0418 153 608 · Griffith, Canberra ACT GP & NDIS referrals →
Shoulder & Arm · Canberra ACT

Tennis elbow rehabilitation in Canberra.

Lateral elbow pain with gripping, lifting and typing, rarely from tennis. Progressive loading of the forearm and grip, workplace adjustments, and honest evidence-based advice about cortisone.

  • Grip-heavy work & desk presentations
  • Progressive forearm loading programs
  • Workplace & tool ergonomics
  • Evidence-based injection advice

Understanding tennis elbow.

Lateral elbow tendinopathy is a load-capacity problem of the wrist-extensor tendons where they anchor to the outside of the elbow. It's felt with gripping, lifting (especially palm-down), typing and repetitive hand work, which is why tradespeople, gardeners and desk workers see it far more often than tennis players.

Two things about the evidence are worth knowing upfront. First, exercise-based loading produces better long-term outcomes than passive care. Second, cortisone injections, despite feeling great for a few weeks, have been shown in high-quality trials to produce worse outcomes at twelve months and higher recurrence than simply leaving the tendon uninjected. We'll always give you that context before you make decisions.

How we treat it.

Management starts with de-provoking the tendon: auditing grip-heavy tasks, adjusting tool and workstation setup, and modifying rather than stopping activity. A progressive loading program then rebuilds capacity, isometrics for pain relief early, progressing to isotonic wrist-extensor and grip strengthening, then heavier functional loading matched to your work and sport.

Because the elbow rarely acts alone, we assess and load the whole chain, shoulder and scapular capacity influence how much load reaches the forearm. Workers compensation presentations include the capacity documentation and reporting your claim requires.

Common aggravators

  • Grip-heavy trades & tools
  • Palm-down lifting
  • Typing & mouse-heavy desk work
  • Sudden spikes in hand-intensive tasks

What a program includes

  • Task & ergonomic modification
  • Isometric → isotonic loading progression
  • Grip & whole-chain strengthening
  • Return-to-work capacity documentation

Funding: This program can be funded through NDIS (self- and plan-managed), DVA (D904 referral), Medicare CDM (GP care plan), Workers Comp/CTP, private health or self-pay. We confirm the right pathway at your first visit.

Frequently asked

Frequently asked.

The evidence says be cautious: injections provide short-term relief but are associated with worse 12-month outcomes and higher recurrence than no injection. There are limited situations where one is worth discussing, but a proper loading program comes first.
It's honest to say months rather than weeks for established cases, the natural history is slow, and capacity rebuilds gradually. The upside: with progressive loading, the trajectory is usually steadily upward, and most people stay at work throughout.
A counterforce brace can reduce pain during unavoidable heavy tasks and is a reasonable short-term tool. It manages symptoms rather than building capacity, so it supplements the program rather than replacing it.
Key evidence

Recent literature behind this program.

A selection of the research and clinical guidelines that inform how this condition is managed at Fitness & Wellbeing Physiology.

  1. Karanasios S, Korakakis V, Whiteley R, et al. Exercise interventions in lateral elbow tendinopathy have better outcomes than passive interventions, but the effects are small: a systematic review and meta-analysis of 2123 subjects in 30 trials. British Journal of Sports Medicine 2021;55:477–485.
  2. Coombes BK, Bisset L, Brooks P, Khan A, Vicenzino B. Effect of corticosteroid injection, physiotherapy, or both on clinical outcomes in patients with unilateral lateral epicondylalgia: a randomized controlled trial. JAMA 2013;309:461–469.

Evidence summaries are provided for information only and are not a substitute for individual clinical assessment.

Online booking

Book your appointment.

Same-week availability for NDIS, DVA, CDM, CTP and private clients.

Prefer to call? 0418 153 608 · or email admin@fwphysiology.com