Lateral Epicondylitis (Tennis Elbow)

Tennis elbow can make even simple daily tasks painful. The orthopedic specialists at Premier Podiatry and Orthopedics are here to help you find relief and get you back to the activities you enjoy.

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Introduction

Lateral epicondylitis, commonly known as tennis elbow, is an irritation of the tendons on the outside of the elbow. It often occurs from repetitive motions such as gripping, lifting, twisting, or typing. Although the name suggests it affects athletes, it can impact anyone whose job or hobbies involve repeated arm and wrist movements. With proper care, most people recover and regain comfortable use of their arm.

What is Lateral Epicondylitis (Tennis Elbow)?

Tennis elbow develops when the forearm muscles and their tendons become overloaded. These tendons attach to a bony bump on the outside of the elbow called the lateral epicondyle. Repeated strain can create tiny tears in the tendon, leading to pain, weakness, and tenderness along the outer elbow and forearm. Symptoms often worsen with gripping objects, lifting, or extending the wrist.

Treatments for Lateral Epicondylitis

Non-surgical treatments are successful for most patients and may include:

Rest and activity modification to reduce strain on the tendon
Ice and anti-inflammatory medications to ease pain and swelling
Bracing or forearm straps to decrease tension on the injured tendon
Physical therapy to strengthen the forearm muscles and improve flexibility
Stretching exercises to reduce tendon stress
Corticosteroid or biologic injections for persistent symptoms

Treatment focuses on reducing pain, improving strength, and allowing the tendon to heal.

Do I Need Surgery?

Surgery is rarely necessary for tennis elbow. It is considered when symptoms last for several months despite consistent non-surgical treatment. Surgical procedures involve removing damaged tissue and encouraging the tendon to heal. Your provider will help determine whether surgery is the right option for you based on your symptoms and lifestyle.

Recovery and Rehabilitation

Recovery time depends on the severity of the injury and how well your tendon responds to treatment. Most patients improve gradually over several weeks to a few months. Rehabilitation is an important part of healing and typically includes strengthening, stretching, and activity guidance.

The orthopedic specialists at Premier Podiatry and Orthopedics will work closely with you to develop a personalized recovery plan so you can regain strength, prevent recurrence, and confidently return to your normal activities.

References

Calfee RP, Patel A, DaSilva MF, Akelman E. Management of Lateral Epicondylitis: Current Concepts. J Am Acad Orthop Surg. 2008;16(1):19-29. doi:10.5435/00124635-200801000-00004.

Tosti R, Jennings J, Sewards JM. Lateral Epicondylitis of the Elbow. Am J Med. 2013;126(4):357.e1-6. doi:10.1016/j.amjmed.2012.09.018.

Konarski W, Poboży T. A Clinical Overview of the Natural Course and Management of Lateral Epicondylitis. Orthopedics. 2023;46(4):e210-e218. doi:10.3928/01477447-20230329-05.