09/10/2025
PICKLEBALL ELBOW
Active Release Technique (ART) can be highly effective for treating Pickleball Elbow, also known as lateral epicondylitis. This specialized manual therapy works by breaking down scar tissue and adhesions in the forearm muscles that cause pain and restrict movement.
How ART addresses Pickleball Elbow
Overuse of the forearm from repetitive actions, like the quick, frequent paddle swings in pickleball, can cause tiny tears and the formation of scar tissue in the tendons and muscles near the elbow. This scar tissue can cause pain, inflammation, and reduced flexibility.
ART addresses this by:
Releasing scar tissue and adhesions: A certified ART practitioner applies deep, targeted pressure to the soft tissue in the forearm while the patient actively moves the elbow and wrist. This combination of tension and motion helps to break up and eliminate the fibrous scar tissue.
Improving circulation: By breaking up adhesions, ART improves blood flow and oxygen to the injured area, which promotes natural healing.
Increasing flexibility and range of motion: Releasing the restricted tissues allows the muscles to move more freely and properly absorb forces, which reduces strain on the elbow's tendons.
Restoring strength: With less pain and better mobility, patients can rebuild strength in their forearm and wrist muscles without compensation or pain.
What to expect during an ART session
An ART session for pickleball elbow involves both an assessment and treatment.
Evaluation: The practitioner uses their hands to assess the texture, tightness, and movement of the muscles and tendons in your forearm.
Treatment: The practitioner applies deep, specific pressure to the area of the scar tissue.
Active movement: You will be instructed to move your arm, wrist, or fingers through a specific range of motion while the pressure is applied. This movement helps to stretch and lengthen the affected muscle and release the adhesions.
Other treatments and preventative measures
While ART is a highly targeted treatment, it is most effective as part of a comprehensive approach to managing pickleball elbow. Other recommended strategies include:
Rest and activity modification: Take a break from pickleball or reduce playing time to allow the tendons to heal.
Strengthening and stretching exercises for the forearm, wrist, and shoulder.
Proper technique: A pickleball coach can help you refine your swing mechanics to reduce strain on your elbow. A two-handed backhand, for example, can distribute the force more
effectively.
Equipment check: Ensure your paddle grip size is correct and consider using a vibration-dampening paddle.
Warm up and cool down: Perform dynamic stretches before playing and static stretches after your game.
Icing: Applying ice to the elbow for 15–20 minutes after playing can help reduce inflammation.
Bracing: An elbow brace or counterforce strap can help reduce strain on the tendons during activity.
It is important to consult a qualified healthcare provider for an accurate diagnosis and treatment plan.
