Tennis elbow is one of the most common issues we see in players of racquet sports—from tennis and pickleball to squash and paddle. While it might sound like a condition only tennis players face, the truth is it can impact anyone using repetitive wrist and arm movements. At We Got Your Back PT, Pilates, & Wellness, we help active adults understand and manage tennis elbow with a focus on prevention, strength, and sustainable movement strategies.
Understanding Tennis Elbow: What It Is and Why It Happens
Tennis elbow, medically known as lateral epicondylitis, occurs when the tendons that attach to the outer part of the elbow become irritated from overuse. It’s commonly caused by repetitive motions—especially those involving gripping, swinging, or twisting of the wrist. This makes racquet sports a leading contributor, though it can also affect people who garden, type, or perform repetitive lifting.
For players, tennis elbow typically develops from repeated strokes, particularly backhands that involve wrist extension or poor technique. Over time, the tendon structure weakens and discomfort can occur with movement or even while at rest.
Common Signs of Tennis Elbow in Racquet Sports
Tennis elbow often starts subtly. You might notice:
- A dull ache on the outer part of the elbow
- Discomfort when gripping a racquet or turning a doorknob
- Weakness in the forearm or wrist
- Tightness or tenderness that increases after a match
If left unaddressed, these symptoms can limit your ability to play—and even affect daily tasks.
Tennis Elbow and the Importance of Early Intervention
Catching tennis elbow early is key. The sooner you address it, the easier it is to improve tissue health and avoid long-term setbacks. While some people think “just resting” is enough, tennis elbow typically responds best to a combination of activity modification, targeted strengthening, and guided mobility.
At our clinic, we often start with hands-on treatment and personalized movement strategies to help restore normal tissue function while supporting safe, progressive return to sport.
How to Support Long-Term Arm Health and Manage Tennis Elbow
If you enjoy racquet sports and want to avoid recurring flare-ups, long-term arm health needs to be part of your plan. Here’s what we recommend:
- Warm up before every session – Simple wrist circles, forearm stretches, and light resistance band work can activate key muscles and reduce strain.
- Use proper form and equipment – Technique matters. A coach or therapist can help you make small adjustments that reduce stress on the elbow. Using the right grip size and racquet string tension also plays a big role.
- Strengthen the forearm and shoulder muscles – Building balanced strength helps support your arm during fast-paced play. Try exercises like wrist curls, reverse curls, and shoulder stabilizers.
- Add mobility and recovery work – Stretching the forearms, foam rolling, and soft tissue work help release tension that builds up during gameplay.
- Cross-train to balance muscle use – Include non-racquet activities like Pilates, swimming, or resistance training to maintain arm health without overloading the same tendons.
Tennis Elbow and the Role of Pilates
One of the reasons we love Pilates for our racquet sport clients is its focus on mindful movement, core strength, and balanced body mechanics. Pilates Reformer exercises in particular help activate stabilizers in the shoulder, core, and arms—without high-impact strain. Many clients find that adding Pilates improves their control, coordination, and overall resilience when returning to the court.
When to Seek Help for Tennis Elbow
If tennis elbow is limiting your ability to play—or if the discomfort just keeps coming back—it’s time to get it looked at. Physical therapy can help identify the root cause, resolve tissue restrictions, and guide you back into safe, consistent activity.
At We Got Your Back PT, Pilates, & Wellness, we work with racquet sport players of all levels. Whether you’re dealing with a recent flare-up or trying to stay ahead of future issues, we’ll build a plan to match your needs and lifestyle.
Ready to Play Stronger, Longer?
If tennis elbow is holding you back—or if you’re ready to be proactive—let’s start with a conversation.
Call 603-382-3336 or click here to book your FREE Discovery Visit. This one-on-one consultation is the first step toward understanding what your body needs and how we can help you stay active and confident on and off the court.
Let’s get you back to doing what you love—without limits.
More Free Resources:
Read our blog – How to Stay Injury-Free While Playing Pickleball: Tips for Longevity and Performance – We Got Your Back PT, Pilates & Wellness
Learn more about our services – Sports Injuries New Hampshire – We Got Your Back PT, Pilates & Wellness
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