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Why Does the Outside of My Elbow Hurt When I Grip or Lift Something?

Why Does the Outside of My Elbow Hurt When I Grip or Lift Something? A Physical Therapist Answers

By Nova Physical Therapy | North Hollywood, CA

Looking for physical therapy in North Hollywood? Explore Nova Physical Therapy Services.

You reach for your coffee cup.

Your elbow hurts.

You pick up a grocery bag.

There it is again.

You shake someone's hand.

Grip a dumbbell.

Turn a screwdriver.

Open a jar.

Pick up your laptop.

Or grab your pickleball paddle.

And suddenly you notice:

“Why does the outside of my elbow hurt every time I grip something?”

Maybe you haven't injured your elbow.

Maybe you don't even play tennis.

Yet the pain keeps showing up whenever your hand has to grip, lift, pull, or carry something.

Patients often describe it as:

“My elbow hurts when I pick things up.”

“It hurts when I grip.”

“I feel it on the outside of my elbow.”

“My grip feels weaker because it hurts.”

“I started playing pickleball and now my elbow hurts.”

“I've had it for months and resting hasn't completely fixed it.”

One musculoskeletal condition commonly associated with this pattern is lateral elbow tendinopathy, historically called tennis elbow or lateral epicondylitis.

But there is an important distinction:

Pain on the outside of your elbow does not automatically mean you have tennis elbow.

Other musculoskeletal or neurological conditions can produce similar symptoms.

So instead of diagnosing the problem based on one symptom, a physical therapy evaluation asks:

What activities reproduce the symptoms, what physical findings are present, and what is limiting this particular patient?


Patient Question

“The outside of my elbow hurts whenever I grip something, lift a bag, exercise, or use my hand repeatedly. I don't remember injuring it. Is this tennis elbow, and can physical therapy help?”

The Short Answer

Pain around the outside of the elbow that is aggravated by:

gripping

lifting

wrist movement

repetitive hand activity

or

sports involving a racket or paddle

can occur with lateral elbow tendinopathy.

The condition involves the region where several wrist-extensor muscles and tendons originate near the outside of the elbow.

APTA's clinical practice guideline specifically addresses lateral elbow pain associated with muscle-function impairments and provides recommendations for examination, differential diagnosis, prognosis, and physical therapy intervention. APTA

But:

“My elbow hurts when I grip” is a symptom pattern—not a diagnosis.

A physical therapist may need to consider:

where the pain is located

how symptoms started

grip strength

wrist and elbow muscle performance

neck and upper-extremity findings

work demands

sports participation

and

whether findings suggest another condition requiring medical evaluation.


Why Can Gripping Make My Elbow Hurt?

This initially seems strange.

Your fingers are gripping something.

So why does your elbow hurt?

Because several muscles involved in wrist and hand function originate around the elbow.

When you grip an object firmly, the muscles of your forearm help stabilize the wrist so your fingers can generate useful force.

That means:

gripping isn't only a hand activity.

Your forearm muscles are working too.

If the lateral elbow region is sensitive to load, tasks requiring strong or repeated gripping may reproduce symptoms.

This is why patients sometimes tell us:

“The elbow itself doesn't hurt until I use my hand.”

That pattern can make much more sense once you understand how the forearm muscles work together.


What Is Tennis Elbow?

“Tennis elbow” is the common name historically given to lateral elbow tendinopathy.

Symptoms typically occur around the outside of the elbow near the lateral epicondyle and may be associated with activities involving the wrist-extensor musculature.

Despite the name:

You absolutely do not need to play tennis to develop tennis elbow.

The condition can affect people who:

work at computers

use tools

lift frequently

perform repetitive hand tasks

exercise

garden

play pickleball

play tennis

play golf

or simply experience a change in upper-extremity activity.

APTA's clinical practice guideline addresses lateral elbow tendinopathy in adults and includes evaluation of pain, muscle performance, functional limitations, differential diagnosis, and treatment. APTA


Is Tennis Elbow Actually Inflammation?

This is where the terminology becomes important.

You may still hear:

lateral epicondylitis

The ending “-itis” traditionally suggests inflammation.

However, persistent tendon-related conditions are more complex than simply:

“The tendon is inflamed.”

That is one reason modern rehabilitation literature frequently uses terms such as:

lateral elbow tendinopathy.

For patients, the practical lesson is important.

