
Tennis elbow treatment is often seen as just rest and ice, right? But what if that’s not enough? What if ignoring technique and equipment is the reason why so many people keep coming back to square one?
It’s surprising how many sufferers get stuck in a cycle of pain and frustration because they don’t address the real causes. Tennis elbow is not just an injury; it’s a warning sign that something else is off.
What Is a Tennis Elbow?

Tennis elbow, or lateral epicondylitis (try saying that five times fast), happens when the tendons on the outer part of the elbow become irritated. These tendons connect the muscles that lift the wrist and fingers to a bony bump on the elbow called the lateral epicondyle.
A specific tendon, the extensor carpi radialis brevis (ECRB), often takes the brunt of the damage. The pain shows up because gripping tightly makes the wrist extend, pulling on these tendons. So, if gripping hurts, it’s no surprise this tendon is involved.
What Causes Tennis Elbows?
A lot of people think tennis elbow only happens to tennis players, but that’s far from true.
The main culprit is repetitive motion and overuse. This could be a tennis backhand, yes, but also painting walls, using power tools, or even typing all day. Here are the common reasons:
- Overusing the forearm muscles without enough rest.
- Poor tennis technique or wrong sports form.
- Using a racket or tool that doesn’t fit well like a grip too small or strings too tight.
- Weakness in the shoulder, wrist, or forearm muscles.
- Suddenly increasing activity or switching equipment.
What Are the Symptoms?
How do you know if you have a tennis elbow? Here’s what usually happens:
- Pain or burning on the outer elbow, sometimes spreading down the forearm.
- Difficulty gripping small things like a coffee cup.
- Weakness when trying to lift or make a fist.
- Tenderness right over the bony bump on the elbow.
If pain is getting worse or sticking around, don’t just ignore it. It’s worth checking out.
How Is Tennis Elbow Diagnosed?
Doctors often spot tennis elbow just by feeling the area and asking about symptoms. But sometimes, tests help:
- X-rays to rule out arthritis or bone problems.
- MRI scans to see tendon damage.
- EMG tests to check for nerve issues.
Getting the right diagnosis is the first step toward effective tennis elbow treatment.
How to Prevent Tennis Elbow: Tennis Elbow Treatment
Preventing tennis elbow is not just luck or genetics. It’s about smart habits.
Do These Strengthening Exercises
Strengthening your forearm muscles can do wonders. The trick is “eccentric” exercises (where muscles lengthen under tension). They help build tendon toughness.
Try this:
- Fill a water bottle with 500ml to 1 liter.
- Slowly lower your wrist while holding the bottle.
- Do 10 to 15 reps, three times daily.
- Stretch the forearm after each set for 20 seconds.
Stick with this for 6 to 8 weeks and you’ll likely feel stronger and less prone to injury. It’s worth the effort, honestly.
Fix Your Tennis Technique
Bad technique makes the elbow work too hard. The backhand stroke is especially tricky. A coaching session or even a quick tip might save your elbow in the long run.
Check Your Equipment
Grip size, racket balance, and string tension matter more than most think. Double wrapping the racket handle can reduce stress on the elbow. Also, lowering string tension a bit might take some pressure off.
Warm Up and Avoid Overuse
Warming up isn’t just for pros. A good warm-up loosens muscles and tendons before activity. And breaks? Don’t skip them. Preventing overuse means respecting your body’s limits.
Don’t Forget Nutrition
Some research links low vitamin D with tendon problems like tennis elbow. So, making sure vitamin D is adequate can be part of the prevention strategy.
Can Tennis Elbow Be Cured Permanently?
The truth? Most cases get better with proper tennis elbow treatment. Exercises, better technique, and correct equipment are usually enough.
However, skipping these steps often leads to a repeat injury. So yes, it can be cured permanently.
What Is the Fastest Way to Cure a Tennis Elbow?
There’s no magic bullet here. The fastest relief comes from:
- Resting and avoiding painful activities.
- Applying ice packs to calm inflammation.
- Using over-the-counter anti-inflammatory meds like ibuprofen.
- Starting those strengthening exercises once pain eases.
It usually takes a few months of consistent care to see real improvement. Stick with it.
Why Do Tennis Elbows Keep Coming Back?
If tennis elbow keeps coming back, chances are the problem wasn’t fully fixed. Common reasons include:
- Not doing rehab exercises long enough.
- Ignoring poor technique or bad equipment.
- Returning to activity too quickly.
- Nutritional gaps like low vitamin D.
Is It Better to Keep Tennis Elbow Straight or Bent?
Starting exercises with the elbow bent is usually less painful and easier to handle. As strength returns, gradually straighten the arm. This step-by-step approach keeps healing safe and effective.
Is Massage Good for Tennis Elbows?
Massage can help by boosting blood flow and relaxing tight muscles around the elbow. Sports massage, especially, may benefit those whose tennis elbow is from playing tennis or other sports.
Should Stretching Be Part of Tennis Elbow Treatment?
Yes. Stretching keeps muscles flexible and reduces tendon tension. After exercises, gently stretch the wrist extensor muscles for about 20 seconds. Doing this regularly helps prevent re-injury.
What Deficiency Causes Tennis Elbows?
Vitamin D deficiency has been linked to tendon problems like tennis elbow. Since vitamin D helps repair tendons, low levels may slow healing or make injury more likely.
Checking and correcting vitamin D can be a simple, often overlooked step in tennis elbow treatment.
The Bottom Line
Tennis elbow can be painful and frustrating, but it is very treatable and often preventable. Strengthening exercises, improving technique, using the right equipment, and paying attention to nutrition all play important roles in keeping the elbow healthy.
If pain or weakness appears, starting a proper tennis elbow treatment plan early can speed recovery and prevent long-term damage.