Tennis Elbow

Tennis elbow, or lateral epicondylitis, is a painful overuse condition affecting the tendons that attach to the lateral epicondyle — the bony prominence on the outer side of the elbow. Despite its name, most cases occur in people who have never played tennis. It is caused by repetitive gripping, twisting, or lifting motions that strain the extensor tendons of the forearm.

Causes and Risk Factors

Tennis elbow develops when the extensor carpi radialis brevis (ECRB) tendon is repeatedly stressed, leading to microscopic tears and a degenerative process called angiofibroblastic tendinosis. It is most common in adults between ages 30–50 and in those whose work or hobbies involve repetitive forearm rotation and wrist extension.

Occupations at risk include painters, plumbers, carpenters, butchers, and computer workers. In tennis players, poor backhand technique and improper equipment are contributing factors.

Treatment

The vast majority of tennis elbow cases resolve with conservative treatment over 6–12 months. This includes activity modification, a counterforce brace, physical therapy focusing on eccentric strengthening, NSAIDs, and corticosteroid or PRP injections.

For refractory cases, surgical debridement of the degenerated tendon tissue is highly effective. Dr. Kinchelow removes the pathologic tissue and reattaches the healthy tendon to the bone.

Common Symptoms

Pain and tenderness on the outer elbow
Weak grip strength
Pain with gripping, twisting, or lifting
Burning sensation along the forearm
Pain that worsens with wrist extension
Difficulty with everyday tasks like turning a doorknob

Treatment Options

Activity modification and rest
Counterforce elbow brace
Physical therapy and eccentric exercises
NSAIDs and topical anti-inflammatories
Corticosteroid injection
PRP injection
Surgical debridement for refractory cases

Ready to Get Help?

Dr. Kinchelow specializes in treating tennis elbow. Schedule a consultation today.

Request Appointment (954) 635-5300