Padel courts are filling up across Spain and players are racking up matches. That popularity comes with a downside. A marked rise in elbow and shoulder complaints among regular players. Research across Europe consistently lists the elbow and shoulder among the most frequently injured areas in padel, with tendons the tissue most often affected. Incidence estimates hover around 3 injuries per 1,000 hours of training and 8 per 1,000 matches.
Why padel overloads the elbow and shoulder
- Wrist-led, high-volume shots load the wrist extensors and provoke classic “tennis elbow” (lateral elbow tendinopathy).
- Overheads and smashes stress the rotator cuff and subacromial space, especially when you lose scapular control late in sets.
- Load spikes—extra leagues or tournaments—outpace tissue capacity and inflame tendons.
- Technique and kit (grip size, racket balance, string tension, ball speed) amplify or reduce joint stress.
The most common presentations
- Padel Elbow: Pain on the outer elbow when you grip, block or drive backhands.
- Subacromial shoulder pain / rotator cuff tendinopathy: Pain with overheads, reaching and sleeping on the affected side.
- Neck/upper-back tightness: Protective guarding when the shoulder flares.
How our physiotherapy and chiropractic treatment help
1. Assess precisely
We test grip, wrist and elbow strength, provoke the tendon to confirm the source and measure shoulder range, rotator-cuff strength and scapular control under load.
2. Manage load and train smart
We start with isometrics to settle pain, then progress to eccentric/concentric work and finally heavy/slow resistance as you tolerate it.
3. Add hands-on options that support rehab
We use manual therapy for the elbow, shoulder and thoracic spine to ease pain and improve range so you can train properly.
When to book an assessment
- Pain that persists beyond 10–14 days despite sensible self-care.
- Night pain, noticeable weakness or restricted overhead range.
- Sudden pain after a fall or a sharp “pop”.