The solution is not necessarily:

“Avoid using the arm until all inflammation disappears.”

Tendon rehabilitation often involves appropriately managing load and progressively rebuilding capacity.


Why Did My Elbow Start Hurting If I Never Injured It?

Not every musculoskeletal condition begins with:

a fall

a tear

a collision

or

a pop.

Sometimes the important event is a change in workload.

For example:

You haven't played pickleball for months.

Then you play:

three days in one week.

Or you start a new gym routine.

Or you spend an entire weekend:

painting

gardening

moving furniture

or

using tools.

Or your job suddenly requires much more:

typing

gripping

lifting

or

repetitive hand activity.

The tissue may be experiencing a demand that is different from what it has recently been accustomed to.

That does not automatically mean the tendon is:

torn

or

damaged beyond repair.

It tells us that workload deserves consideration.


Why Does Picking Up a Coffee Cup Hurt?

This is one of the interesting things about lateral elbow pain.

The object doesn't necessarily need to be heavy.

A patient might lift:

a 25-pound dumbbell

and expect discomfort.

But then lifting:

a coffee mug

also hurts.

Why?

Because the task involves more than the object's total weight.

Your body must:

grip the cup

stabilize the wrist

control the forearm

and

position the elbow.

A sensitive tendon-muscle system may react to that combination even when the object itself is relatively light.


Why Does My Grip Feel Weak?

Pain can affect how much force you produce.

If gripping strongly reproduces elbow pain, your nervous system may naturally reduce how much force you're willing or able to generate.

So a painful grip-strength test does not automatically mean:

“Your muscles have permanently become weak.”

The therapist needs to interpret:

pain

force production

side-to-side differences

functional performance

and

symptom response

together.

Pain-free grip strength is one of the outcome measures commonly studied in lateral elbow tendinopathy research. PubMed


Why Does My Elbow Hurt When I Carry Grocery Bags?

Think about what your hand is doing.

You aren't merely carrying the bag.

You're maintaining a continuous grip on the handle.

That means the forearm muscles may remain active throughout the task.

The heavier the bag—and the longer you carry it—the greater the demand may become.

This is why someone may report:

“Picking up the bag is okay, but carrying it from the car into the house hurts.”

Duration matters.

Load matters.

Grip matters.


Why Does My Elbow Hurt When I Work Out?

Several gym exercises require substantial grip.

Examples include:

rows

pull-ups

deadlifts

curls

dumbbell exercises

cable exercises

and

farmer carries.

Even if you're training:

your back

your shoulders

or

your legs,

your hands may still be holding significant resistance.

So the elbow may become symptomatic even though:

“I wasn't doing an elbow exercise.”

A rehabilitation program may temporarily modify:

resistance

grip

volume

exercise selection

or

frequency

while maintaining as much appropriate activity as possible.


Is Pickleball Causing My Elbow Pain?

Pickleball can place repeated gripping and striking demands on the forearm.

That doesn't mean:

pickleball is inherently bad for your elbow.

The more useful questions are:

Did you recently start playing?

Did you suddenly increase how often you play?

Did you begin playing longer sessions?

Did you change paddles?

Did you add another upper-body activity at the same time?

How does your elbow respond afterward and the next day?

A sudden increase in activity can sometimes be more relevant than the activity itself.

The rehabilitation goal usually isn't:

“Never play pickleball again.”

It may be:

gradually rebuild enough capacity to tolerate pickleball.


Does Computer Work Cause Tennis Elbow?

Computer use can involve repeated hand and wrist activity, but it would be too simplistic to say:

“Typing causes tennis elbow.”

Many people type for hours without elbow pain.

For someone whose symptoms are aggravated by work, a therapist may examine:

work duration

mouse use

keyboard position

forearm support

break patterns

overall upper-extremity workload

and

other activities occurring outside work.

The goal is not to find one “perfect posture.”

It is to understand the person's overall exposure and functional demands.


Is My Tendon Torn?

Pain does not tell us exactly what a tendon looks like.

A painful tendon is not automatically:

torn

frayed

or

about to rupture.

Likewise, the intensity of pain does not necessarily tell us the severity of structural change.

If the history or examination suggests a significant injury or another condition, additional medical assessment may be appropriate.

But:

pain with gripping alone does not establish a tendon tear.


Do I Need an MRI?

Not everyone with lateral elbow pain needs an MRI.

