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Tennis Elbow stretches aren't enough for pain relief that lasts

When Tennis Elbow Stretches Aren’t Working: What to Do Instead

Luke Ferdinands

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Updated on

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Read in 6 min

Tennis Elbow, or lateral epicondylitis, is a painful condition that affects the tendons on the outside of the elbow, typically caused by overuse of the forearm. Stretches are often the first step in your physical therapy exercises for Tennis Elbow. However, many people deal with persistent forearm pain, even after doing Tennis Elbow stretches consistently. If you’re in this camp, keep reading!

Tennis Elbow affects the extensor carpi radialis brevis tendon
Tennis Elbow affects the extensor carpi radialis brevis tendon

Though stretches can relieve symptoms and get you ready for the next stage of your rehab, they are not enough to resolve the underlying problem on their own. Here’s a breakdown of what those common stretches do, why you still have pain, and what you can do to finally get Tennis Elbow relief that sticks.

Popular Tennis Elbow stretches and why PTs recommend them

The go-to stretches for Tennis Elbow primarily target the extensor and flexor muscles of the forearm. These muscles are responsible for turning, bending, or straightening your hand and wrist. Together, they let you grip, hold, and twist. Two of the most commonly recommended stretches are:

  • Wrist Extensor Stretch: Extend your affected arm in front of you, palm down. With your opposite hand, gently pull your hand down and toward your body, feeling a stretch along the top of the forearm.

  • Wrist Flexor Stretch: This is a complementary stretch where you extend your arm with the palm facing up and gently pull your fingers down and back with the other hand.

Stretching for Tennis Elbow relief
Tennis Elbow stretches take just a minute or two

Both of these stretches are also useful as warm-up moves before activities that involve pain triggers, like gripping or twisting. Many people who get over Tennis Elbow keep these forearm stretches in their toolbox and use them before activities as an effective way to prevent Tennis Elbow flareups.

These stretches are recommended to help:

  • Loosen tight muscles and tendons;

  • Improve flexibility and mobility;

  • Reduce tension and discomfort; and

  • Encourage blood flow to the area to promote healing.

When done consistently and correctly, these stretches can help reduce pain and help you regain grip strength over time.

Four reasons you still have forearm pain after stretching for Tennis Elbow

If you’ve been stretching regularly and still have pain, there are four likely reasons. The fundamental problem occurs when stretching is the only thing you’re doing for Tennis Elbow self-care. It’s just one part of an effective Tennis Elbow treatment regimen.

  • Tendon damage: Tennis Elbow, especially when it's become chronic (meaning you’ve had the symptoms for more than a week or two), involves tissue damage. The fundamental problem is microtears and scar tissue formation in the tendon. These tissue damage can’t be fixed with stretching alone.

  • Incorrect technique or overstretching: Stretching too aggressively or with improper form can irritate the tendons further.

  • Continued overuse: Even with a solid stretching routine, if you're still doing the activities that caused the injury through repetitive forearm motion, like racquet sports, lots of typing, or using hand tools all day, your elbow tendon will continue to get overloaded and stressed without the rest it needs to heal.

  • Weak supporting muscles: Stretching doesn’t increase strength. If the muscles around the elbow, shoulder, and wrist are weak, they can’t provide the support your sensitive tendon needs to heal. Your activities will continue to overload the fragile tendon, worsening the problem.

Tennis Elbow Brace for builders and carpenters
Builders and carpenters can relieve on-the-job stress on the injured tissue with an Alleviate Tennis Elbow Brace

Get real knowledge to stop Tennis Elbow pain

What you should do when Tennis Elbow stretches aren’t helping

If you're still in pain or continuing to get flareups despite doing stretches, it's time to update your approach. Here are four things to consider:

1. Incorporate eccentric strengthening

Research supports the use of eccentric exercises - slow, controlled lengthening of muscles while they’re loaded - for Tennis Elbow rehab. One popular option is the eccentric wrist extension: using a light dumbbell, raise your wrist with your good hand and then slowly lower it with the affected side. This strengthens the tendon in a controlled manner, building strength and promoting healing.


