Tendons connect muscles to bone. Repetitive or stressful movements of the muscles causes strain and pain at the tendon. The forearm muscles are active when a person grips something, such as a tennis racquet. Repeated strain on these muscles can cause damage to the tendon and pain.
Any repetitive motion can cause lateral epicondylitis. Tennis and golf are common causes. Other common causes include raking, using hammer or screwdriver, painting, and rowing.
Symptoms happen slowly over time and may be:
- Pain and tenderness on the outside of the elbow
- Pain that may go down the forearm
- Tight forearm muscles
- Stiffness or trouble moving the elbow or wrist
- Not being able to fully extend the elbow
Pain may be worse when:
- Shaking hands
- Turning doorknobs
- Picking up objects with the palm down
- Hitting a backhand in tennis
- Swinging a golf club
- Pressing on the outside of the elbow
The goal of treatment is to ease pain and help with healing. The joint will need rest from movement that causes strain and pain. Absolute rest may not be needed. Steps that may help to ease pain include:
- Cold compresses
- A forearm brace or splint to help the area rest
- Over the counter pain pills or creams to apply over the area
- Physical therapy to help with strength, flexibility, and range of motion
Lateral epicondylitis can return. It can help to have movements evaluated. This may mean seeing a coach about tennis or golf swing or better set up at work station. Some pain may not respond to basic care. Injections may help to manage pain. Injection may have corticosteroid medicine or platelet-rich plasma.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
Edits to original content made by Denver Health.
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a (Tennis Elbow)
Ortho Info— American Academy of Orthopaedic Surgeons http://orthoinfo.org
Sports Med—American Orthopaedic Society for Sports Medicine http://www.sportsmed.org
Canadian Association of General Surgeons http://www.cags-accg.ca
Canadian Orthopaedic Foundation http://www.canorth.org
Lai WC, Erickson BJ, et al. Chronic lateral epicondylitis: challenges and solutions. Open Access J Sports Med. 2018;9;243-251.
Lateral elbow tendinopathy. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/lateral-elbow-tendinopathy. Accessed January 28, 2021.
Tennis elbow (lateral epicondylitis). Ortho Info—American Academy of Orthopaedic Surgeons website. Available at: https://orthoinfo.aaos.org/en/diseases--conditions/tennis-elbow-lateral-epicondylitis. Accessed January 28, 2021.