Elbow Pain: How Chiropractic Care Helps with Tennis Elbow

Tennis elbow, also known as lateral epicondylitis, is a common condition causing discomfort and pain around the outer part of the elbow. Despite its name, this condition is not exclusive to tennis players.


Non-athletes can also develop tennis elbow due to chronic overuse, particularly as they age and their tendons degenerate. It arises from repetitive stress to the forearm muscles and tendons, which can occur during activities like typing, weightlifting, or other racquet sports.


At One Spine Chiropractic, our approach emphasises identifying and addressing the root cause of tennis elbow to provide relief and restore optimal function. Here’s how chiropractic care can be part of your journey to recovery.


Understanding Tennis Elbow (Lateral Epicondylitis)

Tennis elbow involves tiny tears in the tendons that connect the forearm muscles to the elbow joint. The main source of pain is located at the bony knob on the outside of the elbow where the injured tendons connect to the bone. These injured tendons, particularly the extensor carpi radialis brevis, often result in pain and tenderness around the lateral epicondyle (the bony bump on the outer elbow).


Symptoms of Tennis Elbow

  • Pain or discomfort when gripping, lifting, or performing repetitive motions.
  • Tenderness and swelling near the bony knob on the outer elbow.
  • Weakness in the affected arm, wrist, or forearm muscles.
  • Stiffness or limited movement in the elbow joint.


Common Causes and Risk Factors:

  • Repetitive Strain: Activities like racket sports, weightlifting, or using vibrating tools.
  • Poor Technique: Improper form when performing tasks or playing sports increases strain on the affected tendon.
  • Sudden Injuries: Direct trauma to the elbow or arm.
  • Age and Tendon Degeneration: Natural wear and tear can lead to tiny tears in the tendon and increase susceptibility to injury.
Diagnosing Tennis Elbow

Diagnosing Tennis Elbow

Diagnosing tennis elbow involves a comprehensive approach that includes a detailed medical history, physical examination, and, if necessary, imaging tests.


The first step in diagnosing tennis elbow is taking a detailed medical history. Our Chiropractor will ask about your symptoms, medical background, and daily activities to determine the likelihood of tennis elbow. This information helps identify any repetitive motions or activities that may have contributed to your condition.


Next, a physical examination is conducted to assess the elbow and forearm. Our Chiropractor will look for signs of tenderness, swelling, and limited mobility. We may ask you to perform specific movements to evaluate pain levels and pinpoint the affected area.


In some cases, imaging tests such as X-rays, MRI, or ultrasound may be ordered. These tests help rule out other conditions that could cause similar symptoms and confirm the diagnosis of tennis elbow. Imaging can also provide a clearer picture of the extent of tendon damage, aiding in the development of an effective treatment plan.

Role of Chiropractic Care with tennis elbow

The Role of Chiropractic Care

At One Spine Chiropractic, our personalised chiropractic treatments target the underlying causes of tennis elbow, not just the symptoms. Here are the key techniques we employ:


1. Chiropractic Adjustments

During a chiropractic adjustment, the elbow joint and other connected structures are realigned to enhance joint mobility and reduce stress on the affected tendons. This process often produces the distinct “crack” or “pop” sound associated with cavitation, which helps improve function and relieve tension.


Spinal misalignments can contribute to compensatory strain in the arm and shoulder, which may worsen symptoms of tennis elbow. By correcting these misalignments, chiropractic care optimises nerve function and overall joint mechanics, indirectly supporting recovery in the elbow joint. A well-aligned spine ensures better posture and reduces undue stress on the affected area.


2.Soft Tissue Therapy for Forearm Muscles

Techniques like the Active Release Technique (ART) target the forearm muscles and surrounding connective tissue, helping to break down scar tissue and adhesions. This enhances blood flow to the affected area and supports the healing process.


3.Therapeutic Modalities for Elbow Pain

Complementary therapies, such as shock wave therapy, are sometimes used to stimulate blood flow and promote the repair of injured tendons. Ultrasound therapy can further help by reducing inflammation and enhancing tissue regeneration.

Additionally, specific exercises and physical therapy can help fix tennis elbow by promoting healing and alleviating symptoms.


4. Education and Preventative Measures

Our chiropractors educate patients on proper techniques for repetitive motions to prevent further strain on the elbow joint. Strengthening exercises for the forearm muscles are also recommended to support recovery and reduce the risk of recurrence.


