By Patrick Pallitto, M.D.

Tennis and pickleball are two of the most popular ways to stay active in the Lowcountry — and two of the most common activities patients ask about before hip or knee replacement. Here's a realistic look at getting back on the court.

Timeline

When Can I Play Again?

Like golf, a return to tennis or pickleball generally falls between 6 weeks and 3 months after surgery. Pickleball's shorter court and lower-impact movement pattern often makes it an easier reintroduction than tennis for many patients, though your own timeline depends on your strength, balance, and how your recovery is progressing.

Getting Started

Rebuilding Court Movement

Tennis and pickleball both demand quick lateral movement, pivoting, and sudden stops — all forces your physical therapy program will help you rebuild toward:

  • Rallying before playing points — controlled movement without the unpredictability of live play
  • Doubles before singles — less court to cover while your lateral movement and confidence rebuild

Technique

Protecting Your New Joint on the Court

Pivoting and lateral cutting put rotational and side-to-side stress through the hip and knee that straight-ahead activities like walking don't. There are no specific movement restrictions once you've been cleared to return to play — physical therapy in the weeks beforehand focuses on rebuilding the strength and balance those movements require.

Good to Know

Frequently Asked Questions

Is pickleball easier on a new hip or knee than tennis?

Many patients find pickleball's smaller court and lower-impact movement pattern more comfortable when returning to play.

Can I play doubles before singles?

Yes — doubles gives you less court to cover, which is an easier way to rebuild your lateral movement and confidence before taking on the full court alone in singles.

Have Questions About Your Own Recovery?

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