Tennis Elbow

Shoulder Rehab Servives

Tennis Elbow and You: What Every Athlete Should Know

Pain can be a formidable foe to your ambitions, especially when you’re an athlete. Lurking within your daily activities, one common adversary might be an annoying condition known as Tennis Elbow or “lateral epicondylitis.”

While the name might suggest it’s a condition exclusive to racquet sports enthusiasts, that’s far from reality. 

Let’s delve into understanding this uncomfortable affliction, how your “elbow joint” could become your Achilles’ heel, how “repetitive arm movements” might be playing a villainous role, and how understanding “symptoms of tennis elbow” can be your first step towards recovery.

Understanding Tennis Elbow

Tennis elbow, technically termed lateral epicondylitis, refers to inflammation of the tendons connecting the “forearm muscles” to the “lateral epicondyle,” a bony bump on your “upper arm bone” just outside the elbow joint. 

This inflammation is typically due to overuse, leading to microscopic tears in the “extensor carpi radialis brevis” tendon, one of the major forearm muscles that extend your wrist and fingers. 

A common misconception is that only tennis players can get tennis elbow. While it’s true that the condition can “produce arm pain” in tennis players, anyone who engages in activities that require repetitive and strenuous use of the forearm muscles can be affected.

Who it Affects – Not Just Tennis Players!

While tennis players are at risk due to the nature of their sport, so are other athletes and even non-athletes.

Professions or hobbies involving repetitive use of the forearm and wrist—such as carpentry, painting, or even constant typing—can lead to tennis elbow. 

Hence, this “lateral elbow pain” doesn’t discriminate—it can frequently affect anyone who strains their forearm muscles.

Causes of Tennis Elbow

Role of Different Sports and Activities in Their Development

Tennis elbow (Lateral Epicondylitis) can develop from various sports and activities that involve repetitive or strenuous use of the forearm muscles. For instance, an incorrect technique in racquet sports, like tennis or squash, or repetitive manual work like hammering can lead to the condition. 

Even seemingly harmless activities, like constant mouse usage, can “produce arm pain” and cause tennis elbow over time.

Impact of Age, Lifestyle, and Other Factors

  • Age: Tennis elbow most commonly affects people between 30 and 50, but it can occur at any age.
  • Lifestyle: Sedentary lifestyles or occupations that require repetitive arm movements can contribute to the development of tennis elbow.
  • Underlying Health Conditions: Conditions like arthritis or diabetes can increase the risk of developing tennis elbow, as these conditions can affect the “elbow joint” and surrounding structures.

Symptoms of Tennis Elbow

Common symptoms include:

  • Pain and tenderness in the outer part of the elbow
  • Stiffness in the elbow
  • Weak grip strength
  • Aching in the forearm
  • Difficulty extending the forearm

How May Symptoms Develop Over Time?

Tennis elbow symptoms typically “develop gradually.” You might initially experience mild discomfort, which can progress into persistent pain over weeks or months. Even simple tasks like shaking hands or holding a cup can cause discomfort or pain as the condition worsens.

When to Seek Medical Help

If the pain persists even after rest and over-the-counter pain relievers, or if the elbow appears deformed, swollen, or has an unusual red colour, you should seek medical attention.

Diagnosing Tennis Elbow

Process of Diagnosis – What to Expect During a Medical Visit?

Doctors typically diagnose tennis elbow based on a physical examination. They’ll likely apply pressure to the affected area or ask you to move your elbow, wrist, and fingers in various ways.

Different Tests Used in Diagnosing Tennis Elbow

In some cases, doctors may recommend imaging tests such as X-rays, ultrasounds, or “magnetic resonance imaging” to rule out other conditions that could be causing your pain.

The Role of Self-Diagnosis: Advantages and Pitfalls

While it’s tempting to self-diagnose, especially with online information, self-diagnosis often leads to misinterpretation and unnecessary anxiety. While recognizing “symptoms of tennis elbow” can provide a starting point, seeking professional medical advice to confirm the diagnosis and guide treatment is crucial.

Understanding and acting on symptoms early is the key to quick recovery. If you suspect tennis elbow, don’t hesitate to consult a healthcare professional to prevent further complications and get back on track swiftly and safely.

Treatment Options

Finding the right treatment options becomes a top priority when dealing with something as painful and debilitating as tennis elbow. Understanding the process can help reduce stress and ensure you’re actively participating in your recovery journey.

Initial Treatments

Before moving on to more intensive treatments, healthcare providers typically suggest some initial remedies to treat tennis elbow.

