Targeted soft tissue treatment for lateral elbow pain at Beverley Road, New Malden KT3 4AW. BTEC Level 5 qualified. 65 five-star Google reviews. First session from £60.
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. 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.
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Extensor Carpi Radialis Brevis (ECRB)
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.
Common Extensor 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.
Forearm Extensor Group
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.
Referred Pain Patterns
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. Assessment identifies this before treatment begins.
The three largest groups treated at the New Malden practice. Each presents with a slightly different loading pattern but the same underlying problem.
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. This 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 pattern is high-intensity and asymmetric, often affecting the dominant arm specifically. This group frequently develops both tennis elbow and golfer's elbow simultaneously.
The session starts with an assessment: how long the pain has been present, what triggers it, what your typical arm use looks like. This distinguishes the primary driver: racket-loading, screen work or manual overuse each produce slightly different tissue presentations and respond to different treatment emphases.
Treatment typically covers the forearm extensor group with sustained soft tissue release, followed by deep transverse friction massage at the lateral epicondyle tendon attachment. This is a specific technique that promotes tissue remodelling and reduces chronic sensitisation. For deep or longstanding tension in the forearm, deep tissue massage works through the layers more thoroughly.
You will leave with specific eccentric loading exercises and advice on which movements to modify during recovery. Complete rest is rarely the right answer — controlled loading through the tendon is part of the healing process, not a risk to avoid.
13+ years treating elbow, forearm and wrist complaints from racket sports, desk work and manual occupations. Former tennis coach of 8 years, with direct experience of the loading patterns that cause tennis elbow. Corporate massage experience at Google HQ, treating desk workers with screen-related forearm and elbow problems.
MSMA Member — Sports Massage Association (SMA)
If you hold private health insurance, you may be able to claim sports massage sessions back. Check with your provider. A detailed receipt is 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."
"Nick gets to the root of the problem every time — I always leave feeling like a completely different person. His technique is the best I have ever experienced."
"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."