The Burden of Injuries in Padel: A Systematic Synthesis of Risk Factors and Biomechanical Implications

Abstract

Background: To synthesize the recent literature on injuries in padel players, identifying patterns of occurrence, risk factors, and preventive strategies, with a focus on amateurs, youth, and recreational players.
Methods: Thirty studies published between 2014 and 2025 were included, comprising cross-sectional studies, systematic reviews, and biomechanical analyses. Article selection was based on searches in PubMed, ScienceDirect and Google Scholar, using keywords such as “padel”, “injuries” and “musculoskeletal injuries”. Inclusion criteria encompassed studies analyzing musculoskeletal injuries in padel players, while studies involving other sports or lacking injury assessment were excluded.
Results: The prevalence of injuries among amateur players ranged from 40% to 55%, with an average incidence of 3–8 injuries per 1,000 hours of training or matches. Tendinous and muscular injuries were most common, predominantly affecting the shoulder, elbow, knee, and ankle. Risk factors included limited experience, high training volume, inadequate warm-up, psychological load, lifestyle, and specific biomechanical patterns. Sex and age differences were observed, with women more prone to upper limb tendinous injuries and men to muscular and ligament injuries. Imaging techniques and biomechanical analyses were effective in early injury identification and prevention.
Conclusions: Padel carries a significant risk of injury, particularly among amateurs and youth. Preventive strategies should include structured warm-up and strengthening programs, training load monitoring, biomechanical assessment, and attention to psychophysiological factors. Future studies should investigate preventive interventions and longitudinal cohorts to reduce injury incidence in this sport.