Tennis: A High-Demand Sport for Multiple Structures

Tennis is growing rapidly in Faridabad with increasing club and recreational participation. The sport places exceptional demands on multiple body regions: the shoulder (serving forces approach 1,000N), the elbow (lateral epicondylalgia from ball impact), the lower back (extension-rotation during serve and groundstrokes), and the lower extremity (ankle sprains from court movement, knee from loading during groundstrokes).

Common Tennis Injuries

Lateral epicondylalgia (tennis elbow): most commonly associated injury. Repetitive ball impact transmits force to the ECRB tendon origin at the lateral epicondyle. Shoulder impingement: overhead serving causes repetitive subacromial impingement in recreational players with poor serving mechanics or shoulder muscle imbalance. Rotator cuff tendinopathy: from the extreme demands of serving (particularly internal rotation at ball strike). Lower back pain: extension-rotation during serve and topspin groundstrokes. Ankle sprains: lateral ankle sprains from court direction changes. Patellar tendinopathy: from deceleration loading during groundstrokes.

Physiotherapy Treatment Principles

We assess the specific injury with sport-specific context: observe serving mechanics for shoulder injuries, stroke technique for elbow injuries, movement patterns for lower extremity injuries. Treatment addresses both the injury and the biomechanical contributing factors to prevent recurrence.