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Physiotherapy for Tennis Elbow in Pickering
Tennis Elbow in Pickering: Why Does It Keep Coming Back?


Who We See for Tennis Elbow in Pickering
| Patterns We Commonly See | What the First Visit Checks |
|---|---|
| Pain on the outside of the elbow when gripping, lifting or shaking hands | Grip strength against the other side |
| Symptoms that eased with rest and returned within weeks of going back to work | Which wrist and forearm movement reproduces the pain |
| Tool, racquet or mouse use that brings it on within minutes | Whether the neck is referring pain to the elbow |
| A course of treatment elsewhere that stopped before loading started | How much load the tendon currently tolerates |
How Treatment for Tennis Elbow Usually Runs in Pickering
- Weeks 0–2: calm the tendon — relative rest from the aggravating grip, isometric loading, shockwave started.
- Weeks 2–8: rebuild the tendon with progressive eccentric and heavy-slow loading; shockwave continues on its schedule.
- Weeks 8–12: return to tools, racquet or keyboard hours at the previous volume and check it holds.
| Phase | Goal | What Treatment Involves | Typical Visits |
|---|---|---|---|
| Phase 1 – Calm The Tendon (Weeks 0-2) | Use the arm for daily tasks without a spike in pain | Load management, isometric wrist extensor work, counterforce brace fitting, grip technique advice | 1-2 visits per week |
| Phase 2 – Rebuild The Tendon (Weeks 2-8) | Tolerate gripping, lifting and tool use | Progressive eccentric and heavy-slow resistance for wrist extensors, forearm and shoulder strength | Weekly, then every two weeks |
| Phase 3 – Return To Load (Weeks 8-12) | Racket, tools or lifting at previous volume | Sport or trade-specific progression, grip and equipment review, load ramp rules | 1-3 visits across the phase |
Tips for Preparing Your First Physio Session for Tennis Elbow
- Bring the thing that hurts — the racquet, the mouse, or a photo of your tools. Grip size and handle shape change the advice.
- Note when the pain started and whether it followed a change in volume, a new racquet or a longer week at work.
- Do not take anti-inflammatories in the 24 hours before the visit if you can avoid it; they mask the loading response we are measuring.
- Wear a short-sleeved top so the elbow and forearm are accessible.
- Say if you have had a corticosteroid injection; the programme is scheduled around the weeks after it.
- Expect the first visit to include grip testing and loading, not just massage — allow an hour.
FAQs About Tennis Elbow in Pickering
No. Complete rest is what makes tennis elbow come back, because the tendon loses capacity while it is unloaded. You keep using the arm at a level the tendon tolerates, and the load is raised in steps.
It feels like a strong tapping and some people find it uncomfortable over the tender point. It is set to a level you can tolerate, and the response is checked at each session rather than pushed through.
1885 Glenanna Road, Unit 112, Pickering, ON L1V 6R6 — at the Kingston Road and Glenanna Road intersection. Free medical-building parking is on site and free street parking is available on Glenanna Road. Durham Region Transit and GO Bus both stop at Pickering City Centre, a five-minute walk away. Full directions are on the Pickering clinic page.
Tendon change is slow: six to twelve weeks of loading is normal, and the pain usually settles before the tendon has fully rebuilt. That gap is the reason a return to full volume gets scheduled rather than rushed.
A counterforce strap can help during the aggravating task, but it does not treat the tendon. It is used as a short-term tool while the loading programme does the work. Shockwave therapy is available at the Pickering clinic when the assessment supports it. The staged plan is set out in the tennis elbow guide.
Monday to Thursday 9 AM to 7 or 8 PM, Friday 10 AM to 7 PM, Saturday 9 AM to 5 PM, closed Sunday. Same-day appointments are often possible and the typical wait is up to two days.
We bill most major insurers directly, so you normally pay only the co-payment at the visit. WSIB and motor vehicle accident claims are billed to the insurer instead. Bring your policy details and we confirm coverage before the first treatment.
Yes — the clinic is open until 7 or 8 PM Monday to Thursday and until 7 PM on Friday, and it opens Saturday 9 AM to 5 PM. Saturday is the busiest day, so book a week ahead if that is the only slot that works.
Yes. The Pickering clinic is open 9 AM to 5 PM on Saturday and closes only on Sunday, with weekdays running 9 AM to 7 or 8 PM Monday to Thursday and 10 AM to 7 PM on Friday. Saturday is the day that fills first, so book about a week ahead for it; a weekday morning is the easier slot at short notice.
There is free medical-building parking on site at 1885 Glenanna Road, Unit 112, plus free street parking on Glenanna Road. The building sits at the Kingston Road and Glenanna Road intersection, and Durham Region Transit and GO Bus stop at Pickering City Centre, about a five-minute walk away.
Yes, osteopathic manual therapy is available at the Pickering clinic alongside physiotherapy. If the assessment suggests hands-on treatment will help, it is added inside the same plan in the same building, so no second referral or second address is needed.
The Pickering clinic has been treating patients since March 2011 and holds 123 Google reviews at 4.8. Two physiotherapists, three registered massage therapists and one acupuncturist work from the Glenanna Road address, and assessments are offered in English, American Sign Language, Cantonese, Filipino, French, Hindi and Mandarin.

What Is Different at Our Pickering Clinic
Grip work, tool use and racket sport load the same tendon, so the detail that matters is whether the equipment and the braces are in the building. These are the Pickering facts that matter.
| Detail | At Our Pickering Clinic |
|---|---|
| Who works at this clinic | two physiotherapists, three registered massage therapists and one acupuncturist |
| Equipment on site | shockwave therapy, therapeutic ultrasound, TENS, a traction table and a balance tester |
| Opening hours | Monday to Thursday 9 AM to 7 or 8 PM, Friday 10 AM to 7 PM, Saturday 9 AM to 5 PM, closed Sunday |
| Weekend | Open Saturday 9 AM to 5 PM; closed Sunday |
| Getting here by transit | the Kingston Road and Glenanna Road intersection, with the Pickering City Centre stop served by Durham Region Transit and GO Bus |
| Parking | free medical-building parking plus free street parking |
| Insurance and billing | Direct billing is available to most major insurers; WSIB and motor vehicle accident claims are billed to the insurer |
| How soon you can be seen | Same-day appointments are often possible; the typical wait is up to two days |
| Languages spoken | English, American Sign Language, Cantonese, Filipino, French, Hindi and Mandarin |