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Tennis elbow

Get your grip back without that pain on the outside of your elbow

Every kettle, coffee cup and door handle sends a sharp pain through the outside of your elbow, and your grip feels weaker than it should. Tennis elbow responds well to the right loading program, and your physiotherapist can build this for you.

Medicare, NDIS, DVA and private health funds accepted.

Physiotherapist helping patient with tennis elbow

Understanding Tennis elbow

Tennis elbow is pain on the outside of the elbow. It comes from overload of the tendon that joins your wrist and finger extensor muscles to the bony bump on the outside of the elbow. Gripping, lifting and twisting are the movements that usually hurt.

Most people improve with a graded strength program that rebuilds the tendon’s tolerance to load, alongside changes to the tasks that keep flaring it up. Your physiotherapist gives you both, and adjusts the plan as your elbow responds.

Who does it affect?

adults aged roughly 35 to 55, most often in the dominant arm.

How common is it?

one of the most frequent causes of elbow pain in working-age adults.

What is the recovery like?

varies. Many people notice change within a few weeks, while a tendon can take several months to rebuild.

Who should I see for treatment?

your physiotherapist.

What funding options are available?

Medicare, NDIS, DVA and private health funds accepted.

What is tennis elbow?

Tennis elbow, or lateral epicondylalgia, is a tendinopathy: a change in the structure and pain sensitivity of a tendon that has been asked to do more than it can currently handle. The tendon involved sits on the outside of your elbow and controls the muscles that lift your wrist and straighten your fingers.

It usually builds up over weeks rather than starting with one clear injury. A new task, a busier stretch at work or a jump in training volume loads the tendon faster than it can adapt. The tendon becomes painful, your grip weakens, and you start avoiding the movements that hurt, which lowers your tolerance further.

Contributing factors include:

  • Repetitive gripping, twisting or lifting at work, such as trade work, hairdressing or hospitality

  • A sudden increase in racquet sport, gym or garden work volume

  • Weakness through your wrist, forearm, shoulder blade or shoulder

  • Equipment that does not suit you, including grip size, racquet string tension or tool weight

  • Age-related change in tendon quality

  • A previous episode of elbow pain that never fully settled

Symptoms of Tennis elbow

Tennis elbow usually presents as:

Your plan comes out of the assessment, because the tendon load driving your pain is rarely the same as the next person's.

Progressive strength loading

Graded exercise for the wrist extensors is the core of treatment. It builds the tendon’s capacity so everyday gripping stops provoking pain.

Load management

Your physiotherapist works out which tasks are keeping the tendon irritated and how to modify them without shutting your arm down completely.

Manual therapy

Hands-on work at the elbow, forearm and wrist can reduce pain in the short term so you can start loading sooner.

Shoulder and forearm conditioning

Weakness further up the arm changes how much force your elbow absorbs, so strengthening it takes pressure off the tendon.

Bracing or taping

A counterforce brace or tape can offload the tendon during aggravating tasks while your strength catches up.

Technique and set-up review

Grip size, tool choice, desk and mouse position or racquet technique often need adjusting to stop the problem returning.

What to expect at your first appointment

  

Tell us what is going on

You describe when the pain started, what makes it worse, and what your work, sport and daily load look like.

A full assessment

Your physiotherapist tests your grip strength, elbow, wrist and shoulder, and rules out nerve and joint causes.

A clear plan

You leave knowing what is driving your pain, which exercises to start, and what to change in the meantime.

Review and adjust

At follow-up we recheck your grip and pain response, then progress your loading as your tendon tolerates more.

When to book an appointment

    Book an assessment if:

  • Your elbow pain has lasted more than two to three weeks

  • You are struggling to grip, lift or work because of the pain

  • Rest, ice and over-the-counter medication have not changed anything

  • You are not sure whether it is a tendon, a joint or a nerve problem

Looking after yourself at home

These steps help alongside treatment, and work best once you know what is driving your pain.

