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Seacoast Spine & Sports Injuries Clinic

Tennis Elbow

Elbow & forearm · Before your visit

Tennis elbow is load-related pain in the wrist-extensor tendon at the outside of the elbow.

When to seek urgent medical care

Seek prompt medical evaluation after a hard fall or impact with deformity, severe swelling, inability to move the arm, spreading numbness, or a hand that becomes pale, blue, or unusually cold.

This is not an exhaustive emergency list. If something feels severe, rapidly worsening, or unsafe, call 911 or seek urgent medical evaluation.

Start here

What is tennis elbow?

Tennis elbow is load-related pain in the wrist-extensor tendon at the outside of the elbow. Racquet sports can cause it, but gripping, lifting, tools, and computer work are just as common.

The same label can behave differently from one person to the next. The timing, location, type of symptoms, injury mechanism, and response to movement help distinguish a local tissue problem from referred pain, nerve involvement, or a pattern that should be evaluated elsewhere first.

What tennis elbow can feel like

People do not need every sign below to fit this pattern. They are useful clues to discuss during an evaluation, especially when paired with what changes the symptom and what activity has become difficult.

  • outer-elbow pain
  • pain gripping or lifting a mug
  • pain with resisted wrist extension
  • forearm fatigue

Common contributors and aggravators

A contributor is not always a single cause. Tissue capacity, recovery, the size of a recent load change, and the mechanics of the task can overlap. For tennis elbow, the history commonly examines:

  1. 1grip-volume spike
  2. 2repetitive wrist extension
  3. 3reduced tendon capacity

What we look at before planning care

An assessment begins with the story, then tests the findings that can change a decision. For this presentation, that usually means looking at the items below and comparing them with the demands of work, daily life, or sport.

Clinical focusgrip strength and pain
Clinical focustendon load response
Clinical focusneck and radial-nerve screen

Imaging can be useful when the history or examination indicates it, but a scan is not a substitute for matching the finding to symptoms, function, and the clinical screen.

Clinically reviewed

Reviewed by Dr. Tamara Lovelace, DC, DACBSP, ICCSP, Chiropractic Sports Doctor and clinic director, on August 25, 2026.

This page explains what we look at and what care can involve. It is not a diagnosis, and it cannot replace an examination. Bring the problem in and a provider will tell you what is going on.

What your provider will discuss with you

Care for tennis elbow is built around the findings, not a preset protocol. The early goal may be symptom control or protection; the later goal is enough motion, strength, and tolerance for the exact activity you need.

01

modify aggravating grip load

Progress is checked against symptom response and function so the plan can change when capacity changes.

02

progress tendon strength

Progress is checked against symptom response and function so the plan can change when capacity changes.

03

restore work or racquet tolerance

Progress is checked against symptom response and function so the plan can change when capacity changes.

Common questions about tennis elbow

Short answers to the decisions people usually face before an evaluation.

What is tennis elbow?

Tennis elbow is load-related pain in the wrist-extensor tendon at the outside of the elbow. Racquet sports can cause it, but gripping, lifting, tools, and computer work are just as common.

How is tennis elbow assessed?

The examination is shaped by your history and the task that brings symptoms on. For this pattern, useful checkpoints include grip strength and pain, tendon load response, neck and radial-nerve screen. The provider also screens for findings that should be evaluated medically before musculoskeletal care continues.

What can care for tennis elbow include?

A plan may draw from Radial Pressure Wave, Graston, and ART, but the service is not the diagnosis. Care is selected around the examination and may focus on modify aggravating grip load, progress tendon strength, restore work or racquet tolerance. The dose and sequence change with irritability, healing stage, and the activity you need to regain.

Can I stay active with tennis elbow?

Often, some activity can continue after the provoking dose is adjusted, but that decision depends on the tissue, severity, and warning signs. The goal is to protect what needs healing while preserving safe strength and conditioning, then rebuild the specific work, daily-life, or sport demand.

When does tennis elbow need urgent medical care?

Seek prompt medical evaluation after a hard fall or impact with deformity, severe swelling, inability to move the arm, spreading numbness, or a hand that becomes pale, blue, or unusually cold.

Related elbow guides

Symptoms often overlap. These pages can help you compare nearby tissues, referred pain, and different loading patterns.

Browse elbow & forearm

Get clarity on tennis elbow.

Book at the Portsmouth or Alton clinic. The first step is a focused assessment that separates what hurts from what is driving it.

Portsmouth Clinic

Portsmouth, NH · Seacoast

Mon to Thu: 9:00 AM to 6:00 PMFriday: 9:00 AM to 5:00 PM
(603) 431-4200
Lakes Region Clinic

Alton, NH · Lakes Region

Mon, Wed, Fri: 9:00 AM to 7:00 PMTue & Thu: 9:00 AM to 6:30 PMSaturday: 8:00 AM to 12:00 PM
(603) 875-4000
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