Targeted soft tissue treatment for lateral elbow pain at Beverley Road, New Malden KT3 4AW. BTEC Level 5, 66 five-star reviews. First session £80.
Tennis elbow (lateral epicondylitis) is one of the most misnamed conditions in musculoskeletal medicine. The vast majority of cases have nothing to do with tennis. It is an overuse tendinopathy caused by repetitive loading of the forearm extensor muscles, and it is just as common in desk workers, manual tradespeople and anyone doing repetitive gripping, typing or arm-based tasks as it is in racket sports players.
The pain is felt on the outside of the elbow and typically radiates down the forearm, particularly when gripping, lifting or twisting: opening a jar, shaking hands, using a mouse, lifting a kettle. Left untreated, the tendon attachment becomes increasingly sensitised and recovery slows significantly, so early targeted treatment produces far better outcomes than waiting it out. For the companion condition on the inside of the elbow, see golfer’s elbow.
The primary driver in most tennis elbow cases: a small forearm muscle that attaches at the lateral epicondyle and is chronically overloaded by gripping and typing. Releasing it directly reduces tension through the tendon.
The tendon shared by all four forearm extensors attaches to the lateral epicondyle. Deep transverse friction at this attachment point promotes tissue remodelling and reduces pain sensitisation.
Brachioradialis, extensor carpi radialis longus and extensor digitorum all contribute to loading at the lateral epicondyle. Treating the whole forearm, not just the pain site, produces lasting results.
Trigger points in the forearm extensors frequently refer pain into the elbow, sometimes mimicking lateral epicondylitis when the elbow itself is not the primary problem. The hands-on assessment picks this up before treatment begins.
Tennis, padel, squash and badminton all load the forearm extensors heavily on backhand shots and grip. Nick coached tennis for 8 years and understands the specific demands of racket sports and how injury patterns differ between playing styles and grip types.
Sustained mouse use, typing and trackpad work load the forearm extensors continuously at low intensity. It is a different pattern from sport, chronic low-load accumulation rather than acute overuse, but it produces the same tendon irritation over time. Nick treated office professionals at Google HQ, where this was one of the most common presentations.
Plumbers, electricians, carpenters and decorators all perform repetitive gripping and tool use. The loading is high-intensity and asymmetric, often affecting the dominant arm specifically, and this group frequently develops both tennis elbow and golfer’s elbow simultaneously.
The session starts with a conversation about how long the pain has been present, what triggers it and what your typical arm use looks like, since racket loading, screen work and manual overuse each produce slightly different tissue presentations. Hands-on assessment of the forearm then establishes where the tension sits, and treatment covers the extensor group with sustained release work plus deep transverse friction at the tendon attachment.
First session £80 (usually £100) · view all rates · 🏛️ MSMA member; private health insurance may cover sessions, receipt provided on request.
"Very knowledgeable and professional. Nick made me feel completely comfortable throughout and you can tell he genuinely knows his stuff. Great experience every time."
AshleySoftball Player · Google Review"I went in with a really tight neck and some lingering wrist pain, and he quickly pinpointed the problem areas. The treatment was thorough but still relaxing, and he explained what he was doing along the way. After the session, my neck felt noticeably looser and the wrist pain had eased a lot."
TomaszClient · Google Review"Nick is extremely friendly which helped ensure I was completely relaxed. He delivers with professionalism, answers any questions I have, and always provides advice for my wellbeing."
JoelClient · Google ReviewRead all 66 reviews on the reviews page.
Yes. Tennis elbow (lateral epicondylitis) responds well to targeted soft tissue work on the forearm extensor muscles and deep transverse friction to the tendon attachment at the lateral epicondyle. This releases tight fibres, reduces load through the tendon and promotes tissue remodelling. Most clients see clear improvement within 3 to 4 sessions.
Tennis elbow affects the outside of the elbow (the lateral epicondyle) where the forearm extensor muscles attach. Golfer’s elbow affects the inside (the medial epicondyle) where the forearm flexor muscles attach. Both are tendinopathies caused by overload and repetitive strain; the treatment approach is similar but targets different muscle groups. Some clients present with both simultaneously.
Most clients see clear improvement within 3 to 4 sessions. Full resolution typically takes 6 to 8 weeks when treatment is combined with appropriate load management. For longstanding or severe cases, more sessions may be needed. You will get an honest assessment after the first session.
Yes, in most cases. The goal is to reduce the load through the tendon rather than stopping all activity. Nick will advise on which specific movements to avoid or modify during recovery. Complete rest is rarely necessary and can slow recovery by reducing blood flow to the tendon.
Yes. Targeted soft tissue work and deep transverse friction massage to the lateral epicondyle is a well-established treatment for tennis elbow. The approach works with the healing process rather than against it, and Nick adapts pressure and technique to the stage of your condition.
First session £80 (usually £100): assessment and treatment in the same appointment at Beverley Road, New Malden KT3 4AW.