Tennis Elbow Treatment in Nevada City & Grass Valley, CA

Pain on the outside of your elbow can make lifting a coffee cup, shaking hands, using tools, or working out surprisingly difficult. You do not have to play tennis to develop tennis elbow—and simply resting may not restore the strength you need.

At Sierra Spine & Fitness, Dr. Craig Roberts, DC evaluates the source of your elbow pain and builds a non-surgical plan that may combine diagnostic ultrasound, hands-on care, progressive tendon loading, and selected therapies such as shockwave. The goal is comfortable grip and dependable function.

• Tenderness at the outside of the elbow
• Pain gripping or carrying
• Discomfort lifting with the palm down
• Pain using a mouse, tools, or a racket
• Symptoms with wrist extension
• A grip that feels weak or unreliable

Tennis elbow is also called lateral epicondylitis or lateral elbow tendinopathy. It commonly involves the tendon attachment of the wrist extensor muscles. Persistent cases can involve changes in tendon structure and load tolerance, rather than inflammation alone.

Elbow pain can also arise from nerve irritation, joint problems, a tear, or symptoms referred from the neck. Your evaluation includes tenderness, grip strength, resisted testing, motion, and assessment of relevant wrist, shoulder, and neck function.

Diagnostic musculoskeletal ultrasound may help assess the common extensor tendon and nearby structures when the findings would guide treatment. We interpret imaging with your examination and recommend additional evaluation when needed.

Focused or radial shockwave may be considered for selected chronic tendon presentations. Laser or EMTT may be considered as additional tools in appropriate cases. We explain the rationale and uncertainty before recommending them. The presence of several devices does not mean you need every therapy.

Dr. Roberts graduated summa cum laude and as valedictorian from Western States Chiropractic College. He holds a Bachelor of Science in Human Biology and a Diplomate in Chiropractic Neurology, with a background in strength and conditioning. Your care connects tissue assessment, nerve function, movement, and progressive exercise.

We track changes that matter: comfortable gripping, lifting tolerance, strength, and your ability to work or train. Those findings help guide treatment rather than relying on symptoms alone.

If elbow pain is limiting your work, training, or everyday grip, let us help you understand the next step. Sierra Spine & Fitness serves Nevada City, Grass Valley, and surrounding Nevada County communities.