Hello,

I am writing to share exciting insights into America’s rapidly growing sporting phenomenon: pickleball. For the third consecutive year, pickleball has been recognized as the fastest-growing sport in the United States. Originating from a creative blend of table tennis, badminton, and tennis on Bainbridge Island near Seattle in 1965, pickleball has captivated millions with its dynamic and accessible gameplay.

Recent statistics from the Association of Pickleball Professionals highlight that there were approximately 36.5 million players nationwide in 2022, and this number has undoubtedly surged since then. The sport’s expansive appeal, however, has led to an increased number of related injuries, impacting healthcare services significantly. These incidents predominantly affect the senior players, who form the core of the pickleball community, with common issues including arm, wrist, and tendon injuries.

Despite being considered gentler on the joints than other racquet sports, the rise in pickleball-related injuries cannot be ignored. This letter aims to delve into the typical injuries associated with pickleball and introduce natural strategies to aid recovery and prevention. Among these strategies, we will explore the benefits of targeted supplements from Standard Process and Mediherb, designed to help enthusiasts recover and continue enjoying the game safely.

Thank you for your attention to this emerging issue, and I look forward to discussing it further with you.

Warm regards,

Dr. Steve Hannegan

Understanding Common Pickleball Injuries

Pickleball can lead to a variety of injuries, including:

• Rotator Cuff Tendinitis
• Pickle Elbow
• Ankle Sprains
• Wrist Fractures
• Jumper’s Knee
• Meniscal Injuries
• Achilles Tendinitis
• Plantar Fasciitis
• Hamstring Strains
• Back Strains
• Bursitis (shoulder or hip)

Each injury has its unique challenges and may affect bones, muscles, ligaments, joints, or even mental acuity. Prevention is key, and incorporating exercises that strengthen the muscles around these areas can help.

Pickle Elbow Prevention

“Pickle elbow” likely refers to an elbow condition similar to “tennis elbow” or “golfer’s elbow,” experienced by pickleball players. It involves pain and inflammation in the elbow joint due to repetitive use, particularly the overuse of muscles and tendons in the forearm, leading to strain and micro-tears at the point where they attach to the elbow bone. For preventing or managing pickle elbow, exercises that focus on strengthening and stretching the forearm muscles are beneficial. These can include wrist curls and extensions, forearm pronation and supination, and elbow flexion and extension exercises. Additionally, exercises that enhance grip strength, like squeezing a tennis ball, can be helpful. Stretching the muscles of the forearm and wrist regularly is also important to maintain flexibility and reduce tension in the area.

Back and Hamstring Muscle Strain

Pickleball can impact the back and hamstrings primarily due to the nature of the game, which involves quick starts and stops, bending, reaching, and occasional lunging movements. These actions can strain the muscles and ligaments in the lower back and hamstrings if one’s body is not properly conditioned or if one engages in excessive play without adequate rest and recovery.

To mitigate these risks, it’s essential to engage in proper warm-up exercises that target the back and hamstrings, maintain good core strength and flexibility, use appropriate technique while playing, and ensure that one has the right footwear to support quick lateral movements.

Fortifying Knees Against the Unhappy Triad

The unhappy triad, also known as the terrible triad or O’Donoghue’s triad, is a severe knee injury. It typically involves damage to three key components of the knee: the anterior cruciate ligament (ACL), medial collateral ligament (MCL), and medial meniscus. Strengthening the muscles around your knee, especially the quadriceps and hamstrings, forms the first line of defense. Targeted exercises enhance stability and absorb shocks that might otherwise harm vulnerable ligaments.

Reach and Overhead Extension with Ligaplex

Aim high and strike with precision! Ligaplex provides the scaffolding for strong shoulders and elbows, essential for those game-winning overhead slams.

When it comes to joint and ligament support, Standard Process’ Ligaplex I and II come into play. Ligaplex I is beneficial for acute issues such as sprains and torn ligaments and includes components such as Manganese B12, Cataplex E, and Ostrophin PMG to support tissue repair and address nutritional deficiencies​​. Ligaplex II is aimed at chronic joint and muscle conditions and contains Cyrofood, Cardiotrophin PMG, Ostrophin PMG, among other ingredients​​.

Ligaplex I from Standard Process is designed to support the body’s normal synthesis processes of connective tissue cartilage, which is crucial for joint health. This supplement is beneficial for conditions like pickle elbow as it supports healthy joints, bone growth, and the synthesis of cartilage.

