Treatment for Tennis Elbow Pain: Expert Guidance from The Orthopaedic and Pain Practice

 "Up to 95% of tennis elbow cases resolve with conservative management-no surgery required!" That means relief is within reach for most people, with the right approach and a bit of patience.

What Is Tennis Elbow?

Tennis elbow, or lateral epicondylitis, is a common overuse injury that causes pain on the outside of the elbow. It doesn’t just affect tennis players-anyone who repeats wrist or arm movements can develop this nagging pain. The pain can be sharp, persistent, and limiting, but the good news is that most cases improve without invasive procedures.

First-Line Treatment for Tennis Elbow Pain

Rest and Activity Modification

The first step in the treatment for tennis elbow pain is to rest the affected arm and avoid activities that trigger symptoms. This might sound simple, but giving your body the chance to heal is crucial.

Ice and Anti-Inflammatory Medications

Applying ice packs can help reduce swelling and discomfort. Over-the-counter anti-inflammatory medications like ibuprofen or naproxen can also provide temporary relief.

Bracing and Compression

A forearm strap or elbow brace can reduce stress on the injured tendon, allowing it to heal while you continue with daily activities

Physical Therapy: The Gold Standard

Why Therapy Matters

Physical therapy is often the cornerstone of treatment for tennis elbow pain. A skilled therapist will design a personalized program to:

  • Strengthen the forearm and wrist muscles

  • Improve flexibility

  • Address muscle imbalances

  • Teach proper movement patterns to prevent recurrence

Key Exercises

Therapists typically recommend a mix of:

  • Isometric, concentric, and eccentric exercises for the wrist extensors

  • Stretching routines for the elbow and forearm

  • Functional training to support your daily activities

Manual therapy, joint mobilization, and modalities like ultrasound or taping may also be included for pain relief and improved mobility.

Advanced and Interventional Options

Injections and Procedures

If conservative measures fail, your doctor may discuss:

  • Corticosteroid injections for short-term relief (though not always effective long-term) 

  • Platelet-rich plasma (PRP) or autologous blood injections (evidence is mixed) 

  • Dry needling or percutaneous needle fenestration to stimulate healing

Surgery

Surgery is rarely needed, but may be considered for severe, persistent cases that do not respond to other treatments. Procedures typically involve removing damaged tissue and promoting tendon healing.

Self-Care and Prevention

  • Modify your activities to avoid repetitive strain

  • Use ergonomic tools and proper techniques at work or during sports

  • Warm up before activity and stretch regularly

  • Listen to your body-don’t push through pain

When to Seek Help

If your pain persists despite these measures, or if you notice weakness or loss of function, consult an orthopaedic specialist. Early intervention can prevent chronic issues and get you back to your favorite activities faster.

Ready to take the next step? Learn more about treatment for tennis elbow pain and how our team can help you recover. Have questions about your symptoms or treatment options? Let us know-your journey to pain-free movement starts here

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