Tennis Elbow Treatment: What Do Physical Therapists Do To Treat It?

Tennis elbow, or lateral epicondylitis, affects millions of people worldwide, and it’s not just tennis players who suffer from this condition. If you’re experiencing pain in the outer part of your elbow, which worsens with specific arm movements, you may suffer from a tennis elbow.

Physical therapists play an essential role in treating this condition, offering a range of evidence-based techniques to alleviate pain and restore function. These professionals tailor their approach to each patient’s needs, from manual therapy to specialised exercises.

But what exactly can you expect when you visit a physical therapist for tennis elbow treatment? Let’s discuss this and more in our latest blog.

In Melbourne? This guide explains what physiotherapy for tennis elbow involves. If you would like an assessment rather than a self-managed program, our physiotherapists treat tennis elbow at our Rosanna clinic in Melbourne’s north east — no referral needed, and new patients can book an initial consult for $85 with the code NEW85.

New patient special offer: initial consultation includes assessment and treatment only $85 Use Code NEW85

Elbow Joint Health Key Takeaways

Understanding Tennis Elbow Symptoms

When understanding tennis elbow or lateral epicondylitis, it’s vital to recognise that this condition stems from overusing the muscles and tendons in your forearm. This overuse results in elbow pain that can radiate to your forearm and wrist, significantly impacting your ability to perform everyday tasks.

Tennis elbow impacts the quality of life for million of people across the world each year. If you play a sport like tennis or golf, or have an occupation that requires a lot of repetitive movements, you could be at risk.

Tennis elbow is particularly common among individuals aged 30–50, and men are more prone to developing it. If you’re experiencing pain during wrist and hand movements, seeking a proper diagnosis is essential.

A thorough diagnosis involves evaluating your elbow and surrounding areas to pinpoint the source of the pain. Physical therapists are crucial in this process, often conducting special tests to assess muscle weakness and determine the extent of the condition. Sometimes, they may recommend X-rays to rule out other potential issues.

After diagnosis, therapy aims to reduce pain and restore function. Physical therapists develop customised exercise regimens to strengthen and stretch the affected muscles and tendons. These exercises help manage symptoms and aim to prevent future occurrences by improving muscle endurance and flexibility.

Physical Therapy Techniques

Effective management of tennis elbow requires a variety of physical therapy techniques:

  • Manual Therapy

    Manual therapy is pivotal, using joint mobilisation and soft tissue massage to alleviate pain and enhance mobility. These hands-on techniques reduce muscle tension and improve circulation around the elbow, fostering a more conducive environment for healing.

  • Customised Exercise Programs

    Specialised exercise programs, in addition to manual therapy, target the specific muscles affected by tennis elbow. These programs aim to stretch and strengthen the surrounding muscles, which helps prevent symptom recurrence.

  • Ultrasound, Shockwave, TENS

    Incorporating modalities such as ultrasound, shockwave therapy, and TENS (transcutaneous electrical nerve stimulation) can also be beneficial. Ultrasound assists in reducing inflammation, shockwave therapy enhances the body's natural healing processes, and TENS provides pain relief by sending tiny electrical impulses through the skin.

  • Education

    Education is another critical component of your therapy. Understanding proper ergonomics and activity modification can substantially impact your recovery journey. Your physical therapist will guide you on how to adapt daily activities to minimise strain on your elbow.

Strengthening and Stretching Training Exercises

Building on the physical therapy techniques discussed earlier, a key element of tennis elbow rehabilitation is a structured program of strengthening and stretching exercises. Your physical therapist will guide you through targeted movements designed to enhance muscle strength, endurance, and flexibility in your affected arm.

The strengthening exercises for tennis elbow therapy concentrate on wrist extension, flexion, and forearm supination/pronation. You’ll use dumbbell hand weights to perform these exercises, gradually increasing repetitions and weight as your condition improves. Your therapist will make sure you maintain a proper form to prevent further injury.

Here is a great video tutorial from Rehab Science on three effective tennis elbow strengthening exercises:

Stretches that enhance flexibility and reduce strain on the affected muscles and tendons complement these strengthening exercises. Wrist extension and flexion stretches are particularly beneficial for tennis elbow recovery.

Dr. Jo is a fantastic resource you should check out, here is a great video from her on tennis elbow stretches (and some exercises too):

Following your therapist’s instructions carefully and performing these exercises regularly is essential. You shouldn’t feel pain during the exercises but may experience some discomfort. If pain occurs, inform your therapist immediately.

