Padel is one of the fastest-growing sports in the world, and for good reason. It is social, accessible, highly tactical, and genuinely fun. Beneath that friendly image, however, padel is a physically demanding sport that places significant stress on the body.
At Projuvenate, our Physio & Performance team is seeing a rapid rise in padel-related injuries, particularly among recreational players who may not realise the physical requirements of the game. A comprehensive performance and injury risk screening can help you play comfortably, improve performance, and stay on court for years to come.

Why Padel Is More Demanding Than It Looks
Padel combines elements of tennis, squash, and high-intensity interval sport. Points are fast, reactive, and involve repeated explosive movements in a confined space. Unlike many traditional fitness activities, padel requires the simultaneous development of speed and agility, rotational power, balance and coordination, shoulder and arm endurance, lower-body strength, reaction time, and cardiovascular fitness. Most players do not specifically train for these demands, which is why injuries are so common.
Key Physical Demands of Padel
- Rapid Acceleration and Deceleration
Padel involves constant short sprints, sudden stops, and changes of direction within only a few metres. This places high loads on the calves and Achilles tendons, hamstrings and quadriceps, knees, and hip stabilisers. Without adequate strength and control, these tissues are vulnerable to strains and overuse.

- Explosive Rotational Power
Every forehand, backhand, smash, and volley requires forceful trunk rotation. Power is generated from the ground up through the hips and core before transferring to the shoulder and arm. If any link in this kinetic chain is weak or restricted, other areas are forced to compensate. Common consequences include low back pain, hip impingement symptoms, abdominal or oblique strains, and reduced shot power.

- Overhead and Shoulder Loading
Smashes and overhead shots are frequent in padel due to the enclosed court and rebound off the walls. These movements demand strong rotator cuff muscles, scapular stability, thoracic spine mobility, and good shoulder range of motion. Insufficient capacity can contribute to rotator cuff tendinopathy, shoulder impingement, biceps tendon irritation, and elbow pain, including tennis or golfer’s elbow.

- Low Centre-of-Gravity Play
Padel rallies often involve crouched positions, lunges, and defensive shots played close to the ground or after wall rebounds. This challenges hip mobility, knee control, ankle stability, and adductor strength. Adductor strains are particularly common in padel due to repeated lateral movements.
- Unpredictable Reactive Movements
The use of walls means the ball can change direction unexpectedly, and players must react instantly, often from compromised body positions. This places high demands on neuromuscular control, balance, joint stability, and coordination. Poor control increases the risk of ankle sprains, knee injuries, and falls.
- Repetitive High-Intensity Efforts
Padel matches consist of repeated bursts of intense activity with short recovery periods. Fatigue can lead to reduced movement quality, slower reactions, less effective decision-making, and a higher injury risk late in matches. Both muscular and cardiovascular endurance are critical for sustained performance.
Common Padel Injuries We See
At Projuvenate, the most frequent issues include calf strains and Achilles problems, tennis or golfer’s elbow, rotator cuff shoulder pain, low back pain, adductor (groin) strains, knee pain and ligament injuries, ankle sprains, and plantar fascia irritation. Many of these develop gradually due to overload rather than from a single traumatic event.

Why Injury Risk Screening Is So Important
Most injuries are not random. They occur when the demands of the sport exceed the body’s capacity. A thorough performance and injury risk screening is designed to identify limitations before they become problems, including strength deficits, side-to-side imbalances, mobility restrictions, poor movement patterns, reduced stability or balance, lingering effects of previous injuries, and fatigue vulnerability. Addressing these factors can meaningfully reduce injury risk.
Performance Benefits of Screening
Injury prevention is only part of the story. Optimising your physical capabilities also enhances how well you play. Potential gains include faster court coverage, more powerful shots and smashes, improved agility and reaction time, better balance during defensive play, greater endurance during long rallies, and more consistency under pressure. Put simply, a stronger, more mobile, better-controlled body tends to perform better.
Who Should Consider a Padel Screening?
Recreational players
Avoid the common cycle of playing through pain until you are forced to stop.
Competitive players
Maximise performance while staying available for training and competition.
New players
Build a safe physical foundation as you increase playing frequency.
Players returning after injury
Make sure you are fully prepared to handle the demands of the sport.
Players over 35 to 40
Age-related changes in strength, mobility, and recovery make screening particularly valuable.

What a Comprehensive Assessment Should Include
A high-quality padel screening evaluates the whole athlete, not isolated body parts. Key components include a detailed injury and training history, movement quality assessment, strength testing, balance and stability evaluation, power and agility measures, flexibility and mobility analysis, and sport-specific functional testing. Objective data allows targeted, efficient intervention.
Stay on Court Longer, and Play Better
Padel is meant to be enjoyable, social, and sustainable. Preventable injuries should not limit your ability to play. Investing in a performance and injury risk screening can help you reduce the likelihood of injury, improve performance potential, recover faster between matches, play with greater confidence, and extend your long-term participation in the sport.
Padel Performance & Injury Screening at Projuvenate
At Projuvenate, our Physio & Performance team provides comprehensive, evidence-based assessments designed specifically for rotational court sports like padel. We combine bed-based testing with strength and power testing using VALD diagnostics to identify areas of concern, give you clear numbers, and define exact goals to work towards. Our aim is simple: help you play comfortably and perform at your best, whether you are a casual player or highly competitive.

Take Control of Your Padel Health and Performance
If you want to keep enjoying padel without setbacks, a proactive approach is key. Book a comprehensive padel performance and injury risk screening at Projuvenate, located at Manchester Green near Manchester Airport, and give yourself the best chance of staying available and playing at your highest level.
FAQs: Padel Physio & Screening Manchester
Is padel really that hard on the body?
Padel looks gentler than it is. The combination of rapid changes of direction, rotational loading, and overhead play places significant demands on the lower limbs, shoulder, and trunk, particularly when playing frequently.
What is the most common padel injury you see?
Adductor (groin) strains, calf and Achilles issues, tennis or golfer’s elbow, and lower back pain are among the most common presentations at Projuvenate.
I only play once a week. Do I need a screen?
Even occasional players can benefit, particularly if you are over 35, returning to sport, or noticing recurring discomfort. Screening helps identify capacity gaps before they become symptomatic.
How long does a padel performance screen take?
Most assessments take around 60 to 90 minutes, including movement testing, strength and power testing, and a discussion of findings and recommendations.
Where is Projuvenate located?
Projuvenate is at Manchester Green, next to Manchester Airport, with strong connectivity for players across Greater Manchester, Cheshire, and Merseyside.

Related at Projuvenate
- Physio & Rehab — assessment and treatment for padel-related pain and injury
- Sport-Specific Performance Screening — padel assessments using VALD diagnostics
- Strength & Conditioning — build the rotational power and lower-limb strength padel demands
- Sports Therapy and Massage — soft tissue support between matches
- Pelvic Floor & Core (FEEL) — relevant support for players in their late 30s and beyond, particularly post-partum or perimenopausal women returning to sport
- HaloRed® — red light and salt therapy as part of your recovery stack