Understanding and treating Tennis Elbow

July 21, 2025

Tennis elbow—clinically known as lateral epicondylitis—is a common condition that affects thousands of people each year, not just tennis players. It’s caused by overuse of the muscles and tendons of the forearm, particularly where they attach to the outside of the elbow. At Weaver Physiotherapy & Sports Injury Clinic in Northwich, Cheshire, we specialise in treating tennis elbow with evidence-based physiotherapy to relieve pain, restore function, and prevent recurrence.


If you’re struggling with persistent elbow pain, weakness, or difficulty with daily tasks like lifting a kettle or gripping objects, you may be dealing with tennis elbow. The good news? With the right treatment and guidance, it’s highly treatable—and that’s where we come in.


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What Is Tennis Elbow?


Tennis elbow is an overuse injury that leads to pain and inflammation of the tendons joining the forearm muscles to the lateral epicondyle (the bony bump on the outside of your elbow). The condition is commonly linked to repetitive wrist and arm movements—not just from racquet sports, but also from tasks such as:

    •    Typing or mouse use

    •    DIY or gardening

    •    Lifting heavy objects

    •    Repeated gripping or twisting motions


Despite its name, most people who get tennis elbow don’t play tennis.


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Symptoms of Tennis Elbow


The most common symptoms of tennis elbow include:

    •    Pain and tenderness on the outside of the elbow

    •    Discomfort when lifting or gripping objects

    •    Wrist weakness, especially when trying to extend the wrist

    •    Pain that worsens with activity and improves with rest


Left untreated, tennis elbow can become a chronic condition, interfering with work, sport, and day-to-day life.


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What Causes Tennis Elbow?


Tennis elbow is typically caused by repetitive stress and overloading of the extensor tendons of the forearm—especially the extensor carpi radialis brevis tendon. Repeated strain leads to tiny microtears in the tendon, causing pain, inflammation, and a breakdown of tissue over time.


Risk factors include:

    •    Poor technique in sports or activities

    •    Weak grip or forearm strength

    •    Inadequate warm-up or recovery

    •    Age (most common in adults aged 35–55)


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Physiotherapy for Tennis Elbow in Northwich


At Weaver Physio, our experienced team provides tailored physiotherapy for tennis elbow to address not just the pain but the root cause of the problem.


Here’s how we help:


1. Comprehensive Assessment


We start with a detailed assessment of your symptoms, medical history, posture, biomechanics, and activity levels. This helps us confirm the diagnosis and rule out other conditions such as golfer’s elbow or nerve entrapment.


2. Hands-On Treatment


Manual therapy techniques such as soft tissue release, trigger point therapy, and joint mobilisation help reduce pain, improve circulation, and promote healing in the affected tissues.


3. Exercise Rehabilitation


Rehabilitation is key. We design a progressive exercise program focused on:

    •    Eccentric strengthening of the forearm muscles

    •    Improving grip strength

    •    Enhancing flexibility and mobility of the wrist, elbow, and shoulder

    •    Gradual return to normal activities and sport


4. Shockwave Therapy


We’re proud to offer Shockwave Therapy in Northwich—an advanced, non-invasive treatment that stimulates the body’s natural healing response and promotes tendon repair. It’s ideal for chronic or stubborn tennis elbow and has high success rates in clinical studies.


5. Ergonomic and Activity Advice


We’ll help you identify and modify any aggravating activities—whether it’s your desk setup, gardening tools, or gym form. By reducing repetitive strain, we can fast-track your recovery.


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How Long Does It Take to Recover?


With the right physiotherapy treatment, most people recover from tennis elbow in 6–12 weeks, although chronic cases may take longer. The key is early intervention. The sooner you start treatment, the faster and more complete your recovery is likely to be.


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When to Seek Help


If you’ve had elbow pain for more than a few weeks, or if it’s impacting your daily life, it’s time to get it assessed by a physiotherapist. You should especially seek help if:

    •    Your grip feels weak

    •    You’re avoiding activities you enjoy

    •    The pain is worsening or not improving

    •    You’ve already tried rest, ice, or anti-inflammatories without relief


At Weaver Physiotherapy in Northwich, you don’t need a GP referral to start treatment. We offer direct access and can usually book you in the same week.


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Preventing Tennis Elbow


Prevention is always better than cure. Whether you’re returning to sport, starting a new job, or just want to avoid future flare-ups, here are some tips:

    •    Warm up and stretch before activities

    •    Use proper technique and ergonomic tools

    •    Strengthen your forearm muscles

    •    Avoid overloading or sudden increases in activity

    •    Listen to your body—rest if symptoms start


Our physios can guide you through preventive strategies tailored to your lifestyle and goals.


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Why Choose Weaver Physio?