  • Repetitive gripping, twisting or lifting at work, such as trade work, hairdressing or hospitality

  • A sudden increase in racquet sport, gym or garden work volume

  • Weakness through your wrist, forearm, shoulder blade or shoulder

  • Equipment that does not suit you, including grip size, racquet string tension or tool weight

  • Age-related change in tendon quality

  • A previous episode of elbow pain that never fully settled

Meet the team who treat this

Behind every appointment is a team of practitioners who know each other, trust each other and work together for you. Across seven clinics and nine disciplines, our team shares expertise, coordinates treatment plans and celebrates your progress together.

Meet the full team

Aimee Fuller

Healthcare Support Officer

Available at Blaxland

Alicia Whiticker

Healthcare Support Officer

Available at Blaxland

Amanda Banks

Healthcare Support Officer

Available at Blaxland

Amanda Duggan

Healthcare Support Officer

Available at Blaxland

Amy Meekings

Healthcare Support Officer

Available at Blaxland

Anita Beerapu

Healthcare Support Officer

Available at Blaxland

Benjamin Tucker

Healthcare Support Officer

Available at Blaxland

Blake Cossar

Healthcare Support Officer

Available at Blaxland

Bronte Tupper

Healthcare Support Officer

Available at Blaxland

Chris Farrugia

Healthcare Support Officer

Available at Blaxland

Corrina Aitken

Healthcare Support Officer

Available at Blaxland

David Logue

Healthcare Support Officer

Available at Blaxland

Dean Gresser

Healthcare Support Officer

Available at Blaxland

Emma Nassif

Healthcare Support Officer

Available at Blaxland

Esha Sharma

Healthcare Support Officer

Available at Blaxland

Fatima Hussaini

Healthcare Support Officer

Available at Blaxland

Felicity Spencer-Davey

Healthcare Support Officer

Available at Blaxland

Frankie Raikadroka

Healthcare Support Officer

Available at Blaxland

Hannah Norrie

Healthcare Support Officer

Available at Blaxland

Heather Edwards

Healthcare Support Officer

Available at Blaxland

Isaac Vella

Healthcare Support Officer

Available at Blaxland

Jarrah Nesbitt

Healthcare Support Officer

Available at Blaxland

Jonathan Lopez

Healthcare Support Officer

Available at Blaxland

Justin Hanna

Healthcare Support Officer

Available at Blaxland

Kasey Collins

Healthcare Support Officer

Available at Blaxland

Katrina Gauci

Healthcare Support Officer

Available at Blaxland

Kennedy Touet

Healthcare Support Officer

Available at Blaxland

Kristy Edwards

Healthcare Support Officer

Available at Blaxland

Kyle Perry

Healthcare Support Officer

Available at Blaxland

Lorna Nicastri

Healthcare Support Officer

Available at Blaxland

Maja Bosic

Healthcare Support Officer

Available at Blaxland

Marxy Koronel

Healthcare Support Officer

Available at Blaxland

Matt Barton

Healthcare Support Officer

Available at Blaxland

Michael Todd

Healthcare Support Officer

Available at Blaxland

Mr Jeffery Jenkins FACPS

Healthcare Support Officer

Available at Blaxland

Nathan Cavanagh

Healthcare Support Officer

Available at Blaxland

Patrick Celeban

Healthcare Support Officer

Available at Blaxland

Praise Khin

Healthcare Support Officer

Available at Blaxland

Sarah Bonnici

Healthcare Support Officer

Available at Blaxland

Shannon Smith

Healthcare Support Officer

Available at Blaxland

Siobhan Kelly

Healthcare Support Officer

Available at Blaxland

Taleisha Bozzi

Healthcare Support Officer

Available at Blaxland

Trystan Singh

Healthcare Support Officer

Available at Blaxland

Uty Kotwal

Healthcare Support Officer

Available at Blaxland

Yoni Hochberg

Healthcare Support Officer

Available at Blaxland

Zak Lloyd

Healthcare Support Officer

Available at Blaxland

EPC, DVA, NDIS and WorkCover welcome

Nearly half of our appointments are funded through Medicare, DVA, NDIS or WorkCover. We manage the paperwork so you can focus on your health.

