I used to play ping pong and basketball a lot in my teens-30s. Yes there can be a lot of exertion and stops-starts on the knees. I found pickleball to be very similar to ping-pong and adapted well for a new player during my first couple tries. I'm not into it though but both ping pong and pickleball are great for burning calories and other benefits so not surprised at the health facts. I would suggest warming up lightly before beginning a game though. Maybe doing light weights before going out and playing. Don't stretch when muscles are cold, just do light squats and whatever muscles you'll use the most like back/shoulders. Been a weightlifter all my life and never had major reconstruction or surgeries...yet. Keep the knees strong with weights and keep body weight down to cut down on injures.
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