All health insurers · no referral needed

ConditionShoulder & arm

Tennis Elbow & Golfer's Elbow

Tennis elbow treatment in Amsterdam. Your physiotherapist helps you with exercise therapy and load advice for pain on the outside or inside of your elbow.

Tennis Elbow & Golfer's Elbow

What is it?

Tennis elbow causes pain on the outside of your elbow, around the bony bump you can feel there. That spot anchors the muscles that extend your wrist and fingers. The pain gets worse when you make a fist, bend your wrist backwards or lift something.

Golfer's elbow is the less common counterpart on the inside, at the muscles that bend your wrist and fingers. Doctors call both epicondylitis, although tissue studies point to an overloaded tendon without inflammation.

Repeated, forceful use of your wrist and hand sits behind most cases, at work, at home or in sport. Tennis and golf play a part for a small group. Tennis elbow peaks between the ages of 40 and 50 and usually affects your dominant arm.

Common causes

  • Repeated forceful lifting or gripping
  • Working with tools, DIY, cleaning or typing
  • A spike in load, such as a home renovation
  • Racket sports such as tennis and padel
  • Golfer's elbow: lots of bending and gripping with wrist and fingers

How we diagnose

We ask about your symptoms, your work and your sport. Your physiotherapist then tests whether extending or bending your wrist against resistance hurts, and presses on the bony bump. Without tenderness there, tennis elbow is unlikely.

A typical picture needs no further tests. If the picture fits less well, for example with swelling or tingling, we look further or refer you to your GP.

Treatment approach

Keep using your arm: moving with a little pain does not slow recovery. If the pain builds, cut back for a while. Carry things with your elbow bent, palm up for tennis elbow and palm down for golfer's elbow.

With exercise therapy your physiotherapist builds up the load on your forearm step by step, and on your shoulder where needed. You train at home, at work or in our gym.

Expected recovery

About eight in ten people with tennis elbow have (almost) recovered within six months, and at least nine in ten within a year. Most people with golfer's elbow also recover within six months.

Long-standing symptoms, a lot of pain at the start and a complaint that keeps coming back slow recovery down.

Frequently asked questions

How long does tennis elbow last?
Eight in ten people have (almost) recovered within six months, and at least nine in ten within a year. For some people it takes longer, for example when the complaint is in your dominant arm.
What can I do myself for tennis elbow?
Keep moving your arm, even with a little pain. Vary your tasks, take more breaks and lift less with that arm for a while. Dutch GPs advise against a sling, a brace or complete rest, and tape may ease the pain a little but does not speed up recovery.
Does physiotherapy help with tennis elbow?
For many people, good advice and time are enough, as researchers have not shown that physiotherapy speeds up recovery. If the complaint gets in the way of your work or sport, your physiotherapist guides you through a progressive exercise programme. In research, such programmes do better than passive treatments, although the effects are modest.
Does shockwave therapy help with tennis elbow?
The research is mixed: a large review found little or no difference from placebo. Dutch GPs advise against referral for shockwave, and golfer's elbow has even less research behind it. Exercise therapy is the treatment, and your physiotherapist discusses with you what suits your elbow.
Can I keep playing tennis or padel with tennis elbow?
Often you can, in an adapted form: your physiotherapist looks with you at how much you play, your technique and your equipment. If the pain builds during or after playing, take a step back. If you compete at a high level and have not recovered enough after six weeks, a sports physician can take a look too.
Do I need a referral, and is it covered by insurance?
You do not need a referral. At the intake, your physiotherapist assesses whether physiotherapy suits your complaint, or whether you should see your GP first. Physiotherapy usually falls under supplementary insurance, and the number of covered sessions depends on your policy.

Your first appointment

Intake Physiotherapy

covered by supplementary insurance

Does this complaint sound familiar? Start with an intake. You get a clear diagnosis and a treatment plan in the same appointment.

  • Full physical examination by a physiotherapist
  • Ultrasound diagnostics where needed
  • Diagnosis and treatment plan in the same appointment
  • Book online right away, no referral needed
Book your intake
Ultrasound diagnostics in a Physical Studio treatment room