Tennis Elbow

Tennis Elbow (Lateral Epicondylar Pain Syndrome)

At Moore Associates Physiotherapy, we are committed to identifying the potential and actual causes of this syndrome and working with you to resolve the problem with non-invasive treatments. There are five key tests to diagnose LEPS; other conditions that can cause elbow pain are assessed and excluded during your assessment.

Tennis elbow (labelled Lawn Tennis Arm in 1882!) is caused by a musculotendinous strain to tendons in the outside of the forearm. The tendons become painful where they join the bony part on the outside of your elbow joint. Any activity that involves gripping and twisting of the forearm can cause this type of strain – most cases aren’t actually related to tennis or any kind of exercise.

It is a fair judgement to state that the approach to treatment of this condition (up to 3% of adult population) is variable and hotly debated. It can be difficult to resolve and many treatments exist which adds further confusion for sufferers. 

Whilst the condition is painful, it is uncommon for harm or damage to occur by continuing to work and carry out sports, hobbies and everyday acitivities. The wide variation in research methods is partly responsible for the failure of MSK professionals to provide a definitive treatment recommendation. That said, many conditions can undertake exercise and perform work without fearing the worst. Kinesiophobia (fear of movement) has been linked to prolonged disability and poor outcomes. If you're worried about tennis elbow symptoms, feel free to contact us.

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A recent review of tennis elbow can be found here (clinical journal)::