Despite the name, tennis elbow mostly affects people who never play tennis. The tendons of the muscles that lift the wrist and fingers share an attachment on the outer bony point of the elbow, and repeated gripping and twisting overloads it. The tradesman turning a screwdriver, the office worker on a mouse all day and the parent carrying a baby can all end up with the same picture. Fizyoterapist Aydın Ali runs a programme in Bursa Nilüfer built not on resting the tendon but on raising, step by step, the load it can carry.
Fizyoterapist Aydın Ali provides one-to-one care for tennis elbow at the clinic in Bursa Nilüfer — in Fethiye Mahallesi, on Kelebek Sokak, at a central point of Nilüfer, opposite the Fethiye covered market.
It is a short trip by car or public transport from İhsaniye, Odunluk, Balat, Özlüce, Ataevler, 23 Nisan and the surrounding areas. Every session is one-to-one, assessment-based and tailored to you.
In tennis elbow, the complaint dragging on usually comes down to one cause: pain is being managed, but the tendon's load-bearing capacity never increases. A brace, ice and rest reduce pain; once back at work, the same load lands on the same spot again.
Fizyoterapist Aydın Ali builds the programme in two layers. During the painful period, manual therapy, the Graston technique where suitable, and ESWT in chronic cases bring the complaint under control; in parallel, graded loading for the wrist and forearm is started. Grip strength is measured at the first session and tracked with the same measure throughout.
In lateral epicondylitis the location of the pain is obvious, but its cause frequently sits a little further away. A weak shoulder girdle, poor wrist control or nerve tension coming from the neck all increase the load landing on that one attachment. Treatment aimed only at the painful spot quiets things temporarily and usually brings the problem back to the same place.
The assessment therefore goes beyond the elbow: shoulder, scapular control, wrist movement and neck are all examined, and whichever contributes is built into the programme.
Tendon is tissue that gets stronger through loading. Stopping completely during a painful phase brings relief in the short term, but the resting tendon also weakens — so when you return to work or sport the same load now feels heavier than before. This is the most common reason for the "I thought it had gone, and it started again" cycle.
Rather than removing load, the programme re-scales it: first isometric work that reduces pain, then slow, heavy strengthening that raises the tendon's capacity.
"Feeling better" is not a reliable measure here, because symptoms fluctuate through the day and across weeks. Countable measures are tracked instead: grip strength values, pain-free holding time, and the pain level when lifting a defined weight.
These are taken at the first assessment and repeated at regular intervals, so whether the programme is working becomes a comparison rather than a guess.
In tennis elbow the pain sits on the outer side and involves the tendons that lift the wrist. In golfer's elbow (medial epicondylitis) the pain is on the inner side and comes from the muscles that bend the wrist down.
The treatment logic is broadly the same — load management and graded strengthening — but which muscle group is trained and which daily movements are adjusted changes. Telling the two apart is the first step towards the right programme.
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Fizyoterapist Aydın Ali · Bursa Nilüfer. Share your complaint; we plan the process together after the assessment.
The name comes from the group in which it was first described, but most people who develop it never play tennis. Any repetitive gripping or twisting task — repairs, kitchen work, long hours on a mouse, carrying a baby — can create the same overload.
Some cases do improve with time, but that usually takes many months and recurrence is common. A properly loaded programme both shortens the process and restores grip strength, which lowers the chance of it coming back.
That is a decision for your doctor. An injection can reduce pain markedly in the short term, though studies suggest longer-term outcomes may fall behind exercise-based treatment. Weigh it with your doctor against how long and how severe your symptoms have been.
During a painful phase, and in jobs with heavy gripping, a brace can help by sharing the load. Continuous use on its own is not advised — support does not replace the strengthening programme.
For inner elbow pain that flares with gripping and bending: a programme that raises tendon capacity step by step.
Mobilisation of soft tissue with stainless-steel instruments, carried out together with exercise.
Shock wave therapy for chronic tendon and heel complaints, used as part of the programme.
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