  • Rest: Giving your arm proper rest is crucial. Avoid activities that worsen your pain, particularly using your dominant arm.
  • Ice: Regularly applying ice to the affected area can help reduce pain and swelling.
  • Over-The-Counter Medications: Non-prescription drugs, like NSAIDs, can help manage pain and reduce inflammation.

Physical Therapy and Exercises

If the initial treatments don’t provide sufficient relief, your healthcare provider might recommend physical therapy. This involves specific forearm muscle exercises to strengthen your extensor muscles.

  • Stretching Exercises: These help to improve flexibility and reduce stiffness in the forearm tendons.
  • Gradual Strengthening Exercises: As severe pain subsides, therapists usually recommend a program of gradual strengthening exercises to rehabilitate the elbow tendons.
  • Other Therapies: Muscle-stimulating techniques like ultrasound or extracorporeal shock wave therapy may promote healing.

Advanced Treatments

In some severe or persistent cases, further treatment options may be needed.

  • Steroid Injections: These can temporarily relieve pain, though they’re not usually a long-term solution.
  • PRP Injections: Platelet-rich plasma (PRP) injections use your own blood components to promote healing in the injured tendon.
  • Tennis Elbow Surgery: Most surgical procedures involve removing diseased muscle and reattaching healthy muscle to the bone. The post-surgery rehabilitation includes physical therapy and gradually resuming normal activities.

Role of Professional Care and Self-Care in Treatment

Professional care and self-care go hand-in-hand when treating tennis elbow. While healthcare professionals provide medical treatment, self-care – like taking adequate rest, using ice packs, and performing prescribed exercises – is crucial to your recovery.

Prevention Strategies

Prevention is better than cure, and this couldn’t be truer when it comes to debilitating conditions like tennis elbow. Preventive strategies involve understanding the risk factors and taking appropriate measures to avoid them.

  1. Use the Right Equipment: If you’re playing tennis or other racquet sports, use a racket appropriate for your ability, body size, and style of play. Improper stroke technique can lead to tennis elbow.
  2. Strengthen Your Muscles: Regular forearm strengthening exercises can help you avoid tennis elbow.
  3. Warm-Up: Always warm up before playing sports or heavy physical activity to prepare your muscles for the exercise.
  4. Use the Correct Technique: Whether you’re painting, lifting, or playing a racquet sport, maintaining proper form and technique can help prevent unnecessary strain on your tendons.
  5. Avoid Overuse: If possible, avoid repeating the same movements too often and too intensely.
  6. Take Breaks: Regular breaks during vigorous activities give your muscles and tendons time to rest and recover.

The right equipment, proper techniques, and suitable lifestyle modifications can go a long way in preventing tennis elbow. Follow these to prevent Tennis Elbow!

Coping with Tennis Elbow

Living with tennis elbow involves more than just managing physical pain. The condition can have significant emotional and psychological impacts, especially if it interferes with your ability to work or participate in your favourite activities.

Staying positive and motivated during recovery is crucial. Seek support from friends, family, or support groups. Focus on your progress, no matter how small it seems.

Remember, recovery takes time and patience, but with the right mindset and treatment, you can return to your normal routine.

Frequently Asked Questions (FAQs)

Q: Can I still play sports or work out if I have tennis elbow?

A: It’s generally recommended to avoid any activities that aggravate your symptoms. However, it doesn’t mean you have to stop all physical activities. You can participate in sports or exercises that don’t stress your injured tendon. Always consult your doctor or physical therapist for personalized advice.

Q: Is tennis elbow a sign of a more serious condition?

A: Tennis elbow is usually a self-contained condition related to overuse and strain of the forearm muscles and tendons. However, a healthcare provider should always evaluate persistent pain or discomfort as it may occasionally be related to other conditions, such as nerve compression or arthritis.

Q: How long does it take to recover fully from tennis elbow?

A: The recovery time from tennis elbow varies greatly among individuals, depending on the severity of the injury and the individual’s general health. It can take anywhere from several weeks to several months. In some severe or persistent cases, surgical intervention might be required, which may prolong the recovery period. Always follow your healthcare provider’s advice for the best recovery outcomes.


Tennis elbow is a manageable condition affecting those engaged in repetitive arm activities.

Understanding its causes and symptoms is crucial, as seeking professional care when needed and implementing self-care and preventive measures. 

By staying informed and proactive, we can mitigate its impact and resume daily activities comfortably.

Kula Health

Diarmuid Hegarty

Diarmuid is the Principal Physiotherapist here at ReSync Physiotherapy. He has a wealth of experience in both private practice settings, in UK, Ireland, Australia and New Zealand. If you wish to book in with Diarmuid for an Assessment - Follow this link to Book Online Now.