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Welcome to the world of billiards!

Where precision and skill reign supreme.

But as thrilling as this popular sport can be, it also comes with its fair share of hazards.

In this article, we’ll explore the most common billiards sport injuries, from the troublesome back strains and elbow pains to those pesky hand and finger aches.

Understanding these injuries can help you safeguard your passion for billiards and keep you at the top of your game.

Back injuries (muscle strains, pinched nerve, sprain, strain, herniated disc)

Back injuries in billiards often occur due to improper posture and body mechanics while playing.

These can range from muscle strains and sprains to more severe conditions like a herniated disc or a pinched nerve.

Chronic issues can arise if not addressed promptly, which may affect not only your billiards performance but also your daily life and overall health.

Elbow injuries (tennis elbow)

Despite its name, tennis elbow can also be a common injury in billiards players. This condition, also known as lateral epicondylitis, involves inflammation and pain in the outer part of the elbow.

It is typically caused by repetitive stress and overuse of the forearm muscles and tendons responsible for wrist and finger movements, which are essential in billiards.

Wrist injuries (sprains, strains)

Wrist injuries, such as sprains and strains, can result from sudden or repetitive movements while holding the cue stick during a billiards match.

These injuries can be painful and may limit your ability to play effectively. Proper warm-up, strengthening exercises, and learning appropriate techniques can help prevent wrist injuries.

Overuse injuries (from repetitive motion)

Overuse injuries are common in billiards due to the repetitive nature of the sport. These injuries can affect the muscles, tendons, and joints of the arms, hands, and shoulders.

The best way to prevent overuse injuries is to ensure you utilize proper techniques, incorporate regular breaks, and engage in conditioning exercises to build strength and flexibility.

Hand injuries (blisters, sprains)

Hand injuries are common in billiards, especially if you spend long hours practicing or playing.

Blisters can develop from constant friction between the cue and your hand, while sprains may result from sudden or forceful movements.

Proper technique, wearing gloves, and keeping your hands moisturized can help prevent these injuries.

Shoulder injuries (rotator cuff, impingement)

Shoulder injuries, particularly rotator cuff issues and impingement, may result from repetitive overhead movements or poor body mechanics involved in billiards.

These injuries can be painful and may limit your range of motion, making it difficult to play effectively.

Incorporating shoulder-strengthening exercises and learning proper techniques can help prevent shoulder injuries.

Eye strain (from prolonged focus on the table)

Eye strain is a common issue for billiards enthusiasts, as the sport requires intense focus and concentration on the table for extended periods.

Symptoms include headaches, blurred vision, and eye discomfort. Taking regular breaks, using proper lighting, and practicing eye exercises can help alleviate eye strain.

Finger injuries (sprains, strains)

Finger injuries in billiards players can occur due to mishandling of the cue, such as awkward or forceful gripping. Sprains and strains may result, causing pain and limiting dexterity.

To avoid these injuries, learn proper cue handling techniques and engage in hand and finger strengthening exercises.

Neck injuries (muscle strain)

Neck strains are another common injury in billiards due to the need to maintain a specific posture while lining up shots. Muscle strains can cause pain, stiffness, and limited range of motion.

Practicing proper neck positioning and engaging in neck-strengthening exercises can help prevent these injuries.

Knee injuries (sprains, strains)

Although not as common as upper body injuries, knee issues can still affect billiards players. Sprains and strains may occur due to sudden changes in direction or maintaining awkward, prolonged stances.

Exercises to increase flexibility and knee strength, as well as practicing proper footwork, can help minimize knee injuries.

Ankle sprains

Ankle sprains can occur in billiards players when there is a sudden twisting or rolling motion while moving around the table.

Proper footwear, balance exercises, and learning effective footwork can help prevent ankle injuries.

Foot injuries (sprains, strains)

Foot injuries such as sprains and strains might be caused by long hours standing or sudden movements during a game.

Correct footwear, regular breaks, and maintaining a strong core can help alleviate the risk of foot injuries.

Head injuries (from accidental collisions with cue or table)

Accidental head injuries in billiards can result from collisions with the cue stick or the table edges, causing bruises, cuts, or potential concussions.

Awareness of your surroundings, coordinating movements with your opponents, and placing protective padding on table corners can help prevent these accidents.

Hip injuries (strains)

Hip strains in billiards players may be due to extended time spent in unnatural body positions while aiming or striking the cue ball.

