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Why You’re Sore After Pickleball and What to Do About It

  • Medically Reviewed
  • Last Updated On June 13th, 2026
A woman hits a dink shot while playing pickleball.

Pickleball has become one of the most popular recreational sports in Central Oregon and across the country. Courts are filling up, and players of all ages are logging hours on the paddle. But if you’ve found yourself stiff, achy, or nursing a nagging pain after a session, you’re not alone. The sport involves constant lateral movement, quick stops, lunges, and overhead reaches, all of which place real demand on your muscles, joints, and spine.

At Pangea Chiropractic, we’ve been supporting active Central Oregon residents through sport-related discomfort since 2012. Serving Bend, Redmond, and Sisters, our team has earned recognition as the area’s Best Alternative Health Care Provider for six consecutive years. We take a whole-body approach to recovery, rooted in the belief that the power that made the body heals the body, which means helping your nervous system and musculoskeletal system work together so you can stay in the game.

Why Pickleball Causes Soreness

While pickleball is often considered a lower-impact option compared to tennis or basketball, research tells a different story regarding injury risk. A study published by the National Institutes of Health found that pickleball-related injuries increased nearly 7-fold between 2017 and 2022, with soft-tissue strains and ruptures being the most common injury type. The constant pivoting, twisting, and reaching involved in the game puts real stress on the body, particularly the lower back, knees, ankles, and shoulders.

Post-game soreness is usually the result of several factors. Delayed-onset muscle soreness, often referred to as DOMS, sets in 24 to 48 hours after activity as your muscles repair microtears caused by exertion. However, soreness that persists beyond that window, is localized to a specific joint or area of the spine, or returns after every session, is often a sign that something more is going on. Addressing it early makes a significant difference in how quickly you recover and whether it becomes a chronic issue.

Common Areas Affected By Pickleball

Certain body parts take the brunt of pickleball’s demands. Knowing which areas are most vulnerable may help you take a more proactive approach to recovery.

Here are the areas most commonly affected after a pickleball session:

  • Lower back: The forward-leaning stance, repeated bending, and quick directional changes all strain the lumbar region. Back pain is one of the most common complaints we see in active adults.
  • Knees and ankles: Lunging and lateral shuffling create compressive and shear forces on the knees, while ankle rolls are common during fast stops and pivots. Knee and ankle pain from these movements can linger if underlying instability is not addressed.
  • Shoulders and elbows: Overhead shots, dinking at the net, and repetitive paddle swings can lead to rotator cuff irritation and elbow tendinopathy, both of which require targeted care to resolve.
  • Neck and upper back: Poor posture during play, combined with the overhead reach of smash shots, places strain on the cervical spine and the muscles supporting it.

Each of these areas benefits from a structured recovery approach, not just rest.

What To Do After A Tough Session

Recovery starts immediately after play. Gentle movement and light stretching help flush metabolic byproducts from fatigued muscles, and staying hydrated supports spinal disc health, which relies on fluid to maintain its height and cushioning. Applying ice to acutely inflamed joints during the first 24 hours may help reduce swelling, while heat after that window may promote circulation and muscle relaxation.

If your soreness improves within 48 to 72 hours, you’re likely dealing with normal muscle fatigue. But if joint pain persists, spreads, or presents as sharp and pinpoint, your body is signaling something needs attention. Continuing to push through that type of pain often leads to overuse injuries requiring much longer recovery timelines.

How Chiropractic Care Supports Pickleball Recovery

Chiropractic care for sports injuries addresses the root mechanical causes of discomfort rather than simply managing symptoms. Spinal adjustments restore alignment in the vertebrae that may shift during intense lateral movement, reducing nerve interference and allowing the body to heal more efficiently. Extremity adjustments to the knees, ankles, and shoulders directly address the joints absorbing the most impact during play.

Beyond adjustments, our chiropractic services include soft-tissue work, postural assessment, and guidance on movement mechanics to reduce your risk of injury going forward. Many patients in the Bend area find that consistent chiropractic care not only shortens recovery time but helps them build resilience between sessions, making those post-game mornings a lot easier to manage.

Get Back On The Court With Pangea Chiropractic

Pangea Chiropractic has been helping active people in Bend, Redmond, and Sisters recover from sports injuries and return to doing what they love for over a decade. Our team, including Dr. Brent with his background in sports injuries and extremity adjustments, brings hands-on care that goes well beyond surface-level treatment. We’ve built our reputation on results and have proudly been named Best Alternative Health Care Provider in the area for six consecutive years.

Whether you’re new to pickleball or a regular on the courts, your body deserves support to keep pace with your activity level. If post-game soreness has been holding you back, we’re here to help you address it. Contact us to schedule an appointment and get a care plan built around your goals.

Dr. Andrew Torchio, CEO and Clinic Director at Pangea Chiropractic, wearing professional attire in clinical setting

Medically Reviewed by Dr. Andrew Torchio

This content has been medically reviewed by Dr. Andrew Torchio, founder and clinic director at Pangea Chiropractic in Bend, Oregon. As a respected authority in holistic wellness, Dr. Torchio specializes in creating comprehensive care plans focused on long-term neurological health rather than quick fixes. He leads a team of five doctors at Pangea Chiropractic, where they’ve successfully helped thousands of patients achieve optimal wellness through natural healing methods. Dr. Torchio is recognized for pioneering a family-centered wellness approach, where multiple generations of families receive care at his practice.

The information on this page is for educational purposes only and should not replace professional medical advice. Contact Pangea Chiropractic for diagnosis and treatment recommendations.

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