Healing Tennis Elbow Through Physical Therapy: Tips and Strategies

tennis elbow physical therapy

Tennis elbow, medically known as lateral epicondylitis, is a common yet often painful condition that affects many individuals. And it can affect you even if you don’t play tennis. The discomfort and limited range of motion associated with tennis elbow can impact daily life. It can also hinder your ability to engage in the activities you love. While the journey to recovery may seem daunting, the realm of physical therapy offers a beacon of hope and healing. In this comprehensive guide, we delve into the world of healing tennis elbow through physical therapy, equipping you with expert tips, evidence-based strategies, and insights that can pave the way to lasting relief.

Symptoms of Tennis Elbow

Tennis elbow is characterized by a range of symptoms that can vary in intensity. Here are some common symptoms associated with it

  • Pain and Tenderness: The primary symptom of tennis elbow is pain and tenderness on the outer part of the elbow. This pain may radiate down the forearm and can be noticeable when you press the affected area.
  • Weak Grip: You might experience a weakened grip strength. And this may make it challenging for you to hold or lift objects.
  • Stiffness: Stiffness in the elbow joint, especially after periods of inactivity or upon waking up, is another common symptom.
  • Pain with Activities: Activities that involve gripping, twisting, or lifting can exacerbate the pain. For example, shaking hands, turning a doorknob, or even holding a cup can trigger discomfort.
  • Pain during Repetitive Motions: Engaging in repetitive motions, such as typing or using tools, can lead to pain.
  • Worsening Pain: Over time, the pain may worsen and become more persistent, interfering with your ability to perform daily tasks and activities.
  • Painful Extension: Pain can also occur when you try to extend your wrist or fingers against resistance.
  • Gradual Onset: Symptoms of tennis elbow often develop gradually, with pain initially occurring during or after certain activities and gradually becoming more persistent.

Potential Causes of Tennis Elbow

Tennis elbow is primarily caused by overuse and strain of the forearm muscles. These repetitive movements can lead to small tears in the tendons, resulting in the characteristic pain of tennis elbow. Here are some common causes and contributing factors

  • Repetitive Activities: Engaging in repetitive motions involving the forearm muscles, such as gripping, twisting, lifting, or swinging, can strain the tendons over time. Activities like playing tennis, painting, typing, using hand tools, or even cooking can contribute to the development of tennis elbow.
  • Incorrect Technique: Improper or incorrect technique while playing sports or performing activities can place excessive stress on the forearm muscles and tendons, increasing the risk of injury and tennis elbow.
  • Lack of Rest: Insufficient rest and recovery between activities that strain the forearm muscles can lead to cumulative damage and eventually trigger tennis elbow symptoms.
  • Age and Degeneration: As we age, tendons become less flexible and more prone to degeneration. This natural aging process can make the tendons more vulnerable to tears and injuries.
  • Muscle Imbalances: Imbalances in the muscles of the forearm, shoulder, and upper body can affect the distribution of forces during movement. This can lead to increased stress on the tendons and the development of tennis elbow.
  • Direct Trauma: While less common, a direct impact or trauma to the lateral epicondyle can also lead to the development of tennis elbow.
  • Genetic Predisposition: Some individuals may have a genetic predisposition that makes their tendons more prone to injury and conditions like tennis elbow.
  • Occupational Factors: Certain occupations that involve repetitive hand and wrist movements can increase the risk of developing tennis elbow. For example carpentry, plumbing, or manual labor.

Stretching and Flexibility Exercises

Stretching and flexibility exercises play a pivotal role in the comprehensive approach to healing tennis elbow through physical therapy. They aim to alleviate this tension by gently elongating the muscles, promoting blood flow, and enhancing flexibility.

Wrist Flexor Stretch

Wrist Flexor Stretch

  • Extend your arm in front of you with your palm facing down.
  • Use your opposite hand to gently bend your wrist downward, pointing your fingers towards the floor.
  • Hold the stretch for 15-30 seconds and then release.
  • Repeat on the other arm.

Forearm Flexor Stretch

  • Extend your arm straight in front of you with your palm facing down.
  • Use your opposite hand to grasp your fingers and gently bend your wrist upward.
  • You should feel a stretch along the underside of your forearm.
  • Hold the stretch for 15-30 seconds and then release.
  • Repeat on the other arm.

Triceps StretchTriceps Stretch

  • Reach one arm overhead and bend your elbow, bringing your hand towards your upper back.
  • Use your opposite hand to gently press your bent elbow, feeling a stretch along the back of your arm.
  • Hold the stretch for 15-30 seconds and then switch sides.

Fist Clench and Release

  • Make a fist with your hand and hold it for a few seconds.
  • Slowly release your fingers and open your hand wide.
  • Repeat this clench-and-release motion about 10-15 times on each hand.

Towel Twist Stretch:Towel Twist Stretch

  • Hold a small towel with both hands, gripping it at each end.
  • Hold your arms straight in front of you, parallel to the ground.
  • Use one hand to twist the towel while the other hand resists the twist.
  • You should feel a stretch along the forearm muscles.
  • Hold the stretch for 15-30 seconds and then switch the twisting hand.

Role of Physical Therapy in Tennis Elbow RecoveryRole of Physical Therapy in Tennis Elbow Recovery

Physical therapists play a crucial role in guiding individuals through a structured rehabilitation process tailored to their specific needs. Here’s how physical therapy contributes to tennis elbow recovery:

  • Accurate Assessment: Skilled physical therapists conduct a thorough assessment to diagnose the severity of your tennis elbow. They evaluate your pain level, range of motion, muscle strength, and overall functional limitations.
  • Personalized Treatment Plans: Every individual’s experience with tennis elbow is unique. Physical therapists design personalized treatment plans that address your specific condition, goals, and lifestyle. These plans are tailored to optimize your recovery and improve your overall quality of life.
  • Pain Management: Physical therapists employ various techniques to manage pain associated with tennis elbow. These may include manual therapies, modalities like ultrasound or electrical stimulation, and exercises that target pain reduction.
  • Manual Therapy: Hands-on techniques, such as joint mobilizations and soft tissue manipulation, are utilized to improve circulation, reduce muscle tension, and promote healing in the affected area.
  • Strengthening Exercises: Physical therapists guide you through a range of exercises that focus on strengthening the forearm. These exercises help support and stabilize the affected tendons while promoting proper healing.
  • Flexibility and Range of Motion: Targeted stretches and range-of-motion exercises are prescribed to improve the flexibility of the forearm. This also prevents stiffness and enhances overall function.
  • Ergonomic Education: Physical therapists provide guidance on proper body mechanics and ergonomic principles to minimize strain on the forearm tendons during daily activities, work, and sports.
  • Progressive Rehabilitation: Over the course of your treatment, physical therapists gradually introduce more advanced exercises and techniques to challenge your muscles and promote further healing.


In the journey to healing from tennis elbow, remember that physical therapy is your trusted ally. From understanding the causes to embracing personalized treatment, and from pain management to regaining strength, each step contributes to your recovery. By working closely with your physical therapist and staying committed to the exercises and strategies, you’re on the path to a life free from tennis elbow discomfort. With dedication, you’re taking charge of your well-being and paving the way for a future filled with strength and vitality.

If you’re experiencing Elbow pain, physical therapy for elbow pain at PhysioMantra can help: Book an online physical therapy session.