Tennis Elbow Physio: Treatment for Lasting Relief in Melbourne’s North East
Tennis Elbow Physio at Our Rosanna Clinic
If outer elbow pain has been dragging on for weeks, you do not need to keep guessing at it. Our physiotherapists treat tennis elbow every week at 8 Bellevue Ave, Rosanna, a short walk from Rosanna station on the Hurstbridge line and roughly 13km north-east of the Melbourne CBD.
We see patients from across Banyule and Manningham, including Heidelberg, Ivanhoe, Watsonia, Macleod, Greensborough, Montmorency, Lower Plenty, Eltham, Preston, Bulleen and Templestowe. The clinic sits opposite a 120-space car park, so parking is rarely the reason an appointment gets postponed.
You do not need a referral to book a physiotherapy appointment for elbow pain. A referral is only required if you are coming through a Medicare care plan, WorkCover or TAC. We have HICAPS on site, so private health rebates are processed at the time of your visit.
New patients can book an initial consultation for $85 using the code NEW85.
Key Takeaways
- Tennis elbow results from repetitive overuse of forearm muscles, causing microscopic tears in extensor tendons.
- Symptoms include pain and tenderness on the outer elbow, often worsened by gripping activities.
- Without early treatment, tennis elbow can lead to chronic discomfort and long-term disability.
- Physiotherapy treatments focus on exercise programs, manual therapy, and education to strengthen muscles and alleviate pain.
- Timely physiotherapy can significantly speed up recovery and help prevent the recurrence of tennis elbow symptoms.
What Is Tennis Elbow?
Experiencing pain on the outside of your elbow, often aggravated by gripping activities, might indicate tennis elbow. Known medically as lateral epicondylitis, tennis elbow primarily involves overuse of the extensor tendons in your forearm. It’s not just athletes who suffer—computer work, gardening, or repetitive gripping can lead to this condition.

Common tennis elbow symptoms include elbow soreness and pain, particularly during wrist and forearm movements. You might also notice inner elbow discomfort, although the primary pain is on the outer elbow.
Activities requiring a strong grip, such as lifting or playing tennis with incorrect technique, can exacerbate these symptoms.
Diagnosed often by identifying tendinopathy of the extensor tendons at the lateral epicondyle, seeking early treatment is vital. Delaying can lead to chronic pain and potentially longer recovery times.
Tennis elbow doesn’t discriminate by age; adults and children can be affected. Personalised treatment strategies can address your specific symptoms and lifestyle.
Recognising the signs and understanding the condition empowers you to seek appropriate care, fostering a sense of belonging and reassurance within a community focused on well-being and recovery.
Causes of Tennis Elbow
Forearm Overuse
The primary culprit is repetitive overuse of the forearm muscles, often seen in activities requiring extensive gripping and wrist bending.
Incorrect Technique
Whether you're an athlete or a gardener, the incorrect grip or technique can notably exacerbate this condition.
Micro Tendon Tears
Over time, these repetitive motions cause microscopic tears in the extensor tendons attached to the lateral epicondyle of your elbow. This constant strain leads to inflammation and pain.
Symptoms and Health Complications
Recognising the telltale signs of tennis elbow is important for early intervention and effective treatment.
You’ll likely experience pain outside your elbow, particularly when gripping objects or lifting items. This discomfort can worsen over time if left unaddressed, potentially leading to chronic pain and disability.

