How to Treat Pickleball Elbow Effectively

Last Updated on August 9, 2023

Pickleball is a thrilling sport enjoyed by people of all ages and skill levels. However, along with the excitement of the game comes the risk of injuries, and one such common injury is pickleball elbow.

how to treat pickleball elbow

In this comprehensive blog post, we will delve into the details of pickleball elbow, exploring its definition, causes, symptoms, and how to treat pickleball elbow.

Whether you’re a pickleball enthusiast or new to the sport, understanding and managing pickleball elbow is essential for a safe and enjoyable experience on the court.

What is Pickleball Elbow?

Pickleball elbow, also referred to as lateral epicondylitis or tennis elbow, is an overuse injury characterized by pain and inflammation on the outside of the elbow.

This condition typically develops due to repetitive motions, such as swinging the pickleball paddle, leading to strain on the tendons and muscles in the forearm.

Pickleball players frequently experience this injury due to the nature of the game and the repetitive arm movements involved.

Anatomy of the Elbow and Forearm

To understand the impact of pickleball elbow, it’s essential to grasp the anatomy of the elbow and forearm.

The elbow joint consists of bones, tendons, ligaments, and muscles that work together to provide stability and facilitate movement.

In pickleball, the repetitive swinging motion places strain on the tendons that attach to the lateral epicondyle, leading to inflammation and pain.

Causes of Pickleball Elbow

Pickleball elbow is primarily caused by repetitive stress and overuse of the forearm muscles and tendons.

The forceful motions involved in swinging the paddle can create micro-tears in the tendons, resulting in inflammation and pain.

Factors such as improper technique, gripping the paddle too tightly, and using an ill-fitted paddle can also contribute to the development of pickleball elbow.

Symptoms of Pickleball Elbow

The most common symptom of pickleball elbow is pain and tenderness on the outside of the elbow.

This pain may radiate down the forearm and worsen with activities that involve gripping or lifting, such as holding the paddle or performing backhand shots.

Weakness in grip strength is another symptom that pickleball players may experience.

Diagnosing Pickleball Elbow

Diagnosing pickleball elbow typically involves a physical examination by a healthcare professional.

They will assess the affected area, inquire about your symptoms and medical history, and may perform specific tests to rule out other conditions.

In some cases, diagnostic imaging, such as an X-ray or MRI, may be recommended to confirm the diagnosis and assess the extent of the injury.

How to Treat Pickleball Elbow

Treating pickleball elbow, also known as lateral epicondylitis or tennis elbow, involves a combination of self-care measures and medical interventions. Here are some common treatment options that can help alleviate the symptoms and promote healing:

Rest and Activity Modification

Give your elbow adequate rest by avoiding activities that worsen the pain, such as playing pickleball or any other repetitive motions that strain the forearm muscles. Modify your activities to reduce stress on the elbow and allow it to heal.

Ice Therapy

Apply ice to the affected area for 15-20 minutes at a time, several times a day. Ice helps reduce inflammation and numb the area, providing pain relief. Be sure to wrap the ice pack in a thin cloth to protect your skin from direct contact with the ice.

Compression and Elevation

Use a compression bandage or brace to provide support and reduce swelling. Elevate your arm whenever possible to help reduce inflammation.

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

Over-the-counter NSAIDs like ibuprofen or naproxen can help reduce pain and inflammation.

Follow the recommended dosage and consult with a healthcare professional if you have any concerns or medical conditions that may interact with these medications.

Physical Therapy and Exercises

Working with a physical therapist can be highly beneficial for treating pickleball elbow. They can provide specific exercises to stretch and strengthen the forearm muscles, improve flexibility, and reduce strain on the elbow.

These exercises may include wrist curls, forearm pronation/supination, and eccentric strengthening exercises.

Pain Management Modalities

Your healthcare professional may recommend additional pain management modalities such as ultrasound therapy, heat therapy, or transcutaneous electrical nerve stimulation (TENS). These modalities can help alleviate pain and promote healing.

Corticosteroid Injections

In more severe cases of pickleball elbow, your healthcare professional may suggest corticosteroid injections to reduce inflammation and relieve pain. These injections are administered directly into the affected area and can provide significant short-term relief. However, they are typically limited to a few injections due to potential side effects and may not be suitable for everyone.

Surgical Intervention (in rare cases)

Surgery for pickleball elbow is generally considered a last resort when other conservative treatment options have failed to provide relief.

Surgical procedures may involve removing damaged tissue or repairing the tendon.

It’s important to consult with a healthcare professional, such as a doctor or physical therapist, to determine the best treatment approach for your specific case of pickleball elbow.

They can provide a proper diagnosis, recommend appropriate treatment options, and guide you through the recovery process.

Remember to follow their instructions, be patient with your recovery, and gradually return to activities to prevent further injury.

Prevention of Pickleball Elbow

Preventing pickleball elbow starts with practicing proper technique and body mechanics.

This includes maintaining a relaxed grip, using the correct paddle size, and employing proper swing mechanics.

Warming up before playing and engaging in regular conditioning exercises to strengthen the forearm muscles can also help prevent injuries.

Additionally, taking regular breaks, listening to your body’s signals, and gradually increasing intensity and duration can reduce the risk of developing pickleball elbow.


Pickleball elbow is a common injury among pickleball players, but understanding its causes, symptoms, and treatment options is key to managing and preventing it.

By implementing proper technique, practicing injury prevention strategies, and seeking timely treatment, you can minimize the impact of pickleball elbow and continue to enjoy the game with confidence and comfort.

Remember to listen to your body, take care of your muscles, and seek professional advice when needed to ensure a safe and enjoyable pickleball experience.


Can I prevent pickleball elbow?

While it’s not possible to completely prevent pickleball elbow, there are steps you can take to reduce the risk. These include using proper technique, warming up before playing, using appropriate equipment, taking regular breaks, and maintaining overall strength and flexibility through conditioning exercises.

How do I know if I have pickleball elbow?

Pickleball elbow is typically identified by pain and tenderness on the outside of the elbow. You may experience discomfort when gripping the paddle, performing backhands, or any activities that require wrist extension.

When should I seek medical attention for pickleball elbow?

If you experience persistent or severe pain in your elbow, or if the pain interferes with your daily activities, it is advisable to seek medical attention. A healthcare professional can provide a proper diagnosis, recommend appropriate treatment options, and help you manage your condition effectively.

Are there any exercises I can do to help with pickleball elbow?

Yes, certain exercises can help with the recovery and prevention of pickleball elbow. These typically involve stretching and strengthening the forearm muscles and tendons. However, it’s important to consult with a physical therapist or healthcare professional for specific exercises tailored to your condition and needs.

Can pickleball elbow recur?

Yes, pickleball elbow can recur, especially if proper precautions are not taken. To reduce the risk of recurrence, it’s important to continue practicing good technique, using appropriate equipment, and maintaining overall strength and flexibility. Gradual progression of activities and listening to your body’s signals can help prevent re-injury.

Can I continue playing pickleball with pickleball elbow?

It is recommended to rest and avoid activities that worsen the pain when experiencing pickleball elbow. Continuing to play may exacerbate the injury and delay the healing process. It’s important to allow your elbow to rest and recover to prevent further damage.

How long does it take to recover from pickleball elbow?

The recovery time for pickleball elbow varies depending on the severity of the injury and the individual. With proper rest, conservative treatment, and following the guidance of a healthcare professional, most cases of pickleball elbow improve within a few weeks to several months. However, severe or chronic cases may take longer to heal.

Share with friends


Leave a Reply

Your email address will not be published. Required fields are marked *