Badminton, Tennis and Squash: Shoulder and Elbow Pain

Badminton is close to a national sport here, and along with tennis, squash and padel it produces a predictable set of complaints: the shoulder, the elbow, and for badminton in particular the knee and ankle from all that lunging.

Most of it is overload rather than injury, which changes what helps.

The elbow

Pain on the outside of the elbow is tennis elbow; on the inside, golfer’s elbow. Racquet players get both, and after a few weeks neither is really inflammation, which is why rest and ice disappoint.

What tends to bring it on:

  • a grip too small or too large,
  • strings strung too tight,
  • a heavier racquet than you’re used to, and
  • a jump in playing frequency

Technique matters too, particularly a backhand hit with the wrist rather than the body. If the wrist and thumb are also complaining, see thumb and wrist pain.

Full detail: tennis elbow and golfer’s elbow.

The shoulder

Overhead shots load the shoulder repeatedly at the end of its range.

Badminton smashes and tennis serves are the usual culprits, and pain typically shows up as an ache with overhead movement, sometimes at night lying on that side. Swimmers get the same picture from a different stroke: swimming neck and shoulder pain.

The fix is rarely rest alone. Rotator cuff and shoulder blade strengthening, plus managing how much overhead work you’re doing, is what changes it. Stiffness that’s severe and getting worse regardless of play is a different problem: frozen shoulder.

Knees and ankles

Badminton is lunging, stopping and changing direction, on a hard court, often in a hall for two hours straight. Knees, calves and Achilles take that. See heat for knee and joint pain and calf cramps at night.

Court shoes with proper grip matter, as does replacing them before the sole is smooth. And a sudden return after months off is the classic setup for a calf or Achilles problem. An old ankle sprain that was never rehabilitated makes a repeat far more likely.

See stiff Achilles in the morning.

Where heat fits

Before playing, if you’re stiff: 10–15 minutes on the area at the lowest setting, then a proper warm-up. Heat is not a warm-up on its own, and racquet sports start at full intensity from the first rally, which is why so many injuries happen in the first ten minutes. See “my physio said use heat”.

After playing, for long-standing aches, once you’ve cooled down and dried off.

Not for a fresh injury with swelling, a rolled ankle or a sudden calf strain. Cold for 48–72 hours there: the 48–72 hour rule.

A warm-up worth doing

  1. Five minutes of easy movement: jogging, side steps, gentle footwork.
  2. Arm circles and shoulder rotations, gradually bigger.
  3. Lunges and half-squats, a few each direction.
  4. Wrist and forearm movements, and a gentle forearm stretch each way.
  5. Five minutes of easy rallying before you play properly.

Ten minutes total, and it’s the most reliable injury prevention available to a recreational player.

Playing once a week is the risk

The typical pattern here is a desk job Monday to Friday and two hours of hard badminton on a Wednesday night. That’s asking an unconditioned body to do something demanding at full speed. The desk half of that has its own cost: upper back pain from desk work.

Two short strength sessions a week does more to keep you on court than anything you apply afterwards. Legs, shoulders and forearms. See heat and weight training, and expect some soreness at first.

See a physio if…

  • You felt a sudden snap in the back of the ankle and can’t push off. Possible Achilles rupture; same-day assessment.
  • A joint swelled quickly after a specific incident, or gives way
  • You can’t lift the arm overhead, or it feels weak
  • Numbness or tingling in the hand. See carpal tunnel and heat.
  • Elbow pain isn’t improving after six weeks
  • You’re strapping something up every week just to play

The heat pad we use

We’ve supplied the Bremed BD7800 since 2010. It holds a steady temperature, covers a whole lower back and has a machine-washable cotton cover. Physiotherapy clinics in Singapore use it with their patients.

Clinically reviewed by: Nigel Chua (Hand Occupational Therapist) & Louise Yow (Physiotherapist). This article is general information, not a diagnosis. electricheatpad.com sells electric heat pads.

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