
Tennis Elbow (Lateral Epicondylitis)

Tennis elbow, or lateral epicondylitis, is an overuse injury that affects the tendons on the outside of the elbow. It happens when the extensor muscles of the forearm become irritated or inflamed from repetitive motions like gripping, lifting, or typing. Despite the name, it’s not just athletes, anyone who uses their hands and wrists repetitively (painters, carpenters, office workers) can develop this condition.​
Diagnosis of Tennis Elbow
Diagnosis of tennis elbow includes:
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Medical history review (work, sports, or repetitive strain activities).
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Physical exam with tenderness on the lateral elbow.
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Pain reproduction tests, such as resisted wrist extension or gripping.
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Functional assessment for grip and forearm strength.
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Imaging (X-ray, MRI, or ultrasound) may be ordered if symptoms don’t improve or another condition is suspected.
Treatment for Tennis Elbow
Physical therapy is the gold standard for managing tennis elbow. Treatment may include:
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Manual therapy to relieve tension in forearm muscles and improve mobility
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Eccentric strengthening exercises for wrist extensors
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Stretching exercises to improve flexibility
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Bracing or forearm straps to reduce tendon strain during activity
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Pain management with ice, ultrasound, or electrical stimulation
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Activity modification to avoid overuse while healing
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Strength training for grip, forearm, and shoulder to prevent recurrence
Symptoms of Tennis Elbow
Common symptoms of tennis elbow are:
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Pain and tenderness on the outer side of the elbow
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Pain that worsens with gripping, lifting, or twisting motions
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Weak grip strength, especially when shaking hands or holding objects
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Morning stiffness or soreness after activity
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Pain that may radiate into the forearm
Prevention of Tennis Elbow
To prevent tennis elbow from recurring:
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Warm up and stretch before repetitive activity or sports
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Use proper technique with racquets, tools, or keyboards
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Take frequent breaks during repetitive tasks
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Strengthen forearm and grip muscles regularly
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Use ergonomically designed equipment when possible
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Address elbow pain early before it worsens
