Most people will experience a stronger sensation of pain when the arm and elbow are being used; this is typically particularly noticeable when the arm is twisted. Additionally, people with tennis elbow tend to find that performing repetitive wrist movements can exacerbate the pain, including gripping objects and extending the wrist.
However, different people will experience different symptoms. Commonly, these will include pain and stiffness when the arm is completely extended; pain when the arm is being bent, or is being lifted, and pain felt on the outside of the upper forearm below the elbow.
In some cases, people will experience the sensation of pain, travelling down the forearm, towards the wrist area of the arm. It is also common for people to experience pain when grasping small objects, such as a pen or coin, or when writing.
As mentioned, pain felt when the forearm is being twisted is common. People also commonly report feeling pain when they are turning a door handle, or when they are opening a jar.
It is most common for the symptoms of tennis elbow to gradually develop; and in most cases this will happen between 24 and 72 hours after the action or event which caused the symptoms.
However, it is normal for people with tennis elbow to be completely unable to identify a specific event which caused the symptoms.