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Alternative Names Return to topEpitrochlear bursitis; Lateral epicondylitis; Epicondylitis - lateral
Definition Return to top
Tennis elbow is an inflammation, soreness, or pain on the outside (lateral) side of the upper arm near the elbow. There may be a partial tear of the tendon fibers, which connect muscle to bone, at or near their point of origin on the outside of the elbow.
Causes Return to top
This injury is due to repeated motions of the wrist or forearm. The injury is typically associated with tennis playing, hence the name "tennis elbow." However, any activity that involves repetitive twisting of the wrist (like using a screwdriver) can lead to this condition.
Symptoms Return to top
Exams and Tests Return to top
The diagnosis is made based on signs and symptoms, since x-rays are usually normal. Often there will be pain or tenderness when the tendon is gently pressed near where it attaches to the upper arm bone, over the outside of the elbow
There is also pain near the elbow when the wrist is extended (bent backwards, like revving a motorcycle engine) against resistance.
Treatment Return to top
The goal of treatment is to relieve pain and swelling. Treatment may include:
To prevent the injury from happening again, a splint may be worn during activities that aggravate the condition. Or, you may need to limit certain activities. If the pain persists despite non-surgical treatments, surgery may be necessary.
Outlook (Prognosis) Return to top
Most people improve with non-surgical treatment. The majority of those who do have surgery show an improvement in symptoms.
Possible Complications Return to top
When to Contact a Medical Professional Return to top
Apply home treatment (over-the-counter anti-inflammatory analgesics and immobilization) if symptoms are mild or if you have had this disorder before and you know this is what you have.
Call for an appointment with your health care provider if this is the first time you have had these symptoms, or if home treatment does not relieve the symptoms.
Prevention Return to top
Maintain good strength and flexibility in the arm muscles or avoid repetitive motions. Rest the elbow when flexion and extension (bending and straightening) are painful. An ice pack applied to the outside of the elbow after repetitive motion may help alleviate symptoms.
References Return to top
Biundo JJ. Bursitis, tendinitis, and other periarticular disorders, and sports medicine. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 284.
Geiderman JM. Humerus and elbow. In: Marx, JA, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 6th ed. Philadelphia, Pa: Mosby Elsevier; 2006: chap 49.
Johnson GW, Cadwallader K, Scheffel SB, et al. Treatment of Lateral epicondylitis. Am Fam Physician. 2007;76(6):843-8.Update Date: 8/11/2008 Updated by: Linda Vorvick, MD, Seattle Site Coordinator, Maternal & Child Health Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.