You do not need to play tennis to get tennis elbow. Most of the patients we see with this problem work at computers, lift weights, garden, use tools, carry kids or repeatedly grip and lift throughout the day.
Eventually the outside of the elbow starts hurting when you pick up a coffee mug, open a jar, shake somebody’s hand or grip a dumbbell. That is when it is worth getting the elbow assessed.
Dr. Jenn Garven uses Contemporary Medical Acupuncture for tennis elbow and lateral epicondylitis at our Oakville clinic. She assesses the elbow, forearm muscles, wrist, grip and surrounding structures first, then decides where acupuncture fits into treatment.
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Acupuncture for Tennis Elbow in Oakville
Tennis elbow is pain involving the common tendon where the wrist extensor muscles attach to the outside of the elbow. The traditional medical term is lateral epicondylitis, although persistent cases are often better described as lateral elbow tendinopathy or lateral epicondylalgia.
These forearm muscles help extend and stabilize the wrist while you grip, lift, type, use tools or play sports. When the muscle-tendon unit is repeatedly overloaded, the outside of the elbow can become painful and extremely sensitive to gripping.
Common symptoms include:
- Pain on the outside of the elbow
- Pain or tightness into the forearm
- Pain gripping
- Pain lifting a coffee mug
- Pain opening jars or turning a doorknob
- Pain using a mouse
- Pain carrying grocery bags
- Pain lifting weights
- Weak or painful grip
- Tenderness around the lateral elbow
If completely ordinary gripping activities are starting to hurt, the elbow deserves a look.
Why Acupuncture Works Well With Tennis Elbow
The painful tendon is attached to an entire group of forearm muscles. Those muscles can become tight, tender, overloaded and painful along with the tendon.
Dr. Jenn uses acupuncture to target specific areas within the forearm extensor muscles when they are contributing to the patient’s symptoms. The treatment is based on what she finds during the examination, not a generic collection of acupuncture points used for everybody with elbow pain.
The muscle, tendon and loading problem all need to make sense together.
The Wrist Extensor Muscles Matter
One important structure in tennis elbow is the extensor carpi radialis brevis, or ECRB. It helps extend and stabilize the wrist and works constantly during gripping.
Think about carrying a grocery bag. Your fingers grip the handle while the wrist extensors stabilize your wrist so that grip can remain strong. The same thing happens with tools, weights, racquets, computer work and countless daily activities.
That is why Dr. Jenn examines the forearm rather than focusing only on the painful centimetre of tendon at the elbow.
You Probably Didn’t Get Tennis Elbow From Tennis
Tennis players certainly develop tennis elbow, but so do people who have never held a racquet.
Common causes and aggravating activities include:
- Computer and mouse use
- Construction and trades
- Gardening
- Painting
- Weight training
- Racquet sports
- Golf
- Repetitive lifting
- Carrying children
- Food preparation
- Tool use and home renovations
The tendon does not care what activity overloaded it. The problem is usually that the amount of gripping and wrist activity exceeded what the forearm could comfortably tolerate.
Why Does Gripping Hurt My Elbow?
This confuses a lot of patients because the pain is at the elbow but squeezing something with the hand reproduces it. When you grip, the wrist extensor muscles contract to stabilize the wrist. That places load through their tendon attachment at the outside of the elbow.
If that area is irritated, gripping becomes painful. Dr. Jenn may assess grip strength, resisted wrist extension, forearm tenderness, elbow movement and sometimes the shoulder or neck if the symptoms suggest something else is contributing.
Acupuncture for Tight Forearm Muscles
Some tennis elbow patients have forearm muscles that feel like rope. The muscles are tight, tender and painful well below the actual elbow attachment.
Acupuncture allows Dr. Jenn to directly target those involved muscular areas. A tight muscle may briefly produce an ache, twitch or heavy sensation when stimulated, but that usually settles quickly. The goal is to reduce the painful muscular component so the patient can move, grip and begin strengthening the arm more comfortably.
Acute vs Chronic Tennis Elbow
A new tennis elbow behaves differently from one that has been hurting for nine months.
Early cases can be very irritable, with sharp pain during gripping and significant forearm tenderness. Initially, we often need to reduce the activities repeatedly aggravating the area while treating the painful muscles and allowing the elbow to settle.