Extending Boundaries with Betacol and Gota Kola

Pickleball players, listen up! If you’re dealing with stiff, achy joints from all that moving around the court, Betacol could be your new secret weapon.

Betacol is a natural supplement that’s designed to detoxify your liver and flush out built-up toxins and junk that can cause inflammation and calcification in your joints. For many players, this can translate to reduced stiffness and better mobility on the court. The key is Betacol’s “anti-stiffness factor” that comes from raw ingredients like sugar cane juice, cream, and soybeans. This unique compound helps make your joints and muscles feel more flexible and loose.

Many pickleball players with osteoarthritis swear by taking Betacol daily to manage their joint stiffness and swelling, especially before hitting the courts. Some need up to 6 capsules a day when stiffness flares up acutely.

Just keep in mind, when starting Betacol, you may need to begin with just a half capsule daily for the first few days. That’s because this stuff works quickly to clear toxins out of your liver, which can cause some detox reaction if you take too much too soon. After those first few days of acclimatizing, you can increase your dosage to find the right amount to get you moving smoothly and playing your best pickleball.

Mastering the Smash with Gotu Kola

Unleash the power of your smash with Gotu Kola Complex. It’s traditionally used for shortening the healing time of damaged tissues, making it beneficial post-injury​​. Gotu Kola (Centella asiatica) has been studied for its potential benefits in various health-related areas, including muscle repair and skin health. It’s also traditionally used to enhance memory and cognitive function. The therapeutic properties of Gotu Kola and its triterpenes, such as asiaticoside and madecassoside, have been examined for their effects on neurological, ligament, muscle and skin issues.

However, we note that high-quality human studies are still lacking to confirm many of the traditional uses. More research is still needed on optimal dosages and efficacy.

Stay Sharp on the Court: Bacopa and Ginkgo

To keep a sharp mind on the court that is focused, Bacopa Complex and Ginkgo Forte from MediHerb offer two main cognitive benefits. Bacopa Complex is particularly good for memory retention, making it suitable for long-term memory support, while Ginkgo Forte is known to aid short-term memory​​​​.

MediHerb’s Bacopa Complex and Ginkgo Forte are herbal supplements formulated to support cognitive function and mental clarity. Bacopa Complex combines Bacopa, Schisandra, Eleuthero, and Rosemary, known for their neuroprotective properties and support of memory, learning, and concentration.

Ginkgo Forte contains Ginkgo biloba, which is traditionally used to improve blood circulation, particularly to the brain, enhancing cognitive function, memory, and attention span. Both supplements aim to support brain health and cognitive performance.

Addressing Inflammation with Turmeric Forte and Boswellia Complex

Exercise-induced pain and inflammation can be tackled with Turmeric Forte, which includes fenugreek seed powder to enhance the bioavailability of curcumin, providing a more lasting effect​​.

In a detailed study with 24 professional male soccer players, the impact of turmeric supplementation on post-match recovery was assessed. Participants, divided into a turmeric group and a control group, underwent evaluations of soreness, inflammation markers, and performance metrics post-competition. Turmeric intake was linked to reduced leg and whole-body soreness and lower levels of the inflammation marker C-reactive protein. This study underscores turmeric’s potential in alleviating post-match inflammation and soreness in professional athletes.

MediHerb’s Boswellia Complex is designed to support healthy joint function and contains a blend of herbs known for their beneficial properties. The primary ingredients in Boswellia Complex are:

• Boswellia (Boswellia serrata) gum oleoresin extract – Known for its triterpene acids, particularly boswellic acids, which are believed to contribute to the herb’s anti-inflammatory properties.
• Celery Seed (Apium graveolens) fruit extract – Used for its potential anti-inflammatory and antioxidant effects, and to support healthy circulation and kidney function.
• Ginger (Zingiber officinale) rhizome extract – Included for its anti-inflammatory and antioxidant effects, and to help reduce muscle spasms and joint pain.
• Turmeric (Curcuma longa) rhizome extract – Contains curcuminoids, compounds that have been studied for their anti-inflammatory and antioxidant properties.

These components work synergistically to maintain and support healthy joints, provide antioxidant activity, and support the normal function of the kidneys. The Boswellia component in the complex is standardized to contain 180 mg of boswellic acids per tablet, and the Turmeric component contains 70.4 mg of curcuminoids per tablet, ensuring a consistent and effective dose of these active compounds in each tablet.

