Tennis is invigorating, but its repetitive motions and quick changes in direction can leave players vulnerable to injury. This article highlights the five most frequent tennis injuries and provides proactive strategies to help you stay on the court strong, healthy, and injury-free.
5 Common Tennis Injuries and How to Prevent Them

Tennis is a physically demanding sport that requires speed, agility, power, and precision. While it offers excellent cardiovascular benefits and improves coordination, it also places repetitive stress on muscles, joints, and tendons especially in the upper body. As a result, injuries are not uncommon, particularly among recreational players who may lack proper technique, conditioning, or warm-up routines.
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The most frequent tennis-related injuries are often caused by overuse rather than trauma. These can gradually develop over time due to poor stroke mechanics, inadequate rest, or using inappropriate equipment (like the wrong racket or string tension). Even professional players at the highest level face these challenges, which is why preventive care, proper training, and body awareness are essential parts of every tennis player’s regimen.
The five most common tennis injuries, their symptoms, and most importantly how to prevent them from disrupting your game:
1. Tennis Elbow (Lateral Epicondylitis)
Pain and tenderness on the outer elbow, often caused by repetitive wrist motions and poor technique particularly common among beginners who lean heavily on arm movement rather than full-body technique.
Prevention: Use an appropriately weighted racket with the correct grip size, and practice proper stroke mechanics. Strengthen forearm muscles with resistance bands or light weights.
2. Rotator Cuff Tendonitis and Shoulder Injuries
Overuse during serves and overhead shots can lead to rotator cuff strain, shoulder impingement, or labral tears. Shoulder instability increases as players rely on shoulder muscles instead of core and scapular support.
Prevention: Warm up and stretch before play. Perform external rotation and scapular stability exercises. Strengthening the core and shoulders helps improve control and reduce stress on the joints.
3. Ankle Sprains and Lower Limb Injuries
Overview: Rapid lateral movements and quick starts/stops put significant stress on the ankles and knees. These are among the most prevalent injuries, particularly at all levels of play.
Prevention: Wear properly fitted tennis shoes with lateral support, and incorporate balance and proprioception drills into your routine to improve joint stability.
4. Wrist Tendonitis
Wrist injuries arise from excessive wrist action or poorly executed strokes, leading to tendon inflammation and discomfort on either side of the wrist.
Prevention: Work with a coach to refine your stroke mechanics. Use rackets with proper grip size, tension, and weight to reduce strain. Additionally, strengthen wrist and forearm muscles through targeted exercises.
5. Jumper’s Knee (Patellar Tendonitis)
Continuous jumping and abrupt directional changes strain the patellar tendon, often causing pain around or under the kneecap especially common during serves and high-impact rallies.
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Prevention: Warm up thoroughly, strengthen the quadriceps and hamstrings, and add flexibility exercises to your regimen. Wearing proper footwear with good cushioning also helps disperse impact forces.
Additional Tips & Summary Table
Injury Type | Prevention Tips |
---|---|
Tennis Elbow | Correct grip, forearm strength, sound mechanics |
Shoulder / Rotator Cuff | Warm-up, shoulder strengthening, good serving technique |
Ankle & Knee Injuries | Supportive shoes, balance drills, lower-body strengthening |
Wrist Tendonitis | Proper grip/racket, wrist strength, refined technique |
Jumper’s Knee | Leg conditioning, flexibility, cushioned footwear |
Maintaining a proactive injury prevention routine, warming up properly, and refining your technique are keys to a long, injury-free tennis journey. Want a “warm-up routine” article or video guide next? Just say the word!