Pickleball & Tennis Injury Rehab in Roanoke, VA

Physical therapist helping treat tennis elbow

Whether you play pickleball, tennis, or both, repetitive court movement takes a toll on the body. Tennis elbow, shoulder pain from pickleball, and nagging knee pain from tennis are some of the most common issues we treat at Alchemy Sports Performance and Rehabilitation. Our approach to treatment goes beyond masking symptoms. We find the root cause, restore your movement, rebuild your strength, and get you back on the court pain-free. Schedule your free discovery call today to get started on treating pickleball or tennis injuries.

Where the Injury Hits

  • Lateral elbow pain and tenderness, the hallmark of tennis elbow

  • Wrist pain, especially with backhand shots or dinks

  • Shoulder pain, often felt during overhead serves or smashes

  • Rotator cuff irritation from repetitive overhead and swinging motion

  • Knee pain along the front or sides of the joint from quick lateral movement

  • Knee pain from tennis tied to pivoting, lunging, and sudden stops

  • Lower back pain that flares with rotational swings and serves

  • Achilles and calf tightness from frequent starts, stops, and direction changes

How it Holds You Back

  • You've started avoiding your backhand because the wrist or elbow pain isn't worth it

  • Simple things like opening a jar or shaking hands bring on tennis elbow pain

  • You're icing your shoulder after every match just to get through the week

  • Lunging for a dink or a drop shot makes your knee buckle or ache

  • Serving with any real power isn't an option anymore without shoulder pain

  • Sitting at a desk all day makes your lower back pain from tennis even worse

  • You're playing at half effort, worried that going all out will set you back further

Physical therapist helping patient stretch with weights

How We Treat Pickleball & Tennis-Related Injuries

Injuries on the court rarely come from one single cause. Elbow pain might be driven by grip mechanics, weak forearm muscles, or poor shoulder stability that shifts stress down the arm. Our team assesses your movement patterns, joint mobility, and strength to find what's actually driving your pain, then we build a plan around it. Every program is customized to your goals, your playing style, and the specific demands of your sport.

  • Movement and Mechanics Assessment

  • Manual Therapy

  • Rotator Cuff Injury Treatment

  • Grip and Forearm Strengthening

  • Lower Body Strength and Agility Training

  • Core and Lumbar Stabilization

  • Sport-Specific Return to Play Progressions

  • Tennis Elbow Therapy

FAQs About Pickleball & Tennis Injury Rehab

Deanna wiping down the examination table

What to Expect During a Session

Your first visit starts with a thorough assessment of your movement, strength, and joint mobility, so we can pinpoint exactly what's driving your pain. From there, we build a treatment plan tailored to your sport, your goals, and how you move on the court, combining hands-on work with targeted exercises. As you progress, sessions shift toward rebuilding strength and reintroducing full play so you return stronger than before. If pickleball or tennis injury rehab has felt like an uphill battle, let's find the root cause together and get you back to the game you love. Book your free discovery call today to get started!