Tennis Elbow: A Comprehensive Approach to Understanding, Preventing, and Treating

Mar 20, 2024

Tennis elbow, or lateral epicondylitis, is a condition characterized by pain and inflammation in the forearm and outside of the elbow. It's a common misconception that only athletes are affected by this ailment. In reality, anyone who engages in repetitive tasks that strain the forearm muscles can develop tennis elbow. This includes activities ranging from sports to daily chores. Fortunately, treatment methods like trigger point therapy, corrective exercises, and addressing shoulder tightness can offer significant relief. Let's explore the nature of tennis elbow, its causes, and a holistic approach to treatment.

What is Tennis Elbow?

Tennis elbow results from the overuse of the forearm muscles that extend to the outside of the elbow. This overuse leads to inflammation and pain due to the strain on the tendons that attach these muscles to the elbow joint.

The Culprits Behind Tennis Elbow

Tennis elbow is a condition that doesn't limit its grip to just tennis players. In fact, a wide array of sports and gym activities can contribute to the development of this painful condition. Here are some examples:

  • Racquet Sports: Beyond tennis, sports like squash, badminton, and racquetball demand repetitive arm movements that can strain the forearm muscles and tendons.

  • Weightlifting: Exercises that involve gripping and lifting weights, especially those that require wrist extension or curling, can put significant stress on the elbow tendons.

  • Golf: The grip and swing in golf can similarly strain the muscles around the elbow, leading to the condition known as golfer's elbow, which is closely related to tennis elbow.

  • Throwing Sports: Athletes involved in sports that require throwing motions, such as baseball, javelin, or discus, are at risk due to the repetitive stress placed on the elbow joint.

  • Gymnastics and Climbing: These activities require athletes to support their body weight with their hands and arms, often leading to overuse of the forearm muscles and tendons.

  • CrossFit and Functional Fitness: High-intensity workouts that combine weightlifting, bodyweight exercises, and repetitive gripping can increase the risk of developing tennis elbow.

Engaging in these activities, especially without proper form or adequate rest, can lead to the overuse and strain of the forearm muscles and tendons, setting the stage for tennis elbow.

A Holistic Approach to Treating Tennis Elbow

Trigger Point Therapy

This therapy targets tight knots in muscles, known as trigger points, which can cause pain in other body parts. For tennis elbow, focusing on the forearm's trigger points helps reduce tension, alleviating pain and aiding in recovery.

Corrective Exercises for Tennis Elbow

Wrist Strengthening

  1. Wrist Curls and Reverse Wrist Curls

    • Sit with your forearm resting on a table, palm up, holding a lightweight dumbbell.

    • Slowly curl the weight towards you, then lower it back down.

    • For reverse wrist curls, flip your arm so your palm faces down and lift the weight by extending your wrist.

    • Perform 2-3 sets of 10-15 repetitions for each.

Elbow Strengthening

  1. Eccentric Wrist Extensions

    • Sit with your forearm resting on a table, palm down, holding a lightweight dumbbell.

    • Use your other hand to lift the dumbbell by extending the wrist, then slowly lower it back down using only the hand of the affected arm.

    • This exercise focuses on the eccentric (lowering) phase, which is crucial for tendon rehabilitation.

    • Aim for 3 sets of 10-15 repetitions.

Shoulder Girdle Strengthening

  1. Shoulder Blade Squeezes (Scapular Retraction)

    • Sit or stand with your arms by your side.

    • Squeeze your shoulder blades together as if trying to hold a pencil between them, without elevating your shoulders.

    • Hold for 5-10 seconds, then release.

    • Perform 2-3 sets of 12-15 repetitions.

  2. External Shoulder Rotations

    • Lie on your side, holding a lightweight dumbbell in the top hand with your elbow bent at a 90-degree angle.

    • Keeping your elbow pinned to your side, rotate your forearm upward, then slowly lower it back.

    • Perform 2-3 sets of 10-15 repetitions on each side.

Flexibility and Mobility

  1. Wrist Flexor Stretch

    • Extend your arm in front of you with your palm down.

    • Use your other hand to gently press down on the fingers of your extended hand, stretching the forearm.

    • Hold for 15-30 seconds, then switch arms.

  2. Cross-Body Shoulder Stretch

    • Bring one arm across your body at about shoulder height.

    • Use your other hand to press the arm closer to your chest, stretching the shoulder.

    • Hold for 15-30 seconds, then switch arms.

  3. Thoracic Spine Mobility

    • Sit on your heels and place your hands on the floor in front of you.

    • Walk your hands out to one side, stretching the side of your torso while keeping your hips back toward your heels.

    • Hold for 15-30 seconds, then switch sides.

Incorporating these exercises into your routine can help alleviate the symptoms of tennis elbow by strengthening and increasing the flexibility of the muscles and tendons in the wrist, elbow, and shoulder girdle. Remember, it's important to perform these exercises with proper form and to consult with a healthcare professional or a physical therapist to ensure they are suitable for your specific condition.

By addressing the entire kinetic chain involved in the activities that contribute to tennis elbow, you can not only find relief but also prevent future occurrences.

Tennis elbow is a manageable condition with a comprehensive treatment approach that includes trigger point therapy, corrective exercises for the forearm, and addressing shoulder tightness. By understanding the interconnectedness of the body's musculoskeletal system, individuals can effectively treat tennis elbow and prevent its recurrence. Always consult with a healthcare professional before starting any new treatment regimen to ensure it's appropriate for your specific needs.


As you embark on this journey to alleviate the discomfort caused by tennis elbow, remember that understanding your body's signals and taking proactive steps towards healing is crucial. Trigger point therapy and corrective exercises offer a pathway to not only manage pain but also enhance muscle function and prevent future injuries.

However, navigating the complexities of muscle imbalances and trigger points can be challenging on your own. That's where ReliefApp comes in. With personalized exercise programs and expert guidance, ReliefApp empowers you to take control of your recovery process. Whether you're dealing with tennis elbow or looking to improve your overall musculoskeletal health, ReliefApp is your companion in achieving a pain-free lifestyle.

Don't let pain hold you back any longer. Download ReliefApp today and start your journey towards a stronger, more resilient you.

Together, let's unlock the door to pain relief and reclaim the joy of movement.

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