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🏥 Gotokuji Orthopedic Clinic / Patient Guide

Tennis Elbow

Lateral Epicondylitis — Not just from tennis! Pain from overuse of the hand and elbow

The medical name is lateral epicondylitis.
It is a condition where the tendon attachment on the outer side of the elbow becomes damaged and painful, near the bony bump. Despite the "-itis" in its medical name, the chronic stage is now understood to be tendon degeneration (a build-up of tiny tears) rather than true inflammation.
It is caused not only by tennis but also by computer work, housework, and manual labor — any activity that involves repeated use of the hand and elbow. It is most common in people over 40.

1
Repeated use of the wrist and elbow

Wrist-twisting movements are repeated during sports or work

2
Stress builds up on the outer elbow tendon

The tendons that move the wrist are constantly pulled at the outer elbow

3
Small tears build up in the tendon

Age-related tendon degeneration adds to the problem, so repair cannot keep up

🎾 Tennis & other sports 💻 Computer work ✂️ Hairdressers & cooks 👴 Age 40+
Pain when gripping or lifting objects
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Tenderness when pressing the outer elbow
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Pain when twisting the wrist
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Difficulty opening bottle caps
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Rest & Icing
Avoid painful activities and apply ice to ease pain
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Brace / Strap
A tennis elbow band reduces stress on the tendon
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Stretching
Forearm extension and rotation stretches improve flexibility
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Anti-Inflammatory Medication
Oral medication or topical patches to ease pain and inflammation
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Injection Therapy
Steroid injections or hydrorelease to relieve pain. Repeated steroid injections around a tendon can weaken it and cause it to rupture, so they are kept to a limited number and spaced at least 2 weeks apart. They are not given if there is infection at or around the site
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Rehabilitation
Wrist curls and other exercises to gradually strengthen the forearm
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Most patients improve with proper treatment

Mild cases may recover within 1-2 months by cutting back on the movements that trigger pain while continuing stretching and a graded strengthening program (eccentric exercise). Severe cases may take 6 months or longer. If left untreated, it tends to become chronic, so early treatment is important.

💡 Habits to Protect Your Elbow

  • Take frequent breaks during long work sessions
  • Make elbow and wrist stretches a daily habit
  • Always warm up and cool down before and after sports
  • If pain continues, see an orthopedic specialist early