Tennis Elbow & Pickleball: A Growing Concern for Enthusiasts
Dr. Carmella Fernandez is a dual fellowship trained Orthopedic surgeon, specializing in nonoperative and operative treatments for the hand, wrist and elbow. She has an established private practice, The Fernandez Upper Extremity Institute, in Naples, Florida.
As pickleball continues its rapid rise in popularity across all age groups, a surprising consequence has emerged: an increase in cases of tennis elbow, or lateral epicondylitis. This condition, typically associated with racquet sports like tennis, is now showing up more frequently in pickleball players.
Tennis elbow is caused by overuse of the forearm muscles & tendons, particularly those involved in wrist & elbow movement. In pickleball, repetitive swinging, improper technique, & lack of conditioning can place strain on the tendons that attach to the outer elbow, leading to pain, stiffness, & decreased grip strength.
Unlike tennis, pickleball uses a smaller paddle & a lighter ball, but the shorter reaction times and quick wrist movements, especially during volleys & dinks, can still stress the elbow. Beginners who play frequently without proper warm-up or technique are particularly at risk.
Prevention & Management
To prevent tennis elbow while playing pickleball:
- Warm up & stretch before games.
- Focus on proper grip size & technique.
- Strengthen forearm muscles with simple exercises.
- Avoid overplaying & allow time for rest and recovery.
For those experiencing symptoms, rest, ice, anti-inflammatory treatments, platelet rich plasma injections, & therapy can help. As with any sport, staying proactive about form & physical health can help pickleball players enjoy the game pain-free for years to come.
If you are struggling with elbow pain call your orthopedic expert Dr. Carmella Fernandez at (239) 777-9321 and schedule your appointment today.


