Pickleball has exploded in popularity, spreading from the U.S. and Europe to Asia, including Malaysia, where badminton is the national sport. This fast-growing game combines elements of badminton, tennis, and table tennis. Its small court, simple rules, and moderate intensity make it a hit with people of all ages.
But as more Malaysians pick up paddles, injuries are becoming a hidden downside. From sudden sprains to chronic tendon problems, many players are learning that fun comes with risks.
Malaysia: A Pickleball Hotspot
According to the Dynamic Universal Pickleball Rating (DUPR), Malaysia is one of the fastest-growing pickleball markets worldwide, ranking just behind the U.S. and Canada in total users. Kuala Lumpur, in particular, has emerged as a hub for pickleball enthusiasts.
The sport first appeared in Sarawak in 2019 and quickly spread to Peninsular Malaysia. Today, there are over 190 pickleball courts in the west of Malaysia, though weekend slots are often fully booked—even if rental fees are higher than badminton courts.
Why Everyone Loves Pickleball
Pickleball attracts young adults, middle-aged players, and even older adults for several reasons:
- Simple Rules & Small Court – Easier to learn than tennis or badminton.
- Moderate Intensity – Less running and fast-paced action make it approachable.
- Social & Fun – A great way to meet friends and stay active.
Because of its lower intensity, middle-aged and older players can enjoy the game while staying fit, making it a perfect sport for all ages.
Common Acute Injuries
Acute injuries happen suddenly, usually from falls, twists, or collisions on the court.
1. Ankle Sprains
The most frequent pickleball injury occurs during quick side-to-side movements or sudden stops and turns. Severe sprains can even result in ankle fractures.
Treatment: R.I.C.E Method
- Rest: Avoid putting weight on the injured foot; use crutches if needed.
- Ice: Apply cold packs to reduce swelling and inflammation.
- Compression: Wrap the ankle with a bandage to stabilize it.
- Elevation: Keep the foot raised to minimize swelling.
Most sprains heal naturally within 1–6 weeks. If pain persists beyond two weeks, see a doctor.
2. Fractures
Older adults with osteoporosis are at higher risk of fractures, especially in the wrist or fingers. Persistent pain or swelling should prompt an X-ray and orthopedic consultation.
Chronic Injuries: Tendon & Joint Problems
Repetitive pickleball movements can cause chronic injuries, which develop over time. Common chronic issues include:
- Wrist Tendonitis: Pain from gripping and swinging the paddle repeatedly.
- Wrist Ligament Injuries: Over-rotation or falls can damage ligaments like the TFCC.
- Tennis Elbow: Pain on the outer elbow from repeated backhand swings.
- Golfer’s Elbow: Pain on the inner elbow from repeated forehand swings.
- Shoulder Pain: Overhead strokes like smashes can inflame shoulder muscles or ligaments.
- Knee Injuries: Squats, jumps, and lateral movements can strain ligaments, muscles, and cartilage.
How to Manage Chronic Injuries
Most chronic injuries, including tendonitis, respond well to non-surgical treatment:
- Rest: Reduce or pause pickleball play to allow healing.
- Ice/Heat Therapy: Ice the first 24–72 hours to reduce swelling, then use heat to promote blood flow.
- Pain Relief: NSAIDs (non-steroidal anti-inflammatory drugs) can ease pain and inflammation.
- Physical Therapy: Ultrasound, infrared therapy, and exercises strengthen muscles, ligaments, and joints.
- Local Steroid Injections: For faster relief if conservative treatment isn’t enough.
- Surgery: Only necessary if symptoms persist after 3–6 months of treatment.
Dr. Ng Eng Seng, orthopedic and hand microsurgery consultant, emphasizes that most injuries can be treated successfully without surgery.
Tips for Safe Pickleball Play
- Warm up and stretch before playing.
- Use proper footwear with ankle support.
- Don’t overdo long sessions, especially if you’re new or returning to exercise.
- Listen to your body – pain is a warning sign.
- Seek professional advice for persistent or severe injuries.
Pickleball is fun, social, and accessible—but safety should always come first. With proper precautions, players of all ages can enjoy the sport while staying injury-free.
