Back to Elbow Conditions
Overuse Injury

Triceps Tendonitis

Inflammation of the triceps tendon at the back of the elbow causing pain with pushing and overhead activities

Recovery Time

4-8 weeks

Prevalence

Common in Athletes

Severity

Mild to Moderate

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Understanding Triceps Tendonitis

Triceps tendonitis is an overuse injury affecting the triceps tendon that attaches the triceps muscle to the olecranon (tip of the elbow). This condition commonly occurs in athletes who perform repetitive overhead or pushing motions.

The triceps muscle is responsible for extending the elbow and plays a crucial role in pushing movements, overhead activities, and arm stabilization. When the tendon becomes inflamed due to repetitive stress or sudden overload, it results in pain at the back of the elbow that worsens with activity.

Severity Grades

Grade 1 - Mild Tendonitis

Mild pain and stiffness after activity with minimal functional limitation.

• Pain only after intense activity • No swelling • Full range of motion • Able to continue sports

Grade 2 - Moderate Tendonitis

Pain during and after activity with some functional limitations and mild swelling.

• Pain during activity • Mild swelling • Slight loss of strength • Activity modification needed

Grade 3 - Severe Tendonitis

Constant pain with significant functional impairment and possible tendon degeneration.

• Pain at rest • Significant weakness • Marked swelling • Unable to perform activities

Treatment Protocol

1Acute Phase (0-2 weeks)

  • • Rest from aggravating activities and sports
  • • Ice therapy 15-20 minutes, 3-4 times daily
  • • Anti-inflammatory medications as needed
  • • Gentle range of motion exercises

2Rehabilitation Phase (2-6 weeks)

  • • Progressive strengthening exercises
  • • Eccentric triceps training
  • • Elbow support or taping during activities
  • • Gradual return to functional movements

3Return to Activity (6-8 weeks)

  • • Sport-specific training progression
  • • Technique modification and coaching
  • • Preventive strengthening program
  • • Equipment evaluation and adjustment
Rehabilitation Exercises

Early Phase Exercises

  • Gentle Elbow Extension: Passive and active-assisted movements (10-15 reps, 3x daily)
  • Triceps Stretch: Overhead arm stretch, hold 30 seconds (3-5 reps)
  • Pendulum Swings: Gentle arm swinging for mobility

Strengthening Phase

  • Eccentric Triceps Extensions: Slow lowering phase emphasis (8-12 reps, 3 sets)
  • Resistance Band Extensions: Progressive resistance training
  • Wall Push-ups: Modified pushing exercises (10-15 reps)

Advanced Training

  • Triceps Dips: Progressive loading (8-12 reps, 3 sets)
  • Overhead Press: Functional movement patterns
  • Sport-Specific Drills: Activity-related movements
Risk Factors
  • • Overhead throwing sports
  • • Weightlifting and powerlifting
  • • Swimming (freestyle, butterfly)
  • • Tennis and racquet sports
  • • Poor training progression
  • • Muscle imbalances
  • • Previous elbow injuries
Prevention Strategies
  • • Proper warm-up before activity
  • • Progressive training increases
  • • Regular triceps stretching
  • • Balanced strength training
  • • Proper technique coaching
  • • Adequate rest between sessions
  • • Equipment maintenance
Seek Medical Care
  • • Severe pain at rest
  • • Inability to extend elbow
  • • Significant swelling
  • • Numbness or tingling
  • • No improvement after 2 weeks
  • • Sudden onset of severe pain

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