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Tennis Elbow Flare Protocol: First 48 Hours Checklist

Published: 9/20/2025Reading time: 2 min readBy: Tenease Medical Team
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Introduction

Tennis elbow, or lateral epicondylitis, is a common overuse injury that affects the tendons in the elbow. It is characterized by pain and tenderness on the outer part of the elbow and can be exacerbated by repetitive motions such as gripping or lifting. During a flare-up of tennis elbow, it is crucial to manage the symptoms effectively in the first 48 hours to promote healing and reduce discomfort.

Immediate Actions

Rest and Ice

Immediately cease any activities that aggravate the pain and rest the affected arm. Apply an ice pack wrapped in a thin cloth to the painful area for 15-20 minutes every 2-3 hours to reduce inflammation and numb the pain.

Compression and Elevation

Consider using a compression bandage to reduce swelling and provide support to the elbow. Elevating the arm above heart level can also help decrease swelling.

Medication

Over-the-Counter Pain Relief

Consider taking over-the-counter pain medications such as paracetamol or ibuprofen to alleviate pain and reduce inflammation. Follow the recommended dosage instructions provided on the packaging.

Consultation

General Practitioner (GP)

If the pain persists or worsens after 48 hours, make an appointment to see your GP. They can provide a proper diagnosis, recommend appropriate treatments, and refer you to a specialist if needed.

Physiotherapy Referral

Your GP may refer you to a physiotherapist who can design a tailored exercise program to strengthen the muscles around the elbow and improve flexibility, aiding in the recovery process.

Long-Term Management

Exercise and Stretching

Engage in specific exercises to strengthen the forearm muscles and improve grip strength. Stretching exercises can also help maintain flexibility in the elbow joint.

Ergonomic Adjustments

Make ergonomic modifications to your workspace or sporting equipment to reduce strain on the elbow. This may involve using ergonomic tools, adjusting your posture, or taking frequent breaks during repetitive tasks.

Conclusion

Managing a tennis elbow flare-up in the first 48 hours is crucial for promoting healing and alleviating symptoms. By following a comprehensive checklist that includes rest, ice, compression, elevation, medication, and seeking professional advice, individuals can effectively manage their condition and prevent further complications. Long-term strategies such as exercise, stretching, and ergonomic adjustments play a key role in preventing future flare-ups and maintaining elbow health.

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