Weeks 1–2
Pain
Calm the tendon irritation down.
Hands-on techniques calm the irritated tendon and take the edge off inflammation, starting your very first visit.
What We Treat
The stiffness when you stand up from the couch. The twinge that decides whether today’s a good day. It’s fixable, and it starts with a cause-first evaluation, not a guess.
Sound Familiar?
Two or more? Keep reading.
Why It Happens
Your elbow or wrist doesn’t hurt for no reason. Most of the time it’s tendon tissue that got overloaded: from gripping a racquet, gripping tools, or gripping a keyboard hour after hour, until inflammation set in right at the joint. Sometimes it’s a nerve getting compressed or irritated on its way down the arm, sending numbness or tingling into your hand and fingers. Often it’s a mix of both.
None of that shows up from a glance at a swollen elbow. It takes a real, cause-first evaluation to sort out which tissue is actually driving your pain. That’s why rest, a brace, or a wait-and-see approach so often falls short: they calm things down for a week, then it’s right back the moment you pick up a club or sit down at your desk. Find the real cause, and the fix gets obvious.
The Honest Truth
Nobody regrets starting too early. Every week, someone in our clinic says they regret waiting.
How We Fix It
Every plan has an endpoint. Here’s what the four phases look like for an elbow or wrist.
Weeks 1–2
Pain
Hands-on techniques calm the irritated tendon and take the edge off inflammation, starting your very first visit.
Weeks 2–6
Prime
Targeted mobility work restores motion in the wrist and forearm that’s been quietly guarding the injury.
Weeks 6–10
Perform
Progressive grip and forearm strengthening builds the capacity your tendon was missing in the first place.
Weeks 10+
Prevent
Your grip, swing, and workstation setup get tested under real load, whether that’s a keyboard, a golf club, or a set of tools, before you’re cleared to go all-in: that’s the endpoint, not just another appointment.
Turns out that painting your house can result in tennis elbow. Once the doctor ordered physical therapy I knew exactly who I wanted to treat me. Dr. Conder is a family friend and I knew he was opening his own practice because he wanted to provide patient-focused one on one treatment without the time constraints placed on them by large practice management philosophy. After just two sessions he recommended dry-needling as a treatment option.
Shared by missy d. · Tennis elbow
Before: tennis elbow flared up after a home painting project
After: two sessions in, dry needling added to the plan
Questions, Answered
Usually not, and total rest is rarely the answer. Complete rest lets an irritated tendon calm down for a bit, but it also lets your grip and forearm strength fade, which sets up the next flare-up. We figure out which movements are safe at your evaluation, dose your activity level from there, and get you back to the golf course, the keyboard, or the workshop as you progress, not only after everything’s already perfect.
It can be, if it fits your specific case. Dry needling is one tool we use to calm an irritated tendon and ease muscle tension around the elbow or wrist, and it’s always optional. Your Doctor of Physical Therapy will explain exactly what it involves and why it might help before it’s ever part of your plan, and you can say no at any point.
Most patients feel meaningful change within a handful of visits. A full plan for elbow or wrist pain runs through all four phases, Pain, Prime, Perform, and Prevent, with the exact timeline depending on how long you’ve been dealing with it and what’s driving it. Either way, you get a plan with an endpoint: you’ll always know which phase you’re in and what’s left, not an open-ended string of appointments.
Book Your Visit
Request a time and a real person calls you back, usually within two business hours. No phone tree. No ‘someone will reach out.’ Just a plan.
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Typical response: under 2 business hours
Step 1 of 5
That’s the hard part done. We’ll call during business hours to lock in your time. Most people are on the schedule same week.
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