Since tennis elbow arises from overuse of the wrist extensor tendon, moderating its loading to promote recovery is the key. Continuing current overloading would hamper improvement at best and worsen it more often than not. On the other hand, prolonged underuse beyond required would result in understimulating the repair activities occurring in the tendon, hindering its restoration of composition and function. Hence, the paramount of the treatment for tennis elbow is to moderate the load on the wrist extensor tendon along different phases of recovery so that the tendon is sufficiently stimulated and yet not overloaded. A physiotherapist can guide you on this based on your training intensity, work ergonomics, and arm’s capacities when you present for assessment.

An elbow brace is found to be helpful at the initial onset of tennis elbow. If the patient is not contraindicated, blood flow restriction is also helpful at the initial stage when the wrist extension load is much restricted by pain. 

Ultrasound, shockwave therapy and dry needling are commonly seen to be used for tennis elbow in various physiotherapy clinics. However, their effectiveness is either short-term or controversial, pending further research.

While this article focuses on physiotherapy treatments for tennis elbow, there are also medical treatments for this condition, such as NSAIDs, PRP, surgery, etc. If you are keen to explore beyond physical modalities, you may discuss these with your doctor.