Tennis elbow (lateral epicondylalgia) is a condition characterised by pain and weakness in the forearm as a result of injury or degeneration of the wrist extensors.  The wrist extensors are a group of muscles that connect between the hand and elbow and are responsible for extending or pulling back the wrist and fingers. The most common site of pain is the outside of the elbow.  Despite its name, most cases of Tennis Elbow present in people who do not play tennis.

This image shows a client with tennis elbow receiving a dry needling treatment. There are 2 dry needles just below the clients elbow.


* Pain with gripping
* Pain on stretching
* Tight forearm muscles
* Decreased movement at the wrist joint
* Difficultly or inability to perform regular activities involving gripping

This image shows a client with taping for their tennis elbow. the tape runs down from their middle upper arm to just above their wrist and then across the arm just under the elbow.


* Recent increase in activity using the upper limbs
* Excessive gripping and wringing activities for example hammering or knitting
* Repetitive activities including typing and use of mouse
* Tightness or weakness of the wrist extensors
* Poor technique for example, a poor tennis shot
* Acute injury to the site of the wrist extensors
* Long history of repetitive injury resulting in muscle and tendon degeneration
* In some cases symptoms of tennis elbow may be related to a problem in the neck


Our Physiotherapy or Myotherapy team will assess your pain and presentation in relation to your work, hobbies and lifestyle. Your therapist can also determine if your pain is related purely to dysfunction of the wrist extensors or if there may be involvement of the neck structures.
They can then treat your condition with hands on techniques which may include massage, manual therapy, dry needling and taping.  Your therapist can provide advice on what you can do at home to further progress your treatment including stretching, strengthening exercises and activity modification.  In some cases a brace may be of benefit.