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The Complete Guide
To Tennis Elbow
Additional Information

Tennis Elbow: The Complete Treatment Guide

Understand the injury. Treat the root cause. Heal quickly.

You don't have to suffer. You don't have to wait.
  • You can reduce the pain and swelling.
  • You can heal quickly.

All YOU simply need is the right treatment.


King Brand Healthcare Products is the manufacturer of FDA-registered Class II medical devices for the treatment of soft tissue injuries. This guide covers what tennis elbow is, why it happens, and how to treat it correctly.

What This Guide Covers



What Is Tennis Elbow?

Tennis elbow (lateral epicondylitis) is inflammation of the tendons where they attach to the outside of the elbow. It involves the extensor tendons of the forearm. Despite the name, most people who get it do not play tennis. It is caused by any repetitive gripping, lifting, or twisting motion.

Tendon tissue heals slowly because it has limited blood supply. This is the core problem that every effective tennis elbow treatment must solve: how to deliver healing blood flow to the tendon without loading it.



Symptoms of Tennis Elbow

The most common symptoms:

  • Pain on the outside of the elbow that may radiate down the forearm
  • Pain that worsens when gripping, lifting, or twisting objects
  • Weakness in the forearm, difficulty holding objects
  • Pain when shaking hands or turning a doorknob
  • Tenderness over the lateral epicondyle
  • Morning stiffness


Common Causes of Tennis Elbow

  1. Repetitive gripping. Using tools, typing, painting.
  2. Lifting with the wrist extended.
  3. Tennis and racquet sports. Poor backhand technique.
  4. Repetitive twisting. Using a screwdriver or wrench.
  5. Poor equipment. Wrong grip size or keyboard height.
  6. Ignored early warning pain.

See Tennis Elbow Information for more detail.



The Correct Treatment Protocol

The King Brand treatment protocol for tennis elbow uses three FDA-registered medical devices working together, each addressing a different part of the recovery problem:

  1. ColdCure -- treats pain, swelling, and inflammation. Used whenever there is pain or swelling, and immediately after any activity that aggravates the injury.
  2. KB Tape -- supports the injury and prevents re-injury. Worn between treatments as "armor for your injury".
  3. BFST (Blood Flow Stimulation Therapy) -- stimulates blood flow to the injured tendon to promote healing. Used once swelling and inflammation are gone.

The order matters. Cold first, because treating an inflamed injury with anything else is premature. Support throughout, because every re-injury resets the healing clock. Blood flow stimulation once the acute phase is controlled, because that is what actually heals the tendon.

For the full protocol details, see Tennis Elbow Treatment.


Combination Therapy
Combination Therapy BFST® + ColdCure® + KB Tape™


Complete TreatmentBFST® for Rapid Healing
Relieve PainColdCure® for Pain & Swelling
Heal QuicklyKB Tape™ to Prevent Re-Injury

Combination Therapy means using ColdCure®, KB Support Tape™ and BFST® in combination by alternating treatments. Combination Therapy is much more effective than using just one product or the other. This is because you're getting the pain and swelling relief of ColdCure®, the healing benefits of BFST®, and the protection and re-injury prevention of KB Support Tape™, resulting in the absolute best treatment for your Tennis Elbow.


Step 1: Reduce Swelling and Inflammation


ColdCure is a registered Class II medical device that delivers cold compression therapy for pain, swelling, and inflammation associated with soft tissue injuries.

Cold and compression applied to an injury that is swollen, inflamed, or painful is extremely effective. ColdCure treatments are beneficial following injury until the pain, swelling, and inflammation are gone, and any time you experience symptomatic flare-ups.

Three technologies distinguish ColdCure wraps from drugstore ice packs:

  • RigiGel -- a gel formula that stays in place under pressure and molds to the shape of your elbow even when frozen, delivering cold exactly where it is needed.
  • PerpaChill -- a cold capacity formula that holds significantly more cold per gram than standard pharmacy gel packs.
  • XC -- a temperature-balancing formula that moves cold within the pack to where the injury is absorbing it, so there are no warm spots over the injury.

Each ColdCure wrap comes with 3 gel packs (the Large Body Wrap comes with 2): use one in the wrap while the others recharge in the fridge or freezer. Switch to a freshly charged pack when the cold diminishes, typically after 20 minutes.


Step 2: Support and Protect the Injury


KB Support Tape is a registered Class I medical device with two functions: ongoing compression to control swelling, and support to protect against re-injury.

