Woods shot a 42 on the front nine, including a triple bogey on No. 4 when he didn't clear a water hazard 30 yards in front of him. He constantly walked some 20 yards behind his playing partners, holding his club for support, limping more noticeable with each hole.
After taking a bogey on the par-5 ninth, he handed his scorecard to PGA champion Martin Kaymer, then walked back to inform Matt Kuchar that he was leaving early from The Players Championship for the second straight year.
"I'm having a hard time walking," Woods said.
It was his first competition since the Masters, where Woods said he hurt his left knee and Achilles' tendon while hitting from pine straw in the third round. He described it as a "minor injury" and skipped the tournament last week to give his leg time to heal.
Woods had said his leg felt better. But from the opening tee shot at the TPC Sawgrass, he looked as bad as he ever has.
"The knee acted up and then the Achilles followed after that, and then the calf started cramping up," Woods said. "Everything started getting tight, so it's just a whole chain reaction."
The first hole could not have gone any worse.
He pulled his opening tee shot into the pine trees, leaving him a stance in the pine straw. Then he came up short of the green, his ball perched at the bottom of a steep bank that force another awkward stance.
"The pine straw didn't help because my foot slipped, my left foot slipped," Woods said. "It obviously would have probably felt better if it would have held."
The rest of his nine holes was not much better, especially at No. 4. He said his knee "grabbed me" on a tee shot that sailed well left into the mounds, and he put his approach into the water. Then came a shocker of a shot — after taking a drop, his short pitch to a back pin hit the bulk head and went back into the water. He had to make a 20-foot putt for triple bogey.
Even more remarkable — Woods didn't hit a single green from his five tee shots that found the fairway.
The 42 was three shots higher than his previous worst 9-hole score at the TPC Sawgrass. His worst 9-hole score on the PGA Tour was a 43 on four occasions, the most recent on the back nine at Quail Hollow last year when he missed the cut.
This is the second straight year Woods has withdrawn in the middle of the round at The Players Championship. He stopped on the seventh hole of the final round last year with what turned out to be a neck injury.
Woods is 35 and already has had four operations on his left knee. He said doctors told him he could play this week. He said he practiced for the first time since the Masters on Monday, and played golf for the first time on Tuesday — nine holes on Tuesday and Wednesday.
"The more rest I get, the better it would be, obviously," Woods said. "It's a big event. I wanted to come back for it and play, and unfortunately I wasn't able to finish."
Woods said the two shots into the water on the fourth was more related to a bad swing than his leg, although the rest of the round it was clear something was wrong. From the middle of fairways, he came up well to the left on the fifth and the seventh holes, and another time came up some 15 yards short of his target on the sixth.
Woods got into his white Mercedes and left the TPC Sawgrass, not knowing what his next move would be.
"I just finished nine holes," he said. "Give me a few days to see what the docs say, and we'll take a look at it."
That pursuit of the 18 majors won by Jack Nicklaus looks farther away with each setback. Woods remains at 14 from his U.S. Open title at Torrey Pines in 2008, which he won before having reconstructive surgery on his left knee.
Asked if he had any worries, Woods replied, "I know I have, but it's just a matter of what we're going to do about it."
This version CORRECTS Updates with 42 his worst 9-hole score at Sawgrass; Corrects number of times he shot 43; updates with more quotes, details. Adds photo links