Effective Relief and Treatment Options for Tennis Elbow

Tennis elbow, medically known as lateral epicondylitis, is a common overuse injury that affects the tendons on the outside of the elbow. Despite the name, tennis players aren’t the only ones who suffer from it; anyone who repetitively uses their forearm muscles can develop this painful condition. It’s often seen in painters, carpenters, mechanics, office workers, and even new parents who frequently lift children.

At Tonic Physio, we help individuals in Milton and the surrounding areas recover from tennis elbow using an evidence-based, hands-on approach. From physiotherapy to manual osteopathy, massage therapy, and acupuncture, our treatments are designed to relieve pain, improve movement, and prevent re-injury.

What Causes Tennis Elbow?

Tennis elbow results from repetitive strain or overuse of the extensor tendons, which attach to the lateral epicondyle of the humerus (the bony bump on the outer elbow). These tendons are responsible for wrist and finger extension movements we use constantly throughout the day.

Over time, tiny tears can develop in the tendon, causing inflammation and pain. Unlike acute injuries, tennis elbow builds up gradually. Many people notice stiffness, reduced grip strength, and a dull or burning pain that worsens with activity.

What Causes Tennis Elbow

Common Symptoms of Tennis Elbow

  • Pain on the outer part of the elbow

  • Tenderness when touching the elbow joint

  • Weak grip strength

  • Pain when lifting, gripping, or twisting objects

  • Discomfort that radiates down the forearm

If left untreated, tennis elbow can persist for months or even years, making it difficult to perform daily tasks such as opening jars, lifting bags, or typing.

Physiotherapy for Tennis Elbow

One of the most effective, non-invasive treatments for tennis elbow is physiotherapy. At Tonic Physio, our therapists create a rehabilitation plan based on your symptoms, lifestyle, and activity level.

Treatment may include:

  • Manual therapy to reduce joint restrictions

  • Stretching and strengthening exercises to restore tendon health

  • Taping techniques to support the joint during healing

  • Education on ergonomics and movement modification

  • Modalities like ultrasound or electrical stimulation to reduce inflammation

By improving muscle balance and correcting movement patterns, physiotherapy not only treats the current pain but also prevents future flare-ups.

Physiotherapy for Tennis Elbow

Manual Osteopathy: Addressing Alignment and Muscle Imbalances

While tennis elbow is often considered a soft tissue issue, joint alignment and muscle imbalance can also contribute to the strain. Manual osteopathy focuses on restoring balance and mobility to the musculoskeletal system through gentle hands-on techniques.

Manual osteopaths work with the elbow, wrist, shoulder, and spine to improve biomechanics. By improving circulation, relieving joint restrictions, and reducing tension in surrounding structures, manual osteopathy can significantly speed up the healing process for tennis elbow.

Registered Massage Therapy: Releasing Tension and Improving Circulation

Muscle tension in the forearm, upper arm, and shoulder often plays a role in ongoing elbow pain. Registered massage therapy is a highly effective way to relieve this tightness and support tendon healing.

Our massage therapists use techniques such as:

  • Trigger point release

  • Deep tissue massage

  • Fascial work

  • Myofascial release

Massage helps break down scar tissue, improve blood flow, and relax the overworked muscles that contribute to tendon stress. Regular massage therapy can also help you regain mobility and return to your regular activities faster.

Acupuncture Therapy for Tennis Elbow Pain Relief

For those looking for a holistic treatment option, acupuncture therapy offers a powerful way to reduce pain and promote healing. At Tonic Physio, our certified practitioners use fine needles to stimulate key points in the body, encouraging natural healing responses.

In the case of tennis elbow, acupuncture can:

  • Reduce local inflammation

  • Stimulate nerve healing

  • Promote circulation in the affected tissues

  • Relieve referred pain in the forearm and hand

Many of our clients find that combining acupuncture with physiotherapy or massage delivers the most significant relief.

Do I Need Imaging for Tennis Elbow?

In most cases, tennis elbow is diagnosed based on clinical examination alone. However, if your symptoms persist or worsen despite treatment, your physiotherapist or physician may recommend an ultrasound or MRI to rule out other conditions like ligament tears or nerve entrapments.

How Long Does Recovery Take?

The duration of recovery from tennis elbow depends on the severity of the condition, how early you seek treatment, and your adherence to the rehab plan. Mild cases may resolve in a few weeks with physiotherapy and lifestyle modifications, while more chronic cases may take several months.

Rest is important, but complete inactivity can lead to stiffness and weakness. Our therapists guide you on when and how to resume activity safely, helping you rebuild strength without aggravating the injury.

Preventing Tennis Elbow from Returning

Once you’ve healed from tennis elbow, it’s important to maintain proper movement habits to avoid future issues. This includes:

  • Using proper technique when lifting or working

  • Taking regular breaks during repetitive tasks

  • Stretching and strengthening the wrist and forearm muscles

  • Adjusting desk or workstation ergonomics

  • Using wrist braces or supports during high-strain activity

Start Healing Your Elbow Pain Today

Tennis elbow may be frustrating, but you don’t have to live with the pain. The team at Tonic Physio offers comprehensive, hands-on care designed to restore strength, flexibility, and comfort, so you can get back to doing the things you love.

Whether you’re dealing with recent pain or a chronic condition, we’re here to help you recover with confidence.

Book your appointment with Tonic Physio today and take the first step toward pain-free movement.

Picture of Brenda Azzopardi

Brenda Azzopardi

Brenda Azzopardi is the visionary founder and lead physiotherapist at Tonic Physio, located in Milton, Ontario. With over 20 years of hands-on experience in physiotherapy and rehabilitation, Brenda has built a trusted name in patient-focused care that empowers individuals to move better and live stronger.