Reviewed by June Chan Zhao Rou, Registered TCM Practitioner · November 2026
由注册中医师 田钊柔医师审阅

網球肘、高爾夫球肘、打匹克球手肘痛：痛的那一邊，不一定是問題的全部

简单回答：手肘外侧痛常叫网球肘，内侧痛常叫高尔夫球肘，打匹克球、羽球、网球或长时间用滑鼠的人都很常见。休息了还是反覆痛，常常是因为肩膀、上段肋骨和整只手的张力一起在拉，而不只是手肘那一点。醫道閣会先评估，再用针灸、SRM 结构疗法或推拿处理。

Short answer: pain on the outer elbow is often called tennis elbow, and on the inner elbow golfer’s elbow. Both are common in pickleball, badminton and tennis players, and in people who use a mouse all day. When it keeps returning even after rest, the shoulder, upper ribs and the whole arm are often pulling too, not only the elbow. At Virtue TCM we assess first, then use acupuncture, SRM structural therapy or tuina.

三種常見的手肘痛

外侧痛（网球肘）：握拳、扭毛巾、提东西、反手击球时痛。
内侧痛（高尔夫球肘）：用力抓握、手腕往内弯、正手或杀球时痛。
匹克球手：近年很多人开始打匹克球，球拍短、击球快、常在网前截击，手肘、手腕和肩膀常常一起酸痛。

Outer elbow (tennis elbow): pain when gripping, wringing a towel, lifting or hitting a backhand. Inner elbow (golfer’s elbow): pain with a strong grip, bending the wrist inwards, forehands or smashes. Pickleball arm: short paddles, fast exchanges and lots of volleys at the net often leave the elbow, wrist and shoulder sore together.

為什麼休息了還是會痛？

肌腱接在骨头上的地方，是每天反覆用力的位置。受伤过的组织，弹性和活性会变差，摸起来比较硬、比较黏。只休息不处理，这些地方不一定会自己松回来。另外，手肘只是整只手的中段：肩膀垂下、上臂往内转、上段肋骨卡住，前臂的肌肉就一直在不对的角度用力，一回到球场又痛。

Tendons attach to bone at spots that take load every day. Tissue that has been strained becomes less elastic and feels harder and stickier, and rest alone does not always free it. The elbow is also only the middle of the arm: when the shoulder drops, the upper arm turns in and the upper ribs are stuck, the forearm muscles keep working at the wrong angle, so the pain returns as soon as you play again.

SRM 怎麼看手肘痛

先看惯用手。整个身体的张力，常常是被惯用手带歪的。所以不论痛的是哪一边，医师都会检查惯用手那一侧的肩膀和肋骨，两边平均了，痛的那一边才比较稳得住。
一层一层松开。先松皮肤与筋膜，再把前臂的屈肌、伸肌从手腕一路到手肘上方分开，最后才处理关节的角度。
手法之外，还有系统还原针法。SRM 疗程里的系统还原针法（SRA）和一般针灸不同：短针浅浅扎在皮下，扎在惯用手那条张力线上，配合手腕、手肘的角度进针退针，一层一层松开。
做完一定检查。握拳、转手掌朝上朝下、提东西，痛和卡的感觉应该比较少；还没松开的地方，医师会说明。

Start with the dominant hand. Tension in the body is often pulled off-centre by the hand you use most, so whichever elbow hurts, the practitioner also checks the shoulder and ribs on your dominant side. When both sides are even, the painful side holds better. Release in layers. Skin and fascia first, then the forearm muscles from the wrist to above the elbow, then the angle of the joint. Needles as well as hands. SRM also uses SRA (Systemic Resilience Acupuncture), which differs from general acupuncture: short needles stay just under the skin along the dominant arm’s line of tension and go in and out with the wrist and elbow held at the right angle, releasing one layer at a time. Check before you leave. Gripping, turning the palm up and down and lifting should feel easier; anything still stuck will be explained.

打球的人可以先注意的事

・痛的时候先减少打球的时间和强度，不要忍着剧痛打。
・检查球拍握把大小和握法，握太紧、握把太细，前臂都容易过劳。
・打球前先热身肩膀和前臂，不只是手腕。
・痛超过两三个礼拜没有改善，或越来越常痛，就该让医师看看。

Cut back on how long and how hard you play while it hurts, and do not play through sharp pain. Check your grip size and how tightly you hold the paddle or racket. Warm up the shoulder and forearm, not only the wrist. If it has not improved in two or three weeks, or flares more often, have it assessed.

第一次來會做什麼？

问诊约 15 分钟：痛了多久、打什么球、一个礼拜打几次、平常工作怎么用手，也会把脉看舌。接着看肩膀、手肘、手腕怎么动，再决定当天用针灸、SRM 或两者搭配。初诊问诊 RM60（带 X 光或报告 RM100），复诊 RM30；疗程费用另计，开始前会先说明。

A consultation of about 15 minutes covers how long it has hurt, which sport you play and how often, and how you use your hands at work, plus pulse and tongue. Then we look at how your shoulder, elbow and wrist move and decide on acupuncture, SRM or both. First consultation RM60 (RM100 if we review X-rays or reports), follow-up RM30; treatment is priced separately and explained before anything starts.

這些情況請先看西醫

跌倒或撞击后手肘变形、肿得很快；关节红肿发热或发烧；手指麻木、无力、握不住东西；或痛到晚上无法入睡，请先到医院检查。

If the elbow looks out of shape or swells quickly after a fall or knock, is hot and red, comes with fever, or your fingers are numb or weak, or the pain keeps you awake at night, please see a doctor first.

延伸閱讀

妈妈手 Mummy’s Wrist

肩膀按完松了，隔天又硬回来

SRM 系统还原手法‧结构疗法

针灸 Acupuncture

个人情况因人而异，疗程建议需经问诊与医师评估后决定。
Individual conditions vary. Recommendations follow consultation and practitioner assessment.

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