Stretching and strengthening hip muscles can help reduce the risk of these injuries, as can practicing proper body mechanics.

Cuts and abrasions (from contact with table edges or equipment)

Cuts and abrasions can result from contact with table edges, cue sticks, or other billiards equipment during a game or practice session.

Ensuring responsible use and storage of equipment can prevent these injuries, as well as using protective padding and taking care to avoid collisions around the table.

How to Treat Billiards Sport Injuries

  1. Back injuries often benefit from rest, ice, compression, and elevation (RICE) treatment, along with pain-relief medications like nonsteroidal anti-inflammatory drugs (NSAIDs). For more severe cases, such as herniated discs or pinched nerves, it’s important to consult with a healthcare professional for appropriate intervention, like physical therapy or medication management.
  2. Elbow and wrist injuries can be alleviated with RICE treatment, over-the-counter pain relievers, and a gradual return to activity once pain and swelling subside. Using proper technique and engaging in wrist and forearm strengthening exercises can also contribute to faster healing and future injury prevention.
  3. Overuse injuries often require rest, ice, and anti-inflammatory medications. More severe cases may need medical evaluation and treatment, such as physical therapy or corrective exercises, to properly heal and prevent future complications.
  4. Hand, finger, and shoulder injuries can be managed with rest, ice, compression, and elevation. In addition, gentle stretching, wearing gloves, and seeking professional guidance on proper technique can aid in recovery and injury prevention.
  5. For eye strain, ensure adequate lighting, take breaks to rest your eyes, and practice eye exercises to help alleviate discomfort. If symptoms persist or worsen, consult an eye care professional.
  6. Neck, knee, and hip injuries can also be treated with RICE therapy, gentle stretching, and appropriate strengthening exercises. If pain and discomfort continue, consult a healthcare professional for a customized treatment plan and appropriate guidance.
  7. Ankle, foot, and head injuries in billiards usually require rest to prevent aggravating the injury further. Consult a healthcare professional if symptoms worsen or persist. Implementing proper footwear, balance exercises, and protective padding can help avoid future injuries.

How to Prevent Billiards Sport Injuries

Billiards is a popular sport that can lead to various injuries if proper precautions are not taken.

Focusing on correct posture, stretching, and technique can help minimize these risks. Here are some essential preventative steps to help you avoid common billiards injuries:

  • Perform a thorough warm-up with a focus on stretching the back, shoulders, elbows, wrists, hips, and knees to prepare your body for the game.
  • Practice proper technique to ensure correct body mechanics and reduce strain on your joints and muscles.
  • Maintain your equipment and ensure it is in good condition to prevent accidents and injuries.
  • Take regular breaks during long sessions to allow your body to recover and minimize the risk of overuse injuries.
  • Implement balance and strength exercises to improve your stability and physical condition, helping to prevent injuries.
  • Wear appropriate footwear with good support and traction to avoid slips and falls.
  • Utilize protective gear such as gloves, padded table corners, and proper eye protection to prevent injuries during play.
  • Stay aware of your surroundings and be mindful of other players to avoid accidental collisions.


What are common back injuries in billiards and how can they be prevented?

Back injuries in billiards can include muscle strains, sprains, herniated discs, and pinched nerves. Practicing proper posture, body mechanics, and regular stretching can help prevent these injuries and minimize chronic issues.

How can tennis elbow occur in billiards and what can be done to prevent it?

Tennis elbow, or lateral epicondylitis, can affect billiards players due to repetitive stress and overuse of forearm muscles and tendons. Preventing tennis elbow involves using proper techniques, engaging in forearm-strengthening exercises, and taking regular breaks.

Why do wrist and hand injuries occur in billiards, and how can they be minimized?

Wrist and hand injuries can result from sudden or repetitive movements while holding the cue stick. Proper warm-up, strengthening exercises, wearing gloves, and learning appropriate techniques can help prevent these injuries.

What steps can be taken to alleviate eye strain in billiards?

To alleviate eye strain, take regular breaks, use proper lighting, and practice eye exercises. If symptoms persist or worsen, consult an eye care professional.

Max is a sports enthusiast who loves all kinds of ball and water sports. He founded & runs stand-up-paddling.org (#1 German Paddleboarding Blog), played competitive Badminton and Mini Golf (competed on national level in Germany), started learning β€˜real’ Golf and dabbled in dozens of other sports & activities.

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