Pickleball is experiencing a surge in popularity across India, attracting players from various age groups due to its reputation as a fun, low-impact sport. However, orthopaedic experts are raising concerns about the risks associated with playing on hard concrete or poorly maintained courts. According to the Sports & Fitness Industry Association, global participation in pickleball reached 19.8 million players in 2024, marking a 45.8% increase from the previous year. While the sport is perceived as easy to learn, it involves quick lateral movements and sudden stops that can stress the knees and ankles. Dr. Rahul Salunkhe, an orthopaedic expert, warns that these movements can lead to serious injuries, particularly among older players, who represent 15.4% of the pickleball population and often suffer from fractures and soft tissue injuries. The condition of the courts plays a significant role in injury risk, with uneven or dusty surfaces contributing to slips and falls. Experts advocate for better court materials, regular maintenance, and the use of appropriate footwear to mitigate these risks. As pickleball continues to grow in India, ensuring safe playing conditions is crucial for the sport's sustainability and the health of its players.