Imaging decisions depend on:

the mechanism of injury

clinical examination

severity

duration

neurological findings

trauma

progression

and

whether another condition is suspected.

A gradual onset of pain associated with repetitive gripping is very different from:

a traumatic injury followed by major swelling, deformity, or sudden loss of function.

The evaluation helps determine whether additional medical assessment may be appropriate.


Should I Completely Rest My Elbow?

Not automatically.

This is an important distinction.

If an activity repeatedly causes substantial symptoms, temporarily reducing its:

intensity

frequency

duration

or

load

may be reasonable.

But:

load modification is different from avoiding the arm indefinitely.

Tendons and muscles need appropriate loading to maintain and develop capacity.

The rehabilitation process may therefore involve:

reducing excessive demand

while simultaneously:

progressively increasing appropriate exercise demand.


Should I Wear an Elbow Brace?

Some people use:

counterforce straps

or

wrist-support devices

for lateral elbow symptoms.

These may help certain patients with short-term symptom management.

But a brace does not automatically:

restore muscle performance

increase tendon capacity

or

prepare someone for work or sport.

It should therefore be considered a potential adjunct—not necessarily the rehabilitation program itself.


Should I Stretch My Forearm?

Stretching may be included for some patients.

But:

stretching is not automatically the solution to every tendon problem.

A therapist may evaluate whether mobility restrictions are present and whether stretching meaningfully improves symptoms or function.

If the major limitation is:

“I can't grip 20 pounds without pain,”

then eventually rehabilitation needs to address:

force production and load tolerance.

Stretching alone may not accomplish that.


Should I Strengthen My Wrist?

This is where physical therapy becomes particularly relevant.

The APTA clinical practice guideline supports resisted exercise targeting the wrist-extensor muscles in patients with subacute or chronic lateral elbow tendinopathy. APTA

Depending on the individual, exercise may involve:

isometric loading

concentric loading

eccentric loading

or

progressive resisted exercise.

But the correct:

resistance

volume

frequency

and

progression

depend on the patient's presentation.

There is no single universal:

“tennis elbow exercise.”


Are Eccentric Exercises the Best Treatment?

You may have seen this online:

“Do eccentric wrist extensions for tennis elbow.”

Eccentric exercise can certainly be part of rehabilitation.

But tendon rehabilitation should not necessarily be reduced to one contraction type.

The broader goal is:

progressively restoring the ability of the muscle-tendon system to produce and tolerate force.

That may eventually include:

different contraction types

different loads

different speeds

and

functional gripping tasks.


Should Exercise Hurt?

This should be individualized.

Two extreme rules are not particularly useful:

“Never feel any discomfort.”

and

“Push through whatever pain you feel.”

Instead, a therapist may monitor:

symptoms during exercise

symptoms afterward

next-day response

grip performance

functional tolerance

and

progress over time.

Then the exercise dosage can be adjusted.


What About Massage?

Soft-tissue techniques may sometimes be used as part of treatment.

But describing treatment as:

“breaking up scar tissue”

can create an unnecessarily alarming picture of what is happening.

Manual therapy may influence:

symptoms

mobility

and

short-term tolerance

for some patients.

But if the person's main limitation is:

gripping and lifting,

rehabilitation eventually needs to address:

gripping and lifting.


Does Shockwave Therapy Help Tennis Elbow?

Shockwave therapy has been studied for lateral elbow tendinopathy.

However, evidence across passive and modality-based treatments is mixed, and current rehabilitation guidance does not support presenting one modality as a guaranteed cure.

The APTA clinical practice guideline reviews several interventions and emphasizes matching treatment to the patient's presentation rather than using one treatment universally. APTA

This is particularly important for Nova because:

having shockwave available should not mean every tendon patient automatically receives shockwave.

Evaluation comes first.

Treatment selection follows.


What About TECAR or Diathermy?

A 2026 systematic review specifically examined diathermy and TECAR therapy for lateral elbow tendinopathy.

Only two randomized controlled trials involving 96 participants met the review criteria.

The authors concluded that evidence was limited and low certainty and that no firm conclusions could be made regarding clinical effectiveness. Springer

This is exactly why evidence-based physical therapy should avoid statements such as:

“This machine heals tennis elbow.”

Technology can be considered when appropriate.

It should not replace clinical reasoning.


Can Physical Therapy Help?

