Tennis with recent shoulder pain and how to adapt your serve and strokes
Dr Nicola Tik

Your shoulder has started aching, and serving or reaching for overheads now come with a twinge. Tennis asks a lot of your shoulder, especially on your serving arm. Adapting your strokes and how much you play can help you stay on court while it settles.

Why tennis can affect your shoulder

The serve and overhead smash take your arm high above your head at speed. Big forehands and topspin shots load the front of the shoulder, and the muscles at the back work hard to slow your arm down after each shot. The rotator cuff, a group of small muscles that keep the shoulder steady, does a lot of this work.

When you play more than usual, add serving practice or come back after a break, the load can rise faster than your shoulder can adapt. In most cases, the shoulder is irritated rather than damaged.

Adapting your serve

The serve is often the shot that bothers a sore shoulder most. Some ideas:

Adapting your groundstrokes

Some changes to your groundstrokes can help:

Adjusting how much you play

While your shoulder settles:

Your racket and strings

A lighter racket, or a slightly lower string tension, can ease the load on your shoulder with each shot.

Reading how your shoulder responds

A mild ache during or after tennis that settles within an hour or so is usually fine. If your shoulder is sorer the next morning, or it aches at night, play less next time.

Warming up

A thorough warm-up helps your shoulder feel ready. Something to try:

Around the house and work

Some everyday changes can help your shoulder settle:

Building strength

Strengthening the muscles that steady your shoulder helps it cope with tennis. Something to try two or three times a week:

If you would like to follow along, VIDA has short videos of shoulder squeezes and back lifts you can use at your own pace.

Leg and trunk strength helps too, as more power from your legs means less from your shoulder. VIDA has short videos of lunges and sit-to-stands you can use at your own pace.

Padel and pickleball

If you also play padel or pickleball, the same ideas apply. Overhead smashes and hitting off the back wall in padel can load the shoulder too, so keeping these gentle for now can help.

Building back up

As your shoulder settles, you can gradually bring back harder serves, topspin and singles, one at a time. Your VIDA pain check-in is a good way to keep track of how your shoulder responds.

What to take away

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