Assess
A detailed history and a thorough examination of movement, strength and the affected area. You leave knowing what is wrong, why it happened and exactly what we are going to do about it.
Concern
Tennis Elbow and Repetitive Strain Treatment in London
Tennis elbow, golfer’s elbow and keyboard-related wrist pain are the presentations we see most in the City. All three are load problems rather than damage, and all three respond to graded strengthening once the aggravating load is understood.
Overview
Understanding elbow, wrist and hand pain
Elbow, wrist and hand pain in desk-based workers usually comes down to a mismatch between what the tissue can tolerate and what it is being asked to do, whether that is at a keyboard, in the gym or on a racket court.
Lateral elbow tendinopathy, commonly called tennis elbow, produces pain on the outside of the elbow, worse on gripping, lifting a kettle or shaking hands. Medial elbow tendinopathy, or golfer’s elbow, does the same on the inner side. Both are tendon load problems and both respond to progressive strengthening, though they are slow.
Wrist and hand pain in office workers is frequently related to sustained keyboard and mouse position combined with low forearm strength. Where symptoms include numbness or tingling, particularly at night, assessment considers nerve compression such as carpal tunnel syndrome and refers on where appropriate.
Treatment runs through physiotherapy, with graded loading via exercise rehabilitation as the core of it.
Excellent
From 4 five-star Google reviews
Source: Google
I saw Amanda for a problem I've been having with a painful shoulder. She explained to me what the problem was, did a thorough treatment session and gave me some exercises to do to improve it. Very professional and friendly, I highly recommend her.
I first visited Amanda following a maisonneuve fracture. That day I walked 107 steps in a camboot with two crutches. I have visited weekly. Yesterday I walked 13,315 steps (no crutches, no boot). The transformation is truly amazing.
I booked with Michelle for my first appointment. When I stood up I said to her it feels like heaven as my continuous back pain had totally gone. I was totally pain free for 7 hours so bless you Michelle.
Excellent treatment of my lower back and related sciatica injuries from CrossFit. Definitely my go-to therapist when in dire need of pain relief.
Physiotherapy for elbow, wrist and hand pain can help you to:
Grip, lift and type without wincing
Pain on gripping a kettle or shaking hands is the classic tennis elbow presentation. Graded strengthening of the forearm builds the tolerance back, which is what makes everyday tasks comfortable again.
Understand why it happened without playing tennis
Most lateral elbow tendinopathy we see comes from keyboard work, gripping and lifting rather than racket sport. Knowing the actual driver is what lets you change it rather than avoiding a sport you never played.
Tell a tendon problem from a nerve problem
Numbness or tingling, especially at night, points towards nerve compression rather than tendinopathy. Assessment separates them, and we refer on for nerve conduction studies or a surgical opinion where that is the right route.
Fix the workstation that keeps provoking it
Sustained non-neutral wrist positions at a poorly set-up desk are a frequent driver in City workers. Practical changes to your setup reduce the provocation while the strengthening does the longer-term work.
Why it happens
What causes elbow, wrist and hand pain?
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Repetitive gripping, lifting or keyboard and mouse work exceeding tissue tolerance
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A rapid increase in racket sport, climbing or gym volume
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Low forearm and grip strength relative to the demand being placed on it
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Sustained non-neutral wrist positions at a poorly set-up workstation
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Nerve compression such as carpal tunnel syndrome, particularly where symptoms wake you at night
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Previous elbow or wrist injury
What happens at your first appointment?
Your first visit is a full 60-minute assessment: a detailed history, then testing of how you move, how strong you are and what the painful area is actually doing. We explain the working diagnosis in plain English and agree a plan with you before any treatment starts.
You leave with a written summary and a home programme, emailed the same day and loaded into the Move Health app so the technique stays right between visits.
The starting point for better health. Our clinics work together to take you from injury, through recovery and performance, to the kind of health that holds up for decades. One team, one plan, one record of where you started.