At Weaver Physiotherapy & Sports Injury Clinic, we’re trusted by clients across Cheshire for expert treatment, clear advice, and personalised care.


✔️ Experienced MSK physiotherapists with sports injury expertise

✔️ On-site Shockwave Therapy for stubborn tendon problems

✔️ Individualised rehab plans—not one-size-fits-all sheets

✔️ Friendly clinic environment in the heart of Northwich

✔️ Same-week appointments and no long NHS waitlists


Whether you’re a busy parent, an active runner, or someone who types all day at a desk, we’ll help you recover quickly and get back to doing what you love—pain-free.


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Book Your Tennis Elbow Assessment Today


Don’t let tennis elbow keep you from your favourite activities. Get expert help at Weaver Physio and start your recovery journey today.


📞 Call 01606 227484

📍 Visit us in Northwich, Cheshire

🌐 Book online at http://weaverphysio.com


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When an injury affects your child’s sport, play or everyday activities, it can be difficult to know what to do next. At Weaver Physiotherapy & Sports Injury Clinic, we offer assessment and rehabilitation for children and young people with sports-related and musculoskeletal problems. Based in Northwich, our clinic welcomes families from across Cheshire, including Tarporley, Knutsford, Winsford, Middlewich, Hartford, Weaverham, Sandbach and Frodsham. You can contact us directly to discuss your child’s symptoms and arrange an appointment; a GP referral is not required to book privately. A physiotherapy assessment considers the injury, your child’s movement and the activities they want to return to. Treatment and rehabilitation are then discussed in light of their needs and assessment findings. What happens at a child’s sports injury assessment? The appointment begins with a discussion about when the problem started, what activities affect it and how it is changing your child’s movement. We may ask about their usual sport, training routine, recent changes in activity and relevant medical history. The practitioner will then assess the affected area and relevant movement and function. This helps explore possible causes and identify appropriate next steps. Depending on your child’s presentation, the plan may include advice, a tailored exercise programme and hands-on treatment where appropriate. Treatment is individual . The approach will depend on the assessment findings, your child’s symptoms and how they respond to activity. If rehabilitation is recommended, exercises can be progressed to support comfortable movement and a gradual return to sport. Sports injuries and pain we can assess Children and teenagers may develop pain or injury after a sudden movement, a knock or a change in training. Assessment may be appropriate for concerns involving the: Back, hip or knee Ankle or foot Shoulder, elbow, hand or wrist Sports-related problems can include sprains, strains, tendon pain and injuries associated with repeated loading. Your child’s symptoms and activity will guide the assessment, rather than focusing only on the painful area. If you have noticed a change in your child’s posture or are concerned about a possible spinal curve, speak to your GP. The NHS advises contacting a GP if you think your child may have scoliosis. Read NHS guidance on scoliosis ⁠. Booking an appointment Please contact Weaver Physio to discuss your child’s symptoms and arrange a suitable appointment. Same-day appointments depend on availability, so please book ahead rather than relying on a walk-in consultation. When you get in touch, it can help to explain: When the symptoms began Which movements or activities make them better or worse Whether the problem affects walking, sleep, school, training or sport Any relevant medical history or recent changes in activity It can also help to let your child describe how the problem feels in their own words. Please bring comfortable clothing that allows movement to be assessed. Weaver Physiotherapy & Sports Injury Clinic 110 Middlewich Road, Northwich, Cheshire, CW9 7DP Call 01606 227484⁠ or visit weaverphysio.com ⁠. Free onsite parking is available. When to seek urgent medical help A physiotherapy appointment is for non-emergency musculoskeletal concerns. If your child has a serious injury, or you are unsure whether they need urgent care, use NHS guidance or contact NHS 111. The NHS advises taking a child to A&E or an urgent treatment centre if they have an arm or leg injury and cannot use the limb. Read the NHS guidance on children’s accidents . For information about checking an individual physiotherapist’s registration, visit the HCPC Register ⁠. Frequently asked questions Do we need a GP referral? No. You can contact the clinic directly to ask about booking a private appointment for your child. Do you accept walk-ins? Please book an appointment in advance. Same-day consultations may be available, depending on the clinic schedule. What should my child wear? Comfortable clothing that allows them to move freely is helpful for the assessment. Do you provide scans? Scans are not included in every clinic appointment. If further investigation appears appropriate, this can be discussed with you and your child. How much does an appointment cost? Please contact the clinic for current fees and to discuss the appointment that may be suitable for your child. Discuss an appointment for your child If pain or an injury is affecting your child’s movement, sport or usual routine, contact Weaver Physiotherapy & Sports Injury Clinic to discuss an assessment in Northwich. We’ll talk through your concerns and the possible next steps for your child.
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