Effective acupuncture and manual therapy for lateral and medial epicondylitis — resolving pain at the source, restoring full arm function.
Book a ConsultationTennis elbow (lateral epicondylitis) and golf elbow (medial epicondylitis) are both forms of what Chinese Medicine calls Bi Syndrome — a painful obstruction disorder of the muscles, tendons and joints caused by the invasion of pathogenic factors (Cold, Damp, Wind or Heat) or by the stagnation of Qi and Blood in the local sinew channels.
In TCM anatomy, the arm is traversed by several major meridians (channels) and their associated sinew channels — distinct pathways that follow the muscles and tendons. The lateral elbow is governed primarily by the Large Intestine and Triple Heater sinew channels, while the medial elbow falls under the Heart and Lung sinew channels. When these channels become obstructed through overuse, repetitive strain, poor circulation or exposure to cold and damp conditions, the characteristic sharp, aching pain of elbow tendinopathy results.
This ancient anatomical framework aligns remarkably well with modern understanding: both conditions involve localised tendon degeneration (tendinopathy), impaired microcirculation and a chronically inflamed environment at the bony attachment. TCM treatments target this environment directly.
Dr Christine Shen uses a multi-modality approach to elbow tendinopathy, combining several complementary techniques in each session for optimal results.
Fine acupuncture needles are placed both at and around the affected epicondyle (local points) and at distal points along the relevant meridians in the hand, forearm and even the opposite limb. Local points reduce inflammation, improve blood flow to the tendon and stimulate tissue healing. Distal points address the underlying channel obstruction — often remarkably effective for long-standing cases that have not responded to local treatment alone.
Key local points used include LI 11 (Quchi), LI 10 (Shousanli), TE 5 (Waiguan) and empirical "ashi" (tender) points directly on the epicondyle. These are selected based on individual assessment.
Electro-acupuncture involves attaching a small, painless electrical stimulation device to the inserted acupuncture needles, delivering a gentle low-frequency current through the tissue. This is distinct from dry needling — while both use acupuncture needles, electro-acupuncture is performed by a fully qualified Chinese Medicine practitioner working within a complete diagnostic and treatment framework, and the electrical stimulation significantly enhances the analgesic and tissue-remodelling effects of the treatment.
Note on dry needling: Dry needling, as practised by physiotherapists and other allied health professionals, uses needles to release myofascial trigger points and is a localised technique. Acupuncture at Rainbow Medicine is part of a complete TCM treatment system addressing both local and systemic patterns. Both approaches can be valuable; they are not the same thing.
Glass or silicone cups are applied to the forearm muscles proximal to the elbow to create a gentle suction that lifts and separates tissue layers. This promotes circulation of Qi and Blood, breaks down fascial adhesions, reduces muscle tension in the extensor or flexor muscle groups contributing to tendon overload, and helps clear the Damp-Cold that often perpetuates chronic tendon pain. Cupping is particularly useful in the early stages of treatment and for addressing the muscular component of the condition.
Tui Na is a Chinese therapeutic massage system that uses specific hand techniques including rolling (Gun Fa), grasping (Na Fa), and kneading (Rou Fa) to work along the sinew channels of the arm. Unlike general relaxation massage, Tui Na is directed at specific anatomical structures and channel pathways. For elbow tendinopathy, Tui Na is used to release tension in the forearm flexor and extensor muscle groups, improve joint mobility and reduce local inflammation. It is often combined with acupuncture in the same session.
Recovery from tennis and golf elbow with TCM treatment depends on the severity and duration of the condition, adherence to treatment and your activity level. The following gives a general guide:
Pain reduction begins. Reduced inflammation around epicondyle. Sleep quality often improves. Gentle range-of-motion exercises introduced.
Significant decrease in pain with daily activities. Grip strength begins to improve. Treatment frequency may reduce from twice to once weekly.
Return to modified sporting activity. Tenderness at the epicondyle resolves. Strengthening exercises introduced. Preventive cupping as needed.
Full return to sport and activity in most cases. Maintenance treatment monthly recommended for athletes. Self-care strategies reviewed.
Chronic cases (symptoms present for over 6 months) or those involving significant tendon degeneration on imaging may require a longer treatment course. Dr Christine Shen will reassess your progress regularly and adjust the plan. For related sports injury information, visit our Sports Injury page.
Book a comprehensive assessment with Dr Christine Shen and receive a personalised treatment plan for tennis or golf elbow.
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