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How to beat your tennis elbow!

Last modified on12 December 2025

Tennis elbow is painful and annoying, and although the chances of recovery are considered very good, it can sometimes take months before you can swing a tennis racket again without pain. For some people, the pain even returns repeatedly, with the result that they have to give up playing altogether.

So what can you do about tennis elbow? You can find out this and much more in our article!

Since there is no scientifically proven ideal treatment for tennis elbow, many different methods are used. These mainly include conservative measures such as rest, cooling and warming, special bandages, medication, and stretching and strengthening exercises. In rare cases, when all other treatment methods have failed, surgery is the only option left.

However, in most cases, the symptoms disappear either on their own or thanks to various treatment methods, some of which can also be carried out at home.

Tennis elbow – what exactly is it?

Tennis elbow causes painful changes to certain tendons in the elbow area, usually as a result of overexertion of the extensor muscles due to repetitive movements or heavy strain. Over time, this causes micro-tears and inflammation in the tendon attachments (epicondyles) that connect the elbow to the extensor muscles of the forearm. In technical terms, this is referred to as epicondylitis.

Chronic tension in the shoulder and neck muscles promotes the development of tennis elbow. However, this phenomenon is by no means limited to tennis. In principle, any heavy or one-sided strain—whether from sports, manual labor, or working at a computer—can lead to it. This is why it is also referred to as golfer's elbow or mouse arm. Tennis elbow is most common in people aged 40 to 60, presumably because the muscles are more susceptible to strain at this age.

How does tennis elbow manifest itself?

The signs of tennis elbow can appear suddenly or develop slowly. Typical symptoms include pain on the outside of the elbow, which can also radiate throughout the entire arm.

Tennis elbow can manifest itself in various ways:

  • Pressure pain on the outer bone of the elbow
  • Swelling and redness in the area of the tendon attachment
  • Stabbing pain when bending or turning the arm
  • Pain that radiates to the forearm and hand
  • Significant to severe loss of strength in the hand

How is tennis elbow treated?

In most cases, tennis elbow can be successfully treated with conservative measures. The treatment aims to relieve pain on the one hand and to make the arm and wrist more resilient and flexible on the other. However, this requires patience and discipline, as it can take several months for the symptoms to disappear completely.

However, the symptoms often disappear on their own after a while without any major treatment. In order to be able to play tennis pain-free again, therapies aim to restore the function of the muscle-tendon unit in the elbow area. Suitable measures include rest, stretching, physical therapy, bandages, tapes, or medication.

Relief

In the case of acute tennis elbow, it is important to first rest the arm, relieve it of strain, elevate it, and support it with a tennis elbow brace or tape bandages, for example. At the same time, you should avoid overexertion and incorrect strain in everyday life, at work, and during sports.

After recovery, it is important to correct the movement patterns that are believed to have led to tennis elbow. This can be done, for example, by adjusting your workplace or changing your stroke technique.

Stretching and strengthening

Special stretching and strengthening exercises can speed up the healing process. The advantage is that you can do the exercises at home and easily integrate them into your daily routine. However, you should only start doing them once you no longer experience severe pain when performing them.

The following exercises are designed to stretch and strengthen the arm and forearm muscles, thereby improving arm mobility. However, it is best to discuss with your doctor or physical therapist which exercises are most suitable for you and how to perform them correctly.

Stretching exercise 1
  • Extend your elbow completely and turn your forearm inward.
  • Then carefully hyperextend your hand so that your fingers point outward.
  • Hold the tension for 15 seconds if possible, then take a short break.
  • Three repetitions, up to three times a day.
Stretching exercise 2
  • Stand up and stretch the affected arm forward, with the back of your hand facing the ceiling.
  • Keep your wrist relaxed so that your hand falls downwards.
  • Pull the hand of the affected arm towards your body with your other hand.
  • Hold for 30 to 45 seconds, then rest for 30 seconds.
  • Repeat three times.
Strengthening exercise 1
  • Take a dumbbell in the hand of the affected arm.
  • Place your arm on the table so that your hand with the dumbbell hangs over the edge of the table and the back of your hand is facing up.
  • Lift the dumbbell as far as possible with the help of your free hand.
  • Slowly lower your hand again.
  • Repeat the movement 10–15 times and, after a short break, do two more sets.

The dumbbell should not be too heavy, about thirty percent of the maximum weight you can hold. Mild pain during the exercise is not a problem, but be careful not to overload your arm.

Strengthening exercise 2
  • Support the affected arm with your elbow on a table and turn your forearm so that your palm is facing downwards.
  • Take a full water bottle in your hand.
  • Slowly lower your arm and keep your wrist straight.
  • Drop the bottle into your free hand and bring your arm into an upright position.
  • Reach for the bottle again with your other hand.
  • Repeat the movement 10–15 times and, after a short break, do two more sets. You can do this type of exercise two to three times a day.

Physical therapy

Tennis elbow can also be treated effectively with physical therapy measures. Physical therapy utilizes the body's natural response to external stimuli. This is intended to activate certain processes in the body that help to eliminate pain or functional disorders of the musculoskeletal system. Physical measures are also often used in physiotherapy.

Massages of the wrist muscles and heat or cold treatments are options for treating tennis elbow. Whether it is better to cool or warm the arm depends on the stage of the injury. In the case of acute tennis elbow and after intensive strain, cooling can have a soothing effect. To do this, wrap ice in a towel and place it on the painful area for 20 to 30 minutes, then pause for an hour and repeat the process – several times if necessary.

In the case of chronic tennis elbow, however, heat treatment—such as a warm compress on the elbow—is much more beneficial. This improves blood circulation and helps the stressed arm muscles to relax.

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Medication

In addition to other treatment methods such as ultrasound, shock wave therapy, electrical nerve stimulation, or infiltration therapy, tennis elbow is often treated with medication. Anti-inflammatory and rheumatism medications are frequently used, as well as cortisone and painkillers—the latter in the form of ointments or tablets. However, cortisone is only useful for extreme pain, as it has no healing effect and the pain relief does not last long.

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Last modified on 12. December 2025