Episode Details

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Pickleball elbow can sneak up on you fast, then hang around for months and make every grip, lift, or backhand feel like a mistake. We sit down with Dr. Rosh from The Prehab Guys to get precise about what’s actually happening with lateral elbow pain, how to test it confidently, and why “tendonitis” isn’t the best label for most cases of tennis elbow and pickleball elbow.

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We walk through the practical diagnosis process you can use right away: palpation at the lateral epicondyle, Cozen’s test, pain-free grip strength, and the wrist extensor stretch that actually targets the tissue by adding forearm pronation. Then we zoom out to the common traps that keep people stuck, including workload spikes, returning to racquet sports too quickly, and technique that turns the forearm into the main power source. We also cover when lateral elbow symptoms may be coming from somewhere else, including cervical radiculopathy or radial nerve irritation, so you know when to refer out instead of guessing.

On the treatment side, we map out a clear rehab strategy built around education, unloading, reloading, and prevention, with starter isometrics, progressions toward isotonics, and smart ways to use soft tissue work, flossing, and bracing as symptom tools rather than “the cure.” We also get honest about injections: why cortisone can feel great short term yet backfire over a 6 to 12 month tendinopathy timeline, and what the current evidence says about PRP and other orthobiologics. If you’re a trainer, you’ll also hear how to build trust, reduce fear, and use a movement library to support clients between sessions.

Subscribe for more evidence-based coaching conversations, share this with a friend dealing with elbow pain, and leave a five-star review if it helped. What movement or sport flares your elbow up the most?

Perfect for:

• Pickleball players of all levels
• Active adults and recreational athletes
• Coaches and trainers
• Anyone wanting to move better and avoid injuries
• Elbow pain and elbow injuries

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