Tennis Elbow

Tennis Elbow, also known as Lateral Epicondylitis and Extensor Tendinopathy, is an inflammatory condition that affects the outside of the elbow. It is related to the extensor muscles of the forearm, (especially the extensor carpi radialis brevis muscle) that attach to the lateral epicondyle.


  • Butchers, cooks, and assembly-line workers are prone to TE
  • Carpentry, painting a fence, hammering
  • Playing certain musical instruments
  • Poor forearm muscle strength or tight muscles
  • Racquet sports, such as squash and tennis
  • Tree-cutting (repetitive use of a chain saw)
  • Typing and mouse use
  • Less than 5% of cases are actually caused by playing tennis

Signs and symptoms

Tennis Elbow is a repetitive stress injury (RSI) caused by overuse that causes the tendons attached to the elbow to develop micro-tears. The tears cause inflammation, causing pain when performing gripping tasks or resisted wrist/finger extension. Pain can also be present when the muscles are stretched.

There will be tenderness directly over the lateral epicondyle, though most elbow movements will be pain-free. Patients may display neck stiffness and tenderness, nerve irritation and Trigger points in the forearm extensor muscles.

Tennis Elbow Treatment

Myotherapy has been shown to be effective in the management of Tennis Elbow using a variety of techniques such as Myofascial Release, Cupping, TENS, Dry Needling and Trigger Point Therapy. Your therapist will discuss your physical activity and work, and conduct range of movement assessments to establish the cause and most suitable treatment for your condition.

Following treatment, your Myotherapist will establish ongoing options with you. If an underlying pathology is suspected, your Myotherapist may refer you to a Physiotherapist, Osteopath or Sports Doctor for further testing. An ultrasound or MRI may be required to identify any tendon tears or inflammation.

Aims of rehabilitation

  • Decrease initial pain and inflammation.
  • Identify biomechanical dysfunction.
  • Facilitate tissue repair.
  • Restore normal joint range of motion and function.
  • Restore normal forearm muscle length, strength and movement patterns.

Myotherapy incorporates techniques from other disciplines and is similar to Physiotherapy in many ways, focusing on the assessment of the soft tissues (muscles, ligaments, fascia etc.) to eliminate dysfunction and aid recovery. Techniques such as Dry Needling, Cupping, etc. are included, as well as utilising exercise prescription, stretching and electro-therapy to maximise results.

Spectrum Health and Wellbeing is unique in that it incorporates knowledge and skills derived from Myotherapy, Reflexology, Reiki, Oriental/Sports and Relaxation Massage, Psychotherapy, Strength and Condition, Fitness, Exercise Prescription, Martial arts and Asian philosophy together with Western medicine to maximise the effectiveness of your treatment.

For further information and to find out how Spectrum Health and Wellbeing can tailor treatment to assist you with your condition, contact the clinic today.

About Spectrum Health & Wellbeing

Spectrum Health & Wellbeing Myotherapy, Reflexology and Reiki is located in Rowville, near Knox, Boronia, Bayswater, Ferntree Gully and Scoresby. We provide specialised integrative solutions for children, teens and adults using Myotherapy, Reflexology and Reiki.

CEO and Principal Therapist Derek Miglietti, has been working in Health and Fitness since 1988 as a therapist, instructor, lecturer (16+ years) and consultant. As a specialist Integrative Therapist Derek has worked in nursing homes, with children, the AFL, elite athletes, state-sporting teams and in the corporate sector.