How To Treat Your Tennis Elbow


So, you suspect you have tennis elbow and are now looking for a way to deal with the pain and heal it completely. The good news is not every elbow tendon injury or condition requires surgery. With most cases, you will notice significant improvement within 6 to 12 weeks; however it can take months in some chronic cases - even a year or more to return to normal. The more diligent you are with your treatment and rehabilitation, the faster you will see successful results.

It is generally understood by doctors and surgeons, that surgery will introduce more scar tissue into the elbow tissue. This added scar tissue will be problematic, requiring PT and conservative treatment options post-surgery. If not dealt with properly, your elbow and tendon tissue could end up in worse condition than before the surgery! This is why surgery is only performed as a last resort for chronic elbow injuries or a fractured bone that won't heal with conservative treatment methods.

Unlike some other soft tissue injuries, treatment for Tennis Elbow remains consistent between most medical professionals (doctors, orthopedic specialists, and physical therapists). "Most cases of tennis elbow are treated without surgery - less than 5 out of 100 tennis elbow cases require surgery." (Tennis Elbow Surgery: WebMD.com. 21 Jan. 2011.)

doctor consultation tennis elbow

Except for specific cases (ie. major tears or a rupture), Tennis Elbow surgery is not even considered until all conservative treatment options have been exhausted. Doctors, orthopedic specialists and physical therapists will advise that you must try at least 6 to 12 months of conservative treatments with no indication of improvement before surgery will even be considered.

If you are unsure about whether you need surgery on your elbow, you may want to read through our "Do I Need Surgery Page, here.


Common Conservative Treatment Methods Recommended Include:

  • Rest - This is important for initial recovery; rest and elevation will help reduce pain, swelling and inflammation in the early stages of injury. This can be difficult when you have to carry on with daily activities, but resting and elevating your elbow whenever you can is recommended. During your recovery you will probably have to modify or avoid the activities that put stress on your elbow until your pain and inflammation settles. However, too much rest can also be harmful, as elbow and ankle immobility can actually cause stiffening in the joints. This is why rest should be used when reducing initial pain and swelling, but should not be considered for more long-term conservative treatment.
  • Avoid Activities that Caused Your Elbow Injury - While resting your injury it's also important to avoid all activities that may have caused your elbow damage (especially any strenuous or repetitive movement). Continuing on with regular activities can increase the severity of your injury, turning a mild to moderate case of tissue damage into a downward spiral that can often severely impact your life. Also, trying to 'work around' your injury will eventually give rise to over-compensation injuries in other areas of your body.
  • Use a Cold Compress or Ice Pack - Cold is very effective at reducing pain and inflammation - use at the onset of the injury and during flareups.
  • Use an Elbow TShellz Wrap® - Once swelling has been reduced, you can use your own blood flow to maximize your rehabilitation. Improved blood flow to your calf muscle and achilles in most cases will help improve recovery time while improving overall health of soft tissue in the area. Promoting blood flow and heat to the treatment area will help to minimize the growth of scar tissue, increase flexibility and help prevent atrophy. We feel this is a key addition to a conservative treatment plan, even for working with chronic tendon & muscle injuries or on-going pain and stiffness from a strained elbow joint.
  • Rehabilitative Stretching under supervision of a PT or doctor. The intent of this is to provide you with increased range of motion, pain relief and strengthening of the surrounding tissue of the joint. Doctors or surgeons typically won't perform a surgery until they feel that their patient has put effort into treating their injury with conservative treatment methods. This may include up to 4 to 6 months of visits to a PT clinic. If you haven't experienced any improvement in your condition during that time then surgery may be considered. Agressive PT approaches will focus on forced or manual manipulation of your elbow joint - this means your physical therapists will be trying to move your elbow past the point of comfort as they strive to increase range of motion and prevent further atrophy.
  • Stretching - Stretching your joint in PT and at home will help you to regain your range of motion much faster than not stretching at all. Stretching in many ways is key maintaining good Range of Motion (ROM) in your joint, and stretching can be made much easier with use of a TShellz Wrap® before to warm up soft tissue, and a Cold Compress or Ice Pack treatment after to prevent any return of swelling and inflammation.

For acute (new or recent) elbow injuries that have the ability to heal on their own - your doctor may even suggest use of a removable sling. This can be helpful to prepare you for PT sessions and mobility exercises.

However, prolonged use of a sling or long-term rest (restricted movement) without proper exercise or stretching can make your elbow condition worse (and also affect shoulder mobility). If your arm remains completely immobilized and at constant rest, the edges of your soft tissue tear will begin to fill in with scar tissue as part of the healing process. You may also have on-going symptoms of pain, swelling, inflammation, and even poor blood flow circulation.


In some cases, physicians may recommend drugs or medications like NSAIDs (non-steroidal anti-inflamatory drugs) to manage pain and inflammation. Alternative medications like steroid injections directly into an extensor tendon are less likely to be advised nowadays than they have in the past, as there is an increased risk of rupture of the tendon following such an injection.
(reference: American Academy of Orthopaedic Surgeons)


What About Surgery?