New patient special offer: initial consultation includes assessment and treatment only $85 Use Code NEW85

Managing Pain and Progression

Pain management is a crucial component of tennis elbow therapy. Physical therapists use manual therapy techniques to lessen pain and enhance tissue mobility. They will lead you through an exercise program that gradually strengthens and rehabilitates the injured muscles.

Your therapist will closely monitor your response and adjust exercises accordingly as you progress. Your physical therapist will educate you on activity modifications and self-care strategies to improve treatment outcomes. This thorough approach enhances function, reduces pain, and promotes long-term elbow health.

Here are some example exercises your physio will assign - keep in mind that your physio will understand your specific condition and tailor the type, number and repititions to suit your needs and recovery.

You’ll learn to perform exercises correctly and understand the importance of gradual progression. We will regularly assess your pain levels throughout your therapy to ensure the effectiveness of the treatment plan. Your therapist may adjust the intensity or frequency of exercises based on your progress.

They’ll also teach you how to manage flare-ups and identify warning signs. Physical therapists create a holistic treatment plan by combining pain management techniques, targeted exercises, and patient education. This personalised approach helps you recover from the tennis elbow and regain optimal function, allowing for a safe return to daily activities and sports.

Preventing Future Injuries

While managing the pain and progression of tennis elbow is essential, preventing future injuries is equally vital.

Physical therapists emphasise proper muscle use and technique to guarantee you’re addressing current issues and protecting against future injuries. Understanding the risk factors associated with tennis elbow is pivotal. Learning to avoid them in your daily activities can significantly diminish the chances of recurrence.

Strategy Implementation
Strengthening
Focus on supporting muscles through exercises tailored by physical therapists
Regular breaks
Take consistent breaks during repetitive tasks to prevent overuse
Personalised programs
Engage in exercise routines designed specifically for your needs and limitations
Activity modifications
Adapt daily tasks to minimize strain on vulnerable muscles

Strengthening supporting muscles is a crucial strategy physical therapists teach. By incorporating regular breaks during repetitive tasks, you can prevent overuse, a common cause of tennis elbow.

We craft personalised exercise programmes to meet your needs, ensuring effective prevention. Activity modifications, guided by therapists, help you adjust your daily routines to minimise strain.

Early intervention and these preventive measures can significantly lower the risk of future tennis elbow occurrences, allowing you to maintain an active lifestyle without the constant worry of reinjury.

When To Seek Professional Help

When should you consult a professional for tennis elbow symptoms?

A physical therapist can provide a proper diagnosis and develop tailored treatment plans to address your specific needs. They’ll assess the severity of your tennis elbow and guide you through appropriate exercises and techniques to manage your condition effectively.

Don’t hesitate to seek help if you’re experiencing intense pain, especially during activities involving the affected arm. Early intervention can prevent the condition from worsening and help you recover quickly. Professional guidance is essential for adequately managing tennis elbows and preventing future injuries.

In Closing...

Early treatment is essential to prevent tennis elbows from becoming chronic. If left untreated, it can last for months and sometimes even years, emphasising the importance of addressing underlying muscle weakness and poor habits rather than just relieving pain.

Physical therapy for tennis elbows significantly improves pain and function by strengthening the affected muscles, promoting flexibility, and modifying activities to prevent overuse. Seeking professional help early can prevent future complications and enhance your quality of life.

You don’t need to put up with Tennis Elbow any longer.  Our team of experienced Physios have the education and experience to get you moving pain free again.  

Take control today by booking in online or call us today on (03) 8104 9270 to get this issue sorted once and for all.

New patient special offer: initial consultation includes assessment and treatment only $85 Use Code NEW85

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Rosanna Physiotherapist Elbow Joint Clinic

Rosanna Physio has been serving the people of Rosanna and its surrounding suburbs since 1989. We have the experience and education to effectively treat any muscle or joint injury that requires expert physical therapy care.

Tendon Injuries Article References:

If you would like a deeper understanding of the subject matter discussed in this article, please click on the below links:

  1. American Physical Therapy Association: https://www.apta.org/patient-care/evidence-based-practice/resources/cpgs/lateral-elbow-pain-and-muscle-function-impairments.
  2. American Academy of Orthopaedic Surgeons: https://orthoinfo.aaos.org/globalassets/pdfs/a00790_therapeutic-exercise-program-for-epicondylitis_final.pdf
  3. The Journal of Orthopaedic and Sports Physical Therapy: https://www.jospt.org/doi/epdf/10.2519/jospt.1986.8.3.134

If your symptoms have not improved after several weeks of self-directed exercise, that is the point at which a professional assessment usually saves time. Readers in Melbourne can read more about tennis elbow physio at our Rosanna clinic, including how we use dry needling and shockwave therapy for stubborn cases.