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Signs Your Tennis Elbow Is Getting Worse (Act Now)

Published: 10/21/2025Reading time: 4 min readBy: Tenease Medical Team
tennis-elbowlateral-epicondylitis

Understanding Tennis Elbow and Its Progression

Tennis elbow, or lateral epicondylitis, is a condition resulting from overuse of the elbow, leading to pain and tenderness around the lateral epicondyle of the humerus. Although commonly associated with tennis players, it can affect anyone who performs repetitive arm movements. For UK residents, understanding the signs of worsening tennis elbow is crucial for timely intervention and management.

Signs Your Tennis Elbow Is Getting Worse

Increased Pain and Tenderness

One of the primary indicators that your tennis elbow is worsening is an increase in pain and tenderness around the elbow. Initially, discomfort might be mild and only noticeable during specific activities. However, if the pain becomes more intense and starts to affect daily tasks, this is a sign that the condition is progressing.

  • Persistent pain even at rest.
  • Sharp pain when gripping objects.
  • Increased tenderness when touching the lateral epicondyle.

Reduced Range of Motion

A decreased ability to move your elbow and forearm can indicate worsening of the condition. Patients may notice stiffness, especially in the morning, or difficulty in extending the arm fully.

Weakness in the Forearm

As tennis elbow progresses, you may experience a reduction in grip strength, making it challenging to hold objects securely. This weakness can extend to the wrist and fingers, impacting daily activities such as typing or lifting.

Swelling and Inflammation

Visible swelling around the elbow joint is a clear sign of inflammation, indicating that the condition is not improving and may require more intensive treatment.

Practical Steps to Take When Symptoms Worsen

Consulting a GP

If you notice any of the signs mentioned above, it's crucial to consult your GP. They can provide an initial assessment and may refer you to a specialist, such as an orthopaedic surgeon or a physiotherapist, depending on the severity of your symptoms.

Engaging in Physiotherapy

Physiotherapy is a vital component in managing tennis elbow. A physiotherapist can provide tailored exercises to improve flexibility and strength in the forearm. Consider engaging in:

  • Stretching exercises: Gentle stretches can enhance flexibility and reduce stiffness.
  • Strengthening exercises: Focus on strengthening the extensor muscles to improve grip strength.
  • Manual therapy: Techniques like massage can alleviate pain and improve circulation.

Applying the RICE Method

The RICE method (Rest, Ice, Compression, Elevation) can be effective in managing acute symptoms of tennis elbow.

  • Rest: Avoid activities that exacerbate the pain.
  • Ice: Apply an ice pack to the elbow for 15-20 minutes every 2-3 hours to reduce swelling.
  • Compression: Use an elastic bandage to provide support and reduce swelling.
  • Elevation: Keep the arm elevated above the heart level to decrease swelling.

Common Mistakes and How to Avoid Them

Ignoring Early Symptoms

Many individuals dismiss early symptoms, attributing them to general fatigue or minor strains. Early intervention can prevent the progression of tennis elbow.

Over-relying on Painkillers

While over-the-counter painkillers such as ibuprofen can provide temporary relief, they should not be relied upon as a long-term solution. Prolonged use can mask symptoms without addressing the underlying issue.

Continuing Aggravating Activities

Continuing the activities that caused the condition without modification can worsen symptoms. Consider ergonomic adjustments or alternative techniques to reduce strain on the elbow.

Long-term Strategies for Managing Tennis Elbow

Ergonomic Adjustments

Consider making ergonomic adjustments both at work and during recreational activities. Use ergonomic tools that reduce strain on the elbow, such as cushioned grips or ergonomic keyboards.

Regular Exercise and Stretching

Incorporate a regular exercise routine focusing on strengthening and stretching the forearm muscles. This can prevent future occurrences and improve overall arm function.

Follow-up with Healthcare Professionals

Regular follow-ups with your GP or physiotherapist can help track progress and make necessary adjustments to your treatment plan. In the UK, the NHS provides access to a range of services, including referrals to specialists if needed.

Conclusion: Key Takeaways

Tennis elbow is a manageable condition, but recognising the signs of worsening symptoms is critical for effective treatment. By consulting with a GP, engaging in physiotherapy, and making lifestyle adjustments, you can manage symptoms and prevent further progression. Avoid common mistakes such as ignoring symptoms or over-relying on painkillers, and focus on long-term strategies like regular exercise and ergonomic adjustments. With these steps, UK patients can effectively manage their tennis elbow and maintain a high quality of life.

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