Tennis Elbow (Lateral Epicondylitis)

Conditions

Understanding Tennis Elbow (Lateral Epicondylitis)

Tennis elbow, medically known as lateral epicondylitis, is a common cause of pain on the outer side of the elbow. Despite its name, it doesn’t only affect tennis players — it can occur in anyone who performs repetitive wrist or forearm movements, such as typing, lifting, or using tools.

The pain arises from micro-tears and inflammation in the tendons that attach to the bony bump (lateral epicondyle) on the outside of the elbow. Over time, this can lead to degeneration of the tendon tissue, known as tendinopathy.

Typical symptoms include:

  •  Pain or tenderness on the outside of the elbow
  • Pain that worsens with gripping, lifting, or twisting movements
  • Weak grip strength or dropping objects
  • Stiffness or soreness in the forearm

Because tendon irritation can persist and limit daily activities, specialist treatment helps relieve pain and promote lasting tendon healing.

Wessex Pain Clinic

How We Diagnose

At Wessex Pain Clinic, diagnosis begins with a thorough clinical examination of the elbow and forearm. Our consultants assess for tenderness over the lateral epicondyle and reproduce pain with specific resisted wrist or finger movements.

We may arrange ultrasound imaging to assess the tendon structure and detect inflammation or small tears.

In more complex or long-standing cases, MRI scanning can help exclude other causes such as joint arthritis, nerve entrapment, or referred pain from the neck.

Wessex Pain Clinic 68 of 242 websize
Lifestyle and Complementary Therapies

Our physiotherapy and rehabilitation partners play a crucial role in recovery, focusing on:

  • Stretching and strengthening exercises for the forearm muscles
  • Posture correction and ergonomic adjustments for work or sport
  • Progressive loading programmes to rebuild tendon resilience

At Wessex Pain Clinic, we work as a team and meet regularly to discuss complex, treatment resistant or unusual cases. As such you will often receive the expertise of several pain consultants. We believe that we are one of very few pain clinics to offer this.

Medications

We may recommend:

  • Anti-inflammatory medicines (NSAIDs) to reduce pain and swelling
  • Topical anti-inflammatory gels for targeted symptom relief
  • Short courses of analgesics for acute flare-ups
  • Neuropathic pain agents (such as amitriptyline or duloxetine) if nerve irritation is contributing to symptoms
Interventional Procedures

When symptoms persist despite rest and physiotherapy, our consultants offer precise image-guided treatments, including corticosteroid injections to reduce inflammation and pain in the tendon region

These procedures are performed under ultrasound guidance to ensure safety and accuracy.

Our management of tennis elbow is comprehensive and multidisciplinary, focusing on relieving pain, restoring strength, and preventing recurrence.

Treatments at Wessex Pain Clinic

Treatments