- Two London clinics: inside UNTIL at 280 Bishopsgate by Liverpool Street, and in Canary Wharf.
- Led by Amanda Yardley, an HCPC-registered, CSP-chartered physiotherapist with 15 years in the profession.
- Objective VALD strength and asymmetry testing, so progress is measured rather than guessed at.
Fees and booking
You can refer yourself, with no GP letter needed, and book online in a couple of minutes at whichever clinic is easier to reach.
- Initial consultation: £120 for 60 minutes, including assessment and treatment plan
- Follow-up: £95 for 60 minutes, or £75 for 30 minutes
- Sports massage: £85 for 60 minutes, or £55 for 30 minutes
- Self-referral: book directly, no GP referral required
- Open Monday to Friday, 7am to 7pm, at both London clinics
- A written plan and a home programme emailed the same day, every time
From injury to longevity
the Origin Health journey
Most people arrive with something that hurts. What happens after that is the part most clinics leave to chance. We treat the problem, rebuild the capacity you lost, then keep you strong enough that it stays fixed.
Treat
Hands-on manual therapy chosen for your presentation, with Western medical acupuncture or soft-tissue work added where they help. Treatment is not the goal in itself: it opens the window to move and load properly.
Rebuild
Progressive, coached exercise rehabilitation restores the strength and load tolerance you lost, with full gym facilities at both clinics. This is the stage that decides whether the fix lasts.
Stay well
Each follow-up measures you against your own baseline. We discharge you when you have the strength and the tools to manage alone, with clinical Pilates, sports massage and golf screening on hand to keep you there.
What we treat
- Musculoskeletal physiotherapy for back, neck, shoulder and joint pain
- Progressive exercise rehabilitation, with full gym facilities at both clinics
- Sports and deep tissue massage for recovery and ongoing maintenance
- Western medical acupuncture within the AACP framework
- Post-operative and sports-injury rehabilitation
- Post-natal and paediatric musculoskeletal physiotherapy
- VALD strength and asymmetry testing for objective, tracked progress
- TPI golf physiotherapy movement screening with Amanda
Treatment approach
How do we treat elbow, wrist and hand pain?
Physiotherapy
£120Assessment separates tendinopathy, nerve compression and referred pain from the neck, which present similarly in the forearm and hand but need different management.
See treatment detail →Exercise Rehabilitation
From £75Progressive loading of the forearm musculature is the evidence-based treatment for lateral and medial elbow tendinopathy, alongside managing the aggravating load.
See treatment detail →Sports Massage
From £55Soft-tissue work through the forearm can ease symptoms sufficiently to make the strengthening programme more comfortable in the early stages.
See treatment detail →FAQ
Frequently asked
questions
Do I have to play tennis to get tennis elbow?
No, and most people we treat for it do not. Lateral elbow tendinopathy is far more commonly caused by repetitive gripping, lifting and keyboard work than by racket sport. The name is historical rather than descriptive of who actually gets it.
How long does tennis elbow take to settle?
Typically three to six months with consistent loading, sometimes longer where the aggravating activity cannot be reduced much. It is slow, and progress is measured over months rather than weeks, but graded strengthening reliably outperforms rest.
Should I wear a brace for tennis elbow?
A brace can help manage symptoms in the short term, particularly if your work is unavoidably provocative. It does not build tolerance though, so it works best as an adjunct alongside a loading programme rather than as the treatment itself.
What if my hand goes numb or tingles at night?
Numbness or tingling, particularly waking you at night, may point to nerve compression such as carpal tunnel syndrome rather than a tendon problem. We assess for this and will refer you on for nerve conduction studies or a surgical opinion where appropriate.
Related Concerns
Get Started
Book a physiotherapy appointment
in the City or Canary Wharf.
Origin Health • 280 Bishopsgate, Liverpool Street, London EC2M 4RB
BookAppointments typically available within 1–2 weeks