- Lateral epicondylitis is a condition where pain or irritation occurs at the site where the tendon attaches to the bone on the outer side of the elbow, and is also commonly known as 'tennis elbow'.
- Repetitive use of the elbow and stress placed on the tendon may be involved, and activities such as tennis or golf, or repetitive tasks, can contribute.
- Repetitive use of the wrist and forearm muscles can build up strain on the lateral elbow tendon, leading to pain and functional impairment.
- Typically, pain is felt on the outer side of the elbow, and it may worsen when using the arm, such as during wrist extension or gripping objects.
- The risk and severity of symptoms may vary depending on the degree of repetitive use of the wrist and forearm during exercise, work, or hobbies, as well as movement patterns, muscle strength, and recovery conditions.
- Symptoms often begin gradually, but there is great individual variation; even with load reduction, symptoms may persist or limit daily function, so changes in both pain and function must be monitored together.
- Diagnosis is established by comprehensively evaluating the location of pain, provoking movements, activity history, and clinical findings; if necessary, tests to evaluate for other elbow conditions are considered.
- Not all elbow pain is lateral epicondylitis, so pain originating from trauma, joint issues, nerve irritation, or the neck and shoulder must also be differentiated.
- The key to management is recovering the function of the elbow and forearm while adjusting activities that trigger pain, and establishing a step-by-step rehabilitation plan with medical staff if necessary.
- Most treatments begin with a non-surgical approach, and treatment options depend on the duration and intensity of symptoms, functional limitations, comorbidities, and response to previous treatments.