What is Tennis Elbow?

Tennis Elbow, medically known as Lateral Epicondylitis, is one of the most common causes of pain on the outer side of the elbow. Despite its name, only a small percentage of patients with Tennis Elbow actually play tennis. The condition commonly affects individuals whose work or recreational activities involve repetitive gripping, lifting or twisting movements.

Tennis Elbow is an overuse injury affecting the tendons that attach the forearm extensor muscles to the lateral epicondyle, the bony prominence on the outer side of the elbow. Repeated stress causes tiny microscopic tears within the tendon. Over time, these small injuries can lead to tendon degeneration, pain and weakness, making everyday tasks increasingly difficult.

At the Elbow & Sports Injury Centre, Dr. Anand Jadhav offers comprehensive, evidence-based treatment for Tennis Elbow, helping patients return to work, sports and everyday activities with minimal discomfort.

What Causes Tennis Elbow?

Although commonly associated with racquet sports, Tennis Elbow can occur in anyone who performs repetitive wrist and forearm movements. Common causes include:

• Tennis and racquet sports
• Cricket
• Badminton
• Golf
• Weight training
• Painting and decorating
• Carpentry and hammering
• Gardening
• Typing and prolonged computer use
• Playing musical instruments
• Manual labour involving repetitive lifting

Poor technique, inadequate conditioning and repetitive overuse increase the risk of developing this condition.

Symptoms of Tennis Elbow

Patients commonly experience:

• Pain on the outer side of the elbow
• Burning sensation around the elbow
• Tenderness over the lateral epicondyle
• Pain while gripping objects
• Difficulty lifting everyday items
• Weak grip strength
• Pain during sports or repetitive activities
• Pain that gradually worsens over time

Many patients notice difficulty performing simple tasks such as opening jars, carrying shopping bags or pouring from a kettle.

When Should You Consult a Specialist?

Medical assessment is recommended if:

• Pain persists despite rest
• Grip strength continues to weaken
• Symptoms interfere with work or sports
• Daily activities become painful
• Home treatments fail to provide relief after several weeks

Early treatment often leads to quicker recovery and reduces the risk of developing chronic tendon problems.

Diagnosis of Tennis Elbow

A thorough evaluation includes a detailed medical history, clinical examination, assessment of grip strength, examination of wrist and forearm movements and localised tenderness over the outer elbow.

Additional investigations may be recommended when required:

• Digital X-rays
• MRI Scan
• Ultrasound Scan
• Nerve Conduction Studies (in selected patients)

These tests help exclude arthritis, fractures, nerve compression and other causes of elbow pain.

Non-Surgical Treatments for Tennis Elbow

The vast majority of patients improve without surgery.

Activity Modification

Reducing activities that aggravate symptoms allows the tendon time to heal.

Ice Therapy

Regular ice application helps relieve pain and reduce inflammation during the early stages.

Medication

Short-term anti-inflammatory medication may help improve comfort and function.

Tennis Elbow Brace

A counterforce brace may reduce stress on the injured tendon during daily activities or sports.

Physiotherapy

A personalised rehabilitation programme focuses on:

• Stretching exercises
• Progressive strengthening
• Eccentric tendon loading
• Grip strengthening
• Correction of movement patterns
• Ergonomic advice

Shockwave or Therapeutic Ultrasound

Selected patients may benefit from advanced physiotherapy techniques that stimulate tendon healing and improve blood flow.

Platelet-Rich Plasma (PRP)

For persistent symptoms, PRP injections may be recommended. PRP uses concentrated growth factors from the patient's own blood to promote tendon healing and has become an increasingly popular treatment option for chronic Tennis Elbow.

When is Surgery Needed for Tennis Elbow?

Surgery is considered only when symptoms persist despite comprehensive non-surgical treatment, usually after 6 to 12 months. The procedure aims to:

• Remove damaged tendon tissue
• Stimulate healing
• Improve blood supply
• Relieve pain
• Restore elbow function

Depending on the individual case, surgery may be performed using open or arthroscopic (keyhole) techniques. Dr. Anand Jadhav will recommend the most appropriate option after a detailed assessment.

Recovery After Surgery for Tennis Elbow

Following surgery:

• Pain and swelling are managed with medication and ice therapy
• Early elbow movement is encouraged
• Physiotherapy begins soon after surgery
• Strengthening exercises are gradually introduced

Return to work and sports depends on the patient's recovery and activity level. A structured rehabilitation programme plays a vital role in achieving the best possible outcome.

Preventing Tennis Elbow

You can reduce your risk by:

• Warming up before sports
• Improving racquet or sporting technique
• Using correctly fitted equipment
• Strengthening the forearm muscles
• Taking regular breaks during repetitive work
• Avoiding sudden increases in training intensity
• Maintaining flexibility of the wrist and forearm

Why Choose Dr. Anand Jadhav?

With over 30 years of orthopaedic experience and 12 years of specialist practice in the NHS, United Kingdom, Dr. Anand Jadhav specialises in the management of sports injuries and elbow disorders. His expertise includes:

• Tennis Elbow
• Golfer's Elbow
• PRP Therapy
• Elbow Arthroscopy
• Sports Elbow Injuries
• Tendon Repair Surgery
• Advanced Rehabilitation Programmes

Every patient receives an individualised treatment plan designed to relieve pain, restore strength and enable a safe return to work, recreation and sports.

Relieve Pain • Restore Strength • Return to an Active Lifestyle

Frequently Asked Questions (FAQs)

Does every patient with Tennis Elbow require surgery?

No. More than 90% of patients improve with appropriate non-surgical treatment, including activity modification, physiotherapy and, in selected cases, PRP injections.

How long does recovery take?

Most patients improve within 6 to 12 weeks, although long-standing cases may require several months. Recovery after surgery usually takes 3 to 6 months, depending on the individual's healing and rehabilitation.

Can Tennis Elbow come back?

Yes. Recurrence is possible if repetitive overuse continues or if underlying technique and ergonomic issues are not addressed. Ongoing strengthening exercises and activity modification help reduce this risk.