Tennis elbow (lateral epicondylitis)

Tennis elbow is a condition characterised by pain on the outer side of the elbow, arising from degeneration of the tendons that attach at the lateral epicondyle (the bony bump on the outside of the elbow). Despite the name, it affects far more than just tennis players. It commonly occurs in any activity involving repetitive wrist extension or gripping.

Symptoms

• Pain and tenderness at the outer elbow
• Pain radiating down the forearm
• Weakness of grip
• Pain with lifting, gripping or turning the wrist

Non-surgical treatment

The vast majority of tennis elbow cases resolve with non-surgical treatment over 6–18 months. Options include:

• Physiotherapy — eccentric strengthening and manual therapy
• Bracing — a counterforce brace during activities
• Activity modification
• Corticosteroid injection
• Platelet-rich plasma (PRP) injection

Surgical management

Surgery is considered when pain has persisted despite at least 6–12 months of consistent conservative treatment. The procedure involves releasing or debriding the degenerate tendon tissue at the lateral epicondyle. This can be performed arthroscopically (keyhole) or through a small open incision, depending on the findings and Dr Myhill's assessment.

Recovery after surgery involves a period of rest followed by a progressive physiotherapy programme over several months.