Chronic cases usually need more than rest. The patient often tells us, “It gets better, but as soon as I use the arm again it comes right back.” That usually means the tendon has not rebuilt enough capacity to tolerate normal activity.
Acupuncture can help manage pain and muscle tension. Progressive strengthening rebuilds the arm.
Tennis Elbow Strengthening Matters
Tendons need appropriate load to become stronger.
Depending on the patient, rehabilitation can include:
- Isometric wrist extension
- Progressive wrist-extension exercises
- Grip strengthening
- Forearm rotation exercises
- Shoulder strengthening
- Scapular stability work
Too much resistance too early can aggravate the elbow. Too little forever does not rebuild enough capacity. The exercise needs to progress as the elbow improves.
Stretching alone is not strengthening.
Should I Wear a Tennis Elbow Brace?
A counterforce tennis-elbow strap can reduce stress through the painful tendon during gripping and repetitive activity. It does not heal the tendon by itself, but some patients find work, exercise and daily activity much more comfortable while wearing one. Dr. Jenn can tell you whether a brace makes sense and where it should be positioned rather than having you buy five different versions online and guess.
Acupuncture and Shockwave for Chronic Tennis Elbow
For selected persistent tennis-elbow cases, acupuncture and shockwave therapy can complement each other.
Acupuncture can target painful and tight forearm muscles. Shockwave therapy can be directed toward a chronic tendon problem when clinically appropriate. Rehabilitation then progressively rebuilds the strength and capacity of the arm. Different parts of the injury sometimes need different tools.
Learn More About Shockwave Therapy in Oakville
Could My Elbow Pain Be Coming From My Neck?
Sometimes. Not every patient pointing to the outside of the elbow has straightforward lateral epicondylitis. Neck or nerve problems can occasionally produce symptoms through the arm and forearm. Dr. Jenn becomes more suspicious when patients report numbness, tingling, burning, neck pain, symptoms travelling well below the elbow or weakness that does not behave like ordinary tennis elbow.
That is why the assessment comes before the acupuncture.
Tennis Elbow vs Golfer’s Elbow
The simple distinction is:
Tennis elbow = outside of the elbow.
Golfer’s elbow = inside of the elbow.
Tennis elbow primarily involves the common wrist extensor tendon, while golfer’s elbow involves the flexor-pronator side of the forearm. Different location, different muscles and different treatment targets.
What Does the Research Say About Acupuncture for Tennis Elbow?
Acupuncture has been specifically studied for lateral epicondylitis. Systematic reviews have reported short-term improvements in pain, disability and function in some patients, although the overall quality of evidence varies.
That fits well with how Dr. Jenn uses acupuncture clinically. Acupuncture can help decrease pain and muscular tension, but persistent tennis elbow still needs the forearm and tendon progressively strengthened.
Read the Acupuncture and Tennis Elbow Research
What Happens During a Tennis Elbow Acupuncture Appointment?
Dr. Jenn first determines whether the problem actually behaves like tennis elbow. She asks where the pain is, what activities aggravate it, whether gripping hurts, what you do for work or exercise and whether there are any neck, numbness or tingling symptoms.
She then examines the elbow and forearm. Depending on the presentation, she may assess:
- Lateral elbow tenderness
- Forearm muscle tension
- Wrist movement
- Resisted wrist extension
- Grip
- Elbow movement
- Shoulder or neck involvement
Only then does she decide where acupuncture should be used. This is Contemporary Medical Acupuncture, with treatment based on anatomy and the patient’s actual presentation.
Does Tennis Elbow Acupuncture Hurt?
Usually very little.
Acupuncture needles are extremely thin. A tight forearm muscle may briefly produce a twitch, ache, pressure or grabbing sensation when stimulated, but most patients tolerate treatment very comfortably.
How Many Treatments Will Tennis Elbow Need?
It depends on the elbow. A mild problem from two weeks ago is different from a tendon that has hurt for a year. Dr. Jenn considers how long the symptoms have been present, grip strength, tendon sensitivity, work and exercise demands, forearm tightness and how the patient responds.