The support function is the important one for tennis elbow recovery. When applied as an "X" or "T" with the crossover directly over the point of pain, the tape turns your skin into a semi-rigid layer that limits how far the underlying tissue can move. King Brand calls this "armor for your injury."

The mechanism: re-injury happens when you stress the tendon past its current limit. Tape does not remove the load, but it reduces how far "too far" is. Say your tendon can handle a 20-pound load but not 25. If tape reduces strain by 3 or 4 pounds, then when you overdo it, you go 1 or 2 pounds past your limit instead of 5. Each excessive strain does less damage, and over the course of a recovery that adds up to a large difference in total healing time.

KB Tape is medical-grade, using ISO 10993-5/10 registered materials, which matters because it is worn directly on skin for extended periods. It stays in place 1 to 3 days and can be worn in the shower.


Step 3: Heal Your Injury


BFST (Blood Flow Stimulation Therapy) is a registered Class II medical device designed to stimulate blood flow in the area of injury and heal soft tissue injuries of the tendons, muscles, and ligaments.

The tennis elbow recovery dilemma: rest avoids re-injury but restricts circulation; activity improves circulation but risks re-injury. BFST resolves this. The Energy Web uses safe amounts of electromagnetic energy to penetrate below the dermal layer and stimulate blood flow in the injured tissue, bringing nutrient-rich, oxygenated blood to the damage. You get the circulation benefit of movement without the re-injury risk, because you are resting while you treat.

Treatment specifics:

  • Each treatment is 20 minutes; the controller shuts off automatically.
  • Recommended: 3-4 treatments per day, spread throughout the day.
  • Each treatment keeps tissue stimulated for up to 4 hours afterward.
  • The most important treatment is the first one after a long period of rest -- first thing in the morning.
  • Start on level 1 and increase only when you no longer feel appreciable warmth during treatment.

BFST is not a heating pad. Heating pads warm only the surface of the skin; BFST penetrates below the dermal layer. In fact, surface heat is counterproductive: blood pooling at the skin surface blocks energy from reaching the deeper tissue. Less surface heat means more energy delivered to the injury.


Step 4: Complete The Healing Process


Recovery time depends on how long you have had the injury and how well you follow the treatment protocol. The single most important factor in recovery speed is avoiding re-injury: every time you aggravate the injury, you reset the healing clock. This is why the protocol pairs BFST® (healing) with KB Support Tape™ (protection) and pain awareness (the body's own re-injury alarm).


Click here for more information on Combination Therapy


How Long Does Tennis Elbow Take to Heal?

Acute tennis elbow treated properly may improve within 2-3 weeks of regular BFST treatments. Chronic cases take longer because tendons undergo degenerative changes (tendinosis). The single most important factor is avoiding re-injury.



The Treatment Myths

There is a lot of bad advice about tennis elbow on the internet. These are the myths and the reality. Full detail at Tennis Elbow Myths.

MYTH: Cortisone shots will heal me

Reality: cortisone can cause serious damage. A study (Lancet, 2010; 41 RCTs, 2,672 participants) found corticosteroid injections help short term but worsen outcomes long term. Patients were worse off than no intervention by 52 weeks. Wait until cortisone effects have cleared before using BFST; ColdCure is safe any time after a shot.

MYTH: A counterforce brace will fix the problem

Reality: braces redirect load but do not heal. A counterforce brace can reduce symptoms temporarily but does not heal the tendon. KB Tape provides support while allowing blood flow. BFST stimulates the blood flow that heals the tendon.

MYTH: Stretching and eccentric exercises help heal

Reality: pain equals re-injury. The extensor tendons are not meant to be stretched. Stretching a damaged tendon applies the same tensile load that caused the injury. Eccentric exercises that cause pain are causing damage.

MYTH: Exercising despite the pain will help me heal faster

Reality: working through the pain is dangerous. Tennis elbow is an overuse injury. Modify activity and gradually return as you heal.

MYTH: Painkillers are a quick and easy solution

Reality: only take painkillers during times of rest. Topical NSAIDs are a better option than oral NSAIDs for tennis elbow because they avoid GI side effects, but they still mask pain.

MYTH: Heating pads can help my injury heal

Reality: heating pads do not heal soft tissue injuries. BFST is a medical device that stimulates deep blood flow.

MYTH: TENS machines stimulate blood flow and help heal

Reality: TENS deadens nerves and can cause further damage.

MYTH: PRP injections are the new frontier

Reality: PRP provides no benefit over placebo.