Why Choose Chiropractic Care for Tennis Elbow?

Chiropractic care is a non-invasive, drug-free approach that prioritises holistic healing. By addressing both the symptoms and root causes of tennis elbow, our methods can:

  • Relieve pain in the affected elbow and arm
  • Restore mobility and reduce stiffness
  • Promote proper biomechanics to prevent further injury


At One Spine Chiropractic, we address the root causes of pain, whether it’s tennis elbow, back pain, or neck discomfort, helping you move freely and stay active.


Preventing and Managing Tennis Elbow

Prevention plays a key role in managing tennis elbow symptoms and reducing the risk of recurrence:

  • Practise proper technique during activities like playing tennis or golf to avoid excessive strain on the elbow joint.
  • Take regular breaks to rest the affected tendon and prevent chronic tennis elbow from overuse.
  • Use ergonomic tools and a well-fitted tennis racket to minimise stress on the elbow tendons.
  • Strengthen the forearm muscles and upper arm to improve flexibility and support injured tissues.
  • Avoid repetitive stress, and rest immediately if you feel pain or discomfort.


If nonsurgical treatments fail to alleviate tennis elbow symptoms, surgery may become necessary. Procedures such as open or arthroscopic surgery address severe tendon damage but often require a detailed rehabilitation process. To avoid surgical intervention, seeking chiropractic care early can provide effective, non-invasive solutions to manage and prevent tennis elbow.


By prioritising prevention and considering chiropractic care, you can address symptoms proactively and reduce the likelihood of needing surgery.

Chiropractic care for tennis elbow

When to Seek Chiropractic Care

Consider chiropractic care for tennis elbow when:

  • Pain Persists: Despite rest and pain relievers, symptoms of tennis elbow may indicate unresolved issues.
  • Limited Mobility: Stiffness or difficulty moving the elbow joint can improve with chiropractic adjustments.
  • Chronic Pain or Inflammation: Resistant symptoms benefit from techniques that reduce inflammation and promote healing.
  • Prevention is Needed: Chiropractors provide expert advice to avoid further strain on the affected area.


Tennis elbow doesn’t have to limit your ability to enjoy daily activities or play sports. With the right chiropractic care, you can find relief from pain, restore function, and prevent future injuries.


At One Spine Chiropractic, our experienced chiropractors is here to guide you through a tailored recovery journey.

Book An Appointment Now


Relieve Pain, Regain Your Strength!


Manage and prevent tennis elbow with expert chiropractic care at One Spine Chiropractic Singapore.


Book your consultation today and take the first step toward a pain-free life!

BOOK APPOINTMENT

Begin Your Journey: First Consultation at One Spine Chiropractic

Posture Screening

We measure the angles and linear distances of posture displacements from the head down to the ankles for our chiropractors to identify your overall posture alignment. 

1-on-1 Chiropractor's Consultation

1 on 1 consultation with our chiropractor to perform a comprehensive review of your health history as well as understand your day-to-day lifestyle activities. 

Physical Examination

Our chiropractors will perform physical examinations which usually include different assessments such as comparison of muscle strengths, testing range of motion, testing reflexes, carrying out palpation, and conducting orthopedic and neurological tests based on the complaint.

Chiropractic Treatment

Our chiropractors will use their hands or a small instrument to apply a controlled, sudden force to a spinal joint. The goal of this procedure, also known as spinal manipulation, is to improve spinal motion and improve your body's physical function.

Related Articles

Begin Your Journey: First Consultation at One Spine Chiropractic

Posture Screening

We measure the angles and linear distances of posture displacements from the head all the way down to the ankles for our chiropractors in Clementi to identify your overall posture alignment. 

1-on-1 Doctor Consultation

1 on 1 consultation with our Clementi Chiropractor to perform a comprehensive review of your health history as well as understand your day-to-day lifestyle activities. 

Physical Examination

Our Clementi Chiropractor will perform physical examinations which usually include different assessments such as comparison of muscle strengths, testing range of motion, testing reflexes, carrying out palpation, and conducting orthopedic and neurological tests based on the complaint.