Most importantly, we expect progress.Picking up a coffee mug should hurt less. Grip should improve. Work and exercise should become easier. If those things are not happening, Dr. Jenn reassesses.
Why Tennis Elbow Keeps Coming Back
Often because pain improves before the tendon has regained enough strength. The elbow starts feeling better, so the patient immediately returns to heavy lifting, gardening, tennis, construction work or hours of repetitive gripping. The pain comes straight back. Getting pain down is useful.
Building enough capacity that the elbow can tolerate normal life again is the real goal.
Why See Dr. Jenn for Tennis Elbow Acupuncture in Oakville?
Dr. Jenn Garven is a chiropractor who completed Contemporary Medical Acupuncture training through McMaster University and treats musculoskeletal problems every day. She understands the lateral epicondyle, common extensor tendon, ECRB, forearm muscles, wrist, elbow, shoulder and cervical spine.
When somebody comes in with outside elbow pain, she determines whether the presentation really is tennis elbow, which muscles are overloaded, whether the tendon has become chronic and whether acupuncture, strengthening, shockwave or another approach makes sense.
That clinical assessment is what determines the treatment. Dr. Jenn provides Contemporary Medical Acupuncture at Nottinghill Family Wellness Centre, 1131 Nottinghill Gate in Glen Abbey, Oakville.
Learn More About Dr. Jenn and Acupuncture in Oakville
Frequently Asked Questions About Tennis Elbow Acupuncture in Oakville
Does acupuncture work for tennis elbow?
Yes. Acupuncture can be useful for reducing pain and muscular tension associated with lateral epicondylitis while the elbow is being progressively rehabilitated.
Is tennis elbow the same as lateral epicondylitis?
Yes. Tennis elbow is the common name for lateral epicondylitis. Persistent cases are also commonly described as lateral elbow tendinopathy or lateral epicondylalgia.
Can acupuncture help chronic tennis elbow?
Yes. Chronic tennis elbow is particularly relevant when painful and tight forearm muscles are contributing to the problem. Chronic tendon injuries usually also need progressive strengthening.
Where are acupuncture needles placed for tennis elbow?
There is no universal pattern. Dr. Jenn selects treatment locations according to the examination and the muscles contributing to the patient’s symptoms.
Can acupuncture loosen tight forearm muscles?
Yes. Acupuncture can directly target painful and tight areas within the wrist extensor muscles and surrounding forearm.
Can acupuncture heal the tendon?
Acupuncture can help manage pain and muscular components of tennis elbow, but the tendon still needs progressive loading to rebuild its ability to tolerate activity.
Is shockwave therapy good for tennis elbow?
Shockwave is one of the treatments we use for selected persistent tendon problems at our Oakville clinic and can be combined with rehabilitation and other appropriate care.
Should I wear a tennis elbow brace?
Many patients find a counterforce strap useful during gripping and repetitive activities. Dr. Jenn can determine whether one makes sense for your particular elbow.
Should I stop lifting weights?
Not necessarily. Exercises that significantly aggravate the elbow may need to be temporarily modified while other tolerated activities continue. The long-term goal is rebuilding the arm, not avoiding it forever.
Can neck problems feel like tennis elbow?
Yes. Cervical or nerve-related problems can sometimes produce symptoms around the elbow and forearm. Numbness, tingling, burning or symptoms affected strongly by neck movement deserve further assessment.
How many acupuncture sessions will I need?
That depends on the duration, severity and activity demands of the problem. Dr. Jenn monitors how the elbow is functioning and adjusts treatment according to progress.
Where can I get acupuncture for tennis elbow in Oakville?
Dr. Jenn Garven provides Contemporary Medical Acupuncture at Nottinghill Family Wellness Centre, 1131 Nottinghill Gate in Oakville.
Still Fighting With the Same Sore Elbow?
If picking up a coffee hurts, gripping a dumbbell hurts or using your mouse all day is becoming miserable, get the elbow assessed.
Dr. Jenn understands the forearm anatomy, the tendon and the repetitive loading patterns that commonly produce tennis elbow. She can determine whether acupuncture belongs in the treatment plan and what else the arm needs to get back to normal activity.
Call: 905-827-4197
Text: 289-228-8858
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Learn More About Tennis Elbow Treatment in Oakville
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