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Tennis, like golf, is an activity enjoyed by men and women, children, professional athletes and even retirees. With such a wide range of participants, it is no surprise that the repetitive motions associated with swinging a tennis racquet can cause injury. Performing the same activities over an over again can cause wear and tear on the structures of the body most active in playing a game of tennis.

Tennis players are typically prone to injuries that affect the upper extremity, associated with swinging the racquet; and the lower extremity, associated with running back and forth on the court, while stopping and starting abruptly. Tennis injuries often affect the shoulders, elbows, wrists, knees, ankles and foot. The most common tennis injuries include sprains, strains, tendonitis, bursitis, instability, dislocations, tears and ruptures.


  • Overuse is the primary factor for most shoulder, elbow, and wrist injuries in tennis.
  • Over two thirds of tennis injuries are related to overuse, but the remaining injuries are due to acute or traumatic events.
  • Rapidly increasing training for young players can result in stress fractures in the leg, ankle, or foot.

Risk Factors

There are intrinsic and extrinsic risk factors for injury. Intrinsic factors are a child’s individual musculoskeletal issues, which can include skeletal immaturity (bones and joints that are still developing) or muscle weakness. Extrinsic factors are the environment in which an athlete performs, which can include the level of competition: how much, how hard and how long play lasts.

Other common risk factors for tennis injuries include:

  • Poor warm-up
  • Poor fitting equipment
  • Poor conditioning
  • Poor technique

Prevention and Performance

The majority of tennis-related injuries are overuse injuries caused by the repetitive strain placed on the body by completing motions over and over. Because of this, improper swing mechanics play a large role on the development of tennis injuries.

Other ways to avoid injury include:

  • Strengthening of the muscles of the shoulder, elbow, wrist, and hand will help decrease the risk of upper extremity injuries.
  • Proper grip size, racket tension, and overall fit of racket to player.
  • Proper technique improves performance but also will lower the chance of injury.
  • A warm-up designed by a sports health professional should be included prior to practice or play.
  • A sports health professional like a sports physical therapist can design and implement a conditioning program to keep the athlete playing and not sitting out rehabilitating an injured body part.
  • Proper footwear should be worn to decrease the number of knee, ankle and foot injuries


  • Did you know that a sign of a serious shoulder injury is inability to sleep? This occurs are a result of shoulder pain. If a player is unable to sleep due to shoulder pain, a sports health professional like a sports physical therapist should be consulted.
  • Did you know that stress fractures are more common in young tennis players than professional players?
  • Did you know that studies have shown up to 20% of young players will sustain stress fractures as opposed to 7% of professional tennis players?
  • Did you know if you are concerned with an injury you should consult a sports health professional like a sports physical therapist for guidance?

Common Conditions

  • Tennis elbow (lateral epicondylitis)
  • Wrist strains and sprains
  • Wrist tendinopathy
  • Ankle sprains
  • Knee sprains
  • Osgood Schlatter knee injury
  • Shoulder instability
  • Rotator cuff impingement
  • Shoulder strains and sprains
  • Low back strains and sprains
  • Knee sprains
  • Shoulder bursitis
  • Stress fractures
  • Hamstring strains
  • Quadriceps strains
  • Groin strains
  • Thigh strains
  • Calf strain (gastrocnemius, soleus strain)
  • Achilles tendon strain, rupture, tear
  • Plantar fasciitis
  • Heel spur

Schedule an

After submitting the form, a Twin Boro specialist will contact you within 24-48 hours to discuss your symptoms and schedule your evaluation appointment.

After submitting the form, a Twin Boro specialist will contact you within 24-48 hours to discuss your symptoms and schedule your evaluation appointment.

Learn More About Tennis Injuries

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