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What Prevents Tennis Elbow When You Play?

Joey Lee Chiropractor Consult Sarah

February 17, 2026

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Westside Sports Chiro

Tennis elbow affects millions of recreational and professional players worldwide, turning an enjoyable sport into a source of chronic pain and frustration. While many athletes focus solely on improving their game, they often overlook the fundamental preventive measures that could save them from months of rehabilitation. The difference between those who play pain-free for decades and those sidelined by injury lies in understanding specific techniques and equipment choices that most players never consider essential to their success.

Understanding Tennis Elbow and Its Impact on Athletes

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Tennis elbow, medically termed lateral epicondylitis, represents a considerable concern for athletes across multiple sports disciplines. This condition affects approximately 3% of the general population, with tennis players experiencing markedly higher rates at around 40%.

The primary mechanism involves repetitive microtrauma to the extensor carpi radialis brevis tendon, which connects to the forearm muscles responsible for wrist extension.

Athletes aged 35-55 years face elevated susceptibility, particularly those participating in racquet sports like tennis, racquetball, and squash. The repetitive arm movements characteristic of these activities create cumulative stress on the lateral epicondyle.

Improper technique and inadequate equipment selection considerably amplify the risk of injury. Understanding these demographic patterns and underlying mechanisms enables athletes to recognize their vulnerability and implement targeted preventive strategies before symptoms develop.

Proper Racket Selection and Equipment Considerations

While technique and conditioning receive considerable attention in tennis elbow prevention, equipment selection serves as an equally critical yet often overlooked factor. Proper racket selection begins with choosing appropriate weight and grip size, which greatly reduces elbow strain during play.

Players should consider rackets with larger head sizes to expand the sweet spot, minimizing impact from off-center hits that contribute to elbow pain.

String tension adjustments prove equally important, as lower tensions decrease forces transmitted to the elbow joint.

Modern rackets incorporating shock-absorbing materials effectively dampen vibrations that stress tendons and contribute to injury development.

Additionally, double-wrapping the handle enhances grip control, promoting superior technique while reducing improper strokes that commonly lead to tennis elbow complications.

Mastering Correct Grip Technique and Hand Positioning

Mastering proper grip technique forms the cornerstone of tennis elbow prevention, as incorrect hand positioning during strokes places excessive stress on the forearm's extensor muscles and tendons.

A neutral grip position maintains ideal wrist alignment, reducing unnecessary elbow strain during play. Players should verify their racket grip size prevents excessive tension in forearm muscles, as improper sizing forces compensatory gripping patterns that elevate injury risk.

Double-handed backhand strokes distribute force across both arms, decreasing overuse stress on the extensor carpi radialis brevis tendon.

Particularly during backhand execution, maintaining correct hand positioning greatly reduces elbow strain compared to poor technique patterns. Regular practice of grip and positioning drills enhances muscle memory, promoting consistent technique that minimizes tennis elbow development.

Proper grip technique ultimately serves as the foundation for effective injury prevention strategies.

Essential Warm-Up Routines Before Playing

Beyond proper grip technique, implementing extensive warm-up routines before tennis play greatly reduces tennis elbow risk by preparing muscles and tendons for the physical demands of the sport.

A thorough warm-up should begin with 5-10 minutes of light aerobic activity like jogging or skipping to elevate heart rate and increase blood flow throughout the body.

Dynamic stretches targeting forearm and shoulder muscles improve flexibility while reducing injury risk. Specific wrist flexion and extension exercises prepare muscles used during gripping and swinging motions.

Shoulder mobility exercises, including arm circles and shoulder shrugs, enhance range of motion and joint stability essential for powerful shots.

The routine should conclude with static stretching for key muscle groups, holding each stretch for 20 seconds to maintain flexibility and prevent muscle tightness during play.

Strengthening Exercises for Forearm and Wrist Muscles

Strengthening the forearm and wrist muscles forms the foundation of tennis elbow prevention, as these targeted muscle groups absorb the repetitive stress generated during tennis play. Eccentric strengthening exercises using simple tools like water bottles can greatly improve grip strength and reduce tennis elbow risk over an 8-week regimen.

Wrist flexion and extension exercises performed every other day effectively target forearm muscles connected to the elbow, helping prevent injury by enhancing muscle endurance.

Basic exercises such as squeezing tennis balls and making fists while flexing and extending wrists strengthen forearms and contribute to overall arm health.

Consistent training remains essential, as weak shoulder and wrist muscles increase tennis elbow likelihood during repetitive activities. Gradually increasing exercise intensity and volume conditions muscles to endure stress, reducing overuse injury risks.

Chiropractic Adjustments for Optimal Joint Alignment

While strengthening exercises build muscular resilience against tennis elbow, proper joint alignment through chiropractic adjustments addresses the biomechanical foundation that supports injury prevention.

These adjustments enhance joint positioning in the elbow and surrounding areas, promoting proper biomechanics during play and reducing elbow tendinopathy risk.