Left alone, the pain usually spreads down the forearm and starts interfering with everyday grip – carrying shopping, turning a key, holding a coffee cup. Weakness follows, and the longer the tendon stays overloaded the longer it takes to settle.
How We Treat Tennis Elbow
Tennis elbow is a tendon load problem, not an inflammation problem, which is why rest alone so often fails. The tendon has been asked to do more than it is currently able to tolerate, so effective treatment is about rebuilding that capacity in the right order. Your first appointment is an assessment: we confirm the diagnosis, rule out referral from the neck, and work out what is actually loading the tendon in your day.
From there, treatment usually combines several of the following, matched to your stage:
- Load management — identifying and adjusting the grip, lifting and repetitive tasks that keep re-aggravating the tendon, at work and at home.
- Progressive strengthening — graded isometric and eccentric wrist extensor work, which has the strongest evidence base of any tennis elbow intervention. You can preview the kind of exercises involved in our tennis elbow exercise guide.
- Manual therapy — hands-on techniques for the elbow, wrist and forearm to reduce pain and restore movement so you can tolerate the strengthening work.
- Dry needling — used to settle forearm muscle tension that is adding load to an already irritated tendon.
- Shockwave therapy — an option we offer on site for stubborn cases that have not responded to loading alone, particularly where symptoms have run beyond three months.
- Bracing advice — when a counterforce strap genuinely helps, how to fit it, and when it is doing more harm than good.
Most people do not need endless appointments. The aim is to get you self-managing with a program you can keep doing, with review points rather than an open-ended booking schedule.
Tennis Elbow or Golfer’s Elbow? How to Tell
The two are often confused, and the difference is simply which side of the elbow is involved. Tennis elbow (lateral epicondylalgia) causes pain on the outer bony point of the elbow, and it flares when you grip, lift with the palm down, shake hands or carry a shopping bag. Golfer’s elbow (medial epicondylalgia) causes pain on the inner bony point, and it flares when you grip with the palm up, do pulling work or wring out a towel.
Neither is caused by the sport it is named after. Most of the cases we see come from work and home tasks — trades, keyboard and mouse use, gardening, childcare, and a sudden spike in gym or DIY activity. The assessment and treatment principles are much the same for both, but the muscles being loaded differ, so the exercise program is not interchangeable. If you are unsure which one you have, that is exactly what a first appointment is for.
Healing Time and Prognosis
Healing time and prognosis for tennis elbow vary depending on whether proactive treatment is sought. If left untreated, you might experience gradual improvement within 6-12 months. However, engaging in physiotherapy can markedly reduce your pain faster and lower the likelihood of recurring symptoms, speeding up your recovery process.
Physiotherapy involves structured exercise programs, manual therapy techniques, and expert advice tailored to your condition. These interventions address the symptoms and target the root cause—overuse and tendon microtears. Evidence shows that physiotherapy leads to more enduring relief and better functional outcomes.

When To Seek Professional Help
Experiencing enduring pain on the outer edge of your elbow that’s worsened by gripping activities signals it’s time to seek professional help. This discomfort, often linked to tennis elbow, may hinder your daily functions and could benefit greatly from professional intervention.
Consider consulting a healthcare provider if you notice any of the following:
- Tennis elbow results from repetitive overuse of forearm muscles, causing microscopic tears in extensor tendons.
- Difficulty with wrist and forearm movements: Problems gripping small objects or turning door handles.
- Worsening pain during daily activities: Increased discomfort when twisting the forearm or performing basic tasks.
- Limited range of motion: Symptoms not alleviated by basic at-home tests.
- Suspected tennis elbow: Seeking an accurate diagnosis and a tailored treatment plan from a professional.
Tennis Elbow Physiotherapy: Common Questions
Does physio actually work for tennis elbow?
Yes, and it is the recommended first-line approach. Progressive tendon loading is the intervention with the strongest evidence, and it is difficult to get right without guidance because the dose has to be matched to your irritability level. The most common reason people stall is doing the right exercises at the wrong intensity.
How long does tennis elbow take to settle?
It depends on how long you have had it. Cases caught within a few weeks often settle in 6 to 12 weeks. Symptoms that have run for six months or more take longer and are the ones most likely to need adjuncts such as shockwave. Honest answer: anyone promising a fix in two sessions is guessing.
Do I need a referral to see a physio for elbow pain?
No. You can book directly. A referral is only needed for a Medicare care plan, WorkCover or TAC claim.
Can I claim it on Medicare?
Possibly, if your GP has set up a chronic condition management plan for a condition lasting six months or more. Our Medicare and physiotherapy page explains what is covered and what gap applies.
How much does it cost?
New patients can book an initial consultation for $85 with the code NEW85. We have HICAPS on site for private health rebates.
Should I just rest it?
Complete rest usually makes tennis elbow worse in the medium term, because the tendon loses capacity while you wait. What helps is reducing the aggravating load while progressively rebuilding strength — not stopping altogether. Our tennis elbow exercise guide shows where that typically starts.
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.

Rosanna Physio Tennis Elbow Clinic
Rosanna Physio has been serving the people of Rosanna and its surrounding suburbs since 1989. We have the education, qualifications and experience to effectively treat any muscle or joint injury that requires expert physical therapy care.
Where our patients come from. Our clinic is at 8 Bellevue Ave, Rosanna, a short walk from Rosanna station. We treat patients from Heidelberg, Ivanhoe, Greensborough, Watsonia, Bulleen, Preston, Templestowe, Macleod, Lower Plenty, Eltham and the surrounding suburbs of Banyule and Manningham.