Lateral Epicondylalgia (Tennis Elbow)

Question 1

Facts

Answer 1

> Tendinopathy of forearm extensors (most common overuse syndrome in elbow)
More common in 40’s + 50’s
Smoking and obesity = big risk factors
usually affecting the ECRB
(if supinator is affected then there is possible irritation of radial nerve)

Question 2

Clinical Presentation

Answer 2

> Pain around the lateral epicondyle
- radiates in line with extensors
- variable (constant/intermittent/severity)
Aggs: Resisted wrist/finger extension
: Resisted forearm supination
: Stretching tendon (may reproduce symptoms)
: Gripping (may reproduce symptoms)

Question 3

Management

Answer 3

> Physiotherapy
 - Load Management
 - Exercise
 - Education 
 - Bracing/taping
(90% improval rate, 8% recurrence rate)
> NSAIDS
> Corticosteroid injection
> Shockwave therapy
> Surgery