It is true that 5% to 10% of all people suffering from Tennis Elbow may need to undergo surgery. The other 90 to 95% of all people will recover from their Tennis Elbow symptoms within 12 months of consistently using conservative treatments. (source: WebMD)

Before surgery is even considered, your physician will advise many months commitment to a conservative treatment program at least 6 consecutive months. Why so long? Your doctor will encourage you to stick to your at home treatments, your body has the ability to heal all on its own. In most cases time is needed for the tissue to form and be healthy enough to cope with our busy lifestyles. Surgery is only the last resort for the elbow! This is because the elbow joint is very flexible and the skin is thin. This flexibility stretches the tissue and lack of blood flow makes damage to the tissue very hard to heal.

Tennis Elbow open elbow surgery - 90% of people suffering from Tennis Elbow can heal through conservative treatment methods.

Learn more about Do I Need Surgery?

If Conservative Treatment Fails

If you continue to suffer from persistent pain, weakness or recurring inflammation after trying conservative treatment options recommended by your physician, you may require a surgical option. Although rare overall, this is more common in tennis elbow than golfer's elbow.

The type of surgery you require will depend on the size, shape and location of your injury. This will be completed through day surgery; however it will require extensive rehabilitation utilizing the preliminary treatments noted above. PT and strengthening normally begin about 6 weeks after surgery.

Before Surgery

The use of a Cold Compress or Ice Pack, TShellz Wrap® Treatments, and PT will all aid you in preparing your elbow for surgery. Strengthening your arm before surgery is generally recommended as it will increase your odds of a successful recovery.

Post-Surgery

Surgery is not the end of the journey with your elbow recovery, but another new chapter that has it's own challenges. It is quite possible that your arm may never gain 100% of the complete function and range of motion you had before surgery but through utilization of correct and physician recommended rehabilitation protocols you will get as close as you possibly can. After surgery, you will undergo another 6-12 months of conservative treatments to help heal your arm.

Your surgeon should provide a treatment plan to help you regain normal use as soon as possible. Speak with your physician about adding the Elbow TShellz Wrap® as part of your conservative treatment protocol during your post-surgery recovery period. (only when your physician gives the ok - typically 6 week minimum)

Learn more about Post-Surgery Rehabilition and Recovery for your Tennis Elbow Surgery

Learn more about Tennis Elbow Surgery


Tennis Elbow Supports and Exercises

Your doctor may encourage you to use a tennis elbow cuff, sling or brace. The brace or cuff gently adds compression to the muscles in the forearm to support the tendons in the elbow. Most physicians caution you in not wearing the elbow brace too frequently, as elbow tissue is then not allowed the time to heal. In some cases, prolonged use of a brace may cause increased secondary conditons such as pinched nerves and interruption to the blood flow to the joint.

Restoring Your Elbow's Flexibility and Strength

PT is a very helpful way to decrease pain in the soft tissue, restore strength to atrophied muscles and improve elbow, forearm and wrist strength and mobility. Your physical therapist will start you on a program will be tailored for your tennis elbow injury.

Once your pain starts to reduce, a physical therapist will also set up an individualized arm and shoulder strengthening and stretching exercise program for you to perform at home or in the gym.

This will be based on your needs and abilities, and will help you return to performing your normal routines.

A trained physical therapist will help to ensure your rehabilitation process is effective. For best, long term results use the TShellz Wrap® before undergoing PT to gain residual elongation and extensibility of collagen tissue. (reference: Chapter 9 of "Therapeutic Heat and Cold", 4th edition [amazon.com link] Ed. Justus F. Lehmann, M.D., Williams, and Wilkin)

cycling elbow injury wrapping
woman elbow wrist curl freeweight gym

As you start to return to your activities, it is good to gauge how well you are using your arm in these activities to determine if you can decrease stress on the injured tissue. This may involve changing your technique for sports, for example using a two-handed backhand instead of a one-handed backhand in tennis, or using a properly weighted racquet (which will take stress off your forearm muscles).

You may also need to change equipment you use at your job or at home to help you perform tasks more effectively and safely. You may opt to start taking a taxi temporarily. More frequent short breaks (and even stretches) at work are usually very helpful, as this allows your body a chance to relax and take some strain off your stressed soft tissue.

It is important to speak with a medical professional or occupational therapist to get more information about proper equipment, procedures and tools necessary for the specific activity you participate in or the office/work setting you work in during your normal daily life.



Lifelong Health

The best way to manage the health of your body is to understand the tools for a healthy lifestyle. Using proven conservative treatments, alternative treatments, protection, and self-management (diet, rest, exercise), you can proactively manage your own recovery. Your lifelong health depends on your commitment to living a healthy and safe lifestyle.

You may have to modify some of your activities or movements during your recovery to ensure the long term health of your elbow. Even if you are already feeling less pain and greater mobility, you need to continue with your treatment plan. Until your elbow is healed, you are still at risk for further damage. Keep in mind, the longer you wait to treat your Tennis Elbow injury, the greater the potential for re-injury or for permanent damage to occur.

Most often, Tennis Elbow injuries are developed after ignoring your body's warning signs. Masking pain and immobility or continuing strenuous repetitive movements cause micro tears to form in your tendons. If your body is not given a chance to heal, scar tissue will form. This weak, inflexible tissue will cause chronic Tennis Elbow symptoms that include constant pain and functional restriction.

Tennis Elbow Rehabilitation Exercises

Most cases of Tennis Elbow are completely treatable by conservative treatments. If you want to continue to enjoy your activities, sports, or have a physically demanding job, committing yourself to a conservative treatment routine, as soon as possible, will increase your chances of a full recovery.


