Aloha Blog
Aloha Blog
Pain
APR 24, 2026 (Friday)

Tennis Elbow: Why You Get It Even If You Don't Play Tennis

Author
Raphael Fung
Raphael Fung
Registered Physiotherapist | Sports | Craniospinal

Medical professionals call Tennis Elbow "Lateral Epicondylitis." Despite its athletic name, clinical statistics show that fewer than 10% of patients actually sustain this injury from tennis. The majority of sufferers are hardworking homemakers and cleaning staff who interact daily with brooms, rags, and heavy groceries.

 

What is Tennis Elbow?

At its core, tennis elbow is the overuse of the extensor muscles in the forearm. These muscles:

  • Originate at the bony bump on the outer side of your elbow.

  • Are responsible for lifting your wrist and gripping with your fingers.

While tennis players suffer from the impact of a backhand stroke, the general public usually "falls victim" due to heavy repetition and poor mechanics:

  • The Homemaker’s Hidden Killer: Carrying heavy grocery bags, chopping vegetables, tossing heavy woks with one hand, wringing out wet rags, or even lifting children. These ordinary tasks place constant tension on the wrist extensors, leading to micro-tears and chronic inflammation where the tendon meets the bone.

  • The Cleaner’s Occupational Mark: Tasks like scrubbing, wiping windows, and mopping involve long hours of tight gripping combined with repetitive wrist flicking. When the wrist muscles fatigue, the stress shifts to the outer elbow, triggering intense pain.

 

Do you have these symptoms?

You might be suffering from Tennis Elbow if you experience:

  1. Tenderness on the outer elbow: Sharp pain when pressing the bony protrusion on the outside of your arm.

  2. Weak Grip: Finding it difficult or painful to hold a cup, turn a doorknob, or write with a pen.

  3. Action-Induced Pain: Feeling a "shock" or pulling sensation in the elbow when wringing a towel, lifting weights, or cocking your wrist upward.

 

Daily "Decompression" Strategies

If you are currently in pain, "offloading" the stress in your daily life is crucial:

  • The "Palm Up" Principle: When lifting heavy bags or baskets, keep your palms facing up. This shifts the load to the stronger biceps and reduces the pull on the outer elbow tendons.

  • Forearm Stretch: Extend your arm straight with the palm facing inward. Bend your wrist downward and use your other hand to gently apply pressure until you feel a stretch on the outer forearm. Hold for 15–30 seconds; repeat 3 times.

  • Proper Brace Placement: A tennis elbow strap should not be placed directly on the painful spot. Instead, wear it about two centimeters below the point of pain. This creates a new functional origin for the muscle, bypassing the injured tendon.

 

How Physical Therapy Helps

Pain is your body’s way of "protesting." Physical therapy does more than just reduce inflammation through ultrasound or manual release; it helps you identify faulty movement patterns and strengthen the forearm muscles to prevent the pain from returning.