At what stage would you begin to massage a client with tenderness over the lateral epicondyle?

In cases of tenderness over the lateral epicondyle, which is commonly associated with conditions such as tennis elbow, it's essential to consider the inflammation and healing process. Massage should not be performed immediately or during the acute inflammatory phase, which typically lasts for the first 48 hours after an injury. This time frame allows for initial healing and reduces the risk of worsening inflammation.

Starting the massage therapy at 48 hours post-injury is beneficial because it allows the acute phase to settle down, reducing the chances of aggravating the issue. At this stage, mild to moderate inflammation may still be present, but gentle massage techniques can begin to facilitate circulation, encourage the healing process, and provide pain relief without exacerbating the condition.

Delaying treatment until all inflammation has resolved may prolong recovery unnecessarily. Therefore, initiating massage therapy after 48 hours is both a strategic and safe approach that honors the body's natural healing timeline, making it the most appropriate choice.