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Tennis elbow

Pain on the outer side of the elbow, worst when gripping or lifting with the palm down. Almost nobody who gets it plays tennis. It settles — slowly — and the loading exercises are what do it.

Do not wait for an appointment

These suggest something else.

  • Pins and needles or numbness in the hand
  • Weakness lifting the wrist or straightening the fingers
  • Locking or catching in the elbow
  • Pain that started after a fall onto the elbow
  • Swelling, redness or fever

Do this

  • Eccentric wrist exercises — slow lowering with a light weight. This is the treatment, and it works. Sheet 12
  • Lift with the palm UP instead of palm down
  • Reduce the aggravating grip for a few weeks, not for ever
  • A counterforce strap for specific tasks — not all day
  • Be patient. Expect months, and expect gradual improvement

Avoid this

  • Steroid injection. It gives good relief at six weeks and WORSE results at six to twelve months than doing nothing. We usually advise against it
  • Complete rest — the tendon needs load to heal
  • Stopping the exercises when it starts improving
  • Paying for a scan

The questions everybody asks

Why do you not want to inject it?

Because the evidence is clear, and it goes against what most people expect.

Injection helps early and then does worse than no treatment at a year. We would rather tell you that than take your money for something that leaves you worse off twelve months later.

How long, really?

Often six to twelve months.

That is longer than anyone wants to hear. But it improves throughout, and the people who get better fastest are the ones doing the loading exercises consistently.

Do I need surgery?

Rarely.

Surgery is for the small number still genuinely disabled after a year of proper loading exercise.

Open the exercise sheet

Pictures, how many and how often, and what it should feel like. Free, and printable.

On cost: if we suggest a scan, an injection or an operation, ask us what it costs and what happens if you do nothing. We will answer both. You should never feel pushed into spending money.

Consultation is ₹500 for a first visit and ₹300 for a follow-up, the same at both clinics. For anything else, ask at the desk or on WhatsApp before it is done — we will tell you the exact cost.

Should you come and see us?

A page is a starting point, not a diagnosis. If the pain is not settling, come in and have it looked at properly — bring any X-ray, MRI or CT films you already have.

Nallasopara West

Opposite Patil Hospital

Shop No. 14, Veena Apartment,
Opposite Patil Hospital, near Panchmukhi Hanuman Mandir,
S.T. Stand Road, Nallasopara West — 401203

Monday to Saturday
12:00 noon – 2:00 pm  ·  7:30 pm – 9:30 pm
Sunday by prior appointment only

Virar East

Opposite Parimal Hospital

Shop No. 7, Damodar Tower,
Opposite Parimal Hospital, Morya Nagar,
Manvel Pada Road, Virar East — 401305

Monday to Saturday
5:30 pm – 7:30 pm
Sunday by prior appointment only

Ready when you are.

Call either clinic during consulting hours, or send a WhatsApp message any time.