The more committed you are to your recovery, the faster you can return to your active lifestyle free from pain and immobility.


Tennis Elbow Injuries Not Only Affect the Elbow - They Can Lead to Other Conditions and Injuries.

Every time we use our injured elbow - damaged and swollen tendons and muscle tissue move; when they are inflamed, every movement hurts. With injured tissue, pain happens - sometimes a LOT of pain, so we try not to move it. So, when doing something we need to use our elbow for (getting dressed, driving, talking on the phone), we start to use the shoulder and wrist more. If we can, we use our other elbow instead even though it is inconvenient.

A couple days later (after purposefully avoiding movement of our elbow), the pain has gone down (as well as the swelling) and this is where the trouble begins! The pain disappeared with the swelling but we still aren't fully healed! Not knowing this, we start using our elbow normally again and then the injury swells up again like it did before - all because the injury wasn't fully healed in the first place. We continually re-injure our tennis elbow through our daily activities and now this injury has become chronic, continuing to worsen week after week.

Eventually, we use the other elbow more and more. This is why the elbow and opposite shoulder start to hurt - they are being overused now. Soon, aches and pain can become commonplace in the upper body - all as a result of the orignal elbow injury and the body's instinctive nature to "protect" it - all because the injury wasn't fully healed in the first place!

We continually re-injure our elbow through our daily activities and now this injury has become chronic.

Muscle imbalances result, placing tension on bone and softer tissues - leading to a misalignment within the upper body. The extra stress on the opposite side of the body will also result in weakness and fatigue of the tissues - increasing the chances they can eventually be injured or gradually degenerate. This is a textbook example of how you get an overcompensation injury. In some cases, physical therapists warn that overcompensation can be very dangerous as it will affect gait or alignment on a permanent basis.

An injury to one elbow can easily lead to straining in other areas, making an overall recovery hard to initiate. For example, a serious muscle strain in the right elbow can often lead to over-straining of the left elbow. Most commonly, the injury occurs on the dominant side, so the risk of straining the other (weaker) side increases. The longer the injury (and corresponding pain) persists, the greater the chance that you will sustain more strain from overcompensation, eventually leading to issues in those areas as well. To minimize potential secondary injuries, know that it is important to deal with your tendon/muscle injury quickly and completely.

Truly, tennis elbow injuries can become long term debilitating injuries of recurrent, cyclical damage - which is why it is absolutely critical to focus on methods that improve and strengthen the injured tissues in a timely manner. The faster you truly heal, the less chance you have of sinking into a downward spiral of re-injury, scar tissue growth and overcompensation injuries.


Non-Surgical Tennis Elbow Treatments

Your initial treatment should involve decreasing any swelling, relieving any pain and stress on the elbow, correcting any bio-mechanical dysfunction, and then restoring strength and mobility to your injured elbow. It's also very important to follow any instructions you receive from your physician.

Allowing your elbow to rest is recommended following injury, however, some careful arm movement is required to prevent the joint from freezing and losing range of motion. See your doctor or physical therapist for stretches that will not cause further injury to your elbow and avoid activities that may have caused the injury or irritation.

The trick to healing your injury and getting your elbow back in the best possible condition you can is getting it to heal with minimal scar tissue. Even with optimum healing, there is always less elasticity in previously injured tendons, muscles and ligaments; however, if you heal your tissue properly and treat scar tissue build up, your chance of re-injury or chronic elbow conditions later on is much lower than average.

As we mentioned earlier, steroid injections may provide temporary relief from the pain of tennis elbow, tendinitis, bursitis, and other injuries but they should generally be avoided as they weaken the tendon and may lead to a rupture. If you do opt for an injection, doctors usually recommend that you do not participate in strenuous activities for several weeks to reduce the risk of a rupture.


Okay, So I Have an Elbow Tendinosis Injury...What Should I Do Now?

Stage 1:

If the elbow injury is very recent - use a good quality cold pack and Arnica Pain Relief Cream.

If the injury has been going on for awhile and there is no swelling, skip to Stage 2 below.

Recommendation 1: If you are experiencing pain and swelling in the very early stages of the injury (first 48 to 72 hours), the first step in a conservative treatment protocol would be to focus on reducing the discomfort by applying a quality cold pack to the injured elbow along with a high quality pain relief cream such as our Arnica Infusion Cream. True Tennis Elbow means tendinosis, and notably, tendinosis is a condition that generally experiences little or no inflammation; therefore for chronic tennis elbow cases, you will generally find that cold to be ineffective as there is little to no inflammation to begin with.

Not only will you use your cold pack for the first 48 to 72 hours after the injury, but you should also use it during other stages of the healing process, especially:

  • after any activity that stresses the elbow in a moderate way. It is wise to quickly apply cold to not only reduce the pain, but to also minimize tissue damage that may have occurred during the prior event.
  • If you have a job that requires you to place some demands on your injured elbow. If that is the case, use cold immediately following work and if the opportunity allows - use it for 15 to 20 minutes during lunch or another break time.
  • If you are in a post-operative situation where cold compression would be utilized heavily for at least the first few weeks following the procedure. Similarly, if you are scheduled for upcoming surgery, then you will need a high quality cold device to use.

