Overcoming Tennis Elbow with Adaptive Massage

Sports & Remedial Massage - Myaree


Have you ever felt a nagging pain on the outside of your elbow, especially after a spirited game of tennis or a vigorous session at the gym? That’s likely tennis elbow, a common yet frustrating condition that affects not just athletes, but anyone involved in repetitive arm and wrist activities. It’s more than just a sports injury; it’s a daily inconvenience that can significantly impact your quality of life.

Here at Adaptive Massage, we understand how crucial it is to not just treat the pain, but to address its root cause and prevent its recurrence. That’s why I’ve tailored a unique approach to help you not just recover, but also enhance your performance, no matter your activity level. In this article, I’ll walk you through our distinctive four-step process of Adaptive Massage’s Pain & Performance Therapy, specifically designed for those battling tennis elbow.

From the initial assessment to the final step of maintenance, this journey is all about bridging the gap between rehabilitation and peak performance. It’s not just about getting back to your old self; it’s about emerging stronger and more resilient. So, whether you’re an athlete, a weekend warrior, or someone who simply wants to enjoy a pain-free life, this guide is for you. Let’s dive into the world of Adaptive Massage and turn that tennis elbow into a thing of the past!

Understanding Tennis Elbow

Tennis elbow, medically known as lateral epicondylitis, isn’t exclusive to tennis players. It’s a condition that can affect anyone who engages in repetitive motions of the arm and wrist. It’s the result of overuse and strain to the tendons in your elbow, leading to pain and tenderness on the outside of the elbow.

What Causes Tennis Elbow?
Most commonly, tennis elbow is caused by repetitive motions that involve gripping, twisting, or lifting. These motions can be part of sports like tennis or golf, or everyday activities such as typing, carpentry, or even cooking. Over time, these activities can cause microtears in the tendons, leading to inflammation and pain.

Symptoms to Watch For
The most telling symptom of tennis elbow is a pain that radiates from the outside of your elbow into your forearm and wrist. It’s often accompanied by a decrease in grip strength. You might notice it’s particularly challenging to hold a coffee cup, turn a doorknob, or shake hands.

Why It’s More Than Just a Pain
Tennis elbow can significantly interfere with your daily activities. Beyond the physical discomfort, it can limit your ability to perform tasks, both in sports and in daily life. That’s why understanding this condition is the first critical step in treating it effectively. It’s not just about alleviating pain; it’s about restoring function and preventing future injuries.

Understanding Tennis Elbow in Tennis Players

While tennis elbow can affect anyone, it’s especially relevant for tennis players, given the nature of the sport. Let’s delve deeper into the specific actions in tennis that can lead to this condition.

1. Repetitive Strokes: Tennis involves repetitive arm movements, especially the forehand and backhand strokes. Over time, these repetitive strokes can strain the tendons in your elbow, particularly if your technique is off or if you’re playing with an unsuitable racket.

2. Improper Technique: Using the wrong technique can put excessive strain on your elbow. For instance, hitting the ball with an incorrect backhand swing or snapping the wrist during a serve can lead to overuse of the elbow tendons.

3. Equipment Misfit: Playing with a racket that’s not right for your style, ability, or body can contribute to tennis elbow. Factors like grip size, string tension, and racket weight can all play a role. A grip that’s too small or a racket that’s too heavy can increase the risk of developing tennis elbow.

4. Intensity and Duration of Play: The more you play and the more intense your sessions, the higher your risk of overusing your elbow tendons. Long matches or intense training sessions without adequate rest can put you at a higher risk.

5. Lack of Conditioning: Not having enough forearm strength or flexibility can make your elbow more prone to injury. Regular conditioning and strengthening exercises for your arms, shoulders, and back can help reduce the risk.

Understanding these tennis-specific causes of tennis elbow is crucial for players. It helps in not only treating the condition effectively but also in making adjustments in play style and equipment to prevent its recurrence.

In the next section, we’ll explore the first crucial step in Adaptive Massage’s approach: the Assessment, where we tailor our therapy to address these unique factors for tennis players and others suffering from tennis elbow.

Step 1: Assessment

The journey to recovery from tennis elbow begins with a thorough assessment. This crucial step is not just about diagnosing the condition, but about understanding you as a whole. At Adaptive Massage, the assessment is a comprehensive process that sets the stage for a personalized treatment plan.

