Corrective Exercise

Ace Your Pickleball Game: Preventing and Managing Tennis Elbow

June 12, 2024 R3 Coaching Team 0Comment

Pickleball is an exhilarating sport that blends the best of tennis, badminton, and ping-pong, gaining immense popularity among people of all ages. However, with this surge in enthusiasm comes the rise of a common ailment among players: tennis elbow. Characterized by pain and tenderness around the elbow, this condition can severely impact your game and daily activities. Fear not, for there are several strategies to prevent and manage tennis elbow, allowing you to stay on top of your game.

Understanding Tennis Elbow

Tennis elbow, or lateral epicondylitis, is an overuse injury affecting the tendons that join the forearm muscles on the outside of the elbow. Repetitive motions, such as those in pickleball, can cause tiny tears in these tendons, leading to pain and inflammation.

Prevention: Exercises and Warm-Ups

1. Wrist Extensor Stretch

  • Extend your arm straight in front of you with your palm facing down.
  • Use your other hand to gently pull your fingers back toward your body.
  • Hold for 15-30 seconds and repeat 2-3 times on each arm.

2. Forearm Pronation and Supination

  • Hold a light dumbbell or a small weight.
  • Rotate your forearm so your palm faces up, then down.
  • Perform 2-3 sets of 10-15 repetitions on each arm.

3. Tyler Twist Exercise

  • Use a flexible bar or rolled-up towel.
  • Grasp both ends and twist in opposite directions.
  • Perform 2-3 sets of 10-15 repetitions.

4. Eccentric Wrist Flexor Exercise

  • Hold a light dumbbell with your palm facing up.
  • Slowly lower the weight, allowing your wrist to extend fully.
  • Perform 2-3 sets of 10-15 repetitions on each arm.

Warm-Up Routine

  • Dynamic Stretches: Engage in arm circles, shoulder rolls, and gentle swings to warm up your muscles.
  • Light Cardio: A few minutes of brisk walking or jogging to increase blood flow.
  • Shadow Pickleball: Mimic pickleball movements without the ball to prepare your muscles and joints for the game.

Nutritional Support

1. Anti-Inflammatory Foods

  • Omega-3 Fatty Acids: Found in fish, flaxseeds, and walnuts, omega-3s can reduce inflammation.
  • Turmeric: Contains curcumin, a potent anti-inflammatory compound.
  • Leafy Greens: Spinach, kale, and other greens are rich in antioxidants.

2. Hydration

  • Proper hydration is essential for maintaining muscle and joint health. Aim for at least 8 glasses of water a day, more if you’re active.

3. Protein-Rich Diet

  • Protein helps repair and build muscles. Include lean meats, legumes, and dairy in your diet.

Managing Pain and Inflammation

1. Rest and Ice

  • Rest the affected arm and apply ice for 15-20 minutes several times a day to reduce pain and swelling.

2. Compression and Elevation

  • Use a compression bandage to support the elbow and elevate the arm to decrease swelling.

3. Topical Analgesics

  • Creams containing menthol or capsaicin can provide temporary pain relief.

4. Physical Therapy

  • A physical therapist can design a personalized exercise program to strengthen your forearm muscles and reduce strain on the elbow.

Equipment Adjustments

1. Proper Paddle Grip

  • Ensure your paddle grip is not too small or too large. A proper grip size can reduce the strain on your forearm muscles.

2. Lightweight Paddle

  • A lighter paddle can decrease the stress on your tendons during play.

3. Correct Technique

  • Focus on using your entire body for power rather than just your arm. Proper technique can prevent overuse injuries.


Preventing and managing tennis elbow in pickleball requires a holistic approach involving exercises, proper warm-ups, nutritional support, and pain management strategies. By incorporating these tips into your routine, you can enjoy the game while keeping your elbows healthy and pain-free.

Remember, consistency is key. Regularly performing these exercises and maintaining a balanced diet can make a significant difference in your overall well-being and performance on the court. Stay proactive, listen to your body, and consult a healthcare professional if you experience persistent pain.


  1. Mayo Clinic. (2023). Tennis Elbow. Retrieved from Mayo Clinic
  2. American Physical Therapy Association. (2023). Exercises to Prevent and Treat Tennis Elbow. Retrieved from APTA
  3. Harvard Health Publishing. (2023). Anti-inflammatory Diet: Foods that Help Reduce Inflammation. Retrieved from Harvard Health

By following these guidelines, you’ll be well-equipped to ace your pickleball game without the worry of tennis elbow holding you back!

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