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Home»News»The Most Preventable Pickleball Injury Is Also the Most Common
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The Most Preventable Pickleball Injury Is Also the Most Common

December 5, 2025Updated:December 5, 2025No Comments4 Mins Read
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Let’s talk about something no one likes to admit:

Falling.

Not slipping up on a serve or missing a volley, we mean actually falling. The kind where your foot catches mid-lunge or your balance gives out during a cut… and the next thing you know, you’re on the ground.

Maybe it’s a rolled ankle.
Maybe it’s a bruised ego.
Maybe it’s a fractured wrist or worse.

It happens more than you think. And it costs more than you realize.

The Most Common Injury in Pickleball? Falling.

According to a massive 10-year analysis of emergency department records, falling is the #1 cause of pickleball injuries— responsible for over 65% of ER visits related to the sport.

Let that sink in.

Not paddles to the face. Not collisions. Not overuse.
Just simple, hard landings from tripping, slipping, or losing balance.

And the injuries that follow? Brutal:

  • Wrist fractures from trying to break the fall

  • Hip and pelvic fractures (especially in players over 60)

  • Head injuries like concussions or contusions

  • Ankle sprains and knee ligament tears

  • Rotator cuff damage from awkward landings

Most players shrug off balance issues. Until they’re in a walking boot.

Why Do So Many Players Fall?

It starts with imbalance.

In the first real-world clinical study of its kind, researchers used hospital-grade motion capture to test balance in pickleball players wearing popular athletic shoes versus SQAIRZ.

The results were clear: players wearing SQAIRZ improved their balance by an average of 15.5%.

That’s the difference between staying upright and going down hard.

Because most falls start when your feet aren’t stable. When your shoes throw off your base, your entire body compensates. That micro-instability travels up the chain, affecting how you plant, pivot, and recover. Over time, it leads to fatigue. In a split second, it leads to a fall.

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And the most common culprit? Running shoes.

They’re comfortable. Broken in. Trusty.
But on a pickleball court? They’re one of the fastest ways to get hurt.

The Problem With Running Shoes

Running shoes are designed for forward motion. They’re tall, soft, and squishy to absorb heel-to-toe impact.

But pickleball is a lateral sport.

You’re shuffling side to side. You’re pivoting. You’re planting and pushing and running shoes weren’t made for any of that.

Here’s what’s working against you:

  • Tall heel lifts push you farther from the court, destabilizing every cut

  • Soft midsoles compress and collapse under lateral force

  • Narrow platforms reduce your base of support

  • Zero lateral reinforcement means every pivot puts your ankle at risk

What feels “bouncy” during a jog becomes a slip hazard the moment you try to stop short or change direction fast.

The True Cost of a Fall

Now zoom out.

In one year, pickleball-related injuries cost Americans $377 million in medical expenses — according to financial analysts at UBS.

That includes:

  • 67,000+ emergency room visits

  • 366,000+ outpatient injury treatments

  • About 80% of these costs coming from urgent care, imaging, and orthopedic specialists

Most of these injuries were not freak accidents.
Just people falling — because their shoes couldn’t keep up.

Most Brands Miss the Mark

Even “court shoes” from big-name brands aren’t always built for pickleball.

Here’s what we found when we compared the XRZ™ against some of the most common footwear worn on-court:

They either compress, slip, or throw off your alignment — and that’s exactly when falls happen.

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How the XRZ™ Stops Falls Before They Start

We built the SQAIRZ XRZ™ Pickleball Shoe for one mission: keep players on their feet.

What Sets XRZ™ Apart:

  • SmartTraction™ Outsole
    Custom grip pattern for court surfaces. No slips, no stutter steps, just confidence.

  • Reinforced Lateral Stability
    Sidewalls and a flared base absorb the torque of every cut and shuffle.

  • Roomy Toe Box
    Lets your toes spread and stabilize — the key to natural balance.

  • NRGFoam™ Midsole + GripSync™ Insole
    Cushioning where you need it. Ground feel where you want it.

  • Lower Profile Geometry
    Keeps you closer to the ground for better control and fewer rolled ankles.

You Can Either Invest in Prevention or Pay the Price Later

Let’s recap:

  • Over 65% of pickleball injuries come from falls

  • Most are caused by unstable footwear

  • The average injury costs thousands

  • XRZ™ costs $159

  • And it’s clinically proven to boost stability

It’s simple: You can either buy the shoe, or fund an ER bill.

The Bottom Line

Falling in pickleball is the injury nobody sees coming. And for thousands of players every year, it’s the difference between playing and sitting out.

You train your footwork.
You stretch. You hydrate.
Don’t let the wrong shoe be what sends you to the sidelines.

Protect your game.
Protect your body.
Play with confidence.

Shop the XRZ™ Pickleball Shoe →

Article Originally Posted Here.

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