When Is Shockwave Therapy Recommended for Tennis Elbow?

Tennis elbow, also called lateral elbow tendinopathy, affects the tendon attachment on the outside of the elbow. Gripping, lifting a kettle, turning a handle, or extending the wrist can reproduce pain. Shockwaves are applied to the selected tendon area and can be uncomfortable during a session. A clinician checks strength, neck and nerve function, elbow movement, and other causes before recommending it.

Record which tasks trigger symptoms and whether pain lingers afterward. An assessment can guide a gradual forearm strengthening plan, changes to gripping or repetitive work, and temporary support if appropriate. Discuss the expected treatment course, how the elbow will be protected between visits, and when to progress loading. Do not use treatment to push through worsening weakness. See Tennis Elbow and Shockwave Therapy for related explanations.

Seek prompt care for a significant injury, sudden weakness, an elbow that is hot and swollen, fever, new numbness, a pale or cold hand, or pain that is rapidly worsening. These signs warrant assessment before planned shockwave treatment.

Could the neck or a nerve be contributing to my pain? Which gripping tasks should I change? What exercise progression will accompany treatment, and how will we judge whether the plan needs revision?