Tennis Elbow Treatment in Bangkok: A Physiotherapy Approach That Works

Tennis elbow is one of the most common causes of elbow pain I see in clinic—not just in athletes, but also in office workers, gym-goers, and even parents lifting their children.

Despite its name, you don’t have to play tennis to develop it.

In this article, I’ll walk you through what tennis elbow is, why it happens, and most importantly—how I treat it effectively at Bodytune Physiotherapy.

What is Tennis Elbow?

Tennis elbow, medically known as lateral epicondylitis, is a condition involving pain on the outside of the elbow. It is usually caused by overuse of the forearm muscles, especially those responsible for gripping and wrist extension.

Common symptoms include:

  • Pain on the outer elbow

  • Weak grip strength

  • Pain when lifting objects or twisting (e.g. opening a jar)

  • Discomfort during sports or gym exercises

Why Does Tennis Elbow Happen?

One of the biggest misconceptions is that tennis elbow is just about inflammation.

In reality, it is often due to repetitive overload without adequate recovery, leading to tendon irritation and degeneration.

From my clinical experience, the root causes usually include:

  • Poor movement mechanics

  • Overtraining or sudden increase in activity

  • Muscle imbalance or weakness

  • Lack of recovery between sessions

This is why simply resting or using painkillers often doesn’t solve the problem long-term.

How I Treat Tennis Elbow at Bodytune Physiotherapy

My approach focuses on two key principles:

  1. Relieve pain effectively

  2. Address the root cause to prevent recurrence

1. Understanding Your Condition

Every treatment starts with a detailed assessment to identify:

  • Pain location and severity

  • Movement limitations

  • Contributing lifestyle or sport factors

This ensures that treatment is tailored specifically to you.

2. Pain Management Phase

To reduce pain quickly and effectively, I combine several physiotherapy techniques:

  • TECAR Therapy – helps accelerate tissue healing and reduce pain

  • Active Release Techniques – to relieve tight muscles and tendon stress

  • Joint Mobilisation – to improve elbow and wrist movement

  • K-Taping – to support the tendon and reduce strain during daily activities

3. Load Management (Very Important)

One of the most important parts of recovery is deloading.

This means:

  • Temporarily reducing intensity of activities

  • Avoiding movements that aggravate the pain

  • Allowing the tendon to recover properly

Without proper load management, symptoms often return quickly.

4. Strengthening Phase

Once pain begins to settle, we introduce targeted strengthening exercises.

A simple but effective example:

  • Towel twisting exercise – helps rebuild tendon strength and forearm endurance

These exercises are progressive and adjusted based on your recovery.

5. Gradual Return to Sport

If your pain improves (usually by the 3rd session), we begin a structured return to activity:

  • Start at 50–70% intensity

  • Monitor symptoms closely

  • Reassess in each session

  • Gradually increase intensity based on tolerance

This step is crucial to avoid re-injury.

How Long Does Recovery Take?

With the right treatment and compliance:

  • Most patients experience significant improvement within 3 sessions

  • Pain is often resolved within 5 sessions

Of course, this depends on severity and how long the condition has been present.

Final Thoughts

Tennis elbow is highly treatable—but only if you address both the symptoms and the root cause.

If you’re currently dealing with elbow pain, don’t ignore it or push through the discomfort. Early treatment leads to faster recovery and better long-term results.

Looking for Tennis Elbow Treatment in Bangkok?

If you’re experiencing elbow pain or suspect tennis elbow, feel free to reach out.

At Bodytune Physiotherapy, we focus on:

  • Fast pain relief

  • Root cause treatment

  • Safe return to sport and activity

Jeremiah Jun Lee, Medical Director

Bodytune Physio Medical Director

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