Short answer
Padel loads the shoulder with fast overhead shots and the lower back with repeated rotation in a low stance. Shoulder pain is usually rotator cuff-related, and back pain is usually muscle and joint overload. Both respond to managing match volume, strength work and checking technique, and most players keep playing.
Common causes
Overhead volume
Smashes, bandejas and viboras repeated over long matches.
Stiff upper back
Limited rotation puts more load through the shoulder and lower back.
Playing frequency
More matches without more strength training.
What usually helps right now
- Cut overhead shots in practice while it settles.
- Add shoulder and trunk strength work two or three times a week.
- Warm up with rotations and arm swings.
What to avoid
- Playing through pain on every overhead.
- Back-to-back days of long matches.
When to book an assessment
- Pain lasts more than two weeks.
- Your shoulder hurts at night.
Get urgent medical care if
- Sudden weakness lifting the arm after a fall or hard shot.
- Leg numbness or weakness with back pain.
How we treat it
- AssessHistory, movement and clinical tests, with screening for anything that needs a doctor.
- ExplainA clear diagnosis in plain language, and what recovery usually looks like.
- TreatHands-on care where it helps: joint and soft tissue work, dry needling or adjustments.
- RebuildExercises and a training plan so it holds up, with an end point.
Questions
Is padel hard on your back?
It can be when volume rises quickly. Strong hips and a mobile upper back help.
Should I change racket?
Sometimes. Discuss weight and balance with your coach.