1. Understanding Your History: The first part of the assessment involves a detailed discussion about your history. This includes not just your tennis playing habits or other activities that might have led to the condition, but also your overall health, previous injuries, and daily routines. This holistic view helps in identifying underlying factors contributing to your tennis elbow.

2. Physical Examination: Next, I conduct a physical examination. This isn’t just about looking at your elbow; it’s about assessing your entire upper body, including your shoulder, wrist, and neck. I look for signs of tenderness, swelling, and any limitations in movement or strength. This helps in pinpointing the exact areas affected and the severity of the condition.

3. Movement Analysis: For tennis players and other active individuals, how you move is critical. I’ll observe your arm and wrist movements, possibly asking you to perform specific actions that mimic your sports or daily activities. This analysis helps in identifying any biomechanical issues that might be contributing to your tennis elbow.

4. Customized Plan Development: Armed with this information, I then develop a customized treatment plan. This plan isn’t just about addressing the pain; it’s about targeting the root cause and ensuring a holistic recovery. The plan will include details of the subsequent steps in the Adaptive Massage’s Pain & Performance Therapy, tailored specifically to your needs.

The assessment is a vital step in your journey towards recovery and enhanced performance. It ensures that the treatment you receive is not just effective but also aligned with your individual needs and goals. In the next section, we’ll delve into the second step of our approach: Release & Reset, where we start the hands-on healing process.

Step 2: Release & Reset (Remedial Massage)

The second phase of your recovery journey, Release & Reset, is where we begin the hands-on healing process. It’s crucial to understand that while tennis elbow manifests as elbow pain, it often stems from a larger root cause. Therefore, our remedial massage approach addresses not just the elbow but also other interconnected areas like the shoulder, neck, and even the hips.

1. Addressing the Bigger Picture: In many cases, tennis elbow is a symptom of imbalances or dysfunctions elsewhere in the body. For instance, limited hip rotation can place undue strain on your elbow as it compensates during activities like tennis strokes. Similarly, issues in the shoulder or neck can cascade down to your elbow. My approach involves treating these interconnected areas to ensure a holistic healing process.

2. Deep Tissue Massage: While deep tissue massage focuses on the muscles around the elbow, I also apply these techniques to the shoulder, neck, and other related areas. This comprehensive approach helps in alleviating the compensatory patterns that contribute to tennis elbow.

3. Trigger Point Therapy: Tennis elbow often involves tender points in the muscles. Trigger point therapy is a powerful way to alleviate this discomfort. This technique involves applying pressure to these specific points to relieve tension and pain. It’s not just about treating the symptoms; it’s about targeting the source of your discomfort.

4. Myofascial Release: The fascia, a connective tissue surrounding muscles, can also contribute to the pain and stiffness of tennis elbow. Myofascial release techniques involve gentle, sustained pressure on the fascial connective tissues. This approach helps in eliminating pain and restoring motion by relaxing contracted muscles, improving blood and lymphatic circulation, and stimulating the stretch reflex in muscles.

5. Joint Mobilization: Sometimes, the issue isn’t just in the muscles but also in the joints. Joint mobilization techniques involve passive movement of a skeletal joint. This helps in improving mobility, reducing stiffness, and alleviating pain.

6. Personalized Approach: Each session is tailored to your specific needs. Based on the assessment findings, I focus on the areas that need the most attention. This personalized approach ensures that the massage therapy is not just relieving your current pain but also preventing future issues.

This phase is integral for setting the stage for complete, long-term recovery. It’s about rebalancing and resetting your body’s mechanics, alleviating the immediate symptoms in your elbow, and addressing the underlying causes to prevent future issues.

Next, we will look into the third step, Reinforce, Reload & Integrate, where we focus on rebuilding and enhancing strength and functionality throughout your body.

Step 3: Reinforce, Reload & Integrate (Exercise & Performance Therapy)

Having addressed the immediate pain and underlying causes in the Release & Reset phase, we now move onto a crucial stage: Reinforce, Reload & Integrate. This phase is about building strength, enhancing performance, and integrating these improvements into your everyday activities and sports.

