Conditions > Elbow Pain

Lateral epicondylitis, tennis elbow, and medial epicondylitis, golfer's elbow, are the two most common elbow pain diagnoses I see. Both involve tendon irritation where the forearm muscles attach to the elbow, and both are incredibly common in people who perform repetitive gripping, typing, manual work, or any kind of repeated hand and arm motion. The reason they're so persistent is that most treatments address the tendon in isolation without addressing the joint mechanics of the elbow, the nerve supply from the cervical spine, or the forearm muscle patterns driving the overload. At The ChiroSolution, I look at all of it.
Tendinopathy, which is the correct term for what most people call tendinitis in a chronic state, involves a degenerative change in the tendon tissue rather than just acute inflammation. The tendon has lost its normal fibrous architecture and replaced it with disorganized, fibrous tissue that is weaker and more pain-sensitive. Rest allows the acute irritation to settle, but it doesn't restore the tendon structure. The moment you return to the activity that loaded it, the problem comes back.
The cervical spine is also something I always evaluate with elbow pain. The nerve roots at C6, C7, and C8 supply the lateral and medial epicondyle regions, and when these segments are restricted or when there is any nerve root irritation, it can produce pain, hypersensitivity, and weakness in the elbow and forearm that mimics or amplifies local tendon pathology. I see this combination regularly, and patients who've only had their elbow treated often get better faster once the cervical component is also addressed.
My evaluation includes the elbow joint, the wrist, the shoulder, and the cervical spine. Our INSiGHT scans almost always show something in the lower cervical region with elbow pain patients, even when they don't have noticeable neck symptoms. That asymmetric nerve stress matters for how we approach care.
Chiropractic adjustments to the radiohumeral and ulnohumeral joints restore proper elbow mechanics and reduce the mechanical irritation at the epicondyle attachment points. When the cervical spine is contributing, those segments are addressed with Advanced Biostructural Correction. Instrument-assisted soft tissue mobilization on the tendon itself breaks down the fibrous adhesions and triggers the proper healing response that rest alone cannot stimulate.
I also give patients specific eccentric exercise protocols for the affected tendon. Eccentric loading is the most evidence-supported approach to tendinopathy recovery, and when combined with the joint and soft tissue work we do in the office, it produces significantly better outcomes than passive treatment alone. You'll leave with a clear home program that supports your recovery between visits.
Most of my elbow pain patients have a very practical goal: they want to be able to do their job, their sport, or their daily tasks without the elbow being a constant problem. That's achievable for the majority of people I see, including those who've been dealing with it for months and tried multiple other treatments.
I'll give you an honest assessment of your timeline and what the plan looks like after I've evaluated your elbow and run your scans. If your situation involves significant structural damage that would benefit from imaging or an orthopedic opinion alongside our care, I'll tell you that at your first visit. Call us at (804) 601-1730 to get started.

If you’re dealing with a flare-up, constant tension, or that stuck feeling that keeps coming back, don’t wait it out. The longer it lingers, the more your body learns the pattern. Book your appointment today, and let’s get you a clear next step.

Copyright © 2026 The ChiroSolution.