NDIS

We support eligible NDIS participants across podiatry, physiotherapy, exercise physiology, dietetics and psychology, depending on your plan and goals. Eligibility and funding are set by your plan.

Learn more

Medicare

Medicare may rebate podiatry, physiotherapy, exercise physiology and dietetics sessions when your GP refers you under an Enhanced Primary Care (EPC) or Chronic Disease Management (CDM) plan, and psychology sessions under a Mental Health Care Plan. The number of sessions is set by your plan.

Learn more

DVA

Gold and White card holders can access DVA-funded care across our services with a valid referral.

Learn more

WorkCover

If you have been injured at work, we accept WorkCover referrals for physiotherapy, exercise physiology and psychology, and manage the paperwork with your insurer, with a clear return-to-work plan.

Learn more

Seven clinics across three regions

Find a clinic near you. Each location is staffed by local practitioners who know your community.

Penrith

Western Sydney

Our largest centre, with our full range of services under one roof.

510/536 High St, Penrith NSW 2750

Ropes Crossing

Western Sydney

Podiatry, at Ropes Crossing Village.

1B/2 Central Pl, Ropes Crossing NSW 2760

Blaxland

Blue Mountains

Podiatry, physiotherapy, exercise physiology and group classes.

10 Layton Ave, Blaxland NSW 2774

Springwood

Blue Mountains

Podiatry, dietetics and a boutique footwear store.

20 Ferguson Rd, Springwood NSW 2777

Katoomba

Blue Mountains

Podiatry, physiotherapy and dietetics, in a restored 1914 cottage.

69 Megalong St, Katoomba NSW 2780

Ryde

North Shore

Podiatry, physiotherapy, dietetics and exercise physiology, with a footwear store and gait analysis.

819 Victoria Road, Cnr Shepherd Street, Ryde NSW 2112

Lindfield

North Shore

Podiatry, with mobile podiatry across the North Shore and Northern Beaches.

2/324 Pacific Highway, Lindfield NSW 2070
view all locations

Ready to sort out that elbow pain?

Book a physiotherapy assessment and get a loading plan built around your arm and your workload.

Frequently asked questions

Yes, and most people with tennis elbow have never picked up a racquet. The condition is named after the sport, but it is far more common in tradespeople, hairdressers, chefs, cleaners, new parents and office workers. Anything that involves repeated gripping, twisting or holding a weight at arm’s length can load the tendon past its current capacity. The task matters more than the sport.

Tennis elbow affects the tendon on the outside of the elbow, and golfer’s elbow affects the tendon on the inside. Tennis elbow hurts most when you lift your wrist or grip with the palm down. Golfer’s elbow hurts when you bend your wrist or squeeze with the palm up. Both are tendinopathies, both respond to graded loading, but the exercises target different muscle groups.

Mostly, no. Older names like tennis elbow tendonitis suggested inflammation, but tissue studies show the tendon has usually undergone structural change and disorganised repair rather than active inflammation. This matters for treatment: anti-inflammatory measures alone rarely fix it, because the tendon needs progressive load to remodel. In the first days of a sudden flare there can be an inflammatory component, which is why very early management sometimes differs.

A counterforce brace can reduce pain during gripping tasks for some people, which makes it a useful short-term tool. It sits on the forearm below the elbow and changes how force transfers through the tendon. It does not strengthen anything, so it works best worn for specific aggravating activities rather than all day. Your physiotherapist will check placement and tension, because a brace worn too tight can irritate the forearm.

Some cases settle without treatment, but a significant number of people still have symptoms a year later, and recurrence is common when grip strength has not been rebuilt. Waiting also tends to mean months of modified work and avoided activity. Starting a structured loading program earlier gives the tendon a reason to adapt rather than simply waiting for the flare to pass.

Usually yes, with adjustments. Long periods of mouse use with the wrist extended keep the tendon under low-level load all day, which is often enough to stop it settling. Bring your mouse closer to your body, support your forearm on the desk, drop your keyboard so your wrists sit flat, and break up long stretches of typing. A vertical mouse suits some people. Your physiotherapist can review your set-up.