ELBOW PAIN · TENNIS ELBOW · MIDTOWN MANHATTAN

Elbow pain when you grip, lift, or type? It's trainable.

One-on-one physical therapy for tennis elbow, golfer's elbow, and stiff elbows after an injury. We calm the tendon down, rebuild its strength step by step, and measure your grip as it comes back.

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UNDERSTANDING ELBOW PAIN

Usually, it's a tendon load problem —
not a tear.

Tennis elbow is pain on the outside of the elbow, where the tendons that lift your wrist and fingers attach. It shows up when repeated gripping, lifting, typing, or tool use asks more of the tendon than it can currently handle. Pain on the inside of the elbow is its close cousin — golfer's elbow. Despite the names, most people who have it play neither sport.

A helpful way to picture it: an overloaded tendon behaves like sunburned skin — sore and sensitive for a while, but not damaged beyond repair. The answer is not to stop using the arm; it is to dose the load correctly while the tendon calms down, then build it back up. Pain, scan findings, and tissue changes do not match up neatly — a painful tendon is rarely a torn tendon.

Tendons adapt slowly, so recovery is measured in months, not days — often three to six. That is normal, and it is not a sign that treatment is failing. We track two numbers as we go: your pain-free grip strength and a short questionnaire about your arm, so progress is something you can see.

Does this sound familiar?

  • Pain on the outside of the elbow when you grip, lift a kettle, or shake hands
  • Pain turning a doorknob, opening jars, or using a mouse
  • A grip that feels weak, or an elbow that aches after a day of work
  • Pain on the inside of the elbow with lifting or swinging
  • An elbow that stayed stiff after a fracture, dislocation, or weeks in a cast
  • Aching that lingers long after the workday ends
01

Rest alone doesn't rebuild a tendon

Complete rest may quiet the pain for a bit, but the tendon comes back less tolerant than before. The treatment is the right amount of load, progressed on purpose.

02

Your grip is the scoreboard

We measure pain-free grip strength at your first visit and re-check it as you train. When that number climbs, the tendon is adapting.

03

Injections are not the shortcut they seem

A steroid injection can ease pain for a few weeks, but research following people for a year found the pain was more likely to come back than with exercise-based care. We start with the approach that lasts.

⚠ Get medical care promptly if you notice:

  • After a fall or injury, you cannot fully straighten the elbow — this can be a sign of a fracture
  • A snap or pop in the arm, with bruising and a bulge in the upper arm — a possible biceps tendon injury, which needs a prompt surgical opinion
  • An elbow that locks or catches
  • Numbness or tingling in the ring and little fingers that does not settle
  • A hot, swollen elbow, especially with fever

These patterns need a medical work-up first — we will tell you honestly if that is you.

HOW PHYSICAL THERAPY HELPS

Calm it down. Load it up.
Keep it loaded.

Education plus progressive exercise is the foundation — everything else supports those two.

✓Evaluation & grip testing

Your history comes first: where it hurts — outside, inside, front, or back of the elbow points to different structures — what loads provoke it, and what your work demands. We measure pain-free grip strength and screen your neck and shoulder, which can refer pain to the elbow.

✓Settle it first

Short-term changes — grip size, lifting technique, workstation setup, a taping trial — calm an irritated tendon so training can begin. A counterforce strap helps some people during activity; we test it on you the same day and keep it only if it clearly helps.

✓Isometric holds

Gentle static holds of 30–60 seconds can quiet tendon pain and switch the muscle back on. We dose them to your sensitivity — early on, exercise should be pain-free or close to it.

✓Progressive strengthening

Slow wrist and forearm strengthening, starting light and building toward heavy strength work over 8–12 weeks and beyond — plus the shoulder and upper arm, because the whole chain shares the load.

✓Hands-on that supports movement

Mobilisation with movement and soft-tissue work can ease pain and improve grip right away for many people. They support the exercise program — they do not replace it.

✓Stiff elbow after an injury?

