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Condition Guide

Tennis Elbow

Tennis elbow can cause pain on the outside of the elbow during gripping, lifting and wrist movements. Physiotherapy can help identify aggravating loads and guide a progressive plan to restore strength and function.

Physiotherapy treatment room used for tennis elbow assessment at Marna Webb Physiotherapy in Tulbagh

Overview

Understanding Tennis Elbow

Tennis elbow is pain and irritation around the tendon area on the outside of the elbow. It can feel sharp, aching or tender and often becomes noticeable when gripping, lifting, typing, using tools or playing sport. Physiotherapy may help by identifying what is irritating the tendon, guiding load changes and rebuilding strength so the arm can tolerate daily activities with more confidence.

At a Glance

  • Common symptoms: Pain on the outside of the elbow, Pain with gripping or lifting, Pain using tools, opening jars or shaking hands.
  • Common contributors: Tendon load intolerance, Repetitive gripping or wrist extension, Sudden increase in activity.
  • Recovery varies by: severity, duration, irritability, general health and activity demands.
  • Physiotherapy may help: when symptoms affect movement, function or confidence.

Common Symptoms

Pain on the outside of the elbow

Pain with gripping or lifting

Pain using tools, opening jars or shaking hands

Reduced grip strength

Forearm discomfort

Symptoms during sport, typing or work tasks

Difficulty lifting a kettle

Pain opening jars or turning keys

Discomfort using a computer mouse

Pain gripping tools or carrying shopping

Why Does It Happen?

Several factors may contribute, and the most relevant factors vary between people.

Tendon load intolerance

Repetitive gripping or wrist extension

Sudden increase in activity

Work or sport demands

Reduced forearm strength

Recovery capacity and general health factors

When Should I Seek Urgent Medical Attention?

Seek prompt medical assessment if symptoms are associated with:

  • Pain after significant trauma
  • Elbow deformity or severe swelling
  • Inability to move the elbow
  • Numbness or weakness that does not settle
  • Hot, red, very swollen joint with fever
  • Severe or rapidly worsening pain

These symptoms do not automatically mean that a serious condition is present, but they should be assessed promptly by an appropriate medical professional.

Physiotherapy Assessment

History of load and symptoms

Elbow, wrist and shoulder movement

Grip strength

Pain with resisted wrist or finger movements

Work and sport demands

Screening for neck or nerve contributions

How Physiotherapy Can Help

Treatment is individualised and may include:

Education and load modification

Progressive tendon loading

Grip and forearm strengthening

Hands-on Treatment

Technique and equipment advice

Return-to-work or sport progression

Dry Needling

Dry needling may be considered where clinically appropriate as one part of a broader rehabilitation programme. It is not required or suitable for every patient.

Recovery and What to Expect

Tennis elbow often improves gradually. Recovery may take weeks to months, especially when symptoms have been present for a long time or work demands continue to irritate the tendon.

Recovery differs from person to person and depends on how long symptoms have been present, what loads the tendon needs to tolerate and how gradually strength is rebuilt. A clear assessment helps guide appropriate loading and rehabilitation without rushing the process.

Frequently Asked Questions

Do only tennis players get it?

No. Many people with tennis elbow do not play tennis.

Should I stop all gripping?

Usually no. Loads should be modified and rebuilt gradually.

Do I need an injection?

That decision should be made with a doctor. Physiotherapy focuses on load and function.

Can it become persistent?

Yes, but persistent symptoms can still improve with an appropriate plan.

Can I book via WhatsApp?

Yes.

Evidence Corner

Lateral elbow tendinopathy is commonly managed with education, load modification and progressive strengthening. Imaging is not routinely required for typical presentations.

Treatment recommendations should combine current evidence, clinical expertise and your individual assessment.

Marna’s Clinical Perspective

The elbow often needs a smarter loading plan, not complete avoidance forever. The goal is to rebuild useful capacity. My goal is to understand how your elbow pain affects your work, sport and everyday tasks, then help you rebuild strength and confidence through evidence-based rehabilitation, not just short-term pain relief.

Marna’s Tip

Avoid testing your grip all day to see if it still hurts. Choose a few meaningful tasks to monitor while gradually rebuilding strength.

Related Conditions

Peripheral Nerve Irritation

Resource in development

Wrist Pain

Resource in development

Related Resources

Patient Guide

Resource in development

Video

Resource in development

Recovery Programme

Resource in development

Recommended Exercises

Exercises should be selected according to the individual assessment. Exercise links remain marked as Resource in development until approved by Marna Webb.

Wrist extensor loading

Resource in development

Grip strengthening

Resource in development

Forearm mobility

Resource in development

Shoulder-blade strengthening

Resource in development

Functional lifting

Resource in development

Sport-specific progression

Resource in development

Need Help With Tennis Elbow?

Contact Marna Webb Physiotherapy for an individual assessment and treatment plan.