Pickleball is one of the fastest-growing sports in America, and emergency rooms are seeing the results. Dr. Frederick Azar, orthopaedic sports medicine surgeon at Campbell Clinic, returns to share what the clinic’s ongoing pickleball injury survey is showing, now with close to a thousand participants, and how it compares to the team’s original 2024 study. We talk about who’s getting hurt and why players over 60 are most at risk. Dr. Azar explains why most injuries come from sudden changes in direction and lunging, why women are more likely to suffer wrist fractures, and the classic Achilles rupture story he sees again and again. He also covers how pickleball compares to tennis, the right shoes to wear, how recovery changes as we age, and the biggest misconception about the game. His bottom line: pickleball can be one of the best sports for healthy aging, but it’s a sport, not just a social activity. Prepare your body, build up gradually, and know your bone health. Dr. Azar is a past president of the American Academy of Orthopaedic Surgeons and a co-editor of Campbell’s Operative Orthopaedics.