Why does tennis elbow hurt more at night?
David Perry
Updated on May 14, 2026
Many people find that it hurts the worst first thing in the morning, because the muscles and tendons stiffen during sleep, when we're relatively immobile and circulation drops. This overnight stiffening can exacerbate the pain once you get up and begin moving the arm.
Why does my tennis elbow hurt worse at night?
Tennis elbow symptoms are reportedly most severe in the morning, which prompted a search for a pathological process while asleep. A “pathological sleep position” was hypothesized that repetitively aggravates an elbow lesion if the arm is overhead and pressure is on the lateral elbow.
What is the best way to sleep with tennis elbow?
Here are three tips for sleeping better with tennis elbow:
- Avoid sleeping on the affected arm. Many people are most comfortable sleeping on their side, but this can also cause problems when you're sleeping with tennis elbow. ...
- Support your elbow with pillows. ...
- Use a brace while sleeping.
Why do I get pain in my elbows at night?
Elbow pain is often caused by overuse. Many sports, hobbies and jobs require repetitive hand, wrist or arm movements. Elbow pain may occasionally be due to arthritis, but in general, your elbow joint is much less prone to wear-and-tear damage than are many other joints.
How do I stop my elbow from hurting when I sleep?
Although some opinions on how to relieve tennis elbow pain at night differ, here are some recommendations:
- Don't lie on the affected arm. ...
- Don't sleep with your arms overhead. ...
- Use pillows to support the arm. ...
- Wear a loose sleeve on the affected elbow. ...
- Apply a heating pad before bed. ...
- Try over-the-counter pain relievers.
Will tennis elbow ever go away?
Tennis elbow will get better without treatment (known as a self-limiting condition). Tennis elbow usually lasts between 6 months and 2 years, with most people (90%) making a full recovery within a year. The most important thing to do is to rest your injured arm and stop doing the activity that caused the problem.
What helps tennis elbow heal faster?
Nonsurgical Treatment
- Rest. The first step toward recovery is to give your arm proper rest. ...
- Non-steroidal anti-inflammatory medicines. Drugs like aspirin or ibuprofen reduce pain and swelling.
- Equipment check. ...
- Physical therapy. ...
- Brace. ...
- F.A.S.T. ...
- Arthroscopic surgery. ...
- Surgical risks.
Is it better to keep your arm straight or bent with tennis elbow?
Sleeping with tennis elbow
To avoid putting strain on your elbow while recovering from tennis elbow, you should sleep on your back and try to keep your arms in a straighter, more natural relaxed position. It helps to prop up each arm on pillows on either side of you.
Should you wear tennis elbow brace overnight?
It should be worn at night and during the day when the pain is more bothersome. The second brace is a tennis-elbow strap (also known as a counterforce brace). This is recommended anytime you are lifting or performing activities such as working out, yardwork or grocery shopping.
What happens if tennis elbow goes untreated?
Tennis elbow does not usually lead to serious problems. If the condition continues and is left untreated, however, loss of motion or loss of function of the elbow and forearm can develop.
Will a compression sleeve help tennis elbow?
Tennis elbow sleeves—or compression sleeves—are commonly used to help treat arm pain caused by lateral epicondylitis (tennis elbow) and medial epicondylalgia (golfer's elbow).
Does Tiger Balm work for tennis elbow?
Elbow Pain, Lateral Epicondylitis, Tennis Elbow
Some people attempt to place creams such as tiger balm or icy hot, do ice massage, wear a wrap around their forearm, get a cortisone shot and or physical therapy and may have some success but unfortunately many show limited success.
When should I see a doctor for tennis elbow?
You may feel pain when doing nothing at all, but usually pain is triggered by particular movements, especially wrist movements that tug on the tendon at the elbow. You can have tennis elbow in one or both arms. If you have symptoms after a week or so, or if they get worse, it's time to call your doctor.
Is massage good for tennis elbow?
Deep tissue massage to the forearm is a very effective method of easing tennis elbow and healing it much faster than rest alone. Deep tissue massage will enhance circulation and combining this with friction therapy to the tendons on the elbow joint, positive results are seen.
Is ice or heat better for tennis elbow?
It is common for doctors to recommend both heat and ice to treat tennis elbow. Your doctor might recommend using heat in between the use of a tennis elbow ice pack. You should only use a heating pad no longer than 10 to 15 minutes a day.
Where do you put the pressure for tennis elbow?
Pressure would have to be put on both arms using your fingers. Target points for relief of pressure include the forearms, shoulder, and upper arm. Large intestine 5 is the second type of pressure point you can use. It is located on the wrist near the radial side.
Can a chiropractor fix tennis elbow?
Chiropractic treatment is effective for tennis elbow. Your chiropractor will assess your pain and first determine the cause of your tennis elbow. Chiropractic treatment for tennis elbow may include: Adjustments to the elbow and wrist which mobilize the joints and decrease compression and inflammation of the joints.
Is cortisone injection for tennis elbow painful?
With Elbows, Cortisone Shots May Hurt More Than Help : Shots - Health News Cortisone shots offer quick relief for tendon problems. But they also carry a risk of side effects. A look at alternatives for treatment of tennis elbow finds that being patient may be the best approach to take.
Will cortisone shot help tennis elbow?
Oct. 21, 2010 -- Corticosteroid injections, better known as cortisone shots, provide short-term pain relief for tendon problems such as tennis elbow but may be worse than other treatments later on, according to a new analysis.
Can tennis elbow get worse?
It gets worse over time until it is a severe burning pain. You may notice pain moving from the outside of your elbow to your forearm and the back of your hand when you grip, twist, or lift. As the condition worsens, your grip may weaken.
What movements should I avoid with tennis elbow?
Chin-ups, pushups and bench presses: All of these movements put a strain on your elbow's flexors, which can lead to further irritation of the lateral tendons of your elbow. Wrist exercises: It's best to avoid any wrist exercises, especially forearm dumbbell curls or barbell extensions.
How do I know if my elbow pain is serious?
Call your doctor right away if you have:
- Severe pain, swelling and bruising around the joint.
- Trouble moving your elbow normally, using your arm or turning your arm from palm up to palm down and vice versa.
Is biofreeze good for tennis elbow?
We recommend Biofreeze Pain Relief Gel as it is one of the stronger topical pain relieving gels you can get. It is a product we use daily in our office and can be great for treating tennis elbow at home. Just apply a dime sized portion all around the elbow to help with pain.
Should I wear elbow brace all day?
You use the elbow brace throughout the day, during your regular activities. Use it for a couple of weeks to see if you have an improvement in your symptoms. If it does help then that may be all you need to do; in addition to maybe taking an anti-inflammatory.
Can tennis elbow be something else?
The short answer is YES. Fortunately, most cases of tennis elbow aren't related to a specific injury or trauma. Because of this, lateral epicondylitis is the most likely cause of your elbow pain.