Background: We report a case of distal right radial cutaneous sensory neuropathy secondary to participation in Pickle Ball. Methods: Case Report & Review of the LiteratureResults: Our 67yoF patient developed acute onset persistent numbness and dysesthesia in the distal right radial sensory distribution while participating in Pickle Ball, a sport undergoing rapid growth of popularity over the past decade. Nerve conduction studies (NCS) were performed in our lab following symptom onset, and the patient had previous NCS that allowed for comparison. NCS in our lab demonstrated asymmetrically reduced amplitude of right distal radial sensory responses (14.5 uV), in comparison to normal (42 uV) radial sensory responses from her previous NCS using the same protocol. All remaining NCS were normal in both studies. Conclusions: This study represents the first reported case within the literature of a Pickle Ball induced distal radial cutaneous sensory neuropathy demonstrated objectively using comparative nerve conduction studies. It is important that clinicians be aware of this entity and the possibility that it can manifest in the context of activities involving repetitive extension of the wrist. We present this case along with a review of the current literature of focal neuropathies involving the upper & lower extremities.