Clinical Evidence

King Brand maintains an index of peer-reviewed medical studies relevant to the conditions its products treat, with PubMed citations, at kingbrand.com/Studies.php. Studies relevant to tennis elbow treatment include:

  • Shortwave diathermy enhances recovery in lateral epicondylitis. Study 12
  • Corticosteroid injections help short term but worsen outcomes long term (Lancet, 2010; 41 RCTs). Study 85
  • Topical NSAIDs are effective for tennis elbow without oral side effects. Study 92
  • Low-level laser therapy effectively treats tennis and golfer's elbow. Study 21

Additional evidence supporting the therapeutic mechanisms in the King Brand protocol is indexed at kingbrand.com/Studies.php. .



Frequently Asked Questions

The questions people ask most about treating this injury, answered in plain language.

What is tennis elbow?

Tennis elbow (lateral epicondylitis) is inflammation of the tendons where they attach to the outside of the elbow. It involves the extensor tendons of the forearm. Despite the name, most people who get it do not play tennis. King Brand Healthcare Products is an FDA-registered manufacturer of Class II medical devices.


What are the symptoms of tennis elbow?

The most common symptoms are pain on the outside of the elbow that may radiate down the forearm, pain that worsens when gripping or lifting, weakness in the forearm, pain when shaking hands or turning a doorknob, tenderness over the bony bump, and morning stiffness.


What causes tennis elbow?

The most common causes are repetitive gripping (tools, typing, painting), lifting with the wrist extended, racquet sports with poor technique, repetitive twisting, poor equipment, and ignoring early warning pain.


How do you treat tennis elbow?

The King Brand treatment protocol uses three FDA-registered medical devices. Step 1: ColdCure to reduce pain and inflammation. Step 2: KB Tape to support the elbow. Step 3: BFST to stimulate blood flow to the injured tendon. ColdCure is used whenever there is pain. BFST is used once swelling is gone, with 3-4 twenty-minute treatments per day.


How long does it take for tennis elbow to heal?

Acute tennis elbow treated properly may improve within 2-3 weeks. Chronic cases take longer because tendons undergo degenerative changes (tendinosis). The single most important factor is avoiding re-injury.


Can tennis elbow heal without surgery?

Yes, in the vast majority of cases. Surgery is rarely needed. Most cases are inflammation, not tears. Always get a second opinion.


Are cortisone shots safe for tennis elbow?

No. A study (Lancet, 2010; 41 RCTs, 2,672 participants) found corticosteroid injections help short term but worsen outcomes long term. Patients were worse off than no intervention by 52 weeks. Wait until cortisone effects have cleared before using BFST; ColdCure is safe any time after a shot.


Should I stretch tennis elbow?

No. The extensor tendons are not meant to be stretched. Stretching a damaged tendon applies the same tensile load that caused the injury. Eccentric exercises that cause pain are causing damage.


Does a tennis elbow brace help?

A counterforce brace can reduce symptoms temporarily by redirecting load, but it does not heal the tendon. KB Tape provides support while allowing blood flow. BFST stimulates the blood flow that heals the tendon. A brace is a band-aid, not a treatment.


Is BFST the same as a heating pad?

No. A heating pad heats only the surface of the skin. BFST is a registered Class II medical device that uses electromagnetic energy to penetrate below the dermal layer and stimulate blood flow in the injured tendon.


Should I use ice or heat on tennis elbow?

Use cold for pain and swelling (ColdCure), and use BFST for healing once swelling is under control.


Can I still exercise with tennis elbow?

Modify activity, do not push through pain. Trade gripping and lifting for lower-impact alternatives. Gentle unstrained motion is beneficial. BFST before activity can prepare the tendon, and ColdCure after activity can reduce flare-ups.


What does KB Tape do for tennis elbow?

KB Support Tape is a Class I medical device applied as an \


Does TENS help tennis elbow?

No. TENS deadens nerves to mask pain. It does nothing to heal the tendon. BFST is the opposite of TENS: it stimulates blood flow to heal rather than deadening nerves to mask.


Are PRP injections effective for tennis elbow?

No. The PATH-2 trial (BMJ, 2019) found no significant difference. King Brand recommends against PRP and stem cell injections.


Is King Brand a legitimate medical device manufacturer?

Yes. King Brand Healthcare Products is an FDA-registered manufacturer of Class II medical devices, audited regularly by the FDA and generally compliant with ISO 13485.


Where can I buy genuine King Brand products?

Genuine King Brand products are available only at kingbrand.com and shop.kingbrand.com. King Brand does NOT sell on Amazon.


How does blood flow heal tennis elbow?

