Tennis Elbow vs Golf Elbow Key Differences: Symptoms, Causes & Treatment
- E. Slaieh
- Aug 25
- 1 min read
Are you worried about repetitive strain injuries, especially in your elbow? Maybe you're thinking if your arm pain comes from too much use in sports or activities. Two common issues often mixed up are related to golf and racquet sports.
It's important to know the differences to get the right treatment. Both conditions hurt the tendons and cause pain. But, their causes, symptoms, and treatments are quite different.
Let's dive into the main differences and figure out what's causing your pain.

Understanding Elbow Tendinopathies
It's important to understand elbow tendinopathies to diagnose and treat them well. These conditions affect the tendons around the elbow, causing pain and making it hard to move.
What Are Tendon Injuries?
Tendon injuries, or tendinopathies, happen when tendons get inflamed or wear down. This can be due to too much use, repetitive strain, or sudden injury. Tendons link muscles to bones, and when they're hurt, it can really affect how we move.
Common Elbow Overuse Injuries
Elbow overuse injuries include tennis elbow and golf elbow. These conditions cause pain on the outside or inside of the elbow, respectively.
Condition | Common Name | Pain Location | Typical Cause |
Lateral Epicondylitis | Tennis Elbow | Outer elbow | Repetitive wrist extension |
Medial Epicondylitis | Golf Elbow | Inner elbow | Repetitive wrist flexion |
Knowing about these conditions is key to managing and recovering from them.
Tennis Elbow v Golf Elbow: Anatomical Differences
Tennis elbow and golf elbow have different causes and effects on the elbow. They are known as lateral and medial epicondylitis. These conditions impact different areas of the elbow, leading to unique symptoms and treatments.
Lateral Epicondylitis
Tennis elbow, or lateral epicondylitis, is when the tendons on the outside of the elbow get inflamed. It affects the ECRB muscle, which helps extend the wrist.
The ECRB tendon gets strained from gripping and twisting motions. This is common in sports and activities that require these actions.
Medial Epicondylitis
Golf elbow, or medial epicondylitis, is when the tendons on the inside of the elbow get inflamed. It affects the flexor-pronator tendon, which helps flex the wrist and pronate the forearm.
This condition is caused by repetitive strain from gripping, twisting, or throwing. It's common in sports and activities that involve these actions.
Key Structural Distinctions
The main difference between tennis elbow and golf elbow is where they occur and which tendon is affected. Tennis elbow is on the outside, while golf elbow is on the inside.
Knowing these differences is key for correct diagnosis and treatment.

Symptoms of Tennis Elbow
Knowing the signs of tennis elbow is key to catching it early. This common injury, known as lateral epicondylitis, shows in different ways. These symptoms can affect your daily life and how well you feel.
Pain Patterns and Characteristics
The pain of tennis elbow usually hits the outer elbow. It can feel like a dull ache or a sharp, burning pain. This pain often gets worse when you grip or twist things.
Grip Weakness and Functional Limitations
A big sign of tennis elbow is weak grip. This makes it hard to do simple things like hold objects or turn door handles. It can even make shaking hands tough.
Progression of Symptoms
Tennis elbow symptoms can start off mild but get worse over time. If you keep doing the same activities, the pain can grow. Spotting these signs early is important to avoid more damage and get help fast.
Symptom | Description | Impact on Daily Life |
Pain on the outer elbow | Ranges from mild to sharp, burning sensation | Difficulty in gripping or twisting motions |
Grip weakness | Reduced strength in the hand and forearm | Challenges in performing daily tasks like holding objects |
Functional limitations | Reduced functionality due to pain and weakness | Impairs ability to engage in sports or manual work |
Symptoms of Golf Elbow
If you feel pain on the inner side of your elbow, you might have golf elbow. This condition is similar to tennis elbow. It causes pain and swelling on the inside of the elbow. It happens when you do activities that make your wrist and forearm move a lot.
Pain Location and Sensation
The pain from golf elbow is on the inner side of the elbow. It's where the tendons of the forearm muscles meet the medial epicondyle. You might feel a mild ache or a sharp, burning pain, especially when you bend your wrist or forearm.
Impact on Daily Activities
Golf elbow can make everyday tasks hard. Simple actions like shaking hands or turning a door handle can hurt. It also makes it tough to play sports that involve gripping and throwing.
Symptom Development Timeline
Symptoms of golf elbow start slowly, with mild discomfort that gets worse over time. If you keep doing the same activity, the pain will get more severe. This can lead to long-term inflammation and damage to the tendons if not treated.