Chiropractic care enhances muscle function and coordination, enabling athletes to maintain peak technique while preventing repetitive strain injuries.

By alleviating tension in forearm and shoulder muscles, adjustments correct improper swinging mechanics that contribute to tennis elbow development.

Spinal and extremity misalignments are addressed through targeted treatments, promoting overall body balance and better posture during tennis.

Research demonstrates that chiropractic interventions complement muscle strength training by reducing overuse injury incidence in athletes performing repetitive motions, creating a thorough approach to tennis elbow prevention.

Recognizing Early Warning Signs and Body Signals

How can athletes distinguish between normal post-exercise fatigue and the early warning signs of tennis elbow development?

Athletes should monitor specific indicators that signal potential problems with muscles and tendons around the elbow joint. Early recognition of discomfort, including pain or burning sensations in the forearm and elbow, helps prevent condition progression.

Monitoring grip strength proves essential, as weakness when grasping objects indicates strain on elbow tendons. Players should pay attention to soreness developing during or after playing tennis, signaling the need for rest and technique reevaluation.

Using a 1-10 pain scale helps assess discomfort levels; stopping activities when pain reaches 5 or higher prevents worsening symptoms. Regular evaluation of form and technique during play identifies improper movements that create early warning signs of potential injury.

Recovery Strategies Between Playing Sessions

Once athletes recognize early warning signs of tennis elbow, implementing effective recovery strategies between playing sessions becomes essential for preventing injury progression.

Incorporating regular breaks during play allows forearm muscles to recover, reducing overuse injury risk. Players should apply ice to the elbow for 15 minutes after playing to decrease inflammation and alleviate soreness.

Stretching exercises for the forearm and wrist between sessions maintain flexibility and prevent tendon stiffness. Strengthening exercises for forearm muscles on off days build endurance and reduce strain likelihood during play.

Using a tennis elbow strap during play helps distribute stress away from the elbow tendon, potentially aiding recovery between sessions. These thorough recovery strategies work together to maintain elbow health and prevent tennis elbow development.

Ergonomic Improvements for Training and Practice

Beyond active recovery methods, athletes can greatly reduce tennis elbow risk by optimizing their training environment and practice setup.

Ergonomic improvements during training sessions focus on proper positioning and body mechanics. Players should maintain relaxed shoulders with forearms forming a 90-degree angle to the upper arm, preventing unnecessary stress on the elbow joint.

When using training equipment or reviewing footage, positioning devices directly in front maintains straight wrist alignment and reduces forearm strain. Keeping arms close to the body while manipulating equipment creates a straight line between hand and forearm, minimizing elbow stress.

Regular movement breaks every 30 minutes promote blood flow and alleviate muscle fatigue.

Strengthening exercises targeting forearm muscles, including wrist flexion and extension movements, build endurance and prevent tennis elbow development through enhanced muscular support.

Long-Term Maintenance Through Regular Chiropractic Care

While ergonomic improvements provide immediate benefits during training, establishing a routine of regular chiropractic care offers extensive long-term protection against tennis elbow development. Chiropractors focus on spinal alignment and joint mobility, enhancing overall body function while reducing repetitive strain injury risks.

Targeted adjustments alleviate muscle tension and improve forearm flexibility, directly contributing to better performance outcomes.

Regular chiropractic care includes personalized exercise regimens that strengthen the extensor muscles critical for wrist extension and grip strength. These specialized treatments help prevent tennis elbow by addressing underlying biomechanical issues before they manifest as injuries.

Consistent visits enable practitioners to identify and correct improper movement patterns that contribute to elbow problems. Studies indicate that maintaining ideal musculoskeletal health through professional adjustments leads to significant long-term reductions in tennis elbow incidence among active individuals.

Conclusion

Tennis elbow prevention requires a thorough approach combining proper equipment selection, correct technique, and physical conditioning. Athletes must prioritize appropriate racket specifications, maintain neutral grip positioning, and implement consistent warm-up routines. Strengthening exercises targeting forearm muscles, recognition of early warning signs, and effective recovery strategies between sessions form the foundation of injury prevention. Long-term success depends on ergonomic awareness and regular professional guidance to maintain ideal playing mechanics.

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Sarah T.
"I've been struggling with chronic shoulder pain for years, but after just a few sessions at Westside Sports Chiro, I've experienced a dramatic improvement. Their personalised approach and advanced techniques have truly made a difference in my recovery. I couldn't be happier with the results!"
Sarah T.

