Tennis elbow - Epicondylitis

Very low urgency
Common-

Inflammation of the tendons that connect the muscles of the forearm to the epicondyle of the elbow. There are two main types: lateral, commonly known as 'tennis elbow', and medial, known as 'golfer's elbow'.

It is caused by repeated movements that involve extension of the wrist and supination of the forearm, i.e. putting the palm of the hand down. It is common in some sports, among computer users and in certain professions: painters, construction workers and butchers.

The most common symptom is pain in the elbow when bending the wrist or shaking hands. It can lead to weak grip, tingling from the elbow to the 4th and 5th fingers, and pain on palpation in the epicondyle area. It usually resolves at night with rest.

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

Treatment consists of resting the area, applying ice to the inner part 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 region of the 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 doesn't subside with analgesics
Pain increases upon palpation and/or bruises appear

Self-care

If you have pain, take over-the-counter analgesics.
Apply local cold in the area of the lesion 3 times a day to reduce inflammation.
Avoid wrist movements.
Avoid doing abrupt movements.
Relative rest, rest until symptoms subside.