Side-by-Side Comparison of Symptoms
Tennis elbow and golf elbow are two common elbow issues. They have different symptoms. Knowing these differences helps in diagnosing and treating them properly.
Diagnostic Differences
When diagnosing tennis elbow and golf elbow, a detailed check is needed. The main difference is where and how the pain feels.
Condition | Pain Location | Pain Characteristics |
Tennis Elbow | Lateral side of the elbow | Sharp, burning pain |
Golf Elbow | Medial side of the elbow | Dull, aching pain |
Functional Impact Comparison
Tennis elbow and golf elbow affect grip strength differently. The activities that make pain worse also vary.
Condition | Activities Exacerbating Pain | Functional Limitations |
Tennis Elbow | Gripping, twisting, and lifting | Difficulty with wrist extension |
Golf Elbow | Gripping, flexing, and pronation | Difficulty with wrist flexion |
Causes and Risk Factors
It's important to know what causes tennis elbow and golf elbow. These conditions often come from repetitive strain and overuse. But, there are specific things that can make them more likely to happen.
Sports-Related Causes
Playing sports that make you move your arms, elbows, and wrists a lot can lead to these conditions. Tennis elbow is common in tennis because of the way you grip and twist the racquet. Golf elbow happens in golf because of the swing motion that strains the medial epicondyle.
Other sports like baseball, weightlifting, and rowing can also cause these problems. This is because they involve similar repetitive motions. Athletes in these sports should pay attention to their technique and the equipment they use. For example, a racquet that's too tight or has a grip that's too small can put more strain on the forearm.
Occupational Risk Factors
Jobs that involve repetitive tasks, heavy lifting, or constant gripping and twisting can lead to tennis elbow or golf elbow. Construction, manufacturing, and plumbing workers are at higher risk because of the physical demands of their jobs. Office workers who do repetitive tasks, like typing or using a computer mouse, can also be at risk, but the risk is generally lower.
Improving workplace ergonomics and taking regular breaks can help reduce these risks. Employers can prevent these conditions by making sure workstations are set up to reduce strain on employees' arms and wrists.
Age and Other Contributing Factors
Age is a big factor in getting tennis elbow and golf elbow, with people between 30 and 50 being most affected. This is because tendons naturally degenerate with age. Other factors include poor technique, using the wrong equipment, and having conditions like arthritis or previous injuries to the elbow or arm.
Knowing these risk factors can help people take steps to prevent these conditions. This includes changing their technique, using the right equipment, and keeping their arms and wrists healthy.
Diagnosis and Assessment
To figure out if you have tennis elbow or golf elbow, a healthcare expert will use several methods. They will look at your medical history, do a physical check, and might run some tests.
Physical Examination Techniques
A detailed physical check is key to finding out if you have tennis elbow or golf elbow. Your doctor will check how well your elbow moves, where it hurts, and how strong your grip is. They might do special tests like the Cozen's test for tennis elbow or the Milking maneuver for golf elbow to see if they can make your symptoms worse.
Imaging Studies
Even though a physical check is usually enough, sometimes doctors will ask for X-rays, ultrasound, or MRI scans. These tests help make sure you don't have something else wrong and can see if your tendons are damaged.
Differential Diagnosis
Differential diagnosis means figuring out if you have tennis elbow, golf elbow, or something else like osteoarthritis. Your doctor will look at your symptoms, medical history, and test results to make a correct diagnosis.
Diagnostic Approach | Tennis Elbow | Golf Elbow |
Physical Examination | Cozen's test | Milking maneuver |
Imaging Studies | X-ray, Ultrasound, MRI | X-ray, Ultrasound, MRI |
Differential Diagnosis | Osteoarthritis, Radial tunnel syndrome | Nerve entrapment, Osteoarthritis |
Getting a correct diagnosis is the first step to getting better. Knowing how doctors diagnose tennis elbow and golf elbow can help you understand your treatment options and work towards feeling better.
Treatment Approaches
Understanding the different ways to treat tennis elbow and golf elbow is key. Treatment options range from simple methods to more complex ones like surgery. This includes everything from physical therapy to advanced treatments.
Conservative Management
For both tennis elbow and golf elbow, the first step is usually conservative management. This means resting, applying ice, and using drugs to reduce pain and swelling. Wearing a brace can also help by reducing stress on the tendons.
Many people find that conservative management works well. But how well it works depends on how bad the condition is and how well the person follows the treatment plan.
