Understanding Tennis Elbow

Expert Care Designed to Stop the Pain and Start the Healing.

Tennis elbow, clinically known as lateral epicondylitis, is a painful condition caused by the overworking of the tendons in the forearm. It specifically affects the area where the tendons of your forearm muscles attach to the bony bump on the outside of your elbow. 

Despite its name, you don’t have to play tennis to develop it; any activity that involves repetitive gripping and twisting can trigger the condition. 

How Injuries Occur 

Tennis elbow is primarily a repetitive stress injury. It occurs when the muscles and tendons are subjected to more force than they can handle. Common triggers include: 

Repetitive Motion: Frequent use of the wrist and forearm, such as painting, typing, using a screwdriver, or using a manual saw. 
Poor Technique: In sports like tennis, using an improper backhand technique or a racket that is too heavy or tightly strung. 
Sudden Overload: Lifting a heavy object with the palm facing down, which puts immense strain on the outer elbow tendons. 

The injury usually involves the Extensor Carpi Radialis Brevis (ECRB) muscle and its tendon. Damage typically manifests as: 

Micro-tearing: Small, microscopic tears in the tendon fibres where they attach to the lateral epicondyle (the elbow bone). 
Tendon Degeneration: If the body cannot keep up with the repair of these micro-tears, the tendon tissue begins to weaken and degenerate (tendinosis). 
Inflammation: In the early stages, the area may become inflamed and swollen, causing acute pain when the muscle is engaged.

Tennis elbow treatment is ideal for: 

  • Office workers using a mouse or keyboard extensively  
  • Tradespeople (e.g. builders, plumbers, electricians)  
  • Gym-goers and athletes  
  • People performing repetitive arm movements  
  • Anyone experiencing elbow pain or reduced grip strength  

If your elbow pain is interfering with daily tasks, treatment can help restore function. 

How long does tennis elbow take to heal? 
Recovery can take a few weeks to several months depending on severity and how early treatment begins. 
Should I stop using my arm completely? 
Not usually. Reducing aggravating activities while staying gently active is often the best approach. 
Is treatment painful? 
Some techniques may feel intense due to tight or irritated tissues, but treatment is always adjusted to your comfort. 
Can tennis elbow come back? 
Yes, especially if the underlying cause isn’t addressed. We focus on prevention as well as treatment. 
When should I seek treatment? 
If pain persists, worsens, or affects your grip and daily activities, it’s best to seek treatment early. 

Zeshan was the first health practitioner who truly understood the underlying root cause of my issue, tracing a series of hip and spine misalignments back to an old ankle injury. Over the course of 8 sessions, we made remarkable progress. My neck and shoulder tension dropped significantly, and my recurring headaches have stopped.

— Therese Hurst