. It has seen year-over-year participation increase by nearly 159 percent since breaking onto the scene just three years ago, per the Sports and Fitness Industry Association’s 2023 Topline Report.
With more cooks in the kitchen, however, there’s ample room for faults and missteps. According to a recent CNN report, pickleball-related injuries may cost Americans upwards of $377 million in healthcare expenses this year alone.
To get to the bottom of these injuries — and outline how to better prevent them — we consulted Rachel Rettger, professional pickleball athlete and social media lead for top table tennis and now pickleball brand Joola.

Why and Where do Injuries Occur in Pickleball?
According to Rettger, it’s a combination of factors. For one, pickleball’s varying demographics: Kids, older people and anyone in-between can take up the sport, and jumping into it can be more taxing for individuals that may not have been the most active beforehand.
“I think a lot of injuries stem from older people who haven’t been playing sports or haven’t been physically active for a while,” she says. “They’re now deciding that they can go play pickleball, and their bodies aren’t accustomed to doing all of this physical activity.”