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Kinesio Rehab Physiotherapy Centre
Elbow · Ipoh

Tennis elbow from work, not tennis

Your outer elbow aches when you grip or use the mouse, and you have never held a racket.

Why do I have tennis elbow when I don’t play tennis?

Tennis elbow is an overuse irritation of the tendon on the outside of the elbow. That tendon works every time you grip, lift or bend your wrist back.

The name is misleading. People who cook, type, cut, sew, weld or carry shopping can get it just as tennis players do.

Which jobs in Ipoh bring it on?

Any job with repeated gripping and wrist work can do it. Here are the ones we think of first.

  • Hawkers and cooks, who swing a heavy wok or a cleaver for hours.
  • Office workers, who grip the mouse and type all day.
  • Tailors and seamstresses, who hold scissors and pull cloth.
  • Mechanics and technicians, who twist spanners and screwdrivers.
  • Teachers and clerks, who write and carry stacks of books.

Weekend sports add to the load. A badminton backhand or a round of golf can be the last straw for a tendon that is already working hard.

What does tennis elbow feel like?

You feel a sore spot on the outside of the elbow, sometimes with an ache that runs a little way down the forearm. Gripping a cup, turning a door handle or shaking hands hurts, though the elbow joint itself bends normally.

Pain from a pinched nerve in the neck can feel similar. Numbness or tingling in the fingers, or neck pain, suggests a nerve source and needs a different check. Our page on tennis elbow explains the difference.

What can I change at work this week?

Reduce the repeated load without stopping your job.

  • Change the grip. Build up thin handles with tape or foam, and use a larger-handled tool where you can.
  • Hold objects with the palm up and the elbow close to the body, instead of palm down with the arm out.
  • Use two hands for the kettle, the wok or a heavy tray.
  • Raise the keyboard and mouse so the wrist stays straight, and use a lighter mouse grip.
  • Take short breaks and shake the forearm loose before it aches.

Our guides on hawker and kitchen work and standing pain and factory work and repetitive strain have more job-specific tips. For the office, see our workplace ergonomics page.

Should I stop using the arm?

No. A tendon that is rested for weeks gets weaker. The better way is to reduce the painful movements, keep the arm moving and build strength steadily.

Isometric holds, where you press the wrist back against your other hand without moving, are a gentle starting point. A physiotherapist moves you on to slow lifting and lowering with a light weight, and then to gripping tasks. Pain that settles within a day is usually acceptable.

What do I do about a strap or brace?

A strap just below the elbow can take some strain off the tendon and make grip less painful. Most people who use one wear it at work and take it off at rest.

Think of it as a helper, not the treatment. If the pain is not improving after a few weeks of care, ask a doctor to review it.

How can a physiotherapist help at home?

We examine the elbow, wrist, neck and grip, then match the exercises to your job. We can also look at how you hold your tools at home, if that is where the strain occurs.

Home physiotherapy in Ipoh lets us see your kitchen, workbench or desk at home. Our Canning Garden centre is opening soon for those who prefer to come to us.

Questions people ask

Why do I have tennis elbow if I don't play tennis?

The condition is an overuse irritation of the tendon on the outer elbow that controls the wrist and fingers. Gripping, typing, using tools and carrying bags load it repeatedly. Tennis is only one cause, and most people with it have never played.

Should I rest the arm completely?

Resting everything for long weakens the tendon and makes it less tolerant when you return. Cut back the movements that hurt, keep the arm moving gently and build load slowly. A physiotherapist can help you find the right amount.

Will a brace or strap help?

A strap just below the elbow can reduce the pain with grip for some people, and it is worth trying while you work. It is a support, not a fix, so combine it with exercises that strengthen the forearm.

How long does tennis elbow take to settle?

It varies, and recovery is measured in weeks to months. A tendon recovers slowly because it has a limited blood supply. Steady, progressive exercise and changes at work give the best chance of settling for good.

When is elbow pain not tennis elbow?

Numbness or tingling in the fingers, neck pain, a hot swollen elbow, fever, or pain after a fall point to something else and need a doctor. Pain that spreads from the neck can feel similar to tennis elbow.

Every body is different. For a diagnosis that fits you, see a registered physiotherapist or doctor, and seek urgent care for sudden weakness, numbness, chest pain or severe pain after a fall.

Clinical editor: M Thurairaj, physiotherapist registered with the Malaysian Allied Health Professions Council (MAHPC). How we write and check our pages

Talk to a physiotherapist about your next step

If your elbow pain comes with your job, tell us what you do all day and which grip hurts most; we will suggest workplace changes and exercises, and whether a home visit would suit you.

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