Table tennis: returning after an injury

Risks and order of return

The sport isn’t violent, but short quick movements load the wrist, shoulder and back; resume at a slow pace without powerful strokes.

Table tennis: slow rallies close to the table first. Fast lateral movement and heavy topspin strokes come next.

Bringing the movement back in four stages

1. 1

   Shadow strokes and small side-to-side movements, no matches.

2. 2

   Slow forehand and backhand rallies, soft balls.

3. 3

   Faster rallies, simple serves, wider movements.

4. 4

   Serves with spin, smashes, fast play and matches.

Common injuries in this sport

• WristKeep the wrist loose and avoid heavily cut strokes at first.
• Shoulder (rotator cuff)Resume short rallies, no smash, with the elbow close to the body.
• Lower back (lumbar)Avoid staying bent over; bend the knees and change positions.

Preparation exercises

• Gentle wrist mobility

  Slow circles and flexion–extension of the wrist, arm supported, without forcing. 1 to 2 minutes.

  To start: 1 to 2 minutes, 2 to 3 times a day.

  Variations, mistakes and progression

  Easier

  Smaller range.

  Harder

  Bigger range, still without forcing.

  Common mistakes

  • Forcing at the end of the movement.
  • Doing it fast.

  Moving on

  This is a mobility exercise: keep it as a warm-up.

• External rotation with band

  Elbow against the body, bent to 90 degrees, rotate the forearm outwards then return slowly.

  To start: 3 sets of 12, 3 seconds back, every other day.

  Variations, mistakes and progression

  Easier

  No band, or lying on your side without weight.

  Harder

  Stronger band, then with the arm out at 90 degrees.

  Common mistakes

  • Lifting the elbow away from the body.
  • Turning the trunk to help.

  Moving on

  When 3 × 15 is easy with no shoulder pain.

• Forearm plank

  On forearms and knees (later toes), body aligned, hold 20 to 30 seconds without sagging the back.

  To start: 3 holds of 20 seconds, every other day.

  Variations, mistakes and progression

  Easier

  On your knees, or hands on a table.

  Harder

  On your feet, then lifting one foot for a few seconds.

  Common mistakes

  • Hips too high or lower back sagging.
  • Holding your breath.

  Moving on

  When you can hold 45 seconds on your feet, body aligned.

• Chair squat

  Sit down onto a chair then stand up slowly, range limited to what is pain-free, knees in line with the feet.

  To start: 3 sets of 10, 3 seconds down, every other day.

  Variations, mistakes and progression

  Easier

  Higher chair, hands on your thighs to help.

  Harder

  Lower chair, without touching the seat, then holding a weight against your chest.

  Common mistakes

  • Knees caving in.
  • Dropping onto the chair.

  Moving on

  When 3 × 12 is easy on a low chair, with no discomfort the next day.

• Single-leg balance

  Stand 30 seconds on one foot, knee slightly bent. Then with eyes closed, then on a cushion or unstable surface.

  To start: 3 holds of 30 seconds per leg, every day.

  Variations, mistakes and progression

  Easier

  One hand on a chair, or the tip of the free foot on the floor.

  Harder

  Eyes closed, then on a cushion, then throwing a ball against a wall.

  Common mistakes

  • Knee straight and locked.
  • Looking at your feet instead of a point ahead.

  Moving on

  When you can hold 30 seconds without putting the other foot down, as on the healthy side.

• Lateral shuffles

  Knees bent, chest up, weight on the balls of your feet: take 4 to 6 shuffle steps to the right without crossing your feet or bouncing high, then to the left.

  To start: 4 rounds of 5 steps each way, at an easy pace, every other day.

  Variations, mistakes and progression

  Easier

  Walk sideways, without any airborne phase.

  Harder

  Faster, then reacting to a signal (a partner points the direction).

  Common mistakes

  • Standing fully upright between steps.
  • Letting the knee cave in as you push off.

  Moving on

  When 6 fast rounds cause no discomfort the next day: move on to your sport’s changes of direction.

The doses are starting points. Stay at 2 out of 10 discomfort at most, during and the next day; otherwise switch to the easier version or go back to the previous exercise.

Equipment and set-up

• A comfortable bat with a grip suited to your hand.
• Indoor shoes with a flat, grippy sole.
• Table height and a clear playing area.