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Physiotherapy

Elbow
Pain.

Elbow pain is frequently mismanaged — dismissed as minor or treated with rest alone, leading to months of persistent pain. Evidence-based physiotherapy addresses the pathology driving elbow pain and restores full, pain-free function.

Causes & Conditions

More than
tennis elbow.

Lateral epicondylitis (tennis elbow) is the most common elbow condition — yet only 5% of cases are actually related to tennis. It affects manual workers, desk workers, and anyone who performs repetitive gripping or wrist extension. Despite its name, it is primarily a tendinopathy, not an inflammation.

The elbow also serves as the passage for the ulnar and radial nerves, making nerve entrapment a frequent source of elbow, forearm, and hand symptoms that is often confused with tendinopathy.

  • Lateral epicondylitis (tennis elbow) — extensor carpi radialis brevis tendinopathy
  • Medial epicondylitis (golfer’s elbow) — flexor-pronator tendinopathy at the medial epicondyle
  • Cubital tunnel syndrome — ulnar nerve compression at the elbow causing ring and small finger tingling
  • Radial tunnel syndrome — radial nerve entrapment causing lateral forearm pain
  • Olecranon bursitis — inflammation of the bursa at the tip of the elbow
  • Distal biceps tendinopathy — overuse of the biceps tendon at its insertion on the radial tuberosity
  • Triceps tendinopathy — posterior elbow pain from triceps attachment degeneration
  • Elbow osteoarthritis — cartilage wear from previous injury, throwing, or heavy manual work
  • Elbow fracture rehabilitation — radial head, coronoid, and distal humerus fractures
  • Thrower’s elbow — medial stress and lateral compression injuries in overhead athletes
Our Treatment

Targeted elbow
rehabilitation.

Focused Shockwave

Gold-standard for tennis elbow and golfer’s elbow — breaks down degenerative tendon tissue and stimulates the repair response.

Class IV Laser

Photobiomodulation reducing pain and inflammation while accelerating tendon and nerve healing.

Manual Therapy

Lateral and medial epicondyle soft tissue treatment, joint mobilization, and nerve mobilization for cubital tunnel syndrome.

IMS / Dry Needling

Trigger point needling in forearm extensors and flexors driving epicondylitis pain.

Exercise Rehabilitation

Eccentric and heavy slow resistance loading — the most evidence-based approach for tendinopathy rehabilitation.

Ergonomic Assessment

Analysis of workplace setup and gripping mechanics to address the load that is perpetuating the condition.

What to Expect

Evidence-based
tendon rehab.

Assessment includes grip strength testing, resisted wrist extension/flexion provocation, elbow joint mobility, and neurological screening for cubital tunnel. We identify whether your pain is primarily tendon, joint, nerve, or a combination.

Tennis elbow typically responds within 6–12 weeks of supervised rehabilitation. Chronic cases (>6 months duration) may require shockwave combined with a structured loading program. Nerve entrapment conditions follow a longer timeline of 8–16 weeks.

  • WorkSafeBC accepted for occupational elbow conditions
  • ICBC direct billing for MVA-related elbow injuries
  • Shockwave available for chronic epicondylitis
  • Ergonomic advice and tool modification guidance
  • Home loading program provided from session one
  • No referral required in BC

Ready to start
your recovery?

Surrey, BC · ICBC & WorkSafeBC Accepted · Direct Billing

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