Tennis & Golfer's Elbow
Tennis elbow (lateral epicondylopathy) and golfer's elbow (medial epicondylopathy) are common tendon overload conditions. Despite their names, they affect far more people than just sports players — and physiotherapy in Liverpool offers the most effective treatment.
With Naveen Ramakrishnan (MCSP HCPC) — Chartered Physiotherapist
Understanding Elbow Tendinopathy
Tennis elbow and golfer's elbow are caused by overloading the tendons that attach to the outside (lateral) or inside (medial) of the elbow. This overload leads to changes within the tendon that cause pain, weakness, and difficulty gripping. These conditions are most common in people aged 35-55 and are frequently caused by repetitive work tasks, computer use, or DIY activities — not just racket sports. Rest alone rarely resolves the problem; the tendon needs specific, progressive loading to recover.
Progressive Loading Is Key
The gold standard treatment for elbow tendinopathy is a progressive tendon loading programme. This starts with isometric exercises (static holds) to manage pain, then gradually progresses through eccentric and heavy slow resistance exercises to rebuild tendon strength and resilience. I also address contributing factors such as grip strength, wrist and forearm flexibility, and any workplace or sporting technique issues. Most people see significant improvement within 8-12 weeks of a consistent programme.
Common Symptoms
- Pain on the outside or inside of the elbow
- Pain when gripping, twisting, or lifting
- Weakness in grip strength
- Morning stiffness around the elbow
- Pain that worsens with repetitive arm movements
- Tenderness when pressing on the elbow
How I Treat It
- Progressive tendon loading programme
- Isometric, eccentric, and heavy slow resistance exercises
- Forearm and wrist soft tissue release
- Elbow joint mobilisation
- Grip strength rehabilitation
- Workplace and activity modification advice
What to Expect
- Thorough assessment of elbow, wrist, and shoulder
- Clear explanation of your tendon condition
- Tailored progressive loading programme
- Hands-on treatment to complement exercises
- Advice on modifying aggravating activities
- Gradual return to full function over 8-12 weeks
Ready to Get Help?
Book an initial assessment and take the first step towards recovery. Available as a home visit across Liverpool and Merseyside, or via online consultation.
Book AppointmentRelated Conditions
Recommended Services
Get in Touch
Not sure if physiotherapy is right for you? I am happy to have a quick chat to discuss your condition.
Tennis & Golfer's Elbow: common questions
A home visit is £90 and an online consultation is £60, both for a full hour. That is the whole cost — no assessment surcharge, no travel fee, and no obligation to book a block of sessions up front.
Yes. Home visits cover Liverpool, Merseyside, Wirral, Warrington and Knowsley, and I bring the equipment needed for assessment and hands-on treatment. Being seen at home also lets me look at the stairs, chair, bed or workstation that may be feeding the problem.
It varies with the cause and how long it has been going on. Many people with a straightforward presentation improve within four to six sessions, while longer-standing or more complex problems take longer. You will get an honest estimate after your first assessment, including if I think you would be better served by another professional.
No. Physiotherapists are first-contact practitioners, so you can book directly. If your assessment suggests something that needs a GP, a scan or an onward referral, I will tell you and put that in writing for you to take to them.
Ready to Get Started?
Book your initial assessment today and take the first step towards recovery.