"I've been struggling with chronic shoulder pain for years, but after just a few sessions at Westside Sports Chiro, I've experienced a dramatic improvement. Their personalized approach and advanced techniques have truly made a difference in my recovery. I couldn't be happier with the results!"
mike li
Great knowledge and experience , Great job Jason!!Definitely will recommend
N “Neens” A
Wow! What an amazing experience! Dr Joey is absolutely brilliant! He was able to diagnose & treat a multitude of issues I have with my neck, back, shoulders & ankle. He was compassionate and understanding with all my concerns and I am forever grateful! There aren’t enough gold stars to show how amazing he is!
DJ NIKCO
I travel 2 hours each way every 2 weeks to see Jason and its worth it! He works with the whole body and is able to give detailed answers to all my questions. My injury was super complex as I have seen many specialists but no one has made any progress but now with jason I continue to see improvement each session! High Recommend.
Ralph
Good vibes as soon as you walk in,professional service,attention to details in adressing issues and providing plenty of explanation and a professional approach to move forward.muchly recommended 👍
Lyle Tacadena
Jason! He knows his stuff! I've had knee pain for months and with one treatment, the pain went from 90% to 10%. Hoping he can work his magic on the rest of the body. Amazing work and THANK YOU!
Shanny Ho
Thankyou Jason for your wealth of knowledge. I saw Jason as a new patient for a chronic issue I have had for quite a few years! It has stopped me from moving as much as I have in the past as the pain associated afterwards was always debilitating: tightness in the hips, pain on pressure on the heel of the foot. Just with the treatment provided in one session it feels better the day after with weight on the heel and my hip feels much more agile. Hopefully with the next couple of appointments I’ll be back to cycling and lifting !
Gordon Holloway
With my experience with Jason great personality very reliable and trustworthy he listens to your problems and I would recommend him to anyone. Thank you.
Ramzy Shublaq
Easily the best of the best in the business. I have been seeing Jason for over a year and he has helped me more than any other health practitioner. I am also a PT and currently refer a lot of my clients in to him, and they have all had glowing reviews and feedback. Thanks Jason ✌🏼
CHUNG-WEI TSAO
Thanks to Jason's treatment, I feel liberated after each session, and he also tells me how I can take care of myself, which is very useful , I wish I could meet him earlier.
Country life “Dragon” In Sydney
Jason is amazing i felt releif from a long time neck shoulder and foot pain from first session , he take his time treating his patients , very professional. i have been with my previous chiropractor for years spend too much money and i didn’t benefit , thank westside clinic for best service and treatment
Steve L
I had the pleasure of visiting Jason this past Saturday, and I must say, it was a fantastic experience. Jason is not only incredibly skilled but also honest and informative. I appreciated how he took the time to explain everything clearly and made sure I understood the treatment plan. What impressed me most was Jason's dedication to his craft and his genuine concern for his patients' well-being. He didn't rush through the session; instead, he took the time to address my concerns and tailor the treatment to my specific needs. I purposely waited more than 24 hours before writing this review to let the effects of the session settle and to give an honest opinion after a workout. I can confidently say that I feel a significant improvement, and I am grateful for Jason's expertise. If you're looking for a chiropractor who combines skill with a caring attitude, I highly recommend Jason. Thank you, Jason, for a truly exceptional experience!
Raffi Omer
Dr Jason Lee the man with full knowledge and experience. Highly recommend this place. If don't want to drag your pain with continuous appointments please come and visit place your well see the difference in 2 sessions..
John
Jason addressed my neck and shoulder issue in just one session and is now making significant improvements to my lower back. His expertise is evident, and I highly recommend him.
Jason Fong

Have been visiting Jason at Westside Sports Chiropractic for several months now and am really impressed with his thorough assessment and treatment. He takes the time to understand the root cause and focuses on correcting that, not just a short term fix. I've seen a lot of improvement in my condition so far. Would highly recommend.

Tim Booth

Jason is fantastic. He knows his stuff and every issue I have brought to him has been solved with a logical approach and with confidence.I wish I had found him much sooner then I did.Highly recommended.

Travelling Soldier

Jason is a wholistic health professional. Saw him for a long standing shoulder pain. Clear ultrasounds and x-rays. He accurately diagnosed the underlying cause and offered rapid yet sustainable relief in just one session. Now looking at rehab with him in the on-site gym and continue to strength and conditioning long term. Glad I called in !

Oscar Marulanda

I’ve been in treatment with Jason for over a year. I went with a back injury and Jason basically “fixed” me. Along the way, he has provided guidance and advice about how to improve my back.Recently, I have sessions with Joey. His skills and experience are aligned with Jason’s which made you feel comfortable that either one of them is equally doing the best for you.I’ve recommended Jason to my mum, brother and brother-in-law. They all agree that Jason has miracle hands.

Daniel Eishou

Iv had 2 sessions with Jason, iv had neck/shoulder a shoulder issue for years now. He has no joke found the issue given me things to work on and only after 2 sessions it actually feels it's getting better. Very knowledgeable and the session is worth it.

Sarah T.

"I've been struggling with chronic shoulder pain for years, but after just a few sessions at Westside Sports Chiro, I've experienced a dramatic improvement. Their personalized approach and advanced techniques have truly made a difference in my recovery. I couldn't be happier with the results!"

John Lee

"I've been struggling with chronic shoulder pain for years, but after just a few sessions at Westside Sports Chiro, I've experienced a dramatic improvement. Their personalized approach and advanced techniques have truly made a difference in my recovery. I couldn't be happier with the results!"

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