The popularity of pickleball has rapidly increased in the United States, with over 48 million adult participants in recent years, leading to a growing need to better understand injuries exclusive to pickleball. Pickleball-related injuries are predominantly musculoskeletal, most commonly sprains and strains to the upper and lower extremities. Sport-specific variables, including sporting equipment, playing conditions, and proper technique may be utilized to guide clinicians in injury management and preventative treatment. Future research is warranted to better direct care for pickleball athletes with a focus on the aging population.