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Pickleball is exploding in popularity — but with all the lunges, quick stops, and pivots, your knees can take a beating. The good news? Most knee pain isn’t a reason to quit. With smart training, better technique, and a few tweaks to your routine, you can keep playing and even improve your game. Why Pickleball Stresses the Knee Lots of short sprints, sudden stops, and lunges  on hard courts. Quick changes of direction put extra load on the kneecap, cartilage, and ligaments .