Pickleball is booming. It’s fun, social, and easy to pick up, which is why over 20 million Americans are playing in 2025. But there’s a not-so-fun side effect: injuries.
This year alone, pickleball injuries are costing Americans $377 million in healthcare expenses, according to UBS analysts. Last year was nearly $500 million. That’s hundreds of millions of dollars in ER visits, imaging scans, casts, crutches, and physical therapy.
Here’s the kicker: most of those injuries are preventable.
The Average ER Bill vs. The XRZ™
The average ER bill for a fractured foot in the U.S. runs about $2,500–$3,000. That doesn’t include the follow-ups, the walking boot, or the physical therapy to get you moving again.
Or, you can invest $159 in shoes designed to keep you upright, balanced, and protected. That’s what the XRZ™ Pickleball Shoe is built for.
When you think about it that way, the math is simple: shoes or surgery.
What Makes a Good Court Shoe
A true pickleball shoe is a piece of equipment — just as essential as your paddle. And to protect you from injury, it needs to check every box:
1. Stability
The foundation of pickleball footwork is lateral movement — side-to-side shuffles, sudden cuts, and explosive pushes off either foot. A proper court shoe has reinforced sides and a firm base that keeps your foot from tipping or rolling. Without this, you’re one bad pivot away from an ankle sprain.
2. Traction
Pickleball is played on slick, hard courts. The wrong sole pattern — like those designed for jogging or casual wear — will slip at the worst moment. Court-specific outsoles grip without sticking, giving you quick stops and smooth recoveries. Good traction prevents falls, which are the number one cause of fractures in pickleball.
3. Support
Every pickleball match is a workout for your joints. The force from your movements doesn’t stop at your feet — it travels up through your ankles, knees, and hips. Shoes with proper arch support, heel structure, and midsole cushioning absorb and redirect that energy so your joints don’t take the beating.
4. Fit & Comfort
A narrow, pinched shoe is dangerous. Toes need space to splay for natural balance and strong ground connection. A roomy toe box reduces blisters, hot spots, and stress fractures, letting your feet do their job instead of fighting against the shoe.
5. Durability
Pickleball isn’t kind to shoes. Constant pivots, hard stops, and quick accelerations eat through flimsy soles. A proper court shoe holds its shape, resists blowouts, and delivers consistent performance week after week. Durability is about keeping your biomechanics consistent so you don’t end up hurt.
Why the XRZ™ Stands Out
Now, here’s how the XRZ™ Pickleball Shoe turns those must-have features into a true injury-prevention tool:
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Engineered Stability: With reinforced lateral support and a geometry that keeps your foot grounded, XRZ™ reduces the chance of ankle rolls and gives you total control on quick side-to-side moves.
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SmartTraction™ Outsole: Designed specifically for pickleball, the tread grips the court during pivots and stops, so you can recover quickly and stay in the rally.
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Joint Protection: The midsole and insole system absorb shock and keep your energy chain aligned from foot to knee to hip — protecting the joints that matter most.
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Roomy Toe Box: Instead of squeezing your toes together, XRZ™ lets them spread naturally for balance and power. More comfort, fewer blisters, and better stability.
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Built to Last: With a 6-month sole warranty and brand-new removable insoles, XRZ™ gives you long-term performance and the ability to customize your fit.
In the first-ever clinical balance study on pickleball shoes, XRZ™ outperformed every major brand tested. Read the full study here. And make sure your current shoes aren’t on the list.
The Most Common Pickleball Injuries
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Fractures (32% of reported cases): Usually wrists and feet, often from falls.
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Sprains and Strains (30%): Ankles, knees, and shoulders take the brunt of side-to-side chaos.
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Overuse Injuries: Stress fractures, tendonitis, and chronic pain from footwear that doesn’t protect.
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Blisters and Skin Injuries: Caused by shoes that rub, slip, or compress the wrong way.
When you look at the numbers, it’s clear: the wrong shoes can actively send players to the ER.
Doctors Love It (But You Won’t)
Let’s be real — pickleball injuries have been great for doctors. Orthopedic clinics are seeing record visits. Physical therapists are booked solid. Every twisted ankle and fractured wrist is another billable hour.
But unless you want to donate to your local orthopedist’s vacation fund, it pays to take prevention seriously.
Stay in the Game
The magic of pickleball is that a 23-year-old and a 65-year-old can play together at the same level. But as we age, we become more prone to injury — and recovery takes longer. One bad fall can take you out of the game for weeks, months, or even forever.
Pickleball’s movements put massive strain on your feet and joints. Think knee injuries aren’t connected to your shoes? Think again. The energy chain runs from the ground up: feet → ankles → knees → hips. If the foundation isn’t right, everything above it suffers.
That’s why footwork should always come before spin shots and dinks. Because you can’t master accuracy if you’re losing balance — or nursing a sprain.
The Real Cost of the Wrong Shoes
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ER bill for a fractured foot: $2,500+
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Months of lost play: Priceless
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XRZ™ Pickleball Shoes: $159
Your choice is simple: protect your game now, or pay the bill later.
Shop XRZ™ — The Shoe That Saves You From the ER