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Complete Guide to Tennis Elbow: Causes, Symptoms, and Treatments

Published: 9/26/2025Reading time: 4 min readBy: Tenease Medical Team
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Complete Guide to Tennis Elbow: Causes, Symptoms, and Treatments

Introduction

Tennis elbow, or lateral epicondylitis, is a common condition affecting individuals who engage in repetitive arm and wrist movements. Despite its name, you don't have to play tennis to suffer from this painful condition. In the UK, thousands of people visit their GP each year complaining of elbow pain, much of which is attributed to tennis elbow. Understanding the causes, symptoms, and treatment options available is crucial for effective management and recovery.

Understanding Tennis Elbow

Causes

Tennis elbow is primarily caused by overuse of the muscles and tendons in the forearm, leading to small tears in the tendon that connects the forearm muscles to the lateral epicondyle of the elbow. Activities that involve repetitive wrist and arm motions, such as painting, typing, or even using plumbing tools, can contribute to this condition.

In the UK, occupations and hobbies that require repetitive arm movements, such as gardening or DIY projects, are common culprits. Additionally, poor technique in sports like tennis or improper equipment use can exacerbate the risk.

Symptoms

The symptoms of tennis elbow develop gradually. They typically include:

  • Pain and tenderness on the outer part of the elbow
  • Weak grip strength, particularly when shaking hands or holding an object
  • Stiffness in the elbow, especially in the morning
  • Pain that worsens when lifting or bending the arm

These symptoms can significantly impact daily activities, making it crucial to seek early intervention.

Treatments

Initial Self-Care and Management

For most individuals, the first line of treatment involves self-care strategies:

  • Rest: Avoid activities that exacerbate the pain. Resting the affected arm is essential to allow healing.
  • Ice Therapy: Apply an ice pack wrapped in a cloth to the elbow for 15-20 minutes, several times a day. This can help reduce inflammation and pain.
  • Pain Relief: Over-the-counter painkillers like paracetamol or ibuprofen can be effective. Always follow the dosage instructions provided.

Physiotherapy

In the UK, your GP may refer you to a physiotherapist for more structured treatment. Physiotherapy can include:

  • Stretching and Strengthening Exercises: A physiotherapist will guide you through exercises to stretch and strengthen the forearm muscles, helping to reduce strain on the elbow.
  • Manual Therapy: Techniques such as massage or manipulation can improve elbow functionality.
  • Ultrasound Therapy: This can be used to promote healing and reduce pain.

Medical Interventions

If symptoms persist, further medical intervention may be necessary:

  • Corticosteroid Injections: These can provide temporary relief but are not a long-term solution.
  • Platelet-rich Plasma (PRP) Injection: Involves injecting components of your blood to promote healing. This treatment is available privately and may not be covered by the NHS.
  • Surgery: In rare cases where other treatments have failed, surgery may be considered. This involves removing the damaged part of the tendon.

Practical Tips and Actionable Advice

Ergonomic Adjustments

Making changes to your daily routine can help alleviate symptoms:

  • Modify Your Workstation: Ensure your desk and chair are at the correct height. Use ergonomic keyboards and mouse pads to reduce strain.
  • Improve Technique: For sports, consider professional coaching to improve your technique and prevent further injury.
  • Use Support: An elbow brace or strap can help reduce strain on the elbow during activities.

Common Mistakes and How to Avoid Them

Avoid these common pitfalls to ensure effective recovery:

  • Ignoring Pain: Continuing activities that cause pain can worsen the condition. Listen to your body and rest when needed.
  • Skipping Exercises: Consistency with physiotherapy exercises is crucial. Skipping these can delay recovery.
  • Inappropriate Use of Painkillers: Over-reliance on medication without addressing the underlying issue can be detrimental.

Long-term Strategies and Implementation Guidance

To prevent recurrence, consider these long-term strategies:

  • Regular Exercise: Incorporate strength training and stretching into your routine to maintain muscle health.
  • Maintain Good Posture: Pay attention to your posture during daily activities and make necessary adjustments.
  • Periodic Check-ups: Regular visits to your GP or physiotherapist can help monitor your progress and make adjustments as needed.

Conclusion

Tennis elbow can be a debilitating condition, but with the right approach, it is manageable. By understanding the causes, symptoms, and available treatments, you can take proactive steps towards recovery. Engage with healthcare professionals, make necessary lifestyle adjustments, and follow through with prescribed exercises to minimise the impact of tennis elbow on your life. Whether through self-care, physiotherapy, or medical intervention, the path to recovery is within reach for UK patients.

Remember, consistency and patience are key. Implement these strategies, and over time, you should see significant improvement in your symptoms and overall arm functionality.

Important: This article is for informational purposes only. Always consult with qualified healthcare professionals for personalized medical advice.