Having a Cold Compress or Ice Pack available at home to use if and when the need arises is helpful. Many of you already do so.

However, too many people over-focus on cold while ignoring the most critical aspect to healing - nourishing the injured tissues with a healthy supply of blood flow needed to repair and rebuild the injured tissues.

This leads to the most important recommendation - Stage 2...

Stage 2:

Focus on Increasing Blood Flow To The Injured Tissue - As This is The ONLY Way It Will Heal For the Long-Term

Even though the concept is simple, improving blood flow to injured tissues can be difficult. When the injury is elbow related, the challenges are even greater. Traditional methods require your muscle to move to promote blood flow (exercise), but that same motion that promotes blood flow can at times lead to making your pain and condition worse.

  • Have you reinjured your elbow by returning to work too quickly?
  • How many times in the past have you aggravated your elbow just trying to perform basic tasks around the home?
  • Is your debilitated elbow preventing you from work or activities you love to do?

Most people we deal with tell us these scenarios have happened to them many times in the past. Perhaps it has already happened to you.

Promoting blood flow within a muscle or soft tissue injury to help the body heal itself is a concept that has been utilized for centuries. This is where the focus has to be if you are seeking long-term improvement.

Oxygen and nutrients, carried within the blood, are critical for the body to heal itself. Without proper blood flow, recovering from an injury or condition will be delayed...sometimes for a very long period of time.

The real challenge is how do you promote blood flow to the elbow injury site without causing further injury? This goal is further complicated by the fact the elbow (and muscles controlling the elbow joint) are involved in the majority of the physical movements we perform each day.

Now, for Recommendation 2 in the journey to heal your tennis elbow...


The Elbow TShellz Wrap® - Heal Your Elbow For The Long Term

The best option we came across in our research to accomplish true healing of elbow injuries is the Elbow TShellz Wrap®. Use of this device results in a dramatic increase in blood flow to the injured tissues located deeper within the body - all in a non-invasive manner.

Have you seen what happens when you add water to a flower wilted from drought? In essence, your injured elbow is much like a "wilted" flower; your body wants to heal its injury, but needs lots of nutrients to do it. Blood brings life to your tissue by delivering healing nutrients and oxygen that are vital for their growth and survival. Without a good supply of blood, your elbow simply won't heal properly.

Using a TShellz Wrap® will not expose you to the risk of causing further harm to soft tissue like you can when using rigorous exercise. The Elbow TShellz Wrap® accomplishes the goal of enhanced blood flow without the need for intensive exercise and as such reduces your risk of re-injury.

Using the TShellz Wrap® is truly a unique experience. Within moments of applying a treatment to your injured elbow, you can feel the healing sensation due to the increase in blood flow deep within the area. During a treatment, and for quite some time after you finish, the treated area will feel relaxed and less painful. It's a very soothing sensation and extremely effective.


Who Should Use the Elbow TShellz Wrap®

We recommend the use of an Elbow TShellz Wrap®:

  • If you have bursitis, tendinitis or other soft tissue damage in your elbow, then the Elbow TShellz Wrap® will provide the all-important function of boosting blood circulation where it is needed most.
  • If you are dealing with soft tissue conditions affecting your range of motion.
  • If you have a chronic elbow soft tissue condition that has lasted for years- this device is intended to kick start the recovery process and help strengthen the surrounding and supporting tissues.
  • If you are still working with a strain in the elbow region or mild tear, the TShellz Wrap® will help relax tissue in the area prior to work and after a day at the job.
  • If you are still trying to enjoy your favorite activities such as gardening, tennis, golf, etc - use the TShellz Wrap® prior to activity to help reduce risk of re-injuring or re-aggravating those targeted tissues.
  • If you are suffering from bursitis and want to treat a major source of it (inflammation and damage to tissue surrounding the bursa sac). Through trauma, overuse or degenerative changes, muscle and tendons surrounding the bursa sacs will tighten and constrict. When they do, they place pressure on the bursa, causing it to become irritated. Applying a TShellz Wrap® to the area will help relax tissue in the treatment area, taking pressure off the bursa.
  • If you are experiencing atrophy in the elbow and want to reduce the chance of re-injury while stretching - this is a perfect treatment to use before activity, by enhancing blood flow and elongating tissue in the application area.
  • If you have been to a clinic for some form of massage or stretching and your PT or physician has recommended conservative treatments for home.
  • If you are experiencing tightness in your muscle(s) and want to reduce the chance of re-injury while stretching - we recommend the use of a TShellz Wrap® before you stretch.

Increased Blood Circulation = Increased Healing Capability


TShellz Wraps® contain a unique Carbon Fiber Energy Pad which is flexible and will shape to conform to your body. This Energy Pad emits a uniform wave of perfectly safe energy over its entire surface. This energy is absorbed by soft tissue in the treatment area, opening blood vessels, resulting in an increase in blood flow. Increased blood circulation is what your body needs to accelerate the healing of soft tissue and this is why we recommend the TShellz Wrap®.

The TShellz Wrap® is an FDA Registered Medical Device and is suitable for use in therapeutic clinics and FROM HOME. It is completely safe for people and patients to use for themselves.

The technology found in a TShellz Wrap® has been used for decades in the worlds of professional and amateur sports - a contributing factor as to why athletes seem to recover from injuries so quickly.

