Physiotherapy for tennis elbow and golfer's elbow
Why tennis elbow and golfer's elbow settle slowly, and what actually helps them heal.
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What tennis elbow and golfer’s elbow actually are
Tennis elbow is pain on the outside of the elbow, from strain in the tendons that extend the wrist. Golfer’s elbow is the same idea on the inside of the elbow.
Both come from repeated, small strain on the tendon, not usually one single injury. Gripping, typing, lifting and racquet sports can all contribute.
Why they settle slowly
Tendons have a limited blood supply, so they heal more slowly than muscle. This is why these injuries can drag on for weeks even with rest.
Complete rest also has a downside: the tendon can lose the capacity to handle load, so pain returns as soon as normal activity resumes.
What actually helps
Treatment usually combines calming the irritated tendon early on with gradual, controlled loading as it settles. This loading is what rebuilds the tendon’s capacity, not just avoiding the movement.
We also look at what triggered it: grip technique, workstation setup, or training load, so the same pattern does not simply return.
Getting back to what you were doing
The goal is not just less pain, but being able to grip, lift and play again without the same tendon giving out.
Progress is usually gradual, and we review it at each visit rather than promising a fixed number of weeks.
What the first visit covers
The first visit assesses how irritated the tendon is, what movements or grips trigger it, and what daily tasks or activities it is currently limiting.
From there you get a realistic early plan, adjusted as the tendon settles and its capacity to handle load improves.
If elbow pain from sport, the gym, or repetitive work is not settling, tell us how it started and we will explain what could help.
Common questions
Is this caused by sport, or can desk work cause it too?
Both. Despite the name, tennis elbow is often caused by repetitive gripping or typing, not just racquet sports. Golfer's elbow has similar overlap. The cause matters less than the treatment plan.
Will resting it completely make it go away?
Complete rest sometimes helps briefly, but the pain often returns once you go back to the activity. The tendon usually needs gradual loading to actually strengthen and heal, not just avoidance.
How long does it usually take to settle?
These overuse injuries are often slower than a sprain, sometimes weeks to a few months. We explain a realistic timeline after assessing how irritated the tendon is and how it responds to early treatment.
For a plan that fits the person, a registered physiotherapist or doctor should assess them first. This page is general information to help you decide what to ask.
If elbow pain from sport, the gym, or repetitive work is not settling, tell us how it started and we will explain what could help.