Elbow tendonitis is a common overuse condition involving irritation or degeneration of the tendons that attach the forearm muscles to the elbow. It is most often associated with lateral epicondylitis (tennis elbow) and medial epicondylitis (golfer’s elbow). These tendons play a key role in gripping, lifting, typing, and repetitive hand use.
When elbow tendonitis becomes chronic, symptoms such as localized pain, tenderness, reduced grip strength, and difficulty with daily tasks or work activities may persist. Healing can stall due to poor blood supply, repetitive strain, or continued mechanical overload.
Focused Shockwave Therapy is a non-invasive treatment option used in musculoskeletal and chiropractic care to address chronic tendon-related conditions, including elbow tendonitis, by targeting the underlying tendon pathology rather than masking symptoms.

Yes. Shockwave therapy has been shown to be effective for certain forms of elbow tendonitis, particularly chronic cases that do not fully respond to rest or basic conservative care.
Focused shockwave therapy delivers high-energy acoustic pressure waves directly to the affected tendon tissue. These waves stimulate biological responses that support healing, including:
Increased blood flow to the damaged tendon
Stimulation of cellular repair mechanisms
Activation of collagen production, which is essential for tendon structure and strength
Clinical studies have demonstrated meaningful improvements in pain and function for patients with chronic lateral and medial elbow tendonitis following shockwave therapy.
Yes. Shockwave therapy is widely used to treat tendon disorders throughout the body, including the elbow, shoulder, hip, knee, and Achilles tendon.
Tendons have a limited blood supply, which can slow healing after repetitive strain or microtrauma. Focused shockwave therapy helps address this by:
Stimulating circulation in poorly vascularized tendon tissue
Promoting tissue regeneration and remodeling
Targeting degenerative tendon changes rather than only reducing inflammation
Because of these effects, shockwave therapy is commonly used for chronic tendinopathies, where normal healing processes have slowed or stalled.
Treatment of elbow tendon damage depends on the severity, duration of symptoms, and functional limitations present.
Evidence-based management typically focuses on reducing excessive strain on the tendon while restoring strength and load tolerance. Common components of care include:
Activity modification to reduce repetitive stress
Gradual strengthening and rehabilitation exercises for the forearm and grip
Improving elbow, wrist, and shoulder mechanics
Therapies that promote blood flow and tissue repair
Focused shockwave therapy is used within this framework to stimulate healing directly in the damaged tendon tissue. In chiropractic and movement-based care, it is often combined with joint mobilization, soft tissue techniques, and rehabilitative strategies to support long-term recovery.
The number of focused shockwave therapy sessions required varies based on:
Severity of tendon damage
Duration of symptoms
Individual healing response
For elbow tendonitis, treatment plans commonly involve:
3 to 6 focused shockwave therapy sessions
Sessions typically scheduled once per week
Tendon healing occurs gradually. Pain reduction and functional improvements may continue for several weeks after the final session as tendon remodeling progresses.
At Cole Pain Therapy Group, elbow tendonitis care begins with a detailed evaluation to confirm that symptoms are coming from irritated or degenerative tendon tissue rather than joint, nerve, or referred sources. Grip demands, elbow and wrist mechanics, and contributing movement patterns are carefully assessed before shockwave therapy is recommended.
When appropriate, focused shockwave therapy is applied at a controlled depth to accurately target the involved tendon, whether related to tennis elbow or golfer’s elbow. Treatment is combined with movement-based rehabilitation to improve forearm strength, restore grip control, and reduce repeated tendon overload.
This integrated approach helps support tendon healing while improving the elbow’s ability to tolerate daily tasks, work demands, and recreational activities. Patients from Memphis, Bartlett, Lakeland, and Arlington choose Cole Pain Therapy Group for precise, conservative care focused on restoring function and supporting long-term tendon health.
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2845 Summer Oaks Dr, Memphis, TN 38134
(901) 377-2340
Life Shouldn't Hurt!
You Deserve To Feel Great. We Can Help!
Your go-to Chiropractor in Memphis, TN

Richard L. Cole, DC, DACNB, DAIPM, FIACN, FICC
Jeffrey D. Luebbe, DC, CCRD, CCSP
W. Steven Vollmer, DC, DAAPM
Bradford J. Cole, DC, MS, CSCS
J. Colby Poston, DC
Daniel H. Smith, DC
2845 Summer Oaks Dr., Memphis, TN 38134
(901) 377-2340
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Saturday :
8:00 AM – 12:00 PM
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