Golfer’s and Tennis Elbow

These conditions develop when the forearm tendons are repeatedly loaded beyond their capacity to recover, whether from gripping, typing, lifting, or repetitive manual work. The tendon doesn’t just need rest — tendons that are only rested and never reloaded often come back weaker and just as irritable once activity resumes.

• Repetitive gripping or wrist motion at work or home
• Sudden increases in racquet sport or manual activity
• Poor technique placing excess load on the tendon
• Weak forearm and grip endurance relative to demand
• Inadequate recovery between repetitive activity sessions

• Pain with gripping or specific wrist movements
• Tenderness directly over the inner or outer elbow
• Pain that worsens with repetitive hand or wrist use
• Weakness with grip-intensive tasks
• Pain that radiates slightly down into the forearm

We assess tendon irritability with specific provocative tests, evaluate grip and forearm strength, and review the repetitive activities in your daily routine that may be driving the overload.

Our approach combines soft tissue work to address the local irritation with a progressive loading program — including eccentric strengthening — that rebuilds the tendon’s actual capacity to handle grip and load again.

• Soft tissue work to address local tendon irritation
• A progressive loading program, including eccentric strengthening
• Correction of the grip, technique, or ergonomic factors driving the overload
• Gradual return to full activity as tendon capacity rebuilds

These tendon conditions typically take six to twelve weeks of consistent progressive loading to fully resolve — tendons adapt more slowly than muscle, so patience with the process matters.

Rest alone tends to produce a tendon that flares up the moment normal activity resumes. Progressive loading is what actually builds a tendon back to handling real demand — and keeps it there.