Trigger Point Therapy for Tennis Elbow

Posted by Stuart Hinds on


Stuart Hinds demonstrates a trigger point release technique for the triceps


"Lateral Epicondylalgia (LE), or 'Tennis Elbow' is more common than Medial Epicondylalgia ('Golfer's Elbow') by a ratio of 9:1, and although it's mostly referred to as Lateral Epicondylitis, LE is NOT generally an inflammatory condition."


Lateral Epicondylalgia (Tennis Elbow) can start as an annoying ache but rapidly degenerate into a debilitating problem, with pain on gripping, opening bottles or even on shaking hands.

Most people are surprised by just how bad the pain can be.

Elbow pain is often associated with ‘trigger points’ in the muscles of the lateral epicondyle of the elbow; especially the lateral head of triceps and the extensor carpi radialis brevis tendon (1‐2 cm distal to its' attachment on the lateral epicondyle).


Triceps Trigger Point Release

Triceps Trigger Points



Triceps Trigger Point Release

Triceps Trigger Points - Referred Pain



Triceps Trigger Point Release

Triceps Trigger Points - Referred Pain



Triceps Trigger Point Release

Triceps Trigger Points - Referred Pain


Microscopic evaluation of the tendons does not show signs of inflammation, but rather angiofibroblastic degeneration and collagen disarray.

Light microscopy reveals both an excess of fibroblasts and blood vessels that are consistent with new blood vessels (angiogenesis).

LE is, in fact, most often due to repetitive micro-tears in the zone especially where the tendon of the muscle meets the bone (musculotendinous junction) - this is because the tendons are relatively close to the tendon insertion.

Do not perform the trigger point therapy techniques shown unless they fall within your professional scope of practice.


Trigger Point Therapy NAT Foundation Course


Elbow and Wrist Injuries NAT Master Course



About the author

Stuart Hinds is one of Australia’s leading soft tissue therapists, with over 27 years of experience as a practitioner, working with elite sports athletes, supporting Olympic teams, educating and mentoring others as well as running a highly successful clinic in Geelong.

Stuart has a strong following of practitioners across Australia and globally who tap into his expertise as a soft-tissue specialist. He delivers a range of highly sought after seminars across Australia, supported by online videos, webinars and one-on-one mentoring to help support his colleagues to build successful businesses.

In 2016, Stuart was awarded a lifetime membership to Massage & Myotherapy Australia for his significant support and contribution to the industry.


This trigger point therapy blog is intended to be used for information purposes only and is not intended to be used for medical diagnosis or treatment or to substitute for a medical diagnosis and/or treatment rendered or prescribed by a physician or competent healthcare professional. This information is designed as educational material, but should not be taken as a recommendation for treatment of any particular person or patient. Always consult your physician if you think you need treatment or if you feel unwell. 

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