Background: Pickleball is the fastest-growing sport globally, with a parallel boom observed in Vietnam. This rise in participation is accompanied by a significant injury burden, particularly among novice players.

Methods: A narrative review of the medical literature (sports medicine, epidemiology, biomechanics) was conducted to synthesize existing evidence on injury epidemiology, risk factors, and effective preventive intervention strategies.

Results: Data indicate a high injury prevalence (e.g., 68.5% of players reporting annual injuries). Novice players (<5 years experience) exhibit a higher risk of injury (OR 1.50), with the strongest predictor being a low perception of the importance of prevention (OR 2.02). Biomechanical analysis identified three critical, preventable faults in beginners: (1) Inappropriate footwear (e.g., running shoes) increases the risk of ankle sprains due to a lack of lateral support; (2) Improper technique (e.g., excessive "wrist flick") leads to upper extremity overuse injuries (e.g., "pickleball elbow"); and (3) The footwork error of "backpedaling" is a primary mechanism for falls, resulting in wrist fractures via a FOOSH (Fall On an Outstretched Hand) mechanism.