What Our Patients Experience

↓ Pain

Less elbow pain over the first weeks of gradual strengthening

↑ Grip Strength

Getting back to gripping, lifting, and using tools or racquets pain-free

↓ Recurrence

A lower chance of it coming back than with rest or injections alone

↑ Function

Return to work, activity, and daily tasks

Stubborn Tendon Pain Needs the Right Treatment

Rest, anti-inflammatories, and steroid injections rarely resolve chronic tennis or golfer's elbow — because the real issue is tendon wear, not swelling. Gradual strengthening combined with skilled soft-tissue work rebuilds the tendon at the source.

Pain over the outside (tennis elbow) or inside (golfer's elbow) of the elbow Pain with gripping, lifting, or shaking hands Weakness with grip and wrist movement Pain that's worse with a computer mouse, racquet, or tools Stiffness and tenderness right over the bony bump of the elbow Sometimes pain running down into the forearm

Why Elbow Tendon Pain Persists

When symptoms linger long after an injury should have healed, deeper dysfunctions keep discomfort signals flowing.

Repeated Gripping & Wrist Use

Tennis, pickleball, golf, ranching, trades, mousing, and lifting all load the elbow tendons over and over.

Tendon Wear (Not Inflammation)

Despite the "-itis" name, the real issue is wear-and-tear change in the tendon, not swelling — which is why anti-inflammatories often don't help.

Weak Grip & Forearm

When the wrist and forearm muscles are under-strong, the tendon isn't ready for daily loads.

A Sudden Jump in Activity

A spring pickleball ramp-up, a big weekend of yard work, or a new desk setup often kicks it off.

Tennis elbow and golfer's elbow are stubborn tendon problems at the outside (tennis) or inside (golfer's) of the elbow — clinicians call them lateral and medial epicondylitis. They cause pain with gripping, lifting, and racquet, club, or computer use, and respond best to gradual strengthening combined with hands-on and instrument-assisted soft-tissue work.

Tennis & Golfer’s Elbow Care in Bozeman — Strengthening That Rebuilds the Tendon

Tennis and golfer’s elbow are notoriously stubborn — and one big reason is that most people get treatment that doesn’t match the actual problem. Rest, anti-inflammatories, and cortisone shots target swelling, but the real issue is tendon wear, not swelling. Once you understand that, the path is clear: gradual strengthening is the proven treatment.

At Root Therapy and Wellness in Bozeman, elbow care happens in full 1-on-1 sessions, combining strengthening, hands-on and instrument-assisted soft-tissue work, and practical ergonomic changes.

Tennis Elbow vs. Golfer’s Elbow

  • Tennis elbow — pain over the outside of the elbow. Aggravated by gripping, mousing, racquet sports, and tool use.
  • Golfer’s elbow — pain over the inside of the elbow. Aggravated by gripping with the palm down, a golf swing, and pulling activities.

The ideas behind treatment are similar; the specific exercises and ergonomic tweaks differ.

What to Expect at Your First Visit

  1. Comprehensive evaluation (60 minutes) — your history, grip strength testing, a check of your neck and wrist, and a look at your daily activities.
  2. Diagnosis and plan — a strengthening plan matched to your stage and tolerance.
  3. Hands-on treatment that same visit — soft-tissue work and manual therapy.
  4. Activity and ergonomic changes — mouse setup, racquet grip, and tool use.
  5. Re-assessment every few visits, tracking your grip strength and pain.

Take the First Step

Most stubborn elbow tendon pain responds well to the right strengthening-based treatment. Request an appointment today — most patients are seen within the same week.

Our Treatment Approach

  • Progressive Strengthening — Gradually strengthening the tendon and forearm — the proven way to rebuild an irritated tendon that rest can't match.
  • Instrument-Assisted Soft-Tissue Work (IASTM) — Using smooth tools to work the tendon tissue and help it recover.
  • Manual Therapy — Hands-on work for the elbow, wrist, and neck to address what's contributing.
  • Ergonomic & Activity Changes — Mouse setup, racquet grip, and tool-use tweaks for your work and activities.