Since it's difficult to figure out which exercises to do when, we recommend following a structured Tennis Elbow exercise program, like our unique Tennis Elbow Guided Recovery Program.

2. Modify your activities

Pay attention to what movements and activities aggravate your symptoms, and either modify the movements or take a break for a few days. If you’re overtaxing your forearm on the job but can’t completely eliminate what causes you pain, consider using more ergonomic tools, switching your mouse hand, or taking more frequent breaks from repetitive tasks.

3. Seek professional help

A physical therapist can develop a personalized treatment plan including manual therapy like instrument-assisted soft tissue mobilization (IASTM). A sports medicine doctor might recommend ultrasound therapy, platelet-rich plasma (PRP) injections, or other interventions.

Replicate professional PT at home for Tennis Elbow

4. Consider a bracing or taping strategy

Wearing a forearm brace or applying Tennis Elbow taping can reduce load and stress on the affected tendon during activity, giving you instant pain relief.


Our Tennis Elbow Brace, designed by a physical therapist to replicate a professional Tennis Elbow taping technique (called Mulligan taping) is a great option that both relieves pain now, and promotes tissue healing over time.


Note that Tennis Elbow compression sleeves usually don't have enough of a structure to reduce the load on the injured tendon, which is key to healing. You're better of with a brace!

Wear a counterforce brace for Tennis Elbow
Wear a counterforce brace for Tennis Elbow

5. Massage with the right tool

Chances are, you’re probably massaging your affected tendon for relief. With a proper elbow massager that can target the deep tissue, it’s easy to turn your natural instinct into a pro-level massage routine to break up scar tissue, realign damaged fibers, and facilitate the growth of healthier, stronger tissue.


Check out the Tennis Elbow System - the complete at-home Tennis Elbow treatment system includes everything you need to recover: an exercise program, a forearm brace, an elbow massager, and a soothing massage balm.

Use a massager to target the injured tendon
Use a massager to precisely target the injured tendon

Tennis Elbow stretches: bottom line

Stretching is a helpful tool for Tennis Elbow recovery but it should be one component of your treatment. If your forearm pain persists, don’t push through it, and consider a more comprehensive, physical therapy-driven approach with Alleviate Tennis Elbow tools!

Key Takeaways

Stretching alone isn't enough: while it's effective at symptom relief and gets you ready for the next step in your recovery, stretching can't fix the damaged tissue or build supportive muscle strength.

Incorporate physical therapy principles: when stretching isn't keeping your Tennis Elbow pain at bay, complete your recovery toolkit with daily massage, forearm brace, and eccentric strengthening exercises.

Heal at home: you can treat yourself, using the techniques and methodology proven in physical therapy. Use the Tennis Elbow System - it comes with the three tools you need to replicate effective PT.

All-in-one Tennis Elbow treatment without the copays

Alleviate was founded by a patient-clinician duo to bring the effective chronic pain treatment from physical therapy offices to everyone's home. With the all-in-one Tennis Elbow System, you can easily follow the Alleviate Method to treat your forearm pain, going beyond the symptom relief of Tennis Elbow stretches. Get relief now, and make it stick - all without the hassle and cost of traditional physical therapy.

Luke Ferdinands, physical therapist and Alleviate co-founder

Luke Ferdinands, Physical Therapist & Co-Founder


A New Zealand-trained physical therapist with over 20 years of experience, Luke developed the Alleviate Method to bring the gold standard of physical therapy care to everyone's home. Luke leads the development of physical tools and digital physical therapy content, focusing on driving clinical outcomes for people with chronic musculoskeletal pain conditions like Tennis Elbow, Plantar Fasciitis, Runner's Knee, and more.

Knowledge to treat Tennis Elbow yourself