Painful triceps tendon: causes, treatment and prevention
Introduction to the triceps tendon pain problem
Triceps tendon pain is a common problem among athletes and people who engage in repetitive arm movements. This condition, known as enthesopathy, occurs due to overuse or repetitive stress on the triceps tendon, particularly at its attachment point at the elbow. Without proper treatment, this condition can become chronic and interfere with daily activities and athletic performance.
This article provides comprehensive information about triceps tendon pain, its causes, symptoms, treatment options and the benefits of early intervention. If you have persistent elbow pain, professional treatment is essential to avoid further damage.

What is enthesopathy?
Enthesopathy refers to diseases of the tendon insertions or muscle origins on the bone. These conditions are often caused by chronic overuse, which can lead to inflammation, pain and possibly structural damage. If enthesopathy is not diagnosed and treated at an early stage, it can become a serious therapeutic challenge and significantly restrict work and sports performance.
The triceps tendon connects the triceps muscle with the olecranon (tip of the elbow) and is particularly susceptible to enthesopathies due to its function during arm extension and weight-bearing movements.
Causes of pain in the triceps tendon
Triceps tendon pain can be caused by various factors, including:
- Chronic overload: Repeated strain and excessive force applied to the tendon.
- Partial tendon ruptures: Untreated micro-injuries that accumulate over time.
- Incorrect training techniques: Inadequate warm-up, incorrect execution and excessive load when lifting weights or playing sports.
- Repetitive microtrauma: Persistent strain on the tendon, often in sports such as boxing, basketball and judo.
- Muscle imbalance: Overdeveloped triceps compared to other arm muscles can lead to uneven loading.
Symptoms and diagnosis
Patients with pain in the triceps tendon often experience the following complaints:
- Localized pain: tenderness at the back of the elbow, especially at the olecranon.
- Restricted elbow movement: difficulty with extreme flexion or extension of the elbow.
- Pain during resistance movements: Discomfort when stretching the elbow against resistance.
- Weakness of the triceps muscle: limited ability to exert force.
- Swelling and tenderness: inflammation around the affected tendon.
Diagnosis is based on a clinical examination, including palpation of the tendon, movement tests and imaging procedures such as ultrasound or MRI to assess the tendon structure.
Treatment options
Most cases of triceps tendon pain can be treated conservatively, including:
- Physiotherapy: Strengthening and stretching exercises to restore tendon function.
- Rest and activity adjustment: avoid activities that aggravate the symptoms.
- Cooling therapy: Reduction of inflammation and swelling.
- Anti-inflammatory medication: NSAIDs to relieve pain and inflammation.
- Corticosteroid injections: In exceptional cases to reduce persistent inflammation.
- Short-term immobilization: In some cases, temporary splinting or taping may be necessary.
Surgical intervention is rarely necessary unless there is a complete tendon rupture.
Advantages of early treatment
Early diagnosis and treatment offers several advantages:
- Faster recovery and pain relief
- Prevention of chronic tendon degeneration
- Restoration of full elbow function
- Reduced risk of severe tendon damage
Who is particularly at risk?
Pain in the triceps tendon often occurs with
- Athletes (boxers, weightlifters, judoka, basketball players)
- People with repetitive arm movements
- Middle-aged adults with intensive sporting activity without sufficient rest
- People with previous elbow injuries
Success rates and case studies
Studies show that conservative treatments have a high success rate. The majority of patients experience a recovery within 6 to 12 weeks a significant improvement. Regular check-ups and adherence to rehabilitation exercises are crucial for long-term recovery.
Frequently asked questions
Mild cases heal in a few weeks, while chronic conditions require several months of physiotherapy.
Activities should be adapted and movements that increase pain should be avoided. Professional advice is advisable.
If the pain persists for several weeks or restricts your everyday life, a specialist examination is necessary.
Yes, chronic enthesopathies can lead to permanent muscle weakness and limited function.
Only for complete tendon rupture or severe degenerative damage.
Contact and further information
If you have persistent elbow pain, contact me for a professional examination.