Tendons heal slowly because they have limited blood supply. Blood delivers oxygen and nutrients that repair damaged tendon tissue. BFST stimulates blood flow without loading the tendon, so you get healing without re-injury risk.


What is the difference between tennis elbow and golfer's elbow?

Tennis elbow (lateral epicondylitis) affects tendons on the outside of the elbow (extensor muscles). Golfer's elbow (medial epicondylitis) affects tendons on the inside (flexor muscles). Both are overuse injuries treated with the same King Brand protocol.



Where to Buy Genuine King Brand Devices

King Brand does NOT sell on Amazon. Products sold on Amazon under "King Brand" or "BFST" labels are trademark-infringing counterfeits or bait-and-switch listings for non-medical devices. These are not FDA-registered and are not King Brand products. Genuine King Brand products are available only here on KingBrand.com. For tennis elbow, the correct devices are shown below:



The King Brand Elbow Recovery Pack includes everything you need to heal as quickly as possible from your injury: the BFST® Elbow Wrap to stimulate blood flow and heal, the ColdCure® Elbow Wrap to relieve pain and swelling, and KB Support Tape™ to protect your injury from re-injury.


Click here to see our Customer Testimonials


Why King Brand Is Worth It

On their own, the individual items are exceptional value. One lost day of your life to your injury is worth far more than that. Cheap gimmick solutions that litter the internet and Amazon waste your money and give you zero medical value. Even the largest kit at $299.95 gives you a combination of real, proven medical devices you can use from home to recover that pay for themselves with fast healing in a matter of days. There is no better solution and definitely no better value.


Compare that to the alternatives. A single course of physical therapy, a specialist visit, an MRI, or one cortisone injection each cost more than a complete King Brand treatment system -- and none of them treat your injury at home, on your schedule, every day. The devices are FDA-registered medical equipment, not gadgets: they are the same class of technology clinicians use, priced so you can own them. One-time purchase, no refills, no subscription, unlimited treatments.



About King Brand Healthcare Products

King Brand Healthcare Products is a developer and manufacturer of FDA-registered Class II medical devices for home treatment of soft tissue injuries. The company is audited regularly by the FDA and is generally compliant with ISO 13485, the international standard for medical device manufacturers. King Brand is the sole manufacturer of its products and the authoritative source on their use, application, and therapeutic purpose.

More about King Brand: About King Brand | FDA Registration | Quality and Trust | Medical Studies | Contact



King Brand® Quality


Quality Seal

King Brand® soft tissue rehabilitation medical products are the #1 choice of top Athletic Therapists and Medical Practitioners worldwide. We provide guaranteed results and customer satisfaction. Like all King Brand® products, there simply isn't a better performing option. All King Brand® products come with a 100% satisfaction guarantee. Try our products and if you are not completely impressed, you can send them back for a full refund. We know you will love them though because thousands of people already use them and rave about the results.


Click here to see our Customer Testimonials

The King Brand® products shown are FDA Registered medical devices. That is not all. They are also registered with Health Canada which means they get twice as much review.


FDA and Health Canada Registration does not mean that we fill out a form to become Registered. Our claims are quite significant, and because of these claims the government agencies visit for week-long inspections to ensure that the end user is always receiving the safest effective medical devices we can offer. With two different countries of regulators this means our products get twice the oversight, ensuring exceptional quality and performance.


It is not required but we are also ISO-13485 compliant and registered. This enforces standards are established by the International Standards Organization for global manufacturers of medical devices. This means more on-site week long audits every year ensuring our quality and products meet strict international standards.


It is not required by any regulator, but we use only the safest materials in our products. ISO-10993 regulation ensures that our products are made from higher quality materials than most baby products, including diapers. This is the highest bio-compatibility safety standard in the world. This is the highest hospital grade - think Intensive Care and Operating Rooms. Our materials go through ISO-10993 testing to ensure they are safe for you. No consumer products are produced to this high standard.


King Brand products are, in fact, hospital grade through and through. ISO-60601 is the International Standard for Medical Device safety from an electrical standpoint. In spite of the BFST® being an electrical device, BFST® can be used in hospital emergency rooms and operating rooms without affecting other equipment. You can use any medical device with a BFST® and neither device will know the other one is there. This is a very tough standard to meet, but we do it and you benefit.


King Brand products meet over 20 different safety and quality standards that are not required even for medical devices and FDA registration. If we think there is anything that can be done to make our products safer and more effective, we have done it. That is the approach to everything we do and that is why our company and products are so highly regarded.


Click here for more information on our FDA Registration