Tennis Elbow (Lateral Epicondylitis)

Tennis elbow, formally referred to as lateral epicondylitis, is a condition that causes pain on the outside of the elbow. It is due to inflammation and small tears in the tendons attached to the lateral epicondyle, a bony prominence on the outer part of your elbow. The problem is common amongst people whose work or activities require repetitive wrist or forearm movements, such as gripping, lifting, or twisting. While often associated with tennis, anyone performing repetitive tasks with their hands and arms can develop tennis elbow: desk workers, manual labourers, and athletes alike.

Tennis elbow, formally referred to as lateral epicondylitis, is a condition that causes pain on the outside of the elbow. It is due to inflammation and small tears in the tendons attached to the lateral epicondyle, a bony prominence on the outer part of your elbow. The problem is common amongst people whose work or activities require repetitive wrist or forearm movements, such as gripping, lifting, or twisting. While often associated with tennis, anyone performing repetitive tasks with their hands and arms can develop tennis elbow: desk workers, manual labourers, and athletes alike.

At Elite Physical Medicine, our experienced physiotherapists provide an individualised, evidence-based approach:

Thorough Assessment: We begin with a comprehensive assessment to confirm your diagnosis, rule out other causes of elbow pain, and understand your activity goals.

Education & Advice: You’ll receive clear advice about posture, ergonomics, and activity modifications to help reduce tendon strain.

Exercise Programme: A tailored exercise regime helps promote tendon healing, build forearm strength, and improve flexibility, progressing gently and safely from early activation to advanced rehabilitation.

Manual Therapy: Hands-on therapies such as soft tissue release or joint mobilisation can relieve pain and restore normal movement.

Pain Management: We’ll advise you on self-management strategies such as ice, heat, and over-the-counter pain relief if appropriate.

Activity Modification: Together, we’ll adapt your work, sport, or hobbies where needed to promote recovery and minimise recurrence.

Progressive Loading: Structured progression ensures you regain strength and confidence for daily activities or sport.

Bracing or Supports: A counterforce elbow strap may be recommended to help reduce strain on the affected tendon during certain activities.

Surgical Referral: If symptoms do not resolve with our comprehensive approach, we may refer you for orthopaedic review. Surgery is rarely required and is considered only when all other measures have failed.

Our approach is collaborative and evidence-driven, focused on immediate symptom relief and long-term recovery. With expert clinicians and progressive treatment options; including shockwave therapy, we’ll help you return with confidence to work, sport, and your everyday activities.