Medically reviewed by M. Thurairaj, Registered physiotherapist. · Last reviewed June 2026.
What causes it
The muscles that straighten the wrist and fingers attach near the outside of the elbow. Repeated gripping and wrist movements overload that attachment, leaving pain and tenderness on the outer elbow that worsens with grip. It builds gradually, which is why it often surprises people who have not done anything dramatic.
What helps it settle
Reducing the aggravating gripping, easing the tight forearm muscles, and a graded strengthening programme are the foundation. Soft tissue work on the forearm can ease comfort and make the loading exercises more tolerable. It is often slow to resolve, so patience and consistency matter.
Key takeaways
- Tennis elbow is overuse of the forearm tendons, often without tennis
- Repeated gripping and wrist movements are common causes
- Reduce aggravating load, ease the forearm, strengthen gradually
- It is often slow to resolve — patience and consistency help
Frequently asked questions
How long does tennis elbow take to heal?
Often weeks to months. It is stubborn but usually improves with load management, forearm care and graded strengthening.
Can massage help tennis elbow?
It can ease the tight forearm muscles and comfort, which may help alongside load management and strengthening. Persistent pain should be assessed.