Tennis Elbow (Common Complaints our Sydney Physiotherapists see)

Tennis Elbow Physiotherapy

(Lateral Epicondylitis)

Tennis elbow is a painful condition that occurs when tendons in your elbow are overworked, usually by repetitive motions of the wrist and arm (i.e; Tennis –

Tennis Elbow Sydney Physio

If you have pain in your elbow, we can help!

although in more cases than not tennis is not the primary cause).

The pain of tennis elbow occurs primarily where the tendons of your forearm muscles attach to a bony bump on the outside of your elbow – not in the elbow joint like many perceive it would. Pain can also spread into your forearm and wrist as inflammation in the tissues can restrict the muscle motion.

In our Common Injuries seen by our Sydney CBD Physios series we explain the causes, symptoms and, most importantly, treatment for Tennis elbow and other conditions.

Causes of Tennis Elbow:

Overuse: Repeating the same motions again and again.

As the elbow bends and straightens, the muscle and tendons rub against bony bumps. This can cause gradual wear and tear of the muscle and tendons over time. This leads to pain and tenderness on the outside of the elbow.

Despite its name, most cases of tennis elbow occur in people who don’t play tennis! But most people who play are likely to experience the pain at some point.

This type of injury is seen frequently by our Sydney Physiotherapists among the office workers who spend a lot of time typing and using the computer.

Sydney CBD office workers are not the only people who get tennis elbow. Many people with tennis elbow participate in work or recreational activities that require repetitive and vigorous use of the forearm muscle.

Painters, plumbers, and carpenters are particularly prone to developing tennis elbow. Also auto workers, cooks, and even butchers get tennis elbow more often than the rest of the population. It is thought that the repetition and weight lifting required in these occupations leads to injury as the area is over used disproportionally compared to the rest of the arm.


Tennis elbow is often caused due to damage to a specific forearm muscle – the extensor – that helps stabilize the wrist when the elbow is straight. This occurs during a tennis backhand ground-stroke.

Similarly frequent gym goers find themselves struggling with tennis elbow, especially those who spend a lot of time working out on pull ups chin ups bench press and biceps/triceps curls. This is often caused by poor techniques resulting in over compensating from those forearm muscles. It’s always worth getting technique tips from a Sydney Physiotherapist or Personal Trainer to prevent injury during your exercise regime.


The symptoms of tennis elbow develop slowly.  In most cases, the pain begins as mild and slowly worsens over weeks and months. There is usually no specific injury associated with the start of symptoms.

Common signs and symptoms of tennis elbow include:

  • Pain or burning on the outer part of your elbow
  • Weak grip strength

The symptoms are often worsened with forearm activity, such as holding a tool, turning a wrench, or shaking hands, or, tennis!


  • Rest
  • Anti-inflammatory medication
  • Ergonomic assessment for work station
  • Specific stretching and strengthening exercises
  • Elbow brace
  • Tennis Elbow Physiotherapy in Sydney (any of our Sydney Physios will be able to help you with your Tennis Elbow complaint)