Chiropractic Treatment

Our Clementi Chiropractor will use their hands or a small instrument to apply a controlled, sudden force to a spinal joint. The goal of this procedure, also known as spinal manipulation, is to improve spinal motion and improve your body's physical function.

by Anthony Musung • 16 October 2026
Lower back pain when waking up may result from stiffness, sleep position or an underlying condition. Learn the causes, relief tips and warning signs.
by Anthony Musung • 12 October 2026
Have you ever sat at your desk for several hours and noticed that your lower back starts to ache, feel stiff or uncomfortable? You are not alone. Back discomfort after prolonged sitting is common, particularly among people who spend much of their day working at a computer, studying, driving or watching television. The problem is not always simply that you are "sitting incorrectly." Staying in the same position for too long can place continuous demands on the muscles, joints and other structures involved in supporting your body. Even a relatively comfortable sitting position can become uncomfortable when maintained for hours without enough movement. Understanding why your back hurts after sitting for a long time can help you make practical changes to your daily routine and recognise when it may be worth getting your symptoms assessed. What Happens to Your Back When You Sit for a Long Time? Sitting may seem like a passive activity, but your body is still working to support your head, trunk and pelvis. When you sit for an extended period, some muscles may remain active for a long time while other parts of the body move very little. Your lower back and surrounding muscles may need to maintain your position continuously, especially when you lean forward towards a computer or phone. Over time, remaining in one position can contribute to: Muscle fatigue Stiffness Reduced movement Increased discomfort Tension around the lower back and hips The longer you remain still, the more noticeable these effects may become. This is why your back may feel fine when you first sit down but start hurting after several hours. Is Sitting Bad for Your Back? Sitting itself is not necessarily harmful. The bigger issue for many people is prolonged, uninterrupted sitting . Your body is designed to move. Changing positions, standing, walking and using different muscle groups throughout the day can reduce the amount of time your back spends under the same physical demands. For example, someone may sit for eight hours while working, drive home while sitting for another hour and then spend the evening on the sofa.  Even if each individual sitting position feels comfortable, the total amount of time spent sitting can add up quickly. Instead of trying to find one "perfect" sitting posture that you can maintain all day, it is often more useful to focus on regular movement and changing positions . Why Does My Lower Back Hurt More Than the Upper Back? The lower back is responsible for helping support much of the upper body, which is one reason discomfort after prolonged sitting is often felt around the lower-back region. The position of your pelvis can also influence how your lower back feels. For instance, when you slide forward in your chair and lean backwards, or when you lean forward towards your screen for long periods, your body may adopt a position that feels increasingly uncomfortable over time. Your hips may also remain bent for hours while sitting, which can contribute to stiffness when you finally stand up and move around. This can explain why some people experience a combination of: Lower-back discomfort + hip stiffness + difficulty standing upright after sitting. How Your Sitting Position May Contribute There is no single sitting position that is correct for every person. However, certain habits can make prolonged sitting more uncomfortable. Leaning Forward If your monitor is too far away or too low, you may gradually lean forward to see the screen. You might not notice this at first, but after hours of working, your back and neck can begin to feel tired. Slouching When you slouch, your spine and surrounding muscles may be positioned differently compared with sitting upright. Slouching occasionally is not automatically a problem. The issue is spending a large portion of your day in the same position. Sitting at the Edge of the Chair Some people sit very far forward rather than using the backrest. This can make it harder to maintain a comfortable and supported position for long periods. Crossing Your Legs for Hours Crossing your legs from time to time is generally not unusual, but remaining in a twisted or asymmetrical position for long periods may make some people feel stiff or uncomfortable. The key message is not that one position is always bad. It is that staying in one position for too long can be the bigger issue . Your Desk Setup Can Make a Difference If you work at a desk every day, small changes to your workstation may help make prolonged periods of sitting more comfortable. Your screen should be positioned so that you do not have to constantly bend your neck or lean your upper body forward to view it. Your chair should allow you to sit comfortably with your feet supported and your body reasonably close to your desk. Your keyboard and mouse should also be positioned so that you do not have to repeatedly reach forward. However, even an excellent workstation does not eliminate the need to move. A well-designed chair can make sitting more comfortable, but it does not turn eight hours of uninterrupted sitting into eight hours of healthy movement. Take Regular Movement Breaks One of the simplest things you can do is avoid sitting continuously for long periods. You do not necessarily need a complicated exercise programme every time you leave your