Physiotherapist assessing a patient with lateral epicondylitis (tennis elbow) 肱骨外上髁炎(网球肘)

Physiotherapy condition

Lateral Epicondylitis (Tennis Elbow)肱骨外上髁炎(网球肘)

Lateral epicondylitis, also known as tennis elbow, is the most common elbow injury. It arises from overuse and strain on the tendons attaching the forearm muscles to the outer elbow. Repetitive movements—especially gripping, twisting or lifting—can cause small tendon tears, leading to inflammation, pain and arm discomfort.

Although it is a frequent tennis injury, it is more common in people who do not play tennis. It can affect anyone whose daily activities involve repetitive hand and arm movements, including prolonged computer use.

How Is Tennis Elbow Different from Golfer's Elbow?

Tennis elbow affects the outer side of the elbow (the wrist extensor group), while golfer's elbow (medial epicondylitis) affects the inner side. Both are overuse conditions, but tennis elbow is more common overall and is frequently seen in people who have never played tennis.


Causes and Risk Factors of Tennis Elbow

Lateral epicondylitis is usually caused by repetitive strain on the forearm muscles, leading to tendon irritation. Some common triggers include:

  • Overuse from repeated extension of the wrist against resistance, such as in racket sports, sewing, cooking or knitting, or pickleball.

  • It can present itself after a sudden bout of exertion such as heavy lifting, or performing hours of unaccustomed activity such as prolonged sewing or use of a new racket.


Common Signs and Symptoms of Tennis Elbow

  • Pain at the outer elbow, when gripping or lifting.

  • Pain during resisted wrist extension or when executing a backhand in racket sports.

  • Pain when bending or fully extending your arm.


How Can Physiotherapy Help Tennis Elbow?

If you are looking for tennis elbow treatment in Singapore, our physiotherapists can help restore strength and relieve pain. At Physio & Sole Clinic, the management plan is tailored to the severity and chronicity of the injury. Following the plan is important for the best result.

Some modalities may include the following:

  • Soft tissue massage

  • Manual therapy

  • Ultrasound therapy to control pain

  • Prescribed exercises to restore flexibility and strength

You may also be advised on modifying your activities and on the use of a brace to reduce forces on the wrist extensor tendons.


When to Seek Help for Tennis Elbow

If persistent elbow pain affects your daily activities, proper care is important. Ignoring the symptoms can lead to a longer recovery.

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Frequently Asked Questions on Tennis' Elbow

How long does it take for it to heal?

Recovery time depends on severity and treatment. Mild cases may improve within a few weeks, while more severe cases can take several months. Rest, rehabilitation, and proper treatment can speed up recovery.

Can I still exercise with a tennis elbow?

Yes, but modify your exercises to avoid pain. Low-impact activities, stretching, and eccentric strengthening exercises (like slow wrist extensions) can aid recovery.

When should I see a physiotherapist?

You should seek advice if:

  • The pain persists for more than a few weeks.
  • The condition affects your daily activities.
  • You experience severe pain, swelling or weakness.

Can I get a tennis elbow in both arms?

Yes, although it's more common in the dominant arm. Some people may develop it in both arms, especially if they engage in repetitive activities with both hands.

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