Tennis elbow - Epicondylitis

Very low urgency
Common-

It is an inflammation in the tendons that join the forearm muscles to the epicondyle of the elbow bone. It can have two types of locations: lateral, commonly known as tennis elbow and medial, known as golfer's elbow. 

It is caused by repetitive movements of extension of the wrist and supination of the forearm, placing the palm of the hand downward. It is frequent in the practice of some sports, computer users and in certain trades such as painters, bricklayers and butchers.

The most frequent symptom is pain in the elbow when flexing the wrist and shaking hands. It may be accompanied by a weak grip, tingling from the elbow to the little finger and ring finger, or pain on palpation of the epicondylar area. It usually subsides during the night and with rest. 

The diagnosis is clinical, being very suggestive of the symptoms and signs reported by the patient. 

Treatment consists of resting the area, applying ice to the inside of the elbow and taking non-steroidal anti-inflammatory drugs.

Bibliographic references

1. Neeru Jayanthi, MD. Epicondylitis (tennis and golf elbow). UpToDate. Nov 02, 2016. 

2. Fan ZJ, Bao S, Silverstein BA, et al. Predicting work-related incidence of lateral and medial epicondylitis using the strain index. Am J Ind Med 2014; 57:1319.

3. Shiri R, Viikari-Juntura E, Varonen H, Heliövaara M. Prevalence and determinants of lateral and medial epicondylitis: a population study. Am J Epidemiol 2006; 164:1065.

4. Smidt N, Lewis M, VAN DER Windt DA, et al. Lateral epicondylitis in general practice: course and prognostic indicators of outcome. J Rheumatol 2006; 33:2053.

5. Hatch GF 3rd, Pink MM, Mohr KJ, et al. The effect of tennis racket grip size on forearm muscle firing patterns. Am J Sports Med 2006; 34:1977.

Author
Dr. Elvira Moreno
Copyright
© TeckelMedical 2026

Symptoms

    Pain on the outer side of the elbow


    Elbow pain when turning the hand, putting the palm face up


    Pain when outer elbow is touched


    Pain where the tendon joins the bone


    Numbness from the elbow to the ring and small fingers

Symptoms to watch out for

Pain that does not subside with analgesics.
Pain increases with palpation and/or bruises appear

Self-care

If you have pain, use over-the-counter pain relievers.
Apply local cold to the injured area 3 times a day to reduce inflammation.
Avoid wrist movements.
Avoid sudden movements.
Relative rest, rest until symptoms subside.