–Photo submitted.

It’s meant to be for exercise and enjoyment. There’s nothing less enjoyable than a torn Achilles tendon or a low back strain.

Pickleball, the tennis-like sport that made a comeback in 2023, remains popular with older adults looking for a fun workout. But as people flock to the courts, health care experts are taking notice of an unintended consequence.

A recent report from financial services company UBS says pickleball injuries could cost Americans $250-$500 million in medical costs in 2023.

While the news shouldn’t scare older adults away from physical activity, it’s a reminder people in their golden years need to take greater care during workouts than their younger counterparts, noted James Murphy, MD, an OSF HealthCare orthopedic surgeon

“We’re not all 16 years old anymore,” Dr. Murphy said with a smile.

Racket sports, like pickleball, involve a lot of side-to-side movement, bending, and arm swings. Injuries, such as tendonitis, bone fractures in the wrist or hip, muscle tears and strains, and even concussions can follow.

Before picking up pickleball or another sport as a hobby, older adults need to check the lights on the dashboard, so to speak.

“You want to see your internal medicine physician. Make sure your heart and everything else are good for strenuous activity,” Dr. Murphy stated.

People with a bad back or shoulder should also consider skipping the hard workout. If your health care provider advises so, try another, less taxing sport, such as golf, or just take a walk around the neighborhood.

On game day, a good warm-up is a must, the doctor advised. Gone are the recommendations for static stretches, like touching your toes. Instead, look into dynamic warm-ups. You’ll see high school and college athletes take this approach in the minutes before a game.

“They’ll do a series of movements, such as skipping or twisting exercises,” Dr. Murphy explained. “The idea is you’re firing all your muscle groups and getting the blood flowing to those muscles so they’re not more prone to injury when you start to compete.”

Wear proper clothing, too. A knee or ankle brace may be part of the attire, as advised by a provider. But then remember – it’s a game. You’re there to have fun.

“Going for every point like it’s the final at Wimbledon isn’t a good idea,” Dr. Murphy joked. “It’s meant to be for exercise and enjoyment. There’s nothing less enjoyable than a torn Achilles tendon or a low back strain,” he added.

After a pickleball game, Dr. Murphy advised not to jump right in the car. Take a short walk as a cool-down.

If you are injured, go to an urgent care for minor things like abrasions, strains, and sprains. A call to 9-1-1 is needed for more serious concerns, including chest pain, shortness of breath, a head or eye injury, broken bone, dislocated joint, a major wound or sudden dizziness, weakness or loss or balance. Choose an ambulance over driving yourself to the hospital. Seconds matter, and the ambulance can begin treating you at the scene.

“Don’t ignore things,” Dr. Murphy also advised. “If you tweak your shoulder playing pickleball, get it checked out. There’s no reason not to. Get a quick x-ray and physical exam. Doctors can tell you, ‘you just strained a muscle group’ or it might be more serious. But you want to know before you do more damage by continuing to participate.”

Your provider will come up with a treatment and recovery plan, and you may be back on the court in a week or several months, depending on the ailment. But don’t push yourself to return and risk re-injury.

Dr. Murphy is quick to point out an omission in the UBS report on pickleball medical costs. It’s one that drives home a key message, like a shot to the opposite court.

“People who are active are saving millions of dollars in medical costs by not having diabetes, heart attacks, or high blood pressure,” Dr. Murphy said.

In other words: be mindful of injury risks, but stay active as you age. Read more about orthopedic care on the OSF HealthCare website.