chair. You can simply: Stand up Walk around the office Get a drink of water Stretch gently Change your sitting position Walk during a phone call Take the stairs when practical These small movements break up long periods of inactivity. For people working at a computer, setting a reminder to stand or move periodically can make this easier to remember. Why Does My Back Hurt When I Stand Up After Sitting? Some people notice that their back feels particularly stiff when they first stand. This can happen because your body has remained in a relatively fixed position for an extended period. Once you stand, the muscles and joints have to transition into a different position and begin moving again. You may notice: Stiffness in the lower back Tightness around the hips Difficulty standing completely upright immediately A few uncomfortable steps before things loosen up If the stiffness disappears quickly after moving around, it may simply be associated with prolonged inactivity. However, recurring or worsening symptoms should not automatically be dismissed as "just sitting." What Can You Do at Home? If prolonged sitting is making your back uncomfortable, start with simple changes. 1. Change Position Regularly Avoid staying in exactly the same position for hours at a time. 2. Walk More During the Day Short walks can help break up long periods of sitting. 3. Check Your Workstation Look at your chair, desk, monitor, keyboard and mouse placement. 4. Avoid Working From the Same Position All Day A combination of sitting, standing and walking can be more practical than trying to maintain one posture continuously. 5. Pay Attention to Your Symptoms Notice when your discomfort appears. Does it happen after 30 minutes, two hours or only at the end of the workday? Does standing make it better? Does walking help? Does the pain occur every day? These details can be useful when discussing your symptoms with a healthcare professional. When Should You Get Your Back Pain Checked? Not every episode of back discomfort means there is a serious problem. However, persistent or recurring symptoms deserve attention, particularly when they begin affecting your normal activities. Consider getting your symptoms professionally assessed if your back pain: Keeps coming back Does not improve with reasonable changes to your routine Interferes with work, exercise or sleep Is becoming more severe Started after an injury Is accompanied by numbness, tingling or weakness Seek urgent medical attention for severe or unusual symptoms such as significant weakness, loss of bladder or bowel control, numbness around the groin or symptoms associated with serious injury or illness. A professional assessment can help determine whether your symptoms may be related to mechanical, muscular, joint or other factors and whether further medical evaluation is appropriate. Sitting Less Does Not Mean You Have to Stop Working at a Desk For many people, sitting is unavoidable. Office workers need to use computers, students need to study, and drivers need to spend time behind the wheel. The goal is therefore not necessarily to eliminate sitting completely. Instead, think about creating more movement throughout your day . Rather than sitting continuously for several hours and only moving when work ends, build small periods of movement into your routine. Stand while taking a phone call. Walk to speak to a colleague instead of sending a message when practical. Take a short walk during a break. Change your position regularly. These habits may seem insignificant, but they can make your day less physically repetitive. Why Does My Back Keep Hurting Even After I Change My Chair? A new chair may help, but it may not address every factor contributing to your symptoms. Your daily routine, physical activity, movement patterns, previous injuries, sleep habits and the amount of time you spend sitting can all be relevant. This is why changing one piece of equipment does not necessarily solve recurring back discomfort. If the problem continues despite changes to your workstation and routine, a proper assessment can provide a more personalised understanding of what may be contributing to your symptoms. Final Thoughts Back pain after sitting for a long time can be frustrating, especially when your work or lifestyle requires many hours at a desk. In many cases, the issue is not simply whether you are sitting "right" or "wrong." Prolonged, uninterrupted sitting can leave the body in a relatively fixed position for too long, contributing to stiffness, muscle fatigue and discomfort. Start with practical changes: move regularly, vary your positions, review your workstation and pay attention to when your symptoms occur. When back discomfort becomes persistent, recurring or disruptive to your daily life, it is worth having the problem assessed rather than repeatedly working around it. Looking for Professional Help for Back Pain in Singapore? At One Spine , we provide chiropractic care for people dealing with back, neck and other musculoskeletal concerns. We take the time to understand your symptoms, lifestyle and physical condition before recommending an appropriate approach to care. If your back regularly hurts after long periods of sitting, One Spine can assess your condition and help you better understand what may be contributing to your discomfort. Contact One Spine to arrange a consultation at one of our Singapore clinics.
Pregnancy Back Pain
by Anthony Musung • 3 July 2026
Learn why pregnancy back pain is so common, its causes, symptoms and safe treatment options. Discover how chiropractic care may help relieve discomfort.
by Anthony Musung • 26 June 2026
Children and adults experience scoliosis differently. Learn the signs, causes, progression, and how One Spine Chiropractic Singapore supports spinal health.
More posts