How to Avoid Tennis Elbow

Prevention Is Better Than Cure

Tennis elbow is one of the most common injuries in tennis, affecting players of all ages and abilities. Despite its name, you don’t have to be a tennis player to develop it—but if you play regularly, understanding how to prevent it can save you months of frustration and discomfort.

The good news is that most cases of tennis elbow are preventable.

What Is Tennis Elbow?

Tennis elbow, or lateral epicondylitis, is an overuse injury affecting the tendons on the outside of the elbow. It typically develops gradually as a result of repeated stress on the forearm muscles and tendons.

Common symptoms include:

  • Pain on the outside of the elbow
  • Discomfort when gripping a racquet
  • Pain when lifting objects
  • Reduced grip strength
  • Soreness after playing tennis

Many players initially ignore the symptoms, hoping they will disappear on their own. Unfortunately, continuing to play through the pain often makes the condition worse.

Poor Technique Is Often the Biggest Culprit

While equipment is important, technique is frequently the root cause of tennis elbow.

Common technical issues include:

  • Hitting late
  • Excessive wrist movement
  • Poor one-handed backhand mechanics
  • Gripping the racquet too tightly
  • Trying to generate power with the arm rather than the whole body

When technique is inefficient, the forearm muscles are forced to absorb excessive stress with every shot.

A lesson with an experienced coach can often identify technical issues long before they become injuries.

Use the Right Racquet

Many players unknowingly make tennis elbow worse by using a racquet that is too demanding for their level.

Factors that may contribute to arm discomfort include:

  • Racquets that are too heavy
  • Racquets that are too stiff
  • Small head sizes
  • Low-powered control-oriented frames

While advanced players may enjoy these characteristics, they are not always suitable for recreational players.

Choosing a racquet that matches your strength, technique and playing style can significantly reduce stress on the arm.

Pay Attention to Your Strings

Strings are one of the most overlooked causes of arm problems.

Old strings lose elasticity and become less forgiving over time.

Polyester strings, while excellent for control and spin, can feel firm and place greater stress on the arm if used inappropriately.

Players experiencing arm discomfort should consider:

  • More frequent restringing
  • Softer multifilament strings
  • Synthetic gut strings
  • Lower string tensions

Many players are surprised at how much more comfortable their racquet feels after a simple string change.

Avoid Gripping Too Tightly

One of the most common habits associated with tennis elbow is excessive grip pressure.

Many players hold the racquet far tighter than necessary, particularly when nervous or under pressure.

A relaxed grip allows the racquet to do more of the work while reducing unnecessary tension throughout the arm.

As a general rule, hold the racquet firmly enough to maintain control, but not so tightly that your forearm is constantly working.

Build Strength in the Right Areas

Strong forearm, wrist and shoulder muscles help protect the arm from injury.

Simple strengthening exercises can improve resilience and reduce the likelihood of developing tennis elbow.

Particularly important areas include:

  • Forearm extensors
  • Wrist stabilisers
  • Rotator cuff muscles
  • Shoulder girdle
  • Upper back

A well-designed strength and conditioning programme can significantly reduce injury risk while improving performance.

Increase Playing Load Gradually

Many cases of tennis elbow occur when players suddenly increase their playing volume.

Examples include:

  • Returning after a long break
  • Playing multiple tournaments in a short period
  • Increasing coaching and match play simultaneously
  • Switching from one session per week to several

Your tendons need time to adapt to increased workload.

Gradual progression is far safer than sudden spikes in activity.

Listen to Early Warning Signs

Pain is information.

If you begin noticing:

  • Persistent elbow soreness
  • Pain after playing
  • Reduced grip strength
  • Discomfort when lifting everyday objects

Don’t ignore it.

Addressing minor symptoms early is far easier than treating a chronic injury that has been present for months.

Prevention Is Always Easier Than Rehabilitation

Tennis elbow can be frustrating because it often develops slowly and takes time to resolve.

Fortunately, most cases can be avoided through a combination of good technique, appropriate equipment, sensible training loads and strength development.

If you’re experiencing elbow discomfort, don’t simply assume it’s part of playing tennis. A coach, physiotherapist or qualified healthcare professional can often identify the cause and help you make changes before a minor issue becomes a long-term problem.

Your arm will thank you for it.