Tennis elbow, AKA lateral epicondylitits, can strike tennis players and anybody who uses a computer or performs manual labor. This condition is characterized by pain and inflammation along the outer elbow, and is usually worse with gripping, lifting, and repetitive motions of the hand, wrist, and elbow.

One great technique for reducing pain and promoting healing of the elbow tendons is performing cross friction massage (in a direction perpendicular to the direction the connective tissue fibers travel). This type of massage helps to break up scar tissue and adhesions, and also helps realign collagen fibers to promote healing and return of strength and function. I do cross friction massage for all of my tennis elbow patients, in conjunction with stretching, ice and other modalities to reduce inflammation as necessary. At first, it may feel sore to do, but after a few minutes, the soreness subsides and people usually experience some improvement in pain and flexibility following a few treatments. I also teach my patients how to do self massage at home.

It is best to learn this technique from a trained professional, such as a physical, occupational, or massage therapist. You can also work with one of these health care providers to come up with a comprehensive program that includes stretching, strengthening, posture improvement, splinting/bracing, modalities, and ergonomics. I highly recommend if you have symptoms of tennis elbow you seek professional treatment. It can progress to a chronic tendinitis which is much harder to manage.