Tennis Elbow vs. Golfer’s Elbow: What’s the Difference?

Dr Bryan Tan, orthopaedic surgeon in Singapore.

Dr. Bryan Tan

Orthopaedic surgeon, MBBS (Singapore), MMed (Ortho), FRCS Ed(Orth)

tennis elbow vs golfer's elbow

Key Takeaways

  1. Tennis elbow and golfer’s elbow affect different areas of the elbow. Tennis elbow causes pain on the outer side, while golfer’s elbow affects the inner side.
  2. Both conditions result from repetitive strain but involve different movements. Tennis elbow is linked to wrist extension and twisting, while golfer’s elbow is caused by wrist flexion.
  3. Symptoms include pain, tenderness, and weakness in the forearm. Discomfort may worsen with gripping, lifting, or everyday activities.
  4. Early treatment can help manage symptoms and prevent worsening. Rest, physiotherapy, and bracing can support recovery, while persistent pain may require a specialist’s assessment.

Introduction

Elbow pain can be frustrating, especially when it affects daily activities like lifting, gripping, or even typing. Two of the most common conditions associated with elbow discomfort are tennis elbow and golfer’s elbow; both are linked to repetitive arm movements but affect different areas. While they share similarities, their causes, symptoms, and treatment approaches differ. Recognising these differences can help in identifying symptoms early and finding the right way to manage discomfort.

Which Part of the Elbow is Affected?

The primary distinction between tennis elbow and golfer’s elbow lies in the specific tendon involved, in turn corresponding to where the pain occurs:

  • Tennis elbow (lateral epicondylitis) affects extensor tendons of the back of the forearm
  • Golfer’s elbow (medial epicondylitis) affects flexor tendon at the medial aspect of the elbow.

Both conditions can cause discomfort that extends down the forearm, sometimes affecting grip strength and overall arm movement.

What Causes Each Condition?

Although both conditions are the result of repetitive stress on the tendons, they develop from different types of movements.

  • Tennis elbow is often caused by repetitive wrist extension and twisting motions. Actions like gripping, wringing, or lifting with improper technique can place strain on the tendons along the outer elbow. Although commonly associated with tennis, this condition can affect individuals in various professions and activities, such as painters, plumbers, and office workers who frequently use their hands for gripping or typing.
  • Golfer’s elbow is linked to repeated wrist flexion. Swinging a golf club, lifting weights, or throwing can put strain on the tendons on the inner elbow. Any activity that repeatedly engages the forearm muscles in a flexing motion may contribute to this condition.

How Do the Symptoms Differ?

While both conditions cause discomfort, the pain appears in different areas and may affect movement in distinct ways.

  • Tennis elbow is characterised by pain in the outer elbow, which can radiate down the forearm. It may become more noticeable during activities that involve gripping, such as shaking hands, or turning a doorknob.
  • Golfer’s elbow presents as pain and tenderness on the inner elbow. It may also cause stiffness, weakness, or difficulty making a fist, making everyday movements like lifting a cup or squeezing a ball uncomfortable.

What Are the Treatment Options for Both Conditions?

In most cases, tennis elbow and golfer’s elbow can be managed with conservative treatments. Addressing symptoms early and modifying activities can help prevent further strain on the tendons.

  • Rest and ice therapy may help ease discomfort and reduce irritation in the affected area.
  • Over-the-counter pain relief can provide temporary support, especially during activities that put stress on the elbow.
  • Physiotherapy plays a crucial role in strengthening the forearm muscles and improving flexibility to reduce stress on the tendons. Targeted exercises can gradually restore movement and lower the risk of recurrence.
  • Bracing or supports can help reduce strain on the affected tendons, offering stability during activities that involve frequent arm movement.

When Should You See a Specialist?

While many cases improve with rest and rehabilitation, persistent discomfort may require further evaluation. Consider seeking advice from a specialist if:

  • Pain does not improve despite conservative treatment.
  • Everyday activities like gripping, lifting, or typing become increasingly difficult.
  • Symptoms worsen, or there is noticeable weakness in the forearm.

In severe cases, tennis elbow surgery or golfer’s elbow treatment may be considered to repair the damaged tendons. A specialist can assess the condition and recommend the most suitable treatment approach.

A golfer swings a club on a sunny day.

Conclusion

Both tennis elbow and golfer’s elbow can make daily tasks more challenging and affect overall arm movement. Understanding the differences between these conditions can help in finding the right approach to manage symptoms and prevent further strain. If the pain persists, consulting an orthopaedic surgeon in Singapore can provide guidance on treatment options. Addressing the issue early can help support long-term elbow function and reduce discomfort.

If elbow or shoulder pain is making daily activities more difficult, Dr Bryan Tan is here to help. He provides consultations to assess your condition and explore treatment options that suit your needs. Whether you’re dealing with ongoing discomfort or struggling with movement, getting the right support can make a difference.

Get in touch today to learn how Dr Bryan can help you manage discomfort and restore ease of movement.

The first step towards shoulder injury prevention is to simply get started.

Now that you’re aware of the different strategies which can help lower your risk of injury, you should make improving your overall shoulder health a priority. Even small habits such as practising good posture or stretching daily can go a long way.

Dr Bryan Tan, orthopaedic specialist in Singapore

Dr. Bryan Tan

Orthopaedic Surgeon

Sports have always played a big part in Dr Bryan’s life. His interest in sports and varied sporting activities give him a deep understanding of sports injuries and the mindset of an athlete.

Dr Bryan Tan is a fellowship-trained orthopaedic surgeon, based in Singapore. He completed 2 fellowships in Orthopaedic Sports, Shoulder and Elbow Surgery in Sydney, Australia and Nice, France. Prior to private practice, Dr Bryan was a consultant in the Division of Shoulder and Elbow Surgery in National University Hospital (NUH), Singapore. He is currently still a visiting consultant at NUH where he actively teaches medical students and young orthopaedic surgical trainees. In addition, he travels to regional countries to teach advanced arthroscopic surgical techniques.

  • MBBS(Singapore)
  • MMed (Ortho)
  • FRCS Ed(Orth)


Dr. Bryan has a special interest in keyhole surgery and performs most of his surgeries using advanced, modern keyhole surgical techniques. He regularly visits fellow surgeons from other countries to ensure his skills and knowledge are cutting edge.

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