Rising Orthopedic Injuries in Pickleball: Insights from a 10-Year National Study

Background Pickleball is experiencing a surge in popularity, particularly among older adults, due to its accessibility and low physical demands. However, the increasing participation has been accompanied by a rise in pickleball-related injuries, especially among older individuals. Existing studies focus predominantly on older populations, with limited attention to the recent demographic shifts and growth in participation. This study aims to investigate the incidence, causes, and demographic characteristics of pickleball-related injuries over the past decade, with the hypothesis that injury rates have risen in correlation with the sport’s increasing popularity, particularly among older adults. Methods Using the U.S. Consumer Product Safety Commission’s National Electronic Injury Surveillance System (NEISS) database, we retrospectively analyzed pickleball-related injuries reported between 2013 and 2022. National estimates were calculated based on weighted sample data. Google Trends data were used to evaluate the correlation between pickleball’s growing popularity and injury rates. Statistical analyses included descriptive statistics and chi-squared tests. Results A total of 1,238 injuries were identified, yielding a national estimate of 77,963 injuries. The most common injuries were fractures (27%) and sprains (27%). Injuries were predominantly concentrated in the upper trunk, lower trunk, and wrist. The majority (91%) of injuries occurred in players aged 50 and older, with an 88% increase in injury rates since 2020. A correlation between Google search volume for pickleball and injury incidence was also observed. Conclusion The growing popularity of pickleball has been accompanied by a rise in injuries, particularly among older adults. Healthcare providers should focus on injury prevention strategies, including player education and risk mitigation, to ensure the sport remains safe and accessible for all participants.