Padel shoulder refers to pain or discomfort in the shoulder, often caused by repetitive overhead motions, intense serves, and smashes. Like Swimmer’s shoulder, Padel shoulder is a result of overuse, poor technique, or improper conditioning. The main muscles involved in padel are the rotator cuff, deltoid, and the muscles that stabilize the shoulder blade, all of which can be affected by the movements during the sport.

Causes of Shoulder Injuries from Padel
- Overuse and Repetitive Movements: Padel requires rapid shoulder rotation, especially during serves, smashes, and backhands. Repeating these motions without adequate recovery can lead to microtears in the tendons or muscles of the shoulder, resulting in inflammation and pain.
- Incorrect Technique: Players who do not use proper form when executing shots are more likely to stress the shoulder joint and its surrounding muscles. Incorrect posture during serves or smashes can increase the risk of shoulder injuries, especially when players rely heavily on their arm rather than their entire body for power.
- Lack of Warm-up and Flexibility: Jumping into a game without a proper warm-up can lead to muscle stiffness and a higher risk of injury. Flexibility and mobility of the shoulder joint are crucial for preventing strains or tears.
- Poor Strength and Conditioning: Weakness in the shoulder muscles and the muscles surrounding the scapula (shoulder blade) can lead to instability in the shoulder, making it more prone to injury. Strengthening the rotator cuff and the surrounding muscles is essential for injury prevention.

Symptoms of Padel Shoulder
Common symptoms include:
- Sharp or aching pain in the shoulder during or after playing
- Decreased range of motion or stiffness
- Weakness in the shoulder or difficulty lifting the arm
- Tenderness around the rotator cuff or shoulder blade
- Pain when reaching overhead or behind the back
Preventing Padel Shoulder Injuries
- Proper Warm-Up and Stretching
- A proper warm-up increases blood flow to the muscles and improves flexibility, which is crucial for injury prevention. Focus on dynamic stretches that activate the shoulder muscles, such as arm circles, shoulder rolls, and gentle dynamic stretches.
- Correct Technique
- Learning the correct form from a coach or physical therapist can prevent improper movements that lead to strain. Ensure that your body, rather than just your arm, is generating power during smashes or serves.
- Strengthening Exercises
- Incorporating shoulder exercises to strengthen the rotator cuff and scapular muscles can significantly reduce the risk of injury. Some effective exercises include external rotations, scapular push-ups, and shoulder presses.
- Cross-Training
- Engage in activities that improve overall shoulder stability, such as swimming or yoga, which promote flexibility and strength.
- Rest and Recovery
- Allow adequate rest between sessions to give the shoulder time to recover. If you experience pain, don’t push through it, as overuse can lead to chronic injuries.

Treatment for Shoulder Injuries
Rest and Ice, if you experience shoulder pain after playing, rest is essential and by applying ice to the affected area for 15-20 minutes can help reduce inflammation. Physiotherapy can guide you through a rehabilitation program, focusing on strengthening the rotator cuff and improving shoulder mobility. Manual therapy techniques, such as soft tissue release, may also be used to relieve pain and tightness.
Here at Nottingham physio, we offer shockwave therapy which can be beneficial for pain management and fast recovery. Anti-inflammatory medication can also be used for short term benefits however this isn’t a long-term solution. Other treatment such as corticosteroid injections and surgery may be needed for serious cases however this is a last resort after everything about has been tried.
Conclusion
Padel shoulder, like other sports-related injuries, can be effectively managed with the right combination of prevention, technique, and recovery strategies. By focusing on proper warm-ups, strengthening exercises, and ensuring correct form, players can enjoy the sport while minimising their risk of injury. Always remember that if shoulder pain persists, seeking professional advice from a healthcare provider is essential to avoid long-term damage.
Whether you’re an experienced player or just getting started, taking care of your shoulders will ensure that you can enjoy the sport of padel for years to come!
References
- Wilder, M., et al. (2018). Shoulder Injuries in Tennis Players: A Review of the Literature. Journal of Shoulder and Elbow Surgery. This study examines the biomechanics of shoulder injuries in racquet sports and the importance of preventive exercises and training.
- Khan, K., et al. (2016). The Role of Rotator Cuff Strength in Shoulder Injury Prevention. Sports Medicine. This article discusses the role of rotator cuff strengthening in preventing shoulder injuries in overhead athletes.
- Buchbinder, R., et al. (2017). Management of Shoulder Injuries in Overhead Athletes. The British Journal of Sports Medicine. This paper provides evidence-based recommendations for managing shoulder pain in athletes involved in overhead sports.
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