What is tennis / golfer's elbow?
Tennis elbow (lateral epicondylitis) and golfer's elbow (medial epicondylitis) are overuse injuries of the tendons that attach to the elbow. Tennis elbow affects the outside of the elbow and is common with gripping and wrist extension activities. Golfer's elbow affects the inside and is associated with wrist flexion and gripping. Both respond well to progressive loading through physical therapy.
Common symptoms
- Pain on the outside (tennis) or inside (golfer's) of the elbow
- Pain with gripping, twisting, or lifting
- Weakness in grip strength
- Pain that worsens with repetitive hand/wrist use
- Morning stiffness in the elbow
- Pain with typing or using a mouse
- Tenderness when pressing on the elbow
- Pain that radiates into the forearm
What causes tennis / golfer's elbow?
These conditions develop from repetitive loading of the forearm tendons — from activities like typing, gripping tools, racquet sports, weightlifting, or manual labor. The tendons become irritated and develop micro-tears that don't heal properly. Weak forearm and shoulder muscles, poor ergonomics, and sudden increases in activity are common contributors.
How online PT helps with tennis / golfer's elbow
Evaluation. Your PT assesses your elbow, forearm, wrist, and shoulder over video — testing grip strength, range of motion, and identifying which tendons are affected and what activities are aggravating them.
Treatment. The foundation of treatment is progressive tendon loading — starting with isometric exercises and gradually increasing to eccentric and heavy slow resistance exercises. Your PT also addresses contributing factors like workstation setup and shoulder mechanics.
Ongoing support. Message your PT between visits about pain levels during exercises and daily activities. The program progresses through clear loading phases.
What to expect
Your first visit is about 60 minutes over video. Your PT will determine which tendons are involved and start you on a loading program. Tendon injuries take time — expect 8-12 weeks for full resolution, though pain often decreases significantly within the first 3-4 weeks.
Insurance accepted for tennis / golfer's elbow
Online physical therapy for tennis / golfer's elbow is covered by most major insurance plans. You pay your normal copay — nothing extra for online visits.
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