Tennis player gripping racket
Elbow Pain

Tennis Elbow: Why It Lasts and How to Settle It

17 October 20255 min readNexus Physiotherapy Team

Tennis elbow can persist when daily load remains too high or fluctuates sharply. A progressive loading plan is usually central to recovery.

Medically reviewed by Lead Musculoskeletal Physiotherapist

Reviewed: 11 March 2026 - Next review due: 11 March 2027

Key Points

  • Repeated gripping and lifting can irritate elbow tendons.
  • Load management and progressive exercise are key treatment pillars.
  • Recovery is often steady but gradual over weeks to months.

Why Symptoms Persist

Elbow tendon pain often persists when the tendon is not exposed to the right level of progressive loading.

Too little loading or repeated overload can both delay improvement.

Daily Activity Adjustments

Modify aggravating tasks temporarily, such as prolonged gripping or repetitive lifting.

Keep activity within tolerable levels rather than avoiding use entirely.

Rehabilitation Approach

Progressive strength exercises are usually introduced in stages and adapted to symptom response.

Clinical review helps ensure the programme is moving in the right direction.

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Book an appointment if you would like a plan tailored to your symptoms.

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