Have you ever wondered by an athlete can return to activity after 3 or 4 weeks following a soft tissue injury - while your average person takes much longer to return back to normal? The secret isn't really that much of a secret - it involves consistent treatments (meaning multiple times a day) using a treatment like the TShellz Wrap® to stimulate blood flow to the injured tissues. Most athletes have the luxury of using in-house facilities many times per day.

How many us can afford the time and money to visit a clinic multiple times a day? Very few indeed. This is how you can gain some of the advantages that athletes enjoy in their injury recovery - by using a device like the TShellz Wrap® two or three times a day on a consistent basis.

T•Shellz Wrap back of shoulder coverage

Consistent Treatments = Consistent And Long Term Improvement


What Else Makes the TShellz Wrap® So Special?

We believe the TShellz Wrap® to be one of the most effective home treatments to increase localized blood flow in and around the treatment area.

We can promise that you will receive a product that is designed to be safe and does what it is supposed to do... reduce pain (as stated in "Therapeutic Heat and Cold", 4th edition. - Ed. Justus F. Lehmann, M.D., Williams, and Wilkin) temporarily increase length & flexibility of soft tissue (as stated in "Therapeutic Heat and Cold", 4th edition. - Ed. Justus F. Lehmann, M.D., Williams, and Wilkin) and aid your body in recovering from tendon, muscle and other soft tissue injuries via enhanced blood flow.

The unit plugs into a standard wall outlet to get its power. The nice thing about the power supply is that the same unit can be used in North America and overseas as well. It has the capability to operate between 110v and 230v.

The TShellz Wrap® has a special signal controller that can be set for 3 different power levels of application (3=High, 2=Medium, 1=Low). The cord is long enough that you can sit or lie comfortably and watch TV, read or surf the net while you're using it.

Treatments are max 30 minutes in duration and the device can be worn over clothing. This allows you to use the device at work, at home, or really anywhere you have access to an electrical outlet.

common areas for knee bursitis


When Should I Use My TShellz Wrap During the Day?

The most common question we receive from individuals prior to purchasing is - how many times a day should I be using my elbow wraps and when should I be using them? While treatment plans will differ for each individual and their specific injury, there are general guidelines that should be adhered to.

  • Use a Cold Compress or Ice Pack when you are experiencing inflammation (usually after exertion or movement of the injury area).

The Elbow TShellz Wrap® would then be used:

  • Right after rising from bed in the morning (as this is when it is most stiff)
  • Prior to going to bed at night (to relax the arm, allowing for better sleep)
  • Before you know you will be using your injured joint (going to work, driving, typing, etc).


Stage 3 - In Between Treatments With TShellz Wrap®, Apply Our New Fast Acting Pain Relief Cream Called ARNICA INFUSION

Dealing with aches and pains affecting the foot, ankle, leg, knee, hamstring, hip, back, arm, shoulder, elbow, wrist, or hand? If so, then applying the Arnica Infusion to any of these targeted areas will bring about fast relief from the pain and sore tissues. Simply apply a small amount of cream to the body and moments later, you will experience a soothing and comforting sensation over the area.

Arnica Infusion is specially designed to relieve pain due to sore muscles and joints associated with arthritis, backaches, sprains, strains, and bruises. No matter if you are dealing with an acute injury, chronic pain, or a general "flare-up" - you will experience fast relief from pain and inflammation.

This is a product that many of our current MendMeShop customers asked us to develop. So we focused our time and resources over the past few years and came up, with we believe, will be one of more effective, fast acting, topical pain relief creams on the market.

You are likely familiar with some of the standard topical agents on the market as most of our customers use them. The are even mass marketed and found in most department stores now.

Well, we are here to say that Arnica Infusion goes many steps beyond what they offer.

Made in the USA at an FDA registered manufacturing facility, you can be assured that Arnica Infusion is both safe and effective. We only source top grade ingredients while implementing strict quality control checks during every step of the production process. Expect the same high quality that MendMeShop customers have been accustomed to since we started the company in 2005.

The "Cool Blue" formula is the perfect balance between the smooth application of a cream and the effective absorbing factor of a gel. It is not too thick and not too thin - just the right texture. Best of all, it feels very nice on the skin!

mendmeshop arnica pain relief cream

Each application of Arnica Infusion feels so comforting and soothing, we are certain it will become an item you will not want to live without.

Arnica Infusion Ingredients

The Arnica Infusion formula is based on a combination of scientific research and the use of high quality ingredients. The properties within the formula were chosen for their pain relief, anti-inflammatory, and soothing qualities. The acting ingredients within the formula include ones many of us are familiar with; along with ones that have not received a lot of publicity (only in research circles). Extensive testing resulted in a blending of ingredients that provides the most synergistic of benefits.

The notable ingredients in the Arnica Infusion formula include:

  • Arnica - powerful anti-inflammatory, speeds recovery, enhances circulation
  • Menthol - provides deep penetrating pain relief with a nice cooling sensation
  • Vitamin B6 - promotes normal nerve function
  • MSM - supports healthy connective tissues, anti-inflammatory
  • Ilex Leaf Extract - increases circulation, skin conditioner
  • Vitamin E - anti-inflammatory, enhances circulation, hydrates the skin
  • Aloe - anti-inflammatory properties, soothes the skin
  • Tea Tree - enhances penetration of ingredients

Extensive quality control procedures during the manufacturing process ensure the ingredients and final product are both safe and effective. We would not stake our reputation on anything but the best.

