Information / Education

Pickleball Foot and Ankle Injuries: How to Stay in the Game

  • November 2026
  • Dr. Juan Sardina, Podiatrist and Foot and Ankle Surgeon, Palm Beach Sports Medicine & Orthopaedic Center
Dr. Juan Sardina, podiatrist and foot and ankle surgeon, in a white coat

Pickleball has quickly become one of America’s fastest-growing sports, attracting players of all ages with its fun, social atmosphere and easy-to-learn gameplay. While the sport offers excellent physical and mental health benefits, the increase in participation has also led to a rise in pickleball-related injuries, particularly involving the feet and ankles.

“Quick changes in direction, sudden movements and slips on the court can put extra stress on the muscles, tendons and ligaments of the lower leg and ankle,” said Dr. Juan Sardina, podiatrist and foot and ankle surgeon at Palm Beach Sports Medicine & Orthopaedic Center. “That’s why ankle sprains and other foot and ankle injuries are among the most common pickleball injuries we see.”

The fast-paced nature of pickleball requires players to stop, start and pivot frequently. These movements can increase the risk of ankle sprains, Achilles tendon injuries, plantar fasciitis and muscle strains. Falls on hard court surfaces can also result in fractures and other injuries.

According to Dr. Sardina, some injuries occur suddenly and are easy to identify. “You may twist your ankle while changing direction or feel a sharp pull while reaching for a shot,” he said. “The pain is usually immediate and may prevent you from continuing to play.”

Fortunately, many pickleball injuries can be prevented with a few simple precautions. Before hitting the court, take time to warm up with dynamic stretches and movement-based exercises that increase blood flow, loosen joints and prepare your muscles for play. After your game, cool down with gentle static stretches to improve flexibility and reduce muscle soreness. Staying hydrated before, during and after play is also important for maintaining muscle function and helping prevent injuries.

Supportive footwear is equally important. “One of the best investments pickleball players can make is in a quality pair of court shoes designed for lateral movement,” Dr. Sardina said. “Proper footwear can improve stability and reduce stress on the feet and ankles.”

Players who are new to exercise or returning after a long break should consult a physician before starting a pickleball routine. Building strength, balance and flexibility gradually can help prevent overuse injuries and improve performance.

Dr. Sardina also advises players not to ignore pain. “If an ankle injury causes significant swelling, severe pain or makes it difficult to put weight on your foot, seek medical evaluation right away,” he said. “Those symptoms may indicate a more serious injury that requires treatment.”

“Success on the pickleball court starts with proper movement,” Dr. Sardina said. “Learning good footwork and body positioning can help you react more efficiently, play with confidence and reduce your risk of injury.”

With the right preparation and precautions, players can enjoy all the benefits of pickleball while staying healthy, active and on the court for years to come.

For more information on orthopedic care, or to make an appointment please visit palmbeachhealthnetwork.com