Tennis Elbow vs Golfer’s Elbow: What’s the Difference?
Elbow pain can make even simple movements like lifting a cup of coffee or shaking someone’s hand uncomfortable. Two of the most common causes are tennis elbow and golfer’s elbow. Despite their names, these injuries don’t just affect athletes. Anyone who performs repetitive arm or wrist motions can develop them.
At Ortho San Antonio, our orthopedic specialists diagnose and treat both conditions, helping patients relieve pain and return to normal activity. Here’s how to tell the difference between tennis elbow and golfer’s elbow, and what treatment options can help.
What is Tennis Elbow?
Tennis elbow (lateral epicondylitis) occurs when the tendons on the outside of the elbow become inflamed due to overuse or repetitive wrist and arm motions. It’s common in people who perform gripping or twisting activities, not just tennis players.
Typical causes include repetitive typing, using tools, weightlifting, or even carrying groceries. Over time, these small tendon tears can lead to persistent pain and weakness.
Common Symptoms of Tennis Elbow
Pain or burning on the outer side of the elbow
Discomfort when lifting objects or gripping items
Weakness in the hand or forearm
Pain that worsens with repetitive movements
What is Golfer’s Elbow?
Golfer’s elbow (medial epicondylitis) affects the inside of the elbow, where tendons attach to the inner bony bump. Like tennis elbow, it’s caused by overuse, but from motions that flex the wrist or rotate the forearm inward.
This condition isn’t limited to golfers; it’s also seen in baseball players, weightlifters, carpenters, and even people who garden or use hand tools frequently.
Common Symptoms of Golfer’s Elbow
Pain or tenderness on the inner side of the elbow
Stiffness or soreness when bending the wrist
Numbness or tingling that radiates into the ring and pinky fingers
Weakened grip strength
Key Differences Between Tennis Elbow and Golfer’s Elbow
The biggest difference is where the pain occurs:
Tennis elbow affects the outside of the elbow.
Golfer’s elbow affects the inside of the elbow.
Both are types of tendonitis caused by repetitive stress, but they involve opposite muscle groups. Tennis elbow targets the extensor tendons that help straighten the wrist and fingers, while golfer’s elbow affects the flexor tendons responsible for bending the wrist and gripping.
how elbow injuries are Diagnosed
At Ortho San Antonio, diagnosis begins with a detailed evaluation of your symptoms and physical exam. Your provider may test grip strength, range of motion, and pinpoint areas of tenderness. Imaging like X-rays or MRI scans can help rule out other elbow injuries or arthritis.
Accurate diagnosis is important since treatment may differ slightly depending on which condition is present.
Treatment Options
Most patients recover from tennis or golfer’s elbow without surgery. The goal is to reduce pain, restore strength, and prevent the injury from recurring.
Nonsurgical Treatments
Rest and activity modification to reduce strain on the tendons
Anti-inflammatory medications to decrease pain and swelling
Bracing or elbow straps for additional support
Physical therapy or stretching exercises to rebuild strength and flexibility
Image-guided injections for targeted relief when pain persists
Surgical Treatments
If pain does not improve after conservative care, surgery may be recommended to remove damaged tissue and promote healing. Our orthopedic surgeons in San Antonio specialize in minimally invasive techniques designed to shorten recovery time and restore full motion.
Preventing Elbow Injuries
Simple adjustments can reduce your risk of developing either condition:
Warm up before physical activity.
Maintain proper form during sports or repetitive tasks.
Strengthen your forearm muscles and stretch regularly.
Take breaks from repetitive hand or wrist movements.
When to See a Specialist
If elbow pain is interfering with your daily routine or not improving after rest, it’s time to see an orthopedic specialist. Early evaluation can help prevent chronic pain and permanent tendon damage.
At Ortho San Antonio, our team offers personalized care for tennis elbow, golfer’s elbow, and other elbow injuries, combining advanced technology with compassionate, patient-centered treatment.
MEET DR. John Hinchey, Our Shoulder & Elbow Specialist
Dr. Hinchey is a board-certified orthopedic surgeon at Ortho San Antonio, specializing in shoulder and elbow surgery. Fellowship-trained at UT Health San Antonio and the Mayo Clinic, he offers advanced treatment for tennis elbow, golfer’s elbow, fractures, and joint injuries.
A San Antonio native and Adjunct Assistant Professor at UT Health, Dr. Hinchey continues to serve veterans through the VA Hospital while leading in state and national orthopedic organizations. Known for his expertise and patient-focused care, he’s dedicated to restoring strength, motion, and confidence for every patient.
Schedule your consultation with Dr. Hinchey and take the first step toward lasting elbow pain relief.