When Do I Apply the Arnica Infusion?

While At Work

Apply Arnica Infusion at work to help reduce acute discomfort associated with overuse of muscles and joints. No matter if you are in a physical demanding job or work within an office environment, you will be placing stress on different parts of the body and aches and pains will result.

Before Or After Work, Sports, & Activity

If you suffer from a sprained ligament, pulled muscle, strained tendon, or even bruising - apply Arnica Infusion for quick relief of the pain.

Chronic Pain Suffering

Application of Arnica Infusion can be done up to a maximum of 4 times per day on a consistent basis to help bring about relief from various pains and aches.

In-between Treatments With the TShellz Wraps®

Follow up your TShellz and cold treatments with an application of Arnica Infusion. Combine the pain relieving benefits of Arnica Infusion along with the healing benefits of the wraps to make your recovery go much more smoothly.

Do not apply Arnica Infusion within a 2 hour timespan before a TShellz Wrap® treatment.

Whether you decide to use the Arnica Infusion in conjunction with the T-Shell and other treatments - or if you decide to use the cream as a stand-alone product - you will not be disappointed with the results. We guarantee it.

This now concludes the 3 stages of healing..



A Note On OverCompensation

Since you are reading this, you probably know that serious elbow tendinosis injuries do not just disappear. Over time, they usually wreak havoc on your shoulder & wrist due to lack of movement and over-compensation. It will also wreak havoc on your opposite elbow due to overcompensation. Recovery takes a longer time for such chronic (long term) injuries, but proper healing is essential to regain strength and get you back to the activities you enjoy.

The longer your injury endures, the greater the risk of running into serious overcompensation injuries.

To Stop Re-Injury & Reduce the Risk of a More Serious Overcompensation Injury, You Need to Heal Quickly & Completely!

Anyone in need of rapid recovery and complete healing must consider a comprehensive treatment plan that includes an effective means to minimize swelling and inflammation yet also stimulate healing and tissue elasticity. We have found no better set of tools that can be used at home than this:

Conservative Treatment Tools Our Clients Have Used to Help
Limit Damage & Boost The Body's Soft Tissue Repair Process at Home:

  • A Cold Compress or Ice Pack to reduce inflammation in the forearm and/or elbow area (as soon as possible).
  • An Elbow TShellz Wrap to increase blood-flow to the treatment area (Circulatory Boost).
  • MendMeShop Arnica Pain Cream for temporary relief of pain due to sore muscles and joints.
  • An Exercise & Stretching Plan to prevent muscle atrophy and shortened tendons. A proper plan will increase elasticity and strengthen the muscles and tendons in the wrist, forearm, elbow, upper arm and shoulder.

Conservative treatment tools just like these have been used successfully by thousands of Elbow Injury sufferers - just like you.


MendMeShop Online Shop


TShellz Wrap® = Enhanced Blood Flow in the Treatment Area

 

We believe the use of TShellz Wraps® for boosting blood flow to soft tissue in the area of application is one of the most under-utilized home treatment options available on the market today. We have client after client that have tried many options out there and have been amazed at how effective and fast the TShellz Wrap treatment can relieve pain and increase blood flow in soft tissue.

With regular use of the Elbow TShellz Wrap:

  • Your pain will be reduced*.
  • Due to increased blood flow, soft tissue in the treatment area on the arm or leg will be expected to recover at an accelerated rate with reduced potential for re-injury*.
  • Tissue in the treated area should experience a larger range of motion and increased extensibility of collagen tissue* due to the heat effect on soft tissue. This should translate into a reduced rate of re-injury occurrence as soft tissue is known to lengthen and become more flexible when exposed to warm temperature. (*Chapter 9 of "Therapeutic Heat and Cold", 4th edition. (amazon.com link - Ed. Justus F. Lehmann, M.D., Williams, and Wilkin)


Click HERE to Go To Our Online Store If you have questions, call our office at 1-866-237-9608 (toll free continental US).



Our Devices Are Not Only Used To Help Heal Active Injuries - They Can Also Be Used Post-Operatively During Your Elbow Surgery Recovery

Doctors and Surgeons are always improving the techniques used in surgery, and results from surgery now are much more positive than they were in the past. However, all surgeries introduce scar tissue, and recovery from elbow surgery can be less than ideal and take longer than anticipated.

If you do wind up getting surgery, know that rehabilitation at-home while attending regular PT or doctor appointments is vital for your overall recovery.

Consistent exercise and conservative treatment on a daily basis during your rehabilitation while working with your doctor or physical therapist is key. This is why you should seriously consider maximizing your recovery by using the TShellz Wrap® at home once you are approved for PT.

The more consistent you work at enhancing blood flow to surgically repaired soft tissue, the more consistent the healing process will be. Nourishing the tissues will more oxygen and nutrients (which are carried through the blood stream) will give the body a better ability to produce new, healthy collagen. In effect, you will help the body produce stronger tissues while potentially reducing the number of setbacks that can occur following surgical procedures.

elbow T•Shellz Wrap

Click HERE to Go To Our Online Store We take all major credit cards and Paypal.
If you have questions, call our office at 1-866-237-9608 (toll free continental US).
We are currently offering FREE SHIPPING and a 60 day trial period on all our Wraps.