For an appropriately evaluated lateral elbow musculoskeletal presentation, physical therapy may address:

  • Pain associated with movement
  • Wrist-extensor muscle performance
  • Grip strength
  • Pain-free grip strength
  • Forearm strength
  • Upper-extremity mobility
  • Functional lifting
  • Carrying
  • Repetitive work activities
  • Gym tolerance
  • Tennis
  • Pickleball
  • Other racket/paddle sports
  • Return to work
  • Return to exercise
  • Load management

APTA's lateral elbow pain clinical practice guideline provides evidence-based recommendations addressing examination and rehabilitation for lateral elbow tendinopathy. APTA

A systematic review and meta-analysis involving 2,123 participants across 30 trials found that exercise interventions produced better outcomes than passive interventions for lateral elbow tendinopathy, although the effects were small and the evidence should not be interpreted as showing that exercise is a guaranteed solution for every patient. PubMed

The meaningful goal isn't simply:

“Make the elbow less tender.”

The patient's goal might be:

“Carry groceries without pain.”

“Use my tools at work.”

“Lift my child.”

“Get back to the gym.”

“Play pickleball.”

or

“Grip normally without worrying about my elbow.”

Those functional goals should shape rehabilitation.


What Does Research Say?

APTA Clinical Practice Guideline

APTA's Lateral Elbow Pain and Muscle Function Impairments Clinical Practice Guideline was developed jointly through the Academy of Hand and Upper Extremity Physical Therapy and Academy of Orthopaedic Physical Therapy.

The guideline addresses:

epidemiology

functional anatomy

risk factors

clinical course

prognosis

differential diagnosis

tests and measures

and

physical therapy interventions. APTA

This is particularly valuable because lateral elbow pain should not simply be treated as:

“a sore tendon that needs massage.”

Evaluation and rehabilitation involve function.


Exercise Systematic Review

A systematic review and meta-analysis evaluated exercise for lateral elbow tendinopathy across:

30 trials involving 2,123 participants.

Researchers examined outcomes including:

pain

self-perceived improvement

pain-free grip strength

and

elbow-related disability.

Exercise interventions generally produced better outcomes than passive approaches, although the magnitude of benefit was small. PubMed

That is an important evidence-based message:

Exercise can be useful without needing to portray it as miraculous.


2026 Systematic Review of TECAR and Diathermy

A systematic review published May 27, 2026 evaluated diathermy-based treatments for lateral elbow tendinopathy.

Only:

2 randomized controlled trials involving 96 participants

qualified.

One study examining TECAR therapy did not find statistically significant between-group differences for pain, although functional outcomes favored the intervention group.

Another study involving continuous shortwave diathermy plus exercise reported greater improvements in several outcomes.

However, because of the small evidence base and methodological limitations, the authors concluded that:

firm clinical conclusions cannot currently be made. Springer

This reinforces an important Nova principle:

technology should support rehabilitation—not replace evidence-based examination and individualized treatment.


What Does This Mean for Patients?

Current evidence does not support reducing lateral elbow rehabilitation to:

“Stop using your arm.”

or

“Stretch your forearm.”

or

“Massage the tendon.”

or

“Wear a brace forever.”

or

“Get one specific machine treatment.”

A more useful process is:

evaluate → identify the provoking activities → understand current capacity → modify excessive load when appropriate → progressively strengthen → restore grip and lifting tolerance → return to meaningful activity.


What Happens During a Physical Therapy Evaluation?

At Nova Physical Therapy, an evaluation for lateral elbow pain may include, when appropriate:

  • Detailed symptom history
  • Location of symptoms
  • Elbow range of motion
  • Wrist range of motion
  • Wrist-extensor muscle performance
  • Grip-strength testing
  • Pain-free grip testing
  • Forearm muscle performance
  • Relevant palpation
  • Upper-extremity functional testing
  • Neck and neurological screening when indicated
  • Lifting and carrying tasks
  • Work-related movements
  • Sport-specific movements
  • Assessment of activity and training load
  • Screening for findings requiring additional medical evaluation

But some of the most valuable information may come from questions.

We may ask:

Where exactly does it hurt?

Does gripping reproduce it?

Does lifting reproduce it?

Which direction of wrist movement hurts?

How long has it been happening?

Did your workload change?

Did you start playing pickleball?

Did you increase your gym routine?

Does your neck hurt?

Do you have numbness or tingling?

