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Common tennis injuries: Prevention and management

Mr Eyiyemi (Yemi) Pearse
Written in association with: Mr Eyiyemi (Yemi) Pearse Consultant orthopaedic shoulder and elbow surgeon in Central London
5.0 |

13 reviews

Sources: Top Doctors GB
Published: 19/06/2024 Edited by: Kate Forristal on 17/05/2025

Tennis is a sport loved by many for its physical and competitive nature. However, like any sport involving repetitive movements and intense physical exertion, tennis can lead to various injuries. In his latest online article, Mr Eyiyemi Pearse sheds light on some of the common injuries that players may encounter on the court.

Shoulder injuries: The impact of serve and overhead shots

One of the most prevalent injuries in tennis affects the shoulder. The repeated motion of serving and hitting overhead shots can strain the rotator cuff muscles and tendons, leading to conditions like tendonitis or even tears. This can cause pain and limited mobility in the shoulder, affecting both serving and groundstrokes.

 

Tennis elbow: Understanding the strain on forearm muscles

Tennis elbow, or lateral epicondylitis, is another common issue among players. Despite its name, this condition doesn't only affect tennis players but is exacerbated by the repetitive gripping and swinging motions involved in tennis. It causes pain and tenderness on the outside of the elbow where the forearm tendons attach to the bone. Rest, proper technique, and sometimes physiotherapy are key to recovery.

 

Knee problems: Impact of quick direction changes

The fast-paced nature of tennis often involves sudden stops, starts, and changes in direction, putting stress on the knees. This can lead to injuries such as patellar tendonitis (pain in the front of the knee) or meniscus tears (damage to the knee cartilage). Strengthening the leg muscles and using proper footwear can help prevent these injuries.

 

Ankle sprains: Managing the risk of twists and turns

Due to the dynamic movements required in tennis, ankle sprains are also common. These occur when the ligaments that support the ankle are stretched beyond their limits, often during quick changes in direction or from landing awkwardly after a jump. Rest, ice, compression, and elevation (RICE protocol) are initial treatments, followed by rehabilitation exercises.

 

Back strain: Effects of repetitive twisting and extension

The rotational and extension movements in tennis, particularly during serves and groundstrokes, can strain the muscles and ligaments in the lower back. This can result in pain and stiffness. Proper warm-up, strengthening exercises for the core muscles, and correct technique are essential for preventing and managing back injuries.

 

Mr Eyiyemi (Yemi) Pearse is an esteemed consultant orthopaedic shoulder and elbow surgeon. You can schedule an appointment with Mr Pearse on his Top Doctors profile.

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