Tennis elbow, also known as lateral epicondylitis, is a condition affecting the tendons on the outside of the elbow. These tendons attach the forearm muscles to the bone and are responsible for extending the wrist and fingers.
The condition is usually caused by repetitive strain or overuse, leading to degeneration within the tendon rather than a true inflammatory process. It commonly affects people involved in manual work, sports or activities requiring repeated gripping or lifting.
Symptoms often develop gradually and can interfere with everyday tasks such as lifting, gripping or twisting movements.
Symptoms typically develop gradually and may include:
Pain may radiate down the forearm, particularly with activity.
Symptoms typically develop gradually and may include:
Pain may radiate down the forearm, particularly with activity.
Diagnosis is based on clinical assessment, including a detailed history and examination of the elbow and forearm.
Specific tests are used to reproduce symptoms and assess tendon involvement.
In most cases, imaging is not required, although ultrasound or MRI may be used in more persistent or complex cases.
Treatment depends on the severity of symptoms and their impact on function.
Non-surgical treatment may include:
If symptoms persist despite non-surgical treatment, surgical intervention may be considered.
When non-surgical treatment is not effective, surgical treatment may be recommended.
The procedure involves removing damaged tendon tissue and promoting healing in the affected area. This may be performed through open or minimally invasive techniques.
Surgery is typically performed as a day-case procedure under local or regional anaesthetic.
Following treatment, a period of rest is required before gradually returning to activity.
Recovery typically involves:
Most patients experience gradual improvement, although recovery may take several months depending on the severity of the condition.
As with any surgical procedure, there are potential risks, although these are uncommon.
Possible complications include:
Your surgeon will discuss the expected outcomes and risks before proceeding with treatment.
You should seek medical advice if you experience persistent elbow pain or weakness, particularly if symptoms are affecting daily activities or not improving with rest.
Early assessment is important to confirm the diagnosis and guide appropriate treatment.
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