After a fracture or dislocation, elbows stiffen fast — and research shows that early, guided movement within the safe range does not cause more complications than weeks of casting. We progress by milestones, not the calendar, and we never force a stretch.

HOW IT WORKS

Three steps to get started

No phone tag, no guesswork about coverage.

01

Book in 60 seconds

Pick a time on Zocdoc or call us. Most new patients are seen within 48 hours.

02

1-on-1 evaluation

Your physical therapist evaluates you one-on-one — strength, movement, training history — and explains the plan in plain language.

03

Personalized plan

Hands-on care plus a progressive exercise program, re-measured so you can see the progress.

WHY STEPPING STONE

Care built around you,
not the schedule.

What makes a visit here different from a typical PT mill.

✓True one-on-one care

Most of every visit is with your physical therapist — we never see more than 2 patients per hour.

✓Evidence-based, personalized

Your plan is built on current clinical research and best-practice guidelines — then tailored to your body, your triggers, and your goals. No cookie-cutter protocols.

✓Insurance verified upfront

We check your benefits before your first visit, so there are no surprise bills.

✓Midtown, on your schedule

Steps from Grand Central. Open weekdays 11–7 and Saturdays 11–3.

INSURANCE

Verify your eligibility
before you arrive.

We participate with most major plans. If yours isn't listed, call us — we'll check.

AetnaAffinity/MolinaAnthemAuto Insurance (No-Fault)BCBS PPOCenter LightCignaElder PlanEmblemFidelisHumanaOriginal MedicareNYPPOOscarOWCPUHCVCMVNSWellcareWorkers’ Comp

Not sure about your plan?

Send us your insurance card and we'll verify your physical therapy benefits — copay, deductible, visit limits — before your first appointment. No surprises.

Call (332) 895-5677
VISIT US

In the heart of Midtown

Steps from Grand Central — 4/5/6/7/S trains.

Location

Stepping Stone Physical Therapy

22 E 49th St, Floor 6
New York, NY 10017

Get directions →

Hours

Monday – Friday11:00 AM – 7:00 PM
Saturday11:00 AM – 3:00 PM
SundayClosed

Phone: (332) 895-5677

ELBOW PAIN FAQ

Questions we hear most

Straight answers before you book.

Do I have to play tennis to get tennis elbow?
No. Most people with tennis elbow never play. It is an overload problem of the tendons that lift the wrist and fingers — typing, gripping tools, lifting, and racket sports are all common triggers. The name stuck; the cause is load.
How long does recovery take?
Tendons adapt slowly, so most programs run three to six months. Many people feel real change within the first several weeks, and we re-measure your grip strength as you go, so you can see the progress — not just hope for it.
Should I just rest it completely?
Usually not. Short breaks from the heaviest tasks help, but complete rest leaves the tendon less tolerant than before. The goal is the right dose of load: enough to build capacity, not so much that it flares for days.
Will a strap or brace fix it?
A counterforce strap or taping can ease pain during gripping for some people, and we will test it on you the same day. But it is an aid, not a fix — the fix is rebuilding the tendon's capacity with progressive exercise.
What about a steroid injection?
Injections can reduce pain in the short term. The trade-off shows up later: in studies that followed people for a year, those who had a steroid injection were more likely to have the pain come back than those who did exercise-based care. If you are considering one, we will talk through the timing honestly.
My elbow is stiff after a fracture and a cast. Can PT help?
Yes — and this is one of the most time-sensitive reasons to start. Guided movement in the safe range your surgeon sets, progressed by milestones, is how range comes back. Waiting and hoping — or forcing stretches at home — both tend to backfire.
OTHER CONDITIONS WE TREAT
Sciatica → Knee Pain → Neck Pain → Shoulder → Dizziness → Low Back Pain → Ankle Sprain → Achilles Pain → Foot Pain →Hip Pain →Running Pain →Frozen Shoulder →Neck Radiculopathy →Groin Pain →

Ready to get your grip back?

Book your evaluation today. Most new patients are seen within 48 hours.