1. Reinforcing Strength: The first focus is on building the strength of muscles around the elbow, shoulder, and wrist. This includes exercises specifically designed to fortify these areas, reducing the likelihood of future strain. However, we don’t stop there. Strengthening your core and lower body is equally important, as these areas play a pivotal role in overall body mechanics, especially in sports like tennis.

2. Reloading Movements: This involves reintroducing and practicing the specific movements that are part of your sports or daily activities. The aim is to ensure these movements are performed with proper technique and without causing strain to your elbow. This might include practicing tennis strokes with adjusted techniques or ergonomic ways to perform daily tasks.

3. Integrating Functional Exercises: Here, we focus on exercises that mimic real-life activities or sports movements. This integration ensures that the strength and flexibility gains made in therapy are effectively transferred to your day-to-day life. It’s about making sure that your elbow not only heals but also performs optimally in whatever tasks you undertake.

4. Customized Exercise Regimens: Recognizing that each individual’s needs and goals are different, I develop a customized exercise regimen for you. This regimen will be based on your specific condition, the sports you play, and your daily activity level.

5. Performance Therapy: Beyond rehabilitation, this phase includes elements of performance therapy. It’s designed to not just get you back to your previous level of activity but to enhance your performance. By improving overall body mechanics and functional strength, you can expect not just recovery but also a noticeable improvement in your sports performance or daily task efficiency.

Specific Exercises for Tennis Elbow: From Rehab to Performance

While the Reinforce, Reload & Integrate phase is highly personalized, I’d like to share some examples of exercises that typically feature in a tennis elbow recovery program. These range from initial rehab and corrective exercises to more advanced performance-focused ones. Remember, these are just examples; your specific program will be tailored to your unique needs, compensations, and imbalances identified during the assessment process.

Rehab & Corrective Exercises:

  1. Wrist Flexor Stretch: This exercise involves stretching the muscles that run from your elbow to your wrist. Extend your arm in front of you, palm facing down, and gently pull your hand downwards with your other hand. Hold for 15-30 seconds and repeat a few times a day. This stretch helps in easing tension in the muscles and tendons affected by tennis elbow.
  2. Wrist Extensor Strengthening: Using a light dumbbell or a resistance band, this exercise strengthens the muscles on the top of your forearm. Sit with your forearm resting on your thigh, palm facing down, and slowly lift the weight or pull against the resistance band. Perform 2-3 sets of 10-15 repetitions.

Intermediate Exercises:

  1. Eccentric Wrist Extensor Exercise: This focuses on controlled lengthening of the wrist extensor muscles. With a dumbbell in hand, use your other hand to lift the weight, then slowly lower it using only the hand of the affected arm. Perform 3 sets of 10-15 repetitions.
  2. Isometric Elbow Flexion and Extension: Sit with your elbow bent at a 90-degree angle and press your palm against a fixed surface (like a wall) without moving your arm. Hold for 5-10 seconds. This exercise builds strength without causing excessive strain on the tendons.

Advanced to Performance Exercises:

  1. Plyometric Ball Throws: This exercise involves throwing and catching a medicine ball with a focus on quick, explosive movements. It helps in improving dynamic strength and coordination, crucial for performance in sports.
  2. Forearm Pronation/Supination with Resistance: Using a resistance band or a bar, this exercise involves rotating your forearm to face up (supination) and down (pronation). It’s great for building strength in the muscles and tendons affected by tennis elbow, enhancing your ability to perform complex movements in sports.

Remember, the key to successful recovery and performance enhancement is not just in performing these exercises but in doing them with proper technique and under guidance, tailored to your specific situation. In the next section, we’ll explore the final step in your recovery journey: Maintenance.

Step 4: Maintenance

The final phase in your journey from tennis elbow rehab to performance is Maintenance. This crucial step is about ensuring long-term health and preventing future injuries. It’s where you solidify the gains you’ve made and incorporate habits and practices that keep your elbow strong and functional.

1. Regular Self-Care Practices: Maintenance involves integrating regular self-care practices into your routine. This can include stretches and strengthening exercises specific to maintaining elbow health. I’ll provide you with a set of exercises that you can do at home or in the gym to ensure ongoing elbow strength and flexibility.