Physical Therapy Interventions
Physical therapy is a big part of treating tennis elbow and golf elbow. Therapists use exercises to stretch and strengthen the tendons. They also use special treatments like ultrasound to help the tendons heal.
Treatment Component | Tennis Elbow | Golf Elbow |
Stretching Exercises | Focus on wrist extensors | Focus on wrist flexors |
Strengthening Exercises | Emphasize forearm supination | Emphasize forearm pronation |
Bracing/Strapping | Counterforce bracing | Medial counterforce bracing |
Advanced Treatment Options
If conservative management doesn't work, there are more advanced treatments. These include injections to reduce swelling and therapies like PRP to help the tendons heal. Shockwave therapy is also an option to help with healing.
Surgical Considerations
In very severe cases, surgery might be needed. Surgery involves removing the damaged tendon part and attaching the healthy part back to the bone. Always talk to a doctor before deciding on surgery.

Rehabilitation Exercises and Recovery
Knowing the right rehabilitation steps is key to healing from tennis elbow and golf elbow. A good rehab plan is vital for getting back to normal activities.
Tennis Elbow Rehabilitation Protocol
Tennis elbow rehab includes exercises to strengthen the forearm and improve elbow movement. These might be:
Wrist extensions
Forearm pronation and supination
Grip strengthening exercises
Seeing a physical therapist is often a good idea. They help with these exercises and make sure you're doing them right.
Golf Elbow Rehabilitation Protocol
Golf elbow rehab targets the muscles around the elbow, focusing on the inner side. Exercises might include:
Wrist flexions
Forearm strengthening
Elbow mobilization techniques
A physical therapist can create a rehab plan that fits your specific needs and how severe your condition is.
Recovery Timeline and Expectations
The time it takes to recover from tennis elbow and golf elbow varies. It depends on how bad the condition is and how well the rehab goes. Usually, people start seeing improvements in 6-12 weeks. Sticking to the rehab plan and being patient are important for the best results.
Rehabilitation is a critical component of treatment for both tennis elbow and golf elbow, enabling patients to regain strength and function.
FAQ's About Tennis Elbow vs Golf Elbow
What is the main difference between tennis elbow and golf elbow?
Tennis elbow hurts the outer elbow, while golf elbow hurts the inner elbow. This is the main difference.
Can you have both tennis elbow and golf elbow simultaneously?
It's rare to have both at the same time. Usually, one is more common. Treating the main one often helps the other too.
Are tennis elbow and golf elbow caused by the same activities?
Both are linked to repetitive arm and hand movements. Tennis elbow is often from tennis and racquet sports. Golf elbow comes from golf and throwing sports.
How are tennis elbow and golf elbow diagnosed?
Doctors use a physical exam, medical history, and sometimes X-rays or MRI scans. They check for pain, tenderness, and grip strength.
What are the treatment options for tennis elbow and golf elbow?
Treatments include rest, ice, and anti-inflammatory meds. Physical therapy, bracing, and sometimes injections or PRP therapy are also used.
Can tennis elbow and golf elbow be prevented?
Yes, by using proper techniques, keeping equipment in good shape, and warming up. Also, doing exercises to strengthen the forearm and elbow.
How long does it take to recover from tennis elbow or golf elbow?
Recovery time varies. Mild cases might take a few weeks, while severe cases can take months.
Are there any specific exercises for tennis elbow and golf elbow rehabilitation?
Yes, there are exercises to stretch and strengthen the affected areas. These are tailored to each condition.
Can I continue playing sports or working with tennis elbow or golf elbow?
It's best to avoid activities that make it worse until it's treated. Doing too much can slow down recovery or make it worse.
Conclusion
Tennis elbow and golf elbow are common issues affecting the elbow. They have some similarities but also key differences. Tennis elbow causes pain on the outside of the elbow, while golf elbow affects the inside.
Knowing these differences is vital for getting the right treatment. If you're feeling pain in your elbow, see a doctor. They can give you a proper diagnosis and a treatment plan that fits you.
By understanding tennis elbow and golf elbow, you can start managing your condition. This is true whether you play tennis or golf. Knowing about these conditions helps prevent injuries and keeps your elbows healthy.
If you have any questions or would like to share your experiences, please feel free to leave a comment below. Your feedback is invaluable, and together, we can support each other on this journey towards recovery.
The content on this website does not constitute a professional opinion, a recommendation, a substitute for consulting an expert or receiving medical advice from a care provider.
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