How Root Is Different

Not all therapy is created equal. Here's why our patients get better results with Tennis & Golfer's Elbow.

Conventional PTRoot's Approach Root Therapy
ApproachRest, anti-inflammatories, generic stretchesGradual strengthening + skilled soft-tissue work + ergonomic changes
TechniquesStandard exercise protocolsStrengthening, soft-tissue work (IASTM), and manual therapy
AssessmentSymptom-onlyA tendon-specific exam with grip testing
StrengtheningGeneric or absentBuilt up gradually to your tolerance
FocusPain reductionRebuilding the tendon so it lasts

Strengthening Is the Treatment

For a stubborn tendon, gradual strengthening rebuilds it in a way rest never can.

Skilled Soft-Tissue Work

We use instrument-assisted soft-tissue work (IASTM) on the tendon alongside your strengthening.

Hands-On Every Visit

Manual therapy and soft-tissue work in every strengthening session.

5.0 out of 5
Knowledgeable PT's and very helpful in planning a program to get my balance problems resolved. I definitely recommend them.
— G.H. Google review · April 2026
5.0 out of 5
The staff is amazing and so kind. It's a great experience every time I go in. They're also very knowledgeable and do a great job explaining.
— S.W. Google review · April 2026
5.0 out of 5
I saw my primary care doctor for back and leg pain. She recommended I get physical therapy. I contacted Root Therapy and wellness. I was able to get an appointment in the next week. They did an evaluation and discussed a treatment plan. My providers were Kristi, PT, and Lindsey, PTA, they both were very respectful, explained every step and made sure I understood. Thanks to them I'm now pain free. I recommend them without reservation.
— T.M. Google review · May 2026

Frequently Asked Questions

Why isn't rest helping my elbow?
Tennis and golfer’s elbow are wear-and-tear tendon problems, not simple swelling. Rest may ease the pain for a while but doesn’t rebuild the tendon — so the pain comes back as soon as you get active again. The proven treatment is gradual strengthening, which rest alone can’t replicate.
Are anti-inflammatories and cortisone shots effective?
Anti-inflammatories may ease pain short-term but don’t fix the underlying tendon wear. Cortisone injections often give weeks-to-months of relief, but the evidence shows worse long-term results than rehab — and the tendon doesn’t heal during the break. Strengthening-based PT is the strongest long-term approach.
How long does tennis or golfer's elbow take to heal?
Tennis and golfer’s elbow are tendon problems, so they remodel slowly — pain often eases within weeks of starting progressive strengthening, while the tendon keeps rebuilding for months. Long-standing cases take longer, which is why the loading programme continues after the pain has settled.
Should I keep playing tennis, pickleball, or golf during treatment?
Often yes, with some adjustments. Stopping completely just weakens the tendon further. We help you keep playing at a manageable level while building your capacity, then add the full demands back in gradually.
Will my mouse and keyboard setup matter?
Yes — a lot. A poorly set-up workstation keeps a low-level load on the elbow tendon all day and keeps it flared. We check and adjust your mouse position, keyboard height, monitor location, and grip habits as part of treatment.
What causes this besides tennis and golf?
Plenty. Pickleball is a big one around Bozeman. Ranching, trades work, gardening, climbing, mountain-biking grip, and heavy mouse use all commonly cause these tendon problems — the names just stuck.
Do I need a referral for elbow PT in Montana?
No — Montana is a direct-access state, so you can schedule PT without a referral. Some insurance plans require one for coverage; we verify at your benefits check.

Last updated

Stuck with stubborn elbow tendon pain?

Hands-on elbow care in Bozeman with gradual strengthening that actually rebuilds the tendon. No referral needed for most plans in Montana.

Most insurance accepted, Medicare welcome · Serving Bozeman, Belgrade, Manhattan, Four Corners & the Gallatin Valley · Mon–Fri 8am–5pm

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