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How Physical Therapy for Tennis Elbow Helps You Recover Faster

How Physical Therapy for Tennis Elbow Helps You Recover Faster

When persistent elbow pain keeps you from simple tasks—like lifting a coffee mug or typing comfortably—it’s natural to seek real solutions. If you’re experiencing soreness on the outer part of your elbow, you might be dealing with tennis elbow. Fortunately, physical therapy for tennis elbow can help. Working with an expert and sticking to a proven exercise routine can restore strength, improve flexibility, and help you get back to your everyday activities sooner. With the right guidance, you can find physical therapy near me that offers personalized care and sets you on the path to lasting relief.

Why Consider Physical Therapy for Tennis Elbow?

Tennis elbow (lateral epicondylitis) often stems from repetitive wrist and forearm motions that strain the tendons on the outer elbow. Over time, these small but repetitive stresses can lead to pain, stiffness, and reduced grip strength. Whether you’re an athlete, an office worker, or someone who does manual labor, the discomfort can significantly impact daily life.

By seeking physical therapy, you’ll work one-on-one with a trained professional who understands how to address the underlying causes of your pain. Physical therapists help improve flexibility, strengthen key muscles, and guide you through exercises that reduce stress on the affected tendon. Through this targeted approach, you don’t just manage the pain—you tackle the root of the problem. As you regain function, you’re essentially preventing future flare-ups.

If you’re searching for the best PT in my area, look for credentials, patient testimonials, and evidence-based practices. The right clinician will craft a tailored plan, ensuring that every exercise, stretch, and modification supports your unique needs. Before you know it, you’ll be on the way to swinging a tennis racket again, or simply carrying groceries without wincing.

3 Evidence-Based Exercises to Relieve Tennis Elbow Pain

Exercise is a cornerstone of physical therapy for tennis elbow. Below are three exercises backed by clinical guidelines and research. While it’s best to consult a professional before starting any new routine, these examples can give you an idea of what a therapist might recommend. Consistency is key, and gradual progression ensures steady improvement.

1. Eccentric Wrist Extension Exercise

What It Targets: This exercise focuses on the extensor carpi radialis brevis (ECRB) tendon, a common trouble spot in tennis elbow.

How to Do It:

  • Sit with your forearm supported on a table, palm facing down, and your wrist just off the edge.
  • Hold a light dumbbell (about 1-2 kg) in your affected hand.
  • Starting with your wrist extended (lifted), slowly lower it down (flexion) over about 3-5 seconds.
  • Use your other hand to help bring the wrist back to the start position.
  • Perform 3 sets of 10-15 repetitions, gradually increasing weight as tolerated.

Why It Works: Research has shown that eccentric loading (lengthening the muscle as it contracts) can promote tendon healing and reduce pain, making it a staple in physical therapy for tennis elbow.

2. Forearm Supination with Resistance Band

2. Forearm Supination with Resistance Band

What It Targets: This move strengthens muscles responsible for rotating the forearm outward, improving stability and reducing stress on the elbow.

How to Do It:

  • Sit or stand with your elbow bent at about 90 degrees, forearm neutral (thumb facing up).
  • Grasp a resistance band in the affected hand.
  • Slowly rotate the forearm outward (supination) against the band’s resistance.
  • Return to the neutral position in a controlled manner.
  • Do 3 sets of 10-15 repetitions.

Why It Works: Forearm supination exercises help balance muscle function, relieving tension on the ECRB tendon. This balanced approach is a major component of effective physical therapy protocols.

3. Tyler Twist Exercise

What It Targets: This exercise uses a flexible bar (like a TheraBand FlexBar) to strengthen the ECRB tendon through controlled twisting motions.

How to Do It:

  • Hold the flexible bar horizontally, with the affected hand at the bottom and the unaffected hand at the top.
  • Twist the bar by rotating the top hand forward while holding the bottom hand steady.
  • Slowly untwist the bar using the affected hand.
  • Perform 3 sets of 10-15 repetitions.

Why It Works: Studies show the Tyler Twist improves pain and function in individuals with tennis elbow. Integrating it into your routine supports healthier tendon structure and better overall forearm strength.

