What is Lateral Epicondylitis?

Lateral epicondylitis, commonly known as tennis elbow, is a condition caused by overuse or strain of the tendons that attach to the outer part of the elbow. It results in pain and inflammation where the forearm muscles connect to the bony prominence (lateral epicondyle) of the upper arm bone (humerus).

What Causes Lateral Epicondylitis?

• Repetitive arm and wrist movements, such as gripping, lifting, or twisting motions
• Overuse from sports like tennis, golf, or weightlifting
• Occupational activities that involve repetitive hand and forearm use (e.g., carpentry, typing, painting)
• Aging, as tendons become less resilient over time

Common Symptoms:

• Pain and tenderness on the outer elbow, which may radiate down the forearm
• Weak grip strength, making it difficult to shake hands, turn doorknobs, or hold objects
• Increased pain with wrist extension or lifting activities
• Stiffness and soreness, especially in the morning or after activity

How is it Diagnosed?

Your surgeon will perform a physical exam, checking for tenderness over the lateral epicondyle and testing wrist and forearm strength. Pain may be reproduced with specific resistance tests, such as extending the wrist against pressure. Imaging studies like X-rays or an MRI may be used to rule out other conditions.

Treatment Options:

• Non-Surgical:
  • Rest and activity modification to reduce strain
  • Ice therapy and anti-inflammatory medications (NSAIDs) for pain relief
  • Bracing or use of a forearm strap to reduce tendon stress
  • Physical therapy with stretching and strengthening exercises
  • Corticosteroid or platelet-rich plasma (PRP) injections to reduce inflammation and promote healing
• Surgical:
  • Tendon Debridement or Repair: If conservative treatments fail, surgery may be performed to remove damaged tendon tissue and promote healing.

Recovery and Rehabilitation:

• Most cases improve with non-surgical treatment within weeks to months.
• Gradual return to activity with a focus on proper technique and strengthening.
• Post-surgical recovery may take several months, with physical therapy playing a key role in regaining strength and function.

If you are experiencing persistent elbow pain, sched