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Returning to Pickleball After Joint Replacement: What the Research Says

Pickleball, a sport combining elements of tennis, badminton, and ping-pong, has rapidly gained popularity, especially among individuals aged 55 and older. Its appeal lies in being a low-impact activity that promotes social interaction and physical fitness. Recent research suggests seniors who engage in pickleball may experience enhanced recovery following joint replacement surgeries

The promising study from the University of California-Davis study indicates that a significant majority of regular pickleball players successfully return to the sport following knee or hip replacements, often resuming play within months and at performance levels comparable to or better than before their surgeries. ​

Study Highlights

Conducted by Dr. Adam Taylor, Assistant Professor of Clinical Orthopedic Surgery at UC Davis, the study surveyed nearly 1,300 patients who underwent joint replacement between 2014 and 2023, with an average age of 67. Key findings include:​

  • High Return-to-Play Rate: Approximately 72% of those who played pickleball within two years prior to surgery returned to the court postoperatively. ​
  • Swift Resumption: About 44% of returning pickleball players resumed play within four to six months after surgery, a rate higher than that observed in tennis players (36%) and other racquet sport participants (39%). ​
  • Maintained or Improved Performance: Notably, 77% of pickleball players reported playing at the same or higher skill level compared to their pre-surgery performance. ​

Implications for Senior Pickleball Players

These findings suggest that seniors undergoing joint replacement can anticipate a favorable return to pickleball, benefiting from the sport’s moderate physical demands and social engagement. Pickleball’s smaller court and less intense movements make it particularly suitable for individuals recovering from joint surgery. ​

Recommendations for a Safe Return

Healthcare professionals emphasize the importance of a cautious and structured approach when resuming pickleball after joint replacement:​

  • Consult Healthcare Providers: Obtain clearance from your orthopedic surgeon and physical therapist before returning to play.​
  • Gradual Reintegration: Begin with less demanding activities, such as doubles matches, to minimize joint stress.​
  • Strength and Conditioning: Engage in targeted exercises to enhance muscle strength and joint stability, supporting overall performance and reducing injury risk.​

Final Thoughts

The UC Davis study offers encouraging evidence for senior pickleball players considering or recovering from joint replacement surgery. With appropriate medical guidance and a gradual return to activity, many can look forward to enjoying the physical and social benefits of pickleball post-surgery. Always prioritize safety and consult with healthcare professionals to tailor a recovery plan suited to your individual needs.​

References

  1. UPI Health News. (2025, March 12). Pickleball players bounce back after joint replacement: Study. Retrieved from https://www.upi.com/Health_News/2025/03/12/pickleball-players-joint-replacement/6961741792467

Hospital for Special Surgery (HSS). (n.d.). Can you play pickleball after a knee or hip replacement? Retrieved from https://www.hss.edu/article_pickleball-after-knee-hip-replacement.asp

About the Author:

Dr. Brian Cole, MD, MBA - Orthopedic Sports Medicine Surgeon

Dr. Brian Cole is a board-certified orthopedic surgeon specializing in sports medicine and cartilage restoration at Midwest Orthopaedics at Rush. He serves as Managing Partner, Acting Department Chair, and Professor at Rush University Medical Center.

 

Credentials & Recognition

Dr. Cole earned his MD and MBA from the University of Chicago and completed his residency at the Hospital for Special Surgery. He was awarded the 2025 OREF Clinical Research Award and 2025 Golden GOAT Award for lifetime contributions to sports medicine. He's been listed in Best Doctors in America since 2004 and featured in Newsweek's 2025 Leading Doctors.

Clinical Expertise

Dr. Cole treats knee, shoulder, and elbow injuries using advanced cartilage restoration and orthobiologic techniques. He has published over 1,000 articles on orthopedic surgery and serves as team physician for the Chicago Bulls and Chicago White Sox.

Medical Disclaimer: This information is for educational purposes only and does not constitute medical advice. For diagnosis and treatment recommendations, please consult with Dr. Cole or another qualified orthopedic specialist at Midwest Orthopaedics at Rush.

Content authored by Dr. Brian Cole and verified against official sources.