Does the pain travel?

Did you experience trauma?

Is there swelling?

Does the arm feel weak because of pain or even when it doesn't hurt?

What activity are you trying to return to?

Those answers help determine whether the presentation appears appropriate for physical therapy and what rehabilitation should address.

The Physical Therapy Board of California states that physical therapists evaluate a patient's physical status, establish a plan of care and goals, and administer treatments intended to improve movement and function. California PTs may practice independently within the state's Physical Therapy Practice Act. Physical Therapy Board of California

Nova's content therefore remains focused on physical therapy examination, movement, muscle performance, functional limitations, rehabilitation, education, and appropriate referral rather than diagnosing a medical condition from an internet symptom description. Physical Therapy Board of California


When Should You Seek Medical Attention?

Gradual elbow discomfort associated with repetitive gripping is different from:

“I fell directly onto my elbow and now I can't move it normally.”

Seek appropriate medical attention for symptoms such as:

  • Significant trauma
  • Obvious deformity
  • Sudden substantial swelling
  • Inability to normally move or use the arm after injury
  • Progressive or significant weakness
  • Persistent or worsening numbness or tingling
  • Significant redness, warmth, swelling, or fever
  • An open wound
  • Rapidly worsening unexplained symptoms
  • Symptoms that do not behave like a typical musculoskeletal presentation

Persistent symptoms that fail to improve also deserve appropriate evaluation.

A physical therapist should refer when examination findings suggest that additional medical assessment is warranted.


Why Patients Choose Nova Physical Therapy

At Nova Physical Therapy, our philosophy is simple:

We Care.

But:

“My elbow hurts”

doesn't tell us enough.

One patient means:

“It hurts when I lift my coffee cup.”

Another:

“It only hurts after two hours of pickleball.”

Another:

“I can exercise, but carrying grocery bags hurts.”

Another:

“My job requires me to use tools eight hours a day.”

And another:

“My elbow hurts and my fingers are also numb.”

Those patients should not automatically receive the same treatment.

So we want to understand:

What reproduces your symptoms?

How much can you grip?

How much can you lift?

What is your current activity level?

Did your workload recently change?

What does the physical therapy examination show?

Are neurological findings present?

Are there findings requiring additional medical evaluation?

What do you actually need your arm to do?

Then, when physical therapy is appropriate, rehabilitation can be built around the individual.

Our approach emphasizes:

individualized physical therapy evaluation

evidence-informed rehabilitation

progressive strengthening

functional gripping and lifting

appropriate load management

patient education

return to work, exercise, and sport

and

appropriate referral when findings warrant additional medical assessment.

The goal isn't simply:

“Make your elbow feel better while you're lying on a treatment table.”

The goal is to help build the capacity you need when you:

grip

lift

carry

work

exercise

play pickleball

play tennis

or

use your arm throughout everyday life.

That's part of what We Care means to us.


Frequently Asked Questions

Why does the outside of my elbow hurt when I grip something?

Lateral elbow tendinopathy is one possible musculoskeletal presentation associated with pain during gripping, but symptoms alone cannot establish the diagnosis. A physical therapy evaluation can assess muscle performance, grip, movement, function, and other possible contributing findings. APTA

Can you get tennis elbow without playing tennis?

Yes. “Tennis elbow” is a common name for lateral elbow tendinopathy and can occur in people who do not play tennis.

Can pickleball cause tennis elbow?

Repeated paddle use and gripping can increase forearm demand. Rather than assuming pickleball itself is the problem, activity volume, recent changes in participation, technique, recovery, and overall workload may be considered.

Why does my elbow hurt when I pick up a coffee cup?

Even a relatively light object requires grip and wrist stabilization. Those demands can reproduce symptoms in a sensitive lateral elbow.

Why does my elbow hurt when I carry grocery bags?

Carrying a bag requires sustained gripping. The combination of load and duration can increase forearm demand.

Why does my elbow hurt at the gym?

Many exercises require substantial gripping even when the elbow isn't the primary body part being trained.

Should I completely rest tennis elbow?

Not automatically. Temporary load modification may be appropriate, but rehabilitation often involves progressively restoring muscle and tendon capacity.

Should I strengthen tennis elbow?

Progressive resisted exercise targeting the wrist-extensor musculature is included in APTA's clinical practice recommendations for appropriate lateral elbow tendinopathy presentations. APTA

Are eccentric exercises good for tennis elbow?