Key Points To Keep in Mind When Treating Your Elbow Injury

Make Sure That Complete Healing is Your #1 Goal

We all know that if the injury was healed, the pain would go away but what about the opposite situation? If the pain is gone, does that mean the injury is better? Unfortunately, this is not always true.

Too many people only focus on suppressing pain symptoms while providing less attention to the true healing aspects of the body. Experiencing less pain, while obviously a good short-term goal, never equates to underlying healing. Scar tissue can remain for months after one gets to a point of being relatively pain-free. However, as long the weak and brittle scar tissue remains, you are susceptible to re-injury or re-aggravation. Certain motions or movements can cause the weaker tissue to easily tear - resulting in some reversal of the recovery up until that point.

This is why we recommend for people to continue with their doctor or therapist recommended exercises and to continue with mild treatments of the TShellz Wrap® for a period of time - to better ensure complete healing.

pain is often a culmination of numerous factors which often include repetitive stress, high load issues due to excess weight, and/or overcompensation issues resulting from other muscle and soft tissue ailments.

It may take weeks or months for these pain triggers to surface, but when they do, merely resting will not solve the underlying issues. You need to utilize options that actually treat the source of the pain and help reverse the damage that has been done.

Resting has a role to play, but it is only one small factor in a recovery plan.



We Receive Calls All the Time
From Customers Who Simply Want To Thank Us For Introducing Them To Our Amazing Products!

Let me tell you, we appreciate all the feedback we have received over the years. We have had many medical professionals, athletes and everyday people call and write to tell us about their positive experiences with our devices and the company in general. It never gets old hearing about the successes and it provides us with the motivation to continue doing what we do best - provide individuals with options to heal from the comfort of their own home.


Below is a small sample of some of the Customer Service comments we have received from customers...

The Best Service by Far!

The service from the Mend Me Shop is by far the best you could ever hope for. I have spoken to Paul on numerous occasions and his knowledge is very much appreciated.

Do not hesitate to order from this company. Their products are made well and work. Their customer service is the best you could ever hope for.

Charlie, North Carolina, USA

I have called the office and received helpful guidance. Really appreciate the help and so glad I found your products!

D. McBride, USA

I really appreciate y'all emailing and responding. I'm in business myself so I know the importance of customer service. Your company has done a superb job and it's really appreciated. I know it takes a lot of time but it's very well worth the time you spend.

C. Vickers, USA

Thank you, too, for the personal attention to your customers. A rarity, in today's world!

L. Anderson, USA

You guys are tremendous. I was overwhelmed by your speed and thoroughness regarding my problem.

T. Kienlen, USA

Thanks again for your wonderful products and support.

J. Sese, USA

The cost seemed minimal compared to what I had already spent at the doctor and physical therapist.

P. King, USA

The fact that you guys are there for us every step of the way matters as well. Your company is wonderful and that's a rarity these days.

M. Callahan, USA

Thank You so much superior service as well as unprecedented guarantee.

D. Hunzicker, USA


If you're tired of being told that resting, drugs and surgery are the only answers to your bursitis injury.... Be optimistic, because there are effective alternatives for you.


The Reasons For Our High Success Rate - Our Customers!

tshellz shoulder treatment

We never claim our products will work for everyone. That is simply impossible to achieve. Everyone has a different capacity for healing and different circumstances behind their injuries and/or conditions.

In addition, some people may have a hard time sticking with recommended protocol in order to achieve benefits from our devices. Quite simply, our clients that have had successful outcomes have made a small effort to invest 60 minutes a day into the program. If you do the same, chances are you will be very happy with the outcome.

We have helped thousands of clients since 2006 and since the introduction of our TShellz Wraps®, our refund rate has been very low - currently running consistently below 5%.

That means that for every 100 people who try our products, 95 of these individuals are happy with the results these products provide. Odds are certainly in your favor that you too will achieve a happy outcome. This fact alone speaks volumes to the effectiveness of our solutions and with a full 60 day money back guarantee on our wraps, there really is no risk in trying.

Right after you place an order, email us and we will have a plan developed immediately so you will be able to get started upon arrival of your parcel. We can't promise you miraculous results, however, we do promise to do everything we can to help you with your condition.

Everything you have read up to now has hopefully given you some hope.

However, words are meaningless unless a company stands strongly behind the products they sell. This is what sets us apart from others...we offer people a comprehensive, 60 day, full 100% money back guarantee. We take on all of the risk because we know our products work well for the overwhelming majority of people who purchase them.


We Will Support You Every Step of the Way

You are never alone when making a purchase from us. When we say we stand behind our products, we truly mean it!

If any question or concern arises, simply send us an email at any time (we check our emails constantly all throughout the day and night - even on holidays!). We will respond as soon as possible.

Click HERE to Go To Our Online Store We take all major credit cards and Paypal. If you are on your mobile phone, Click to Call Our Office (toll free continental NA).

Simply call toll free 1-866-237-9608 to place an order with one of our knowledgeable Product Advisers. They have the ability to answer all your questions...ensuring you only receive the products you need.

Product Advisors are available 9:00 am to 5:00 pm Eastern Standard Time Monday to Friday.

