Tennis Elbow
Tennis elbow causes pain on the outer side of the elbow, which can sometimes spread into the forearm. Everyday tasks such as gripping items, carrying shopping bags, or even shaking hands can become uncomfortable. The pain often feels sharp during activity and may linger as a dull ache for hours afterwards.
Understanding Tennis Elbow
This condition usually develops gradually due to overuse or repetitive strain of the forearm muscles and tendons. In some cases, the tendon may become thickened or develop small areas of degeneration. It is not limited to tennis players and can affect anyone performing repetitive gripping or lifting activities.
Assessment at The London Ultrasound Clinic
We carry out a detailed ultrasound assessment of the elbow, examining the common extensor tendon, the joint, and surrounding soft tissues. This helps us identify the source of pain, detect any tendon changes, and rule out other causes of elbow discomfort.
Conservative Management
Most patients respond well to conservative approaches, which are usually the first step in treatment:
- Targeted rehabilitation exercises to strengthen the forearm and improve tendon resilience
- Activity modification and load management to reduce strain on the tendon
- Pain relief or anti-inflammatory strategies when appropriate
- Education and reassurance about the condition and what to expect during recovery
These measures often lead to gradual improvement and can prevent the need for more invasive interventions.
Ultrasound-Guided Injection
If symptoms persist despite conservative management, ultrasound-guided treatments may be recommended. Options include:
- Dry needling or shockwave therapy to stimulate healing and reduce tendon irritation
- Ultrasound-guided steroid injections in select cases where inflammation is prominent, usually combined with local anaesthetic for comfort
Steroid injections are not always the best option, particularly in chronic or degenerative cases. Our approach is tailored to each individual, with the goal of relieving pain while supporting tendon healing and safe return to normal activity.
Rehabilitation and Recovery
After any intervention, a structured rehabilitation plan is essential. This includes exercises, gradual loading, and movement strategies to restore function, strength, and flexibility. Most patients notice progressive improvement over several weeks, with enhanced ability to perform daily tasks and recreational or sports activities.
Our aim is to provide clear guidance, effective treatment, and a supportive experience, helping you regain elbow comfort, restore function, and return to everyday activities confidently.