Eccentric loading may be incorporated into rehabilitation, but treatment does not necessarily need to be limited to one contraction type.

Do I need an elbow brace?

Some patients may use bracing as a short-term adjunct, but a brace does not replace appropriate evaluation and progressive rehabilitation.

Does shockwave therapy cure tennis elbow?

No treatment should be presented as a guaranteed cure. Shockwave may be considered in selected cases, but treatment choice should follow evaluation and be integrated with an appropriate rehabilitation plan.

Do I need an MRI for tennis elbow?

Not automatically. Imaging decisions depend on the history, examination, trauma, neurological findings, symptom progression, and whether another condition is suspected.

Can physical therapy help tennis elbow?

For an appropriately evaluated musculoskeletal presentation, physical therapy may address muscle performance, grip strength, functional lifting, activity tolerance, progressive loading, and return to work or sport. APTA


Schedule an Evaluation

If elbow pain is making it difficult to:

  • Grip
  • Lift
  • Carry groceries
  • Work
  • Use tools
  • Type or use a mouse comfortably
  • Exercise
  • Lift weights
  • Play pickleball
  • Play tennis
  • Golf
  • Perform household activities
  • Participate in sports

Nova Physical Therapy can evaluate your movement, muscle performance, functional limitations, and symptom behavior and determine whether physical therapy is appropriate.

Our rehabilitation approach focuses on:

movement + progressive strength + functional capacity + appropriate load management + education + return to meaningful activity.

Ready to learn more? Visit Nova Physical Therapy Services to explore our services and learn more about physical therapy care in North Hollywood.


Disclaimer

This article is for general educational and informational purposes only. It does not constitute medical advice, medical diagnosis, imaging interpretation, exercise clearance, or individualized physical therapy treatment.

Outer-elbow pain, painful gripping, reduced grip strength, pain during lifting, or symptoms associated with sports or repetitive activity cannot independently establish lateral elbow tendinopathy, tendon injury, nerve involvement, joint pathology, referred pain, or another musculoskeletal or medical condition.

Physical therapists evaluate physical status, movement, muscle performance, and functional limitations within their regulated scope and refer when findings warrant additional medical evaluation. California physical therapy practice is governed by the Physical Therapy Practice Act and regulated by the Physical Therapy Board of California. Physical Therapy Board of California

Research involving participants diagnosed with lateral elbow tendinopathy should not automatically be generalized to fractures, acute traumatic injuries, neurological disorders, postoperative conditions, inflammatory disorders, or every cause of elbow pain.

Exercise, manual therapy, braces, activity modification, shockwave therapy, or other interventions cannot guarantee symptom resolution or prevention of recurrence.

Seek appropriate medical attention for significant trauma, deformity, substantial swelling, sudden major loss of function, progressive neurological weakness, worsening numbness, fever with a red or hot joint, rapidly worsening symptoms, or other concerning findings.

Individual results vary.


References

  1. Lucado AM, Day JM, Vincent JI, et al. Lateral Elbow Pain and Muscle Function Impairments: Clinical Practice Guidelines. Journal of Orthopaedic & Sports Physical Therapy. 2022;52(12):CPG1–CPG111. Developed through APTA's Academy of Hand and Upper Extremity Physical Therapy and Academy of Orthopaedic Physical Therapy. APTA
  2. Exercise interventions in lateral elbow tendinopathy have better outcomes than passive interventions, but the effects are small: a systematic review and meta-analysis of 2,123 subjects in 30 trials. The review evaluated pain, function, pain-free grip strength, disability, and perceived improvement. PubMed
  3. Stasinopoulos D, Giannikou E, Sivrika A. Diathermy and TECAR Therapy for Lateral Elbow Tendinopathy: A Systematic Review of Randomized Controlled Trials. SN Comprehensive Clinical Medicine. Published May 27, 2026. Only two RCTs involving 96 participants were identified, and the authors concluded that evidence remained limited and low certainty. Springer
  4. APTA — Lateral Elbow Pain Clinical Practice Guideline. Evidence-based guidance regarding examination and physical therapy management of lateral elbow pain.
  5. Physical Therapy Board of California — Physical Therapy Practice Act. California statutory framework governing physical therapy practice.
  6. Physical Therapy Board of California — Consumer Information. PTBC description of the role and responsibilities of California physical therapists.
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