North America Toll Free 1-866-237-9608

Outside North America +1-705-532-1671


We Stand Behind All Our Promises With An Iron-Clad Guarantee

  • Guarantee #1

    Use your products diligently for up to 60 days and you will experience a significant reduction in pain. If not, I encourage you to send back the items for a no-hassle 100% refund.

  • Guarantee #2

    You will not be left in the dark after purchasing any product from us. AidMyTennisElbow Advisors and Product Specialists are available Monday to Friday by toll free phone or email to answer your questions or concerns.

  • Guarantee #3

    Your order is guaranteed to be shipped within 24 hours on every business day.

  • Guarantee #4

    All purchases receive a one year, full replacement warranty with guaranteed, prompt service.

  • Guarantee #5

    You could save hundreds of dollars and possibly more, by utilizing our products, and getting back to work sooner.

  • Guarantee #6

    Everything You Read on this Site is Absolutely True. Unlike us, companies not registered by the FDA can state anything they want about their products. Because we are FDA registered, you can rest assured that these products do exactly what we say they do.


We Can Get You Started For Less Than The Cost Of A Few PT Treatments

Think about it – you can now have the ability to treat your pain from the comfort of your own home while saving money in the process. Best of all, you are fully protected when making a purchase from us as we offer a no-hassle 60 day, full money back guarantee.



The Next Step Is Up To You!

Living with pain is never easy as it affects your entire lifestyle. Nothing is more important than making the proper decision when it comes to treating your muscle injury. Most methods only mask the problems or provide temporary relief; they do not treat the pain at its source.

AidMyTennisElbow stands out in this regard as our goal is to help you heal for the longer-term.

The bottom line is, you are welcome to try our products for a full 2 months. If you do not receive the benefits that others have experienced, simply return your purchase back to us and we will issue a prompt & full refund. There will be no hassle and no hard feelings.

Are You Now Ready to Properly Heal Your Tennis Elbow? Let's Make It Happen...

The fastest option you have to get our product into your hands as soon as possible is by placing your order online..

Place your order on-line through our secure website by clicking the image below:

order our pain products securely on-line

Or, Call Our Office. We are open Monday to Friday to allow you place an order over the phone. Simply call toll free 1-866-237-9608 to place an order with one of our knowledgeable Product Advisors. They have the ability to answer all your questions...ensuring you only receive the products you need.

North America Toll Free 1-866-237-9608
Outside North America +1-705-532-1671

guaranteed customer satisfaction

If you choose to order through our online shop, know that we keep no credit card data on file. Once the transaction is completed, the credit information disappears from our internal systems.

As you can see, ordering from us is a very easy and safe process, no matter if choosing to order on-line or over the phone.


Are you still unsure about placing an order? let me address some questions that may causing some hesitation...

How much time do I need to dedicate for treatments? Are the products easy to use?

The TShellz Wraps® are very easy devices to use. After one or two uses, you will engage in the treatments with ease. Very detailed instructions are included and you are always welcome to contact us by phone or email if the need for help arises.

In regards to the TShellz Wrap®, it is ideal to use the device two or three times a day on average. Each treatment session is a maximum of 20 minutes in duration and the device will turn off automatically at that time. Typically, people use the TShellz Wrap® before bed, upon awakening (or not long after) and one other time during the day when the opportunity presents itself. For people in an office setting, many will use the device at work (as it can be worn over clothing). For others, they will use the device an our or two after work.

A Cold Compress or Ice Pack is primarily used following activity that stresses the injured tissues (following work, after a sports activity, or just suffering a general re-injury). This is done to reduce inflammation and to minimize tissue damage. Treatments are 15 to 20 minutes in duration.

How long has MendMeShop been in business

We established our firm in December of 2005. Our track record in this field continues to grow and we plan on being around for many decades to come.

What is your return policy? Is it the standard 30 days?

We go above and beyond what other companies offer - we offer a full 60 day money back guarantee with no restocking fees.

order our pain products securely on-line

AidMyTennisElbow advisors do not work on commission, so be assured you will only receive fair and objective information.

Click HERE to Go To Our Online Store We take all major credit cards and Paypal.
If you have questions, call our office at 1-866-237-9608 (toll free continental US).
We are currently offering FREE SHIPPING and a 60 day trial period on all our Wraps.


Product Advisors are available 9:00 am to 5:00 pm Eastern Standard Time Monday to Friday.

Learn More About Elbow Injuries & Treatments

I want to learn more about TShellz Wrap® Circulatory Boost

I want to learn more about Ice & Heat: Which Is Better For Treatment?

I want to learn How To Get Rid of Tennis Elbow

I want to learn How To Get Rid of Golfers Elbow

I want to learn more about Elbow Anatomy

I want to learn more about Elbow Surgery

I want to learn more about Elbow Post-Surgery Recovery


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During your recovery, you will probably have to modify and/or eliminate any activities that cause pain or discomfort at the location of your soft tissue injury until the pain and inflammation settle. The more diligent you are with your treatment and rehabilitation, the faster you will see successful results!


Please be aware that this information is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider before using any of our outstanding products to make sure they are right for you and your condition or if you have any questions regarding a medical condition. Always see your doctor for a proper diagnosis as there are often many injuries and conditions (some very serious) that could be the cause of your pain.

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