Common Tennis Injuries and How to Prevent Them

Tennis is a relatively safe sport, but like any physical activity, it carries injury risks. Most common tennis injuries are preventable through proper technique, conditioning, and sensible training practices. Understanding these injuries helps you stay healthy and enjoy the game longer.
Tennis Elbow (Lateral Epicondylitis)
This is the most common tennis injury, despite its name affecting non-tennis players too. It's inflammation of the tendons on the outside of the elbow, usually caused by repetitive strain or poor technique. Prevention includes using proper backhand technique, ensuring your racket isn't too heavy, and maintaining good forearm strength. If pain develops, rest and ice help; persistent pain warrants physiotherapy.
Rotator Cuff Strain
The rotator cuff muscles stabilise your shoulder during the serving motion. Overuse or poor technique can strain these muscles. Prevent injury by warming up properly, using a smooth serving motion, and avoiding serving when fatigued. Shoulder-strengthening exercises are valuable preventative work.
Ankle Sprains
Tennis involves quick lateral movements that can twist ankles. Proper footwear with good ankle support is essential. Strengthen your ankles with balance exercises and calf raises. Warm up thoroughly before playing, and stop immediately if you feel ankle pain.
Knee Issues
Knee injuries result from repetitive stress or sudden changes in direction. Build leg strength through squats and lunges. Ensure you're using proper footwork and not overstressing your knees. If knee pain develops, rest and seek professional advice rather than pushing through.
Muscle Strains
Hamstring and calf strains happen when muscles aren't properly warmed up or when you're fatigued. Always perform a thorough warm-up before playing, including dynamic stretches and light practice shots. Cool down and stretch after playing too.
Prevention Strategies
- Warm up properly for at least 10 minutes before every session
- Cool down and stretch after playing, holding stretches for 30 seconds
- Build strength with regular conditioning exercises targeting legs, core, and shoulders
- Use proper technique—take coaching if you're developing bad habits
- Progress gradually when increasing training intensity or frequency
- Wear appropriate shoes designed for tennis courts
- Listen to your body—rest when fatigued or painful
When to Seek Help
If pain persists beyond a few days, affects your movement, or worsens during play, see a physiotherapist or doctor. Early intervention prevents minor injuries becoming chronic problems.
Tennis should be enjoyable. With sensible injury prevention, you'll stay healthy and play for years to come.