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Tennis elbow

What is tennis elbow?


Tennis elbow (lateral epicondylitis) is caused by inflammation or damage of the tendon in outer elbow.


Tendon damage can occur after a single incident, such as lifting heavy objects resulting in tendon tear. But the most common cause is repeated overuse of the arm.


Common causes of tennis elbow


  • Using a computer mouse or keyboard (especially if you have poor posture)
  • Using vibrating equipment
  • Using scissors or shears
  • Gardening
  • Repetitive twisting and lifting of the wrist
  • Playing musical instruments such as the violin




  • Pain or tenderness in outer elbow
  • Pain with gripping and lifting objects
  • Pain with wrist extension
  • Morning stiffness
  • Radiating pain to forearm




  • Rest
  • Medication / Injection
    • Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)
    • Steroid injection
  • Physiotherapy
    • Ice
    • Electrical modalities e.g., ultrasound
    • Massage
    • Acupuncture
    • Shock Wave Therapy
  • Exercise
    • Strengthening exercise
      1. Hold a dumb bell with forearm supported
      2. Raise your wrist
      3. Please consult your therapist for details



  • Stretching exercise
    1. Drop the wrist of your painful arm
    2. Stretch the painful arm with unaffected arm
    3. Hold for 30 seconds
    4. Please consult your therapist for details


  • Arm brace or Strap


The above information was produced by Physiotherapy Department, Canossa Hospital (Caritas).

Please call 28255392 for physiotherapy appointment



  • AAOS American Academy of Orthopedic Surgeons
  • NHS National Health Service, UK
  • CSP Chartered Society of Physiotherapy, UK


All information provided is for reference only. Please contact your physiotherapist or physician should you have any enquiry.

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