What it is
Tennis elbow (lateral epicondylitis) is a degenerative change in the tendon on the outside of the elbow rather than simple inflammation. Most cases settle, though it can take longer than people expect.
How it usually presents
- Pain on the outside of the elbow when gripping or lifting
- Tenderness over a very specific point on the bone
- Pain shaking hands, holding a kettle or using a mouse
How it is assessed
Usually clinical; ultrasound or MRI is used where the diagnosis is uncertain or symptoms are prolonged.
Treatment options
- Load management, a brace and a targeted eccentric exercise programme
- Shockwave therapy or injections in selected cases
- Surgical release rarely, for symptoms that resist everything else
Non-surgical treatment is considered first wherever it is reasonable. Which option suits you depends on your symptoms, your goals and what you want from treatment, which is exactly what we discuss in clinic.
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