2. Ongoing Remedial Massage: Incorporating regular remedial massage into your routine can be highly beneficial. These sessions will focus on maintaining the flexibility and health of your muscles and tendons, not just in your elbow but throughout your body. This holistic approach helps in preventing the recurrence of tennis elbow.

3. Periodic Assessments: Even after your initial recovery, periodic assessments are valuable. These check-ups allow us to identify and address any minor issues before they become significant problems. It’s a proactive approach to ensure your elbow and overall musculoskeletal health remains optimal.

4. Activity and Ergonomic Adjustments: Based on what we’ve learned through your recovery process, I’ll provide advice on any necessary adjustments in your sports techniques, work ergonomics, or daily activities. These adjustments aim to ensure that you’re not putting undue strain on your elbow.

5. Education and Awareness: Part of maintenance is being aware of the signs that might indicate a problem. I’ll equip you with the knowledge to recognize early symptoms and take appropriate action. This empowerment is a critical component of long-term elbow health.

Remember, maintenance is not just about preventing recurrence; it’s about promoting a healthy, active lifestyle where your elbow strength and functionality are sustained. It’s the final, ongoing phase of your journey with Adaptive Massage, ensuring that the gap between rehab and peak performance is not just bridged but solidified for the long haul.

Bridging the Gap: From Rehab to Performance

The journey we’ve embarked on together at Adaptive Massage is not just about healing from tennis elbow; it’s about transcending from rehabilitation to peak performance. This journey, intricately designed through our four-step process, is about bridging the gap that often exists in traditional recovery approaches.

1. An Integrated Approach: We don’t just treat the symptoms; we delve deep into the root causes. By addressing contributing factors such as shoulder, neck, and hip imbalances, we ensure a comprehensive recovery. This integrated approach helps not only in alleviating pain but also in enhancing overall body mechanics and performance.

2. Personalized Care: Every individual’s journey from pain to performance is unique. Your treatment plan at Adaptive Massage is meticulously tailored to your specific needs, activities, and goals. This personalized approach ensures that you are not just recovering but are also being equipped to reach new heights in your performance.

3. From Corrective to Performance-Oriented Therapies: Our program evolves with you. Starting with corrective exercises to rehabilitate your elbow, we gradually shift towards more advanced, performance-oriented exercises. This progression ensures a seamless transition from healing to improving your athletic abilities or daily functional capacities.

4. Empowering Self-Reliance: Education and self-awareness are key components of our philosophy. I empower you with the knowledge and skills to maintain your elbow health independently. This empowerment is crucial for long-term success and for keeping you active and pain-free.

5. Ongoing Support: The end of the four-step process is not the end of your journey with us. Maintenance and ongoing support are integral parts of our commitment to your health and performance. We’re here to support you as you continue to grow, achieve, and set new goals.

At Adaptive Massage, we understand that recovery is not just about returning to your previous state. It’s about using the recovery process as a stepping stone to greater things – whether that’s excelling in your sport, enjoying your hobbies without pain, or simply living your everyday life to its fullest potential. We are committed to being a part of your journey every step of the way.


As we conclude this journey through the Adaptive Massage approach to tennis elbow, it’s clear that recovery is more than just treating symptoms — it’s a comprehensive process that encompasses assessment, personalized treatment, strength and mobility exercises, and ongoing maintenance. This journey is not just about getting back to where you were before the pain started; it’s about advancing beyond that point to reach new levels of performance and wellness.

Tennis elbow, while a common ailment, doesn’t have to be a recurring issue in your life. With the right approach, you can turn this challenge into an opportunity for growth and improvement. At Adaptive Massage, the goal is to provide not only relief but also the tools and knowledge for long-term health and peak physical performance.

Remember, every step on this path, from the initial assessment to the ongoing maintenance, is tailored to meet your unique needs and goals. It’s a partnership between you and Adaptive Massage, where your success and well-being are the primary focus. Thank you for taking the time to learn about this holistic and adaptive approach to overcoming tennis elbow. Here’s to your health, strength, and vitality!

If you’re experiencing elbow pain and are in search of a lasting solution, I encourage you to book an appointment with Adaptive Massage. Let’s work together to create a customized plan that not only addresses your pain but also enhances your overall performance and well-being. Don’t let elbow pain limit your potential any longer. Reach out today and take the first step towards a pain-free, active lifestyle.