Additional Tips for Effective Recovery

Beyond exercises, physical therapy for tennis elbow often includes strategies for overall well-being and injury prevention. Here are a few tips that might come up during your sessions:

  • Posture Check: Proper shoulder and upper back alignment can reduce strain on the forearm. Your therapist may suggest posture corrections, especially if you spend long hours at a desk.
  • Activity Modifications: If certain repetitive motions spark your pain, your PT might recommend adjusting your workstation, modifying your equipment, or using ergonomic tools.
  • Stretching and Warm-Ups: Gentle stretches for the wrist, forearm, and shoulders before activities can improve blood flow and prepare muscles for use.
  • Gradual Load Increase: As you gain strength, your therapist will guide you in gradually increasing resistance, ensuring steady improvement without overloading the tendon.
  • Lifestyle Considerations: Getting adequate sleep, staying hydrated, and maintaining a balanced diet can influence how quickly you recover. These factors support tissue healing and general resilience.

Finding the Best Physical Therapy Near You

If you’re ready to seek help, start by searching “physical therapy near me” to find clinics in your area. Consider the following criteria:

  • Credentials and Specializations: Look for licensed therapists with experience treating musculoskeletal conditions. If they specialize in sports injuries or orthopedic rehab, that’s even better.
  • Evidence-Based Approach: The best PT in my area should rely on proven methods. Ask about their treatments and techniques. Credible clinicians often follow recognized clinical guidelines and draw from recent research.
  • Patient Reviews: Check testimonials, Google reviews, or ask for recommendations from friends and colleagues. Positive feedback often indicates quality care and patient satisfaction.
  • Communication Style: A good therapist will explain your condition, the purpose of each exercise, and how to track progress. Clear communication ensures you’re not left guessing.
  • Scheduling and Cost: Before committing, review availability and pricing options so you know what to expect. Your comfort with scheduling and costs matters for maintaining a consistent routine.

Embracing a Comprehensive Approach

Embracing a Comprehensive Approach

Physical therapy for tennis elbow is most effective when approached from multiple angles. Rather than focusing solely on the elbow, a skilled therapist looks at the entire kinetic chain: how your shoulder, wrist, and hand movements interact and affect the tendon. Addressing these factors holistically helps ensure long-term relief rather than short-term fixes.

Think of physical therapy as an investment in your long-term health. While the initial sessions may feel challenging, the payoff is restoring the ability to move freely and comfortably. By putting in the work—both at the clinic and on your own—you equip yourself with the tools to maintain healthy elbows well into the future.

Staying Motivated and Consistent

Recovery rarely happens overnight. It’s a gradual process, requiring patience and consistency. To stay on track:

  • Set Realistic Goals: Work with your therapist to set achievable milestones. Celebrate small wins as you progress.
  • Stay Informed: Understanding the “why” behind each exercise can motivate you to stick with the plan. The more you know about what you’re doing, the more invested you’ll feel in the outcome.
  • Use Supportive Tools: Some people find relief with supportive braces or adjustable grips for sports equipment. Your therapist can recommend the right tools for your situation.

Keep in mind that it’s normal to have good and bad days. The key is staying committed to your physical therapy routine and maintaining open communication with your healthcare providers.

Conclusion: Start Your Path to Pain-Free Movement

Tennis elbow shouldn’t dictate how you live your life. By seeking physical therapy, engaging in targeted exercises, and making informed changes to your daily activities, you can reduce pain, restore strength, and regain confidence in your movement. Whether you find a clinic through a “physical therapy near me” search or rely on referrals, choosing the right provider matters. The best PT in my area is one who understands your unique needs, guides you through evidence-based treatments, and helps you achieve lasting results.

Begin by exploring your options, consider availability and pricing, and take that first step toward comfortable, pain-free motion. With consistency, patience, and professional guidance, you’ll soon be back to doing the activities you love without the nagging discomfort of tennis elbow.

References

  1. Tennis Elbow: What Is It? How Do I Get Back to My Regular Activities? The Journal of Orthopaedic and Sports Physical Therapy. 2023;53(4):235. doi:10.2519/jospt.2023.0504.
  2. Navsaria R, Ryder DM, Lewis JS, Alexander CM. The Elbow-EpiTrainer: A Method of Delivering Graded Resistance to the Extensor Carpi Radialis Brevis. British Journal of Sports Medicine. 2015;49(5):318-22. doi:10.1136/bjsports-2013-092563.
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AUTHOR

Dr. Sharmaine Longsworth

DPT, CIDN, Owner and Founder of Physiophyx PT

"We Help People Get Rid of Pain & Injuries and Return to an Active Lifestyle Without Pain Meds, Injections, or Surgery."
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