A Comprehensive Guide to Treating Lateral Epicondylitis That Won’t Heal
You’ve rested. You’ve iced. You’ve done the stretches your physical therapist prescribed. Maybe you even got a cortisone shot. But that nagging pain on the outside of your elbow is still there – making it hurt to grip your racket, lift your coffee cup, or shake someone’s hand.
If you’re dealing with tennis elbow that won’t quit, you’re not alone. And more importantly, there’s a treatment approach that addresses why your elbow pain keeps coming back: sports acupuncture.
Tennis elbow, medically known as lateral epicondylitis, is pain on the outside of your elbow where the tendons of your forearm muscles attach to the bone. Despite the name, only 5% of people with tennis elbow actually get it from playing tennis.
Common causes include:
Here’s why it won’t heal: Most treatments focus on the elbow itself – but the elbow is usually just the victim, not the cause. The real problem often lies in:
This is why rest, ice, and even cortisone shots provide temporary relief at best – they’re treating the symptom (inflamed elbow tendon) but not the cause (why that tendon is overworked in the first place).
Physical therapy is usually the first-line treatment for tennis elbow, and while it can help some people, many find it ineffective for persistent cases.
Common PT approaches:
Why PT alone often isn’t enough:
The weak muscle problem: If muscles in your shoulder or upper back have “turned off” neurologically, no amount of exercise will strengthen them. Your body will continue compensating with your forearm muscles, perpetuating the elbow pain. PT exercises only work if the muscles are actually capable of firing – and often, they’re not.
The pain cycle: Tennis elbow creates a pain-compensation cycle. You avoid using your arm properly because it hurts, which causes other muscles to work harder, which creates more imbalance, which makes the elbow worse. PT can’t break this cycle if it’s only addressing the elbow.
The time factor: PT typically requires 6-12 weeks of multiple sessions per week – and that’s if it works. Many people spend months in physical therapy with minimal improvement.
This doesn’t mean PT is bad – it means tennis elbow often requires a different approach that addresses neuromuscular dysfunction at its source.
Sports acupuncture takes a fundamentally different approach to tennis elbow by targeting the root cause: the neuromuscular imbalances that created the problem in the first place.
The first step is assessment. A sports acupuncturist examines:
This reveals WHY your elbow is overworked – not just that it’s inflamed.
Using motor point acupuncture, needles are placed at specific locations where nerves enter muscles. This stimulation:
This is the key difference from PT: You can’t strengthen a muscle that won’t turn on. Motor point acupuncture activates the muscle first, then strengthening exercises actually work.
While activating weak muscles, sports acupuncture also releases the chronically tight, overworked muscles in your forearm and elbow. This includes:
Finally, acupuncture directly treats the inflamed elbow tendon by:
The result: You’re not just treating the elbow – you’re fixing the entire chain of dysfunction that created the problem. This is why sports acupuncture often succeeds where PT alone has failed.
Physical Therapy:
Sports Acupuncture:
Best approach: Sports acupuncture to activate weak muscles and break the pain cycle, then PT exercises to maintain strength and prevent recurrence.
Cortisone Injections:
Sports Acupuncture:
Both use needles, but the approach is different. Learn more about the differences between dry needling and acupuncture here.
Dry Needling:
Sports Acupuncture:
Assessment (15-20 minutes):
Treatment (30-45 minutes):
Post-Treatment:
During needling:
After treatment:
Typical timeline:
Factors affecting treatment length:
Most people with tennis elbow see meaningful improvement within 3-6 sessions, compared to 12-20+ physical therapy sessions.
While every case is different, here’s what commonly happens when tennis elbow is treated with sports acupuncture:
Week 1-2 (Sessions 1-2):
Week 3-4 (Sessions 3-4):
Week 5-6 (Sessions 5-6):
Beyond:
Time efficiency: When you’re active and want to get back to your sport or activities, waiting months for PT that might not work isn’t appealing. Sports acupuncture typically delivers results faster.
Comprehensive approach: Active people often have multiple areas of dysfunction – not just their elbow. Sports acupuncture addresses the whole chain, improving overall performance.
Non-invasive: No drugs, no injections, no surgery. Just targeted treatment that works with your body’s natural healing mechanisms.
Evidence-based: Combines traditional acupuncture (thousands of years of use) with modern sports medicine and neuromuscular science.
Specialized expertise: Sports acupuncturists have advanced training specifically in athletic injuries and performance optimization – not just general wellness.
Absolutely. In fact, prevention is one of the strongest applications of sports acupuncture.
How it prevents tennis elbow:
Identifies weak links before pain starts: Regular sports acupuncture sessions can detect muscle imbalances before they cause injury. If your rotator cuff or upper back isn’t firing properly, we can activate those muscles before your forearm becomes overworked.
Maintains optimal movement patterns: As you age or change your training, movement patterns can deteriorate. Sports acupuncture keeps your neuromuscular system functioning optimally.
