A 40-year-old office worker presented with pain on the outer side of the right elbow for six weeks. The patient reported difficulty gripping objects and discomfort while lifting items.

The pain gradually worsened, especially during repetitive wrist movements.

Clinical Assessment

Subjective Findings

The patient reported:

• Pain on the outer elbow
• Weak grip strength
• Pain during wrist extension
• Increased discomfort during computer work

These symptoms suggested lateral epicondylitis.

Objective Findings

Physical examination revealed:

• Tenderness over the lateral epicondyle
• Pain during resisted wrist extension
• Reduced grip strength

These findings confirmed tennis elbow.

Physiotherapy Management

The rehabilitation program focused on reducing tendon stress and improving strength.

Load Management

Activities that placed excessive strain on the forearm tendons were temporarily reduced.

Strengthening Exercises

Eccentric wrist extension exercises were introduced to stimulate tendon healing.

Stretching Exercises

Forearm stretching exercises improved muscle flexibility.

Ergonomic Advice

The patient was advised to modify workstation ergonomics to reduce repetitive strain.

Outcome

After six weeks of physiotherapy, the patient reported significant reduction in pain and improvement in grip strength. Daily activities became easier, and the patient returned to normal work without discomfort.

Conclusion

Tennis elbow physiotherapy rehabilitation focuses on restoring tendon strength, reducing mechanical stress, and gradually returning patients to normal activities. Consistent rehabilitation programs lead to successful recovery in most cases.