The pain of tennis elbow occurs primarily where the tendons of your forearm muscles attach to the bony prominence on the outside of your elbow. The pain may result from tiny tears in the tendon.
Tennis elbow (lateral epicondylitis) is a painful condition that occurs when tendons in your elbow are overloaded, usually by repetitive motions of the wrist and arm.
Despite its name, athletes aren't the only people who develop tennis elbow. People whose jobs feature the types of motions that can lead to tennis elbow include plumbers, painters, carpenters and butchers.
The pain of tennis elbow occurs primarily where the tendons of your forearm muscles attach to a bony bump on the outside of your elbow. Pain can also spread into your forearm and wrist.
Rest and over-the-counter pain relievers often help relieve tennis elbow. If conservative treatments don't help or if symptoms are disabling, your doctor might suggest surgery.
Tennis elbow care at Mayo Clinic
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The pain associated with tennis elbow may radiate from the outside of your elbow into your forearm and wrist. Pain and weakness may make it difficult to:
- Shake hands or grip an object
- Turn a doorknob
- Hold a coffee cup
When to see a doctor
Talk to your doctor if self-care steps such as rest, ice and use of over-the-counter pain relievers don't ease your elbow pain and tenderness.
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Tennis elbow is an overuse and muscle strain injury. The cause is repeated contraction of the forearm muscles that you use to straighten and raise your hand and wrist. The repeated motions and stress to the tissue may result in a series of tiny tears in the tendons that attach the forearm muscles to the bony prominence at the outside of your elbow.
As the name suggests, playing tennis — especially repeated use of the backhand stroke with poor technique — is one possible cause of tennis elbow. However, many other common arm motions can cause tennis elbow, including:
- Using plumbing tools
- Driving screws
- Cutting up cooking ingredients, particularly meat
- Repetitive computer mouse use
Factors that may increase your risk of tennis elbow include:
- Age. While tennis elbow affects people of all ages, it's most common in adults between the ages of 30 and 50.
- Occupation. People who have jobs that involve repetitive motions of the wrist and arm are more likely to develop tennis elbow. Examples include plumbers, painters, carpenters, butchers and cooks.
- Certain sports. Participating in racket sports increases your risk of tennis elbow, especially if you employ poor stroke technique.
Tennis elbow care at Mayo Clinic
Feb. 25, 2021
- DeLee JC, et al. Elbow tendinopathies and bursitis. In: DeLee & Drez's Orthopaedic Sports Medicine: Principles and Practice. 4th ed. Philadelphia, Pa.: Saunders Elsevier; 2015. http://www.clinicalkey.com. Accessed April 4, 2016.
- AskMayoExpert. Lateral elbow tendinopathy. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2014.
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- Laskowski ER (expert opinion). Mayo Clinic, Rochester, Minn. May 13, 2016.
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- Gosens T, et al. Ongoing positive effect of platelet-rich plasma versus corticosteroid injection in lateral epicondylitis: A double-blind randomized controlled trial with 2-year follow-up. American Journal of Sports Medicine. 2011;39:1200.
- Brown AY. Allscripts EPSi. Mayo Clinic, Rochester, Minn. Dec. 9, 2015.
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