Tennis Elbow

  • Lateral epicondylitis, also known as “Tennis Elbow”, is the most common overuse syndrome in the elbow.  
  • It is a tendinopathy injury involving the extensor muscles of the forearm. These muscles originate on the lateral epicondylar region of the distal humerus. In a lot of cases, the insertion of the extensor carpi radialis brevis is involved. 
  • Contractile overloads that chronically stress the tendon near the attachment on the humerus are the primary cause of epicondylitis.  
  • It occurs often in repetitive upper extremity activities such as computer use, heavy lifting, forceful forearm pronation and supination, and repetitive vibration.  
  • Despite the name you will also commonly see this chronic condition in other sports such as squash, badminton, baseball, swimming and field throwing events.  
  • People with repetitive one-sides movements in their jobs such as electricians, carpenters, gardeners , desk bound jobs also commonly present with this condition 


  • The symptoms of tennis elbow include pain and tenderness in the bony knob on the outside of your elbow. This knob is where the injured tendons connect to the bone. The pain may also radiate into the upper or lower arm. Although the damage is in the elbow, you’re likely to hurt when doing things with your hands. 

Tennis elbow may cause the most pain when you: 

  • Lift something 
  • Make a fist or grip an object, such as a tennis racket 
  • Open a door or shake hands 
  • Raise your hand or straighten your wrist 


A)Pain Management: 

  1. Tennis Elbow is caused due to overuse of muscle. 
  2. Extensor carpi radialis brevis is the most commonly overused muscle. It should be released to reduce the pain. 
  3. It also affects the neighboring muscles, they should also be released. 
  4. Dry needling can also be practised to release the muscle and fascia. 
  5. Icing should be done to reduce the inflammation and soreness. 


  1. It plays an important role in placebo and reducing the swelling. 
  2. Taping inhibits the overused muscle causing relaxation. 
  3. It reduces the loaded forces on the muscle. 

 C)Exercise Therapy: 

  1. Stretching the overused muscle. 
  2. Wrist & elbow  stretching for relaxing the muscle. 
  3. Then strengthening the muscles plays an important role in preventing the further injury. 
  4. The endurance and strength of the muscles should be increased. 
  5. Extensor carpi radialis is the main muscle. 
  6. Strengthening that muscle along with the other adjacent muscles. 
  7. This maintains the joint integrity.It also reduces the further forces on the joint.