The Anti-Inflammatory Diet Approach

An anti-inflammatory diet emphasizes nutrient-dense plant foods like leafy greens, cruciferous and colorful vegetables, berries, cherries, avocados, olive oil, nuts, seeds, and fatty fish. These foods are rich in antioxidants, healthy fats, and compounds that help combat inflammation. Vegetables like tomatoes, onions, and garlic, as well as spices such as turmeric and ginger, also have anti-inflammatory properties. Bone broth, made by simmering animal bones and connective tissue, provides amino acids, collagen, and minerals that can reduce inflammation.

In addition to incorporating these anti-inflammatory foods, the diet recommends limiting or avoiding processed items, fried foods, added sugars, refined carbs, and red meat. Whole grains like quinoa and brown rice, legumes like lentils and chickpeas, and beverages like green tea can also be included as part of an anti-inflammatory eating pattern.

Top Picks for Injury-Preventing Pickleball Gear

For pickleball, choosing the right footwear, braces, and bands can significantly impact your performance and reduce the risk of injury.

Here’s what to look for starting with footwear for pickleball:

• Look for shoes specifically designed for court sports (tennis, volleyball, or badminton shoes can be a good fit). These shoes typically provide the necessary lateral support needed for the side-to-side movements common in pickleball.
• The sole should offer good grip to prevent slipping on the court surface, reducing the risk of falls and ankle sprains.
• Adequate cushioning in the midsole helps absorb impact, reducing stress on the knees, ankles, and back during play.
• Shoes should offer stability to prevent excessive movement of the foot inside the shoe, reducing the risk of ankle rolling and other foot injuries.

Braces and Bands for Pickleball:

• If you have a history of ankle injuries or feel you need extra support, consider wearing an ankle brace. A brace that offers both compression and stabilization is ideal, but make sure it fits comfortably within your shoe and does not restrict your range of motion excessively.
• For those with knee issues or previous injuries, a knee brace or support can provide additional stability and compression. Patellar straps can be particularly helpful for players with jumper’s knee (patellar tendinitis).
• Wristbands or wraps can provide support for players who have a history of wrist injuries or who experience wrist pain during play. They can also help absorb sweat, which can keep your grip on the paddle more secure.

Conclusion

Pickleball has rapidly grown in popularity, leading to an increase in sports-related injuries like rotator cuff tendinitis, ankle sprains, knee issues, and more. While proper form and conditioning are important for prevention, natural supplements can aid in recovery when injuries do occur. Our office loves this low-impact sport and want you to properly stretch and supplement to avoid costly injuries. Let us know if you have any questions!

Stay safe and keep swinging, pickleball pals!

Disclaimer: This blog post is intended for educational and inspirational purposes only, focusing on pickleball-related health and wellness. It should not be considered a substitute for professional medical advice. For personalized health guidance, please consult with healthcare professionals who can offer expert advice tailored to your specific health needs. This will ensure that any health decisions you make are informed and appropriate for your individual circumstances. Professional consultation is especially crucial for managing your health effectively.

Helpful Links and References

Rossen, J. (2023, July 6). Pickle Pain: Rising Pickleball Injuries Could Result in 67,000 ER Visits This Year. Mental Floss. https://www.mentalfloss.com/posts/pickleball-injuries-rising

UC San Diego Health. (n.d.). As Pickleball’s Popularity Surges, Injuries Are Also on the Rise. Today at UC San Diego. https://today.ucsd.edu

Frontiers. (2020). Therapeutic Potential of Centella asiatica and Its Triterpenes: A Review. Frontiers in Pharmacology, 11. Retrieved from https://www.frontiersin.org/articles/10.3389/fphar.2020.568032/full

ChatGPT, OpenAI. (2024). Discussion on Natural Healthcare and Supplement Use for Athletes.

Claude, Anthropic. (2024). Discussion on Betacol, Joint Stiffness and Footwear Tone.

Clayton DJ, Burbeary R, Hennis PJ, James RM, Saward C, Colledge A, Scott R, Gilpin S, McMahon R, Varley I. Turmeric supplementation improves markers of recovery in elite male footballers: a pilot study. Front Nutr. 2023 May 24;10:1175622. doi: 10.3389/fnut.2023.1175622. PMID: 37293669; PMCID: PMC10244580.

Frontiers. (2021). Pharmacological attributes of Bacopa monnieri extract: Current updates and clinical manifestation. Frontiers in Pharmacology. Front. Nutr., 18 August 2022 Sec. Food Chemistry Volume 9 – 2022 | https://doi.org/10.3389/fnut.2022.972379

MediHerb. (n.d.). Clinical Trials – MediHerb. Retrieved from https://www.mediherb.co.uk/clinical-trials/