Common Foot Injuries in Pickleball: Insights from Dr. Elton

Pickleball, one of the fastest-growing sports in the U.S., offers a fun and social way to stay active for individuals of all age, and activity level. However, like any sport, it comes with its own set of risks, particularly for your feet and ankles. Dr. Elton, a top foot and ankle surgeon in Colorado at Vail-Summit Orthopaedics & Neurosurgery (VSON), shares his expertise on the most common foot injuries in pickleball and how to prevent them.

Ankle Sprains: The Most Common Culprit

Ankle sprains are the most frequent injury among pickleball players. These occur when the ligaments that support the ankle stretch beyond their limits and tear. Dr. Elton explains, "The quick lateral movements and sudden stops in pickleball increase the risk of ankle sprains. Proper warm-up and wearing supportive footwear are essential preventive measures."

Ankle sprains can range from mild to severe, with symptoms including pain, swelling, and bruising. Immediate treatment with rest, ice, compression, and elevation (RICE) is crucial to reduce swelling and pain. In more severe cases, immobilization or physical therapy might be necessary to regain full function.

Achilles Tendonitis: A Common Overuse Injury

Achilles tendonitis is another prevalent injury in pickleball, often caused by repetitive stress on the Achilles tendon. This tendon connects your calf muscles to your heel bone and is crucial for movements like pushing off and jumping. "Achilles tendonitis results from overuse and inadequate stretching," says Dr. Elton. "Players should incorporate calf stretches into their routine to prevent this condition."

Symptoms of Achilles tendonitis include pain and stiffness along the Achilles tendon, particularly in the morning or after physical activity. Treatment typically involves rest, ice, and anti-inflammatory medications. Physical therapy can also help strengthen the tendon and prevent future occurrences.

Achilles Tendon Tear: A Serious Concern

An Achilles tendon tear, or rupture, is a more severe injury that can occur if Achilles tendonitis is left untreated or from a sudden, forceful movement. Dr. Elton emphasizes, "An Achilles tendon tear often feels like a sudden snap or pop in the back of the ankle, followed by severe pain and an inability to push off the foot."

Immediate medical attention is required for an Achilles tendon tear. Treatment options include surgical repair or a non-surgical approach involving casting or bracing the foot and ankle. Recovery from an Achilles tendon tear can take several months and usually involves physical therapy to regain strength and flexibility.

Plantar Fasciitis: Pain Underfoot

Plantar fasciitis is a common cause of heel pain in pickleball players, characterized by inflammation of the plantar fascia—a thick band of tissue that runs across the bottom of your foot and connects your heel bone to your toes. "Plantar fasciitis often presents as a sharp pain in the heel, particularly with the first steps in the morning," Dr. Elton notes.

Risk factors for plantar fasciitis include high-impact activities, improper footwear, and poor foot mechanics. Treatment involves rest, ice, stretching exercises, and proper footwear. Orthotic devices can also provide additional support and alleviate pain.

Prevention Tips from Dr. Elton

Preventing these common injuries involves a combination of proper training, adequate rest, and wearing the right gear. Dr. Elton advises, "Warm up thoroughly before playing, and don't ignore pain. Proper footwear with good arch support and cushioning is crucial. Also, listen to your body and give yourself time to recover after intense play."

Pickleball is a fantastic sport for all ages, but it's essential to be mindful of your foot and ankle health. By taking the right precautions and seeking timely treatment, you can enjoy the game while minimizing the risk of injury.

For more information on preventing and treating foot injuries, or to schedule a consultation with Dr. Elton, visit Vail-Summit Orthopaedics & Neurosurgery. With offices in Vail, Frisco, and Edwards, CO, expert care is always within reach.