Addresses early warning signs: That occasional elbow twinge after a long match? Don’t ignore it. Early intervention prevents full-blown tennis elbow.
Improves overall performance: When all your muscles are firing properly, you’re stronger, more efficient, and less prone to overuse injuries.
Many athletes in the Chicago area use sports acupuncture monthly or seasonally to stay ahead of injuries and perform at their best.
You’re at higher risk for tennis elbow if you:
Seek treatment when:
Don’t wait until it’s severe. Tennis elbow becomes much harder to treat the longer it persists. Early intervention with sports acupuncture can prevent months of pain and dysfunction.
If you’ve tried acupuncture before for wellness or pain relief, sports acupuncture will feel different.
Regular acupuncture focuses on:
Sports acupuncture focuses on:
Training difference: Sports acupuncturists complete full acupuncture training (3-4 years) PLUS additional certification in sports medicine acupuncture, motor point techniques, and biomechanics. Only 160 practitioners worldwide hold this certification.
Think of it this way: regular acupuncture is excellent for overall health and chronic conditions. Sports acupuncture is specialized treatment for active people who need targeted solutions for injuries and performance.
Sports acupuncture works exceptionally well as part of a comprehensive treatment plan.
Sports Acupuncture + Physical Therapy: Best combination for many people. Sports acupuncture activates weak muscles and breaks the pain cycle, then PT exercises maintain strength and prevent recurrence.
Sports Acupuncture + Massage Therapy: Massage releases surface muscle tension; sports acupuncture addresses deeper neuromuscular dysfunction. Together they provide comprehensive soft tissue treatment.
Sports Acupuncture + Chiropractic: Chiropractic adjusts joint alignment; sports acupuncture ensures muscles can hold those adjustments by activating stabilizers.
Sports Acupuncture + Strength Training: Once muscles are activated and pain is reduced, proper strength training prevents future injuries. Sports acupuncture makes your training more effective.
What NOT to combine: Avoid cortisone injections while doing sports acupuncture. Cortisone can interfere with tissue healing that acupuncture promotes.
When looking for sports acupuncture treatment for tennis elbow in the Chicago area, consider these factors:
Credentials to look for:
Questions to ask:
Red flags:
Sports acupuncture sessions typically cost: $100-250 per session, depending on location and practitioner experience
Insurance coverage:
Cost comparison for tennis elbow treatment:
Value consideration: While sports acupuncture may seem more expensive per session, the total cost is often lower due to fewer sessions needed and better long-term results.
Many practitioners offer:
How is sports acupuncture different from dry needling for tennis elbow?
Sports acupuncture addresses the root cause by activating weak muscles and correcting movement patterns, while dry needling only releases trigger points. Sports acupuncturists also have far more extensive training (3-4 years vs. often just a weekend course). Read our full comparison of dry needling vs acupuncture.
Will it hurt?
Most people find sports acupuncture surprisingly comfortable. There’s a brief sensation when the needle is inserted, and you might feel a dull ache when motor points are activated – but this is much less painful than the tennis elbow itself. Many patients find it relaxing.
How quickly will I see results?
Most people notice some improvement after the first session, with significant relief typically occurring by sessions 3-4. However, everyone heals at different rates depending on how long they’ve had the condition and the severity of muscle imbalances.
Can I continue my activities during treatment?
You may need to modify activities initially to allow healing, but most people can stay active with adjustments. Your practitioner will guide you on what’s appropriate during treatment.
What if I’ve had tennis elbow for years?
Chronic cases take longer to treat than acute ones, but even long-standing tennis elbow can improve with sports acupuncture. The key is addressing the underlying dysfunction that’s kept it chronic.
Do I need a referral?
In most states, you can see a licensed acupuncturist without a referral. Some insurance plans may require one for coverage, so check with your provider.
Can sports acupuncture prevent tennis elbow from coming back?
Yes. By correcting the muscle imbalances and movement patterns that caused the problem, sports acupuncture helps prevent recurrence. Periodic maintenance sessions and proper training technique keep you pain-free long-term.
Is there an age limit?
Sports acupuncture is safe and effective for people of all ages, from teenagers to seniors. Treatment is adjusted based on individual needs and health status.
Once you experience how sports acupuncture addresses tennis elbow, you might wonder what else it can treat. The motor point activation and biomechanical approach works for many common sports and overuse injuries:
Upper body:
Lower body:
Core and back:
Performance enhancement:
If you’re tired of tennis elbow that won’t heal despite rest, PT, or cortisone shots, it’s time to try an approach that addresses the root cause.
Sports Acupuncturist in Northbrook specializes in treating tennis elbow and other sports injuries using motor point acupuncture and biomechanical assessment. As one of only 160 certified sports acupuncturists worldwide, we bring expertise that goes beyond traditional acupuncture or dry needling.
What you’ll get:
Ready to get back to your activities pain-free?
Schedule your consultation today to discover how sports acupuncture can finally resolve your tennis elbow.
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