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Tennis Elbow at Night: Sleeping Positions and Support

Published: 10/16/2025Reading time: 5 min readBy: Tenease Medical Team
tennis-elbowlateral-epicondylitis

Tennis Elbow at Night: Sleeping Positions and Support

Tennis elbow, or lateral epicondylitis, is a common condition that causes pain around the outside of the elbow. While it often results from repetitive strain or overuse, particularly in activities involving the wrist and arm, it can significantly affect quality of life, including sleep. In the UK, where the NHS estimates thousands suffer from this condition annually, understanding how to manage pain during the night is crucial. This article provides comprehensive guidance on sleeping positions and support strategies to alleviate discomfort and promote restful sleep for those suffering from tennis elbow.

Understanding Tennis Elbow and Its Impact on Sleep

Tennis elbow is characterised by pain and tenderness on the outside of the elbow, often exacerbated by wrist and arm movements. This discomfort can make finding a comfortable sleeping position challenging, leading to disrupted sleep patterns. Poor sleep not only affects recovery but can also exacerbate pain, creating a vicious cycle. Therefore, it is essential to adopt strategies that minimise stress on the elbow joint during sleep.

Optimal Sleeping Positions for Tennis Elbow

Choosing the right sleeping position can significantly reduce strain on the affected arm. Here are some positions to consider:

  • Supine Position: Lying on your back is generally recommended as it evenly distributes body weight and reduces pressure on the elbow. Consider placing a pillow under the affected arm for additional support.
  • Side Sleeping: If you prefer sleeping on your side, opt to lie on the unaffected side. Place a pillow between your arms to keep the affected elbow elevated and supported, which can help reduce stress and pressure.
  • Elevated Arm Position: Elevating the affected arm slightly above the heart can reduce swelling and pain. Use a wedge pillow or multiple standard pillows to achieve this elevation comfortably.

Supportive Sleep Accessories

Incorporating supportive accessories into your sleep routine can further alleviate tennis elbow discomfort:

  • Elbow Braces: Wearing an elbow brace or support band during sleep can help keep the elbow in a stable position and reduce pain. Look for braces that are comfortable and specifically designed for nighttime use.
  • Memory Foam Pillows: These pillows conform to the shape of your arm and elbow, providing customised support and reducing pressure points.
  • Body Pillows: A full-length body pillow can offer additional support and comfort, especially for side sleepers, by providing a surface to rest the arm and maintain proper alignment.

Practical Tips for Nighttime Comfort

Implement these practical tips to enhance nighttime comfort and pain management:

  • Establish a Bedtime Routine: Develop a calming bedtime routine to prepare your body for sleep. This might include activities such as reading, taking a warm bath, or practising relaxation techniques.
  • Temperature Control: Keep your bedroom at a comfortable temperature. Overheating can exacerbate inflammation, so ensure the room is cool and well-ventilated.
  • Gentle Stretching: Engage in gentle stretching exercises before bed to relieve tension in the arm and forearm muscles. Consult with a physiotherapist for exercises tailored to your condition.
  • Use Over-the-Counter Pain Relief: Consider using over-the-counter pain relief medication, such as ibuprofen or paracetamol, as advised by your GP, to manage inflammation and pain before sleeping.

Common Mistakes and How to Avoid Them

Here are some common mistakes to avoid when managing tennis elbow at night:

  • Sleeping on the Affected Arm: This can increase pressure and exacerbate pain. Always opt for positions that keep the affected arm supported but not compressed.
  • Ignoring Pain Signals: Do not ignore pain signals. If you experience persistent pain, consult your GP for a comprehensive evaluation and tailored advice.
  • Using Incorrect Braces: Ensure any brace or support used is specifically designed for tennis elbow and is comfortable for nighttime wear.

Long-term Strategies and Implementation

Implementing long-term strategies for managing tennis elbow can help improve sleep quality and overall recovery:

  • Regular Physiotherapy: Engage in regular physiotherapy sessions to strengthen the forearm muscles and improve flexibility, reducing the strain on the elbow.
  • Ergonomic Adjustments: Make ergonomic adjustments in daily activities, such as using a mouse pad with wrist support or adjusting the height of work surfaces, to prevent exacerbation of symptoms.
  • Monitor and Adjust: Regularly assess your symptoms and sleeping arrangements, adjusting as necessary to ensure continued comfort and support.

Conclusion: Key Takeaways for Managing Tennis Elbow at Night

Managing tennis elbow effectively requires a combination of appropriate sleeping positions, supportive accessories, and lifestyle adjustments. By implementing the strategies outlined above, individuals can significantly reduce nighttime discomfort and improve sleep quality. Remember to consult with healthcare professionals, such as GPs or physiotherapists, to tailor these strategies to your specific needs and ensure optimal recovery. In the UK, the NHS provides comprehensive resources and pathways for managing tennis elbow, ensuring you have access to the necessary support and advice. Prioritising sleep and pain management will lead to better outcomes and an improved quality of life.

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