Mr M was presented to the clinic with bilateral lateral elbow pain after an intense obstacle course. He complained acute pain over the sides of his elbow and had difficulty gripping and carrying heavy objects. One of his goals was to return to his sports and obstacle course. His pain and swelling was improved significantly in 2 weeks after the use of shockwave therapy. Since his sports require fair amount of gripping, climbing and flexibility, stretching and strengthening exercises were introduced to further enhance the function of the wrist extensor muscles. Sports-specific skills and education to prevent recurrence of elbow pain were provided to help him return to his sports.